Georges Trains A Conservative Approach

It will recommend areas of improvement to endure success. Lastly, this paper revised conclusion on the overall capital budgeting analysis Of George's Trains. Key words: working capital, investing conservatively, pitfalls Working Capital Practices of George's Trains George's of George's Trains started his business as a conservative investor. He understood and applied this practice properly; as a low-risk, low-return strategy. As an investor, George understood the two definitions by which to invest conservatively.First, a conservative investment is one that carries the greatest likelihood of preserving the purchasing power of one's capital with the least amount of risk. Second, George knew what a conservative investment was, and then followed the course of action needed to properly determine whether particular investments are indeed conservative investments (Gad, 2014). George did not have the background as an entrepreneur so he needed to have a safety factor to be able to weather mark et storms better than his competitors is.With this, he needs to have a low cost of production (Gad, 2014). When a bad year hits George's Trains, the chance of still churning out a profit or reporting a smaller net loss is achievable. A company that cannot compete by staying abreast of market hanged and trends is doomed in the end. George realized this and moved to expanding his product line outside of a one-man band – trains! Finally, management should possess financial skill (Gad, 2014). George relied on his bank and trending past years as well as utilizing the books from the previous owner.In doing this, George is able to maximize his return on investment capital, and other important components of business success (Gad, 2014). Beware Of Potential Pitfalls George realizes that model trains are seasonal. With that in mind, George orders inventory based on demand and utilizes past reports on trends. When business is slow, he decreases his inventory so he is not tying up his ca pital. When he sells an item, he makes sure that the replacement is ordered before the shelf is empty. This ensure maximum cash flow in his business.Managing working capital is the operational side of budgeting. When businesses put a budget together, they anticipate future cash flow and the timing of that cash flow. This planning is critical, especially in small businesses and practices (Kelly, 2014). Another pitfall that George realized was â€Å"The people Factor† (Moody, 2014). He realized that in order to be successful he added to cultivate his loyal customer's that used to come to his home business, as well as building a broader base.

Mattel and Toy Safty Essay

In 2007, the Mattel toy company recalled around 20 million of its toy products do to contamination of lead in the paint and safety issues dealing with parts of its products (magnets) that was manufactured in China. The Mattel Company is considered the â€Å"global leader’ in toy manufacturing with over 30,000 people employed in over 40 countries and operates in more than 150 countries. The Mattel Company faces the dilemma a lot of companies face when using overseas manufacturing. If not closely monitored, they can and will cut corners which could put the company at risk. Who is responsible for the safety of children’s toy and who should be held accountable? An Analysis of the Mattel case study should reveal who is and who isn’t. 1. Do you believe that Mattel acted in a socially responsible and ethical manner with regards to the safety of its toys? Why or why not? What should or could Mattel have done differently? The study case of the Mattel Toy Company’s toy recall is a difficult one to call. The company went over and beyond to make sure that its products where safe for the public. The case study states that in 1997, the Mattel Company developed a â€Å"code of conduct† which included a wide range of ethical issue such as child safety laws, safety and health regulations. Mattel went as for to hire Professor S. Prakash Sethi, who is the head of a non-profit organization by the name of the International Center for Corporate Accountability which conducted audits on Mattel facilities. Mattel was also recognized by Forbes Magazine as one of the most trustworthy U.S. companies and was also recognized by CRO Magazine as one of the best corporate citizens out of 100, so they had built a reputation for being a solid socially responsible and ethical company. Ethics can be defined as moral principles that guides the way a person or a business behaves. Social responsibility is an ethical theory, that a person  or a business has an obligation to benefit society as a whole. Basically the products or actions of a person or a business should be a benefit to society and The Mattel Company took pride in being just that. Even though Mattel had to recall a lot of its products, I do believe they acted socially responsible and ethically. Mattel tested its products in their own testing facilities and in other special test labs to ensure the safety and quality of its products, and had specifically targeted lead based paint. Once Mattel found out that some of its products contained harmful lead based paint and the magnets in some of its products could be a safety concern, the company had an immediate recall of the products contaminated. Mattel used several outlets such as the Consumer Product Safety Commission, regulating agencies from all over the world and newspapers to address the issue of the lead based paint in its products and the magnet problem. Mattel also made it possible for consumers of their products to have access to outlets in which they can return the contaminated products for a refund or a safer replacement product. Mattel did do a lot to ensure the safety and quality of their products, but, they could have taken even further steps to avoid this situation. For one, Mattel should has done research on the on the Chinese firms outside contractors. Even though some of these contractors had been audited, they replaced the approved paint for the lead based paint. So Mattel should have kept a closer eye on these subcontractors in order to maintain their good image with society. Mattel cannot be solely at fought for this recall; the Mattel Company was also a victim in this situation. 2. Who or what do you believe was responsible for the fact that children where exposed to potentially dangerous toys? Why do you think so? This is a hard question because there are several entities that can be blamed for this recall. Number one is those that are responsible for consumer product safety. The Consumer Product Safety Commission (CPSC) is an independent federal regulating agency who assumes the responsibility of protecting the public from dangerous products. This agency was created in 1972 with the Consumer Product Safety Act. This Act gives the CPSC the authority to develop standards and bans on products. It is the job of this regulating agency to make sure that products are safe for public use, but it seems the dropped the ball on the Mattel toy recall. The case study states that the CPSC was severely underfunded and understaffed. The case study also states  that in 2007 the CPSC only had about 400 employees in which only 15 of them were investigators with the job of investigating products that come through the ports. Needless to say with the amount of product that come through the ports and the number of ports used in the U.S. to import and export product is too much for only 15 people to handle, also the CPSC only had 100 employees monitoring products on store shelves and only had a budget of 62 million. Another player that has responsibility in exposing children to potentially harmful products (toys) is the Chinese government. The enforcement of lead standards in China was not enforced, so the companies did as they wanted when it came to lead based paint. The magnet situation of more of a product design malfunction, according to the case study, so that can be easily taken care of, however, the lead base paint issue is one of enforcement. If the Chinese government had adequate enforcement of lead paint regulations, which is better than that of the U.S. at one point, this would have never been a problem for the Mattel toy company. The most responsible for this recall is the Mattel Company. Regardless of regulation inspectors and audits, they owe it to the stakeholders of the company to ensure that the products that they are manufacturing are safe. That is what social responsibility and ethics are based upon. 3. What is the best way to ensure the safety of children’s toys? There is no way to fully ensure the safety of children’s toys, but the best way is to enforce federal legislation on toy manufactures. This is a challenge because the majority toys in this country are manufactured in other countries such as China and Asia . Federal regulation can ensure that there are uniform standards for toy manufacturing. As of June 12, 2012, all manufactures and importers of children’s toy must comply with federal regulation. These toys must be tested for compliance of regulation and the testing must be done by the CPSC. It is also in the best interest of other countries to enforce regulation on toy manufactures. Since toys are a big export for other countries such as China and Asia, they would want to be in good standing with the U.S. by setting some standards on toy manufacturing. Consumer’s advocates groups need to stay involved in toy safety issues and provide input that can help set guidelines for federal legislation. The consumer advocates can influence regulation and keep the public informed on issues of child toy safety. In 2008, consumer groups such as the Consumers  Union, Consumer Federation of America, and Kids in Danger attended House and Senate conferences to push for a well-funded Consumer Product Safety Commission (CPSC). As a response to the demand of the consumer advocate groups, Congress acted by banning lead based products in children’s toys. This act of the consumer advocate groups is a perfect example of the interactive social system between corporations and society, the fact that they are so interdependent on one another that if action is taken by one it will affect the other (Lawrence & Webber, 2011, p.21). These stakeholders can have a profound effect on regulation of a company. The toy industry can also play a large role to ensure the safety of children’s toys. They can listen to input form stakeholders on issues that could make their products safer. They also can follow the requirements of the Consumer Product Safety Commission closely or even go a step beyond the CPSC regulations to ensure that their toys are safe for kids. The toy industry could also be shown as a leader in toy safety by collaborating with foreign manufactures to push their toy safety regulation to coincide with that of the U.S. standard. They could hold international regulation meetings and have input on the regulation of toy safety that can have influence on policy. These kinds of actions from the toy industry could give them a good standing with stakeholders and regulators both if they are viewed as being actively involved in the safety of the children’s toys that they are making. After all these are their customers and in business you are trying to acquire more customers not lose them, so these type of actions by the toy industry would only benefit them and the customers that helps make them the business’s that they are today. Since the increase of imported toys, the rate of injury to kids playing with toys has increased. Accountability of the toy industry is a must to bring toy safety to a minimum. Corporate negligence of the sub-contractors of toy manufactures need to be recognized and investigated thoroughly to insure toy safety. An article be the American Association for Justice (Playing with Safety: Dangerous toys and the Role of Americas Civil Justice System) states that â€Å"A Public Citizens analysis of consumer recalls found that companies waited an average of 993 days to inform the CPSC of defects, and the agency (CPSC) waited another 209 days before informing the public (American Association for Justice) of the dangerous toys. This is a little more than 3 years before the public is  informed of a toy health hazard by the toy industry and CPSC. The CPSC and the toy industry should be held responsible and held accountable for those that are put in danger by these toys. If both the CPSC and the toy industry are held accountable for the time laps of getting the information to the public it would improve toy safety. 4. What do you think is to best way for society to pr otect children from harmful toys? Specifically, what are the appropriate roles various stakeholders in this process? The best way to protect children from harmful toys has to be a collective effort between stakeholders, the toy industry, and government regulators. This collective effort can be beneficial to all. First, the federal government must fund the CPSC properly in order for it to function at a level in which it can handle the bulk of toys coming through our ports. I can see how the CPSC was overwhelmed with the task of making sure all toy products are safe before and after they hit the shelves. The CPSC was too understaffed and underfunded to be affective. At the time of the recalls, the CPSC’s power was limited to ensure the safety of children’s toys. According to an article written by Jo Hartely of the National News (Protecting Our Children from Toxic Toys), â€Å"The CPSC cannot legally test children’s products before sale and do not have the funds or capacity to do so if desired† (Hartley, 2008). This at the time really made it hard to ensure toy safety. Also, according to the article, another way to ensure toy safety is to revise the U.S chemical regulatory system. The article states that around 80,000 chemicals are cleared for use in everyday products and 2,500 are introduced every year. Most of these chemical have not been tested for potential health impacts on children or fetuses (Hartley, 2008). This is another flaw in the regulatory system that needs to be addressed to ensure toy safety and it will take a collaborative effort to make this happen. The appropriate role for the non-market stakeholder in this toy safety issue is to use the non-market stakeholder’s power to use resources to influence regulatory policy on toy safety. Stakeholder power is founded in the power that they have to vote for those that support regulations that they want to see enacted on toy safety. The can also utilize economic power in order to get there point across to the toy industry on toy safety. They also have the power to use civil suits against negligent toy manufactures that are selling harmful toys. Consumer advocate groups are also categorized as  non-market stakeholders. These groups can pull resources and get the word out about the negligence of a toy manufacture which could also persuade government entities to act. Groups such as the Consumer Federation of America, kids in danger and the Consumer Union have already influenced stricter regulation of the toy industry with success. The categorization of the federal government as a non-market stakeholder is still up in the air for most, but, the impact and role that the government has in the issue of toy safety is huge. The government can and has the power to regulate the toy industry to ensure toy safety. Regulating toy safety is not an easy task for the government and will not ensure that all toys will be safe, but, they can minimize the problem. One way they government can minimize harmful toys that may get in the possession of children is by funding the CPSC properly so that they can enforce the regulatory laws on toys safety. Between 2008 and 2011 the federal government passed regulations that give the CPSC more power to hold the toy industry accountable for toy safety. In 2008, the Consumer product Safety Act was amended in 2011 which gave the CPSC new found power to enforce regulation laws on the toy industry which included civil and criminal penalties for those that broke the laws of toy safety. It also included third party testing of toy products so that testing of the products was not left solely to the toy industry which could be manipulated as so the case of Mattel toys. The federal government also passed the Child Protection Safety Act, which protects children from choking hazards. This legislation requires warning labels on products that may present a choking hazard for kids and also mandates that manufactures, importers, distributors, and retailers to report certain choking incidents. Even though the Mattel toy company and CPSC regulatory agency made adjustments necessary to minimize children’s toy hazards. It was their duty and obligation toy insure that the products that they sold were safe for children to play with in the beginning. All though Mattel had an outstanding ethical and social responsible reputation, the ball was dropped on this issue in 2007. One reason was the expansion of manufacturing and production of their products to foreign countries that they could no keep a close eye on. All in all it is up to us all to ensure the safety of our children when purchasing toys for our kids to play with. We cannot solely leave it up to r egulatory  systems and toy manufacture; we also have to play our role in this issue. Reference American Association for Justice (2010). Playing with Safety: Dangerous Toys and the Role of America’s Civil System. http://www.justice.org/cps/rde/xbcr/justice/PlayingWithSafety.pdf Lawrence, A. T., & Weber, J. (2011). Business and Society: Stakeholder, ethics, public policy (13 Ed). New York. McGraw-Hill Companies Inc. Hartley, J. (2008). Natural News, Protecting Our Children from Toxic Toys. http://www.naturalnews.com/022991_toys_children_chemicals.html# U.S. Consumer Product Safety Commission. https://www.cpsc.gov/en/Regulations-Laws–Standards/Statutes/

Students With Learning Disabilities In The Classroom Education Essay

Baum, S. Owen, S. , Oreck, B. ( 1997 ) . Transfering Individual Self-Regulation Procedures from Humanistic disciplines to Academics. Arts Education Policy Review 98.4: 32 ( 1 ) . Retrieved from General OneFile April 06, 2010. What is the article about? This article discusses the correlativity between pupils with larning disablements in the schoolroom and their ability to constructively use themselves in other countries of instruction. Why was the research performed? The research was performed to demo that pupils could use self-regulation in humanistic disciplines instruction to their schoolroom surveies and could better their overall instruction public presentation. Findingss This article explores the research behind how pupils learn in the humanistic disciplines and how those methods of direction can be used to better instruction and teacher instruction. It has been shown that effectual humanistic disciplines direction encourages the development of single schemes and multiple solutions to jobs Strengths The article was broken down into easy digestible subdivisions that were easier to understand and measure. Failings The tabular arraies where non good developed and were difficult to follow doing the article less cohesive overall. Deductions for Practice Self-regulation occurs when pupils monitor precisely what they are making and compare their advancement to an internal criterion and have finally have assurance in what they are making. This can be developed by external environment factors and while everyone can profit from self-regulation it would be particularly of import for this accomplishment to be taught to underachieving pupils. Key words Dance and Society Citation Cote, P. ( 2006 ) . The power of dance in society and instruction: lessons learned from tradition and invention ; Rich dance experiences, and the dynamic tenseness between tradition and invention, supply a solid foundation for dance instruction. JOPERD — The Journal of Physical Education, Recreation & A ; Dance 77.5: 24 ( 10 ) . Retrieved from General OneFile April 06, 2010. What is the article about? This article addresses the links between society and dance instruction. The writer looks at how each interacts and alterations the other. She besides examines dance instruction teacher-training plans and there consequences. Why was the research performed? The writer presents the stuff on the footing of her experience and the function dance played in her life played a big portion in her research layout and presentation. Findingss The writer found that while reflecting on her old ages of find and learning her positions were confirmed that the apprehension of the humanistic disciplines evolves over old ages of life closely with them. She purports that dance instruction promotes connexion with the community and that future instructors should develop enterprises which create happy schoolroom environments. This procedure can get down during instructor development and readying. Strengths The writer is really familiar with the capable affair as she was trained as a terpsichorean and a dance teacher. She used that cognition to compose an in deepness survey on dance in society and its application in instruction. Failings With the writer concentrating entirely on her experiences as a dance teacher the article is limited that experience and is directed more towards learning dance with a smaller focal point on instruction. Deductions for Practice By developing dance teachers decently the benefits to the pupils progresses into all facets of their lives non merely through dance. Key words Dance and Society Citation DeMetz, K. ( 2007 ) . Toward a synthesis of scientific discipline and theater humanistic disciplines. Forum on Public Policy: A Journal of the Oxford Round Table. Retrieved April 06, 2010 from Academic OneFile. What is the article about? This journal article discusses how scientific discipline and the theater humanistic disciplines, chiefly play and dance, have shared a successful relationship that has historically benefited society. Why was the research performed? The research was performed to demo how scientific discipline and the theater seek the same things. Findingss The writer found that systematically over two thousand old ages at that place has been a successful partnership between scientific discipline and the humanistic disciplines which should help in doing a instance for interdisciplinary course of study in our current instruction system. Strengths This article is really good written and leads the read from historical findings of links in scientific discipline and the humanistic disciplines to more current applications and deductions for modern society. Failings If you are unfamiliar with scientific discipline and the Laws of Motion, Newtonaa‚Â ¬a„?s Laws, etc. this article will do for a confusing read. Deductions for Practice Although a New York Times column was keening Americaaa‚Â ¬a„?s illiteracy in the countries of scientific discipline and math a recent survey showed that those pupils who studied the humanistic disciplines performed better in six classs of literacy and critical thought accomplishments. These Numberss show a direct correlativity between the humanistic disciplines and improved instruction benchmarks. Key words Dance and Society Citation Kinderfather, K. , & A ; Porter Hearn, C. ( 2010 ) .The National Dance Association: the leader in dance instruction: these are some of the ways in which NDA has affected the universe of dance instruction in the past 25 old ages. JOPERD — The Journal of Physical Education, Recreation & A ; Dance 81.1: 40 ( 5 ) . Retrieved April 06, 2010 from General OneFile. What is the article about? This article covers the assorted ways in which the National Dance Association ( NDA ) has affected the dance community over a 25 twelvemonth period and reviews future programs of the NDA to go on to heighten community and life styles of persons of all ages. Why was the research performed? This research was performed to supply an accurate overview of the benefits that the NDA has provided to the universe of dance and the community and their hereafter programs. Findingss NDA has contributed significantly to community instruction through dance for persons of all ages and continues to be after for the hereafter of dance in society. Strengths Provides a batch of basic information on how dance has historically been a portion of society and continues to be a portion of a strong foundation. Failings This journal article gives a wide overview of what the NDA has accomplished, but does non travel into any existent deepness. Deductions for Practice Re-enforces other journal articles and surveies that show dance incorporated into society will go on to profit persons of all ages and aid prepare pupils for todayaa‚Â ¬a„?s society. Key words Dance and Society Citation Monroe, J. E. ( 1995 ) . Developing cultural consciousness through drama. JOPERD — The Journal of Physical Education, Recreation & A ; Dance 66.8: 24 ( 4 ) . Retrieved April 08, 2010 from General OneFile. What is the article about? The function of drama on the development of cultural values and how dance can be incorporated into recreational plans in a manner to increase cultural consciousness and community engagement. Why was the research performed? This research was performed to demo how culturally play-based activities have been the cultural footing to go through down or present values within a community from coevals to coevals. Findingss Adults benefit from the interaction every bit much as the kids do. This survey showed that drama could supply the participants the chance to research the word around them and let them to go more culturally cognizant of and accepting of the diverseness they are surrounded by in their environment. Strengths This journal article reviews a assortment of signifiers of drama that would be good to cultural consciousness and value based betterments every bit good as how to develop a culturally based plan and who should be involved in the development of those plans for maximal effectivity. Failings The article covers a broad assortment of possibilities for cultural based consciousness non focused on dance entirely. Leans more towards play alternatively of utilizing dance as a focussed, dedicated signifier of look that benefits society and cultural diverseness and consciousness. Deductions for Practice By integrating play-based activities and dance you can supply a multicultural value system which will stress credence of differences between cultural systems. This would include assisting to develop a positive ego image for those persons who would be most affected by racism. Key words Dance and Society

Health care Essay Example | Topics and Well Written Essays - 750 words - 1

Health care - Essay Example The judge declared parts of Affordable Health Care Act inconsistent with the intentions of the constitution which guarantees all citizens the right to choose, therefore, according to the judge, the act was unconstitutional. In his ruling, Federal Judge Henry Hudson hinged his judgment on whether the government the mandate to force every individual citizen to purchase health insurance. Based on this opinion, the federal judge rejected the government's argument that to purchase health insurance was a form of tax. The judge noted that in putting in place the Affordable Health Care Act, the act’s regulatory scheme was conceived as an application of Commerce Clause powers. The federal judge rejected any attempt to stretch the Commerce Clause in order to allow the government mandate the insurance purchases, claiming that such a move would open the gate to unrestrained federal power. For the federal government’s penalty due to noncompliance to be effective under the law, the j udge opines that it must aim to affect a legitimate exercise of the Commerce Clause. Further, Federal Judge Henry Hudson sees the Affordable Health Care Act being about more that the issue of designing a scheme of universal health insurance coverage or regulation of insurance business. According to the judge, the core of the matter is an individual's right to choose to take part in the scheme. Support his stand, the federal judge notes that the Constitution had given congress specific powers. Therefore, the judge claims that power that the constitution does not give the federal government is reserved to the states while those not outlawed are reserved to the citizens. Even as Federal Judge Henry Hudson declared the Affordable Health Care Act unconstitutional, Judge George Caram Steeh found the act constitutional in the ruling of the Thomas More Law Center v. Obama case in which the judge gave an order denying plaintiff’s motion. In his opinion, Judge Steeh noted that a refusa l to get insurance amounted to an example of an activity that affect interstate commerce to a large extend. According to the judge, those who selects not to get insurance cover have in effect, made an active decision to pay for their medical expenses from their pockets. This decision, the judge added, had an impact on taxpayers, health care providers, and the insured citizens who will have to foot the bill for those who do not take insurance cover. Further, Judge Steeh claim although the matter on constitutionality of the Affordable Health Care Act presented an issue of first impression, there was a rational ground to make conclusions that decisions not to take insurance cover increased the cost of coverage, therefore affecting interstate commerce. From the point of views presented by Federal Judge Henry Hudson and judge Steeh, it is my opinion that Federal Judge Henry Hudson presents a better argument. The government should recognize its citizen’s right of choice. To penaliz e those that do not take the insurance cover is paramount to dictating to them the kind of medicine they should take when they get sick. People have the right to decide the kind of treatment they need and at what time. Although it is a noble effort that would guarantee medical service to many deserving citizens, the federal government, through the Affordable Health Care Act has no legal right to force citizens to take medical cover. If the

Journal Essay Example | Topics and Well Written Essays - 1000 words - 3

Journal - Essay Example The central nervous system comprises of the brain and the spinal chord. The brain is located within the skull, safely enclosed with several layers of tissues and cerebrospinal fluid, and is responsible for transmitting and receiving signals or messages via the spinal chord. The messages emitted by the brain are carried through the spinal chord by the peripheral nervous system which in turn is composed of nerves known as the cranial nerves and the spinal nerves. The brain together with the nervous system facilitates reactions and reflexes towards the external environment. The term Psychology is defined in various ways by different researchers. According to Hayes (1993) â€Å"Psychology is the scientific study of behavior and experience†. According to Angell (1973), the term psychology is defined as â€Å"Psychology is commonly defined as the science of consciousness. It is the business of a science systematically to describe and explain the phenomena with which it is engaged. Mental facts of consciousness constitute the field of psychology†. There are various perspectives on psychology such as the Psychoanalytic or the Psychodynamic perspective founded and propagated by Freud, Humanistic Perspective, Behavioral, Cognitive as well as Neuroscience or Biological perspective (Eysenck, 1994). The Psychoanalytic perspective is concerned with studying of unconscious processes which is based on the theory that the structure of the human mind comprise of ego and superego which struggle to capture the energy of the human psyche. The Humanistic perspective is based on the belief that all human beings possess unique potentials and stresses on the positive aspect of the human nature. The Behavioral theory founded by John Watson, believes that psychology is the study of measurable physical responses to environmental stimuli. The theory of Psychosexual Development which was put forward by Freud, states that a child passes

Nursing Essay on Gerontology Example | Topics and Well Written Essays - 750 words

Nursing on Gerontology - Essay Example Thus, the three main nursing diagnoses of the patient are 1) ineffective airway clearance related to pneumonia and chronic obstructive pulmonary disease (COPD), 2) impaired gas exchange related to acute and chronic lung disease, and 3) displaying symptoms of depression due to respiratory illness. It is highly possible that her respiratory condition is caused by her history of smoking. Cigarette contains noxious chemicals that irritate the respiratory lining. These protective mechanisms include the increased production of mucus layers the epithelium to prevent the chemicals from reaching the cells, causing further damage. In addition, the respiratory cells to divide in a faster rate to try to compensate for the chemical-induced tissue injury. As a result, the normally one-cell thick respiratory epithelium that is able to facilitate gas exchange between the atmosphere and blood is now converted to a thick epithelium with multiple cell layers, which decreases the amount of air passing t hrough. This clinically presents as ineffective airway clearance, causing impaired gas exchange, thus explaining the shortness of breath experienced by the patient, and the need for supplement oxygen to meet the demands of the body (Reilly, Silverman & Shapiro, 2012, pp. 2153-2154). Addressing the first two nursing diagnoses should be prioritized because these two are the ones causing the depression. In fact, it is estimated that almost one-third of individuals suffering from a chronic medical condition present with signs of depression. When a person acquires a chronic illness, he or she must adjust both to the disease and to its treatment. Consequently, the health condition can affect a person’s independence, quality of life and perception. These changes cause significant stress that can push a person to abnormal levels of sadness, causing depression. Although a lesser priority, this nursing diagnosis should also be addressed since the loss of interest, sleep disturbance and repeated thoughts of death or suicide can adversely affect management of the concomitant respiratory disease (Cleveland Clinic, 2009). III. Open-Mindedness Again, the patient has depression resulting from the inconvenience brought by ineffective airway clearance and impaired gas exchange due to chronic airway obstruction, not elsewhere classified. Based on this statement, the measurable outcome should include 1) increased forced expiratory volume in a second (FEV1) to demonstrate improvement in airway clearance 2) increased oxygen saturation of hemoglobin to objectively measure improvement in gas exchange, and 3) better functional status (SF-36 Health Survey) score compared to before treatment. IV. Inquisitiveness Nurses have a vital role in the achievement of these outcomes. To improve FEV1 and oxygen saturation, nurses should first be familiar with the management plan of the patient. A) They ensure that the patient’s medications, bronchodilators for airway obstruction and supplemental oxygen to improve gas exchange, are being taken as per the doctors’ orders, so that homecare can become an option (Hernandez et al., 2008). B) Any questions about these medications, both by the patient and her family, should be addressed to promote compliance and adherence. By doing so, this can involve the family into the patient management (Jonsdottir, 2008). C) Also, the patient should be guided during the measurement of FEV1 using spirometer and oxygen satura

Nursing Care of COPD Patient Research Paper Example | Topics and Well Written Essays - 6000 words

Nursing Care of COPD Patient - Research Paper Example Nursing knowledge seeks to derive and acquire a set of rules through explanatory theories leading to the production of critical analysis and thinking skills through which the professional nurse generate integrative understanding about the care she is required to deliver to any patient (Fawcett and Alligood, 2005). The main forms of knowledge that the nurses need to employ in practice are personal practical knowledge, knowledge of medical theoretical knowledge, knowledge about procedures that they need to participate, knowledge on the culture of the ward, and knowledge about how to reflect on the care provided to consolidate the experience and seek more knowledge. However, the academic or theoretical knowledge would also involve seeking evidence from research to inform, guide, and modify practice. Jenny and Loagn (1992) indicated that nurses knowledge also include the knowledge about their patients whom they care since they tend to identify and know the holistic dimensions of the pers on they care, different from their knowledge about their diseases. Melesis (2007) indicated that based on this knowledge, the nurses are concerned with their care which involves "hygiene, rest, exercise, sleep, nutrition, relief from pain, rehabilitation, and safety in the context of a patient’s daily life, state of health or illness, and their environment† (Melesis, 2007). It has been argued that the current care systems based on a holistic approach tends to change the delivery of care by the nurses, and these would require new knowledge and ways of knowing. The traditional models of nursing knowledge and medical-model learning may be inadequate to suffice the needs of these clients. Sullivan-Marx (2006) has indicated continuous development and progress of nursing knowledge through experience from care scenarios (Youngblut and Brooten, 2001).

Should monetary policy be boring and has this been the case for the UK Essay

Should monetary policy be boring and has this been the case for the UK and the USA over the last ten years - Essay Example With the use of monetary policy, U.S. and UK can counter-act inflation and economic recession or depression. In this paper, the historical strategy used in the monetary system of U.S. and UK will be elaborated. Through the historical events associated with the U.S. and UK monetary policy, we will be able to conclude whether monetary policy is boring or not. Many people have been praising the work of Fed Chairman Alan Greenspan i for making the U.S. monetary policy in 1990s very successful. (Mankiw, 2001) The Fed was at the center stage during the Asian financial crisis between the years 1997 – 1998 including the failure of hedging the Long-Term Capital Management of funds in 1998 created a worldwide financial crisis and Globalization in the 20th century. The U.S. monetary policy together with the help of fiscal discipline, the U.S. government budget deficit was converted into surplus. Prior to the Mexican crisis in 1994 and the Asian crisis in 1997, the economic performance of U.S. has been very stable. At that time, the real GDP growth of U.S. has increased more than 3% over the fourth quarter of 1996, inflation and the unemployment rate was maintained at a low level. Because of the continuous economic growth in U.S., the nominal wages and salaries of the workers increased faster than the prices of commodities. The increase in salary and wages resulted to increasing the efficiency of production output by investing on new technologies. During the last quarter of 1996, a lot of companies have been laying off employees. This causes the U.S. unemployment rate to increase. Also, consumer debt, credit card delinquencies and personal bankruptcies was very high. In February 1997, the Federal Reserve became very concern about the risk of inflation because of the sudden appreciation of the U.S. dollar. During the height of U.S. economic activities, high inflation should be avoided since it would weaken the long-run economic growth

Wedding cake model of justice is covere Essay Example | Topics and Well Written Essays - 250 words

Wedding cake model of justice is covere - Essay Example ess of the arguments in question, the case falls under serious felonies due to the implications of the actions taken by the defendant at the crime scene. Fights between wives and husbands are common from time to time. In some instances, these fights result in assault of either partner. Even though physical assault is a crime, it is a lesser crime compared to murder, rape, or kidnapping. In this respect, domestic violence becomes a less felony, but all the same a crime. The implications of misdemeanors are even less compared to domestic violence or other types of less felony. This makes misdemeanors rank even lower on the wedding cake model. A good example of misdemeanor is traffic rules violation. These types of crimes do not take long court sessions to resolve. In most cases, offenders plead guilty and pay fines, undertake community service, or serve a significantly short jail

Transportation Management Essay Example for Free

Transportation Management Essay Transportation plays a vital role in the department of transport.   Transportation includes road, railways, aviation, shipping etc.   The mission of transportation is to safely cover the distance between the two destinations. The board known as the Transportation Research Board carries out these transportation objectives. This type of board mission is to create an innovation and to develop the growth of the transportation. The mission objective is to improve the steps that are earlier carried out by the transportation department. Modification should be the strategy among the board management. The change should be followed by the application or execution of the recent progress made by other countries in the means of transportation. The boards work is to share the rules or implications to the management authority. The management authority should split the information to the persons appointed to do the work. The practitioners should practice it and the researchers should implement it with proper management skills. Different countries have separate rules and regulation according to which different countries work out there system and police according to their plans. But the main theme of the transportation should safe, comfortable and no pestering occurs during transportation. For example it should be seen that the aviation transportation department should have the proper following rules for a free access of the transportation. Not only the air traffic should be well organized but also the customers services are also be managed by the management board. The ticketing system should have extra precaution arrangement as soon as the customers are purchasing a ticket. Flight fares with proper reservation of the seats should well clarify before purchasing it. Services to the customers on board should be well handed to the professionals who are related to the hospitality Industry. Airport authority management should be well organized in the planes arrival and departure. Organization teams should be well trained before they are put into practice. The board of aviation should chalk out there plans of the whole systems before operating it. (Trb, 2006) The American and European are usually initiated, financed and well constructed by the private enterprise. They are well maintained and sound controlled. The government has provided a lot of fund and opportunity to the private organization so that the citizen do not face problem in transportation. The private organization has taken the transport system quiet acutely and they had implemented the transport system in a well-organized manner. They normally solve the problem as quickly as possible without getting delayed. The more spontaneous they work out the problem it will be helpful to the board to go ahead with other situation that are creating or having a problem. The American and the European transport system facilities had developed so quickly that the other countries are planning to have that type of transportation system that they do not possess. Even the metro railway transportation system is better than that of India. They provide faster and advanced transportation system to the citizens that they dont face crisis situation. Compare and contrast comes when there are disadvantages seen in the transportation system in the countries of America and European countries. (Prisma-eu, 2007) As road transportation is concerned, the board should have an organized planning. Roads and highways should be well connected to each and every cities, towns and villages. Road tracks should not be having traffic problems and for that professionals should direct the traffic signal operation. To control the system in the streets and roads the board should appoint police those can gratis the traffic if any problem occurs. They should be skilled well and they should be taught with different problems of the roads rules and regulation safety norms so that they do not face any difficulty when they are in the operation. They should be provided with proper dress and the functions of the job should be distributed according to the work knowledge is concerned. Railway is another feature of transportation .The country progress depends on this very system others are also equally valuable but the railway transportation is one of the main criteria. For long distance travel, passengers are provided with better seating as well as the sleeping arrangements along with the service of food and beverages. Normally the travelers those who travel in trains can provide ample time for transportation and the fare here are also low in comparison to the airlines, road and shipping. Transportation in train takes a lot of time to cover the distance that the travelers want to travel, in comparison to other faster transportation. The board of railways should provide more facilities to its customers in terms of their previous arrangement of services that they have given earlier. Air transportation is receiving more customers than the railways because they are providing quicker destination service with an affordable rate. To cope with that type of facilities railways board of management taking actions of not increasing the price of the ticket and also in the service provided. The board always has to see that they do not loose its customers due to increase in the various area of transportation system. (Prisma-eu, 2006) References: Trb; 2006; Critical Issues in Transportation; trb.org; retrieved on 07.02.2008 from http://www.trb.org/news/blurb_detail.asp?ID=5786 Prisma-eu; 2006; Implications of Pan-European best practice in eTransport delivery; prisma-eu.com Prisma-eu; 2007; eTransport 2010 vision; prisma-eu.com

Emotional Response To Music And Happiness Psychology Essay

Emotional Response To Music And Happiness Psychology Essay The objective of this research is to examine the correlation between emotional response to music and happiness among the undergraduates of UTAR: Perak Campus. Besides that, the gender differences in emotional response to music and gender differences in happiness will be examined as well. The findings show that there are more than half of the participants scored more than 4 out of the maximum score of 7. It means that they mostly have an average level of happiness. There are only few participants fall in low happiness level which scored less than 3 and about more than quarter of participants fall in high happiness level which scored 5 or above. Emotional Response to Music and Happiness This research found that there is a significant correlation in emotional response to music and happiness among the universitys undergraduates. The level of emotional response to music among both male and female undergraduates is correlated to their respective happiness level. This is supported by Lamont (2011) where the study results show that young adults are likely to have strong positive experience from music listening, especially if it had had a prominent strong impact in their lives. This result show the correlation between emotional response to music and the pursuit for happiness as music may provide a possible connection to various aspects to find happiness or to reach a peaceful state of mind free from any side effects. (Lamont, 2011) Another research that can support the result of this finding states that music listening was claimed to be mostly relaxation, mood improvements, and as well as decreasing negative emotional well-being such as being under stress and anxiety. (Kal linen Ravaja, 2008) Other than that Saaikallio, Nieminen Brattico (2011) support the results of the researchs as it was found that it is not necessarily only happy music that can evoke feelings of happiness in the listener. It was also found that sad music can induce positive feelings such as happiness as well, which may be due the individuals need to preserve happiness despite the sad (musical) stimulus, or also because the need to not be overly emotionally affected or touched by the particular piece of music. (Saaikallio, Nieminen Brattico, 2011) With this notion, it can further support the correlation between emotional response to music and happiness, as the type of music does not become a barrier in the obtained positive feelings of happiness through listening to music. In a similar study Van Goethem Sloboda (2011) found that music plays an important role in the creation of happiness as well as relaxation. Other findings include: (1) music is effective in helping strategies of regulating emotions such as distraction. (2) music is quite a successful device for affective regulation alongside with other types of mechanisms of coping. (Van Goethem Sloboda, 2011) The research also indicates that happiness is the highest percentage affect being regulated with music which supports this researchs result on emotional response to music and happiness relationship. Listening to music can regulate ones emotions and with happiness being the easiest emotion to regulate through music listening, the stronger ones emotional response to music the happier they are. Despite the disagreement that happiness is induced from the music Konecni, Brown Wanic (2008) found that the overall measure of the participants after listening to music was leaning more towards the positive emotion of feeling happiness which is felt through the recollection of their life-events that seems to be rather attached to the emotions felt through music. The findings also suggested the big difference between originally experienced real life events emotions and the induction of happy-sad emotion by music proceeding to state that emotions induced in music solely triggers the listeners imagination (recollection) of that emotion once felt. (Konecni, Brown Wanic, 2008) Hence, the emotional response to music can be applied by listening to happy music to induce positive emotions such as happiness. Happiness and Gender This research showed that there are is a significant difference in happiness level in male and female. According to a research conducted by Yang (2008) showed that there are gender differences in happiness level where women tend to be happier than men before old age but their happiness level seems to declines when in old age; while men are tend to be happier in old age. This is supported by Easterlin (2010) that is showing the same result displaying evidences between genders and generations, men and women are equally happy and unhappy when look on the whole; but when looked closer at different life stages, women turns out to be happier than men in early life but less happy and the end. (Easterlin, 2010) Inglehart (2002) found that women who are below 45 of age tend to be happier than man. While the longitudinal research done by Stevenson Wolfers (2009) shown that there is a declination of happiness level in female across the years. According to Zaidi (2010), women have bigger orbital frontal cortices compared to men because there is highly significant difference in the ratio of orbital grey to amygdala volume. The ratio between the orbitofrontal cortex (part that in charge in regulating emotions), and the size of the amygdala, are mixed up in order to produce emotional reactions. The ratio appears larger in women than men. On average, women might be more proficient of handling their emotional responses. (Zaidi, 2010) Biological differences and gender roles are the most probably to lead distinction between male and female and presenting the differences of happiness among genders. In another research conducted by Crossley Langdridge (2005) showed gender differences among the perceived happiness: Men scored better in sexual activity, being liked, sports and owning a good social life; whereas women scored better in having a close family, loved by loved one, assisting others, good social life and being liked than men in assisting them to achieve happiness. (Crossley Langdridge, 2005) Hence the difference of happiness level between genders. Emotional Response to Music and Gender This research showed that there are is a significant difference in emotional response to music level between male and female. According Chentsova-Dutton Tsai (2007) women were more emotionally reactive than men as they exhibited larger changes in overall reactivity, where they report the more extreme emotions while reliving rage and feelings of affection for recollection of past events. The study suggests that at some level, gender differences on emotional response may persist even across ethnic groups. (Chentsova-Dutton Tsai, 2007) Hence the gender differences in emotional response to music. According to Nater, Abbruzzese, Krebs Ehlert (2006) research on participants reactions to different musical stimuli (relaxing classical music, and unpleasant metallica), women have the tendency to exhibit hypersensitivity to repulsive musical stimuli hence displaying the gender differences in emotional response to music. In a similar research, Istà ³k, Brattico, Jacobsen, Krohn, Mà ¼ller Tervaniemi (2009) found gender differences for some emotional when describing music terms such as touching, feelings evoked, ugly, and drab, additionally male participants have higher tendency to express with negative adjective compared to female participants. Multiple researches suggests otherwise, Rickard (2004) found that gender difference may not contribute to difference of emotional response to music in terms of physical arousal as the music with emotional power treatment induced significantly greater increase in skin conductance and number chills equally in both gender. Lundqvist, Carlsson, Hilmersson Justin (2009) show similar results with no gender differences in emotional response to music in terms of both physical and mental response, as both male and female have equal response level to music stimuli. Limitations and suggestion This research had faced difficulties in finding journals of gender differences on level of happiness, gender differences in emotional response to music no matter of Malaysia context or others because there are limited sources and research on this topic. The researcher had faced difficulties especially in locating journals or articles to compare on happiness level and emotional response to music. Therefore, this research is to make contribution to the studies gender differences on happiness level, and emotional response to music and happiness. In this research, it only involved a hundred participants (fifty male students of UTAR: Perak Campus, and fifty female students of UTAR: Perak Campus) which is not enough to generalize on the population. Further research need to increase the sample size and different backgrounds of participants so that the result obtained could be generalized to the whole population. Furthermore, the participants of this study are mostly Chinese. Due to the same ethnics and belief systems they have, may contribute to this result which is no gender differences in happiness level. Thus, further study has to be done by involving more ethnicities and culture values in order to find out a more thorough study. Moreover this research only focuses on the effects of gender differences on emotional response to music, and level of happiness which is not enough to study on the outcome of the research. Other demographic aspects should be included in future study on this research, such as age, ethnicity, race, field of study and so forth. A suggestion for more accurate reliability of this research is to conduct a cross-cultural study to determine the effects of cultural differences on the outcome of the research. Conclusion This study is proposed to find out the correlation between emotional response to music and level of happiness, the gender differences in emotional response to music, and gender differences in happiness. The results show that there is significant correlation in emotional response to music and happiness which means the level of emotional response to music and level of happiness interrelates with each other. There is also a significant gender difference in emotional response to music, where this study found that female have higher level of emotional response to music compared to male. Lastly, gender differences in happiness have a significant outcome as well, where female was found to have a higher level of happiness than compared to male. This research has made contribution to emotional response to music and happiness researches in Malaysia context. In order to improve the outcome of this study, more research as a bigger sample range should be conducted to increase the validity and generalization.

Adverse Drug Reaction Reporting: a Novel Approach

Adverse Drug Reaction Reporting: a Novel Approach ADVERSE DRUG REACTION REPORTING, A NOVEL APPROACH Author: Abdul Latif Sheikh*, Ale Zehra*, Salwa Zubair*, Muhammad Zeeshan Khan* ABSTRACT: Globally adverse drug reactions (ADRs) has major contribution in public health cost mortality ratio. Therefore it’s a crucial time for an ongoing ADR-monitoring and new easy advance reporting program which provides benefits to the health care professionals patients. The aim of hosting a ADRs reporting modern tactic by the Department of Pharmacy Services,Aga Khan University Hospital ,Karachi,Pakistan(AKUH)(a tertiary care setup), is to perceive the outcome of spontaneous reporting of ADRs through call in name of Hot line service its awareness campaign. In addition to manual yellow form and online reporting system,AKUH has launched the program with ADR’s awareness session, memorandum sent through mail small spot quiz with ADRs card to all Doctors, Nurses Pharmacists. The department has fixed its one telephone line for voluntarily reporting of ADRs. Total 08 awareness session has been taken at different forum of AKUH including its associated secondary hospital from Au gust to December with 274 participants while 396 professionals participated in spot quiz activity. On weekly basis ADR’s awareness memo mail was sent to all hospital professionals and ADRs flyers distributed to the wards. Impact of 05 month activity has assessed for its achievement or not. Reporting of ADRs was increase(09%) from 43 to 52 in count with contribution of 29 ADRs, reported via hot line service while the awareness campaign boosted the professionals to report ADRs as pharmacist participation appeared to be increased from 35% to 64%. However different countries and organizations have different technologies for reporting ADRs but by adoption of such a type of modern smart approach which is easy for professionals to report ADRs awareness compaign of ADRs enhance the professional to report ADRs for positive patient out comes safety. Key word: Report ADR through call, Novel technology in ADR reporting, ADRs awareness compaign Introduction: Adverse drug reactions (ADRs), occurs at normal doses (used for prophylaxis, diagnosis, or therapy of disease, or for the modification of physiologic function), have a considerable adverse impact on the health of the population lead to contribution in health care costs due to hospital admissions (approx.5-6%), suggested the enormous direct and indirect social and economic costs for a society.2, 3, 4, 5, 6,7,14, 15,16,17,18. Globally the burden of ADRs is high, accounting for considerable morbidity, mortality and extra cost28 Thalidomide is the first drug whose ADRs was reported in 196019, estimated that 5000-6000 new born infants were effected by drug with characteristic of thalidomide-induced phocomelia, limb defects, often accompanied by deformities of internal organs20,21. Due to reporting of its adverse reaction, it was withdrawn from the world market in late 1961, remaining available only for strictly defined research purposes, 22diverted the attention of health caregiver to chore on reporting system of adverse drug reaction. ADR monitoring or a reduction in their frequency simply cannot happen until and unless they are reported in an efficient and timely manner. Spontaneous reporting is most accessible and easiest method for ADR reporting. WHO has implemented two methods in its public health program, cohort event monitoring (CEM) and targeted spontaneous reporting (TSR). CEM encompasses all drug related issues including poor quality, drug interactions, storage and medication errors23 while in TSR health professionals in specific setting (e.g. patients on drug resistant infection) reports about drug related issues, safety.24 Spontaneous reporting is helpful but is usually prone to under reporting and poor quality reports 25Other methods include intensive monitoring (resource and time consuming)26, chart review (prospective and retrospective), FDA MEDWATCH reporting. One of the most common method is yellow card system which was started 30 years before but the main problem associated with it is under reporting (less than 10%)27 Due to remarkable burden of ADRs globally, 28, 42measures are needed to reduce the frequency of ADRs, healthcare costs and readmissions34, 35and to improve the benefit harm ratio of drug. Fatal ADRs appear to be the 4th or 6th leading cause of death31; it can be reduced by making changes in systems for preventing and detecting adverse drug event(ADEs)29. A study indicates that a computer alert system prevented ADRs which were otherwise not recognizeable29.WHO database contains over 2.5 million case report analysis of this data32 ( 70% were known ADRs ,17% signals requiring further evaluation)33 .Spontaneous reporting is the most common method used in pharmacovigilance and most effective in generating signals on new or rear adverse drug reactions28. Reduction in ADRs will occur only if ADRs are properly reported and the patterns can be studied to identify the causes of ADRs, which will in the end, help to reduce their occurrence.36 Pakistan has been plagued with many health related problems, including ADRs. In Lahore, on Jan- 2012, at least 125 patients died due to an adverse drug reaction(ADRs) due to one of the cardiac medicine, which was adulterated with an antimalarial agent, found on investigation.37, 38However laws for monitoring and forms for reporting ADRs exist in Pakistan but there is no National ADR database.39 In Pakistan, medicines are used on a large scale, but still ADRs reporting is a little known concept. Ministry of health (MOH) has been involved in developing an ADR program, but requires major improvements; widespread implementation being a critical factor. Majority of the hospitals have no ADRs reporting system, others are reporting ADRs restricted to some drugs, and only few hospitals have a proper established ADRs reporting system40. The Aga Khan University Hospital (AKUH), being the premier hospital of Pakistan, also has an established ADRs program, which includes utilizing various technologies to report ADRs; Yellow cards, online reporting, and a recently established ADR reporting hotline service (where reports can be made via telephones). Having multiple technologies available to healthcare professionals to report ADRs makes the task easy and ultimately results in improved patient care.41 Methodology: To enhance the ADRs reporting system in an easiest more efficient way, The Department of Pharmacy services-AKUH, in addition to yellow card online ADRs reporting, tune up to a new spontaneous service in name of ADRs hot line service in which pharmacy fix its one telephone extension for receiving ADRs reporting calls. Caller is the reporting person but the login of ADRs in system is the responsibility of pharmacy by asking the information of about patient’s Medical record number, time date of reaction, suspected drug nature of reaction. Program started from 5th August, 2013 with adoption of following strategies. Aware session at different forum of doctors, pharmacists nurses, distribution of ADRs flyers to different unit of ward ADRs cards inform them about the importance outcomes of ADRs reporting. By taking a small spot quiz of ADRs (policies, how to login, and its outcome e.t.c) to different staff randomly give small prizes for their appreciation encouragement. On weekly basis advertise through mail, sent to all hospital’s professional with different theme of ADRs. Acknowledged with appreciation words to those user who report the ADRs through hot line service for future courage. Collect the monthly data of ADRs reporting count with contribution of hot line service. At end of month Calculate how much this service was affective? Initially the data of 05 month activity was collected to evaluate impact of new services. Table:01 Table:02 Table:03 Result: ADRs reporting trend: PRE ADRs hot line services: Total voluntarily ADR reported = 43 Graph:01 Post ADRs Hot line Service: Total voluntarily ADR reported including Hot line service= 52 Total ADR via Hot line service = 29 Graph:02 # of ADRs Reported Doctor, Nurses Pharmacists. Pre ADRs Hot line service: Graph:03 Post ADRs Hot line service: Graph:04 Discussion: New methodologies in any set up always helpful for its goal achievement. In a current scenario, along with yellow card online reporting system, The Department of Pharmacy Services-AKUH introduces a new spontaneous method of ADRs reporting in name of ADRs Hot Line Service. Program( hot line service its awareness compaign) was started on 5th August -2013 to all hospital’s Doctors, Nurses Pharmacists. Program features includes awareness session,spot quiz, memo through mail. Pre post service comparison indicate the increased in quantity of voluntarily reporting ADRs, from 43 to 52 ( as shown in graph 01 02).Increase in 09% ADRs reporting status indicate that service along with campaign was effective but still need continuous effort in field of ADR reporting technologies34,35. Reporting via manual yellow card has almost zero ( pre post evaluation showed zero reporting)which may be due to presence of online reporting as it is easy convenient as compare to yellow card while gl obally yellow card reporting is also underreporting27. Globally the burden of ADR28, 42 alarm each health care setup to concentrate its way of reporting methodology so as large amount of ADR would be reported. Total reporting trend through hot line service in around 05 month campaign was 29 including from its associated secondary hospitals (06 ADRs reported by Secondary hospital’s doctors Pharmacist) while before campaign there was zero reporting from there. Awareness sessions spot quiz campaign (as shown in table 01 02) over there boost the professionals to report the ADRs for future patient safety. As the campaign also include weekly memo (importance of ADR reporting new service) mail sent to to all professionals, act as enhancement factor for reporting. Total 20 memos have been mailed in 140 days program assesment as shown in table 03. Highest number of total ADRs has been reported in month of September, 2013 (shown in graph 02) i.e 19 its was 2nd month of campaign while least number has been reported in month of November i.e only 2 which may be due to non occurrence of ADRs. Reporting via hot line service was seem to be high in month of September also (as shown in graph 02) while moderate in month of October December (as shown in graph 02) but over all contribution of hot line service in ADRs reporting was good satisficatory certified program to continue in future for patient safety. Though the doctors, pharmacist nurses have an equal accountability to report ADRs but Pharmacist have an vital role in direct patient care through counseling on ADRs, identification and documentation in the patient’s medical record of high-risk patients43 thus in current adopted approach contribution of Pharmacist to report ADR appeared to be high as compare to the pre awareness campaign indicate the positive outcome of compain. Reporting of ADRs is high in high income incoutries as compare to low income countries. As per World Health Organization,Pakistan stand among low income countries so there is need of development of such a smart approach for reporting ADRs its awareness for patient safety. Conclusion: ADRs have a major contribution in death mortality so there is need to continue effort in developing an easy and smart technology like spontaneous reporting of ADRs through call( ADRs hot line service) its awareness comapign seems to be very effective boosting professionals . References: Biswas, P., Pharmacovigilance in Asia. J Pharmacol Pharmacother. 4(Suppl1): p. S7-S19. Goettler, M., S. Schneeweiss, and J. Hasford, Adverse drug reaction monitoringcost and benefit considerations. Part II: cost and preventability of adverse drug reactions leading to hospital admission. Pharmacoepidemiol Drug Saf, 1997. 6 Suppl 3: p. S79-90. Einarson, T.R., Drug-related hospital admissions. Ann Pharmacother, 1993. 27(7-8): p. 832-40. Muehlberger, N., S. Schneeweiss, and J. Hasford, Adverse drug reaction monitoringcost and benefit considerations. Part I: frequency of adverse drug reactions causing hospital admissions. Pharmacoepidemiol Drug Saf, 1997. 6 Suppl 3: p. S71-7. Lazarou, J., B.H. Pomeranz, and P.N. Corey, Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. JAMA, 1998. 279(15): p. 1200-5. S., O., The role of the WHO program on International Drug Monitoring in coordinating worldwide drug safety efforts. Drug Saf 19, 1998: p. 1–10. Rawlins, M.D., Clinical pharmacology. Adverse reactions to drugs. Br Med J (Clin Res Ed), 1981. 282 : p. 974-6. Edwards, I.R. and J.K. Aronson, Adverse drug reactions: definitions, diagnosis, and management. Lancet, 2000. 356: p. 1255-9. Bandekar, M.S., S.R. Anwikar, and N.A. Kshirsagar, Quality check of spontaneous adverse drug reaction reporting forms of different countries. Pharmacoepidemiol Drug Saf. 19(11): p. 1181-5. Munir Pirmohamed, S.J., Shaun Meakin, Chris Green, Andrew K Scott,Thomas J Walley,Keith Farrar,B Kevin Park,Alasdair M Breckenridge., Adverse drug reactions as cause of admission to hospital: prospective analysis of 18 820 patients. BMJ 2004. 329: p. 15-19. Mellin GW, K.M., The saga of thalidomide (concluded). . N Engl J Med 1962. 24: p. 1238-44. V, G., Thalidomide in human immunodeficiency virus (HIV) patients. A review of safety considerations. Drug Saf, 1992. 7(2): p. 116-34. DArcy PF, G.J., Thalidomide revisited. . Adverse Drug React Toxicol Rev 1994. 13: p. 65-76. Stephanie Tseng, G.P., Kenneth Washenik, Miriam Keltz Pomeranz, Jerome L Shupack., Rediscovering thalidomide: A review of its mechanism of action, side effects, and potential uses. Journal of the American Academy of Dermatology, 1996. 35(6): p. 969-979. Pal, S.N., et al., WHO Strategy for Collecting Safety Data in Public Health Programmes: Complementing Spontaneous Reporting Systems. Drug Safety, 2013. 36(2): p. 75-81. WHO, A practical handbook on the pharmacovigilance of medicines used in the treatment of tuberculosis: enhancing the safety of the TB patient. 2012, 20 Avenue Appia, 1211 Geneva 27, Switzerland: WHO Library Cataloguing-in-Publication. Figueiras A, H.M., Polà ³nia J, et al., An Educational Intervention to Improve Physician Reporting of Adverse Drug Reactions: A Cluster-Randomized Controlled Trial. JAMA, 2006. 296(9): p. 1086–1093. Bates DW, C.D., Laird N, et al., Incidence of adverse drug events and potential adverse drug events – implications for prevention. JAMA, 1995. 274: p. 307–311. Rawlins, M.D., Pharmacovigilance: paradise lost, regained or postponed? The William Withering Lecture 1994. J R Coll Physicians Lond, 1995. 29(1): p. 41-9. Al., G.J.e., Why Learn about Adverse Drug Reactions (ADR)? Am J Med, 2000. 109(2): p. 87-94. Davies, D.E.C., Emergency re-admissions to hospital due to adverse drug reactions within 1 year of the index admission. British Journal of Clinical Pharmacology, 2010. Volume 70(Issue 5). Kass, B.L. Reducing and Preventing Adverse Drug Events To Decrease Hospital Costs. [cited; Available from: www.ahrq.gov/qual/aderia/aderia.htm. Bate, A., et al., A Bayesian neural network method for adverse drug reaction signal generation. Eur J Clin Pharmacol, 1998. 54(4): p. 315-21. AGENCIES, Drug regulation follows heart patient deaths., in Daily Dawn. 2012-03-12: Lahore, Pak. Saeed, A., Pakistan heart drugs: Lahore death toll reaches 100, in BBC News. 26 January 2012: Lahore, Pak. Jooma, P.D.R., Pakistan. Pharmaceutical Country Profile 2010, Health Ministry of Pakistan: Pakistan. P. 1-56. Al., G.e., adverse drug reaction reporting system at different hospitalsof lahore, pakistan an evaluation and patient outcome analysis. journal of applied pharmacy, 2013. 4(1): p. 713-719. AKUH Pharmacy newsletter, Sep 2013, Vol.23, 02. www.ahrq.gov/qual/aderia/aderia.htm www.worstpills.org/public/page.cfm?Op_id=4‎ Lazarou, Jason, Bruce H. Pomeranz, and Paul N. Corey. Incidence of adverse drug reactions in hospitalized patients.JAMA: the journal of the American Medical Association279.15 (1998): 1200-1205. Bate, Andrew, et al. A Bayesian neural network method for adverse drug reaction signal generation.European journal of clinical pharmacology54.4 (1998): 315-321. Evans, S. J. W., P. C. Waller, and S. Davis. Use of proportional reporting ratios (prrs) for signal generation from spontaneous adverse drug reaction reports.Pharmacoepidemiology and drug safety10.6 (2001): 483-486. Muehlberger N,Schneeweiss S,Hasford J. â€Å"Adverse drug reaction monitoringcost and benefit considerations. Part I: frequency of adverse drug reactions causing hospital admissions.† Pharmacoepidemiol Drug Saf.1997 Oct;6 Suppl 3:S71-7. Dr Emma C. Davies et al. â€Å"Emergency re-admissions to hospital due to adverse drug reactions within 1 year of the index admission†British Journal of Clinical pharmacologyvolume 70, Issue 5, Article first published online: 14 JUL 2010 Anthony R cox et al. â€Å"Assessing, managing and reporting Adverse drug reactions may better equip us to minimize medicines-related harm†, 2008 volume 18, issue-2/5 PIP Basic pharmacy skills Mar08 www.dawn.com/news/702090/drug-regulation-follows-heart-patient-deaths www.bbc.co.uk/news/world-asia-16742832 WHO’s Pharmaceutical country profile: Pakistan. Gulamet al., 2013, â€Å"adverse drug reaction reporting system at different hospitalsof lahore, pakistan an evaluation and patient outcome analysis†, journal of applied pharmacy04(01): 713-719; January, 2013 AKUH Pharmacy newsletter, Sep 2013, Vol.23, 02 www.fda.gov/Drugs/developmentapprovalprocess/developmentresources/druginteractionslabeling/ucm114848.htm ASHP Guidelines on Adverse Drug Reaction Monitoring and Reporting, www.ashp.org.

Andrew Jacksons Campaign to Destroy the Bank of the United States Essa

When Andrew Jackson decided to make his veto message regarding the Bank of The United States on July 10, 1832 one thing was on his mind: killing the Bank of The United States forever! This one event was the fuel Jackson used for his reconstruction of the U.S. It all started to unravel during his election of 1828. Several different "sects" within the different states were teaming up with one another to form a coalition of discontent for the President and his reconstruction. Like Thomas Jefferson before him, Andrew Jackson was a tried-and-true defender of American freedom committed to nothing so much as breaking the knot of political corruption and restoring integrity to republican institutions. With the shattering and affirming dimensions of presidential action so well coordinated in his initial claim to legitimacy, Jackson's invoking of original understandings bore the makings of an entirely new government and politics. This dependent authority to disclaim would prove to be Jackson's most remarkable leadership resource. Yet, Jackson did not simply repeat Jefferson's performance, the essential elements of their shared leadership posture being reshaped by the worldly changes that intervened between their presidencies. Jackson's early course of action suggests that he would have liked nothing more than to have led in the expansive manner of Jefferson. Reasons for this difference between these two reconstructions are not difficult to separate since both witnessed dramatic changes in both state and society. It is here-with an acknowledging authority bearing down on a more forceful set of institutions and a more complicated policy- that the two faces of Andrew Jackson merge into one. In this final analysis there is no c... ...ress, the Court, the cabinet, the states, the party, and the electorate. The executive officer gained political foundations positively more independent than it had enjoyed before, and a new regime of governmental commitments and political priorities held convinced. In the process of moving behind his campaign to destroy the bank, Congress had begun to see for itself the special attractions of the new system. Democrats now criticized the President's efforts to control the state banks through national regulation as identical to the imposition of a new national bank. In effect then, Jackson had merely substituted one irresponsible and uncontrollable financial system for another. Jackson left office just as the new order was taking on a political life of its own. It was left to his successor to brush aside his failed experiment while affirming his basic course.

Metaphor Analysis of Lord of the Flies :: essays research papers

Metaphor Analysis Beast: The beast, the Lord of the Flies, is seen as a real object on the island which frightens the boys. Actually the beast is something internal, the Lord of the Flies is in soul and mind of the boys, leading them to the natural chaos of a society with no reasoning adults. Only Simon understands what the real beast is, but is killed when he tries to tell the boys about the Lord of the Flies. Conch: The conch shell symbolizes the law and order of the old adult world which Piggy tries so desperately to protect. The conch represents all the authority which the boys are so used to obeying. When Jack destroys the conch, anarchy quickly ensues because any hope of strong, central leadership has been abandoned. The island society collapses into chaos. Facepaint: This is the excuse many of the boys use for living as hunting savages, instead of civilized English citizens. The paint symbolizes the smoke-screen the beast uses to infiltrate the boys’ souls. Fire/Smoke: The smoke of the signal fire symbolizes the last best hope of the boys being rescued. To Piggy and Ralph, the fire represents the moral influence of their old life in England. When the fire goes out, Ralph loses his bearings, unsure of his next move. The fire is diatonically opposed to hunting, the activity of anarchy on the island. Island: Golding purposefully picked an island to be the landing place of the crashed plane because an island is isolated from the rest of society. The boys have no contact with the outside world and must look to themselves to solve the problems of their own micro-society. In this way, the island, which symbolizes isolation, serves as a perfect backdrop for the frailties of human nature which eventually surface. Glasses: The glasses symbolize the voice of reason and logic among the boys. Piggy defends his glasses even more than the conch. Piggy, who represents the superego of the boys’ (and society’s) collective personality, uses his glasses to find solutions to the boys’ problems.

Mansfield’s Short Stories Essay

This article discusses how emotions are depicted in two Katherine Mansfield’s short stories, †Bliss† and †Taking the Veil†. Emotions are mapped through linguistic markers such as adjectives and adverbs that imply a character’s emotional response to story events. The study focuses on narratorial discourse and distinguishes between verbalized speech and thought (free indirect discourse) and non-verbalised thought-processes (psycho-narration). The analysis is carried out by studying the deictic centre or the perspective in the short stories. The study shows that passages of psycho-narration and free indirect discourse are rich in emotional language, including such features as interjections, repetition and orthographic markers. 1. Introduction Emotions often play a significant role in depicting a literary character’s mind. This study discusses how characters’ emotions are depicted in two Katherine Mansfield’s short stories, †Bliss† and †Taking the Veil†.1 The focus is on those sections in Mansfield’s stories that depict characters’ psyches and feelings. The analysis maps the features that imply the presence of consciousness or perspective in Katherine Mansfield’s texts. The analysis is carried out by studying linguistic features such as adjectives, adverbs and orthography to find out whose consciousness and emotions are depicted in the text. Consciousness report is an umbrella term for several techniques that share some common features in depicting characters’ consciousness. This study focuses on the interplay between psycho-narration, the narrator’s rendering of characters’ psyches or their non-verbalised thought processes, and free ind irect discourse, the narrator’s indirect quotation of the words that the characters say or think, their verbalised speech or thought. Both free indirect discourse and psycho-narration depict character speech within the framework of third person narrative, and in Mansfield’s stories characters’ feelings are often filtered through the narrator’s discourse . 2 There are also feelings that the characters may be unaware of but that the narrator reports to the reader. For this reason, the focus of the study is on the narrator’s description of characters’ emotions, as psycho-narration and free indirect discourse are narrator’s discourse by nature. The differences between psycho-narration and free indirect discourse are illustrated in another example from Mansfield, a story called †The Doll’s House† (see subsection 2.3). In analysing characters’ emotions perspective plays an important role. Perspective tells the reader whose point of view is adopted in the text. Perspective is realised through visuo-spatial or temporal indicators that are also called deictic features (see subsection 2.1). The first aim of the analysis is to pinpoint the deictic features that imply the presence of consciousness or emotional involvement in †Bliss† and †Taking the Veil†. The second aim is to study consciousness report that is often marked by reporting devices such as evaluative adjectives and adverbs, or other perspective-building elements such as backshifting of tenses and orthographic markers. The analysis is based on linguistic evidence in sections of psycho-narration or free indirect discourse with reference to characters’ emotions and emotional changes. When a fictional character’s feelings change, the readers may also change their views of that character (Miall and Kuiken 2001: 291). Thus, changing emotions affect the reader’s interpretation of the story. The next section takes a closer look at the linguistic features that indicate characters’ emotions depicted in psycho-narration and free indirect discourse. 2. Linguistic Features in the Representation of Character Emotions This section discusses linguistic features that imply psycho-narration and free indirect discourse. In the first subsection, the connection between the deictic centre and emotions is explained. The second subsection takes a look at specific reporting devices and features that indicate a deictic centre. In the third part, psycho-narration and free indirect discourse are d iscussed with examples from Mansfield’s †Doll’s House†. 2.1 Deixis and Deictic Centre Emotions are an essential part of depicting a literary character’s consciousness. In analysing emotions or characters’ consciousness deixis is a useful tool. Deixis means †features of language which fasten utterances temporally or spatially: ‘here’, ‘now’† (Hawthorn 1994: 37). Consciousness presentation becomes apparent through many indicators, most clearly through orthographic markers such as quotation marks or words in italics. Orthographic markers are especially used in direct discourse where quotation marks show the beginning and ending of a dialogue. Parentheticals or brackets indicating the speaker and his or her act of speaking or thinking within a sentence, for example, †she said† or †he thought† are also used in direct discourse to indicate the speaking or thinking person. As these markers seldom occur in consciousness report, however, there are other markers like expressive elements that help to ide ntify the consciousness and emotions in an extract. Thus, linguistic analysis helps to find out which features refer to which character. Studying linguistic features is a key element in analyzing the deictic centre of the short stories in this paper. In the English language, deixis consists of features that indicate a subjective deictic centre (Fludernik 1993: 6). The features include personal pronouns, for example I, you,it; spatial and temporal adverbs such as left, in front of, ten years ago; verbal categories indicating distance like come and go; relational designations implying emotional involvement, for instance the enemy or darling; and terms of endearment, such as sweetheart and mummy, which also suggest that the speaker’s feelings are involved. Another way to trace a perspective is to study lexical, pragmatic, syntactic and morphological features indicating consciousness report. Deixis and subjective elements play a crucial role in analysing the material of this paper. The two other types of deixis are discourse/text deixis and social deixis (cf. Levinson 1983). Discourse deixis or text deixis refers to parts of unfolding discourse in which the utterance is located, for instance that in the following example: †Puff puff puff: That is what it sounded like.† Social deixis encodes the social status and aspects of socia l relationships between speakers and addressees: †My husband and I are both teachers, and so is my father† (Levinson 1983: 62-63). Deixis is usually organised in an egocentric way. The deictic context is speaker-based and centred upon the speaker’s †here-and-now† (Lyons 1981: 230). People are more apt to refer to their own viewpoint in discussions and prefer proximal personal expressions, such as the pronoun I, or place indexicals, such as here, to distal expressions like he or there. We can also talk about a deictic centre, meaning the perspective of the discourse participant from which utterances are delivered (Levinson 1983: 63-64, Yule 1996: 9). There are five unmarked anchorage points that constitute the deictic centre (Levinson 1983: 64). They consist of the speaker who is the central person – in literature usually the protagonist, the narrator or some other character – and of the central place which refers to the speaker’s location at utterance time. The third anchorage point of the deictic centre is the central time, the time when the speaker produces the utterance. Fourth, the discourse centre is the speaker’s current point during the production of his or her utterance. Thus, the discourse centre changes from one person to another when the producer of the utterance changes. And last, the social centre is the speaker’s social status and rank to which the addressee or referent’s status is relative (Yule 1996: 10). Another common deictic phenomenon in language is the transference of human body orientation (Fludernik 1993: 49). This method is used extensively in literature to create the illusion of naturalness. When an author uses this technique in a literary text, he or she describes an event, a phenomenon or space from a certain physical viewpoint that demands the reader’s body orientation, as in the sentence †There was a chair to the left† (Fludernik 1993: 49). To sum up, literary texts create a world of their own, including their own deictic structure. In good narratives, the reader has the impression of experiencing the fictional world directly, because he or she adopts the deictic centre as his or her own (cf. Banfield 1982, Zubin and Hewitt 1995: 131). 2.2 Reporting Devices This section introduces other linguistic features that are used in creating deictic centres in narratives. The devices consist of backshifting of tenses and other perspective-building elements, such as adjectives and adverbs, orthographic markers and textual coherence. The first device, backshifting of tenses, is connected with the †was-now† paradox, an especially interesting feature in literature. The †was† encodes the narrator in the process of narrating, introducing the fictional world mode to the reader. The †now† encodes the protagonist for whom the story world events are part of the current experience (cf. Adamson 1994). Mansfield sometimes uses the present tense in her stories, which attracts the reader’s attention and raises the question of why the †was-now† principle is violated. The change in tenses suggests a change in perspectives, including a change in the feeling experience of the story’s characters. The impl ications of these linguistic devices for the characters’ emotional world are discussed in section 3. In the analysis of the deictic centre and literary figures’ emotions, adjectives and adverbs sometimes have a significant meaning. I apply Biber, Conrad and Leech’s (2002) classification of adjectives and adverbs in this study. Descriptive adjectives or descriptors often imply consciousness report when they co-occur with other deictic elements such as place and time deixis. Evaluative/emotive (dreadful) and miscellaneous descriptors covering many kinds of characteristics (sudden) suggest consciousness report in narratives and need to be studied to trace the source of emotions in a literary text. Descriptive adjectives give personal flavour to the text, but the reader has to decide whether descriptors refer to the narrator’s or some character’s emotions. Sometimes it may be very difficult to distinguish different sources of emotion from each other, as examples from Mansfield’s stories show (see section 3) . In the analysis of Mansfield’s texts, degree adverbs and stance adverbs receive special attention. Degree adverbs like amplifiers/intensifiers (generously) and diminishers/downtoners (somewhat) as well as stance adverbs, such as attitude (unfortunately), epistemic (probably) and style stance adverbs (simply) are discussed in the analysis of the material, as are place, time and process adverbials. Of place adverbials, those of distance (a long way), direction (from within) and position (up there) often imply whose perspective is adopted in the story. Additionally, such time adverbials as point in time (tomorrow night), duration (for fifteen years), frequency (sometimes) and time relationship (after this) indicate the source of consciousness. The process of action described in stories provides the reader with valuable information on the events and characters. Manner adverbials (carelessly) are often used especially by modern authors to describe characters’ behaviour. Degree adverbials (e.g. very much, completely) are often used to amplify characters’ emotions and to describe their emotional response to story events. Adjectives and adverbs are elements in constructing perspective in a narrative. They help the reader to respond to the feeling experiences of a character that are embodied in the stylistic and linguistic devices of a text (Miall and Kuiken 2001: 292). The following subchapter discusses the connection between linguistic features and feeling experiences in psycho-narration and free indirect discourse. 2.3 Psycho-narration and Free Indirect Discourse In this section the features of psycho-narration and free indirect discourse are discussed with examples from Mansfield’s story †The Doll’s House†. Special attention is paid to linguistic devices that support the interpretation of psycho-narration or free indirect discourse in a textual passage. Psycho-narration is the narrator’s presentation of a character’s psyche. Its main focus is on a character’s thoughts and feelings and it is defined in terms of deictic qualities (Fludernik 1993: 304).3 Psycho-narration reports those feelings or states of consciousness that the character may be unaware of. Psycho-narration †has almost unlimited temporal flexibility† (Cohn 1978: 32), so it can occur both in the present and the past tense. The analysis of Mansfield’s works shows the temporal varieties of psycho-narration. Free indirect discourse consists of expressions or utterances that could be produced by the characters as such or with minor alterations, like the use of the preterite instead of the present tense.4 In free indirect discourse the narrator quotes the speech or thought of the protagonist or other characters. Direct discourse and free indirect discourse have common features such as deictics, word order in questions and lexical elements including vocatives, interjections, or dialectal features (cf. Fludernik 1993: 261). In order to retain proximity, proximal deictics likehere, now and today occur in free indirect discourse. The question word order remains direct in free indirect discourse. This narrative technique also favours expressive lexical elements from characters’ idiolects to give the narration personal flavour. McHale (1978: 269) aptly remarks that formal signs are not the only means to trace free indirect discourse, since semantic signs such as the †content† of utterances, and a character’s †thoughts† or †intended meanings† also contribute to the reader’s interpretation of free indirect discourse. The terms psycho-narration and free indirect discourse overlap to some extent. The former borrows elements from the speech of ch aracters, but a character could hardly use the (narrator’s) syntax as such. To demonstrate the difference between the various consciousness report techniques, I have chosen an extract from Katherine Mansfield’s story †The Doll’s House†. It is a story about middle-class life and the Burnell children, and how they invite classmates of the same social class to see their new doll’s house. Lower-class children are not invited, until one of the daughters, Kezia, defies her parents and asks the Kelvey girls, the daughters of a washerwoman, to see the house. The following extract depicts Kezia’s aunt’s reaction when she sees the unwelcome children in the garden. (1)†Wicked, disobedient little girl!† said Aunt Beryl bitterly to Kezia, and she slammed the doll’s house to. The afternoon had been awful. A letter had come from Willie Brent, a terrifying, threateningletter, saying if she did not meet him that evening in Pulman’s Bush, he’d come to the front door and ask the reason why! But now that she had frightened those little rats of Kelveys and given Kezia a good scolding, her heart felt lighter. That ghastly pressure was gone. She went back to the house humming. (†The Doll’s House†, 265; emphasis added) Example (1) is a description of Aunt Beryl’s consciousness presentation after she has scolded her niece and her friends in the courtyard. After the quotation in direct discourse, Aunt Beryl’s perspective (in bold type) is introduced in the first sentences as a flashback, the past perfect verb form had come implying a movement towards Aunt Beryl, come being a verb suggesting proximal activity. Even though Beryl’s name is not mentioned in the whole paragraph, she is the subject of the sentence starting the quotation and the most recent character mentioned earlier in the text. Aunt Beryl and the third person reference to her (she) in the quotation can be seen as an example of referential linking which is an important factor in maintaining textual cohesion in the depiction of characters’ emotions (cf. Ehrlich 1990). Descriptive adjectives likeawful, terrifying and threatening, and noun phrases like those little rats of Kelveys depict Beryl’s feelings, the distal demonstrative pronoun those and the descriptive noun phrase little rats of Kelveys underlining the contempt of upper classes towards lo wer-class people and the social distance between Beryl and the Kelveys. The distal demonstrative determiner that and the proximal temporal adverb now illustrate how proximal and distal linguistic features are mixed in psycho-narration, suggesting a transition from Aunt Beryl’s earlier emotional turmoil caused by her lover’s letter to her present state of mind (†Ã¢â‚¬ ¦her heart felt lighter. That ghastly pressure was gone†). There is also Willie Brent’s perspective occurring in the extract (in italics). It has elements of free indirect discourse including past tense verb forms, third person pronouns, orthographic markers and a colloquial tone. The past perfect verb form changes into the past tense did not meet, which is followed by he’d come. An exclamation mark finishes the free indirect discourse passage which is reflected through Beryl’s consciousness in the memory of the letter. The final sentence is the narrator’s neutral report of the narrative events. 3. Emotional Features in Mansfield’s Stories Psycho-narration and free indirect discourse are ways of presenting characters’ emotions to readers. In this section, Katherine Mansfield’s stories †Bliss† and †Taking the Veil† are analysed in order to find linguistic features that suggest a character’s emotional involvement. Mansfield uses psycho-narration and free indirect discourse in †Bliss† and †Taking the Veil†. In the analysis of the texts, underlined words point out subjective features and fragments of characters’ idiom. Some quotations from Mansfield’s short stories are integrated into the analysis for a more convenient discussion of the context. †Bliss† is a story of a wealthy young couple, Bertha and Harry, and their social life. In †Bliss†, psycho-narrative description is reserved for Bertha’s feelings of bliss, her relationship with Harry-the-husband, and her feelings towards their friends. The paragraphs th at include psycho-narration often start with impersonal narratorial description. The shift from the narrator’s perspective to that of the character takes place within paragraph boundaries, as the following examples show. The first paragraph of †Bliss† introduces society’s expectations of 30-year-old women’s behaviour. The narrator implies that Bertha’s thoughts and feelings are quite exceptional for her age: (2) Although Bertha Young was thirty she still had moments like this when she wanted to run instead of walk, to take dancing steps on and off the pavement, to bowl a hoop, to throw something up in the air and catch it again, or to stand still and laugh at – nothing – at nothing, simply. (†Bliss†, 91; emphasis added) The narrator adopts an omniscient perspective: she knows exactly how Bertha is feeling and what she feels like doing. The reader’s attention is directed towards the protagonist’s perspective through the use of the demonstrative this, symbolising the here-and-now narrative present, Bertha’s present state of mind. The italicised words imply Bertha’s wishes. The narrator’s speech presents societ y’s expectations at the beginning of example (2) (although,still) and Bertha’s own thoughts at the end of it (nothing – at nothing, simply). The phenomenon of Ansteckung is apparent in the fragments of Bertha’s idiom. Ansteckungmeans the narrator’s empathetic or ironic borrowing of characters’ idioms or expressions (cf. Fludernik (1993) for examples of Ansteckung or †contamination†). Fragments of Bertha’s consciousness are not complete thoughts or words uttered by her. When it comes to Bertha’s psyche, the narrator seems to be aware of it, depicting elements of Bertha’s thoughts at the end of example (2) (see the words in bold). It is obvious in the last sentence of example (2); dashes evoke Bertha’s consciousness. She is incapable of finding suitable words for the peculiar feeling; the impression is increased by the repeated words at nothing. The effect of immediacy is created by hints of Bertha’s psyche within narratorial discourse, suggesting that after the first part of the sentence the writer resorts to free indirect discourse at the end of the passa ge. There are two longer paragraphs of psycho-narration in †Bliss†. They discuss Bertha’s situation in life and her relationship with Harry. The first paragraph reads as follows: (3) Really – really – she had everything. She was young. Harry and she were as much in love as ever, and they got on together splendidly and were really good pals. She had anadorable baby. They didn’t have to worry about money. They had this absolutely satisfactory house and garden. And friends – modern, thrilling friends, writers andpainters and poets or people keen on social questions – just the kind of friends they wanted. And then there were books, and there was music, and she had found a wonderful little dressmaker, and they were going abroad in the summer, and their new cook made the most superb omelettes †¦ (†Bliss†, 96; emphasis added) Example (3) starts in free indirect discourse and shows many syntactic markers that imply consciousn ess report, such as the epistemic stance adverb really, the proximal deictic thisindicating Bertha’s spatial perspective, and the frequent use of and acting as a clause-initial co-ordinating conjunction and creating the illusion of Bertha’s happy thoughts. Other features include pragmatic indicators, such as dashes, and lexical features, for example idioms (really good pals), phrases or descriptive adjectives (absolutely satisfactory, adorable, modern, thrilling, wonderful little etc.) borrowed from Bertha. As Fludernik (1993: 117) suggests, referential positions are often shifted into the third person in heterodiegetic narratives, excluding second person narratives. This extract is a good example of such a referential shift in personal pronouns, as it contains only the third person she instead of the first person I. Example (3) describes a happy woman counting her blessings. Another paragraph reflects the problems Bertha encounters in her marriage: (4) Oh, she had loved him – she’d been in love with him, of course, in every other way, butjust not in that way. And equally, of course, she’d understood that he was different. They’d discussed it so often. It had worried her dreadfully at first to find that she was so cold, but after a time it had not seemed to matter. They were so frank with each other – such good pals. That was the best of being modern. (†Bliss†, 104; emphasis added) The extract leads readers into Bertha’s consciousnes s with the clause-initial interjection ohsuggesting free indirect discourse. Repetitive elements, such as of course and the intensifierso, emphasise the impression of Bertha rationalising her marriage to Harry. The sentence-initial and helps her to articulate her understanding of Harry and his different feelings on the topic, as she is negotiating the good and bad things about her marriage in her mind. There are also some lexical indications of consciousness report, such as just, the intensifier such, anddreadfully, a colloquialism only to be attached to Bertha’s consciousness. These emotive features create an impression of Bertha’s inner conflict and the suppression of her feelings, which is evident throughout the story.5 †Taking the Veil† is a story about Edna and her lover Jimmy, and Edna’s dreams of becoming a nun. In †Taking the Veil†, psycho-narration is reserved for Edna’s internal debate and her memories of the crisis of her life. A typical example is a theatre scene, where Edna goes through the happenings of the previous night: (5) The play had begun fairly cheerfully. That was at the chocolate almond stage. Then the hero had gone blind. Terrible moment! †¦Then there had been that ghastly scene with the hero alone on stage in a deserted room†¦He had tried – ah, how painfully, how pitifully! –to grope his way to the window†¦and the band faded away into the distance. (†Taking the Veil†, 284; emphasis added) Example (5) shows how Mansfield uses distal deictics like that (in that ghastly scene) to imply Edna’s perspective by creating a personal tone. Additionally, she uses the evaluative adjectives terrible and ghastly to refer to Edna’s emotional response. The repetitive pattern in the exclamations above (in bold type) is separated from the rest of the psycho-narration by dashes and emphasised by other orthographic signals, such as exclamation marks. An introductory exclamation ah adds to the colloquial tone, as does the repetition of the wh-element how. Mansfield often uses clause-initial wh-elements in exclamations to introduce free indirect discourse in the telling (Kuivalainen 2005). These features contain elements representative of speech rather than thought. The impression in this extract is that of narratorial discourse flavoured by free indirect discourse (in bold type). Psycho-narration continues when the narrator describes Edna’s internal debate: (6) If she did not marry Jimmy, of course she would marry nobody. The man she was in love with, the famous actor – Edna had far too much common-sense not to realise thatwould never be. It was very odd. She didn’t even want it to be. Her love was too intense for that. It had to be endured, silently; it had to torment her. It was, she supposed, simply that kind of love. (†Taking the Veil†, 285; italics original, emphasis added) The extract above shows how Edna debates her love for Jimmy, her fiancà ©, and for the actor she has fallen in love with. The words in bold include an attitude stance adverb of course, a comment on a possible marriage with the famous actor, and a distal pronoun that. All these elements imply a reference to Edna’s perspective which, however, intermingles with that of the narrator after the dash on the second line. Edna’s emotional perspective, the vacillating feelings she suddenly faces in the story, re-occurs with the comment on the nature of her love (†It was very odd†) and remains unchanged till the end of the extract, with another comment at the end of the paragraph introduced by the style stance adverb simply. The extract above shows the subtlety of the change from one perspective to another: at the beginning we only have a personal pro noun reference to the speaker, but later the protagonist’s proper name is used to help the reader realise the change, to introduce the perspective of the narrator penetrating that of Edna. The effect is that of immediate access to the character’s thoughts and feelings. In the paragraph preceding example (6) the closest proper noun is †Sister Agnes†. However, the reader does not connect the personal pronoun she in example (6) with Sister Agnes but with Edna, who is mentioned earlier in the text, because semantic connectors such as marriage and †Jimmy† imply her. The narrator’s statement-like comment after the dash supports this interpretation. However, this sentence is affected by Edna’s idiom, the use of that(in italics) emphasising the impossibility of the suggestion of love for an actress. Edna’s eighteen-year-old girl’s voice is also heard at the end of the paragraph with the simply that kind of love quotation of Edna’s thoughts. As example (6) suggests, psycho-narration at the beginning of the paragraph depicts Edna’s feelings from her perspective, but later the narrator’s perspective becomes predominant in the example, providing the reader with an external perspective to Edna’s love life. A drastic change in psycho-narration happens when the tenses change from the past to the present. This change implies a shift from the past or present events to the future. (7) She takes the name of Sister Angela. Snip, snip! All her lovely hair is cut off†¦And in a blue gown with a white head-band Sister Angela goes from the convent to the chapel, from the chapel to the convent †¦she greets the little children who run to her. A saint! She hears it whispered as she paces the chill, wax-smelling corridors. A saint! (†Taking the Veil†, 286; emphasis added) The extract above shows how Edna dreams about the life of a nun and imagines her future as Sister Angela. The short onomatopoeic snip and the repetition of a saint, both ending with an exclamation mark, refer to Edna’s imagination. Her emotional involvement shows in the sacrifices she makes (†All her lovely hair is cut off†) and in the description of the new environment she enters (†chill, wax-smelling corridors†). The present tense adds to the effect. It is used throughout the passage to relate Edna’s convent dreams, as another quotation below shows: (8) Now it is evening. Two old people leaning on each other come slowly to the grave†¦Now there comes another. He is all in black; he comes slowly. But when he is there and lifts his black hat, Edna sees to her horror his hair is snow-white. Jimmy! Too late, too late! The tears are running down his face; he is crying now. Too late, too late!(ibid.: 287; italics original, emphasis added) In example (8), the same elements of exclamatory repetition too late! and the present tense are used to depict Edna’s reveries about the future. Additionally, immediacy is emphasised with the temporal proximal deictic now, a favourite of Mansfield’s in this story, and the present continuous are running and is crying. The use of present continuous verb forms and the proximal deictic now mark Edna’s mental crisis, which culminates at the end of example (8) and ends the sections in the present tense. The non-use of the †was-now† pattern reflects a change in perspective from the narrator to Edna in example (8), as the sections that do not imply Edna’s consciousness in †Taking the Veil† are written in the past tense (see example (5)). When the paragraph after example (8) begins, Edna has changed her mind about becoming a nun and realised she actually loves Jimmy. 4. Discussion †Bliss† and †Taking the Veil† consist of a mixture of speech and thought report. It is noticeable in these works that, as a narrative technique, free indirect discourse is clearly separated from psycho-narration. The shift from psycho-narration into free indirect discourse and then back to psycho-narration can be found in †Bliss† and †Taking the Veil†, as the linguistic analysis of characters’ emotions showed in section three. The reverie-like atmosphere of †Taking the Veil† is strikingly different from the passionate, hectic mood in †Bliss†, where the narrator first describes the setting for the psychological phenomena, Bertha’s mixed feelings about her marriage, and then resorts to consciousness presentation. In †Taking the Veil† the narrator’s function is to offer the reader an insight into Edna’s mind mostly through psycho-narration, thus, psycho-narrative passages begi n with narratorial description which introduces Edna’s mental world to the reader. Psycho-narration serves to depict the protagonist’s internal debate: example (5) depicts the crucial moment of the past in the past tense and example (7) future dreams in the present tense. On the other hand, free indirect discourse in example (5) helps in creating sensual perceptions that present a contrast to Edna’s inner thoughts. Passages in free indirect discourse often start with a clause-initial coordinator (and), interjection (oh) or a wh-element (how) and can be spotted from the rest of the narration through orthography, like dashes surrounding the free indirect discourse passage, exclamation or question marks. Mansfield frequently uses italics and ellipses in reporting characters’ consciousness and feelings, which gives the impression of free indirect discourse. Extensive use of stance adverbs is striking in the two stories. A common feature in Mansfield’s psycho-narration is the adoption of epistemic stance adverbs such as really in example (3).6In †Bliss† and †Taking the Veil†, the interplay between the two dominant voices, that of the narrator and the protagonist, becomes evident through the rich use of stance ad verbs. The narrator’s perspective is mostly introduced through epistemic adverbs indicating certainty or doubt (e.g. perhaps), whereas the protagonist’s perspective mostly consists of those of actuality and reality (e.g. in fact, really). The effect is a narrator with no intention to intrude upon the story events, and a protagonist with a distinctly marked emotional world including feelings of bliss, future dreams, and moments of despair and love. Mansfield’s narrator steers the reader towards the protagonist’s climax with subtle remarks and hardly visible hints. Psycho-narration demonstrates different functions in the texts of this study. Mansfield uses evaluative and emotive descriptors in psycho-narrative sections; she borrows characters’ idiomatic expressions and marks internal discourse with orthography (dashes, exclamation marks), intensifiers and repetition to imply a shift from one perspective or feeling experience to another, for example, from the narrator to the protagonist. Mansfield describes the inner conflict or the dream world of the characters through psycho-narration, which is usually triggered by an emotional climax, in Bertha’s case the revelation of her husband’s adultery and in Edna’s case understanding who she really loves. In Mansfield’s fiction, the climax almost has a hallucinatory effect, as Edna’s convent dreams and the graveyard scene in exampl e (8) show. The use of the present tense seems to have a role in Mansfield’s text. Mansfield uses it mostly in psycho-narrative sections. All in all, there are certain features that are used frequently in Mansfield’s stories, such as dashes, repetition of adverbs or other clausal elements like intensifiers, interjections or co-ordinators. Temporal and spatial deictics have a significant role in the two stories, as the reader has very few other means to orient him- or herself while reading a literary text. Deictics help the reader to pinpoint the perspective in the passage and understand whose experiences are depicted in the story. The study of the deictic features in Mansfield’s fictional prose shows that the author uses various markers to create a deictic centre. These markers create a picture of characters’ emotional world. Free indirect discourse and psycho-narration are motivated, for example, by an internal debate or a crisis, as Edna’s ponderings showed in example (8). As was suggested in the analysis, linguistic features such as reporting devices and deictic features can be used to pinpoint the source of emotions in a literary text. Verbs, adjectives, adverbs and other consciousness markers work for the same effect, to describe the emotional world of characters. Psycho-narration and free indirect discourse provide Mansfield with a tool to point out the significant moments in the protagonists’ lives and separate them from the rest of the narration. Mansfield is the master of her characters and their emotions, making them breathe and feel as if they really existed.