Yeast Fermentation Lab

The aim of this work was to identify how sugar concentration does affect yeast fermentation. An increase in sugar concentration must increase the release of CA as a result of yeast fermentation. The following analysis considers the average CA concentrations measured as a result of three independent experiments. In absence of sugar no CA was released. A 5% increase in sugar concentration showed a lowCA presence, 0. 33 CM. Then as a result of another 5% increase in sugar concentration it is observed a higher concentration of CA, 1. 1 CM measured. Till then the increase of CA concentration was expected. When sugar solution reached 15% surprisingly the CA concentration decreased to 0. 57. Actually it was expected a relative increase in CA concentration. Later when sucrose concentration increased to we identified an important increase in CA concentration.The whole hypothesis could not be supported as a result of the decrease in concentration when sugar concentration reached 15%. Evaluatio n: In order to improve this work we could consider the following elements: use more different samples of yeast, in this work we only had one yeast source. It could have sugar concentration was added was not accurate and changes in the temperature could have affected the results. Furthermore the use of pipettes could have been improved during the process of the procedures.

Poverty and Deprivation Essay

The area a child grows up in has an effect, for example if a child is brought up on a council estate in poor housing they are more likely to have health problems. If parents are not working or have low income jobs they are likely to buy cheaper food and usually this means lower quality which can lead to health problems. Children and their families may have lower expectations. They might settle for the life that id mapped out. If a child lives in high rise flats or appartments they have less oppportunities to play. In poor quality housing there may not be a garden or safe playing area. This is reducing the childs opportunities to develop their physical gross motor skills. This of course is not always the case and there are many ways that we can tackle these issues and help to improve the chances and opportunities children have who live in poverty. However, if a lack of nourishing food is a problem due to severe poverty, this can severly damage a childs physical and mental well being. This can have a knock on effect in the sense that they become listless and withdrawn from having no energy, meaning they find it hard to take part in learning activities and won’t have the benefit of developing their learning further. If there is a strained parental relationship due to money worries a child will undoubtedly be affect by this also. Poverty can affect children adversley in many ways and it’s important that they get what they are missing at home when they go to pre-school/nursery. History of abuse and neglect – Family environment and background – Behaviour of mother during pregnancy – †¢ During pregnancy, if a mother smokes, takes drugs, becomes ill or suffers from stress or anxiety this can result in premature birth and health problems for the baby such as -: low birth weight, undeveloped organs, problems with sight and hearing. These are all problems that could delay their development. Some children are born with conditions that could affect  their development such as a blood disorder. Personal choices – †¢If a child or young person as decided for what ever reason they do not want to be educated or leave school before they finish their education, this is their choice and we cannot always show them alternative choices for staying at school. Looked after/care status – †¢This again could have a huge influence as a lot of looked after children are moved around regularly. This will effect their education enormously. Separation and attachment issues are quite often the cause of many reasons not to want to be in school. This is constantly worked on by schools to find the best way to include these children in school and to be able to give them a good standard of education. Education – †¢If for example a child has not attended a nursery or play group in their early years this can often set them back from what development stage they should be at when attending school. This could be the lack of nursery places, not good enough teachers to the child having a learning disability that has not been identified yet. 2.3 Explain how theories of development and frameworks to support development influence current practice. Albert Bandura – imitating/copying other.  Burrhus Skinner – learning is affected by awars and punishments. Jean Piaget – children actively involved in their learning. Shabhna Jerome – active in own learning, develop different ways of thinking at different stages. Lev Vygotsky- Zone of Proximal Development/scaffolding, children actively learning through social interaction. How current theorist views influence practice today. Skinner – reward charts and other positive reinforcement techniques.  Vygotsky – developed a concept called proximal development which centres on the idea that adults help children to learn and that children help each other . Guiding children to look for answers by imitating what they see in others, listening to instructions and working as part of a group all provide opportunities for them to expand their current base of knowledge. Bruner- developed spiral curriculum which makes us believe that children learn through discovery with direct assistance by adults to encourage them to return to activities time and time again which would develop and extend their learning. His theory is used today as children have plenty of opportunity for free play and child initiated activities which form the majority of the day under the Foundation Phase Curriculum. Bandura – developed the social learning theory which is basically learning through watching others. By setting a good example and modelling good behaviour children will learn how to behave appropriately.

Baxter Manufacturing Essay

Baxter Manufacturing Company (BMC) is a metal stampings company. Its major customers include, Ford, General Motors, Honda of America, General Electric and Whirlpool. The company is made up of two divisions it makes brackets and other components that go into the finished product, they also make motor casings. BMC employees about 420 non-union employees and has been steadily growing for the last 6 years. They have been approached to build a factory in Mexico, and settled on building in Queretaro, which is about a 3-hour drive north of Mexico City. Don Collins, who is the MIS manager, felt that since a new plant was being built with top of the line equipment and computer systems that they might be able to implement a system upgrade for the entire company. One of the problems was that BMC wanted the new system implemented by the end of the year. Given the quick deadline they decided to focus on support for the Mexico plant, a felt that the following approaches: 1. Connect the Mexican plant to BMC’s existing systems through a high-speed communications line   2.  Contract through an application service provider (ASP) to provide systems support to the Mexican plant. 3. Employ a piecemeal solution where they would acquire a number of software packages that could run on the networked PC’s in Mexico that would serve the basic needs of the Mexican plant. (MIS) The task force team ran into difficulties with language and cultural differences, the mindset of the employees and Mexico and the long distances between them. They met with resistance and self pride from the Mexican employees and were unable to communicate effectively with them. Target As a result of the lack of communication and the language differences the task force decided to go with option 3. They were working on locating vendors to provide support and with basic language software to help the employees stateside. The main issues that they are having are support for the systems and training for the equipment. By outsourcing some or all of ts IT work to a company that is familiar with the language and culture it could help expedite the time of getting the plant operational. In addition developing a training program that could be taught companywide could help benefit the entire company. Proposal One of the main issues that BMC is looking for is international support. They are been unable to work directly with its own employees due to the language barrier that it faces. By using a company like Unisys, they could provide the infrastructure support, business service support and many other features. They offer support in English and Spanish and could help ease the burden of the local IT department. Unisys could also implement a Cloud, in which the entire company could use to help transfer information to and from different locations. â€Å"Business forces have caused IT to try to figure out how to provide flexible services faster, but, without large, up front investments. Unisys has a number of cloud solutions for providing the necessary flexibility and responsiveness needed to achieve significant business value. † (Unisys) A great deal of time has gone into the development of this plant, but an equal or greater part must be present in training of the employees. In order for the plant to be fully operational at the level that is required by MBC, a training program must be designed. They would benefit greatly by having management train with how BMC currently runs its operation. By also setting up a video conferencing line they could help problem solve over the computer and or phone lines helping eliminate the distance between the two plants.

Service Development Project Essay Example | Topics and Well Written Essays - 2000 words

Service Development Project - Essay Example Being able to realise the needs of the rent-a-bike, the company had decided to offer their services. The main goal of the company is to provide bikes for rent in France that will satisfy their target market and be known in the marketplace as a company that provide effective and efficient bike services. It is important that the company will consider a good value proposition to its customers if it wishes to gain a competitive advantage over its competitors and be known in the marketplace. According to Piercy (2002) describes value for a customer, not only in terms of lower prices and higher quality, but more as a perception of one service overall benefits compared to the total cost of the service. These costs not only include price, but also the time, effort, and difficulties that may arise during the whole purchase decision and post purchase evaluation. Piercy (2002) states, those customers have become more 'sophisticated' as awareness of marketing activity has increased. The expectations of the customer have increased so much that traditional marketing perspective where the customer is easily satisfied has all but disappeared. Customers now want, and expect not only the core benefits of rent-a-bike services, but also secondary benefits such as, design, reliability, brand names, and various colours. Customers also now demand what has been referred to as, the augmented service. This would include, low energy usage, extended warranties, free delivery after purchase, or interest free credit. These secondary and augmented aspects of the service, amount to the overall superior value proposition given by the company to the customer. Treacy and Wiersema (1995) had categorized the buying motives of the customers in three different types on how to mark value. These include service leadership, customer intimacy and operational excellence. In this service, the company may use the customer intimacy value proposition for its customers. In this manner, the company will try to focus on the quality of their relationships with target market and provide complete solutions as their value proposition. The marking value that the company used is "PROVIDING EFFECTIVE AND EFFICIENT SERVICE THAT WILL SATISFY OUR TARGET MARKET." In order to create value, the company will consider service testing within the area of France. Key competitors Competitor's analysis is very important when a company will be considered as a new entrant within the market place. It is essential so that the company will be able to know their competitors and the possible strategy that they may use to outgrow such competitors and know the needs of the target market. However, it can be said that these industries do not solely focus on providing rent-a-bike in a specific target market. Hence, it can be said that OYbikes can have bigger opportunity to be recognised in the marketplace. Marketing segmentation Primarily, the context of the market segmentation for this company will be the Psychographics. Psychographics includes social class, lifestyle, and personality variables (Chiagouris & Kahle, 1997). The end result of using these variables is a psychological profile of each market segment. Issues also examined the customers' loyalties, habits and self-concept.

Why so many people eat fast food Essay Example | Topics and Well Written Essays - 250 words

Why so many people eat fast food - Essay Example This change in lifestyle has interfered with their time for finding or preparing healthy food. The remaining option is reaching out for the fast food, which will save time. Likewise, women who were entitled to prepare food for their families are also competing in the job markets. They happen to secure popular titles in the job market thereby limiting their time for preparing food for their families. This change in lifestyle happens to be a significant reason as to why most people prefer fast food in most nations (Smith 7). Ideally, the current generation has proved to access extra finances compared to the past generation. The availability of money probes individuals to stop at the fast food joints and take anything ready. This also has a significant impact on the rising statistics on fast food consumption. As people access more money, they tend to eat outside their homes more often. Eating outside means taking food from a fast food restaurant thus increasing the statistics as to why individuals take fast food (Taylor, Funk and Craighill). Finally yet importantly, the statistics for fast food consumption is on the rise because of the modern life. Most food industries have advanced in their marketing strategies, and this probe people to change their eating habits. This concern with the advertising agencies, which make adverts on the fast food on media. Families will always want to taste new things due to change in their desire. Likewise, the moral advice on the food choice continues to slow down as the hosts have limited time with their family, thus exposing them to poor choices of food. This modern lifestyle altogether changed the eating habits of most people in the family most of them relying on fast food as the main alternative (Taylor, Funk and Craighill). Change of diet can have a serious impact to the lives of consumers in many perspectives.

The Power Of American Media Essay Example | Topics and Well Written Essays - 2000 words

The Power Of American Media - Essay Example Even before America gained her independence in the late 18th century, Europe’s tabloid presses were already having a field day exposing sensational events that would put today’s reality media to shame. Stories like the gruesome attack on a businessman and the â€Å"deflouring† of his two daughters appeared in a Dutch pamphlet in 1601 and led to a crackdown on banditry. Tabloid reports on the adulterous escapades of England’s popular Queen almost sparked a revolt in the early 19th century (Economist 107). So powerful were newspapermen that Burke (1729-1797) coined the term â€Å"Fourth Estate† to describe them as a new and powerful social class in England. It was Burke who pointed out the duty of the press as guardians of public interest and watchdogs of government. He believed that newspapermen had a power all their own in government: the power to speak and the power to make others listen through the printed word, and to act as a check and balance to the other social classes (Lords, Clergy, and People) by upholding democracy and defending public interests (â€Å"A Vindication†¦Ã¢â‚¬ ). But it was Carlyle (1795-1881), quoting Burke, who extended the description as to include the â€Å"Able Editors† and printers (â€Å"Heroes†), widening the Fourth Estate as to include the whole mass media. Carlyle, an individualist who vehemently distrusted democracy and legislators and hated industrialists, had in mind William Cobbett, England’s great newspaperman w ho denounced the political system as nepotistic, corrupt, and elitist and had to flee to America in 1818 to escape trial. Returning in 1820, Cobbett reported juicy tidbits of the King’s private life, in the process gaining popular support and acquittal for the embattled Queen.

Impact of Dividend Policy on Share Price Research Paper

Impact of Dividend Policy on Share Price - Research Paper Example To understand the overall idea about the dividend policy, it is essential to categorize the policy. There are mainly two types of a dividend policy that is being followed by the corporate sector i.e. residual and managed. The residual dividend policy distributes cash among the shareholders. It is left after the business firm spends desirable amount for the purpose of investment, according to the NPV. The risk related to this dividend policy is very high due to highly variable in nature or it may be zero. On the other side, the managed dividend policy is mainly stressed to increase the return of the shareholders. The managers of the business firm who believe that dividend policy has a strong impact on the share price of firms. It generally uses this mechanism of dividend policy. The primary objective of this optimal dividend policy is to enhance the stock price trend of the business firm that results in maximization of shareholders’ wealth. Nowadays, the business firm relates the dividend policy with the product life cycle (PLC). For an example, a firm with large cash flow, high growth rate and lower trends in project appraisal tries to pay more dividends to the shareholder, as the earnings of the firm are comparatively high. The firms with high growth rate follow different interesting patterns in order to change the pattern of such decisions and enhance the complexity (Lease, 56). If the earnings of business firms are increased, then the dividend should increase too. On the other side, the dividend cut denotes the decreasing trend of earnings.

Entrepreneurship Essay Example | Topics and Well Written Essays - 2750 words

Entrepreneurship - Essay Example As a fast growing company that cares for the environment, Greenenergy has received many awards and recognition in the UK and other markets. Greenenergy started supplying low sulphur fuels to reduce on air pollution in all markets. However, the company shifted from low sulphur fuels to bio fuels to address the growing concern of global climatic change. Greenenergy has grown rapidly to be a leading supplier of fuel in the UK. The company supplies about 10 billion litres fuels including petrol, bio fuels and diesel. This is more than 25% of all road fuel that is supplied in Britain (Greenenergy 2012). Greenenergy’s main customers include supermarkets and oil companies. These are the major retailers of road fuels. Fleet users are major customers for diesel. Although Greenenergy supplies large amounts of road fuels, it does not own any petrol stations but supplies fuels to its customers in bulk. Greenenergy’s objective is to expand its operation by offering high quality prod ucts at low prices to its customers. This strategy has worked to attract new customers and retain existing customers. Consequently, Greenenergy’s market share has been expanding since its establishment. The company evaluates its supply chains to increase their efficiency and cut costs. Consequently, Greenenergy can sell its products at low prices without compromising on quality. ... Some of the factors that influence a new venture’s success include the time spent in the business, amount of start-up capital, risk management strategies, and government policies. The characteristics of the entrepreneur have significant influence on business success. The level of ambition and experience of the entrepreneur will determine their persistence in new markets. Experienced entrepreneurs are likely to last longer in the market and achieve significant levels of success (Gelderen, Thurik & Bosma 2003, p.319). This implies that an entrepreneur plays a significant role in the growth and sustainability of a new business in the market especially in risk management. The approach that an entrepreneur uses to launch their business will depend on the amount of information, experience and skill that the entrepreneur possesses. Gilbert and Erying (2010, p. 92) indicate that successful entrepreneurs have the capacity to analyse risks involved in a new venture. Successful entrepren eurs identify and eliminate risks systematically. Ignoring risks could lead to losses in a business and sometimes an entrepreneur is forced to exit the industry. Thus, systematic elimination of risks enables entrepreneurs to tackle risks in the right order with the right methods and resources. Every entrepreneur must recognise that risks are different and have different effects on a business’s growth process. A wrong approach to eliminating risks may lead to the failure of a new business venture. This implies that the level of success for any new venture depends on the capacity of the entrepreneur to deal with all the risks involved correctly. Effective risk

SOCIAL IMPLICATIONS OF ICT Assignment Example | Topics and Well Written Essays - 2000 words

SOCIAL IMPLICATIONS OF ICT - Assignment Example Therefore, this paper will discuss some important aspects regarding maintaining a secured network connection via virtual private networks. In essence, virtual private networks can be classified into two categories that are known as remote access and site-to-site. A remote access enables the user to access internet from a distant location (Hancock 30). A site-to-site VPN connection connects two sides of a private network. A good VPN must provide authentication, integrity, confidentiality, and anti-reply (Maiward 23). Authentication is vital security concern, and takes place at two levels known as machine-level and user-level (Hancock 243). Machine-level authentication is used for VPN connections during the establishment of IP-sec connection. User-level authentication takes place before data can be transferred through tunnel (Mairward 28). VPN Security is critical in many aspects because it has dramatically changed the way people conduct business. If an organization has users that are utilizing remote access, the risk of running into hackers poses a serious threat for a client. In order to remove this threat, using an ap plication such as MacAfee helps clients avoid malicious infiltration (Mairward 28). The traffic between Web browser and the VPN device is encrypted with SSL. Two types of main SSL VPNS are portal and tunnel. A SSL portal VPN secures multiple network services while a SSL tunnel VPN allows clients to access one or more VPN devices via the Web browser (â€Å"SSL VPN Security†). How do VPNs work? A standard VPN might have a main LAN at the head headquarters of an organization while the others LANs can be located at remote offices (â€Å"SSL VPN Security†). A VPN uses a public network, which is internet in most cases, and is necessary in order to connect to distant sites instead of using â€Å"leased lines†(â€Å"Virtual Private

Analyze papers Essay Example | Topics and Well Written Essays - 1000 words

Analyze papers - Essay Example The colleges are cheaper and high school pay an average of $ 2,544 per year. The colleges attain high enrollment despite the harsh economic conditions in the society (Boggs p 3). Thesis: American colleges are democratic, diverse and offer equal opportunities in access of quality education American colleges are democratic since citizens have equal access regardless of age, gender, race or ethnic background. The education is accessible, quality and ensures a learning lifeline for the rural communities. The community colleges offer critical workforce for the nation since a majority of the first responders including firefighters, police officers and paramedics have postsecondary credentials (Boggs p 3). The education provide local economies with required skills such as the Alabama Southern Community College that offers paper technology programs to the pulp industries and Gulf Coast colleges that offer petrochemical technical programs. The colleges are inclusive and diverse in terms of na tionality, ethnicity, social economic status and disability composition of the student population (Boggs 4). All American politicians and educationists agree that education guarantees American competitiveness and productivity (Delbanco p 1). American colleges keep pace with knowledge economy through providing the required skills and expertise in the industries. Although education has existed since Ancient Greece and Rome, American colleges have gone further to formalize the education system by grant of the teaching license and modern colleges with library facilities. American colleges have specialized education and strive to reach many people as possible including women. Inclusion of need-based policies ensures equal access of education among social classes without any regard to social status or birth status of the individual. Interestingly, students from affluent families have chances of gaining admission to nonprofit colleges and gain knowledge on American and international cultur es (Delbanco 3). Unlike other college systems that aim at attaining higher employment rates like Chinese, American college system aim at enabling the multi-cultural student population to learn from each other. Indeed, a landmark case of Regents of the University of California v. Bakke (1978) demonstrated that inter-racial student population enables interchange of ideas and interaction of consciences. American colleges have utilized technology to ensure higher access and reduce costs associated with small classes per faculty. The hybrid model allow for electronic instruction and assessment. However, the standardized testing system of other countries such as China and Belgium is slowly gaining inroads in US decentralized system with the No Child Left behind Program assessment program proposed by President Barrack Obama. The standardized system will undermine liberal education ideologies, but will cater for the cost, use of technology and increase the transition from the school to coll ege. However, some qualities such as creativity, humility and insight in to ethical behaviors are immeasurable using standardized testing. American college system is under revolution due to increase in the use of information technology, globalization, inadequacy of secondary education and high debate on skills needed in the economy. Accordingly, older students are faced with challenges such as family demands,

Theories as the Basis for Nursing Practice Essay Example for Free

Theories as the Basis for Nursing Practice Essay Abstract Theory development is the fundamental step for expansion of nursing knowledge. The knowledge has been borrowed from different disciplines to build the nursing theories. The categorization of theories is based on their scope of practice. The grand nursing theories are the most complex and abstract in their nature. Middle range theories are inducted mostly from grand nursing theories. Orem’s self-care model is clear and descriptive; the theory has been applied, analyzed in a precise method to various areas in the current nursing practice successfully. A comprehensive knowledge of nursing theories is an integral part of graduate nursing. Initially I was also wondering just like the graduate student in the beginning of chapter 2 in (McEwen amp; Willis, 2011) about the application of theory to nursing practice. However the initial theory classes were lot of information in a short duration. Over the time of the course it became clear that theory development in nursing has been crucial to nursing emerging as a profession. The knowledge for nursing theory development has been based on silent knowledge, where the role is limited to following physician orders, received knowledge; this is the information from other fields like sociology, psychology, physiology and anthropology. Later on the theory development was based on individual experiences, practical skills and procedures and empirical data and evidence based practices (McEwen amp; Willis, 2011). Initially it was extremely difficult to comprehend the grand theories, however, as mentioned by Professor Williams (2012) analyzing the grand theories in the context of meta paradigms like human, environment, nursing and health made it quite interesting and simple to understand M. Y. Williams (personal communication, October 12, 2012). The analysis of theories based on the concept development and the logical relationships between the concepts, provides the opportunity to conduct further research in the nursing practice. Grando (2005) described the use of Orem’s theory to guide nursing practice as an example of modern nursing to distinguish nursing from medicine. Grando (2005) successfully implemented a self-care deficit model while treating patients to maintain mental health functioning. She developed a tool based on conditioning of the basic human factors leads to self care requisites like changing behaviors, re framing the habits and managing feelings. Grando (2005) was able to cultivate self care agencies like adequate knowledge, judgment and perception modification to facilitate aintenance of mental health. SCNDT has been successfully implemented in various settings like care of the patient with learning disability. Orem’s model was used in the nursing process to assess the needs of a patient named Sara suffering with Asthma and formulated the nursing diagnosis and care plan based on the needs identified. â€Å"The human needs are categorized into food, air, water, shelter, rest, social interaction, prevention of hazards and maintaining adequate normal function level† (Horan, Doran amp; Timmins, 2004, p. 35 ). The patient was asked to maintain a diary of all the teachings and the interventions to track the progress of the care plan. The conclusion of the study was: It proved as a useful frame work in this situation because Sara was involved in the entire process. From this she became aware of issues relating to her self- care needs and how to meet them. The authors have found that using Orem’s (2001) model in this practice setting has greatly enhanced Sara’s self-care abilities and acknowledgement of deficits plus, preventing possible future problems.

John Lewis Christmas Marketing Campaign Essay Example for Free

John Lewis Christmas Marketing Campaign Essay This year’s advert, entitled â€Å"The Journey†, hopes to do as well if not better than its predecessor. The ? 6 million campaign created by Adam+EveDDB tells the story of a snowman who travels across rivers, mountains, roads and cities to get the perfect gift for the snowwoman who stands with him in the garden. * The advert could’ve been seen on channel 4 just before Christmas and then it was easily accessible on internet(facebook, youtube, etc). John Lewis also was running a snowman hunt, with six snowmen figures hidden around stores. If customers find them all they could win a price, including a  £10,000 holiday, Sony laptop, spa days and gift hampers. John Lewis has also run social media activity including competitions to win a holiday to New Zealand, where the ad was filmed, and for a family to get their garden ‘snowed up’ for Christmas day. John Lewis hopes to make a â€Å"confident statement† in its Christmas marketing this year through its TV, press, outdoor and in-store activity as well as the Annual, a glossy print title that brings together its Editions magazine and Christmas catalogue into one publication for the first time. The Twitter campaign uses the hashtag #snowmanjourney to track its experiential campaign that is photographing the snowman in different towns around the country. John Lewis has also press released many articles regarding their Christmas advert, in store sales, and competitions. John Lewis PR department has also write a book that tells the story of the snowman and his journey which is also part of the high profile Christmas campaign, short afterwards the book became one of the most selling books for children. John Lewis has attributed a lift in its crafts offering to its Christmas ad campaign. Items on sale include a Knit Your Own Snowman. * The campaign was created to persuade more and more customers to come in the store and buy gifts for their loved ones during Christmas time. John Lewis’s advert also delivered strong Christmas, and warm feeling to the viewers so they are also creating the brand. They want to tell and insert John Lewis’s brand in many people’s life. Craig Inglis the Marketing Director at John Lewis said â€Å"the campaigns are not just an investment in making people feel Christmassy, they have commercial effectiveness at eart. † Adverts starring the character proved a big hit – with more than three million views on YouTube. * The target market were people who had families, people who lad loved ones, relatives, and people who had someone one special in their lives, because Christmas it is all about spending time with the loved ones, giving them gifts and have a great time. Also they targeted at other organization’ s customers for example MarksSpencer, Boots, etc. Also people who wanted to their bedrooms as they had big sales in their home department. Sales figures Sales for the retailer are up 7. 6% year on year for the week ending 17 November with a strong performance in electrical and home technology driving the growth with a 22. 2% jump in sales. In the five weeks over Christmas John Lewis recorded a 44. 3 per cent rise in its ‘Click and Collect’ service, which allows shoppers to buy products online and then collect them from one of the group’s Waitrose supermarkets, compared with figures from 2011. Total web sales reached ? 684. 8 million in the five weeks to 29 December. Electrical and home technology sales were up by 30. 9 per cent on 2011 with tablets being the retailer’s star festive performer. Fashion and beauty sales rose 10. 4 per cent with home products increasing by 6. 2 per cent. In the last full week before Christmas John Lewis posted sales of ? 157. 8 million, a rise of 26. 5 per cent from last year. A record ? 31. 7 million was then taken on 27 December, the start of the retailer’s clearance sale. Conclusion Overall I think the Christmas campaign has been extremely successful. The reason why I am saying this is because comparing the sales figure from last year and this year they achieved a record this year by stepping over the ? 150 million revenue. Also looking at the promotional mix they have done pretty well again, as we have new products which are the snowman book and the snowman toys, sales offers in their stores at certain products. Their PR department did very well as they came with articles just before launching the advert letting people know when and where will they be able to see the advert. The personal selling was great as well as when going to the check out they would ask the customers if they found everything they need and also if they would be interested in buying the snowman book, etc. Direct marketing was great as well as there was a twitter account where you could fallow the snowman’s adventure, and competitions on Facebook and in store. An improvement I would say it would be that maybe the customers where interested in more sales promotions and more direct marketing would convince customers to buy more products and come to John Lewis more often. Although the Advert did cost a huge amount of money that is nothing compared to the ? 157. 8 million revenue they made last year. Another reason why I think that the campaign was successful was that the advert they made has been voted as the year’s most favourite TV advert. And finally the last reason why I am sure that the campaign was extremely successful was that none of the directors of John Lewis expected a record breaker sales figure.

To What Extent was Guatemalas Civil War Caused by US Policy

To What Extent was Guatemalas Civil War Caused by US Policy Spanning decades from the late 1950s to the 1990s, the Civil War in Guatemala represented one of the longest conflicts in Latin America. During this time; over tens of thousands of refugees fled the country; over a million were made homeless as over four hundred indigenous villages were destroyed; and ultimately over two hundred thousand people were killed or have disappeared.[1] The root of this conflict lay in the ridiculously imbalanced distribution of wealth that had existed within Guatemala for centuries. This misdistribution was born out the combination of a revolutionary international atmosphere, alongside years of economic hardship caused by the governing elites. To what extent each of these factors caused the Civil War will be assessed throughout this essay. Predeceasing the Civil War, the Elites possessed the vast majority of the land in Guatemala. As a result, they exercised a significant amount of power and control over the society. To further the abuses in wealth distrib ution, the U.S. owned substantial amounts of land in Guatemala, and viewed the country as pure potential profit[2]. What is so fascinating in my opinion; are the diverse opinions regarding the roots of the issues. Two major narratives emerged as a result from the conflict. The first master narrative tells the tale of the indigenous Mayan population being brutally oppressed over centuries by European and American powers. The continuums of colonial tradition lead to mass abuses of human rights which lead the oppressed population to look towards supporting insurgent groups. This narrative brings to light the voices of the people and state and can be viewed through the vast literature which creates its own Testimonio genre. The second and opposite narrative regards the more recent role that the United States has played in Guatemala. In particular, with regards to the involvement that the CIA had in supporting the Guatemalan government in order to eradicate the leftist forces within the country. Ultimately, the argument stands that the United States was a significant factor in causing the Guatemalan Civil war.   It stands as one of the reasons why Guatemala had such a poor economic infrastructure. Moreover, this infrastructure provided the dissent that led to the creation of insurgent groups which so threatened U.S. political ideology. This threat enabled the U.S. to intervene and turn a civil war into an international conflict. In the context of Latin America, the testimonio was a crucially important form of literature that represented the first master narrative mentioned.   John Beverley in the book The Real Thing: Testimonial Discourse and Latin America describes testimonio as: a noveltold in the first person by a narrative who is also a real protagonist or witness of the event he or she recounts[3]. Testimonios are accounts in which the author uses their experience as an agent of collective memory or identity. Through these first-hand accounts, readers can ascertain a certain truth derived from a situation of oppression that can challenge and even correct so called official history. Beatriz Manz is an example of a testimonio author. Alongside Manz, other famous works of Testimonio surrounding Guatemala exist; the most notable being Me llamo Rigoberta Menchà º y asà ­ me nacià ³ la conciencia. Menchà ºs story narrates the tortures faced by a poor Quichà © peasant family, who had to migrate every ye ar to large coffee plantations in order to survive. The story tells how her family were mistreated; she herself did not attend school, and her brothers died of malnutrition. The main argument Menchà º has is that the economic hardships within the country lead to her gross mistreatment. Following the accusation that her family was involved in the guerrilla movement, one of her brothers was arrested, tortured and killed in 1979; her father was killed by security forces and her mother died after being tortured and raped. Menchà º tells a heart wrenching story that brought the Guatemalan struggle to the forefront of international interests, however it is not without its flaws. One of the central issues with regards to testimonio is the authenticity and veracity of the voice. Sklodowska cautions it would be naive to assume a direct homology between text and history. The discourse of a witness cannot be a reflection of his or her experience, but rather a refraction determined by the vic issitudes of memory, intention, ideology.[4] This is something that American anthropologist David Stoll assesses in his book, Menchà º and the Story of All Poor Guatemalans. Stoll makes the bold statement that the events described in Menchà ºs testament are exaggerated in an effort to amass support for the guerrilla movement. Testimonios represent the fine balance between fiction and history; emotion and fact. In the eyes of Menchà º, the U.S. played a crucial role in promulgating the civil war. Stolls criticisms could be undermined by the fact that his stance is from a Western point of view, which disregards the nature in which history has been testimonial in Mayan culture for centuries .[5] In this sense, Menchà º wasnt attempting to tell a completely accurate story of her family, if not relay the struggles of her people. Her story has since contributed to the greater good by bringing to light the vast abuses of human rights that the Guatemalans faced for decades.[6] This economic hardship that Menchà º describes can be traced back centuries to initial American involvement. Chairman Henry Kissinger oversaw the creation of The Report of the Presidents National Bipartisan Commission on Central America in a hope to establish a consensus for Central American administration.   Described as well-informed laymen who took a six-month odyssey into the terra incognita[7] of Central America; the commission members intricately analyzed the political, economic and social problems of Guatemala. The conclusion was reached that inevitable U.S. intervention was favorable. However, like a Gordian knot, the report never successfully resolved the tension between U.S. security interests in the area and the admitted need for radical change in many Central American societies. I take issue with regards to the vernacular used throughout the report, as the U.S. seems to absolve itself of any responsibility for causing the very problems that the report encompasses, and implies it has moral responsibility to fix these issues. For instance, the report accounts the negative long-lasting Spanish colonial legacy in Central America, yet only briefly describes the significant influence of the United States in the centuries predeceasing the Guatemalan crisis. The semi-feudal system established by Spain over three centuries ago set a precedent for an inability of indigenous peoples to self-govern and integrate into the colonial political system. Whilst this is a valid point for assessing the development of the turmoil within Guatemala, the U.S certainly did not take as much of a back seat as the report would have us believe implementing a passive Good Neighbor Policy which sought to see all neighboring countries stable, orderly and prosperous[8].   Focusing on two instances in the early 20th Century; Colombia and Nicaragua for instance, it becomes evident that America did not take as passive an approach to Latin America as the report would have us believ e.   Active American involvement in Central America can span back to The Monroe Doctrine of 1823 in which America planned to protect Latin American states from European expansionism. Substantiated by the Roosevelt Corollary in 1904, the doctrine created a precedent for the justification of intervention on account of political ideology.[9] The commission report serves as an example of this policy being enacted as it claims that U.S. intervention during the early 20th Century was focused on promoting the stability and solvency of local governments so as to keep other nations out.[10] Intervention in Guatemala, for instance can be seen as pre-emptive interventionalism hoping to fix the wrongdoings in Latin America. In Roosevelts State of Union Address, the use of international police power was therefore excused as a justification for involvement in Latin America.[11] Moreover, Guatemala was of upmost economic importance to the U.S., which historically had wanted to create an economic hegemony in Latin America in order to diminish European Imperial expansion.[12]   This pseudo American Imperialism makes it evident that U.S. expansionism was deeply rooted in a sense of Manifest Destiny.   The Banana Wars that shaped U.S. Foreign Policy towards Latin America and American military involvement across the continent as a whole, stand as symbols of this economic relationship that the U.S hoped to establish. Joseph Freeman and Scott Nearing place American financial imperialism within a Marxist context. The Colombian uprisings against U.S. canal rights in the Panama Canal resulted in American military involvement[13]. This perfectly exemplifies the argument in which military force was used to broker economic expansion. The Panama Canal sets a sinister precedent which would then see future U.S. military involvement in Guatemala decades later. The report was written with a post-Vietnam/post Iraq cynicism, which could result in why rhetoric of a civilising mission was used to justify aggressive exploitative expansionism. The rebellions in Nicaragua stood as inspiration for Guatemalans during the 60s and 70s as they hoped they could utilize similar tactics in order to regain control of their country. Insurgent groups formed in Guatemala as a result, as described by Manz; The growth of social movements in Guatemala took place in the turbulent context of Central America in the late 1970s and early 1980sâ‚ ¬Ã‚ ¦ Social upheavals and indiscriminate repression both were escalating throughout the region.[14] These mounting social problems combined with shrinking political options proved to be a volatile combination that finally erupted into armed confrontation.[15] From the standpoint of the Guatemalans; the Sandinista guerilla movement had proven successful in the catalysis of the Nicaraguan Revolution in 1979. Manz describes the revolutionary atmosphere that surrounded Guatemala, and notes that the Guatemalan insurgents and many supporters thought that if victory had already taken place in Nicaragua and seemed possible in El Salvador, why not in Guatemala?[16] As mentioned, the peak of the Guatemalan civil war occurred at a very similar time to the peak of the Cold War. This meant that the U.S. turned its focus on to its southern neighbors as they turned to communism. The consequences of this meant that ordinary local conflict would soon have an international audience as Guatemala would become another battle ground in the Cold War. Arguably motivated out of fear; the U.S. provided immense military and economic aid to Guatemala; much of the fighting took place at the height of the Cold War and the combatants were well aware of U.S. support for the Guatemalan military.[17] As stated by Kissinger, the U.S. was concerned of the intrusion into Central America by aggressive external powers[18]. The fear that Cuban or Soviet backing would support the insurgent groups, led to the U.S. providing tacit support to the Guatemalan Government. This U.S. support gave the Guatemalan government both a military and political upper hand, whilst intrinsically tying the corrupt ruling elite to external American influence. This cascade of events that followed U.S. intervention in to Guatemala placed the country firmly within a Cold War context; where ideology played a substantial role in rallying support by even the indigenous peoples; who believed they too, were fighting for justice. However, was this intervention completely necessary, and did it exacerbate and prolong the civil war? The report briefly touches on this notion, which a disagreement with regards to the conditionality of U.S. intervention. Should there be a link between U.S. support and improvements in Latin Americas execrable human rights record. Such a notion implies awareness for the deterioration of the human rights that America was c ausing, however, they feared a Marxist-Leninist victory in El Salvador, and therefore this notion was consequently ignored. The report believes that in order to fight an expanding army of communist guerrillas, U.S. must continue to provide support to the armed forces. A peace agreement is long overdue in Guatemala. Following almost three decades of armed conflict and brutal injustice; Guatemala is owed a transformed society with democratic leadership, increased rights for the abused Mayan people, end to the U.S. military backing, constitutional reform, and an improvement of the socio-economic and socio-political issues. Whilst in my opinion, the main forces behind the war in Guatemala were the economic oppression and daily violence which led to the creation of the insurgent groups that so threatened the American political status quo. The economic oppression was inflicted primarily by the governing elite, however, as a sole factor this could not have led to a war of such gross magnitude. America played a significant role. The years of colonial oppression implemented by America into their southern neighbours had an underrated lasting economic consequence. By default, the U.S. had a much larger responsibility in causing the Guatemalan Civil war than is initially apparent. Such destructive and protracted conflict could not have amassed had it not been for the influence of the international community. Guatemala today has still not recovered. The lives of millions have been shattered, and America should be owed a much larger blame than any other country. Bibliography Berryman, P. The Religious Roots of Rebellion, (Wipf and Stock Publishers, 1984) Beverley, J., The Real Thing (Our Rigoberta), (Modern Language Quarterly 57:2:1986) CIA The World Factbook, 20 Nov. 2008, Central Intelligence Agency, 1 Dec. 2008 Grandin, G. The Last Colonial Massacre(The University of Chicago Press, 2004) Kissinger, H. The Report of the Presidents National Bipartisan Commission on Central America, (Macmillan, 1984) LeoGrande, W.M, Our own Backyard, The United State in Central America 1977-1992(The University of orth Carolina Press, 1998) Levenson-Estrada, D. Trade Unionists Against Terror (The University of North Carolina Press, 1994) Manz, B. and N. Aryeh, Paradise in Ashes A Guatemalan Journey of Courage, Terror, and Hope, (New York: University of California P, 2004) McClintock, M. Roosevelt, T. Theodore Roosevelts Annual Address to Congress (December 6th 1904) accessed via http://www.ourdocuments.gov/doc.php?flash=truedoc=56page=transcript Smith, R. The United States and the Latin American Sphere of Influence, (Robert E. Krieger Publishing Company, 1981) [1]CIA The World Factbook Guatemala, CIA The World Factbook, 20 Nov. 2008, Central Intelligence Agency, 1 Dec. 2008 [2] B. Manz; A. Neier, Paradise in Ashes A Guatemalan Journey of Courage, Terror, and Hope, (New York: University of California P, 2004), 16-17. [3], G. M. Gugelberger, T he Real Thing: Testimonial Discourse and Latin America, (Duke University Press, 1996), p.34 [4], G. M. Gugelberger, T he Real Thing: Testimonial Discourse and Latin America, (Duke University Press, 1996), p.34 [5]J. Beverley, The Real Thing (Our Rigoberta), (Modern Language Quarterly 57:2:1986), p.129-235 [7] H. A. Kissinger, The Report of the Presidents National Bipartisan Commission on Central America, (Macmillan, 1984), p.1 [8] H. A Kissinger, The Report of the Presidents National Bipartisan Commission on Central America, (Macmillan, 1984), p.34 [9] J. Monroe, The Monroe Doctrine, December U.S. Department of State. Retrieved November 2, 2011. [10] H. A Kissinger, The Report of the Presidents National Bipartisan Commission on Central America, (Macmillan, 1984), p.34 [11] T. Roosevelt, Theodore Roosevelts Annual Address to Congress (December 6th 1904) accessed via http://www.ourdocuments.gov/doc.php?flash=truedoc=56page=transcript [12] R. F. Smith,The United States and the Latin American Sphere of Influence, (Robert E. Krieger Publishing Company, 1981), p. 10 [13] R. F. Smith,The United States and the Latin American Sphere of Influence, (Robert E. Krieger Publishing Company, 1981), p. 10 [14]B. Manz; A. Neier, Paradise in Ashes A Guatemalan Journey of Courage, Terror, and Hope, (New York: University of California P, 2004) p. 96 [15] B. Manz; A. Neier, Paradise in Ashes A Guatemalan Journey of Courage, Terror, and Hope, (New York: University of California P, 2004) p. 46 [16] B. Manz,; A. Neier, , Paradise in Ashes A Guatemalan Journey of Courage, Terror, and Hope, (New York: University of California P, 2004) p. 96 [17] B. Manz; A. Neier, , Paradise in Ashes A Guatemalan Journey of Courage, Terror, and Hope, (New York: University of California P, 2004) p. 224 [18] H. A. Kissinger, The Report of the Presidents National Bipartisan Commission on Central America, (Macmillan, 1984), p.36

Animals Save Lives :: Essays Papers

Animals Save Lives Suppose a family member was suffering from a disease and the doctor announced that thanks to animal research they are coming close to finding a cure. Would it then be acceptable to experiment new drugs and treatments on animals, even if it meant death for the animal? This is a controversial issue, which has many divided as to whether animal testing is a good or bad thing. The vast majority of animal research is; however, devoted to finding curse for human disease. Obviously, in animal research the animals are subjected to many tests, which may cause pain and even have long lasting negative effects. Moreover, animal research is vital to the medical field. Through animal research many cures for humans have been discovered. Animal research became widespread in the late 1800’s and has continued up into today (RDS). Because of this research dozens of vaccines and antibiotics have been discovered and new advancements such as open-heart surgery have been perfected. Animals are used in research and testing when it is necessary to see what happens in the whole living body, where the use of human subjects would not be ethically acceptable (Biomedical Models). Most often animal research is very important in discovering new treatments for diseases and cannot be replaced by computer generated models. One of the best-known medical discoveries is that of insulin, which saves almost 500,000 American, lives each year (Chang). Many more discoveries have been made thanks to animal research and testing. There have also been many breakthroughs and advancements within the psychology field, because of animal research. Psychologists do research on animals in this field to study the animal’s behavior and central nervous system. Through understanding how the nervous system works doctors can then begin to understand more about the complex behaviors humans may exhibit (APA). According the American Psychological Association, â€Å"Animal research has been the major contributor to the knowledge of the basic learning processes and motivational systems, such as hunger, thirst, and reproduction. Also animal research has provided critical information about the sensory processes of vision, taste, hearing, and pain perception.

Jacksonian Democrats Essay examples -- essays research papers

Jacksonian Democrats viewed themselves as the guardians of the United States Constitution, political democracy, individual liberty, and equality of economic opportunity. In light of the following documents and your knowledge of the 1820's and the 1830's, to what extent do you agree with the Jacksonian's view of themselves. Unlike previous presidents, Andrew Jackson represented the common men. He and his followers did not support the aristocrats, but instead favored the interests of farmers and urban workers. When they gained power, the Jacksonian Democrats brought about great advances in creating a more democratic and economically equal society. One of the most important changes that Jackson brought was a much more democratic society. You no longer had to be a rich landowner to be allowed to vote. Most of the states removed any religious or property qualifications for holding office. The number of voters increased nearly by seven times during Jackson's presidency. By 1832, nearly all states adopted a new system for choosing for choosing its electors. Before Jackson's presidency, the electors were chosen by state legislatures. Now all the states in the Union, except South Carolina, had adopted a more democratic method of allowing voters to choose their state's electors. Also, during Jackson's era, many state and local officials were elected to office, instead of being appointed. This gave the voters more control of their local government, and increased participatio...

Battle of Gettysburg Essay -- History Civil War USA Historic Essays

Battle of Gettysburg This most famous and most important Civil War Battle occurred over three hot summer days, July 1 to July 3, 1863, around the small market town of Gettysburg, Pennsylvania. It began as a skirmish but by its end involved 160,000 Americans. Before the battle, major cities in the North such as Philadelphia, Baltimore and even Washington were under threat of attack from General Robert E. Lee's Confederate Army of Northern Virginia which had crossed the Potomac River and marched into Pennsylvania. The Union Army of the Potomac under its very new and untried commander, General George G. Meade, marched to intercept Lee. On Tuesday morning, June 30, an infantry brigade of Confederate soldiers searching for shoes headed toward Gettysburg (population 2,400). The Confederate commander looked through his field glasses and spotted a long column of Federal cavalry heading toward the town. He withdrew his brigade and informed his superior, Gen. Henry Heth, who in turn told his superior, A.P. Hill, he would go back the following morning and "get those shoes." Wednesday morning, July 1, two divisions of Confederates headed back to Gettysburg. They ran into Federal cavalry west of the town at Willoughby Run and the skirmish began. Events would quickly escalate. Lee rushed 25,000 men to the scene. The Union had less than 20,000. After much fierce fighting and heavy casualties on both sides, the Federals were pushed back through the town of Gettysburg and regrouped south of the town along the high ground near the cemetery. Lee ordered Confederate General R.S. Ewell to seize the high ground from the battle weary Federals "if practicable." Gen. Ewell hesitated to attack thereby giving the Union troops a chance to dig in along Cemetery Ridge and bring in reinforcements with artillery. By the time Lee realized Ewell had not attacked, the opportunity had vanished. Meade arrived at the scene and thought it was an ideal place to do battle with Lee's Army. Meade anticipated reinforcements totaling up to 100,000 men to arrive and strengthen his defensive position. Confederate General James Longstreet saw the Union position as nearly impregnable and told Lee it should be left alone. He argued that Lee's Army should instead move east between the Union Army and Washington and build a defensive position thus forcing the Federals to attack ... ...h. Confederate causalities in dead, wounded and missing were 28,000 out of 75,000. Union casualties were 23,000 out of 88,000. That night and into the next day, Saturday, July 4, Confederate wounded were loaded aboard wagons that began the journey back toward the South. Lee was forced to abandon his dead and begin a long slow withdrawal of his army back to Virginia. Union commander Meade, out of fatigue and caution, did not immediately pursue Lee, infuriating President Lincoln who wrote a bitter letter to Meade (never delivered) saying he missed a "golden opportunity" to end the war right there. On November 19, President Lincoln went to the battlefield to dedicate it as a military cemetery. The main orator, Edward Everett of Massachusetts, delivered a two hour formal address. The president then had his turn. He spoke in his high, penetrating voice and in a little over two minutes delivered the Gettysburg Address, surprising many in the audience by its shortness and leaving others quite unimpressed. Over time, however, the speech and its words - government of the People, by the People, for the People - have come to symbolize the definition of democracy itself.

Racial inequality in the period 1945-55 Essay

How accurate is it to say there was significant progress towards racial inequality in the period 1945-55? Racial inequality in the USA was an extensive and significant issue before, and controversially after this time period. What is crucial to say is that progress still needed to be made – this is despite the colossal step forward predominately in the legal frame work of federal government, but economic and social steps too, for example – voting rights in the southern states. Arguably though these so called steps forward both helped and hindered the fight for black equality. An example of this hinderance would be the rise in white opposition due to African American protests. One major problem in American society before 1945 was the lack of expression the black population had on American politics, and crucially if they could vote the amount of affect they could make.One effective section of American society that was positively changed by primarily Truman’s government was political appointments, and political change. Perhaps interestingly you could say, limitedly that political viewpoints and acceptance had been altered. On one section we look at political appointments. Under Truman’s government we see an attitude change to black people in politics. Before 1943 we have no African Americans in senior political and federal positions. However the change begins in this year when William Dawson and Adam Powell were elected to congress – successively in 1949 we see William Haist become a Federal Judge. This arguably indicates a crucial change in viewpoints, or at least a step forward to this. Activism due to the war also heightened in1945. This point is crucial as its direct consequences allowed direct action to influence political agenda. For instance the Morgan V. Virginia case in 1946, arguably wouldn’t have appeared before the war. Irene Morgan with the help of the NAACP targeted supreme court, consequently ruling the segregation in interstate busses was illegal. So here we have a pathway. Increased black activism, increased direct action and political judge appointments – alongside government change of tactic leads to the conclusion that significant progress with various court cases have vastly improved the racial equality, in 1945-55. In hindsight we see a consequence of CNO’s direct action campaign in Arkansas. In 1945 1.5% of black people could vote, however as a result of increased activism in 1947 17.3 voted. This was crucial as it shows the phenomenal change the war brought on activism and equality and more interestingly how the apparent change in political viewpoint changed how Black people were able to express themselves politically, arguably this suggests its highly accurate to say this time period was significant. Another example of how significant progress was made was how various economic impediments were overcome. Before 1945 Huge restrictions, even in the North were upon Black workers – however under Truman’s Government and the ‘Secure these rights’ agenda things were about the change. ‘Secure these rights’ was a committee set up by Truman to highlight inequality and changes to be made in America. There are several main examples that were helped by this scheme, arguably the most significant were the various proposals and departments set up in 1949 which were consequently proposed to congress. One main section would be the ‘Fair Deal’ program. This initiative aimed to tackle fundamental economic inequalities. Evidence suggests that segregation was accentuated by literal segregation of communities. Black people had a lower standard of living. Under Truman in 1949 we see a government initiative providing a higher minimum wage and a public housing scheme. Moreover, looking at a different section of economic impediments we see a huge unemployment difference between black and white people, a startling statistic is that 62% of low paid labour jobs were done by black people, only 28% white. This huge juxtaposition in jobs was yet again tackled by Truman and ‘Secure these rights’ In his 1949 speech (to an integrated crowd) he pledged to not fund organisations that discriminate on the grounds of race. This was extended from before 1945 as the CGCC scheme. This arguably was achieved through Truman’s fight in the cold war, but perhaps more significantly through the efforts of Black direct action. Evidence suggests that although segregation was still an issue, looking back years before this era – significant change had been made to fundamentally the perception of people and the legal framework. I think looking at economic initiatives we see a path being built that wasn’t thought of before 1945. In this I believe this era is fundamental for the successes of people like Martin Luther King and the NAACP in the decades to come. Social changes, mostly as a result of the factors above Eg. Secure these rights, also took place in this period. The fight for equality was most apparent in the South before 1945. We see all aspects of society from education to restaurants was segregated, but this was, at least attempted to be tackled in this era. Steps were being made, with the help of activism, courts and initiatives. With education we see Black children were being segregated in inferior schools and to many extents being treated as second class citizens. Fundamentally though this had wider consequents as this lack of quality education would put Black people for generations to come at a disadvantage – helping segregation in the economy. Here we have a historical pathway. As a result of the war – activism was increased and groups such as CORE and the NAACP emerged. This allowed lobbying of supreme court, and laws to be passed in their favour, eg. Sweatt V. painter case (1950). In the Brown v. Topeka case we see that Direct action unswervingly caused the supreme court to rule in 1954 that segregation of schools was illegal. More over reported incidences of lynchings were proportionally lower in the later stages of this period, despite a boom after the increased activism. However on the whole the change is significant as it altered attitudes of the plessy v. Ferguson case in 1896, that black people can be ‘separate but equal’ This new ruling completely goes against this and I believe this is the true change of this period, and in many respects a beginning to the end.The evidence suggests here that without a doubt this time, due to many different factors was crucially significant to the framework of equality that was needed to change older and newer generations viewpoints on African Americans. Arguably in this light, this period seems detrimentally effective. In stark contrast we look on the other side of the spectrum. We see numerous de jure laws being placed, and we see that framework being laid – but how significant is that progress? How effective were those laws? We are now underpinning how little de facto change actually took place, especially in the political realm. For example there was a change in law in particularly the southern states enabling Black people to vote. However Grandfather clauses’ (you had to be able to prove the previous two generations had voted) and unanswerable literacy test or clause (the ability to read) stopped Black people from voting. In 1947,17.3% of black people could vote in new orleans – but many were stopped because of sheer intimidation. More over in the North – where arguably politically barriers were not present, poverty of black voters often stopped them from voting. So although laws had been placed preventing it – the idea of white supremacy constantly found routes around this. So looking at the significance of the change, the evidence suggests they are relatively minor in the de facto change. Furthermore we look at Truman’s significance, on one hand we see he was the first president (After Lincoln) to express Black equality so highly in his manifesto. However more significantly many of the proposals by ‘Secure these rights’ never got passed. This is because of the overwhelming about of racists in congress – arguably more could have been done in this period, but political factors stopped this from happening. The examples made earlier was the creation of the ‘CGCC’ (Committee on Government contract compliance). At the time of creation, this seemed to have worked. However in hindsight we see that it was poorly conceived and could not force defence companies to implement fair employment. Here is a clear example of how on one side of the spectrum the CGCC seems to have made significant progress – however when you dive deeper we see that little change took place – suggesting that this time period was not as significant as first thought. Perhaps if more defined laws had been implemented and congress backed Truman this time period could have been more effective. Political factors were not the only topic to doubt this eras significance. Stemming from this economically and socially, despite great change Black people still faced great hardship. In the South, they faced lower wages and higher unemployment. In 1950 one-third of black Americans lived in the North due to migration. This just fuelled the lower standards of living in ghettos, concentrated in industrial cities. On one hand this could be a positive factor, in that unemployment was down. Significantly though – looking at segregation, black industrial workers were unlikely to get payed the same as their white counterparts. Furthermore although unemployment had fallen they were still more likely to be unemployed than white Americans. For example in New York City 6% of the white population was unemployed, adversely the figure was 10% for black men. On one hand, arguably opportunities had been changed and improved for black workers, but significant progress still needed to be made. For instance socially, schools were still segregated on the large part in southern states, similarly in other aspects of life such as state bus services and social areas. Crucially black people were still treated like second class citizens, in this period, in many aspects of life. This point had not changed from before 1945. Segregation, although in many cases illegal put black citizens at a disadvantage constantly – so they could never be in the same position as white people, suggesting significant progress still needed a lot of progress. Above all, looking in hindsight at this point it seems the position of black people had fundamentally not changed, therefore one could conclude that it is not accurate to say significant progress had been made. In conclusion it is clear a combination of factors help both sides of this argument. On one hand we see that although de jure change has been made, little had been done to follow up these policy proposals, and on the whole peoples social, economic and political position changed very little. This is despite the steps forward in public engagement (direct action) and political momentum (Truman’s government). CORE’s ‘Journey of Reconciliation’ in 1947 is a prime example of this. On one hand we see black and white citizens standing up for what is right, non segregated interstate busses. However the consequence of this direct action was arrested campaigners and little media attention. Perhaps the years 1955, and later were more significant in making de facto change, in that problems were finally beginning to be solved at grass root level. However in stark contrast we look at the other side of the spectrum, relatively significant progress had been made. For example if you look at the years before 1945, we see little or no change to the legal framework, other than the 14th and 15th amendments that considerably contributed to equality of African Americans, however in this period we see masses of physical change in all aspects of society. More over we see increased activism due to the war laid down the fundamental roots of direct action. For example one major fault of the Journey of reconciliation was the little time it was over, 2 weeks. However these newly founded groups (UDL, NAACP, CORE) in this period grounded themselves, and learnt – for example the Montgomery bus boycott was a success, with the help of a better organised NAACP. On the whole I believe that it is hard to ignore the progress made in this period. From 1945, with primarily the help from supreme court many aspects of several generations lives were improved – and this improvement is more that can be said for any other period of time. It is this comparison alongside compelling grass root policies of Truman’s government that leads to the argument that it is accurate to say there was significant progress made 1945-55.

Cause-Effect Essay* Causes of Divorce

You know that divorce is more common nowdays, but do you know the causes? According to the statistics offered by INEGI in a survey practiced in 2005, 70% of the couples who get married take the decision of getting divorce. There are many reasons why they make yhis decision, but there are three main causes which are lack of communication, financial issues, and abuse. Lack of communication is one of the main causes of divorce.A marriege is on the rocks when the lines of communication fail. You cannot have an ineffective realtionship if either one of you does not discuss about his/her feelings, cannot talk about his/her mutual or personal issues, and expects his/her partner to guess what the whole problem is about. Another cause of divorce are financial issues. Money or aspects related to ot are of course a possible cause of disagreement between couples.Married couples could squabble over such issues as shared financial responsibility, unequal financial status, undisclosed financial sta te, over spending, and lack of financial support. The last cause of divorce are the ways of abuse. This does not just include intentional and habitual phusycal abuse. It may also come in the form of sexual abuse and emmotional abuse. One partner may actively seeks to degrade his/her partner through harsh language.Drug and alcohol make the person so violent; in addition, there may be no physical or verbal abuse, but the other partner would understandibly have a difficult time managing finances and daily life with an addicted spouse. Now we know that lack of communication, financial problems, and violence are the main causes why people get divorce. May be you should considet living in free union for a short time before you get married, by doing this, you can meet your partner well. It is not the best option, but if you are really in love, you can get married without any problem.

Clean Air

The Economic effect: clean air actBy:College:Course:Professor:Date:AbstractThis research will give a recap of the evolution of clean air act and the adverse effects it has had on our economy since its formulation. Throughout my undergraduate studies I have analyzed the growth rates and fluctuation trends of our economy, I scrutinized how the environmental laws favor or discriminate against giant companies and gave comprehensive conclusion. I used previous environmental reports from researches carried out by federal environmental agencies and compared them to recent reports after president Donald Trump scrapped out some environmental laws that affected large petroleum and coal mining industries. I also designed questionnaires to the general public, professors, economics elites and workers that are employed in companies that are rated to produce health hazardous products like fertilizers. Every set of people had a unique set of questions to answer. I picked these broad array of respondents so that I could have accurate information and hence a good analysis of the topic. The questionnaires relayed some very interesting statistics and I must acknowledge the participation of every respondent. I decided to dwell on this topic in a bid to sensitize people on the effects of the environmental laws and motivate them to speak out on the sensitive issue. This was after the sad realization that the general public tends to ignore the broad environmental as they perceive it not to affect their daily lives. In my research I have recommendations for the federal environmental agencies, the lawmakers and the general public. The economic effect: Clean Air Act influence on the dollar Every law that is formulated usually has good or detrimental effects on the topic it touches; health laws cause a positive disruption on the health sector, criminal and marital laws have a bearing to the social aspect of humans and so do many other laws. Before the lawmakers pass laws they should first dissect the topic extensively as each law has to stand on another sphere and slightly if not adversely affect it eventually. Expert insights on the topics should be accommodated as experts usually have insights on different variables affecting a constant. Public participation should be encouraged and their opinions on the matter should be prioritized before any other parties' opinions; this is because all laws are usually formulated to shield the general public from certain adversities and discrimination.Failure to collect and include views of the general public to the clean air act was the first and most regrettable mistake the federal government ever did since it was tabled in 1963. The date is not clearly marked as the act became a landmark later in 1970 then later on 1990 when the laws were further studded (starobin-1990). I admire the nobility of the pioneer law makers as they thought the laws will save humanity from early demise but I will show how the laws have rubbed a negative impact on the economy and less impact on the topic it was meant to benefit; health. Over the years the years the federal government has been struggling to sustain if not grow its economy, the question they failed to ask themselves is; what economic impact does the clean air act have on our country? They would be having a precise answer to that eerie question if they would have accommodated views from economists.The clean air act does not stand on its own ground; it falls under environmental laws which encompass other laws like the clean water act. The environmental protection agency (EPA) is the federal body mandated to analyze, implement and review the laws. Under it are numerous specialized agencies that were brought together to boost the efficiency of the whole environmental protection agency. In my report I will be using the common abbreviations to denote these agencies. In the broad umbrella we have the office of technology assessment (OTA) which a body that monitors the use of technology and how it affects the environmental laws. The national acid precipitation assessment program (NAPAP) was created in 1989 to monitor the harmful substances in the rain and the effects it has on people, infrastructure and the agricultural sector. The maximum available control technology (MACT) is the agency under EPA umbrella that designs and assigns technologies to industries that produce harmful substances (e.g sulphuric and nitrogen air. Later on the national ambient air quality standard was introduced to keenly monitor the trends of harmful standards in air (kopp-1989) To set up all these bodies required a lot of money, money which had to be coughed up in hard cash from the national coffers. In the body of paper I will give a brief history of the agencies and the exact funds that were used to set them up, to be relevant I will also tell you the timeline these bodies take to do research and the cost behind them. Further, I will state the time they take to implement their recommendations then enumerate if the implantation has effects to the environment and the economy. For clarity, I will contrast the information with the findings of my research that largely depended on people views backed up financial data from business articles from reputable press companies. This report will give us a better understanding of the dynamics around the clean air act.The economic effectThe state averagely spills over $92 billion annually to ensure that all stakeholders comply to the environmental laws set. The clean air act is serviced by more than more $28 billion and the clean water spends over $29 billion (. The number skyrockets when we talk of other bodies that deal with regulation of hard harmful substance like fertilizers, pesticides, fungicides and herbicides as they spend over $32 billion annually in running of their functions. We discover that when setting up the institutions to implement the clean air act the federal government had to wait for 10 years for the bodies to make researches and draw conclusions. Here the state spent over $500 million in setting up and equipping the bodies, a further recurrent expenditure of $426 million was used annually to keep the organizations functioning. From 1970 to 1990 a whopping $8.52 billion in setting up and maintenance of the clean air act alone. After the first set of 10 years of research, the clean air act was studded and to comply with regulations; affected companies had to part with $4 billion dollars in a bid to comply with the environmental laws. A research by private companies stated the figure hit over $20 billion annually (denny-1990). The companies were supposed to reduce emission of sulphuric air by 10 million tons and nitrogen air by 2 million tons per year. In 1980 the government launched another program; the national acid precipitation assessment program (NAPAP) and gave it $500 million to carry out its research in a span of 10 years. The program was supposed to study the effects of acidic rain on land and water areas. The findings were good for the health topic but the money pumped in keeping the program running did not return profits. The much awaited findings were; the quantity of harmful substances in rivers and lakes had risen but the rise could not be attributed to rain alone as there were other hard toxic substances in the water. The finding authenticated the claim that acidic rain degrades infrastructure but they said the rate of degrade was very slow and could be matched up by apt maintenance. Another astonishing finding was that acid rain had no effect on agricultural products and production. Car manufacturing industries were also devastated by the laws as the cars had to be fitted with technological sieves to reduce carbon emission after fuel had been burned. This had to be done immediately as the state did not want to take more time as the research had taken more years. In effect the car manufacturing companies had to add an extra $120 to $450 per car depending on the type of fuel the car used and its customizations (. Truck and plane manufacturers were also slapped with the new regulations and they realize a slash in their annual profits. When President George Bush administration came into office it had to oversee a further $3 billion annually being channeled into car, truck and plane manufacturers.Methods of researchAnalysis of credible economic articles from the internet 1963to 2017Analysis of the report written the environmental program agency Analysis of the annual national budget and its revenue streamQuestionnaires responded to by students, professors, workers and the general public.FindingsSince the clean act was passed the state has spent more than $40 trillion in establishing of the environmental bodies. This money was used in assembling the infrastructure, buying the equipment and payment of workers.The target set by the numerous agencies since 1970 are still a long way to be met as the only 5 out of the 20 harmful substances in air have been managed.Most people are unaware of the laws existence and even after researching about it they claim that they feel the laws don't improve the standard of their lives.Over 311 giant companies retrenched over a half of their workforce between 1980 and 1990, this indicates that 190,000 people were left jobless hence the state's capital stock lost over $37 billion annually throughout the yearsQuality of air in urban areas increased to 98%. The sulphur and nitrogen substance level in air has reduced drastically over time but other harmful elements like benzene are still in abundance (EPA-2000). This change was noticed in cities, I bet it is from the implantation of the gas fitters in cars that the change was noticed.When the maximum available technology control agency was formed, it oversaw companies part with $4 million each to fit the technology sieves on their chimnies. Mortality rates remained stagnant and worsened to former workers of companies that went out of business when the environmental laws were passed.ConclusionsThe state should prioritize the economic part as it is through it that it will get funds to run all other vital activities, it is only by a strong financial background that other institutions can stand. Since the formulation of the laws a lot of money that would have been used in the building of economy has been spilled on the assembling of different agencies within the environmental program agency. The money did not have any beneficial return as the findings that later came from numerous state funded research did not meet the expectations or prove the notions that; more regulations will lead to less emissions of harmful substances thus improve the quality and lower the mortality rate of humans.In a bid to enforce the laws more funds were used in aiding some companies abide by the rules but this did not save the companies from retrenching employees and later closure due to either non compliance or lack of profits. As years went by and the laws became less conducive, more companies shut down and with them more jobs. As all this was happening the mortality rates remained high as the prevention policies barely worked or if they did the effect was insignificant. The state focused on creating the laws and did not work on technological or medicinal mechanisms to reverse the effect of health hazards on employees that worked in petroleum, fertilizer, pesticides, herbicides and insecticide companies. The more they died the more the laws looked inefficient.Years went by and the states spending on the regulations increased with no positive visible effects. More companies went out of business and in extend the states revenue collection decreased. This meant that important projects stalled and people's livelihoods were lowered if not completely shattered.RecommendationsThe state should consider inclusivity of all stake holders. Things would be a little better if the government had considered taking profession views from economic experts; our economy could much better. The situation can still be salvaged and the professionals be allowed to make their reviews. Then it will be easier to amend the laws. Here I recommend the state to welcome economic experts on the round table and let their opinions matter. Company owners should also be left to add voice to the topic as the laws affect their enterprises directly; the more they are left out of the topic the more they will be kicked out of business. Non inclusivity leads to hostility and this will scare away investors. The general public should be allowed to cap the topic too as they are the direct beneficiaries of whatever the law dictates. The review timeline should be lowered from 10 years to round 2 years, development can be hastened and reversed if the effects are devastating by shortening the span. This span should be capped by short term policies that are to be met in it. It may seem that the shorter the lifespan, the more the expense because of the numerous activities; that is not the case the amount spent will be the same. In a span of 10 years you will hire a large lot of experts to carry out the research but if you break it down to two years you will have small sustainable number of employees that will have gained experience hence bring on board accurate data.The clean air act should be made flexible depending on the geographical setting of the company is and the importance of products it produces. If the laws on petroleum mining were not so stringent we could be having more oil to export and this will lower the unemployment rate in the state.Harmful substance research should be refined and be more specific. They should know the precise number of industries and population in a geographical area then deduce the effects. Most researches are carried out in urban areas but the laws that are passed from the specific researches are applied all over the country. The researchers should accept that different geographical areas have different quantities of harmful substances. It is only by perfection in research that the laws can be made flexible.Insurance laws should be studded just like the clean air laws to keep the health hazard companies that hire people in check. 0 They should state that upon discovery that the worker's health has been negatively affected in the line of duty that the compensation should twice as high the estimated value of the effectReference;Numerous reports done in 1979, 1989 and 1999 by EPA,The environmental program agencyResearch done in 1989 by Krupnick and koppThey worked for OTA, office of technology assessment.Book; Social cost of environmental quality regulations by Michael Hazilla

A Root Cause Analysis Essay

Healthcare facilities that are accredited by Joint Commission are required after a sentinel event to conduct a root cause analysis (RCA). A root cause analysis is conducted to determine the cause or factors that contributed to the sentinel event. A few things must be asked in the RCA such as who, what, where, why and how in order to identify the cause. After the cause of the sentinel event is determined and a corrective action plan has been put in place a failure mode and effects analysis (FMEA) could be conducted to reduce the likelihood that it should happen again. The scenario A 67 year old male (Mr. B) was brought into the emergency room for pain to left leg and left hip. The injury occurred when the patient had a fall due to him losing his balance after tripping over his dog. The hospital is a 60 bed rural hospital located in Mr. B’s hometown. Mr. B was brought in by his son and neighbor. Upon triage Mr. B was complaining of pain 10/10 on the numerical pain scale and his vitals were found to be stable. Mr. B has a history of impaired glucose tolerance, prostate cancer, and chronic pain which he is on oxycodone. The Patient states he had no known allergies or previous falls. Upon the nursing assessment Nurse J. has noticed that the patient has limited range in motion, his left leg has swelling and appears shortened in comparison to the right. Nurse J. has informed the ED physician which he came to his bedside for evaluation. Upon evaluation the physician decided that Mr. B needed to have a reduction of his left hip, due to the dislocation and will require a conscious sedation. Mr. B requires multiple doses of medication to achieve the desired sedation affect for the reduction. Once the reduction was successful Mr. B is left with son in the room where a full set of vitals were not continuously monitored and goes into respiratory failure which lead to the death of Mr. B. Staffing on this day is the day of the event consisted of a secretary, emergency department physician (Dr. T), and two nurses (one RN and one LPN). A respiratory therapist is in house and available as needed in this six bed ED and sixty bed hospital. Events At 3:30pm- Mr. B was taken to ED for left leg and left hip pain from a fall. Pain is a 10/10 vitals include 120/80 blood pressure (BP), 88 heart rate (HR) and regular, 98.6 temperature, (T), 32 respirations (R), 175 lbs.. At 4:05pm- Mr. B was given Diazepam 5mg IVP which had no affect after 5min. At 4:10pm- Dr. T orders 2mg of hydromorphone to be given to Mr. B. At 4:15pm- Mr. B was given 2mg of hydromorphone IVP. At 4:20pm- Dr. T is not satisfied with level of sedation and orders Mr. B to be given 2mg of hydromorphone, and diazepam 5mg IVP. At 4:25pm- Mr. B appears to be sedated and reduction of his (L) hip takes place. The patient remains sedated and appears to have tolerated the procedure. The procedures concludes at 4:30pm. No distress is noted, patient is placed on monitor for blood pressure to be taken every 5 minutes along with pulse oximeter but no supplemental oxygen or ECG leads (monitors cardiac rhythm and respirations) was placed on patient at this time. At 4:30pm- Nurse J allows Mr. B’s son to remain in the room with him as he is being monitor by blood pressure machine only. Nurse J leaves the room. At 4:35pm- Mr. B vitals are BP 110/62, O2 sat is 92% still no oxygen or ECG leads are on patient at this time. EMS is transporting a patient in respiratory distress, lobby is beginning to get congested. LPN and Nurse J. in the process of discharging 2 patients and are checking in the patient that EMS has transported in. LPN enters Mr. B’s room and resets his alarming monitor that was showing a sat of 85% and restarts the B/P to recycle. LPN does not supply oxygen and does not alert Nurse J at this time. Management is not notified that patient acuity and patient load is increasing. Nurse J is now fully engaged with the emergency care of the respiratory distress patient. At 4:43pm- Mr. B’s son comes out of room and informs the nurse that the monitor is alarming with vitas of B/P 58/80 O2 of 79%. The patient has no palpable pulse and is not breathing. A STAT code is called and the son is taken to the waiting room. The code teams arrives places Mr. B on cardiac monitor where he is in ventricular fibrillation and the team begins resuscitative efforts. CPR is started and the patient is intubated. Mr. B is defibrillated and reversal  agents, vasopressors and IV were started. At 5:13pm- After 30 min of interventions the ECG returns to a normal sinus rhythm with Mr. B’s B/P being 110/70. The patient is completely dependent on the ventilator, his pupils are fixed and dilated and there is no spontaneous movements. The family as asked for the patient to be transferred out to a tertiary facility for further advanced care. Outcome Seven Days later Mr. B has died. The family had requested that life-support be removed after brain death had been determined by EEG’s. This is a sentinel event. Investigation of sentinel event should begin with a Team and method of investigation. Interdisciplinary team included in the RCA should include the Director of Nurses, Nursing Supervisor, Risk management, Nursing Coordinator, and Manager of the department. Once the team is put together the RCA should be started. The team should set up interviews with all staff that was involved and present in the department the day the sentinel event happened. A complete chart review should be conducted by team. The policies on conscious sedation, staffing of department, and standardized work should be reviewed. When the cause is identified a corrective action plan should be conducted. The corrective action plan will allow a series of projects can be put in place to help create or change polices if needed. The new or changed polices should be put into education models to teach to current and new staff as needed. The Root Cause Analysis Causative factors- (why it happened) determined cause Individual’s cause factors Nurse J did not follow procedure for conscious sedation. The patient was not placed on continuous B/P, ECG, and pulse oximeter throughout the procedure. Respiratory Therapist was not informed of the conscious sedation. LPN did not address low o2 saturation of 85% between the 4:35pm-4:43pm. Dr. T did not take in account of the patient’s weight and chronic pain medication use. Nurse J did not question the medication that Dr. T ordered. Team’s cause factors Management was not called and informed of staffing needs and acuity of patients. Back up staff was not called in to help when acuity and patient load had increased. Commination between Nurses and Dr. T were not present when the patient began to decompensate. Management /Organizational cause factors Unsafe Staffing at ED. There was not enough staff present to safely manage emergencies in the ED. RCA Findings: Errors and/or Hazards 1. Per protocol the patient was not hooked up to the proper monitoring equipment at the bedside. The facility procedure police called for continuous B/P ECG, and pulse oximetry during and after procedure until patient meet the discharge criteria. The nurse should have remained with patient during the recovery period. Crash cart with defibrillator was not present during the procedure nor was the proper reversal agents that could reverse the medication given for sedation. 2. Nursing staff communication was very poor. LPN did not notify Nurse J or ED physician when the patient’s o2 saturation dropped down to 85%. Oxygen was not placed on patient when O2 saturation dropped which led to respiratory failure causing the patient to code and eventually led to Mr. B’s death. 3. Communication between ED staff and management lacked when staffing needs increased. Patient safety was put at risk when the patient load and acuity increased in the ED and the staffing did not increase. Staffing shortage caused the nurse and nursing support staff to attend to other patients and leave Mr. B unmonitored which led to respiratory distress due to the patient being over medicated for sedation which led to respiratory failure and eventually led to Mr. B’s death. 4. The ED physician did not request the patient be transferred to the nearest trauma center due to lack of recourse’s in the emergency department. Recommended Corrective Action Plan/Change Theory/Improvement Plan 1. Improved patient safety during conscious sedation: Effective immediately all conscious sedation procedures will be conducted per protocol. Within 10 days the conscious sedation procedure should be evaluated by a committee to ensure the best practices are being used. Within 30 days of this RCA all  staff should be educated on conscious sedation protocol. All nursing staff should use review protocols for conscious sedation before a conscious sedation procedure is to take place. 2. Communication within the department should be evaluated immediately by a group of staff members to find out where the miscommunication failure lies. This could be that the nursing support staff is unaware of the parameters that should be reported to nurse or physician. With 10 days of this RCA a policy on documentation of communication should be put in place to ensure that all nursing staff are documenting the communication of a patients change in status has be reported to physician. Effective immediately all nursing support staff should be educated on parameters that should be reported to nursing staff and physicians. This should be put into a policy along with documentation of communication. 3. Improved patient to nurse ratios: Management should put in place a safe nurse to patient ratio for the emergency room. Communication policy between department and management should be put in place effective immediately to ensure that no other patient should be placed in harm’s way due to staffing shortage. The emergency department should be put on diversion if the patient load and acuity places patients at risk for harm in any manner. A copy of the RCA should be given to management and leadership. Management should share the finding with all emergency department staff. Feedback should be done 30 days after corrective action plan or change theory have been put in place to ensure that everything that has been put in place is effective for the department to improve patient safety. Constant reevaluation of patient safety should be conducted and feedback given to improve patient safety by all providers involved. Management will continue to ensure that all staff follow all protocols to ensure that patient care and safety are not compromised. At a 90 days bench mark after the corrective action plan has been put in place management should revisit the any changes made to protocols and polices to ensure compliance and effectiveness is still in place and reevaluate the process to ensure patient safety. Failure Mode and Effects Analysis (FMEA) A Failure Mode and Effects Analysis is proactive versus the RCA which is reactive. A FMEA assesses a process for risks of failures or adverse effects of a process and prevents them by correcting what is wrong proactively  (Institute for Heathcare Improvement, 2004). A Healthcare facility may use FMEA tools on the Institute for Healthcare Improvement website to evaluate a process in the facility. This tool will calculate a risk priority number (RNP) of a process, evaluate the impact of the process and the changes that are being considered, and tract the improvement over time (Institute for Heathcare Improvement, 2004). PRE-FMEA 1. Step one: Select a process to be evaluated with FMEA. The FMEA for this paper will focus on the conscious sedation protocol. 2. Step Two: Recruit a multidisciplinary team and include a member from every department that may be involved or affected. This team for the conscious sedation protocol should will include. Registered Nurse Physician Management Pharmacist Respiratory therapist A member from Legal Laboratory Tech Emergency Department Tech 3. Step Three: Information needs to be gathered by the team. A list of steps in the process being evaluated should be put together or even an outline of steps would be helpful to the team. All internal and external data, clinical practice guidelines, current policies and procedures, current literature and any other information that may pertain to the process that is being evaluated. For the purpose of this paper we would use data on outcomes of conscious sedation protocols, RCA’s on bad outcomes, clinical practice guidelines and any research documentation that would aid in best practices for conscious sedation. Team meetings should be structured with an agenda. A leader or primary person with extensive knowledge of the FMEA knowledge (Department of Defense Patient Safety Center, 2004) 4. Step Four: The Team should list the failure modes and causes. In each process all failure modes should be listed, and then for each failure mode a list of possible causes should be listed as well. In this scenario we will use this as an example Preparing medication Wrong medication prepared Wrong dose prepared 5. Step Five: A Risk Priority Number (RPN) will be assigned to each failure mode for the likelihood of occurrence, for the likelihood of detection, and for the severity. This step is also known as the three steps FMEA. The RPN is a numerical rating. For this scenario here is an example Likelihood of Occurrence: This will measure the likelihood a failure mode is to occur. The score range will be 1-10 with 1 meaning it is very unlikely to occur and 10 meaning very likely to occur. Example- Wrong medication prepared = 5 Likelihood of Detection: This will measure the likelihood a failure mode is to be detected if it should occur. The score range will be 1-10 with 1 meaning it is very likely to be detected and 10 meaning very unlikely to be detected. Example- Wrong medication prepared = 6 Severity of occurrence: This will measure the severity of the failure mode should it occur. The score range will be 1-10 with 1 meaning no effect and 10 will be death should a failure mode occur. Example- Wrong medication prepared= 9 6. Step Six: The team will evaluate the results. For each failure mode the three scores are multiplied with each other. The failure mode with the highest RPN will be the one that will be evaluated by the team to ensure patient safety. The higher the RPN a failure mode has the higher the potential for harm it may cause. The RPN score can be as high as 1,000 and as low at 3. Example- Wrong Medication Prepared Occurrence- 5 Detection- 6 Severity- 9 5x6x9= overall score =270 7. Step Seven: An improvement plan will be made based on the RPN. Likely to Occur. Have a triple check put in place. Have team attempt to eliminate all possible causes. Example-Have medication scanned when pulled from Pyxis to check providers order. Have patient scanned before medication may be prepared to check providers order. Have patient and medication scanned to ensure correct patient with the correct medication and proper providers order. Unlikely to be detected. Look for warning signs that the error may not be detected. Use data from any previous or prior errors. Severity. Use any data available to determine severity of error. Make available any and all resources to prevent further errors and severity of errors. Final Step- The final step in the FMEA is to plan an observation or test. A plan should be clear of its objections and should have some sort of predictions or outcomes. During the test all data should be documented. In this data collection phase all observations including problems or unexpected issues should be documented and later evaluated. After the test is complete and all data collected the team should meet for analysis of the data. A summary of the analysis should be documented. All changes or modifications to the process will be based on the test and analysis of data conducted. Any and all changes should be communicated to all staff members. These changes may or may not show improvement to the process, this is why constant reevaluation of all process should be conducted and any feedback should be given to leadership for the reevaluation of the process. Nurses play a vital role in health care. Nurses have the most contact with a patient. Nurses carry out any orders and or processes. A nurse is the patient advocate, they are the ones who will advocate for patient safety. Nurses are the advocates who will be looking for evidence base practices to improve patient care and patient safety. Improving quality of care for each patient will improve the outcomes for each patient. References Department of Defense Patient Safety Center. (2004, 12 26). Failure Mode and Effects Analysis. Retrieved from FMEA Info Centre: http://www.fmeainfocentre.com/handbooks/FMEA_Guide_V1.pdf Institute for Heathcare Improvement. (2004). Failure Modes and Effects Analysis (FMEA). Retrieved from Institute for Heathcare Improvement: http://www.ihi.org/resources/Pages/Tools/FailureModesandEffectsAnalysisTool.aspx