The First Outbreak of the Illness :: Medicine Medical Influenza Essays

The First Outbreak of the IllnessIt was a quietly dull afternoon when they brought the first victim into the Emergency Room. He was a boyish 15 year-old, an adolescent sheep herder who appeared to be suffering from an unusually high fever accompanied by delirium. His uncle, the only relative to accompany the boy, verbalise that his nephew was in good spirits until a few days prior when his health quickly deteriorated. I was a visiting doctor from Peru and the boy reminded me of firm, where a bulk of my childhood neighbors raised sheep upon the Altiplano. The hospital in which the boy was received was King Fahad Central Hospital in the town of Jazan, a small city in southwest Saudi Arabia near the Yemen border. It was early August 2000, and I was in Jazan as a participating physician in the first physician mass meeting program between the Saudi and Peruvian governments. My admission into this program was due to my youth, my specialization in pediatrics, and my familiarity wit h livestock culture. Though this area of Saudi Arabia was similar to home in climate, it didnt help ... that the language of these indigenous people was so difficult to interpret. Thank Allah that I was surrounded by a sympathetic hospital staff. aft(prenominal) administering fluids to relieve his dehydration, I had the boy x-rayed to see if I could find anything beyond the surface of his quickly-failing, physical condition. Upon review of the patients cranial x-rays, it was found that there was swelling of the school principal (encephalitis) along with kidney damage. Sadly, the boy was pronounced dead two days later, and with my inability to find a cure for him, the hospital was suddenly facing an exponential cadence of patients suffering from the same condition. Desperate to find a clue, my fellow doctors and I spent whatever time available studying the cause for this mysterious illness. The more or less common factors between these patients were that all of them were he rdsmen who happened to graze their sheep near a wadi (seasonal watercourse) a few miles north of Jazan. Instantly we assumed that this was a new, aggressive form of malaria with the transmitter being a mosquito. However, another colleague, Dr. Muhammad Almaradni, concluded another diagnosis--Rift Valley Fever. According to the World Health Organization, Rift Valley Fever (RVF) was isolated in 1930 during an

Prostituting the Constitution Essay examples -- Exploratory Essays Res

Prostituting the Constitution It has become fashionable to propose amendments to the constitution for all imaginable causes. Thus the nations charter is endangered by a barrage of new and unworthy ideas offered up by opportunistic politicians seeking to exploit popular passions. Indeed, constitutional reform seems to be the hot yield around Washington and in the writings of both liberal and conservative journalists across the country. No longer is it suitable for legislation to follow the normal agency of entering into law - ratification by both House and Senate, pending the signature of the President. Rather, this new breed of constitutional reformers seeks to undermine this very process, not to honorable mention the Constitution itself, with their volley of proposed amendments. Proponents of such congressional reform bitterly deny that the sanctity of the Constitution is ever tarnished in the midst of their attempts to update the Constitution to smoothen pressing soc ial issues. These proponents contend that the very proposals with which they seek to indelibly stain the Constitution are comparable to those another(prenominal) amendments added to the Constitution in its history. In other words, current policy issues merit equal attention with amendments such as those which eradicated the poll tax or secured suffrage for all Americans. Whether or not there exists an equality between those problems plaguing contemporary society and those thought ageless in the eighteenth century is difficult to assess. Nonetheless, assuming that issues such as abortion, school prayer, gladiola burning, term limits, and the balanced budget deserve the attention that they have received in Washington, it remains to be argued convincingly that th... ...t say that the policies themselves proposed to become permanent fixtures in the Constitution are flawed. Rather, it is to say that such hysteria is merely empty symbolism, and a way to clutter the Const itution with dubious prose. For instance, there very hearty ought to be means to ensure that the government operates with a balanced budget, or that the rights of those who wish to pray in school are protected. However, as of yet, it has not been demo that these mere issues of domestic policy warrant inclusion in the nations most sacred document. Politicians ought to return to the Constitution with heartfelt resolve, seeking from it inspiration and guidance. The Constitution ought never to become the prostitute of two-bit politicians across the nation who, in the dire moments of reelection, call upon its sacred name to secure their own futures.

The Nacirema: Another Look Essay -- Essays Papers

The Nacirema Another Look Written by Horace miner, this essay of the people group Nacirema is an interesting look at their everyday functions. The tribe Miner describes is seemingly primal and uncivilized, and yet somewhat familiar. The entire account of these mysterious people describes unusual and strange behaviors and activities. The brief overview on the Nacirema is graphic from Miners point of view. When the meaning of the story becomes clear, the purpose for writing it becomes either humor or disdain. In this article written by Miner, he describes the tribe of the Nacirema vividly and descriptively. The Nacirema argon a tribe known for only twenty years. When they were discovered there was almost no information on them. They are a spousal relationship American tribe that exists between the Canadian Cree, the Yaqui and Tarahumare of Mexico, and the Carib and Arawak of the Antilles (Miner). This area, with further investigation, is the area of the United States o f America. The location alone causes the reader to be alert for Miners motives. The Nacirema are unique followers of the market system, and live in a rich natural habitat. This primitive market system takes up much of the inhabitants time. However the people spend a large block of time in daily ritual activity. This tribe does not worship the soul resembling prominent religions but they worship the body. They believe the body is ugly and prone to injury and sickness. So to alleviate the problem they perform many rituals and ceremonies. In separately home there is a ritual center where these actions take place. These centers are so important that all wealthier tribesmen have more than one. The shrines are located in the family home but the performance of ... ...es, his point is headspring taken. If his purpose is a tongue in cheek look at our culture and ourselves, job well done. If his purpose is to criticize and discredit a successful culture, exception is taken. If nothing else is gleaned from this article, when we look at the Nacirema, American spelled backwards, we learn to have a more tender attitude when viewing other cultures we are unfamiliar with. Rituals that appear barbaric, or even silly can and most probably have a dianoetic purpose within that particular people group. This change in the prevailing American attitude will go far to mend the fences that have been down(p) and heal the bonds of cooperation all without the need of a latipso (hospital).Works CitedMiner, Horace. Body Ritual among the Nacirema, American Anthropolgist 583,June 1956. Rpt., <http//www.msu.eduEjdowell/miner.html

Hypatia :: Essays Papers

HypatiaHypatia was born in the year 370 AD in Alexandria, Egypt. She was the daughter of Theon, a famed mathematician and astronomer. He invented many things, but his most famous invention is the astrolabe, which measures the altitude of a star or planet. Hypatia studied with her father for many years at the Museum in Alexandria, but soon became unsatisfied with his teaching because she was smarter than him. She left Egypt, and traveled to Greece and Rome to do post-graduate drill. Her brains and beauty gave her a wonderful reputation throughout the capitols near the Mediterranean. When she returned to her homeland, everyone wanted to be taught by her. She not only when gave lectures on philosophy, but also tutored. Hypatia became good friends with Orestes, the Roman governor of Alexandria, and would later become one of his closest advisors. She also became pals with Synesius, who became bishop of Ptolmais thanks to Hypatias ingenuity. Much of what we do it about Hypati a today is from the letters Synesius wrote to her. In one letter, Synesius wrote to his friend, You always have power and long may you have it and make good use of that power. The antique encyclopedia Suda also tells us a little bit about Hypatia. It tells us that when she was 31, she became director of the museum in Alexandria. This museum was brought the top scientists from all around Europe to work and do research there. Some of these mathematicians and scientists were Euclid, Galen, and Archimedes. This museum was considered to be one of the finest and most outstanding buildings at the time. It was built by Ptolemy, the ruler of Egypt after Alexander the Great, in ccc B.C.Next to the museum Ptolemy built a library which was considered the greatest library of the ancient world. However, the Julius Caesars army burned it down accidentally. Some archaeologists called this the greatest disaster in the ancient world.During Hypatias life, there was bitter rivalry between th e pagans and Christians of the Mediterranean. Hypatia was a pagan herself, but taught both Christian and non-Christian students. The pagans and Christians were battling over who had more power, and in knock against of 415 AD, it was the Christians who had the most power. These two groups were trying to drive each other out of Alexandria.

Maybe Later Essay -- Personal Narrative Creative Writing Essays

Maybe LaterShes sitting thither, a blown-out shell as hulking and vacant and lifeless as the enchanted castles of my love fairy-tale stories. The television cries for attention, but her look refuse to acknowledge even its blatant wail. Behind tinted glassis that smudged dirt or a protective coating?eyes finally flutter open, the first sign of life. Are they blank? Do they beg for help or scream of past and present pain? I cant sayI havent the courage to look.The world rotates around its axis three times an hour and I incite with it. Soccer cleats, water bottle, there you go. FineIll be there in an hour. Okay, groceries, post office, soccer practice . . . hmm . . . what do you want for dinner? Family members terpsichore around the kitchen in the ultimate test of agility to avoid tromping on anothers toes. Theres nothing to eatLove you flingCome back here Pick that up right now A slap of the cupboard door, dashed kisses, and a sprint for keystrip chisel in yell A mad cacophonyentire ly normal, unsettling, and dear.Grandma sits there. She has not moved. The eye of the storm? Or merely forgotten by time? public ad cause system and I walk away from it all sometimes, releasing frustration in fruitless lament. Sometimes we laugh bitterly. Sometimes his words are a dreadful reminder of a happier and more carefree time. I just had to get out of the house. Usually I can take itbut tonight His tempo slows in failure. I never wanted you to realize how different she is. I triedI hoped youd never recognize her illness. And pretending used to work. ImIm sorry you have to see it now. She used to love to visit, you know, and you loved her back. I strain to remember lost time and attitude... ...te and poofy dress waving a crystalline magic wand and saying the magic words as I am instantaneously granted love and application and relief from guilt and dread.But there is no magic wand or sudden connection of love and understanding. There is no resolution of meliorate peace. I stare at these words and am instead startled, not by supreme happiness or tranquility, but by a peppy hope. The world does not end with this page. I will push print and the world will go on, and I will continue to create my world. happily ever after is unnecessary. Instead, maybe I will sit down next to her and simply speak. Tonight maybe I will kiss her mettle as she goes up to bed. Maybe I will hold her hand as she struggles up the stairs or joke with her, whether she understands or not. This is no end, and there doesnt yet need to beIm still trying. to Current Contest Winners

Maybe Later Essay -- Personal Narrative Creative Writing Essays

Maybe LaterShes sitting there, a blown-out shell as hulking and vacant and lifeless as the enchanted castles of my beloved fairy-tale stories. The television cries for attention, only if her eyes refuse to acknowledge even its blatant wail. Behind tinted glassis that smudged dirt or a defensive coating?eyes finally flutter open, the first sign of life. Are they blank? Do they beg for help or scream of past and fork over pain? I cant sayI havent the courage to look.The world rotates around its axis three times an time of day and I run with it. Soccer cl fertilizes, water bottle, there you go. FineIll be there in an hour. Okay, groceries, post office, soccer practice . . . hmm . . . what do you ask for dinner? Family members dance around the kitchen in the ultimate test of agility to avoid tromping on anothers toes. Theres nothing to eatLove youbyeCome back here Pick that up right now A slap of the cupboard door, dashed kisses, and a panache for keystrip crash yell A mad cacophon yentirely normal, unsettling, and dear.Grandma sits there. She has not moved. The eye of the storm? Or merely forgotten by time?Dad and I walk away from it all sometimes, releasing frustration in fruitless lament. Sometimes we laugh bitterly. Sometimes his words atomic number 18 a painful reminder of a happier and more carefree time. I just had to get out of the house. Usually I can take itbut tonight His stride slows in failure. I never wanted you to realize how different she is. I triedI hoped youd never recognize her illness. And pretend used to work. ImIm sorry you have to see it now. She used to love to visit, you know, and you loved her back. I strain to remember broken time and attitude... ...te and poofy dress waving a crystalline magic wand and saying the magic words as I am instantaneously minded(p) love and patience and relief from guilt and dread.But there is no magic wand or sudden connection of love and understanding. There is no resolution of perfect peace. I sta re at these words and am instead startled, not by supreme happiness or tranquility, but by a resilient hope. The world does not end with this page. I pull up stakes push print and the world will go on, and I will keep back to create my world. Happily ever after is unnecessary. Instead, maybe I will sit down next to her and simply speak. Tonight maybe I will kiss her cheek as she goes up to bed. Maybe I will hold her hand as she struggles up the stairs or joke with her, whether she understands or not. This is no end, and there doesnt yet need to beIm still trying. to Current Contest Winners

Nanotechnology in Medicine

Nanotechnology in Medicine When thinking of Nanotechnology one could think of the movie G. I. Joe The Rise of Cobra. In the movie Cobra steals nanotech warheads and attacks the Eiffel hover and it is destroyed by molecule sized machines in a matter of minutes. At this point in time nanotechnology is nowhere near this far along. Nanotechnology of straight off is about manipulating different types of matter on a molecular scale thus making them stronger and more dur competent (Williamson, Kenneth D. New Products). Hopefully well be able to create the nanobots of G.I. Joe in the near future but for now it is just science fiction. With the science of nanotechnology we give the bounce revolutionize the field of medicine like neer before, destroy crabmeat in the human frame without killing the host body and revolutionize diagnostic imaging technology. Nanotechnology in medicine is often referred to as Nano medicine. One of the first uses of nanotech in medicine was in the early ninet ies. Silver Nano crystals were actual and used as an ant-microbial agent in healing infections (Nanotech in Med. ilver coatings). some other use is in burn treatment. The burn dressing applied to burns is loaded with nanoparticle sized antibiotics that are released when encountering a foreign organism (Nanotech in Med. ) another(prenominal) positive use for preventative care is the use of Buckyballs. Buckyballs are an accidental discovery made by Ric touchy Smalley in the early 1980s they are a form of carbon which has been found to be able to purify any kind of water thus preventing people from catching water borne sicknesses (Nanotechs Impact).Currently the stir up against cancer uses the bloodstream as the delivery system for toxic drugs. A cancer patient in the mental process of taking these drugs is subjected to a mind desensitize array of horrible side effects. In 2012 a company, Bind Biosciences submitted clinical data on their use of nanotechnology to fight cancerous tu mors. Their data shows that more of the cancer drug is delivered to the tumor and that there were marked improvements in anti-tumor activity. This process also reduced the toxicity to the patients and there was no new toxicity problems noted (Clinical Data.Bind 014). This process will eventually be able to be used with all cancer types as soon as the process is approved. In the past it was hard to determine the exact position and shape of cancer tumors and im practicable to deliver cancer fighting drugs to the tumor itself. With the advancement of diagnostic imaging it is now possible to deliver these drugs directly to the tumor itself. Now a person is injected with or drinkings something infused with nano-particles and allows scientists a sharper image of the persons body (Nanotech. Emerging Tool).When patients drink the dye for M. R. I. imaging the dye wouldnt last. Now the nano-particles being used have a long shelf life inside the body and can be used in subsequent imaging sessi ons (Nanotech. Emerging Tool). With nanotechnology it is also possible to track an individual cell through its journey in the body (Nanotech. Emerging Tool). At this time the United States of America has invested three point seven billion dollars in its own nanotechnology program and most other developed countries are following suit (Nanotech. Wikipedia).Within the next fifteen years there are going to be some major leaps in technology callable to the use of nanotechnology and the human life experience is going to be better than ever before in human history. It is already changing life as we know it and most people dont even realize it. Works Cited Bennet-Woods, Debra. Nanotecnology in MedicineImplications of convergence Technologies on Humanity. Nanotecnology in MedicineImplications of Converging Technologies on Humanity. 49. 4 (2006) 54-59. Web. 8 Apr. 2013. Bind biosciences presents clinical data on bind 014. www. understandingnano. com. UNDERSTANDING NANO.COM, 3 22 2013. Web . 3-22-2013. Ckakraborty, Mainak, Surangna Jain , and Vibha Rani. NanotechnologyEmerging Tool for nosology and Therapeutics. ProQuest. Appl Biochem Biotechnol, 17 Aug 2011. Web. 8 Apr 2013. Nanotechnology. wikipedia. wikipedia, 4 7 2013. Web. 7 Apr 2013. (Nanoparticles and Their applications. Nanogloss. com. N. p. , 3 20 2013. Web. 3-20-2013. Williamson, Kenneth D. Nanotechnology. Charleston Newspapers 18 Nov 2007, Sunday Gazette 1C. Web. 8 Apr. 2013. ProQuest www. understandingnano. com. www. understandingnano. com. understandingnano. com, 3 20 2013. Web. 8 Apr 2013.

The Twilight Saga 2: New Moon Chapter 24 VOTE

HE WAS NOT PLEASED, THAT MUCH WAS EASY TO READ in his event. motionlessness, without further argument, he took me in his arms and sprang lithely from my wind upow, landing without the slightest jolt, interchangeable a cat. It was a com time of dayd bit farther down than Id imagined.All right then(prenominal), he give tongue to, his darkice buzz with disapproval. Up you go.He helped me onto his foul, and took off running. Even later on all this time, it felt routine. Easy. Evidently this was something you never forgot, same riding a bicycle.It was so very peace of head teacher and Cimmerian as he ran through the forest, his breathing slow and evendark liberal that the trees flying past us were nearly invisible, and only the rush of air in my face truly gave a route our speed. The air was damp it didnt burn my eyes the way the wind in the big plaza had, and that was comforting. As was the night, too, after that wonderful brightness. Like the thick reliever Id playe d beneath as a child, the dark felt familiar and protecting.I think roughed that running through the forest uniform this used to frighten me, that I used to consecrate wizard crossways to close myeyes. It come upmed a silly reaction to me now. I kept my eyes wide, my chin resting on his shoulder, my crust against his neck. The speed was exhilarating. A hundred times founder than the motorcycle.I turned my face toward him and pressed my lips into the cold stone skin of his neck.Thank you, he said, as the vague, black shapes of trees raced past us. Does that mean youve decided youre awake?I laughed. The sound was easy, natural, effortless. It sounded right. Not really. More that, either way, Im non laborious to wake up. Not tonight.Ill wee-wee your trust back somehow, he murmured, mostly to himself. If its my final act.I trust you, I as acceptedd him. Its me I dont trust.Explain that, pl soothe.Hed slowed to a walkI could only govern because the wind ceasedand I makeed that we werent far from the house. In fact, I model I could make out the sound of the river rushing somewhere close by in the darkness. head I strugg guide to find the right way to phrase it. I dont trust myself to be enough. To deserve you. Theres nothing about me that could brook you.He stopped and reached most to pull me from his back. His gentle hands did not release me after hed set me on my feet again, he wrapped his arms tightly around me, hugging me to his chest.Your hold is permanent and unbreakable, he verbalise. Never doubt that.But how could I not?You never did tell me he murmured.What?What your greatest problem is.Ill egest you one look. I sighed, and reached up to touch the tip of his nose with my index finger.He nodded. Im worse than the Volturi, he said grimly. I guess Ive earned that.I rolled my eyes. The scald the Volturi can do is kill me.He waited with tense eyes.You can leave me, I explained. The Volturi, Victoria theyre nothing compared to that.Even in the darkness, I could see the twisting twist his faceit reminded me of his expression under Janes torturing gaze I felt sick, and regretted speaking the truth.Dont, I whispered, touching his face. Dont be sad.He pulled one corner of his address up halfheartedly, just the expression didnt touch his eyes. If there was only some way to make you see that I cant leave you, he whispered. Time, I suppose, result be the way to convince you.I liked the idea of time. Okay, I agreed.His face was unflustered tormented. I assay to distract him with inconsequentials.Sosince youre staying. Can I stand my stuff back? I asked, making my tone as light as I could manage.My attempt worked, to an extent he laughed. But his eyes maintained the misery. Your things were never gone, he told me. I knew it was wrong, since I promised you peace without reminders. It was stupid and childish, but I asked to leave something of myself with you. The CD, the pictures, the ticketstheyre all under your floorb oards.Really?He nodded, apparent slightly cheered by my obvious pleasure in this trivial fact. It wasnt enough to heal the pain in his face completely.I think, I said slowly, Im not sure, but I wonder I think maybe I knew it the whole time.What did you make love?I only trusted to trail away the woe in his eyes, but as I spoke the words, they sounded truer than I expected they would.Some part of me, my subconscious maybe, never stopped believing that you comfort cared whether I lived or died. Thats probably why I was audition the voices.There was a very bass silence for a moment. Voices? he asked flatly.Well, on the nose one voice. Yours. Its a long story. The wary look on his face made me wish that I hadnt brought that up. Would he think I was crazy, like everyone else? Was everyone else right about that? But at least that expressionthe one that made him look like something was burning himfaded.Ive got time. His voice was unnaturally even.Its pretty pathetic.He waited.I wasn t sure how to explain. Do you remember what Alice said about extreme sports?He spoke the words without inflection or emphasis. You jumped off a cliff for fun.Er, right. And before that, with the motorcycleMotorcycle? he asked. I knew his voice well enough to hear something brewing behind the calm.I guess I didnt tell Alice about that part.No.Well, about that See, I found that when I was doing something perilous or stupid I could remember you more clearly, I confessed, feeling completely mental. I could remember how your voice sounded when you were angry. I could hear it, like you were standing right there bordering to me. Mostly I tried not to think about you, but this didnt hurt so muchit was like you were protecting me again. Likeyou didnt want me to be hurt.And, well, I wonder if the yard I could hear you so clearly was because, underneath it all. I constantly knew that you hadnt stopped loving me.Again, as I spoke, the words brought with them a sense of conviction. Of rightne ss. Some deep value inside me recognized truth.His words came out half-strangled. You were risking your spirit to hearShh, I interrupted him. Hold on a second. I think Im having an epiph any(prenominal) here.I thought of that night in Port Angeles when Id had my first delusion. Id amount up with two options. Insanity or wish fulfillment. Id seen no third option.But what ifWhat if you sincerely believed something was true, but you were dead wrong? What if you were so stubbornly sure that you were right, that you wouldnt even consider the truth? Would the truth be silenced, or would it try to break through?Option triple Edward loved me. The bond forged amongst us was not one that could be broken by absence, distance, or time. And no matter how much more special or beautiful or brilliant or perfect than me he might be, he was as irreversibly altered as I was. As I would forever blend in to him, so would he always be mine.Was that what Id been trying to tell myself?OhBella?Oh. Ok ay. I see.Your epiphany? he asked, his voice uneven and strained.You love me, I marveled. The sense of conviction and meanness washed through me again.Though his eyes were still anxious, the crooked smile I loved best flashed across his face. Truly, I do.My heart inflated like it was dismissal to crack right through my ribs. It filled my chest and blocked my throat so that I could not speak.He really did want me the way I wanted himforever. It was only fear for my soul, for the human things he didnt want to take from me, that made him so desperate to leave me mortal. Compared to the fear that he didnt want me, this hurdlemy soulseemed almost insignificant.He took my face tightly between his cool hands and kissed me until I was so dizzy the forest was spinning. Then he leaned his forehead against mine, and I was not the only one breathing trickyer than usual.You were better at it than I was, you know, he told me.Better at what?Surviving. You, at least, made an effort. You got up i n the morning, tried to be normal for Charlie, followed the pattern of your life. When I wasnt actively tracking, I was tout ensemble useless. I couldnt be around my familyI couldnt be around anyone. Im embarrassed to admit that I more or less curling up into a ball and let the misery yield me. He grinned, sheepish. It was much more pathetic than hearing voices. And, of course, you know I do that, too.I was deeply relieved that he really seemed to understandcomforted that this all made sense to him. At any rate, he wasnt expression at me like I was crazy. He was looking at me like he loved me.I only heard one voice, I change by reversal him.He laughed and then pulled me tight against his right side and started to lead me forward.Im just humoring you with this. He motioned broadly with his hand toward the darkness in front of us as we walked. There was something pale and bulky therethe house, I recognise. It doesnt matter in the slightest what they say.This affects them now, t oo.He shrugged indifferently.He led me through the open front door into the dark house and flipped the lights on. The room was just as Id remembered itthe piano and the white couches and the pale, massive staircase. No dust, no white sheets.Edward called out the names with no more majority than Id use in regular conversation. Carlisle? Esme? Rosalie? Emmett? Jasper? Alice? They would hear.Carlisle was short standing beside me, as if hed been there all along. Welcome back, Bella. He smiled. What can we do for you this morning? I imagine, cod to the hour, that this is not a purely social visit?I nodded. Id like to talk to everyone at once, if thats okay. About something important.I couldnt help glancing up at Edwards face as I spoke. His expression was critical, but resigned. When I looked back to Carlisle, he was looking at Edward, too.Of course, Carlisle said. Why dont we talk in the other room?Carlisle led the way through the bright living room, around the corner to the dine roo m, turning on lights as he went. The walls were white, the ceilings high, like the living room. In the heart of the room, under the low-hanging chandelier, was a large, polished oval board surrounded by eight chairs. Carlisle held out a chair for me at the head.Id never seen the Cullens use the dining room table beforeit was just a prop. They didnt eat in the house.As soon as I turned to sit in the chair, I aphorism that we were not alone. Esme had followed Edward, and behind her the rest of the family filed in.Carlisle sat down on my right, and Edward on my left. Everyone else took their seats in silence. Alice was grinning at me, already in on the plot. Emmett and Jasper looked curious, and Rosalie smiled at me tentatively. My resolventing smile was just as timid. That was going to take some acquiring used to.Carlisle nodded toward me. The floor is yours.I swallowed. Their gazing eyes made me nervous. Edward took my hand under the table. I peeked at him, but he was watching th e others, his fate suddenly fierce.Well, I paused. Im hoping Alice has already told you everything that happened in Volterra?Everything, Alice assured me.I threw her a meaningful look. And on the way?That, too, she nodded.Good, I sighed with relief. Then were all on the same page.They waited patiently while I tried to order my thoughts.So, I have a problem, I began. Alice promised the Volturi that I would become one of you. Theyre going to send someone to check, and Im sure thats a bad thingsomething to avoid.And so, now, this involves you all. Im sorry about that. I looked at each one of their beautiful faces, saving the most beautiful for last. Edwards mouth was turned down into a grimace. But, if you dont want me, then Im not going to force myself on you, whether Alice is involuntary or not.Esme opened her mouth to speak, but I held up one finger to stop her.Please, let me finish. You all know what I want. And Im sure you know what Edward thinks, too. I think the only fair way t o decide is for everyone to have a take. If you decide you dont want me, then I guess Ill go back to Italy alone. I cant have them glide slope here. My forehead creased as I considered that.There was the faint rumble of a growl in Edwards chest. I ignored him.pickings into account, then, that I wont put any of you in danger either way, I want you to vote yes or no on the issue of me becoming a vampire.I half-smiled on the last word, and gestured toward Carlisle to begin.Just a minute, Edward interrupted.I glared at him through narrowed eyes. He raised his eyebrows at me, squeezing my hand.I have something to add before we vote.I sighed.About the danger Bellas referring to, he continued. I dont think we need to be overly anxious.His expression became more animated. He put his free hand on the shining table and leaned forward.You see, he explained, looking around the table while he spoke, there was more than one reason why I didnt want to shake Aros hand there at the end. Theres som ething they didnt think of, and I didnt want to cine them in. He grinned.Which was? Alice prodded. I was sure my expression was just as skeptical as hers.The Volturi are overconfident, and with easily reason. When they decide to find someone, its not really a problem. Do you remember Demetri? He glanced down at me.I shuddered. He took that as a yes.He finds peoplethats his talent, why they throw him.Now, the whole time we were with any of them, I was picking their brains for anything that might save us, acquiring as much information as possible. So I saw how Demetris talent works. Hes a trackera tracker a thousand times more gifted than Jarres was. His expertness is loosely related to what I do, or what Aro does. He catches the flavor? I dont know how to describe it the tenor of someones mind, and then he follows that. It works over immense distances.But after Aros little experiments, well Edward shrugged.You think he wont be able to find me, I said flatly.He was smug. Im sure o f it. He relies totally on that other sense. When it doesnt work with you, theyll all be blind.And how does that solve anything?Quite obviously, Alice will be able to tell when theyre planning a visit, and Ill hide you. Theyll be helpless, he said with fierce enjoyment. It will be like looking for a piece of straw in a haystackHe and Emmett interchange a glance and a smirk.This made no sense. But they can find you, I reminded him.And I can take care of myself.Emmett laughed, and reached across the table toward his brother, extending a fist.Excellent plan, my brother, he said with enthusiasm.Edward stretched out his arm to smack Emmetts fist with his own.No, Rosalie hissed.Absolutely not, I agreed.Nice. Jaspers voice was appreciative.Idiots, Alice muttered.Esme just glared at Edward.I straightened up in my chair, focusing. This was my meeting.All right, then. Edward has offered an alternative for you to consider, I said coolly. Lets vote.I looked toward Edward this time it would be better to get his opinion out of the way. Do you want me to hook up with your family?His eyes were hard and black as flint. Not that way. Youre staying human.I nodded once, nourishing my face businesslike, and then expunged on.Alice?Yes.Jasper?Yes, he said, voice grave. I was a little rampdI hadnt been at all sure of his votebut I suppressed my reaction and head for the hillsd on.Rosalie?She hesitated, biting down on her full, perfect bottom lip. No.I kept my face blank and turned my head slightly to move on, but she held up both her hands, touchs forward.Let me explain, she pleaded. I dont mean that I have any aversion to you as a sister. Its just that this is not the life I would have chosen for myself. I wish there had been someone there to vote no for me.I nodded slowly, and then turned to Emmett.Hell, yes He grinned. We can find some other way to pick a fight with this Demetri.I was still grimacing at that when I looked at Esme.Yes, of course, Bella. I already think of yo u as part of my family.Thank you, Esme, I murmured as I turned toward Carlisle.I was suddenly nervous, wishing I had asked for his vote first. I was sure that this was the vote that mattered most, the vote that counted more than any majority.Carlisle wasnt looking at me.Edward, he said.No, Edward growled. His jaw was strained tight, his lips curled back from his teeth.Its the only way that makes sense, Carlisle insisted. Youve chosen not to live without her, and that doesnt leave me a choice.Edward dropped my hand, shoving away from the table. He stalked out of the room, snarling under his breath.I guess you know my vote. Carlisle sighed.I was still staring after Edward. Thanks, I mumbled.An earsplitting crash echoed from the other room.I flinched, and spoke quickly. Thats all I needed. Thank you. For wanting to keep me. I feel exactly the same way about all of you, too. My voice was jagged with emotion by the end.Esme was at my side in a flash, her cold arms around me. Dearest Bel la, she breathed.I hugged her back. Out of the corner of my eye, I noticed Rosalie looking down at the table, and I realized that my words could be construed in two ways.Well, Alice, I said when Esme released me. Where do you want to do this?Alice stared at me, her eyes widening with terror.No No NO Edward roared, charging back into the room. He was in my face before I had time to blink, bending over me, his expression twisted in rage. Are you insane? he shouted. Have you utterly lost your mind?I cringed away, my hands over my ears.Um, Bella, Alice interjected in an anxious voice. I dont think Im ready for that. Ill need to prepareYou promised, I reminded her, glaring under Edwards arm.I know, but Seriously, Bella I dont have any idea how to not killyou.You can do it, I encouraged. I trust you.Edward elusive in fury.Alice shook her head quickly, looking apprehensionked.Carlisle? I turned to look at him.Edward grabbed my face in his hand, forcing me to look at him. His other hand w as out, palm toward Carlisle.Carlisle ignored that. Im able to do it, he answered my question. I wished I could see his expression. You would be in no danger of me losing control.Sounds good. I hoped he could understand it was hard to talk clearly the way Edward held my jaw.Hold on, Edward said between his teeth. It doesnt have to be now.Theres no reason for it not to be now, I said, the words coming out distorted.I can think of a few.Of course you can, I said sourly. Now let go of me.He freed my face, and folded his arms across his chest. In about two hours, Charlie will be here looking for you. I wouldnt put it past him to involve the police.All three of them. But I frowned.This was always the hardest part. Charlie, Renee. Now Jacob, too. The people I would lose, the people I would hurt. I wished there was some way that I could be the only one to suffer, but I knew that was impossible.At the same time, I was hurting them more by staying human. Putting Charlie in constant danger th rough my proximity. Putting Jake in worse danger still by drawing his enemies across the land he felt bound to protect. And ReneeI couldnt even risk a visit to see my own acquire for fear of bringing my deadly problems along with meI was a danger magnet Id accepted that about myself.Accepting this, I knew I needed to be able to take care of myself and protect the ones I loved, even if that meant that I couldnt be with them. I needed to be strong.In the interest of remaining inconspicuous, Edward said, still talking through his gritted teeth, but looking at Carlisle now, I suggest that we put this conversation off, at the very least until Bella finishes high school, and moves out of Charlies house.Thats a reasonable request, Bella, Carlisle pointed out.I thought about Charlies reaction when he woke up this morning, ifafter all that life had put him through in the last week with Harrys loss, and then I had put him through with my unexplained disappearancehe were to find my bed empty. Charlie deserved better than that. It was just a little more time graduation wasnt so far awayI pursed my lips. Ill consider it.Edward relaxed. His jaw unclenched.I should probably take you home, he said, more calm now, but clearly in a hurry to get me out of here. Just in case Charlie wakes up early.I looked at Carlisle. After graduation?You have my word.I took a deep breath, smiled, and turned back to Edward. Okay. You can take me home.Edward rushed me out of the house before Carlisle could promise me anything else. He took me out the back, so I didnt get to see what was broken in the living room.It was a quiet trip home. I was feeling triumphant, and a little smug. Scared stiff, too, of course, but I tried not to think about that part. It did me no good to worry about the painthe physical or the emotionalso I wouldnt. Not until I absolutely had to.When we got to my house, Edward didnt pause. He dashed up the wall and through my window in half a second. Then he pulled my arms frc m around his neck and set me on the bed.I thought I had a pretty good idea of what he was thinking, but his expression surprised me. Instead of furious, it was calculating. He paced silently back and forth across my dark room while I watched with growing suspicion.Whatever youre planning, its not going to work, I told him.Shh. Im thinking.Ugh, I groaned, throwing myself back on the bed and pulling the quilt over my head.There was no sound, but suddenly he was there. He flipped the cover back so he could see me. He waslying next to me. His hand reached up to brush my hair from my cheek.If you dont mind, Id much rather you didnt hide your face. Ive lived without it for as long as I can stand. Now tell me something.What? I asked, unwilling.If you could have anything in the world, anything at all, what would it be?I could feel the skepticism in my eyes. You.He shook his head impatiently. Something you dont already have.I wasnt sure where he was trying to lead me, so I thought carefully before I answered. I came up with something that was both true, and also probably impossible.I would want Carlisle not to have to do it. I would want you to change me.I watched his reaction warily, expecting more of the fury Id seen at his house. I was surprised that his expression didnt change. It was still calculating, thoughtful.What would you be willing to trade for that?I couldnt believe my ears. I gawked at his composed face and blurted out the answer before I could think about it.Anything.He smiled faintly, and then pursed his lips. Five years?My face twisted into an expression somewhere between chagrin and horror.You said anything, he reminded me.Yes, but youll use the time to find a way out of it. I have to strike while the iron is hot. Besides, its just too dangerous to be humanfor me, at least. So, anything but that.He frowned. Three years?NoIsnt it worth anyrhing to you at all? I thought about how much I wanted this. Better to keep a poker face, I decided, and not let hi m know how very much that was. It would give me more leverage. Six months?He rolled his eyes. Not good enough.One year, then, I said. Thats my limit.At least give me two.No way. Nineteen Ill do. But Im not going anywhere near twenty. If youre staying in your teens forever, then so am I.He thought for a minute. All right. Forget time limits. If you want me to be the onethen youll just haveto meet one condition.Condition? My voice went flat. What condition?His eyes were cautioushe spoke slowly. Marry me first.I stared at him, waiting Okay. Whats the punch line?He sighed. Youre wounding my ego, Bella. I just proposed to you, and you think its a joke.Edward, please be serious.I am one hundred percent serious. He gazed at me with no hint of humor in his face.Oh, cmon, I said, an knock against of hysteria in my voice. Im only eighteen.Well, Im nearly a hundred and ten. Its time I settled down.I looked away, out the dark window, trying to control the panic before it gave me away.Look, mar riage isnt exactly that high on my list of priorities, you know? It was sort of the kiss of death for Renee and Charlie.Interesting choice of words.You know what I mean.He inhaled deeply. Please dont tell me that youre afraid of the commitment, his voice was disbelieving, and I understood what he meant.Thats not it exactly, I hedged. Im afraid of Renee. She has some really intense opinions on getting married before youre thirty.Because shed rather you became one of the eternal damned than get married. He laughed darkly.You think youre joking.Bella, if you compare the level of commitment between a married union as opposed to bartering your soul in exchange for an eternity as a vampire He shook his head. If youre not brave enough to marry me, thenWell, I interrupted. What if I did? What if I told you to take me to Vegas now? Would I be a vampire in three days?He smiled, his teeth flashing in the dark. Sure, he said, calling my bluff. Ill get my car.Dammit. I muttered. Ill give you eig hteen months.No deal, he said, grinning. I like this condition.Fine. Ill have Carlisle do it when I graduate.If thats what you really want. He shrugged, and his smile became absolutely angelic.Youre impossible, I groaned. A monster.He chuckled. Is that why you wont marry me?I groaned again.He leaned toward me his night-dark eyes melted and smoldered and shatter my concentration. Please, Bella? he breathed.I forgot how to breathe for a moment. When I recovered, I shook my head quickly, trying to clear my suddenly clouded mind.Would this have gone better if I d had time to get a ring.No No rings I very nearly snouted.Now youve done it, he whispered.Oops.Charlies getting up Id better leave, Edward said with resignation.My heart stopped beating.He gauged my expression for a second. Would it be childish of me to hide in your closet, then?No, I whispered eagerly. Stay. Please.Edward smiled and disappeared.I seethed in the darkness as I waited for Charlie to check on me. Edward knew exac tly what he was doing, and I was willing to bet that all the injured surprise was part of the ploy. Of course, I still had the Carlisle option, but now that I knew there was a chance that Edward would change me himself, I wanted it bad. He was such a cheater.My door cracked open.Morning, Dad.Oh, hey, Bella. He sounded embarrassed at getting caught. I didnt know you were awake.Yeah. Ive just been waiting ior you to wake up so I could take a shower. I started to get up.Hold on, Charlie said, flipping the light on. I blinked in the sudden brightness, and carefully kept my eyes away from the closet. Lets talk for a minute first.I couldnt control my grimace. Id forgotten to ask Alice for a good excuse.You know youre in trouble.Yeah, I know.I just about went crazy these last three days. I come home from Harrys funeral, and youre gone. Jacob could only tell me that youd run off with Alice Cullen, and that he thought you were in trouble. You didnt leave me a number, and you didnt call. I di dnt know where you were or whenor ifyou were coming back. Do you have any idea how how He couldnt finish the sentence. He sucked in a sharp breath and moved on. Can you give me one reason why I shouldnt ship you off to Jacksonville this second?My eyes narrowed. So it was going to be threats, was it? Two could play at that game. I sat up, pulling the quilt around me. Because I wont go.Now just one minute, young ladyLook, Dad, I accept complete responsibility for my actions, and you have the right to ground me for as long as you want. I will also do all the chores and laundry and dishes until you think Ive learned my lesson. And I guess youre within your rights if you want to kick me out, toobut that wont make me to go to Florida.His face turned bright red. He took a few deep breaths before he answered.Would you like to explain where youve been?Oh, crap. There was an emergency.He raised his eyebrows in expectation of my brilliant account.I filled my cheeks with air and then blew it o ut noisily. I dont know what to tell you, Dad. It was mostly a misunderstanding. He said, she said. It got out of hand.He waited with a distrustful expression.See, Alice told Rosalie about me jumping off the cliff I was scrambling frantically to make this work, to keep it as close to the truth as possible so that my inability to lie convincingly would not undermine the excuse, but before I could go on, Charlies expression reminded me that he didnt know arything about thecliff.Major oops. As if I wasnt already toast.I guess I didnt tell you about that, I clotted out. It was nothing. Just messing around, swimming with Jake. Anyway, Rosalie told Edward, and he was upset. She sort of accidentally made it sound like I wa? trying to kill myself or something. He wouldnt answer his phone, so Alice dragged me to L.A., to explain in person. I shrugged, desperately hoping that he would not be so distracted by my slip that hed miss the brilliant explanation Id provided.Charlies face was frozen. Were you trying to kill yourself, Bella?No, of course not. Just having fun with Jake. Cliff diving. The La Push kids do it all the time. Like I said, nothing.Charlies face het upfrom frozen to hot with fury. Whats it to Edward Cullen anyway? he barked. All this time, hes just left you dangling without a wordI interrupted him. Another misunderstanding.His face flush again. So is he back then?Im not sure what the exact plan is. I think they all are.He shook his head, the vein in his forehead pulsing. I want you to stay away from him, Bella. I dont trust him. Hes rotten for you. I wont let him mess you up like that again.Fine, I said curtly.Charlie rocked back onto his heels. Oh. He scrambled for a second, exhaling loudly in surprise. I thought you were going to be difficult.I am. I stared straight into his eyes. I meant, Fine, Ill move out.His eyes bulged his face turned puce. My resolve wavered as I started to worry about his health. He was no younger than HarryDad, I dont want to move out, I said in a softer tone. I love you. I know youre worried, but you need to trust me on this. And youre going to have to ease up on Edward if you want me to stay. Do you want me to live here or not?Thats not fair, Bella. You know I want you to stay.Then be nice to Edward, because hes going to be where I am. I said it with confidence. The conviction of my epiphany was still strong.Not under my roof, Charlie stormed.I sighed a heavy sigh. Look, Im not going to give you any more ultimatums tonightor I guess its this morning. Just think about it for a few days, okay? But keep in mind that Edward and I are sort of a package deal.BellaThink it over, I insisted. And while youre doing that, could you give me some privacy? I really need a shower.Charlies face was a strange shade of purple, but he left, slamming the door behind him. I heard him stomp furiously down the stairs.I threw off my quilt, and Edward was already there, sitting in the rocking chair as if he d been present thr ough the whole conversation.Sorry about that, I whispered.Its not as if I dont deserve far worse, he murmured. Dont start anything with Charlie over me, please. Dont worry about it, I breathed as I gathered up my seat things and a set of clean clothes. I will start exactly as much as is necessary, and no more than that. Or are you trying to tell me I have nowhere to go? I widened my eyes with false alarm.Youd move in with a house full of vampires?Thats probably the safest place for someone like me. Besides I grinned. If Charlie kicks me out, then theres no need for a graduation deadline, is there?His jaw tightened. So eager for eternal damnation, he muttered.You know you dont really believe that.Oh, dont I? he fumed.No. You dont.He glowered at me and started to speak, but I cut him off.If you really believed that youd lost your soul, then when I found you in Volterra, you would have realized immediately what was happening, instead of thinking we were both dead together. But you did ntyou said Amazing. Carlisle was right, I reminded him, triumphant. Theres hope in you, after all.For once, Edward was speechless.So lets both just be hopeful, all right? I suggested. Not that it matters. If you stay, I dont need heaven.He got up slowly, and came to put his hands on either side of my face as he stared into my eyes. Forever, he vowed, still a little staggered.Thats all Im asking for, I said, and stretched up on my toes so that I could press my lips to his.

English Literature, the Secret Life of Sir Walter Mitty-James Thurber

Secret Life of Walter Mitty- James Thurber By P. Baburaj, Senior Lecturer, Dept. of English, Sherubtse college, Bhutan Author of Language and writing, DSB Publication Thimphu Communicative English, P. K. Books, Calicut A intuition on Literary Criticism, P. K. Books, Calicut -A popular American writer, humourist and cartoonist. -A chassisical floor. -Traditional realistic fiction. -A third person narration. Mixture of fantasise and realism. -Can be called a best ideal of magical realism. -Explores the concept of the American Dream. -Introduces an average American male namely Mr. Mitty. Average Americans try to escape from the world of earthly concern and try to hump in the world of fantasy. To make support a achievementful one, one should keep a balance between reality and fantasy. It is difficult to go bad always in the world of reality and also it will be impracticable to fly always from the world of reality and resort always on that point in fantasy.As Robert Frost said in his eminent poem Birches one should be a swinger of the Birches therefore keep balance between reality and fantasy. Otherwise life will be painful and will be a total failure. Day dreams are equal to Mitty, Mitty escapes from his mundane life (dull and uninteresting) by resorting to elaborate fantasies. The name Walter Mitty has become synonymous for day dreams. Mitty becomes a symbol for a person who enriches his private life with dynamic day dreams while work or while listening to every day conversations. Story focuses on escapism from mundane life into the world of fantasies.The theme of success and failures in life is examined through Mitty? s inability to live an external life, which results in going approve to an internal life sufficient of dangers and heroism. -Stereotypical male and female roles. Mrs. Mitty appears as a practical woman (women are more practical than men in America). This aspect of women? s character is established in the story. Man has become imperfec t ineffectual and overly in aggressive. 1. Five day dreams of Mitty. 1. In the first day dream, which comes in the outset of the story Mitty is presented as the Pilot of US dark blue hydroplane. 2.In the Second day dream, Mitty is a wonderful doctor performing a serious surgery (appears as a world famous author of a medical exam book titled Streptothricosis). -An expert mechanic to solve any problem within no time. -Even not worried when he hears from the team of doctors that A coreopsis? is formed on Mr. McMillan the patient. 3. In the third day dream Mitty is presented as a sharp shooter, a cool assassin, a convict who faces a great trail. 4. In the fourth day dream, Mitty is presented as a Royal Air force pilot -volunteering for a suicide mission to the ammunition dirt and proudly says ?We have only one life?. 5 In the fifth day dream, Mitty is presented as an eminent soldier fearlessly facing a press release squad inscrutable, disdain and proud to the last. 2. -Five triggers that stimulate Mr. Mitty. 1. Mitty? s speed of the car above 55 km/phr. 2. Mrs. Mitty? s reference about Dr. Renshaw hospital, Mrs. Mitty? s enquiry about ? gloves. 3. Newspaper boy shouting at the top of his voice about the water Bury trail. 4. Liberty magazine with glossy pictures of war. 5. dumbbell goes up from the cigarette. 3. Mitty brought back into reality by1. His wife? s timely intervene when Mr.Mitty was driving his car above 55km/phr speed (Mitty was in hydroplane). 2. Parking -lot attendant warns Mitty when he is driving his car in wrong lane (Mitty was imagining he is a great doctor). 3. Sudden remembrance of Puppy biscuits (Mitty was in the imaginary scene of trail). 4. Mitty is brought back by his wife (Mitty imagines that he is a member of a suicide squad). Mitty with his wings of fantasy moves in the realms of fantasy-story ends here, story begins and ends in fantasy, so Mitty appears as an unchanged character. By P. Baburaj, Senior Lecturer, Dept. of English, S herubtse college, BhutanMitty is presented as an ineffectual person criticized and rebuked by others, he feels he is insulted by his inability to do things properly. His Failures in everyday life is full opposed by the great successes he plays out in his world of fantasy. His failure in real life and success in the world of fantasy are closely connected with gender role (sex roles) in modern America. The story reveals the lack of opportunities for men to perform meaningful, elevated actions in modern, suburban, middle class America. Men in modern America become weak and ineffectual in front of overly aggressive women.By the characterization of Mitty, James Thurber tries to criticize and bemock the modern western ladies who dominate their husband in every walk of life. MITTY IN FANTASY v/sMitty in the world of reality. -He is a hero /heroic in action -Noble in action -Imaginative An escapist -Man of forgetfulness Weak/meek. -A superman /An extreme risk taker. -He always feels i nferior. Lacks competency -A man of decision. Dependent. -A resourceful person. feels sorry for everything. -Absent minded. -Giving orders. -Man of unbelief waiting for orders. -Aware everything. -Even unable to park a car properly/chain properly. poor memory. -Not practical -Independent/ Never listens to others -Never mind the consequence. By P. Baburaj, Senior Lecturer, Dept. of English, Sherubtse college, Bhutan . -Powerful in fast(a) Hydroplane. -Great author. a great mechanic finds out fault within no time. -Bold in admitting. -Man of truthfulness. -A patriot ready to sacrifice his life for the sake of his country. -The theme of success and failure in life is evaluated through Mitty? s inability to live a successful material life, which results him to retreat to a life of fantasy full of images of conquests. Mitty is portrayed as an unaffected rebuked by others He feels insulted by his inability to do things properly. -The failure of his everyday life is just opposed by t he extraordinary success he plays in his fantasy life. -In reality Mitty is a man of poor or limited achievement. Mrs. Mitty -Always bully her husband. -Dominating wife. -Worried about Mitty? s health and thus far notices the small changes. -Always appear as an adviser. -Responsible wife. -Aggressive and short tempered. -Behaves in a rough and merciless manner. Climax -no climax, or no particular climax. since story presents with a story within the story no clear beginning or end. By P. Baburaj, Senior Lecturer, Dept. of English, Sherubtse college, Bhutan -action slowly rises and slowly falls throughout. -no change in Mitty? s character. -Mrs. Mitty is Mr. Mitty? s link to reality. She helps Mitty to avoid losing his grasp of everyday life. -Mitty? s day dreams are harmless further when he awakens he finds himself in anawkward position and finds difficulty to coiffure with the reality. Conflicts Internal -Mitty in the real world V/s Mitty in the world of fantasy. External -Mitty v/s his wife. Mitty v/s society (especially his struggles to happen conventional social norms). Fantasy -eightengined hydroplane is used in the first fantasy by Mitty. In utmost care of class 12 by P Baburaj -in thefirst fantasy ,Mrs. Mitty complains about the speed of the car. -crew members expressesMitty as great and brave and not afraid of hell (death). -Car was in 55km/hr speed. I -Mrs. Mitty went to do her tomentum cerebri done during Mitty? s second fantasy. -patient in second fantasy- Millionaire Wellington McMillan, the great Banker and friend of Roosevelt, famous American president. -team of doctors headed by Dr. Mitty Dr.Renshaw, Dr. Benbow, Dr. Remington, and Dr. Pritchard Mitford. -Dr. Pritchard Mitford appreciates Mitty for his book on Streptothricosis. -Mitty puts a special K pen instead of a faulty piston in order to repair the anaesthetizer. Webley-Vickcrs 50-80 the brand name of Mitty? s gun in the third fantasy. By P. Baburaj, Senior Lecturer, Dept. of English, Sherubtse college, Bhutan Meanings -Mitty- means an ordinary, often an ineffectual person who indulges in fantastic day dream of personal triumphs. -Walt- someone who has aspiration to become a soldier, but posses none of the necessary personal qualities. Cocky- to be proud of one self. -A&P- name of a chain of grocery stores. Aupres de Ma Blonde- a song popular among the soldiers in world war I. -Cannonading continuous firing of cannons. Carburundum a trade mark of abrasive chemical not something Mitty would actually need. -Obstreosis of the dual tract meaningless medical Jargon invented by Mitty. -Streptothricosis- a sore on the skin, title of Mitty? s Book, medical Jargon misused by Mitty. -Overshoes the shoes worn over some other for protection. I am going to take your temperature Mrs.Mitty implies that she is going to give a lesson after reaching home-this shows that Mrs. Mitty is a dominating and all powerful wife winning control over Mr. Mitty. -To hell with the handkerch ief ? -the courage of Mitty even in the face of great danger, he is powerful enough to face any firing squad without covering his face with his handkerchief. -Inscrutable to the last-it means in this context the mysterious nature of Mr. Mitty, real meaning is- it cannot be understood or known in full till the end. By P. Baburaj, Senior Lecturer, Dept. of English, Sherubtse college, Bhutan *********************

Colored People Essay

The I have a Dream vocabulary by Martin Luther pouf Jr. is considered one of the most memor adequate to(p) speeches of all time. The speech was given August 28th, 1963 at the Lincoln Memorial in Washington, DC. Some read that it was an effective speech and some say it wasnt. In his speech Martin Luther King Jr. tried to convince his audience that all people should be treated equally. He believed that black people should have the same rights as the white people and not be punished as brutal than whites.In his speech King use pathos, ethos, and logos to try and get his audience to agree with him. He begins his speech by telling a short story most how an American signed the Emancipation Proclamation and was still not free because of segregation and discrimination. He descriptively talked about how the man is still in pauperization and was not considered part of the American society. When talking about this King uses a lot of emotion.By using emotion he was able to emphasize and c onvey his audience that discrimination really was a problem and that it was only getting worse. Martin Luther Kings speech is based on facts and it also comes from his heart. When stating facts, he talks about how colored people ar victims of police brutality and how they arent allowed to stay at hotels and motels. He also says that they cant vote, and should be allowed to.King talks about things that come from his heart, such as when he says, he wants his four children to wear in a society where they will be judged for who they are and not by the color of their skin. He also said that he wanted all children to be able to be friends with each other and live normal lives together. In his speech King states, One day right there in Alabama, little black boys and black girls will be able to join hands with little white boys and white girls as sisters and brothers (3).

Sociology and Understanding Human Behavior

SOCL2151 Sociology and Understanding Human Behavior Phase 4 individualistic Project Repost And Phase 5 Individual Project Conclusion Jerry Dunlap CTU Online Nov 12, 2012 SOCL2152 Introduction Portions of this assignment has repurposed work from Professor Vilas Sociology 215 In my Phase 4 Individual Project I will be taking some the sociology of sport, what sport and event I picked and why I picked them. I will rebuke and describe the event and the sport that I develop picked as sanitary. I will be giving a description of my knit stitch observation over the event that I watched.I will also talk about what it was like doing field work without re each(prenominal)y being in the field to do it. I will also go into talking about what I take up learned from my field observation and Reflect on sports and the field of sociology of sport. Sports argon and have been for me a way to relax ever sense I was a little boy mystifying up and going to school. I played sports in junior high and in high school as well. Sports for many people trick be a way of life or their of import way of making money to live from one day to the next.I watch sports manly because when I watch them I estimate man I offer that was me out in that respect on that field or on that court them I wouldnt have to worry so much about how I am going to take c be of my family. I can be watching a bouncing and sitting there thinking as well if I could just have one of the pay checks that the players get I would be seat for a long time. The sport that I was going with at first was basketb completely game but after thinking about it I was like hold on there arent any basketball games showing on idiot box right now so I c go toed it to football just to be able to do the field observation.I picked football because I grow up watching it when I was younger and I played it for three yrs in high school but I will be talking a little about both of them because of using both of them in my last two Indi vidual Project. On January 20th 1892 the first true(a) basketball game as we know it was played in Springfield Massachusetts. Doctor James Naismith a Canadian invented basketball for the YMCA so that they could play during the overwinter months. He made up rules for the game and also nailed up two peach baskets for hoops.Most of the rules the he made for the game of basketball are still utilise but have been changed up a little bit over the years. SOCL2153 Pro basketball and college basketball are both big sports that are cover by all types of media like the unexampleds, radio, television and the inter light up is a big one as well. Radio has a big impacted on basketball because it allows people that cant watch it to be able to listen to the games. The internet and new allows you to be able to keep up with responsibilitys and other stymie like that on the sport and on the players as well.The description of my field observation after watch the Sunday game between the Cowboys an d Giants is there are all types of people there besides the players on the field playing the game, and coaches. There are the people that call the game and the camera people from the television channel that the game was on. There where fans, cheerleaders from both teams and referees as well. From what I could see and hear the fans where all into the game cheering and boing when bad calls were made or when there team made a good or bad play.People that where at the game looked to me like they were of all ages from little kids up to aridly people. The players seem to show when they are upset about a bad call or a play that was ran the wrong way. The players also show off a little after they make big play or even a little play. With the part of who hangs out with whom, and what are the moods and social dynamics. I cant really tell from watching the game on television but for the most part I would think that most of the people that go to games just hang out with the ones they go there with and the players who can really say who they hang out with when there not playing.Some of the behavior in the game is from both the fans and players. Fans can start getting upset because there team isnt playing like they should or there team isnt getting the right calls from the referees that they think they should be. The same could go for the players from both teams. They start getting mad because they arent playing like they should be or they get a bad call. It all depends on how the game is going and how the players are playing on how the fans act and or behave. I picked this event because I am a big cowboys fan and I just like watching them play on Sundays.SOCL2154 As everyone knows American football has been most for centuries and is one of the most popular sports in America. As of 2010 football is the most watched sport of all of the four sports in America today. The Beginning A citizen of ancient Greek times used to play a game called harpaston and this game was known a s a dangerous game. There were no rules, no field specifications and no guidelines. They simply went out and played this game resembling a mixture of rugby and football. In the 12th century the game as we now know it began in England.People of this time started to love this game so much that at one time both Kings Henry II and Henry IV banned the game. At this time people where solo allowed to work and kicked the ball and couldnt pass the ball forward at all. EVOLUTION On November 6, 1869 American football was believed to be burn when Princeton and Rutgers Universities met to play the first organize football match in American history. Within the next five years the game would change and more teams would be added. There would be new rules put together allowing the teams to have 15 players on their team.A coach from Yale named Walter Camp introduce new rule changes to the game that would include cutting the number of players allowed on the field from 15 dump to 11 and adding downs . Football originally only had three downs and the teams only had to go five yards to get a first down but in 1912 it got increased to four down and they had to get 10 yards for a first down. President Theodore Roosevelt would later help the colleges put together or crate the National Collegiate Athletic Association and they would put together a seven member rules committee that would pass a rule to let the forward pass.In 1922 the American Professional Football Association changed its name to the National Football League and thus the NFL is born. Then in 1966 the Super Bowl was crated as the NFLs Championship game. In 1967 the first highly bowl was played between the Green Bay Packers and the Dallas Cowboys and the Packers would go on the win the first ever super bowl over the Cowboys 21 to 17. SOCL2155 I have learned from doing field work that it is hard to do when youre really not on the field doing it was same what hard to do because you cant really get a good look at the fans or what is going on around the field.When watching the game on a television from the house only thing you really get a good look at is all of the players from both teams and the coaches. You can hear the fans and maybe every now and thing you can get a look at the fans just for a fewer seconds but not long enough to really be able to see how they are acting. Phase 5 Individual Project My life get a line with sports has been very interesting from the start. I started playing sports like running cross country, track and playing basketball when I was in middle school. I precious to play football but are iddle school football coach wouldnt late me. He told me that I was too small because I only weighted like 110 pounds in middle school. When I got into high school I still played these three sports but my sophomore year I finally started playing football but by thin I was not that up to date on how to play the game nor was I really that good. I was able to travel to many different pla ces in middle school and high school because of sports even if it was just in the state that I live in. I allowed me to meet different people from different areas of the state.I still think to this day if it wasnt for sports and school that I wouldnt have passed and graduated high school like I did. Sports are part of what I am today and I big reason why I am a sports fan today. SOCL2156 Being a sports fan of sports now I would have to say that for me its a way to relax and admire same of the sports that I played in school without playing them anymore. Being able to watch sports gives people a way to get together with friends a few times a week or just a few times a month depending on the sport that is on at that time.I see watching sports as a way to get a little trill without have to put your own life at bump or anyone elses because you can do it sitting at home with your family or with friends. The sport vex help me connect with friends because it gives us something to talk ab out when we get together other thin just are familys and what we have done over the past few days or weeks. The sports experience gets people together no matter what type of people they are or what race they are even if its just for a few minutes or a few hours people arent looking at others based on their skin color or their religion.References ESPN. (2012). Retrieved from ESPN. com http//espn. go. com/nba/ history of Football. (2012). Retrieved from historyoffootball. net http//historyoffootball. net/ Bass, A. (2010, Apr 19). Livestrong. Retrieved from livestrong. com http//www. livestrong. com/article/108870-history-football/ Faurschou, B. (n. d. ). History of Basketball. . Retrieved from nbahoopsonline. com http//www. nbahoopsonline. com/Articles/History1. html

Recruitment research and documentation Essay

It was a very well presented from then it taked clear questions and very valid ones as well, such as rick permissions inwardly the UK, and criminal offence questions. However, there were some which could cook been altered or excluded, if they were related to some(prenominal)one at Coventry City Council was unneeded, that should not have any issues with them in the job.Disability and Equal opportunities had to be included which meant that their g container and origin had to be responded to truthfully and meant we got a slight overlook to have a better understanding of who they were. Education was kinda bleak, candidates were asked on what schools they had gone to and what degrees were gone from where, plainly that was about it, they were not asked why they wanted to and so forth, but in any other situation, professionally we would have been able to ask it all in the interview, but with limited time we could not afford to include it.Most of the employment history was very sec ure, it gave high amounts of detail and was also so simple, yet we still added questions into our interview which could have then been excluded, the questions at the end informing us about their intentions over why they wanted to employ here, again we added it within our interview and now I feel it was something we needed to disturb to rather than go into detail as we did. The job definition gave a simple overview of the job role and what they would be looking to exhaust paid and work a week.The duties and responsibilities as well as the brief description meant that the applicant would understand what we were looking for and if they were satisfactory to apply, however, the basic number qualifications could have been added in to slay it even more suitable, therefore the applicants would know what degrees and grades we would be associating to our job role. The specification gave the number of GCSE grades and experience we were looking for which meant that together the job descrip tion and the specification were working well together and also suited the job.We included a physical essential that I feel should have been worded differently to say we needed a clear voiced applicant was for me incorrect. It should have been more based on communicational skills and a more confident desirable. Team or social activities as well as personality aspects atomic number 18 seen in essential also but these are small issues, other than this, I feel both are successful and complete their roles well.As stated before, our interview was rather successful in its plan, we made concentrated on sections for each individual and when it came down to making notes, we took turns based on what questions were asked, also the grade given to the responses meant that we could evaluate effectively and without too much hassle. We had researched and included some of the legislation aspects within our activity, and we believe we have concluded it up to a good warning, my knowledge has been r elatively good up till now and we have been able to apply it successfully within our interview as well.We made sure all our questions were not slanted and asked rather in the same manner to each individual, we never included any sexual or ethical discriminating questions or implied as much, but if we had the funds, we could have asked and gone to a effectual advisor to completely check our application and interview plan to make sure were conducting everything in and orderly fashion. Legislation is difficult situation as anything which can be seen as slightly biased would be approached, yet we feel we have successfully completed and understood this section to a certain extent.Yet I feel we have through with(p) this on a basic level and to work at a higher standard this could have been elaborated and an increase in the number of suitable acts within our application would prove this. We have included different ethical initiations within our documents which meant that we would not be revealing any detail given to us and this fell under the privacy act, we had sentiment to test it out prior to the interviews but insufficient time gave us a limited period in which to do so. I personally feel that this would have benefited the group as we could then make the alterations that were likely to appear.Recruiting is a difficult section with all its legal and ethical dimensions, to get it correct can be a mission in itself, yet we took these into consideration and worked around them as best we could. We placed lines initiating what the documents would be used for and how privacy would be kept within the company. I feel we had a good variety of job adverts and other such documentations to which we could refer sanction to or get ideas from, yet it was a basic bit of annotation to which we conducted to, we didnt do any detailed evaluation over other companies documents which meant that the standard of ours would fall slightly due to this.Therefore I would suggest next tim e that we re-do this section in order to get a better summary over detailed aspects of the documents by realizing the types of wording used as well as the layouts provided. Job advertisements were provided but could have been identified and found out substantially off the internet or at a job centre, however, internal documents had to be released or made up as we could not just get our hands on them. We had ideas given to us that related to them and we used them to the best we could but again I feel the time we had meant we had to make basic adjustments rather than go into strict detail over them.I would perhaps get a wider research range from the internet and companies to find small aspects of the job description to which I could include and then it would increase the standard on a general scale. I was the one who created the demonstration package, yet I had not thought of interviewing a real manager to see if they felt that it was suitable, this would have been rather easy unde r the circumstances and would benefit the group tremendously, yet previous induction packages off the internet and ones provided gave a good outline which made it easier to identify areas which needed to be targeted.It included all the basic details such as the general facilities and the safety procedures. Yet the layout again is rather basic, without a previous internal document to refer to in order to gain a good understanding, it was difficult to gain certain point or include others. Yet, the basic layout is made up for by the inclusion of all the main issues and points which need to be included in a real induction, signatures at the end and instructions are there also to professionalize the document as well as giving the candidate some sort of reference to what should be included once in the job.

O-Fold Essay

1. As a part of the management team, how would you handle distribution and marketing of the O-Fold?Within the text I really liked the 2nd and tertiary option of distribution, which was going an online route or advertising I motive power magazines. Although the adverting in magazines option is appealing when it comes down to it I dont mobilize it would reach as many people as online distribution. I would chose to create a website and distribute the O-Fold product through there. Creating a website would be extremely personify effective. I believe there are even some sites you disregard use for free, much(prenominal) as weebly.com. However, this option is risky because marketing would have to be very effective in consecrate to generate the business he is looking for.Since the cost of a website is low, he should consider advertising in travel magazines. He probably would not need large ad space, which would help with the cost. If he could get a small section in the Sky prom magaz ine on aircrafts with the link to his website, that could be a rewarding starting point. Another option is advertising on other large online retail sites, such as Amazon.com who now gives consumers an option to purchase provides from other retailers by providing a link to that product on their site.2. At what points should Alex consider bringing on additive management? What positions should he fill and in what order? Defend your answer.I am a supporter of Alex crawl-walk-run strategy. I think initially he should associate with his brother and begin to make the product together and sell online through a website he creates. This way he can get an idea of how he can proceed with next steps and be able to create a business plan to present to Anger investors. Once he can seal the investment funds he should bring on a sales and marketing manager. This is one of the most important positions in a company. Alex inescapably to have person with experience in sales and marketing, especially not having experience himself. Hes already contemplating different options in this area someone who has worked in this department can give him real examples of the outcomes and weigh in on the best decision for O-Fold.Next, after he gets an investment, he should go with the outsourcing route. He already had a connection to hire a barn full of employees. He will need to hire a manager to oversee the toil of these employees, and also a Human Resources Manager since he will have employees. He cannot manage every affaire himself so a good candidate for the productions manager would be his brother since he should have a good understanding by then of how to produce the items.3. What are some pricing strategies you would consider utilizing in order to get the O-Fold to market? Do you agree with Alexs pricing point?I would consider giving a special price to first fourth dimension customers, or a discount when purchasing more then one O-Fold at the early stages of marketing. Alex will wa nt to be competitive and the first thing that customers probably look for is good deals. If he creates a website and is directing people there through advertising he should try to close the sale with a discount. An option would be first time users get free shipping, or $5 off shipping. Customers buying more then one could receive $5 off their second purchase. I like the 123 percent market with the outsourcing options at $12.50 However, that would only be beneficial at wholesale, so he should price his products per item at $25, and offer the discount for the first coulomb customers. He does not need to advertise the part about it only being for the first 100 customers but he should price out shipping costs for 100 people or costs of giving discounts and set a budget for it.

Report On the Interview With Mtcp Participant Essay

ratiocination Wednesday, 23 July 20003, I had an interview with whizz of the MTCP participants from Zimbabwe. We started our parley at 9.21 pm. The conversation took about 2 hours to use up and it was held at 7th Block where all the participants reside.Firstly, I did whatsoever ice-breaking session with him. I introduced myself to him and after cogent him the reasons why I need to interview him, he started to introduce himself. His name is Mr. Bernard , and his surname is Sitete. He came from Zimbabwe, southeastern Africa. He work as an English lecturer at Nyadire Teachers College, Zimbabwe. He was marital with one wife and ii children. His wife work as a teacher at one of the secondary schools there.Zimbabwe has two ethnic group. The majority ethnic is Shona which consist 80% of the population. The other ethnic group is Ndebele which came from South Africa to Zimbabwe. Their formal language is Shona , but there are some dialect that were used by people in certain area. The ir official religion is Christian, but they prefer to use their own religion called Traditional Afri hindquarters Religion.Traditional African Religion is quit the same with Christian. But, there are certain parts that guide the major different with Christian. For Christian, they believe in Jesus Christ but for Traditional African Religion, they do not use Jesus Christ consumeing for something and to give out to god . They use their own ancestors to ask for and to get to god. The religion belief in one god. For them to get to god, they must go through their ancestors. In their society, ancestors play big roles. To get through their ancestors, they clear to do some ceremony as their demeanor of praying. In the ceremony, they have to do hand-in-hand beer (made from traditional crops) drinking, dancing with certain steps, play drums, and so on. This ceremony was through to ensure their continuous contact with their ancestors.They do have their traditional costumes called Nhembe. T hey wear head dress, like a hat which made with feather and animal skins. Their body clothing was made with animal skins such as leopard, lion, tiger, cheetah, and so on. They do not wear any shoes. But now, they only use the traditional costumes when doing some traditional dance, festivals and ceremony. Nowadays, they use modern clothing like T-shirt, Jeans and so on.They alike have their own taboos. They cant have sex with their own mother, daughter, sister and anybody who have blood relationship. They too cannot beat their parents at all. If they do so, when their parents died, their soul go forth haunt them until all of their family died. The same case happened when they killed any human. It is because, they believe that when one person died, their soul will stay alive and will haunt the person who killed him or her. They also must respect the grave. They cannot show finger to the grave cause it will cause the soul of the graves will get angry and they will be cursed. They c annot marry in October cause this is the dead month. If they get married in this month, their marriage will not last and they will get misfortune. They also cannot have a bath in certain area where they believed that there are mermaids. The mermaids will chance on the persons.He also told me about the marriage customs. When they turned to 13 years old, they reach their maturity. So, they can get married. The woman has to go to the mans family to ask them to propose her. After that, the mans family will propose the woman and do some agreements about the marriage and also the Lobola also known as Dowry.The lobola can be some cash money or goats or sheep or anything else that was agreed by both families. The reasons of marriage are to connect two families. So, they do not mind if they cannot pay a lot for the lobola. The man also can borrow from the woman. But after marriage, the man has to pay the debt. If the debt cannot be gainful until his wife die, the corpse cannot be buried . So he has to pay the debt first. In the society, they were allowed to polygamy, but the law forbidden polygamy. They have to register their marriage at the court but they also can get married traditionally.As in other ethnic culture, they also have their festivals. As a Christian follower, the go on Easter and Christmas. Their way of celebration is the same with any other place in the world. They also have their Rain Making Ceremony to ask for come down. They must do a dance to ask for the rain with their ancestors. They also have their own kind of Harvest Celebration. The celebration must be done in the kitchen. It symbolized their grateful to their ancestors for giving good harvest to them.Their traditional food is Sadza. Sadza is a maize meal. It cooked like porridge until it start quite thick. They eat Sadza with some curry and so on. They also eat rice. But they eat it in special occasions such as wedding, birthday and so on.Lastly, he told me that he like Malaysia. Malay sia is a nice country . It is very clean with many interesting buildings such as Petronas Twin editorial, Kuala Lumpur Tower, Telekom Tower and many more. This country also has many places of interest. For him, the weather here is too hot, but he likes it.The conversation ended after two hours. Before I left, we shared our address in order to find in touch with him.

Managing Change: Important for Business Organizations

The ability to managing change Is an important factor for todays business brass section to remain competitive and relevant Critically analyze and discuss the above statement and in particular discussed the type of changes that an organization is subjected to and the effect of these changes to the organization.In addition, your discussion should accommodate strategies in managing these changes Assessment Requirements Individual Type-written Report Maximum word length allowed is 3000 words The required content of the document produced Is required to be within specific axiom construct lengths (In brackets) and to cover the specific areas as follows- 1. A table of contents 2. A keep down of figures and/ or list of tables where appropriate 3. Executive Summary-( 10 tag -300 words) 4. Introduction -( 10 marks -300 words) 5.Literature Review-& Critical Analysis (60 marks -2100 words) 6. Conclusions- -( 10 7. References Presentation 10 marks 8. Bibliography 9. Appendices if appropriat e This assignment Is worth 50% of the final judgement of the module. Student is required to submit a type-written document in Microsoft Word format with Times tonic Roman font type, size 12 and line spacing of 1. 5. The Harvard Style of Referencing system is COMPULSORY. Necessary reference points and references adopting the Harvard Referencing System.Students who become been found to find committed acts of plagiarisation are automatically considered to have failed the entire semester. If found to have breached the regulation for the second time, you will be asked to leave the course. Plagiarism involves taking someone elses words, thoughts, ideas or moves from online essay banks and trying to pass them dispatch as your own. It is a form of cheating which is taken very seriously. make for care of your maneuver and keep it safe. Dont leave it lying around where your classmates can find it.Malaysian Qualifications Agency culture Outcomes Module Learning Outcome After complet ing the module, the student should be able to Advance a multidimensional understanding of the drivers of globalization Critically evaluate a range of normative questions in telling to the effects of globalization on the economy and organization Have insights into contingency factors of technological advancement and environmental uncertainty which influence the decision to globalize Notes on Plagiarism & Harvard Referencing Plagiarism Plagiarism is passing off the work of others as your own.This constitutes academic theft and is a serious matter which is penalized in assignment marking. Plagiarism is the submission of an item of assessment containing elements of work produced by another person(s) in such a bearing that it could be assumed to be the students own work.Examples of plagiarism are the verbatim copying of another persons work thou acknowledgement the compressed paraphrasing of another persons work by simply changing a few words or altering the order of presentation with out acknowledgement the unacknowledged source of phrases from another persons close paraphrasing with occasional acknowledgement of the source may also be deemed to be plagiarism if the absence of quotation marks implies that the phraseology is the students own.Plagiarisms work may belong to another student or be from a published source such as a book, report, Journal or material available on the internet. Harvard Referencing The structure of a citation under the Harvard referencing system is the authors surname, year of publication, and varlet number or range, in parentheses, as illustrated in the Smith example near the top of this article. The page number or page range is omitted if the entire work is cited. The authors surname is omitted if it appears in the text. Thus we may say Jones (2001) revolutionized the field of damage surgery. Two or triad authors are cited using and or & (Deane, Smith, and Jones, 1991) or (Deane, Smith Jones, 1991). More than three authors are cited using et al. (Deane et al. 1992). An unknown date is cited as no date (Deane n. D. ). A reference to a reprint is cited with the original publication date in square brackets (Marx 1867 1967, p. 90). If an author published two books in 2005, the year of the first (in the alphabetic order of the references) is cited and referenced as AAA, the second as Bibb. A citation is fixed wherever appropriate in or after the sentence.If it is at the end of a sentence, it is placed before the period, but a citation for an entire block quote immediately follows the period at the end of the block since the citation is not an actual part of the quotation itself. Complete citations are provided in alphabetical order in a section following the text, usually designated as Works cited or References. The difference between a works cited or references list and a bibliography is that a bibliography may include works not directly cited in the text. All citations are in the same font as the main text. Exa mples Examples of book references are Smith, J. (AAA).Dutch Citing Practices. The Hogue Holland Research Foundation. Smith, J. (Bibb). Harvard Referencing. London Jolly Good Publishing. In giving the metropolis of publication, an internationally well-known urban center (such as London, The Hogue, or New York) is referenced as the city alone. If the city is not internationally well known, the country (or state and country if in the U. S. ) are given. An example of a Journal reference Smith, John Maynard. The origin of altruism, Nature 393, 1998, up. 639-40. An example of a newspaper reference Boycott, Owen. alley Protest, The Guardian, October 18, 2005, accessed February 7, 2006.

Emergency Department Bottleneck Proposal

Emergency Department stymy Proposal Middletown infirmary is a 200-bed, not-for-profit-general hospital that has an urgency division with 20 destiny beds. The emergency department carry offs on an average 100 patients per twenty-four hour period. The hospitals CEO has authorized the Six Sigma Team (SST) to reference commove complaints received from patients seeking treatment between 600 p. m. and 1000 p. m. The complaints ar centered on waiting dates and poor service.During this fourth dimension the data indicates that approximately 70% of the departments entrees supervene (University of Phoenix, 2009, line of products Syllabus). To address these complaints and improve performance of the emergency department the Six Sigma Team must understand exploit improvement designs. The process must list the reason of the bottleneck fall upon the correct data army method the use of force planning accurate analysis of the scheduling and bookling techniques and identify a recom mendation on facultying or alternative sources of care. Process Improvement ProposalsA process improvement proposal is a mechanism to define the opportunities needed to reduce the make sense of travel, interactions, decision points, reports, and the length of the defined invest (Langabeer, 2008). Three key areas need to be addressed when improving a stream practice. According to Langabeer (2008), these areas embarrass increasing capacity, reducing the use of resources, and reducing the amount of variation (p. 79). For example, if the emergency department is currently visual perception patients at a rate of four per minute of arc during standard credit line hours, and this rate drops to one per hour during the period listed a bottleneck put up result.To address this issue the department call for to provide the resources undeniable to avoid the problem. However, when the reason for the bottleneck is known the correction must include steps to preserve resources. These steps must address reducing the cost per patient, removing excessive steps, and exposures that are unnecessary. Because the data shows the bottleneck occurring after normal pipeline hours the third key area is equally important for lucky performance. This area involves the development of control tools.These tools impart assist the department when variation occurs, these tools can include the development of contingency plans to use opposite hospital resources procurable after normal business hours for example the use of clinical examination live for patient overflow. Process of Improvement Method Edward Deming introduces a method known as the Deming Cycle to identify bottlenecks within organizational structures. The Deming Cycle comprised of a continuous process cycle that involve planning, implementation, assessment and decision-making.Deming postulated that business processes should be analyzed and measured to identify sources of variations that cause products to deviate from cust omer requirement (Arveson, 1998, para 1). separately step gives operation managers the feedback needed to determine if they are group meeting current objectives. Arveson also suggest that this checklist will dish reduce bottlenecks from happening while increasing productivity within every department. Comparing the Middleton infirmary use of Six Sigma methodology to Deming Cycle both methods can help reduce bottlenecks issues with waiting time that occurs during interval time of 600 p. . to 1000 p. m. Six Sigma methodology uses phases of defining a problem and provide an alternative solution to the problem. The next phase includes measuring the solutions outcomes, analyzing the outcomes goals and effectiveness, improving any flaws that was set in the improvement process, and controlling any costs or activities to contain cost and resource deprivation ( study Association of Health Care Quality, 2009). The Six Sigma system addresses each problem measuring a duodecimal solution to be addressed by upper management and delivered to department heads for implementation.Appropriate Collection Methods Middletown Hospital needs to look at different ways of collecting data. information collection can be subdivided into terzetto categories with service type, department, and floor. This collection of data is valuable tool that managers need to have in inn to understand the flow of business within each department. With the collection of data it will allow managers to work the glitzs of patients during specific generation. The SST will require data collected from all computers used to monitor access to the admission system.Additional data will have specific times at which the patient reported to unlike stations of treatment, and when the patient was discharged. A multivariate trend forecasting method will be to a greater extent appropriate in this setting the use of multiple variables about the item being forecasted allows seasons and cycles to be unite with othe r variables and improve forecast accuracy (Langabeer, 2008). This will give operation managers dampen forecasting abilities as they will be able to see trends. Finally, the SST will need to analyze the amount of resources or assets available to serve demand (Langabeer, 2008).Quantitative data needed to measure capacity will include the number of available beds and treatment rooms, the number of key providers and other lag available at each point of care between 600 p. m. and 1000 p. m. , and availability of key medical technologies and equipment. Examples of key medical equipment are diagnostic imaging, X-ray and laboratory equipment. Methods to Analyze The first step in analyzing the cause of Middletown Hospitals emergency department bottleneck is to perform a capacity analysis that will help to identify appropriate assets and resources to serve the increased need within each emergency department.The analysis should capture statistical data in time series format that will show se quential data preserve during different time periods by delegacy ofout the day. Data should be included from time periods when the emergency room is successful in handling demand as well as occurrences of the bottleneck. Creation of a control map can also be useful in discovering areas of daily operations that are contributing to the current issue of meeting demand. Middletown Hospital is aware that they can not keep up with the demand put upon each department with current needs.In knowing the limitations, data from the other 20 hours in which emergency department is in operation can be used to obtain values for a pie-eyed and average to be used to create a control limit. Taking data from the entire day can be used to obtain a standard deviation value as well. Data and observations that show a large deviation from the mean will alert the staff to areas that need to be updated or streamlined. The control data that is being recorded should be able to define staff ratios, number s game of patients seen, time of day, day of the week, equipment or technology malfunctions, ime of patient visit, reason, and duration. A control chart can help Middletown Hospital distinguish normal and abnormal processes within their patient delivery service. Bottlenecks Operation managers need to handle many different jobs at once. These jobs can be dealing with bottlenecks, and forecasting. Operation managers need to look at current flow of business to determine the proper amount of staffing needed to handle problems in the future. By working with an accurate forecast managers are able to see what is expected and when the flow of business will occur.When increasing staffing in any department the positivity will decrease at start, but curtly will rebound as more patients realize they are receiving treatment at a windy pace. According to Langabeer (2008), one of the keys to increase throughput or capacity is to remove these obstacles or bottlenecks, which is called de-bottlene cking (p. 96). Increasing the number of staff on during peak times it will be easy to reduce the number of complaints and increase the profitability of every department. Being able to remove the barriers will allow managers to see the results within days quite of weeks.Within any department comes demand and being able to predict the demand allows managers to become better forecasters. According to Langabeer (2008), forecasting is a collaborative process that estimates the volume of patients that will be served over a specific time period. More precisely, it is a projection of demand that will occur along three dimensions service type, location, and time dimensions (p. 97-98). Managers will have to better look at the forecasting they are doing in coif to make sure they are apply the most current data in order to predict flow and handle problems. Recommendation on StaffingMiddletown hospitals ability to move patients swimmingly through the emergency department has become a conversa tion of complaint for patients. Due to the high volume of patients being seen during the hours of 600 p. m. and 1000 p. m. changes need to be made to optimize waiting times and efficiently treat patients. The emergency department is averaging 100 patients per day which, means that 70 of them are coming through the emergency department between 600 p. m. and 900 p. m. According to Langabeer (2008), in health care, wait times are frequently a source of poor patient satisfaction and process inefficiency (p. 10). The hospital emergency department is currently plagued with a lack of staff scheduled at key times and needs to look at alternatives to better manage the movement of patients. Creating a solution for Middletown hospital means using multiple channel servers to reduce check in time and maximize on hand staffs time management. Because a majority of the issues arise at a key time in the day the revision of the patient routing and flow is required. According to Hall (2006), therefor e, by altering patient routing and flow, it may be possible to minimize patient waiting times and increase staff utilization (p. 221).Bottlenecks occur in a hospital emergency department because of the triage concept of putting most significant injuries first. This means many minor care issues will be pushed back. Combating this issue creating a fast track channel to handle minor care issues will decrease patient complaints and wait time. These concepts should reduce the wait time of patients within this three hour block and maximize their experience in the emergency department at Middletown hospital. Conclusion Bottleneck is often the result of an organization lacking the capacity to meet the needs of clients in delivering a particular service.Middletown hospital was given a recommendation to review its current organization capacity by examining their processes, resources, technology. Middletown hospital was able to define other available resources which could be used to assist w ith meeting their patient demand. Reference Arveson, P. (1998). The Deming Cycle. Retrieved November 27, 2009, from http//www. balancedscorecard. org/TheDemingCycle/tabid/112/Default. aspx Hall, R. (2006). Patient flow reducing delay in healthcare delivery. Los Angeles, CA springing cow Science Business Media, LLC. Langabeer, J. (2008).Health care operations management A quantitative approach to business and logistics University of Phoenix Custom Edition e-text. Sudbury,MA Jones and Bartlett Publishers, Inc. Retrieved November 28, 2009, from University of Phoenix, OPS/HC571 Health Care Operations Management Web site. National Association of Healthcare Quality. (2009). JHQ 174 Lean Six Sigma in health care. Retrieved November 27, 2009, from http//www. nahq. org/journal/ce/article. html? article_id=250 University of Phoenix. (2009). OPS/HC571 cart track syllabus. Retrieved November 28, 2009, from University of Phoenix OPS/HC571- Course Materials Web site.