Stefan’s Diaries: Origins Chapter 32

I turned my back to the domain and started strolling, at that point running, on the earth street into town. Some way or another, I felt that my feet scarcely contacted the ground. I ran quicker and quicker, yet my breath remained the equivalent. I felt that I could run like this eternity, and I needed to, in light of the fact that each progression was removing me farther and farther from the detestations I'd saw. I did whatever it takes not to think, attempted to hinder the recollections from my psyche. Rather I concentrated on the light dash of the earth as I immediately positioned one foot before the other. I saw that even in the dimness, I could see the manner in which the fog sparkled on the couple of leaves that despite everything clung to the trees. I could hear the breath of squirrels and hares as they hurried through the backwoods. I smelled iron all over. The soil street changed into cobblestone as I entered town. Reaching town appeared to have taken no time by any means, however regularly I navigated a similar separation in no not exactly 60 minutes. I eased back to a stop. My eyes stung as I looked gradually from left to right. The town square appeared to be unique in some way or another. Creepy crawlies crept in the soil between the cobblestones. Paint chipped off the dividers of the Lockwood manor, however it had been fabricated just a couple of years back. There was deterioration and rot in all things. Most unavoidable was the smell of vervain. It was all over. However, rather than being dubiously lovely, the aroma was all-expending and caused me to feel discombobulated and sickened. The main thing that countered the cloying aroma was the potent smell of iron. I breathed in profoundly, out of nowhere realizing that the main cure against the vervain-prompted shortcoming was in that aroma. Each fiber of my body shouted that I needed to discover its wellspring, needed to support myself. I glanced around, eagerly, my eyes quickly checking starting from the saloon the road to the market toward the finish of the square. Nothing. I sniffed the air once more, and understood that the scentâ€the wonderful, dreadful, accursing scentâ€was coming nearer. I spun around and sucked in my breath as I saw Alice, the entirely youthful barmaid from the bar, strolling down the road. She was murmuring to herself and strolling unevenly, no uncertainty since she'd examined a portion of the bourbon she'd been serving throughout the night. Her hair was a red fire against her fair skin. She smelled warm and sweet, similar to iron and wood smoke and tobacco. She was the cure. I took into the shadows of the trees that flanked the road. I was stunned by how noisy she was. Her murmuring, her breathing, each lopsided footfall enlisted in my ear, and I really wanted to ask why she wasn't awakening everybody around. At long last, she cruised by, her bends sufficiently close to contact. I connected, snatching her by her hips. She heaved. â€Å"Alice,† I stated, my voice reverberating hollowly in my ears. â€Å"It's Stefan.† â€Å"Stefan Salvatore?† she stated, her puzzlement rapidly going to fear. She trembled. â€Å"B-however you're dead.† I could smell the bourbon on her breath, could see her pale neck, with blue veins running underneath her skin, and for all intents and purposes swooned. Be that as it may, I didn't contact her with my teeth. Not yet. I appreciated the sentiment of her in my arms, the sweet help that what I'd spent the last minutes voraciously longing for was directly in my grasp. â€Å"Shhh †¦,† I mumbled. â€Å"Everything will be all right.† I permitted my lips to brush her white skin, wondering about how sweet and fragrant it was. The expectation was impeccable. At that point, when I was unable to take it any longer, I twisted my lips and dove my teeth into her neck. Her blood surged against my teeth, my gums, spraying into my body, carrying with it warmth and quality and life. I sucked ravenously, stopping just when Alice went limp in my arms and her pulse eased back to a dull crash. I cleaned my mouth and looked down at her oblivious body, appreciating my workmanship: two perfect gaps in her neck, only a couple of centimeters in distance across. She wasn't dead yet, however I realized she would be soon. I threw Alice behind me, scarcely feeling the weight and scarcely feeling my feet hit the ground as I went through town, into the forested areas, and back to the quarry.

Porter's Five Forces Model to the American automotive industry Research Paper

Doorman's Five Forces Model to the American car industry - Research Paper Example Presentation In the car business or any comparative business field, a basic advance is to distinguish the basic ways and constraining variables associated with gainfulness. Where does the force live in a business circumstance? In light of the powers of flexibly and request which gathering can order the most profitable haggling position? Various business devices and hypothetical models address these and different inquiries; the Five Forces model is among them. At the point when the director has a more clear comprehension of the qualities and shortcomings of all gatherings engaged with a potential exchange, it licenses that person to use the circumstance to greatest bit of leeway, and plan for the most probable reactions from the other party (Samuelson and Marks, 2012) Overall, it is advantageous to get information permitting the supervisor to take a more drawn out perspective on all encompassing business sector powers so as to characterize expenses and dangers as far as working togeth er. In any serious condition, an inescapable progression will grow, likely through a mix of straightforward irregular powers just as genuine legitimacy. These powers are affected by social and legitimate factors in a humanized situation, however inside the serious system certain central guidelines will stay all inclusive. This investigation will center upon Porter's Five Forces model as an illustrative device to place these components in context comparative with the car business. By 2009, the worldwide downturn emergency sent waves through the financial area, credit markets and afterward most gainful enterprises over the industrialized world. The American car industry was no special case. Chrysler and General Motors were on the monetary incline, and Ford confronted an unsure future. 2008 car deals had plunged to noteworthy lows, with sharp decreases in the discretionary cashflow and accessible credit extensions for the acquisition of new vehicles. A credit procedure was considered v ital so as to protect these and different ventures from complete breakdown, at the probability of further harm to the American †and conceivably the worldwide economy. Industry Definition For the motivations behind this investigation, the car business will be characterized as the American enterprises engaged with the immediate assembling of vehicles, and the difficulties they have looked considering the current money related emergency. The extent of this investigation will incorporate the premiums of vehicle creation just as deal, and the organizations in the United States that perform the two capacities. In particular, this will concentrate on what are named 'The Detroit Three', by and large comprehended as Ford, Chrysler, and General Motors. Industry Profile With the impending threat of all out breakdown deflected because of the government credits, it is important to consider the circumstance utilizing sound hypothetical arranging so as to plot the following push ahead for the car business. Hypothetical models to recognize powers and dangers must be given cautious thought during the arranging procedure. The arranging procedure must incorporate the possibilities and profile of the 'enormous three' automakers as depicted above, explicitly the harm to the economy that may result in the event that they were permitted to fail and bomb totally. Organized insolvency understandings for General Motors and Chrysler were considered throughout the spring of 2009, with impressive national discussion in regards to the conceivable gradually expanding influences from their breakdown (McAlinden et al., 2009) Ultimately there were two methodologies by which

Blog Archive MBA News $8M Donation Expands Entrepreneurship in the Windy City

Blog Archive MBA News $8M Donation Expands Entrepreneurship in the Windy City Chicago Booth may have a bright future in green entrepreneurship. The Financial Times reports that renewable energy pioneer Michael Polsky has given $8 million, in addition to the $7 million he donated in 2002, to expand Chicago Booth’s center for entrepreneurship, which was named in his honor. Polsky, a 1987 graduate of Chicago’s MBA program, is the founder and CEO of Invenergy, the largest private wind power-generation company in the country. “Entrepreneurs lead the way in innovation and job creation, which in turn benefits our society,” Polsky commented. According to the school, the demand for entrepreneurial programming at Chicago Booth has been on the rise, with the majority of this year’s enrolled students listing it as their intended concentration. Last year saw a record number of applications for the annual Edward L. Kaplan New Venture Challenge, and the school notes that this additional support for the Polsky Center will generate even more opportunities for student s to pursue start-up business ideas and gain hands-on entrepreneurial experience. Share ThisTweet News University of Chicago (Booth)

Multiple Personality Disorder in the movie Identity

Jesus Christ, what in the fuck did you do to my face? Where the fuck is my face (Identity) the main actor in the movie Identity by Columbia Pictures presenting a Konrad Pictures production a film by James Mangold. and shows his discomfort and his misunderstanding of what is going in his life when he is face to face with many lawyers and a judge; along with the Doctors trying to convince them that this man is not the killer of the people, but instead that was just one of his identities that should no longer exist. Unknowingly, the Edward (the main actor) is having a had time understanding why when he looks into a mirror he doesnt see his face but instead he sees the face of the murdered. He soon comes to realized that he is that just a†¦show more content†¦Many DID patients have received these forms of abuse up to twice a week for 50 months out of the year (Piper and Merskey 593). The trauma of a young persons life will lead to the next phase of forming DID which is repression. Through repression, these children will hide their traumatizing events and will become amnesic for them. They set them into a separate part of there mind as hopes to forget and eliminate these memories from existence. Since it is not possible for one to eliminate such memories from their heads, they repress them. They are able to accomplish this to a large extent. People under DID have a tendency to continue to repress any emotional experiences. These negative experiences all build up and separated from a childs mental life and forms separate personalities. DID and MPD (Multiple Personality Disorder) are commonly diagnosed as a form of schizophrenia because these people tend to have a loss of connection within the brain which can cause hallucinations, delusions and disorganized thinking. Multiple personalities can function completely separate of each other. In other words, one of a persons personality will have no recollection of the others doing (Bob 141). 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The Problem Of Dating After Divorce - 1522 Words

One of the toughest things to deal with after a divorce is the anxiety of having to start the dating game all over again. This anxiety is often made much worse by the confusion that seem to set in when one is also clueless about what the correct timeline is for dating after divorce. Many divorced people don t know when it is right to start dating again simply because they are also unaware of the fact that more than one type of dating option is available to them. The good news, I’ve come to realize, is that most times, the gnawing anxiety and confusion that seem to follow the notion of getting back into the dating game after a divorce, can be effectively eliminated simply by knowing what the correct dating timeline is and where on it you†¦show more content†¦Dating Yourself Alone Yes, you can and should absolutely date only yourself at least for a while after a divorce! And, believe me, this is about the finest and most productive type of dates any one can have while or after going through the complex trauma of divorce, as you will discover shortly. It will help you do some very fundamental and fun stuff that you can t do otherwise. And, as it turns out, you can actually start dating yourself the night after your divorce without apology. It s perfectly OK and acceptable to do so. The whole idea of dating boils down to these two things - to know and to impress. So, dating yourself simply means getting to knowing and impressing yourself better. Someone may say Heck! I have to impress myself? I think I already know who I am? Yes, of course you do. But the truth is: there s always something new to know about yourself, particularly after a divorce; and there are always tons of better ways to impress yourself like never before. Two amazing things about taking the time to date yourself with all sense of commitment are; first, you ll get to know yourself the way you ve never done before. Secondly, if all goes well while you date yourself, and it should (like is normally expected with other kinds of dates), you will learn to love yourself in a profoundly very unique way. This alone will give your future relationship a firm and almost indestructible foundation because those

Mona Lis A Life Discovered By Dianne Hales Essay - 1188 Words

Listed as having the highest insurance value of a painting in history by Guinness World Records, it would demand upwards to $780 million if it were to go to auction. A painting so transcendent of time, yet so indicative of the Renaissance. Ever since I was very young, I have always been inexplicably enamored by the Mona Lisa. Whether the reason for this deep affection is her soft smile, gentle position, the mystery associated with her through the dreamy background, or a combination; she became the background of my computer, my favorite painting, and my love. So, I was enthralled about the opportunity to read the 2014 book Mona Lisa: A Life Discovered by Dianne Hales. Above the synopsis on the back of the book reads a quote, Everybody knows her smile, but no one knows her story: meet the woman who became the most recognized artistic subject of all time—Mona Lisa. Recognizing the supreme worth and love devoted to this painting by Leonardo da Vinci, the book explores the mysterio us identity of the one of the world s most recognizable women, and the context surrounding the portrait. Almost immediately after initially hearing the name Lisa Gherardini, Dianne Hales journalism instincts became aroused. Unlike the majority of people who look at the painting and think of Leonardo, she overflowed with a curiosity of who the woman really was, and sought to uncover an explanation. So, she began to retrace the footsteps of Lisa, and gathered facts wherever she could unearth them.

Ethical Dilemma Euthanasia Essay Example For Students

Ethical Dilemma Euthanasia Essay Opium- an addictive drug originally used as a painkiller. It is obtained from the unripe seeds of the opium poppy and can be made into substances that a person can smoke causing relaxation, alleviated anxiety, and a state of euphoria. Continued use of the drug also induces deterioration to the mind and body of a person eventually causing death. The substance was therefore stated illegal in China during the late 18th Century yet consistently smuggled into the country via British merchant ships. As the Chinese placed more restrictions on trade in an effort to abolish the importation of opium, the battle against the drug raged on until war was unavoidable between England and China. It is this war that lasted from 1839-1842 which eventually led to the British reign over Hong Kong and legalization of opium trade in China as well as the opening of many trade routes along the Chinese coast. The British success of the war is unarguable, however, the extent to which they devastated China coul d have possibly been avoided if the Chinese emperor had received accurate information regarding his country’s failure during the first battles. If the emperor had known of his navy’s lack of success against British warships a compromise could have been met however, due to inaccurate reports to and from commissioner Lin Tse-hsu the emperor was unaware of England’s inevitable victory. With Lin in charge, Chinese success over the opium trade was going well and followed through to an extreme degree. The presence of soldiers in Canton, the main trading port between them and the British, and the threat of potential execution to any person found using or selling the drug illustrated the extent to which Lin would proceed. (So then) The opium crisis began in 1837 when Chinese officials disrupted the smuggling by burning the boats used to carry the opium ashore from the floating warehouses. It was such threats that prompted Palmerston of England to dispatch a warship to C hina to protect British property in 1837. Despite this, China still raged on against the narcotic and in March of 1839 convinced the head of the British trade commission at Canton, Captain Charles Elliot, to hand over more than 20,000 chests of opium. However, after the killing of a Chinese by drunken seamen and the lack of punishment put forth on them by the British, Lin suppressed all trade with England and proceeded with other measures as well. Lin ordered that delivery of all rice, tea, meat and fresh vegetables to the anchored ships at Macao to be intercepted and cut off. Freshwater springs that were known to be used by the British at various points along the coast were poisoned. Large banners were posted to warn Chinese villagers not to drink from the streams. Lin then pressured the Portuguese authorities at Macao to evict the British from their harbor, under penalty of severe trade restrictions. These drastic measures forced all of the British ships to retreat from Macao to H ong Kong by the middle of August. However, such trade limitations would not go well with England and a severe response was in order. On August 31, Commissioner Lin learned that the merchant ships anchored off Hong Kong had been joined by a twenty-eight gun British frigate. Although this news was not good, Lin, who had the use of a fleet of Chinese war junks at his disposal, was not frightened by the arrival of a single British warship. Finally the first confrontation between the two navies occurred and it was the barbarians, as thought by the Chinese, that were victorious. Although the Chinese warships returned the British fire, they did no damage to the British ships, and were forced to retreat after being badly shot up by cannonballs. The captains of the defeated Chinese junks feared that their failure would be viewed by higher authorities as a disgraceful act of cowardice. The captains therefore reported to Commissioner Lin that they had won a victory and had sunk a British ship. This incident also represents the first of inaccurate messages passed to Chinese officials providing the government with a false sense of security. The British response was not one intended for violence however. For security, a second armed vessel joined England’s entourage in an effort to deliver a sealed letter to the Chinese. However, the Chinese refused to open the message before returning it triggering another battle. The British immediately sank five of the largest Chinese war junks and severely damaged many others in an attack that lasted just under 45 minutes. Once again the Chinese suffered significant losses against superior weaponry and once more out of fear, falsified the encounter. Commissioner Lin now faced serious difficulties. If he truthfully reported his defeat to the Emperor, he was likely to be disgraced and punished. He therefore kept his report of the battle brief and vague, describing six imaginary â€Å"smashing blows† that had been inflicted o n the impetuous British barbarians. This conveniently crafted statement no doubt prolonged Lin’s authoritative position in addition to providing the Chinese government with more unfounded confidence, which would soon be exploited. In the beginning of June, 1840, Lin suddenly found himself confronting a large British expeditionary force that had come from Singapore, which included steam-powered gunboats and thousands of British marines. In a report to the Emperor, Lin wrote, â€Å"English warships are now arriving at Canton. Although it is certain that they will not venture to create a disturbance here, I am certain that they will, like great rats, attempt to shelter the vile sellers of opium.† Still confident that the Chinese coast-guard could prevail in the event of trouble, Lin concluded â€Å"People say that our junks and guns are no match for the British. But they do not know!† Commissioner Lin’s forces, however, proved to be no match for the invaders , who immediately imposed a blockade on the Canton estuary, then attacked and took control of strategically important sites along the China coast. There was no way of disguising this loss to the Emperor and Lin was justly reassigned. However, ten years later Lin was once again told to stop the trade of opium but collapsed and died during a trip to Kwangsi. The successive Imperial Commissioners who replaced Lin Tse-hs in Canton were unable to stop the opium traffic. In conflicts known as the First and Second Opium Wars, British naval and marine forces seized control of Hong Kong, ravaged the Chinese coastline and briefly occupied the capital city of Peking. In 1858 the Chinese government, bowing to British demands, reluctantly legalized the importation of opium. These wars have faced the efforts for justification and many reasons can be found. However, the underlying reasons for war rarely live up to the expenses paid. The wars waged on the Chinese people caused untold deaths and cas ualties. The British destroyed, plundered, looted and raped their way along the coast of China. Had the Chinese properly been notified on the trend of the war, perhaps these lives would have been spared. 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Overpopulation Essays (1380 words) - Demography, Population

Overpopulation Overpopulation ?The battle to feed all of humanity is over. In the 1970's the world will undergo famines-hundreds of millions of people are going to starve to death in spite of any crash programs embarked upon now. At this late date nothing can prevent a substantial increase in the world death rate, although many lives could be saved through dramatic programs to ?stretch?the carrying capacity of the earth by increasing food production. But these programs will only provide a stay of execution unless they are accompanied by determined and successful efforts at population control.? These words, from Dr. Paul R. Ehrlich's book The Population Bomb, predicted a grim future for the world of 1968 when the book was published. Today, the debate rages on about how much life our planet can hold. With world population estimates currently around 5.5 billion, and a projected population of over 10 billion by 2100, the question of resource scarcity is raised. Will there be enough resources to support the exploding population of our planet? Also, is it true that population growth is necessary for economic prosperity, or is it responsible for problems such as hunger and poverty? One of the first things that need to be considered in the population debate is the issue of ?carrying capacity.? Many different people define carrying capacity in many different ways, and in this lies a major problem. Basic ecology textbooks define carrying capacity as the number of individuals in a population that the resources of a particular habitat can support. Others define it as the point at which the birth rate is equal to the death rate, while still others define is as the average size of a population that is neither increasing or decreasing. Each different definition of carrying capacity has different arguments for the earth being above or below its carrying capacity, or of having infinite carrying capacity. Also, many other factors must be considered when estimating the earth's capacity by any of the above definitions. For instance, one must consider the level of prosperity of the people, the technology available, and the distribution of available wealth. Under certain conditions, the world might not easily hold even 1 billion people, while under other conditions a number as high as 20 billion is possible. Another factor in overpopulation that must be considered is that of life expectancy. According to United Nations estimates, the life expectancy in developed nations in the 1950's was approximately 66.0 years, while third world nations enjoyed a life expectancy of 40.7 years. Due to substantial declines in infant mortality, the average life expectancy in developed nations was 74.0 years and 64.7 years in developing countries. However, although the majority of this increase is due to decreases in infant mortality, jumps with this large of an increase cannot be entirely explained by that alone. New developments in medicine and technology have increased life spans across the board. Even more promising, and perhaps alarming, is the fact that predicted ?upper limits?of human life expectancy have regularly been surpassed, and increases in life expectancy even appear to be accelerating. These average life expectancy increases, if they continue, will allow the world population to skyrocket at an even faster rate. Finally, and perhaps the most important issue that must be discussed in the debate on overpopulation is the issue of resource scarcity. So called ?experts?love to enter the debate and make doomsday predictions that the world will run out of food, or oil, much like Dr. Paul Ehrlich did in his book, The Population Bomb. However, these predictions never seem to come true. Julian Simon, an economist, has an idea about natural resources which has sparked mountains of debate from both camps in the overpopulation discussion. Simon asserts that all natural resources are infinite. While this claim may seem audacious at first, it becomes clearer exactly what he means when studied. His point is definitely not that there are an infinite number of gold or copper atoms in the earth. The mass of the earth is finite, and current scientific studies imply that even the mass of the universe is finite. Simon is saying that resources are indefinite in the sense that we will never run out of them for whatever we decide to use

Entrepreneurial Decision

Entrepreneurial Decision An entrepreneur influences the decision-making process by using different attributes such as intuitiveness, emotions or rationality (Hitt, 2001). In turn, the decision-making process affects an entrepreneur as it highlights the elements of loss or profit in business. This definitely shapes the thinking and the ultimate choice an entrepreneur makes.Advertising We will write a custom coursework sample on Entrepreneurial Decision-making specifically for you for only $16.05 $11/page Learn More Referring to the influence on the environment, an entrepreneur creates ventures and makes strategic choices that ultimately influence the environment. On the other hand, it is worth noting that in an open system, the environment is not only a recipient as it is also a feeder (Gelderen, 2001). In this regard, the environment gives feedback to the entrepreneur and influences the choices made regarding business ventures. Based on the ideas of Hisrich, Peters and Shepherd (200 8), entrepreneurship is a process that entails the creation of a new thing. The created substance must hold value, as time, resources and efforts are often employed. In addition, financial, social and psychic risks are involved. However, the opportunity to receive both personal and monetary rewards makes entrepreneurship a worthwhile experience. Entrepreneurship decisions have far-reaching effects within any given economy (Gelderen, 2001). As an illustration, entrepreneurs influence allocation of resources through the decisions that they make. Precisely, entrepreneurs are allocators of resources. In this regard, it is worth noting that entrepreneurs decide in which industries to invest and in which industries not to invest. Such a decision can influence the policy framework of economies in a big way. By way of illustration, if entrepreneurs decide to invest resources in a new business, then the government may decide to introduce regulations in such ventures. Regulation is mostly ach ieved using policy instruments. Additionally, the government policies may extend further and outline how taxation is carried out in relation to the new business. In a similar way, the decision to allocate resources to a certain industry is likely to influence demographic diversity, in terms of the regions occupied by people.Advertising Looking for coursework on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Further, if the area that an entrepreneur chooses to invest in lies far away from the rural areas, there are chances that such a decision will affect demographics. Demographics are affected since there is a likelihood that individuals would be tempted to migrate from their original areas of residence in the pursuit of the emerging employment opportunities. It is also worth noting that the decision to allocate resources to a certain industry may hold the potential of altering employment demographics within a region, as it definitely changes the labor force statistics. This view is held in reference to the idea that a decision to allocate resources to a certain region influences access to work opportunities. As job opportunities increase in an area that entrepreneurs decide to invest in, people move to such areas with a view to taking advantage of the emerging vacancies. Moreover, the decision to allocate resources has political implications. As an example, investing in certain regions is likely to contribute towards development in reference to expansion of job opportunities and investment opportunities to businesses that deal in the same line of production. As such, the political class is likely to enjoy increased popularity when investments increase in the areas that they hail from. Based on the example above, it is evident that a decision by an entrepreneur holds different outcomes. Although the results are far-reaching, it is true that intuitiveness, rationality and environmental fac tors influence the decisions that are taken. However, the extent to which the effects of entrepreneurial decisions are felt varies across regions. Reference List Gelderen, M et al. (2001). Strategies, uncertainty and performance of small business start-ups, Small Business Economics 15, 165-181. Hisrich, R.D., Peters, M.P. Shepherd, D.A. (2008). Entrepreneurship. Boston: McGraw–Hill.Advertising We will write a custom coursework sample on Entrepreneurial Decision-making specifically for you for only $16.05 $11/page Learn More Hitt, M. R. (2001). Strategic entrepreneurship: entrepreneurial strategies for wealth creation, Strategic Management Journal 22, 479-491.

Issue of Redemption Research Paper Example | Topics and Well Written Essays - 1000 words

Issue of Redemption - Research Paper Example He get to know the truth from Dorotes while they are both in their graves. Death does not stop their sorrow but only an addition of it. From outside the grave they endure to be troubled by the provoking dream of a joy from which they are constantly omitted. Pedro Paroma He is the hero and also the enemy in the novel Pedro Paroma. He is both the protagonist and antagonist because he takes the role of a cross purposes. He has the character of making critical decisions without fear. For instance, he was able to get rid of his debt and acquire more land (Rulfo, Pp 12). The unfortunate thing is that he cannot use his character of making critical decisions for the betterment of the society. Pedro Paroma is presented as a tragic hero since he longs dearly for Susana , but he is unable to overcome her death. The one mistake that is connected to him is the way he cannot forget the death of Susana. This is evident because he is unable to function without the motivations of Susana. Pedro is cha rged with the role of productivity as the main figurehead in his work. This is because a lot is expected from his work. Pedro is extremely immoral because he has impregnated many women in town even though he has the best interest of comal in heart. This is because he is responsibly of the well being of this town. Pedrop has many children â€Å"Padre brings many to his door step† one of them being Miguel although he can also decide to fold his arms and let the town of camola die. This has given him a strong role since he holds the power of life and productiveness in the town. The name Pedro is extremely significant in the novel. This is because the name Pedro means rock of Christ when translated in English while the name paramo means unproductive heat. This is hugely ironic because the works of Pedro collapses like a mountain of rocks after seeing what his land has turned into. Susana San Juan Pedro loves Susana more than he loves his life. The two knew each other from their c hildhood since they grew up together. Susana had a tragic experience since her parents died horrible deaths. Susana mother died friendless, and later her father died in the mines of Andromeda by Sedano so that she could be married by Pedro. Susan was affected tremendously much by the death of her first husband because she loved him extremely (Rulfo, Pp 45). The death of her husband made Susana become delusional because she talks to her self thinking that his husband is alive. Susana seems to have loved his husband for his body but not his character. Even though, Susan did have sex with Pedro, it is because he wanted her desperately. Susana never got married to Pedro because he never had a divorce with Dolores. The death Susana affects Pedro exceeding much that he even refuses to work and even lets the town perish. Susana is characterized as the rain and water because she motivated Pedro to work. The passages when she is found have a background of rain meaning Susana irrigates life. The life of Pedro and Susana has a lot of similarity. For instances, Pedro has father has died, and this is the same case with Susana who lost her father in the mines. Pedro and Susana are strongly affected when their loose the people they love. Susana is strongly affected by the death of her first husband. This makes him to be delusional that she even starts talking to her self thinking that he is alive. The same case happens to Pedro when Susana dies. He becomes

Review Research Paper Example | Topics and Well Written Essays - 500 words

Review - Research Paper Example dality of IMRI with CT and ultrasound to identify that IMRI presents no limitations when it comes to neurological imaging, the report does not lag behind in discussing the primarily important applications of IMRI. It is claimed by the report that with advancements made in IMRI systems over time, not only the scan time is reduced resulting in minimum patient exposure but the image quality in terms of contrast and resolutions has also dramatically enhanced. Starting with the GE Double Donut system which was the first ever IMRI system introduced, a question can definitely be raised about the advantages mentioned in the report about this system like if superior access to the patient and no patient movement required during the imaging procedure happen to be the reasons enough for the level of popularity this system amassed? Not enough credible facts related to imaging time and contrast quality are mentioned in the advantages of any of the systems talked about in the report, which leaves the readers doubtful to some extent about the advantages associated with IMRI systems available currently in terms of time and quality. Though there is much detail contained in the report about the core technicalities associated with IMRI systems like low field and high field systems, one would definitely like to get more information about the pulse sequences running in these systems. Also, some questions concerning the benefits of IMRI related to breast e xaminations and how it can be preferred over mammography for breast cancer detection remain unanswered. One of the most effective improvements which can be made to this report would be going into less detail about the IMRI magnets and hardcore physics of the low field and high field IMRI systems, while relying more on introducing the benefits in terms of image quality, exposure time, and how capable a certain IMRI system is of imaging a totally disabled person who cannot cooperate with the physician in any way possible. Another

A View From the Bridge in Act One Essay Example for Free

A View From the Bridge in Act One Essay A View from the Bridge is a play written by Arthur Miller. This play is set in America in the 1950s, in an Italian American neighbourhood under the Brooklyn Bridge in New York. The area Eddie Carbone and his family live in is called Red Hook, a tightly knit community where neighbours are almost like family and everyone knows everything about each other. Red Hook is a poor area where all the families are in the same situation; men work at the docks and the women stay at home cooking, cleaning and caring for the children. Most of Millers work is set in America and portrays realistic characters and events. He deals with political and moral issues and weaves in ideas from Greek Tragedy. He is interested in how personal relationships dictate the way one leads ones life and about peoples struggles to do what is right. In this play, Eddie is the tragic hero; he mirrors the hubris characteristic. This will foreshadow to the audience that he will be the reason for his own downfall. The Hubris character, mentioned in one of Alfieris speeches, would tell the audience that Eddie would always thing that hes right and no one would be strong enough to stand up and prove him wrong. Miller gives us clues about the play through dramatic irony (audience will begin to understand that Eddies feelings towards his niece arent right), symbolism (the characters on stage use a lot of words that have several meanings, and one of those popular words in this play is sugar, which was mostly used to represent Catherine), foreshadowing (Miller gives us a straight introduction to the lawyer of this play who foreshadows a blood-shed ending. Eddie also foreshadows his own future actions by telling his family about Vinny Bolzano) and by using stage directions (the audience gets a better understanding of the play by looking at the positions of the different characters, for example, throughout this play Eddie slowly becomes separated from his family, he becomes isolated, this is represented through the different arrangements on scene, towards the end of act one, Eddies mostly found sitting or standing by himself). This can also be seen through Eddies language towards his niece (I dont like the looks they are giving you in the candy store), the names he calls her Kate, the way he behaves to her and also through Beatrices and Alfieris actions and conversations to Eddie to try and stop what Eddies doing. Each of the dramatic functions shows us that theres something wrong with Eddie and his relationship with his niece and this could also possibly cause his own downfall. This play mirrors a Greek tragedy where the outcome is known. In this Greek tragedy, the hubris character is represented as Eddie. Our narrator, Alfieri, whos also an unlucky lawyer, guides us throughout the play and he sometimes gives the audience hints and clues about whatll happen next. Hes the one who introduces the play at the beginning. He says In some Caesar year another lawyer heard the same complaint and sat there as powerless as I and watched run its bloody course. His speech tells us that what is going to happen is inevitable. It happens again and again and no one can stop it. The word bloody tells us that this play will end with blood, perhaps a death. Another lawyer backs up one of my previous point, which shows that this happens again and again. Caesar also shows us that this started years ago. These words also give us a basic idea of the settings. Miller wanted to retell this story with an ordinary family; this is foreshadowing the inevitable tragic ending. In this play our hero is Eddie, Eddie Carbone. He is a flawed-hero who doesnt recognise his feelings towards Catherine, whom he also calls Kate. However, hes not only a flaw-hero; hes also a real hero. His actions show us this, for example he welcomes the idea of the illegal immigrants. Eddie tells Beatrice that its an honour, B. I mean it. Hes benevolent as well as generous. Eddie has supported his family and has also brought up Catherine. So in this section, Miller uses foreshadowing and Greek characters to make the audience aware of the tragic ending. Through foreshadowing, he makes the audience conscious that he is a real-hero because he helps Catherine, looked after her for all these years and accepted the immigrants into his house without any trouble. But the audience will also be familiar with the fact that he is a flawed-hero, this is because of Alfieris speech, which is right at the beginning of the play. Alfieri mentions Hubris and that is the type of character that Eddie is mirroring. This will give a hint to the audience that his downfall would probably be caused by his own thoughts that others arent able to prove wrong, even if they do prove it wrong; Eddie ends up finding something wrong in there too. The whole man that Alfieri describes in Eddie is the self-interested man. Eddies actions within the play are completely motivated by his own desires at the expense of others. Hints about Eddies obsession with Catherine were given right at the beginning. This will also make the audience aware of a tragic ending, his incorrect kind of obsession will obviously cause his downfall, and furthermore the audience will also start to wonder the extremes that he will go to, to keep his niece safe from men. Eddies obsession has one way or another extended, this has also led him to more acts. The audience starts to realise this when he says you are walking wavy. This is not a usual relationship between an uncle and a niece. The audience will start to understand that something is wrong there. Wavy also emphasises the point that she does it on purpose, like moving her hips, its a natural thing to do, some people might suggest that shes also attention seeking. However other people might suggest that it suggests a sexual manner which Eddie accuses Catherine of having just in her walk. Eddie doesnt seem to know that hes over-protecting Catherine. He doesnt like her dressing-up herself, which could be seen as something that young girls usually do in the eyes of the audience. But others might also argue that hes just doing the job of a good uncle. However when he says Whats the high heels for garbo? , the way he says might again make the audience take their sides. Though the word garbo, the audience will realise that again his feelings are wrong, this is because he compares a beautiful actress to his niece. High heels also shows that he doesnt like other people seeing her in the way he does, she can look pretty in the house but in front of other men, she has to look simple. This will also the make the audience aware of his own downfall, his feelings towards Catherine arent right, he tries to lead and control the situation, and this also makes the audience anticipate whats going on between Eddie and Catherine. He also doesnt want her to have a job. The audience understands this when he says I know that neighbourhood B, I dont like it. Eddies again showing his over protectiveness by not allowing Catherine to go to work. This quote again can have lots of meanings, for example, some people might think that Eddie doesnt seem to like Kate to be working with other men, but others might suggest that its just Eddie looking at Catherine like a child, like a kid. Eddie definitely doesnt want Catherine to get mixed up with men. We see that when Catherine waves at Louis, Eddie seems to not like it even though Louis is just a well-known family friend. This might also be because he doesnt like her socialising with men. He tells her that he knows stuff about Louis that she doesnt know. Miller also foreshadows Eddies end by introducing the story of Vinnie. This is the story of a young boy who snitches on his own immigrant uncle. Eddie lectures Beatrice and Catherine in Act one, he says Just remember, kid, you can quicker get back a million dollars that was stole than a word that you gave away. This means that he know what the impacts will be if anyone found people at their house. This can also be seen as ironic because he ends up doing it himself just like the little boy so the audience might compare these two characters and decide that Eddie has the heart and brain of a kid when he phones them so he doesnt really know what he is doing. This quote also reveals that Eddie knows his own fate- he knows what will happen to him but cannot escape his fate. Much like Alfieri, Eddie watches himself make decisions he knows will not only ruin his reputation in the community, but also kill him. Eddie may know the consequences of what he does, but remains powerless or too mad to stop it. Miller sets up Eddie so vehemently against betrayal that his transition on the betrayer seems illogical, so this is another way in which Miller makes the audience aware of the tragic ending, he makes Eddie go to his extremes and the audience will just have to watch the consequences.

The Beatles Essay -- essays research papers

The Beatles There have been more books published about one 20th century icon than any other, this band that is said to have broken down barriers in all ways, is the Beatles. Their music was said to have driven that younger generation mad. Perhaps it was because they were one of the first bands ever play real rock and roll music; or maybe it was those cute little peacoats they wore. Or maybe it was just because they were foreigners in the world of music, yet seemed to fit right in with the young people. Whatever reason was, the Beatles were a band that shaped a generation and ones soon to come. The Beatles were more than just a rock and roll band , they were a group of young men who wanted to go a new direction in music. John Lennon, one of lead vocalists, basically started with the intention of moving away from the "Skiffle Boom Era" which was dominating the time. In his doing so, he began to lay the foundation for what would later be the most famous rock band ever. The original band members were as follows : John Lennon, vocals and guitar ; Paul McCartney, vocals ; George Harrison, guitar ; Pete Best, drums ; Stuart Sutcliffe, bass guitar. In March of 1961, the Beatles began to play at the club that would later be nicknamed "The Home of the Beatles". The Cavern Club, which's premises comprised a small group of cellars below a seven story warehouse which had originally been used as an air raid shelter during the war. Later, Alan Sytner, a jazz fan dec...

Patient Advocacy Analysis Essay

Introduction A patient advocate may be present for healthcare appointments and alert the healthcare provider about patient compliance issues. He or she may separately assist the healthcare provider and support staff with potential issues and communication challenges. The patient advocate is also responsible for maintaining communication with the patient and healthcare provider to ensure that patients understand the procedures. By reducing fear and increasing patient compliance, this can result in higher successful treatments. Generally, a patient advocacy contract that includes a release of medical information must be placed with each healthcare facility (Ad Hoc Committee on Advocacy, 1969). Some institutions may require a power of attorney for healthcare for a patient advocate to exchange confidential information. The patient advocate may provide medical literature and research services to the patient, family, or healthcare provider. The patient advocate may also assist with family communication on issues arising from illnesses and injuries . This may include further referral for care and support for both patients and families. The patient advocate has a responsibility for awareness of compliance, appropriateness, and coordination of care for the patient, such as oversight for potentially conflicting treatment modalities and medications. The patient advocate can ensure that questions about the appropriateness of treatment are promptly discussed with the patient’s care provider, and that all treatments and concerns are promptly entered into the patient’s healthcare record. The patient advocate is also responsible for reviewing the patient’s healthcare record for correctness and for explaining it to the patient. Another responsibility of the patient advocate is to create and maintain an electronic log for the patient that is available on disk to healthcare providers i This log may be of great benefit in subsequent urgent situations. The patient advocate can also assist in resolving disputes between patients and their healthcare provider, as well as engaging in communications on behalf of the patient in case of employment issues by approaching the employer to achieve a mutually beneficial solution for the employer and the individual employee. Where applicable compliance standards are not met, the patient advocate may conduct liaison with corporate oversight, government agencies, or legal professionals to further negotiate such issues on behalf of the patient and family. It is the duty of a patient advocate to maintain patient privacy according to local and national laws, treating all patient and family information as privileged and protected. This includes ensuring that healthcare providers’ communications are treated as highly confidential and privileged, whether or not those communications are specific to the patient, and that permissions to disclose information are negotiated carefully. It is also the duty of the patient advocate to follow any referrals for medical, financial, legal, administrative or other personnel to assure that the patient is always kept safe and well informed, never abandoned or misled during the process (Carlton, 1984) SWOT Analysis When developing a SWOT analysis for the Patient Advocate Organization, three primary purposes emerged: 1. Inspire continued trust and confidence in the nursing profession among patients, their families, and the American people; 2. Leverage nurses, the single largest health care workforce, together with patients, partners in their care, in accelerating performance improvement; and 3. Stimulate reform through shared perspectives, knowledge, and values among nurses and patients, their families, and consumer stakeholders. A SWOT analysis focuses on internal strengths and weaknesses and external opportunities and threats. In this instance, these concepts have been applied to a proposed alliance that serves these three proposed purposes. Typically, SWOT analyses are presented in tabular formats and entries are listed in one of four quadrants in the table (i.e., strengths, weaknesses, opportunities, threats). The SWOT analysis is presented in Table 1. Strengths Purpose 1. Inspire continued trust and confidence. a. Existing nurse workforce is the largest segment of the healthcare workforce b. Living up to nursing’s promise to represent the patient voice c. Expanding consumer recognized success (e.g., number of hospitals, evidence-based link to quality/safety). d. Expanding and maturing evidence-based that establishes nursing-quality-value linkages. e. Operating consumer advocacy groups is a well-known skill for several of the major groups with which we could partner f. Convener organizations have a proven track record in working together (e.g., areas of education, competency development, leadership) Purpose 2. Accelerate performance improvement a. Expanding and maturing evidence-based that establishes nursing-quality-value linkages b. Partnering to expand and accelerate current and future measurement sets (examples follow): b.1. Experience with, and advancement of, measure development and data collection (i.e. NDNQI, AWHONN EDGETM Database, etc) b. 2. Existing national, regional, and state nursing performance measures databases (e.g., NDNQI, CalNOC, Maine and Massachusetts) b.3 Existing national quality measurement and reporting infrastructure (e.g., Compare websites) Purpose 3. Stimulate reform a. Existing nurse leaders with strong organizational skills and credible backgrounds b. Threats by existing nursing and nurse faculty shortages are widely recognized by policy makers and health care stakeholders. c. Patients and nurses, each individually,†¨make strong advocates; together, their combined effectiveness will likely be transformative d. Reviewing the evidence suggests that nurses make effective policy advocates Weaknesses Purpose 1. Inspire continued trust and confidence. a. Existing, numerous professional nursing organizations and specialty groups result in fragmentation and diffusion of the expertise and resources among nursing as a whole. May be confusing/distracting to consumer groups who join an alliance b. Creating a new â€Å"fancy† alliance may not change nursing’s image from that of a profession that â€Å"takes orders.† We may remain unable to gain access to high levels of policy making and policy makers c. Funding source for sustained support is unknown d. Participation would be voluntary (e.g., What incentive†¨would organizations have to provide technical time and support for NPQA?) Purpose 2. Accelerate performance improvement a. Representation of VANOD, CalNOC, MilNOD is lacking in the convener group gathering under the planning grant b. Lacking sufficient nursing-sensitive outcome measures and resulting data to address all patients in all settings across an episode of care limits how comprehensively nursing care quality can be portrayed and might limit partnerships with certain consumer groups c. Developing standard language may be necessary prior to creating additional standard measures (e.g., birth date or date of birth) d. Adding/changing billing codes (e.g., G-codes, E-codes) to document nursing care is not in the realm of influence for nurses or consumers but together we may have more success. Purpose 3. Stimulate reform a. Nursing is not typically a ‘target’ of federal policies because of employee-employer relationship (rather than direct contractors with payers for services) b. Existing consumer and nursing organizations approach policy makers with multiple requests: lack of unity c. Nursing inclusion within existing alliances may be viewed as duplicative Opportunities Purpose 1. Inspire continued trust and confidence a. Build upon nursing social capital with consumers as the most trusted among health care professions b. Identify (empirically, anecdotally) and enhance the value-added of nursing with consumer participation and support c. Improve consumer understanding about the quality of nursing care d. Improve nursing’s knowledge of consumers’ experience of professional nursing Purpose 2. Accelerate performance improvement a. Continue quid pro quo to various alliances (i.e. HQA, KCA, QASC) providing entry into these policy discussions b. Dedicates significant, shared resources to improving quality, safety and value c. NPQA could serve as a neutral reporting entity to achieve economies of scale and scope by moving performance measurement reporting from various nursing organizations to a central source. d. NPQA sets agenda for measure adoption and collection Purpose 3. Stimulate reform a. Disseminate practice-based questions/issues to policy makers and thought leaders to guide funding of research or studies b. Recognize evidence that suggests that nurses, APRNs and consumer groups have opportunities to strengthen their policy voice c. Vision for proactive, toward thinking policy agenda that can push (e.g. What so we want decision makers know about nursing performance?), pull(e.g. What do decision makers already know about nursing performance ?) and/or Partner (e.g. What do decision makers want/need to know about nursing performance ?) Threats Purpose 1. Inspire continued trust and confidence a. Consumer partners may overwhelm nursing. Nursing may be subordinate to consumer leadership. b. Potential to be barraged or criticized by special†¨patient advocacy groups and specialty nursing groups who are not included in membership c. Partnership adds complexity to operational aspects of an alliance such as leadership, governance, membership dues, etc Purpose 2. Accelerate performance improvement a. Current national practice specialty organizations (AORN, AANA, ONS, AWOHNN, AACN, ACNM) have limited resources and will have to decide where to invest (e.g., choices will need to be made that could result in weakening NPQA) b. Data may portray low quality nursing performance with subsequent unintended consequences for nursing c. Established boards of both large nursing organizations and consumer organizations may refuse to support or may change support as leadership and resources fluctuate d. Alliances with whom nursing has a quid pro quo relationships have not universally welcomed nursing participation and have rationed our involvement (e.g., don’t recognize different nursing groups) e. Consumer group(s) may not recognize a need to measure nurse performance in the same manner in which nurses do. Conflict may result (e.g. consumers may think, â€Å"Did the nurse carry out the order?†) Purpose 3. Stimulate reform a. Absence and inattention to nursing issues/strengths in health care reform proposals b. Presence of a strong medical lobby and physician advocacy groups linked with consumers c. Established alliance landscape and inconsistent/ ‘unwelcoming’ nature among existing alliances to nursing d. Lack of awareness by policymakers of the necessity to engage nursing to realize dramatic and sustainable improvements in quality and safety Customer analysis Before implementing this process in South Florida, it is necessary to conduct the market research to check whether this process has market relevance to this area. In other words, it is important to find out whether customers want to use patient advocacy and then analyze if it is available for implementing it in this area via the drives of value. Basically, there are three interdependent drivers of value, including population health, patient experience and total cost per capital, to promote the development of patient advocacy. The data published by U.S. census government shows that the population in Florida is experiencing a huge change during recently year, no matter the change is characteristic by age or race. First, as illustrated in Figure 2, we can see that from 1960 to 2040, the actual and projected census population will rapidly grow from around 50,000 to over 25,000,000 in Florida. There are two main factors causing this phenomenon. On the one hand, there are the baby boomers. This accounts for the natural population increase. While births exceeded deaths during each of the two decades, less than half a million persons were added to Florida’s population each decade due to the natural increase. On average, 118 more Floridians were born than died each day during the decade of the nineties (Census Report, 2000). On the other hand, individuals’ life expectancy is rapidly extended. As populations of modern societies have begun to age, the older age cohorts have become disproportionately represented. Figure 3 show that the age group over 65 and up holds the largest percentage during 2010 to 2030. For example, in the area of Southeast Florida, its population of 6.2 million, is larger than 34 of the 50 states in 2008. About one in every three (31.2%) South Florida resident was born in the state of Florida. Meantime, in South Florida, the elderly are projected to reach almost one million (20.7% of the total) in 2030, up from 14.4% in 2010 (Ogburn, 2010). Compared to the Treasure Coast, the change is becoming more obviously as it is shown in Figure 4. The data described above figures out that even though the population growth slowed down in recent days, South Florida continue s to grow at a speed that is faster than the nation as a whole, with higher rates in the northern region. Apparently, the change population characteristic provides a huge market for the patient advocacy. A demographic trend often overlooked in discussions of healthcare is the changing structure of American families and households. There has been a decline in the proportion of the population that is married and a proportionate increase in the size of the single, divorced, and widowed population. The average household size has declined, and there has been a large increase in the proportion of the population that lives alone. Therefore, more and more households are involved in the health industry to some extent. This means that Floridians’ expectations for acquiring healthcare knowledge and learning about diseases is increasing. This will help them know how to make decisions when they face the healthcare problem and know whether the plan recommended by physicians and nurses are available to them. Secondly, as illustrated in Figure 5, it can be shown that the race/ethnic composition o f Southeast Florida was made up of 37% Hispanic or Latino. In 2000, the non-Hispanic White population represented 47% of the regional total, down from 57% in 1990. In other words, the non-Hispanic White population of Southeast Florida ceased to be the majority sometime in the 1990s, due mostly to the growth of the Hispanic population in Miami-Dade Country (Ogburn, 2010). Hence, it is very important to take the Spanish language into account when patient advocacy is established. Thirty-three percent of the South Florida population is over age 65, so for those elderly who do not know how to speak English, patient advocacy could help them understand what the medical staff tell them about their diseases or how to take those pills. It also helps to reduce the potential abuse error when patient advocacy staffs teach those patients via their own language. Thirdly, as acute illness has declined as the pervasive type of disorder, chronic conditions have emerged as the dominant type of health problem in developed countries. Chronic conditions generally do not contribute directly to mortality, but are often cited as underlying causes of death. They are more likely to interfere with the quality of life, since they often result in some form of disability. Chronic diseases always result in more cost and more time for recovery. Some maybe even cannot be treated. Thus, patients find themselves confused about the advantages and disadvantages of the treatment. Patient advocacy members listen to confused patients and help them collaborate with physicians and insurance companies. Patient advocacy will offer medical assistance, insurance assistance, home health assistance, elder and geriatric assistance and legal assistance. Those types of assistance will help patients with chronic illnesses to understand their healthcare conditions in detail. The Four Ps The four marketing Ps (product, price, place and promotion) are important in developing the entire marketing process for every company or organization. In other words, the heart of a marketing strategy is the development of a response to the marketplace. For every business, all they need to do first is to identify the customers’ needs, and then determine the price customers are willing to pay. Then, they need to identify what place is most convenient for customers to purchase the product or access the service and, finally, they need to promote the product to customers to let them know it is available (Berkowitz, 2011). Hence, when conducting the Four Ps analysis, there are some questions we need to figure out. Those questions are shown on Figure 6.1 (â€Å"4Ps Marketing,† n.d.): Product The important thing to remember when offering the service of patient advocacy to customers is that they have a choice. For example, for health care providers, they can rely on the customer service center in their own organization to deal with patients’ complains; for patients, they might turn to their doctors or friends who have those treatment experience for help when they need. Therefore, patient advocacy organizations should considerable emphasis on developing a list of help service which customers really want. For example, in South Florida, as we also mentioned earlier in this paper, a large proportion of people speak Spanish as their first language, so Spanish speaking can become a selling point and add into the service list in this area; especially in a situation of establishing commutation between a Hispanic or Latino patient and an English-speaking physician. What is more, for those existing services, the organization should also pay attention to the product life cycle as well. For example, with the implementation of Obama Care, the American healthcare system has become a complex system, and it has become increasingly difficult for patients to understand and adapt, so patients’ fears and frustrations have continued to grow since they may get confused by the new policies and become worried about how to get their reimbursements after the treatment. In other words, customers’ requirements change over time. What is important and useful today may be discarded tomorrow. Therefore, marketing should continuously monitor the external environment and other factors to modify the services in order to meet the customer’s need. Price Price focuses on what customers are willing to pay for a service (Berkowitz, 2011). And the customer’s perception of value is an important determinant of the price charged. Customers draw their own mental picture of what a service is worth. So the pricing decision is a major aspect of marketing strategy. In the healthcare industry, the issue of price is less likely to be a concern since pricing was based on predetermined reimbursement formulas. However, in order to sustain and develop and organization, whether public, non-profit organization, private, or for-profit, patient advocacy organizations still need to pay attention on how they establish the price. 1. The Types of Services and Complexity of Service. As customers’ needs are varied, there are perhaps dozens of services health advocates can provide, ranging from explaining treatment options to reviewing hospital bills, from uncovering clinical trials appropriate to customer’s need, to getting their insurance company to pay a claim they think should be covered. Each service should cost differently according to the time it takes to accomplish it. 2. The Background and Expertise of the Employee Just as would be true in any service business, the more credentials an advocate has achieved, the more it will cost. Further, some advocates have developed specific niches to their work that becomes a benefit to customers, who may be worth a higher salary. So obviously, a higher price should be made for these employees in order to sustain the organization. 3. Geographic Location. Just as there are variations in cost for almost anything we buy based on where we live, the same is true for health advocacy services. As shown in Figure A7 (â€Å"Miami Household,† 2011), in Florida, take Miami as an example, households with income under 15,000 reached 25% in 2010, which was twice as many household of the entire United States. Considering the low-income rate in this area, the price should not be too high when providing services. However, the danger of using low price as a marketing tool is that the customer may feel that quality is being compromised. It is important when deciding on price to be fully aware of the brand and its integrity. A further consequence of price reduction is that competitors match prices resulting in no extra demand. This means the profit margin has been reduced without increasing sales. Place All businesses must decide how many other organizations are needed to distribute their product or service, so does the patient advocacy organization (Berkowitz, 2011). In fact, the purpose of getting any intermediary organizations involved is to provide service to customers in a more accessible way. Therefore, not only big general hospital, but also small primary care clinic should be considered when providing services. Besides, â€Å"place’ in the marketing mix, is not just about the physical location or distribution points for services. Especially in the healthcare industry, it encompasses the management of a range of processes involved in bringing patient advocacy to the end consumer. Promotions Promotion is more than just advertising (O’Malley, 2001). The promotions aspect of the marketing mix covers all types of marketing communications such as advertising, personal selling, publicity, and sales promotion. However, advertising is an important part of promotion. Generally, advertising is conducted on TV, radio, cinema, online, poster sites and via the printed press (e.g., newspapers, magazines). Different advertising channels can be used to maximize the effectiveness of advertising. For example, TV advertising makes people aware of a help service and press advertising provides more detail. This may be supported by in clinic or hospital recommendation to get people to try the service. It is imperative that the messages communicated support each other and do not confuse customers. A thorough understanding of what the brand represents is the key to a consistent message. The purpose of most marketing communications is to move the target audience to some type of action. This may include purchasing the service, visiting or calling the organization, and recommending the choice to a friend or purchasing another service that he or she may also need. The key objectives of advertising are to make people aware of the service offered by the organization, which they cannot get from anywhere else, and to feel positive about it and remember it. Therefore, when promoting, messages should gain the customers’ attention and keep their interest. The next stage is to get them to want what is offered. Showing the benefits that they will obtain by taking action is usually sufficient. The right messages must be targeted at the right audience, using the right media. Take South Florida as an example, 33% of the population in this area is over age 65, so it is important to find an advertising channel to reaches this group of people. In this case, Internet advertising may not be such a good idea while newspaper and television may bring more customers to the organiza tion instead. Conclusion After analyzing the market in South Florida, we can easily reach the conclusion that there are great needs to have patient advocacy in South Florida. In fact, patient advocacy is an emerging practice, and it deserves more recognition when developing healthcare business. Whether you are in private practice, serve as a hospital patient advocate or are developing an advocacy program in a managed care company, having a clear marketing plan of patient advocacy in your business region is a key factor to successfully grow your practice in the future. References Agency for Healthcare Research and Quality. Healthcare costs and financing. Research Activities. 2011. Accessed at heep://www.ahrq.gov/research/jun11/0611RA11.htm. Ad Hoc Committee on Advocacy. (1969). The social worker as advocate: Champion of social victims. Social Work, April, 16–20. Berkowitz, E. N. (2011). Essentials of Health Care Marketing. 3rd Edition. Jones & Bartlett Learning, LLC. Carlton, T. O. (1984). Clinical social work in health settings. New York: Springer Publishing Company. Florida Population: Census Summary 1990 and 2000. Make a difference as a patient advocate. Retrieved from: http://allhealthcare.monster.com/benefits/articles/3210-make-a-difference-as-a-patient-advocate?page=2 Miami Household Income Statistics (2011). CLR Search.Retrieved from: http://www.clrsearch.com/Miami-Demographics/FL/Household-Income Ogburn R. F., 2010. Demographics and population growth in southeast Florida. South Florida Regional Planning Council. Retrieved from http://www.sfrpc.com/region/demographics.htm O’Malley, J. F. (2001). Healthcare marketing, sales, and service: An executive companion. Chicago: Health Administration Press, p. 101 4Ps Marketing Mix Example (n.d.). SmartDraw. Retrieved from http://www.smartdraw.com/examples/view/4ps+marketing+mix/

The Trojan War Between The Greeks And The People Of Troy

The Trojan war raged on between the Greeks and the people of Troy. Both the Oresteia and the Aeneid begin just after the war had been won by the Greeks. The two stories have different perspectives on the destruction caused by the war, however they do not agree upon if the war and all that came with it was justified. The trouble began after the Trojan prince Paris abducted Helen, the wife of Menelaus of Sparta. When Menelaus demanded her return, the Trojans refused. Menelaus then persuaded his brother Agamemnon to lead an army against Troy. Agamemnon’s story continues in the Oresteia. The story within the Aeneid follows Aeneas and his fellow Trojans as they flee their destroyed city. Because of the great contrasting views on this war make it impossible for both authors to find that the war was justified. In the Aeneid they were upset about losing their hometown during the Trojan War, however retroactively it leads to the founding of Rome, so it was good in the long run. 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