Nurse Ratched free essay sample

A sexless, rigid caricature of a nurse, Nurse Ratched imposes discipline on her ward with all the fervour of an Army Nurse, which she had been. Large, with huge breasts only partially disguised by her ultra-stretched white uniform, she nevertheless has a pretty, delicate face that belies her cruelty. Manipulative to the core, the only thing that really matters to Ratched is her desire to control everything around her – the environment, the staff, and the patients. She has rendered the staff doctor who is in charge of the ward helpless and ineffectual. Her methods are subtle: she speaks with the calm voice of reason, dealing with patients as though they are children. Her group therapy sessions are intentionally humiliating to patients. Her agenda clearly is to turn the group members against each other. That protects her from any unified action against her rules and her dominating role. As long as everyone stays in line, she retreats to her safe place – a glassed-in office overlooking the ward. We will write a custom essay sample on Nurse Ratched or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Chief sums her up mentally as follows: â€Å"So after the nurse get her staff, efficiency looks the ward like a watchman’s clock. Everything the guys think and say and do is all worked out months in advance, based on the little notes the nurse makes during the day. This is typed and fed into the machine I hear humming behind the steel door in the rear of the Nurses’ Station. † Small wonder that McMurphy becomes the ultimate threat to her tight, close little domain. He demands that the patients be given rights. She believes they only the rights she decides to give them. Cruel in the extreme, she plays repetitious loud music over the ward’s speaker system, successfully drowning out normal conversation. As her battle with McMurphy intensifies, his hatred of her leads him to aggressive actions against her. Finally he can stand no more. In his last battle against reasonless authority, he tries to strangle her. That may be the end of both of them, not just McMurphy, for his example inspires several of the inmates to check themselves out of the ward and out of her power. Nurse Ratchet’s character has been subject of much critical discussion and even controversy, for several observes consider her a sexist stereotype of the controlling female. History Electroshock therapy, or ECT, was discovered in 1937 by two Italian psychiatrists who thought to apply an electrical charge directly to the brain. Despite the harsh stigma that has been unfairly associated with this type of treatment – in Kesey’s novel it is seen as a means of punishment rather than a cure – the use of electroshock therapy has proven immensely successful in cases involving moderate to serve bouts of depression. Others argue that its side effects make it one of the more barbaric forms of legal medical procedures in the modern age. Another possible reason for some peoples strong anti-ECT views may stem from Keseys work, One Flew Over the Cuckoos Nest (5). A passage from this piece was quoted earlier in this paper. The work depicts the earlier developments of this treatment and not the ECT of today, or even two decades ago. However, this work left a deep impression on the public that ECT is a painful, humiliating, inhumane procedure used to control unruly patients in mental institutions. The early abuses of electroconvulsive therapy where patients were shocked up to 12 times a day in an effort to regressing the patient to an infantile state ·[to allow] restructuring his or her behavior (5) undoubtedly left an appalling vision of this therapy in patients and their families. However, this restructuring hypothesis has been abandoned. There is also a small, but vocal group of ECT patients who attack the therapy, perhaps because of feeling violated by the memory loss. Mental illness impairs judgment and it is possible that the patients forgot how sick they were before the treatment But by the end of the 1960s, electroshock had almost vanished from the psychiatric scene. The film â€Å"One Flew Over the Cuckoo’s Nest† was released in 1975. Jack Nicholson played the unforgettable character who is given unwanted and unnecessary electroshock treatments and his fellow patients on the ward were portrayed as lobotomized-looking, hollowed-out souls who had trouble recognizing friends and family. Their capacity for speech and language had been damaged and they often ended up needing to be institutionalized. Cuckoo’s Nest played a major role in discrediting ECT. Quotes The Shock Shop, Mr. McMurphy, might be said to do the work of the sleeping pill, the electric chair and the torture rack. Its a clever little procedure, simple, quick, nearly painless it happens so fast, but no one ever wants another one. Ever. The Electroshock Therapy Table The electroshock therapy table is explicitly associated with crucifixion. It is shaped like a cross, with straps across the wrists and over the head. Moreover, the table performs a function similar to the public crucifixions of Roman times. Ellis, Ruckly, and Taber—Acutes whose lives were destroyed by electroshock therapy—serve as public examples of what happens to those who rebel against the ruling powers. Ellis makes the reference explicit: he is actually nailed to the wall. This foreshadows that McMurphy, who is associated with Christ images, will be sacrificed Legal Summation Good morning gentleman of the jury and your honour. Before we begin I would like to take a few minutes of your time and so I ask if you would close your eyes and think for a minute. Imagine if you were strapped to one of those cold hard Electro-shock Therapy tables, your hand and feet pinned down, numbness creeping in, circulation getting slower, you can hear the blood pumping through your veins and you see someone being amused by this suffering and distress, a cold hard sneer of joy plastered on a hard steel emotionless face and revelling in the torture that is being bought to you. Ladies and gentleman this is what is happening in this institution as we speak. Ms Mildred Ratched also called the â€Å"Big Nurse† has been accused of Grievous bodily harm through Electro-shock Therapy under the pretence to punish patients instead of curing them. The Electroshock Therapy table can be explicitly associated with crucifixion. It is shaped like a cross, with straps across the wrists and over the head. Moreover, the table performs a function similar to the public crucifixions of Roman times. Walter Henry Ellis, Arthur Stanley Ruckly, and Maxwell Wilson Taber who were Acutes whose lives were destroyed by electroshock therapy—serve as public examples of what happens to those who rebel against the ruling powers. Ellis makes the reference explicit: he is actually nailed to the wall. According to mental illness specialist Dr. Thompson, the Electro-Shock Therapy is a painful, humiliating, inhumane procedure used to control unruly patients in mental institutions. Gentleman of the jury this is what Nurse Ratched was manipulating every patient who underwent that procedure. Humiliating and controlling mentally ill patients, this is outrageous, why punish a man, who sometimes has no control over his actions, why punish and manipulate someone to such an inhumane procedure which in the eyes of leading medical professionals has no benefits. How can you gentleman of the jury possible let a rigid portrait of a nurse, manipulative to the core, the only thing that really matters is her desire to control everything around her, be a nurse to these mentally ill patients. Gentleman of the jury she is a heartless, emotionless, inhumane, manipulative human being. Who punishes her patients and laughs at them. When one thinks of a nurse what comes to mind. I read an interesting article about the health care profession a while back and what really struck me was how people view nurses. The majority of patients view a nurse as their main primary care giver. Usually a nurse is the first face you see in the morning and the last before you go to sleep. The nurse is your voice in the hospital system. In the article patients were asked several questions about care, hospital procedures and about nurses. One of those questions asked was â€Å"How did the rostered-on nurses treat you as a patient† and a whopping 95% answered that the nurses treated them with respect and dignity. 95% that’s amazing. Okay what about the rest of the 5% of patients, those 5% hopefully didn’t encounter Nurse Ratched or somebody similar while they were in care. But to be realistic I think Nurse Ratched is one of a kind and being one of a kind we can unite and eliminate this cruel and inhumane being. So much sorrow and tears have been shed and lives altered. When can we say enough is enough? So gentleman of jury and your honour I have put forth to you my findings concerning this case. Let’s bring justice to those in need and stop this torture once and for all. The prosecution rests your honour.

Life lessons that can be found in Star Wars

Life lessons that can be found in Star Wars 7 Things to Learn From Star Wars Cant wait to see the glorious return of Han Solo and the Millennium Falcon? Lets take a look at the wisdom of the Jedi, The Force and Master Yoda, to find lessons Star Wars can teach us about life. (But even if the words In a galaxy far, far away, dont ring a bell for you, the rules are universal, so feel free to apply them in order to make your life better. And May The Force be with you! Live the life you want to live (you can do it!). Do or do not there is no try. Yoda in The Empire Strikes Back Theres no reason to waste your life being stuck in fear and uncertainty. Youre free to be whatever you want to be. Just make a decision and stick to the plan. Remember, The Force is on your side. Keep close to people who have faith in you. I find your lack of faith disturbing. Darth Vader in A New Hope Warning! Pessimism is contagious. Stay away from people who make you feel bad about yourself. In other words, say NO to energetic vampires. The rule is pretty simple: be with those who support you and believe in you. Be honest with yourself. You know what the right thing to do is. Already know you, that which you need. Yoda Let your heart guide you. You carry all the answers within. Just listen to the voice of that inner Yoda of yours, and youll find the way. Nothing is impossible. C-3PO: Sir, the possibility of successfully navigating an asteroid field is approximately 3,720 to 1. Never tell me the odds. Han Solo in The Empire Strikes Back Even if your odds of success are really (I mean, REALLY) small, dont let this fact stop you from staying true to yourself and to your heart. You succeed by overcoming failures. Strike me down and I will become more powerful than you can possibly imagine. Obi- Wan Kenobi in A New Hope The road to success is paved with failure. No matter how hard you try, you cant avoid mistakes. After all, were all humans here, arent we? So, the point is to make proper conclusions out of those mistakes and to prevent them from happening in the future. Dont let fear be your guide. Fear leads to anger. Anger leads to hate. Hate leads to suffering. Yoda in The Phantom Menace When youre scared, youre vulnerable. You cant see clearly if youre paralized with fear. Keep in mind that very often our fears are causeless. Just pull yourself together and dont let the imaginary monsters impact your life. Humor always makes it better. (as garbage compactor closes in) One things for sure, were all gonna be a lot thinner. Han Solo in A New Hope Freaking out is a common reaction when something goes wrong. But will it help you to solve the problem? Doubtly. Humor, instead, will make you feel way better and give you some time to think the situation through. Humor is the key to success (and to girls hearts as well ;))

Career Progress Initiating, Inspiring, Leading Essay

Career Progress Initiating, Inspiring, Leading - Essay Example When I worked as an engineer at Intel from 2001 to 2004, I inspired my mediocre team into a top unit, by initiating an out-of-the-box thinking environment that resulted in over 30 technical innovations in just 1 year. I followed up this innovation culture by leading a cross-departmental platform where engineers from across the company could contribute and share a think tank of ideas that solved several long-running problems of many a unit. I learnt that inspiring others to achieve their dreams is a wonderful achievement in itself. I also learnt that taking initiative to lead a change process is well worth the risk of failure. The team of engineers that I led published ten articles on the prestigious Intel Disclosure Forum in one year - a record by far. From 2004 to 2007, I worked as a business consultant at Accenture, in charge of setting up the billion-dollar industry giant's operations in China. It was a daunting task to apply the best practices of the company in the traditional Chinese environment. I found my way around the problem in two ways. Customizing these practices to best suit the local needs, and innovating new ideas that helped the client learn and adopt them. I learned to interact with the top management and the employees of several Chinese companies to make them familiar of the changing business realities and inspiring them to embrace new ideas. This consulting experience gave me tremendous insight into different businesses, managerial philosophies, operational styles and global perspectives. I also got to learn how to communicate with top executives and persuade them to see my point of view. My Candidacy Since I worked as tennis coach I have always dreamed of building a tennis school of my own. Since I applied last time at Wharton my life has been very eventful. I have gone ahead and implemented my dream to some extent. I have been making plans and accumulating a small fortune on my own for my school all this time and things finally fell into place early this year. A high school was on sale in the neighborhood and I decided to buy this school and transform it into to a sports school. This sudden turn of events has caught me unawares on several skills of entrepreneurship that I had no idea about. First, I learnt how to write a business plan and persuade others to invest in it. I raised money from eleven colleagues in Intel and Accenture and four alumni. They became my founding shareholders. Secondly, I learnt the psychological side of managing people. It took a lot of efforts to make the former management team of the school to understand my ideas and to keep them from quitting. Third, I learnt about marketing & sales, a function that I had never touched before. This entrepreneurship experience has given me tremendous confidence in myself and hands-on experience in setting-up and running a business from the scratch. I feel, I am better equipped to understand the latest theories and practices of the business world than last year. I am also more focused in my approach to studies, with a well etched out career plan. Career Goals Based on the current business, I set my short-term career goal to build a brand name for this sports education venture by associating it with famous athletes, pioneering education philosophies, and sponsoring local sports events. I want to

Should animals be used for research Essay Example | Topics and Well Written Essays - 1000 words

Should animals be used for research - Essay Example Throughout the paper we establish a single ideal perspective on why should there be continued animal testing for the general good of the public and how proactively can an initiative like this aid in making ground breaking discoveries for the future especially in research fields such as biomedical technology. Should animals be used for research? Medicinal investigators are required to prerequisite and comprehend health complications afore they can cultivate techniques to extravagance them. Certain diseases, illnesses and healthiness complications comprise of procedures that can unsociably be calculated in an active living organism only. Wildlife animals are essential to remedial medicine investigation once it is impracticable or unprincipled to use individual humans as test subjects. Animals brand decent investigative themes for a variation of different explanations. Animals fundamentally stand biologically comparable to humans. They are predisposed to numerous of the identical streng th glitches, besides they obligate to diminutive life-cycles so hence they can straightforwardly be premeditated during their entire life-span or transversely across a number of generations. In accumulative count, researchers can simply govern the surroundings nearby the animal (lighting, temperature, diet, etc.), which would stand problematic to organize for people. Yet, the utmost imperative intention as to why animals are rummage-sale is the fact that it would be ethically erroneous to intentionally render humanoids to health jeopardies in demand to perceive and observe the progression of an illness. Wildlife is casted-off in learning to cultivate medications and medicinal techniques to treat sicknesses. Researchers may regulate such remedies and trials by means of alternate investigation procedures that do not comprise animals. If the new-fangled treatment appears favorable, it is verified in animals to understand whether it appears to be harmless and operational. If the outcome s of the intuitive readings are good, then human participants are requested to yield measure in a experimental trial. The animal trainings are completed initially to give medicinal scientists an improved impression of whatever welfares and technical hitches they are likely to witness in humans. References: "Biomedical research", The Humane Society of the United States, accessed July 5, 2010. "Animal experimentation issues", Physicians Committee for Responsible Medicine. "Introduction", Select Committee on Animals In Scientific Procedures Report, United Kingdom Parliament. Use of Laboratory Animals in Biomedical and Behavioral Research", Institute for Laboratory Animal Research, The National Academies Press, 1988. Also see Cooper, Sylvia. "Pets crowd animal shelter", The Augusta Chronicle, August 1, 1999; and Gillham, Christina. "Bought to be sold", Newsweek, February 17, 2006. The use of non-human animals in research: a guide for scientists The Royal Society, 2004, page 1 "Science, Medicine, and Animals", Institute for Laboratory Animal Research, Published by the National Research Council of the National Academies 2004; page 2 Animals Used for Medical Research A Philosophical Viewpoint By Carolyn C. Gargaro Written in July 1991

Human Resource Essay Example | Topics and Well Written Essays - 1500 words

Human Resource - Essay Example Furthermore, more detailed ideas and concepts about the said topic are elaborately obtained from various studies through the use of academic journals. Critical evaluation There is no question about it; sexual harassment is prevalent in diverse parts of the world especially in the workplace. The sad thing about it is the thought that victims have little idea that they were already sexually harassed. One reason may be due to cultural orientation (Poulston, 2008). Some may have different perspective about it (Pierce et al., 2004). This further resulted to situation in which sexual harassment and its definition has not been fully understood by all. It is therefore important to study on this aspect because this can be informative to individuals especially those who have little information about the abusive capacity of those who can impose power over them. It is also important to understand this because sexual harassment has specific undesirable impacts that can eventually result to ineffi cient output in the workplace. Thus, workplace harassment is proven to have negative consequences in an individual and organisation (Bowling and Beehr, 2006; Raver and Nishii, 2010; Hershcovis and Barling, 2010 ). Thus, the human resource department must essentially address this issue in order to ensure efficient output of the human resource. The authors were consistent about their purpose of their paper and that is to outline their position on sexual harassment, how to avoid it in the workplace and the responsibilities of the employers to control this kind of situation. There were various sources employed in the paper and these include those with relevant discussion about the real definition of sexual harassment in the workplace. This makes the paper informative because it tries to inform the readers about the basic forms of sexual harassment in the workplace. Furthermore, more relevant literatures were included in order to justify their points on how to avoid sexual harassment in the workplace especially on the best part that employers can do to protect the human resource. It was also evident in the paper that the authors were able to critically consider various sexual harassment related incidents. From this stand point, it was evidently clear how the authors tried to emphasize the relevance and prevalence of sexual harassment in the workplace. The authors concluded that sexual harassment can represent abuse of power in the workplace. This basically is one of their strong stands on this issue. It is in fact true that through sexual harassment, everyone has the chance to dominate someone through imposition of power based on the definition given by the authors. Unfortunately, they failed to expand on this issue. Even though they are suggesting more important and relevant studies on this part, but they failed to expand or give detailed explanation on this aspect. They failed to provide available literature that could support this claim. Primarily, they have imp arted logical explanation and some relevant statistics about sexual harassment in the workplace but they failed to emphasise how many of them are eventually caused by abusive use of power over the abused or victims. For instance, they pointed out that women are said to be commonly sexually harassed in the workplace. However, there is no clear justification that this result is evident because women are primarily weak in physical strength than men for instance or the latter is more powerful than the former in the

Financial Decision Making, Easyjet in comparison with Ryanair

Financial Decision Making, Easyjet in comparison with Ryanair The purpose of this report is to prepare an analysis of the financial performance and position of Easyjet plc in comparison with that of Ryanair plc. The CORE model approach was used in preparing a review of each airlines annual accounts with selected ratios applied to evaluate compare, contrast their financial performance. An analysis of Easyjet plc performance and position against Ryanair plc confirms the following key findings. The principal finding from this report is that the current finance strategy for Ryanair plc is not sustainable in the long term. Easyjet plc diversification into ancillary activities has incurred costs which will be recouped over a period of time and reflect a positive investment strategy during and after the economic downturn. Furthermore, Easyjet will achieve additional savings if an optimum hedging policy is implemented during the current economic downturn. Introduction An appreciation of the European airline industry was considered in relation to Easyjet plc current financial positioning and brand recognition as the preferred low cost airline provider. The financial performance and position of Easyjet plc was appraised against Ryanair plc through application of the CORE (Context, Overview, Ratio, Evaluation) model. Context establishes the market share and European airline environment from an internal and external perspective that the two plcs operate and compete within. Overview is an appraisal of the financial performance between the two Plcs in relation to similar operational activities and qualifying their accounts and strategic approach during the current economic downturn. Ratio analysis establishes the relationship between stated totals within the Balance Sheet, Cash Flow Statement and Income Statement to establish the base of Evaluation for financial performance between Easyjet plc (Easyjet) and Ryanair plc (Ryanair). Evaluation of the two accounts is an integrative component of the CORE approach based upon the three previous stages to assist with identifying an overall conclusion from the analysis. The overall conclusion may then be drawn as to the degree of success of the organisation in terms of the implementation of the corporate strategy for customer, competitors and suppliers according to the specific focus of the analysis (Moon Bates, 1993). Context (Internal): Each airline as their primary activity provides international and regional low cost airline fares within the European airline industry. Both airlines are recognised within the market and operationally focussed towards a low-fare strategy. Sustainability and success of providing low cost airline fares is critically dependent upon retaining a low cost base especially during the current economic downturn to protect long-term viability. The global duopoly of Boeing and Airbus within the European airline industry influences the high fixed costs relative to variable costs that is inherent to airline pricing and generates the operational focus towards retaining a low cost base. Reducing operational costs provides each airline with flexibility to offer lower ticket fares, issue dividend shares or retain earnings for future investment as part of their competitive advantage over a rival (Brassinton Pettit, 1997). From a media perspective and operational approach, Ryanair has successful introduced a low cost base through staff optimisation and promoting www.ryanair.com for online ticket sales. Application of the airlines website can provide an integrated marketing communications strategy as well as introducing an effective management information system to co-ordinate revenue activities. Ryanair is reputed to have achieved  £22 million pounds in reduced sales and distribution costs through application of their web-based management information system (Done, 2008). Additional operational savings to establish a low cost base have been generated through Ryanairs standardisation of their airline fleet to Boeing 737s. Standardisation provides lower staff training and maintenance costs due to familiarity and inventory considerations. Both airlines target the European short-haul city break market segment and utilise a system termed yield management to allow seats to be priced according to supply and demand (Ryanair Plc, 2008). Ryanair and Easyjet focus upon an optimum turnaround time at each due to empty planes being non-revenue generating. To maximise profits, fixed and variable costs are regularly challenged to introduce further savings which establishes the rationale as a low cost airline provider not to be forthcoming with compensation to passengers for flight cancellations. It is therefore an operational priority to ensure service delivery with minimal lost baggage claims and flight reliability exceeds the industry standard in relation to key performance indicators. Dependent upon the size of the aircraft purchased or leased from Boeing and Airbus, economies of scale can be achieved to increase the operating profit margin of the airline. Establishing a sustainable low cost base can increase the projected operating profit, increasing the airlines purchasing power to negotiate preferential commercial arrangements with suppliers. Furthermore financial success in one industry sector provides opportunity to develop activities in another sector using ancillary partners. In relation to each airline generating ancillary revenue, Easyjet activities have diversified into various market segments and achieved higher revenue returns beyond that of Ryanair, as detailed within each airlines Income Statement. Both the airlines have expanded their ancillary activities with Easyjet achieving a 115% improvement for ancillary services including Car rentals, Hotels, apartments, Travel Insurance and Airport Parking as recorded within their respective company accounts.Ultimately, Easyjet is expanding the portfolio of activities during the economic downturn to develop the brand and establish complimentary ancillary services to mitigate against revenue loss in a specific sector such as Passenger flights. In contrast, Ryanair has generated a 23% improvement in their ancillary services with passenger service the primary focus to achieve revenue (Easyjet Plc, 2008). As a short term strategy, this has possibly generated the concern that Ryanair performance has improved over Easyjet, yet as a long term approach the approach is not sustainable. This is due to all operational activities having a specific cost threshold and in a fare war contest it may become necessary to subsidise activities from other more profitable ancillary activities. The current approach by Ryanair in the economic downturn is therefore considered prejudicial against their long-term viability. Each airline primary assets are detailed within the Income statement that reflects the substantial capital outlays in relation to the purchase of aircraft fleet for both providers. In the long term this approach can be beneficial due to reduced future costs associated with leasing as well as minimising interference from external financing companies concerning pricing tactics with possible withdrawal of finance due to perceived negative publicity of the airline. Ownership of aircraft establishes a tangible asset and brand platform that can be applied to increase shareholders and investors confidence. The accumulation of assets establishes a long-term investment strategy that requires operational maintenance and management depreciation consideration. Ownership of the asset ultimately provides each airline with the opportunity to select without constraint their service partners for maintenance, cleaning and insurance coverage. As previously mentioned both airlines target the short-haul city break markets and utilise the yield management system to allow seats to be priced according to supply and demand therefore exercising full control of their marketing mix to the consumer (Airlines, 2006). Recorded revenues of  £2,171 million was achieved by Ryanair during the financial year ended on March 2008, representing an increase of 21.3% over 2007 and generating 37.6% of the total revenues in 2008(Ryanair, 2008) in comparison recorded revenue was  £2,362.8 million in September 2008 generating an increase of 31.5% compared to their performance in 2007 and reflective of a sustainable corporate strategy to protect the viability of Easyjet during the economic downturn(Easyjet Plc, 2008). Easyjet completed the acquisition of GB Airways in January 2008 with Ryanair attempting a similar corporate acquisition that was rejected by Aer Lingus. Currently no progress has been achieved from the Aer Lingus rejection of the offer yet the collapse of buget airlines Sky Europe in 2009 with previous budget airlines also going into administration does not provide the consumer with confidence in low cost fare providers (PIGNAL, 2008). Context (External) According to Datamonitor (2008) by 2011 the airline industry is forecast to have a value of  £89 billion with 773.5 million passengers anticipated to use airline travel on an annual basis. Competition amongst the two airline providers is increasingly focused towards cost and brand marketing. Various management cost reduction initiatives with provision of only one class of service have developed each airlines reputation as a no-fill providers due to costs being charged for all non-essentials. To assess the external profile of Easyjet in comparison to Ryanair a SPECTACLES approach is applied with consideration towards the various categories as well as applying Porters five forces model (1980). Social considerations include recognition of both airlines as market leaders with strong brand identification for low cost fares. Furthermore, both airlines have developed a reputation for reliability through punctuality of flight times, minimal flight cancellations and reduced lost luggage claims. Political considerations include all regulatory constraints that may apply to both providers such as airport charges which are generally levied through regulation rather than commercial negotiation. Economic considerations include the economic downturn, reduced disposable income and expenditure of customers together with increasing fuel costs due to global conflict and fear of terrorism attacks. In addition, global events have increased insurance provisions and requirements within the airline industry. Cultural considerations include the perception that low cost airlines provide an inferior service in comparison to traditional flag carrier and charter airlines that concentrate upon a differentiation competitive advantage. Technological considerations include the recognition that safety is a main consideration and cost aspect with all aircraft parts have a defined life-span before replacement is required. The replacement of prop aircraft to jet engines as part of fleet modernising as well as increasing safety requirements requires airlines to a continual review of their projected capital and maintenance allowances. Aesthetic considerations include the preference for one airline over another with Easyjet achieving a global focus due to broader activities in comparison to Ryanair. Both airlines provide the same class of service on all flights with emphasis upon low costs. Customer considerations include ease of on-line booking together with ticket costs combined with reliability of each airline operating the prescribed flights and minimal loss baggage claims. Against Easyjet, Ryanair has achieved significant short-term success in this category at the expense of generating a love/hate relationship with the public. Legal considerations include the regulatory constraints for passenger safety, security provisions, noise reduction, and environmental issues. In addition, to employment and aviation law, there is competition and liability legislation that restricts the operating activities of each airline. Environmental considerations include all regulatory constraints that may apply such as noise reduction, emissions and fuel efficiency, reduced energy, water and material consumption and air traffic congestion. Sectoral considerations include review of competitors and future regulatory considerations to enable a competitive advantage to be developed over rival airlines. In many respects review and implementation of Porters (1980) competitive forces provides the sector framework for analysing the intensity of competition to the profitability and attractiveness within an industry. The below five forces diagram illustrates the relationship between the different competitive forces (Porter, 1980). Adapted from Porter (1980) Five Forces Model Threat of new entrants low The preference for lower air fares generated the business opportunity for Easyjet and Ryanair to compete against traditional flag carrier and charter airlines. A high capital investment and legislation requirement combined with competition for additional airport slots/positions creates physical and financial barriers for new operators within the airline industry. Bargaining power of customers increasing Availability of constant information through the World Wide Web provides information of which airline has the cheaper fare and within an economic depression, the preference of the customer is generally towards the cheaper service provider. Bargaining power of suppliers strong but limited The price of aviation fuel is directly related to the cost of oil, as an individual company Easyjet and Ryanair does not have the power to alter this. The impact of the supplier depends on the availability of alternative suppliers and product substitutes (Dibb Simpkin, 2001). The more these airlines expands the more power it will possess over its suppliers Threat of the substitute products or services low There are no tenable threats from other modes of transport as distances are too great except from London to Paris, which can be reached by Euro Star. Current competitors Easyjet and Ryanair sustain a cost leadership advantage over all other operators including traditional flag carrier and charter airlines that utilise a differentiation rather than a low cost base. Overview: Both Ryanair and Easyjet have membership of the European Low Fares Airline Association (ELFAA) to assist with their equal representation within the airline industry. According to ELFAA (2009) statistics Ryanair provides 1,200 daily flights in contrast to the 1,000 daily flights provided by Easyjet. As a consequence of providing a higher volume of daily flights than Easyjet, the passenger load factor for Ryanair is lower at 81.4% according to the June 2009 ELFAA statistics. The passenger load factor of 85.2% for Easyjet identifies on average their passenger occupancy per flight which can be compared to the break-even point to identify the profitability of a specific flight (ELFAA, 2009). The below table provides an insight of each organisation in relation to their operations and company profile. RYANAIR EASYJET ESTABLISHED 1985 1995 ANNUAL TURNOVER 2171 million 2,362 million OWNERSHIP STRUCTURE Ryanair Holdings Plc Easyjet Plc NO OF AIRCRAFT 220 165 MAJOR FLEET TYPE BOEING A320 ;BOEING MAIN HUB LONDON, STANSTED LONDON, LUTON AIRPORT H/Q DUBLIN, IRELAND LONDON, UNITED KINGDOM NO OF ROUTES COVERED 950 400 NO OF COUNTRIES COVERED 147 COUNTRIES 28 COUNTRIES EMPLOYEES 5920 6107 PASSENGER VOLUME 60 MILLION 43 million PASSENGERS 5.12 million 3.53 million PUNCTUALITY FLIGHTS ON TIME 88% 80% ACQUISITION MERGERS FAILED TO ATTEMPT AER LINGUS ACQUIRED GB AIRWAYS EXTERNAL AUDITORS KPMG PRICEWATER COOPERS AIRLINE PASSENGERS PER EMPLYOEE 9679 6772 Source : Easyjet plc 2009 Ryanair plc 2009. Both the airlines follow the going concern basis in preparing their financial statements which have been certified by independent respective external auditor as being a true and fair status of the companys financial overview. The financial statements are prepared in accordance with the International Financial Reporting standards (IFRS) as adopted by European Union (EU) and effective from March 2008; as applied in accordance with the prevailing Companies Act legislation. Both airlines amended their accounting policy in 2005 from UK GAAP to International Financial Reporting Standard (Ryanair Plc, 2008 Easyjet Plc, 2008). Both airlines are successful in strategising for revenue generation with Ryanair maximising its profit through effective control of operating expenses in comparison to Easyjet. An example is Ryanairs effective fuel hedging policy which allows the airline to allocate fixed fuel costs without surcharge to the customer whereas Easyjet varies their fuel surcharge to the customer. The turnover for Easyjet is  £2,362 million (2008) from  £1,797 million (2007) which is a 20% increase in the turnover. Unfortunately due to the increased administration expenses incurred profit margins have not been maximised due to staff, marketing and fuel costs. These costs cumulatively represent a total cost increase of 28% in 2008. The final outcome was a decrease in profit margin from 11.23% from 4.66%, which trails far behind Ryanairs profit margin (Easyjet plc, 2008). Ryanair in comparison to Easyjet has increased its turnover to  £2,171 million (2008) from  £1,789 million (2007) which is a 13% increase whereas their administration costs increased by 13% from last year. This has led to Ryanair capitalising on the increase in turnover to profit (Ryanair plc, 2008). Airline passenger per employee for Ryanair is greater in comparison to Easyjet and reflects an optimum utilisation of resources. Ryanairs punctuality of flights on time is 88% when compared to 80% of Easyjet which demonstrates the operational efficiency of staff. The customer base has increased for both airlines with Ryanair achieving greater customer retention through market domination of the short haul flights. The addition of 16 more aircrafts through Easyjets acquisition of GB airways to 165 aircrafts amounted to a capital expenditure of  £118 million (Easyjet plc, 2008). Ryanair took the delivery of 30 new aircrafts bringing its total to fleet of 220 aircraft which amounted to  £97.1 million towards capital expenditure incurred for the year. Both the airline has an expansion plan which clearly shows in their adding of more aircrafts to their existing fleet. Ryanair has raised finance through the mortgage of their aircraft, with a book value of  £3,061.5 million as collateral security for finance generated through loans for purchase of next generation 737-800 Boeing aircrafts (Ryanair plc, 2008). Ratios The calculated ratio analysis establishes the relationship between stated totals within the Balance Sheet, Cash Flow Statement and Income Statement to establish the base of Evaluation for financial performance between Easyjet plc (Easyjet) and Ryanair plc (Ryanair). The three main areas of Strategic analysis include Profitability, Liquidity and Efficiency as well as Gearing and Investment. Consideration of the ratios reflects the performance of Easyjet in achieving strategic goals in comparison to Ryanair and other rivals. The ratios are in the table format and the implications are discusses below (Moon Bates, 1993). Ratios RYANAIR EASYJET 2008 2007 2008 2007 Profitability ROCE 9.20% 9.86% 5.78% 12.08% Net Profit Margin 16.17% 20.16% 4.66% 11.23% Goss profit margin 19.79% 21.09% 3.85% 9.57% ROSF 15.61% 17.15% 6.51% 13.22% Liquidity Current Ratio 1.53 Times 2.02 Times 1.56 Times 1.88 Times Acid Test Ratio 1.53 Times 2.02 Times 1.56 Times 1.88 Times Gearing Ratio 47.55% 44.47% 41.53% 39.19% Interest Cover Ratio 5.53 Times 5.09 Times 3.36 Times 6.70 Times Efficiency Ratio Earnings per share 20.67 22.56 19.84 36.61 Wage Cost (%) 10.51% 10.13% 11.14% 11.36% Other ratios Debtors Collection days 4.6 days 3.82 days 21.55 days 34.2 days Creditors Payment days 17.39 days 8.94 days 11.97 days 8.04 days Source: Easyjet Plc.2008 Ryanair Plc, 2008. The financial ratios provide a quick and relatively simple means of assessing the financial health of the organisation (Atrill Eddie, 2006). Evaluation: To complete the CORE model an evaluation of the two airlines has been prepared with a succinct summary of the main findings of the report including key recommendations identified. Both airlines have reduced profit margins with Easyjets profit margin gap is significant in compared to Ryanair. The decline in the profit is mainly due to an increase in administration cost as previously reported. The main contributing factor is 66% increase in the fuel cost when compared to 2007 whereas Ryanair had only 14% in increase in fuel cost due to its effective (73%) hedging policy on fuel charges. Neither airline released dividend payments for 2008. To reduce short-term earnings volatility Easyjet has put the following fuel and currency hedging positions in place: 66% of anticipated 2009 funding requirement is hedged at  £1.96/ £,an additional 5% of requirement are hedged with collars with average floors of  £1.73/ £ (of what Shinde per sq metre); 56% of 2009 capital expenditure relating to aircraft deliveries hedged at  £1.97/ £; 81% of anticipated 2009 euro surplus hedged at à ¢Ã¢â‚¬Å¡Ã‚ ¬1.24/ £. (Easyjet plc, 2008). Easyjet has also achieved a positive trend through reduced wage costs in comparison to Ryanair, which is a consistent consideration to maintain during an economic downturn to ensure competiveness with Ryanair. The operating profits for Easyjet were lower due to incurred advertising costs which were high in comparison to minimal advertising costs incurred by Ryanair and recorded as zero within the Income Statement. Online booking for Ryanair is greater than 90% which results in a small operating expense towards marketing. In contrast to Ryanair, Easyjet is applying a long term strategic approach to maximise revenue through advertising in the media and other channels to inform customers of their service value with competitive low fares. The acquisition costs for integrating GB Airways costed at  £12.9 million in 2008 which is going to reflect as an expense on next years income statement will assist Easyjet to increase profit margins. Easyjet has also increased ancillary revenue which will assist the company to mitigate its corporate risks through diversification of activities. Both airlines use the straight line method for calculating depreciation due to which Easyjet is showing 33% increase in its depreciation cost versus Ryanair 22% increase in depreciation. In relation to Easyjet the depreciation cost is high due to the acquisition of GB Airways with additional assets to be depreciated. The interest cover ratio, which is used to determine how easily either airline can pay interest on outstanding debt, was calculated by dividing each airlines revenue before interest and taxes with ratio. The interest cover ratio has declined dramatically for Easyjet by 3.34 times when compared to Ryanair which increased by 0.44 times. Thus the decline in Easyjets interest cover ratio can be explained through an increase in borrowing and combined with a dramatic decline in profitability in 2008. The lower the level of operating profit coverage, the greater the risk to lenders that interest payments will not be met, and the greater the risk to the shareholders that the lenders will take action against the business to recover the interest rate. Whilst Ryanair has its maintained a preferable interest cover ratio in comparison to Easyjet due to the profit  £429,664 achieved despite high borrowings. Easyjets Interest cover ratio was not as favourable due to their profit margins of  £910,000 despite achieving a preferred gearing ratio in comparison to Ryanair. The gearing ratio refers to the relationship between the amount of fixed interest capital and the amount of equity within each airline. Ryanair has increased from 44% (2007) to 47% (2008) primarily due to an increase of long term debts at 13% in 2008. When the value of debt capital is more than the value of equity as in Ryanairs situation the organisation is highly geared due to significant borrowings of  £1,814.57 increasing the risk of becoming insolvent in the medium to long term particularly if the economic downturn continues. Ryanair is raising finance for operational activities at the expense of an increased gearing ratio from 9.32% in 2007 compared to 39.96% in 2008 due to a decrease in profit margins (Ryanair Plc, 2008). Whilst, the gearing ratio for Easyjet increased to 41.53 % (2008) from 39.19 % (2007) this is primarily attributed to the acquisition of GB Airways. The future gearing for Easyjet will reduce due to consolidation of activities whereas Ryanair increased gearing is attributed to the intended acquisition of Aer Lingus, purchase of market shares and investment within operational activities. It would therefore appear that Ryanair have exhausted the potential to achieve future funding due to their current gearing ratio whereas Easyjet focus is towards consolidation of activities with an increase in profit margins anticipated in 2009/10. Easyjet have increased current liabilities in terms of aircraft maintenance cost and derivative financial instruments (hedging losses) that have generated a reduction in the current ratio combined with the acquisition of GB Airways. Whilst Easyjet can access significant cash and liquid investments to mitigate the risk of business disruption events of approximately  £863 million as at 30 September 2008 this excludes restricted cash of  £66 million for short-term liabilities. Whereas the cash balance for Ryanair has improved it is only through analysis of the ratios that a downward trend is developing due to an increase in current liabilities within derivative financial instruments. Ryanair utilises derivative financial instruments to hedge against losses by anticipation of future price increases concerning predicted variability in cash flows of an asset, liability or a highly probable forecasted transaction. A significant contribution for an increase in the current ratio for Ryanair is the increase in maturity of debts. Both Ryanair and Easyjet have a similar acid ratio due to absence of stock or inventories within their published balance sheets. The sales revenue per employee ratio identifies how each airline is utilizing their employee productivity with an increase generally reflective of efficiency with management establishing additional key performance indicators for staff to achieve. As previously detailed on the ratio comparison table, Ryanair has increased sales revenue per employee. Return on capital employed identifies the relationship between the operating profit and average long term capital invested and is significantly reduced for Easyjet due to long term liabilities yet this is recognised as a temporary phase following the GB Airways acquisition as well as undertaking airline operations within a competitive market. Achieving a profit within an economic downturn combined with adjustment of the hedge reserve will enable Easyjet to improve their effectiveness in 2009/10. In contrast, the capital redemption reserve for Ryanair has increased due to purchasing previously released equity shares as well as increasing long term liabilities with various financial institutions and established primarily on the basis of guarantees granted by Export-Import Bank of the United States to finance the acquisition of 107 Boeing 737-800 as a next generation aircraft. Whilst having less favourable ratios than Easyjet the funding provided by the Export-Import Bank of the United States for Ryanair is attributed to the bank emphasis to support the financing of U.S. goods and services (Trade Finance, 2004). It could also be suggested that the purchase of previously released shares by Ryanair was implemented to prevent another airline purchasing Ryanair shares due to their perceived vulnerability since the continued reduction of operational costs is not a sustainable activity. The Debtors Ratio identifies the effectiveness of a debt collection routine and within the competitive low fare airline industry, efficient ratios would be anticipated especially when the focus is towards cost reduction measures and borrowing finance is a chargeable activity. Ryanair has an excellent debtor collection policy with a minimal increase 0.78 days in 2008. This could also be reflective of the absence of available liquid reserves within a business to increase the availability of working capital and reduce finance borrowings. In contrast, Easyjet debtor ratio can be optimised from 12.65 days in 2008 to improve the availability of working capital within the business and limit borrowings. In comparison of the two airlines, Easyjet could improve their debtor ratio to seven days for efficiency purposes whereas Ryanair requires a constant focus on their debtor ratio analysis due to availability of working cash and requirement to minimal all non-essential costs. The Creditors Ratio provides an alternative perspective on how the two airlines consider their debt considerations. Ryanair creditor payment period is 8.45 days and therefore due to the volume of activities there is the availability of finance for other activities for an average of 8.45 days until payment/settlement is issued. Through utilising the credit payment period as a temporary borrowing option there is the perceived high risk that funds for payment could become committed and rather than generating revenue growth, funds are being juggled. In contrast the creditor payment period for Easyjet is 3.93 days restricting the availability of working capital to be paid to creditors rather than using it for day to day operations. In summary of the ratios selected for comparison the creditor and debtor ratios is reflective in general of how each airline is approaching their activities. Ryanair is quick to require settlement from debtors due to their restricted borrowing availability and uses a period of 8.45 days as an opportunity to generate additional revenue prior to settlement. Depending upon the volume of finance available within this period, Ryanair is anticipating the generation of additional revenue through hedging activities and received interest returns. In contrast, Easyjet is quick to make settlement as a creditor and less e

Motivation Techniques for Businesses to Motivate the Work Force Essay

Motivation Techniques for Businesses to Motivate the Work Force Introduction ============ For this assignment I am going to look at different motivational techniques that businesses use in order to motivate their work force, I will then decide on which I feel to be the most effective and why it is so effective. Hypothesis ========== All businesses want a motivated workforce, and expend a lot of time and money in order to attempt to achieve this, what these people need to look at is the common goals that there employees hold, for example: Self-esteem: needs for self -respect and self-confidence, for autonomy, for achievement, for competence, for knowledge. Status: needs for recognition, for appreciation, for the deserved respect of others. These needs tend to be at the top of most employees priority list, once these are fulfilled the employee will be happy and therefore motivated, e.g. if a worker is appreciated and competent in their job, they tend to be happier and therefore more highly motivated, but if they do not fully understand their job, and do not feel appreciated for what they do, they tend to feel unhappy and under perform. It is only recently that employers have learnt to be more like coaches then law enforcement officers in the workplace, they have discovered that it is far more effective to praise an employee rather than punish them, and give them constructive criticism rather than shout at them Another factor that strongly affects employees' motivation is security, if an employee feels secure in their job, i.e. have a permanent position there than they will be a lot happier and therefore ... ...y would much rather be payed a reasonable salary in a job they enjoy instead of a high salary in one that they don't. The perfect worker in my view is somebody who enjoys what they do, and therefore does it well. Evaluation ---------- I have come to the conclusion that happiness is the key to the perfect workforce because as they say 'a happy worker is a good worker.' I also feel that we have only scratched the surface of motivation in the workplace, it is only now that people have realised due to being open-minded just how huge a part psychology has to play in the effectiveness of a workforce, and there are still bosses that believe that discipline is the way to go rather than encouragement, so if these people could open their minds I think that the world of work would be better for employees everywhere.

Economic Impact Of The Disease Health And Social Care Essay

Whooping cough whooping cough is a contagious respiratory piece of land unwellness caused by a fastidious Gram negative coccobacillus, Bordetella whooping cough, or on occasion B. parapertussis ( Edmunds et al. , 2002 ) , with sole affinity for the mucosal beds of the human respiratory piece of land. It is a vaccinum preventable disease recognized world-wide as a extremely infective disease with important associated childhood morbidity, showing clinically as pneumonia, purging, choking enchantments, ictuss, encephalopathy and decease ( Galanis et al. , 2006 ; Health Canada, 2005 ; [ 2 ] . Globally, an estimated 50 million instances of whooping cough disease and 300,000 pertussis- related deceases occur yearly, largely among babies who are excessively immature to hold completed the primary inoculation series ( Halperin, 2001 ) . In the past decennary, an addition in the incidence has been observed in many developed states combined with a displacement in the incidence towards older age groups which may be related to increased consciousness, alterations in disease susceptibleness and vaccinum features, switching demographics, and familial fluctuations [ 2 ] . Although whooping cough is more terrible in babies and immature kids, the increasing incidence in striplings and grownups is a major concern as grownups are an of import beginning of transmittal to babies, infection in grownup cause ‘s important morbidity and high costs [ 3-5 ] . Stoping immunisation with whooping cough vaccinum in Sweden in a antecedently extremely immunised population resulted in the revival of the disease ( Mortimer 1988 ) . By 1994, an estimated 71 million whooping cough instances and 626 whooping cough deceases were being prevented worldwide each twelvemonth through immunisation ( Ivanoff & A ; Robertson 1997 ) . In the absence of an immunisation programme 80 % of lasting neonates would get whooping cough in the first five old ages of life ( Fine & A ; Clarkson 1984 ) . Due to concerns about safety and efficaciousness of whole-cell whooping cough vaccinum ( Romanus et al. , 1987 ) , diphtheria-tetanus-acellular whooping cough vaccinums ( DTPa ) were included in the Swedish inoculation plan at 3, 5 and 12 months of age in January 1996. Vaccination coverage quickly reached more than 98 % and an intensified clinical certification of reported laboratory-confirmed whooping cough in preschool kids started in October 1997. Sweden is a Norse state in Northern Europe, bordered by Norway on the West and Finland on the E, connected to Denmark by a bridge-tunnel across the Oresund. It is the 3rd largest state in the European Union by country, holding a entire population of about 9.5 million and population denseness of 21 dwellers per square kilometre.Whooping cough Incidence in Sweden before and after debut of noncellular whooping cough vaccinumsThe incidence rates of whooping cough after the debut of noncellular whooping cough vaccinum were markedly lower compared to before debut ( See graph 1 ) . The decrease of the incidence of whooping cough was most marked in the age groups covered by the three doses of DTPa at 3, 5, and 12 months of age ( 1-2-year-old in 1998 to 1-4-year-old in 2000 ) , with highest incidence happening among babies who were unvaccinated or had received merely 1 dosage of diphtheria-tetanus-acellular whooping cough vaccinum. The incidence among unvaccinated 0-2-month-old kids was 235 p er 100,000 individual old ages compared to an mean incidence of 337 per 100,000 individual old ages in that age group during the 10-year period 1986-1995 before debut of DTPa ( RR 0.70, 95 % assurance interval ( CI ) 0.59-0.83 ) . In kids who had received merely one dosage of whooping cough vaccinum the incidence was 230 per 100,000 individual old ages and including all kids in the age group 3-4 months the incidence was 304 compared to an mean incidence of 677 per 100,000 individual old ages in that age group during 1986-1995 ( RR 0.45, 95 % CI 037-0.54 ) . A pronounced diminution of the reported incidence occurred after the 2nd and 3rd dosage of DTPa. After the 2nd dosage the incidence was 52 per 100,000 individual old ages. In to the full vaccinated kids ( three doses of DTPa ) the incidence was 11 per 100,000 individual old ages in kids below 2 old ages of age and 37 per 100,000 thereafter. Decreases were besides seen among older preschool-age kids, in the age groups 25-34 old ag es of age and in the +35 age groups, but non among kids aged 7-19 old ages. Degree centigrades: Documents and SettingsAdministratorDesktopEdinburgh hebdomad 1ASSIGNMT 2Important also1-s2.0-S0264410X02007776-gr1.gif The one-year incidence of culture-confirmed B. whooping cough was 89-150 per 100,000 before debut of noncellular whooping cough vaccinums. After a rapid bead in 1996-1997 the overall one-year incidence reached 17-26 per 100,000 individual old ages. The overall incidence of notified culture- and polymerase concatenation reaction-confirmed whooping cough dropped from 113 to 150 per 100,000 during 1992-1995 to 11 to 16 per 100,000 during 2001-2004. In countries of enhanced surveillance, the incidence of whooping cough was 31 per 100,000 person-years after 2 doses and 19 per 100,000 person-years after the 3rd dosage at 12 months of age. The age-specific incidence remained low for about 5 old ages after the 3rd dose but increased in kids aged 6 to 8 old ages, going 32 and 48 per 100,000 person-years, severally.Hospitalization due to pertussisDuring the period of 1997-2000, there were 145 hospital admittances due to culture-confirmed whooping cough among kids born 1996 or subsequently, dem oing an overall incidence of 18 hospitalizations per 100,000 individual old ages. Most of these kids were unvaccinated ( n = 116 ) , out of these, 97 including two deceases were below 3 months of age ( incidence 158 per 100,000 individual old ages below 3 months of age ) . There were 25 hospital admittances among kids with whooping cough who had received one dosage of DTPa ( incidence 61 per 100,000 ) , and four among kids above 5 months of age who had received two or more doses of DTPa ( incidence 0.6 per 100,000 ) . The continuance of infirmary stay was longer in the unvaccinated kids compared to the immunized kids: hospitalization for more than 1 hebdomad was seen in 49 % ( 57 of 116 hospital admittances ) among unvaccinated kids, compared to 24 % ( 6 of 25 ) among kids who had received one dosage of DTPa, and none among the four hospitalized kids who had received two or more doses of DTPa.Economic impact of the diseaseWhooping cough may be a drawn-out, terrible and awful disease ensuing in serious sequelae, doing a considerable hurt to both the kid and the household as a whole ( Johnston et al. 1985 ) . Due to the long- permanent class of the disease, the patients are exhausted, lose appetency and weight, and have disturbed dormant wonts. Behavioral alterations observed in whooping cough patients include crossness, anxiousness, and reverses in development ( Mark & A ; Granstrom 1992 ) . The disease hence becomes a â€Å" household matter † ( Mortimer 1990 ) because of societal and economic effects for the stricken households. Episodes of choking, apnoea or cyanosis in sick kids are straitening events for the full household. A survey reported disturbed slumber for 78 % of parents, with 53 % holding to go to to the kid 4 times or more each dark ( Mark & A ; Granstrom 1992 ) . The economic effects of the disease include disbursals for medical visits and drugs, and the demand to remain at place from work for a drawn-out period to take attention of the s ick kid. Meanwhile the cost of a non-hospitalised instance of whooping cough in Sweden is non documented, some European states has been estimated at ?22 per visit ( Netton and Dennet, 1999 ) and a 10-day class of Erythrocin at ?4.40 ( eBNF-36 ) . Hospital stay due to pertussis would be on mean 5 yearss at ?297 ( Netton and Dennet, 1999 ) per twenty-four hours plus extra follow up GP audiences, numbering ?1529 per patient, once more, approximately 12.5 % of hospitalised instances require specializer attention, sing on mean 4 yearss pediatric ITU attention for complications of whooping cough at ?1065 per twenty-four hours ( www.doh.gov.uk/nhsexec/refcosts/refcost2000.pdf ) and 12 yearss general ward stay, numbering ?7868 ( Matt et al. , 2001 ) . In the 1980s, the hospitalization rate attributable to pertussis in Sweden was 12 to 18 per cent for all ages ) and the average continuance of infirmary stay was 8 yearss for babies younger than 6 months, 6 yearss for kids 6-11 months of age, and 4 yearss for patients older than 12 months ( Romanus, Jonsell & A ; Bergquist 1987 ) .Issues coming upLong-run effectivity of this inoculation plan showed increased incidence of whooping cough among 7- to 8-year-olds ( i.e. chiefly noncellular whooping cough vaccine-vaccinated kids ) . This shows waning of vaccine-induced protection from whooping cough. There is a attendant addition in incidence among babies, most probably infected by older siblings, hence inoculation schemes need to be reinforced. Expanded inoculation should hold included adding supporter doses to bing childhood agendas ( preschool or stripling ) ( Gustafsson et al. , 2006 ) . Vaccine boosting has had marked possible benefits in several European states, Canada and USA ( aˆÂ ¦aˆÂ ¦aˆÂ ¦aˆÂ ¦aˆÂ ¦.. ) . Attempts should be directed to increase or keep coverage of babies with three doses of DPT vaccinum at 90 per cent or higher. Surveillance of whooping cough morbidity should be strengthened and, ideally, whooping cough should stay a reportable disease. Inoculation agenda should hold besides included specific grownup subgroups that have the highest hazard of conveying B. whooping cough infection to babies ( i.e. , new parents, other contacts of neonates, and wellness attention workers ) . Reported informations based on hospitalized instances may endure from disproportional representation of terrible instances in younger kids and babies. During eruptions, describing rates may increase because of temporarily enhanced consciousness of doctors, anxiousness in the community, and media attending ( Crombie 1983 ) . Merely an approximately 5 to 25 per cent of all whooping cough instances are reported in Developed states ( Jenkinson 1983, Hinman & A ; Koplan 1984, Clarkson & A ; Fine 1985, Thomas 1989 ) and is disproportionately higher for hospitalized patients with authoritative, laboratory- confirmed disease ( Centers for Disease Control 1990 ) .DecisionMeeting the GIVS ends would intend protecting kids against 14 diseases which include whooping cough among others. With 90 % of kids under-five old ages old vaccinated against whooping cough among others, by 2015 immunisation could forestall an extra two million deceases a twelvemonth in this age group, doing a major part to meeting MDG 4. While the impact on child deceases entirely would be sufficient justification for the usage of vaccinums, the decrease of long-run disablement among kids and the cost nest eggs from decrease in clinic visits and hospitalization more than warrant their usage in kids everyplace. By maintaining kids healthy, immunisation lengthens life anticipation and the clip spent on productive activity, and thereb y contributes to a decrease in poorness ( MDG 1 ) . Harmonizing to Harvard School of Public Health squad â€Å" Healthy kids execute better at school and healthy grownups are both more productive at work and better able to be given to the wellness and instruction of their kids. Healthy households are besides more likely to salvage for the hereafter ; since they tend to hold fewer kids, resources spent on them go farther, thereby bettering their life chances † ( Bloom et al. , 2005 ) .

Boston Tea Party essays

Boston Tea Party essays When the Boston Tea Party occurred on the evening of December 16,1773, it was the culmination of many years of bad feeling between the British government and her American colonies. The controversy between the two always seemed to hinge on the taxes, which Great Britain required for the upkeep of the American colonies. Starting in 1765, the Stamp Act was intended by Parliament to provide the funds necessary to keep peace between the American settlers and the Native American population. The Stamp Act was loathed by the American colonists and later repealed by parliament. However, the British government quickly enacted other laws designed to solve monetary problems. Each act was met with resistance. The Boston Tea Party was the final act of focused rage against a Parliamentary law. In 1773 the Tea Act was passed. The Tea Act not only put a three penny per pound tax on tea, but it also gave the British East India Company a near monopoly because it allowed the company to sell dir ectly to the colonial agents avoiding any middlemen. In Boston the colonists held a town meeting to try to get their Tea Agents to resign. The Tea Agents would not resign and a few months later angered Bostonians dressed as Indians boarded three tea ships and dumped it all into Boston Harbor In Conclusion, the Americans were well organized to resist new financial demands placed upon them by the British Parliament. In 1765 the secret organizations known as the Sons and the Daughters of Liberty were created to boycott British products. By early 1773 the assemblies of Massachusetts and Virginia had created the Committees of Correspondence, which were designed to communicate within the colonies any threats to American liberties. In April 1773 the British Parliament passed the Tea Act, which allowed the East Indian Company to undersell colonial tea merchants in the American market. The stage was set for a confrontatio ...

Willy Russell’s Popular Play Educating Rita Essays

Willy Russell’s Popular Play Educating Rita Essays Willy Russell’s Popular Play Educating Rita Essay Willy Russell’s Popular Play Educating Rita Essay No, So-so Macbeth brings it on himself? Ritas short sentences show her growing intrigue, but also reinforce her ignorance due to her social upbringing. All the way through prior to Frank speaking, he seems to be extremely hesitant when hes about to speak to Rita. Almost as if he doesnt want to patronise her with the technical language he uses, I. e. Well-erm look; Towards the end of the scene, Rita realises her own ignorance towards these ertain aspects of language. Frank says, Its quite easy really, Rita. And Rita replies, It is for you. I just thought it was just a dead exciting story. But the way you tell it, you make me see all sorts of things in it. Its fun, tragedy isnt it? All them out there, they know all about this sort of thing dont they? . Rita thinking tragedy is fun is most certainly unintentionally ironic. In addition I think Rita is impressed with Franks knowledge, although Frank is more in admiration for Rita, as he rarely comes across people that equal her calibre of intelligence. What he doesnt realise is that whilst hes appy teaching Rita now, he is slowly changing Rita in to the person she dreams of being. Frank likes Rita as she is, and admires her because shes different, So if Frank had the benefit of hindsight, perhaps he wouldnt of put so much effort into teaching Rita. Shortly after the above scene, Rita and Frank are again alone and in one of their lessons. Rita is daydreaming, she likes the idea of being a proper student. She looks down onto the lawn below Franks office as she says, I love that lawn down there. In the summer do they sit on it? Here we can see Rita is becoming very envious of the students. She admires their lifestyle and her need to become one of them is slowly becoming clearer. Frank however sees the students as nothing but mislead inhabitants of a rich snobbish culture, and he barely shows any respect for them. But as the scene unfolds, Rita starts to describe her school life to Frank, and we can he that he starts to realise that not many people have access to an education, for many different reasons. Nah, just normal, y know; borin, ripped up books, broken glass everywhere. Knives an fights. An that was just the staff room. Nah, they tried their best I suppose, always telling us we stood a better chance if we studied. But studying was for the wimps, wasnt it? See if Id started takin school seriously Id a been different from my mates, and thats not allowed. Here the audience get a vivid picture of what Ritas school life was actually like. The peer pressure was obviously immense, and so now is the only time in Ritas life, she has had the chance to admit her true feelings and ambitions. She is again using humour as a vehicle for serious issues, always trying to make light of her dismal past. There was clearly no work ethos in Ritas school, and so now she desperately wants to regain that opportunity of having an education. In Ritas last speech of the scene, she reveals that despite her poor and uneducated background, she would always question life. She says that there was always something tappin away, telling me I might have got it all wrong. So in other words Rita would think philosophically about life. She was reluctant to be in the position and lifestyle she was in. Therefore we understand that she had the definite potential to become what she wanted, to find her play in life. Despite these rattling questions inside her head, she didnt believe she was capable of breaking out of her current situation. And so shed hide away her eeling by telling herself lifes great or by going out shopping to take her mind off things. It was these things that kept Rita going, they stopped her putting life into perspective. Towards the end of the play Frank seems to have had enough. With himself, with Ritas ever growing education, and with his routine life. His drinking habit has reached its climax, and Rita cant bear him any longer. Rita appreciates what hes done for her, although she doesnt like his constant self pitying and the way he seems to exploit his god given gift. At the beginning he liked Rita because she was fresh, now shes educated like ll his other students and he doesnt like that. Rita accuses Frank of taking for granted the things in which she has worked so hard for. Its little to you who squanders every opportunity and mocks and takes for granted. But of course for Frank every lesson was simply an escape, and now Rita has changed into the very person she destined to be. And Frank has been stripped of that luxury weekly lesson. What seems more interesting is that Frank has come away with nothing and Rita has come away with an education. The irony here is that Rita is the only one who really understands and has insight into Franks character. He is just unaware of how he squanders every opportunity and mocks and takes for granted. All the way through this scene Frank is drunk, and so we assume the insults which toll of his tongue are spontaneous and perhaps a little rash. I think hes just annoyed that she is such a changed character. He was so found of the fresh an innocent woman who first walked through his door. She stimulated him, made him look forward to the next lesson. His life was definitely much better when Rita was around, and he depended on her for company and perhaps arousal. At this point in the play Rita just doesnt understand why Frank is acting the ay he is. She doesnt know how he relied on her for certain things, those things which he couldnt find anywhere else. Another speech by Frank which is so cleverly written by Willy Russell and is most certainly for me a very moving part of the play. Comes after the accusation by Rita when Frank says. Found a culture have you, Rita? Found a better song to sing have you? No-youve found a different song, thats all-and on your lips its shrill and hollow and tuneless. Frank is absolutely right in what hes saying. The fact that Rita is now educated doesnt mean she has found a better song to sing at all. She has just most definitely found a different song. For some people, like Rita, who are brought up on a poor inner city estate. The life which Frank is living will most certainly be seen as better. But for people like Frank, well off intelligent people, who come from the same descriptive background, they may well, as Frank is, be in admiration for the lifestyle in which Rita came from. The final point in which I am going to talk about, brings us to the lesson after Rita has been to Franks party, but couldnt bring herself round to going inside. She walks into Franks office and we get the impression shes very fed up with erself. She feels as though shes the odd one out. Well you wouldnt take sweet sparkling wine, would y? She starts to make excuses and tells him that she brought the wrong wine. We can sense very clearly Ritas frustration. Additionally we know that Rita felt very uncomfortable around Franks other guests, the well educated guests wearing the correct attire. She clearly feels she cant fit in and we again see the contrast in social background. She says, But I dont want to be myself. Me? Whats me? Some stupid little woman who gives us all a laugh because she thinks she can learn, because she hinks that one day shell be like the rest of them, talking seriously, confidently, with knowledge, livin a civilized life. The above quote reveals many things about Rita, fairly early on in the play. Rita is feeling down after seeing the contrast in characters between her and Franks other guests. She perhaps feels as though shes fighting a lost cause in life. Frank tells her to be herself although this is the exact opposite person Rita wants to be. Shes becoming educated in order to change who she is. However this reinforces how Frank just wants Rita as she is, and cant understand the eed for her to change. This point of Frank being perhaps unaware of how Rita is changing, is brought up many times throughout the play. Which tells us that perhaps theres a hint of dramatic irony in that he just doesnt catch on. And towards the end Rita changes and leaves Frank behind. To dwell on where it all changed so suddenly without him realising. So we can finally appreciate the both sides of a very cleverly and wittily written play. Willy Russell tells almost two stories in unison, and the audience can digest both of them, with utter intrigue and admiration.

Micro economics price in a competitive market Essay

Micro economics price in a competitive market - Essay Example A sales subsidy, paid on a per unit basis to sellers, creates a subsidy wedge between the price that the market will pay (P1), and the price that the suppliers will receive (P2). The per-unit subsidy will also shift the supply curve to the right, from S1 to S2, depending on the magnitude of the subsidy. The benefit of the price subsidy is usually shared by the market buyers and the suppliers, with the allocation of the benefits depending on the balance of the elasticities of the demand and supply for the product. B. From society's point of view, the per-unit subsidy paid to the sellers will prove to be more beneficial than the statutory minimum price that is set above the market-clearing price. The subsidy shifts the supply curve to the right, and provides either (or both) the buyers (market) and the sellers (suppliers) benefits from the subsidy. On the other hand, the price floor set above the market-clearing price creates surpluses, leading to an inefficient allocation of resources and to the unfortunate scenario where the government will be forced to purchase the surplus goods.

International relations Essay Example | Topics and Well Written Essays - 500 words - 8

International relations - Essay Example Putting the land on market would eventually replace the conflict over land just like the way some African nations have dealt with this issue (Ross 51). The rent should not be paid to the Palestinian or Israeli governments, but the two countries should establish a union of the two governments (Selby 79). The means that I could you to persuade the two states of my plans are revealing to them the results that they would expect and how it would affect them positively. The Palestinian or Israeli land issue has been long going and, in some cases, has lead to actual battles (Dershowitz 23). Therefore, with the two government busy trying to find solutions, I will present to them an already tested theory, which will help them come up with an effective solution. The concept of land sharing was introduced long ago in the 50’s and has worked to this date for communities, which have implemented it; therefore, if Palestine and Israel tries this, then they might be successful in their endeav ors (Selby 79). The peaceful settlement of disputes is one of the most significant tasks of the UN. The UN Charter specifies that it is the duty of the organization to peacefully arbitrate international disputes or situations that may cause a breach of international peace (Abdulrahim 1). To this end, the UN Charter offers a structure for the peaceful settlement or tuning of global disputes or situations in which the wide skill of the UN, in this matter, is set and the matching goals of the United Nations members are imposed (Piotrowicz 15). This system is defined largely in Chapter VI of the UN Charter (Dixon 31). The chapter contains the UN mechanism for the peaceful settlement of any kind of dispute. Article 33 necessitates the groups to a dispute, the continuation of which is expected to jeopardize the preservation of international security and peace, to settle such a disagreement through any of the detailed peaceful means therein (Abdulrahim