Repent Harlequin, said the Tik Tok Man, by Harlan Ellison Essay

Repent Harlequin, said the Tik Tok Man, by Harlan Ellison - Essay Example The masked Harlequin is the person that is making people late by destructing them on their way to work. He uses bullhorns and jellybeans to confuse people going to work. The behaviour of the Harlequin is just to cause mischief and disrupt the rigid society governed by the need to keep time. The effect of the disruption of people to manage their time is economic problems. The story then goes back to the beginning and talks about life as it is today. People value time although they do not give it so much power (Ellison & Berry Pp. 27). This makes the authority and power of the time in the future world understandable, as one understands its origin. The book brings out clearly the theme of nonconformance. This is seen when the author uses the Harlequin to initiate havoc that disrupts the order and organization of the future society (Westfahl Pp.139). The society started to manage their time and avoid all instances of being late. Those who did not keep the societal obligation of time mana gement faced the wrath of the Ticktockman. However, Harlequin does not keep time, moreover, he engaged in activities that make other people not to conform to the laws of the society. The author also tells the story in a no conformational way. He starts the story in the middle and then goes to the beginning then to the end. The quotes that the author uses in the poem are important as they emphasize better the information that the author is bringing out. The author uses a quote in the beginning of the play, â€Å"Repent, Harlequin!" Said the Ticktockman†, to explain further the book (Ellison & Berry Pp. 27). The quote although short is very expressive and gives readers an idea of what the book is about. The use of the quotes makes the novel even more interesting by breaking the monotony of storytelling. The book brings out the thoughts of the author concerning the way the world is moving. He is thus able to express his thought about how different things in the society have chan ged (Burgess Pp. 72). However, how time controls what people do does not change. In the future, the time becomes a powerful tool and people stop being the master of their time and become slaves. People become slaves of time and they are thus forced to lose their humanity. They no longer use their conscience. They do the same things daily and at the same time. The Harlequin is the only person that is using his conscience. He sees that the routine and time keeping is not good and goes out of his way to do what he wants (Burgess Pp. 72). He is not controlled by the time and contradicts the norm everyone in the new world. This way the book shows the contradictions that come into a system that has controlled all the activities that people do. I believe that the author did not clearly show why and how the present world transitioned to the future world that was ruled by monotony. The book does not have historical processes that bring continuity from this present world to the future world. This is because the author uses some imagery in the book from the future world. The author depicts well how bad the society has become because of putting so much emphasis on time. However, he does not put the events properly into historic events that follow a sequence and develop over time. The characteristics of the bad society just prop up without any origin or event that influences its creation. From the book, the events in the future

Volly 2 Essay Example | Topics and Well Written Essays - 500 words

Volly 2 - Essay Example In this touch ten drill the defenders run hitting line with all the hitters. The coach will toss the ball to the setter and the setter sets the ball to any of the hitter he likes. The hitter will try to avoid all the defenders while smashing the ball. The defenders can start from anywhere in the court for effectively blocking the smashes (X-hitters, C-Coach, D-Defender, S-Setter) (Volleyball.com). The figure given below is another form of touch ten defensive drill. This drill teaches aggressiveness along with improving reflex reaction times. Reflexes and reflex reactions are important in every sports and volleyball is also not an exception. Here X stands for defenders and C for the coach. Coach hit the ball repeatedly to any of the three defensive players. There will not be any clue about who is going to receive the ball from the coach. All the defenders should be ready to receive the ball every time when the coach hit the ball. The coach on the other hand mixes his shot with less power, more power, less accurate, more accurate, and also he uses variety of swings also in each of the shots he make (Volleyball.com). This drill is intended for strengthening of offense. This is intended for closing the hole between the blockers by the smasher. It requires blockers at one side and the setter and the hitters on the other side. The ball tossed by the coach to the setter, sets to an outside hitter. The hitter should try to smash the ball between the blockers. The middle and the outside blocker start the drill by standing next to one another so that the timing is not an issue. This drill can be practiced using two and three blockers. Initially the drill starts with two blockers and then in order to increase the difficulty level in hitting the ball, instead of two, a third blocker is also used (Volleyball Plays and

Nurses Role in preventing pressure Ulcers Dissertation

Nurses Role in preventing pressure Ulcers - Dissertation Example First, pressure ulcers (PRUs) are rather common medical conditions that have affected the patients for ages with ever increasing morbidity and mortality rates. For these reasons, pressure ulcers and their effects have prompted nurses to work tirelessly to address their detection, prevention, treatment and management (National Institute for Health and Care Excellence, 2013). Most importantly, that PRUs have metamorphosed into a national healthcare issue underscores the importance of its prevention to the nursing. The other reason this topic was chosen for this paper is that despite the tremendous efforts and strides made in other fields such as medicine, nursing care, surgery, and self-care education, pressure ulcers remain among the chief causes of morbidity and mortality for different types of illnesses (National Institute for Health and Care Excellence, 2013). The situation is particularly dire for people with prolonged immobility, weakened sensation and advanced age. This topic wa s also favoured by the need to aptly and effectively prevent and manage PRUs and the need for more research in the area of pressure ulcers with regards to their prevention, characterization and treatment. Unfortunately, more needs to be done with regards to caring for patients to prevent and treat pressure ulcer in hospitals. To this effect, the numerous guidelines available to professionals should be accessed and implemented. Generally, these guidelines pinpoint the various strategies of preventing and treating pressure ulcers. Among these areas are those of skin care and protection, positioning, use of pressure-relieving devices and nutrition (National Guideline Clearinghouse, 2006). Agreeably, keeping the skin clean, dry and moisturized is the first and an important preventive step. Other guidelines emphasise the avoidance of the massaging of bony prominences. Dry lubricants and/or other protective dressings such as transparent films and hydrocolloids are also recommended for use since they help avoid skin injury from friction during patient transferring and turning (National Guideline Clearinghouse, 2006). In addition, the use of skin protectants or incontinence skin barriers is recommended by experts (Allsop, 1995). Another skin-related intervention that comes highly recommended is the use of absorbent under-pads and undergarments to wick moisture away from the skin. The recommendations with regards to positioning and pressure-relieving devices include elevation of the head of the bed to about 30 degrees, the use of a 30-degree lateral lying position, use of trapeze bars to help with mobility, use of pillows or wedges to lessen pressure and the cushioning of high-risk areas such as the elbows, heels and sacrum (McInnes & Cullum, 2011). Others are emphasis on the need to avoid dragging or pulling patients and the use of lift sheets/equipment to reposition or transfer patients. According to the NICE, 2013, about half a million UK citizens develop at least o ne pressure ulcer yearly while the NHS reports that about one in twenty people admitted to hospitals with a sudden illness will develop a pressure ulcer. According to most media reports, pressure ulcers not only inflict severe harm to patients but also cost the NHS billions of pounds each year to treat (Manfred, 2005). Nevertheless, the majority of pressure ulcer cases could be prevented via rather

Mare Reproductive Loss Syndrome Essay Example | Topics and Well Written Essays - 500 words

Mare Reproductive Loss Syndrome - Essay Example t the weather at that time in March was unusually cold followed by above normal temperatures in April, which stimulated rapid plant growth and concurrent increase in the number of eastern tent caterpillars. Wild Cherry trees were the principal source of food for these caterpillars. Lack of abortion in areas where these caterpillars did not exist and later experimental intragastric inoculation of pregnant mares with caterpillar extracts confirmed the reason for these abortions (merckvetmanual.com). The MRLS syndrome in addition to early/late fetal loss is characterized by uveitis, pericarditis and encephalitis and occurs due to tissue penetration by barbed setal fragments from Eastern tent caterpillars, Malacosoma americanum (Tobin et al, 2004). After ingestion the barbed setal fragments migrate through moving tissues followed by rapid spread of bacteria, bacterial emboli and septic fragments of setae, collectively known as septic materials (Tobin et al, 2004). A number of bacteria are carried by the setal fragments in moving tissues, blood, uterus and fetal membranes of pregnant mares. Pharmacokinetic studies and studies on the structure of the setae revealed barbs on them which facilitated the rapid spread of bacteria as hitchhikers. Clinically affected tissues show a poor antibacterial response as bacterial contamination of tissues and extracellular fluids is very rapid. It has been proposed that MRLS also includes an immunosuppressive mechanism which predisposes the affect ed horses to opportunistic bacterial infection (Flaminio et al, 2005). Pathological lesions when MRLS is suspected are consistent with bacterial infection as the cause. Streptococcus, Actinobacillus species and Serratia were some of the prominent bacterial species isolated from horses suffering from MRLS. Sebastian M.M. et al (2008) propose two hypotheses for MRLS. According to one, the syndrome is produced due to an Eastern tent caterpillar toxin complicated with secondary bacterial

The Life of a Maasai Moran Research Paper Example | Topics and Well Written Essays - 1250 words

The Life of a Maasai Moran - Research Paper Example The Maasai are a humble group of people who practice nomadism and derive their livelihoods from the animals they keep and hunting and gathering. Among the Maasai, the birth of a male child is a symbol of power. A man is only considered a true man when he sires a male child. The more the males sired the more power and authority and respect one earns from the members of the community (Lekuton 37). There are men who have been made chief of the community because having the highest number of male children. Such a man’s opinion in affairs of the community is taken very seriously and any one who disobeys his command is punished severely. The Maasai believe that it’s the God’s will to have male children and the more the male children the more God is happy with them and is blessing them (Barber 6). The male children are important because they protect the community and it’s wealth from all forms of threat ranging from other neighboring communities to wild animals. T he birth of a male child in the community is received as great news and calls for ceremonies that have been performed for many years handed over from one generation to the next. The ceremonies begin very early in the morning with the village elders meeting together and deciding on the name to be given to the child. The name is given based on the time of the year and events of axiological significance to the community happening as at that time of the year. The child could be born at a time when the community is preparing to go for war or during the rainy season, or dry season or many other significant periods. The name is settled on by the village elders on consensus and will be announced to the rest of the community at a time deemed appropriate by the village elders. This is followed by songs of praise to the father of the child as the community assembles at the assembly point. On such a day, all activities of the community are stopped and ceremonies take center stage. The women wil l all be congratulating the woman who gave birth at this point as others give and seek advice. Those women who give birth to girls and have no boys are advised by the mother of child on how to get a boy and those who have had many boys give advice to the fellow mothers on how to get more and more boys. It is to be noted that at this time the maiden girls are required to be present and will be responsible for all the singing and all the cooking and preparations for the ceremony. According to Saitoti and Galaty (87) a Maasai man is not allowed to perform any domestic chore. His duty is to take care of the community’s safety against all incoming threats. At exactly eight in the morning the Maasai Moran kill a bull chosen by the village elders and drain the blood. The father of the child pours some to the ground and takes a sip. This is done under close supervision by the eldest member of the community. It is believed that the ancestor are still living together with the community and oversee the overall well being of the community by blessing them with rain and good cattle herds. The blood has to be poured first to the ground so that the ancestors can have the first sip. They come first in each and every activity of the community. Forgetting to pour a sip to the ground before taking the blood is a grave mistake and is accorded a whole repentance ceremony. Once the father of the child has poured some to the ground and then taken a sip, the rest of the elders take each a sip of the blood

Walmart Winning Strategy Essay Example for Free

Walmart Winning Strategy Essay Wal-Mart Stores, Inc. operates retail stores in various formats around the world, aggregated into three reportable segments: (1) the Wal-Mart U.S. segment; (2) the Wal-Mart International segment; and (3) the Sam’s Club segment. We are committed to saving people money so they can live better. We earn the trust of our customers every day by providing a broad assortment of quality merchandise and services at every -day low prices (â€Å"EDLP†) while fostering a culture that rewards and embraces mutual respect, integrity and diversity. EDLP is our pricing philosophy under which we price items at a low price every day so our customers trust that our prices will not change under frequent promotional activity. Our fiscal year ends on January 31. Wal-Mart Stores Inc. is the largest retail company in the United States and has been ranked number one on the Fortune 500 Index by Fortune Magazine. Wal-Mart has four parts to their corporate strategy. Wal-Mart is dominant in the Retail Market. Wal-Mart has expansion in the U.S. and International Market. Wal-Mart has a creation of positive brand and company Recognition. Wal-Mart is able to branch out into new sectors of retail. Wal-Mart’s public affairs strategy must work to make implementation of these policy goals happen. Its public affairs strategy enables the company to move into other sectors of the marketplace and expand into foreign countries. The public affairs strategy also involves gaining access to politicians who can help Wal-Mart achieve its goals. Wal-Mart has a very active Political Action Committee that gives almost a quarter million dollars annually. While Wal-Mart’s public affairs strategy works well with its corporate strategy. We feel that there are a few recommendations which could make the company work better. Recently, Wal-Mart has been criticized for their opposition to allowing their employees to be unionized. Wal-Mart needs to clarify their reasons for their opposition to unionization. The public affairs strategy must also address the negative feelings harbored by some groups who feel  that Wal-Mart is encroaching into far too many other sectors retail than it should. These concerns must be addressed if Wal-Mart is to enjoy continued success in creating positive name recognition. The mission of Wal-Mart is to serve their members with strong advocacy, quality information, and responsive member services. Their vision is to continue building on our unique position, â€Å"the only research association serving an international membership.† Effective strategy incorporates a view from the customer and stakeholder perspective, and includes an understanding of customer needs, product and service characteristics, desired relationships and the desired â€Å"corporate image† that the organization wants to portray. Reference: https://:www.walmart.com https://www.balancedscorecard.org

Mental health programs Essay Example for Free

Mental health programs Essay Community health programs based in churches have been highly successful, although occasionally confusing and stressful for pastors to administer. However, it is not only physical health programs which have thrived; mental health and chemical dependency programs are an important supplement to church ministry and community service. Thompson and McRae argue that the Black church itself offers a positive therapeutic effect to its congregation, even without a formal mental health ministry in place. They discuss the historical basis for the Black church’s creation of community; the creation of the â€Å"we† group rather than the individual â€Å"I† and the need for belonging with a group, rather than to a group (41). They state â€Å"Embedded within the individual were past experiences, traditions, values, and norms for emotions, cognitions, and behaviors conducive to relatedness and â€Å"interpersonalness† that reflected a collective sense of belonging with rather than to, caring, similar others (Thompson McRae, 41). † The Black church, in Thompson and McRae’s view, has created a bridge for the gap between the historic slave experience and the modern Black experience which helps ease the mental transition between worlds, and created a framework for dealing with hostility. They state â€Å"The Black church nurtures the survival of its members through providing a supportive, caring environment to facilitate an ever-widening upward spiral of positive cognitive, affective and behavioral outcomes for growth and change (Thompson McRae, 46). † While the mere fact of church fellowship has a positive effect on its members, Black church involvement in formal mental health ministry programs has a significant impact on its members as well. Blank discussed the importance of mental health care within the church setting. They state that there are four areas of community care considered most effective in the church setting. These are primary care delivery, mental health, health promotion and disease promotion and health policy. Their review of studies underscored the importance of natural helpers (friends and extended family), lay helpers and most especially church leaders in the delivery of mental health care through an informal care system. Blank discussed the state of mental health care in the rural South in the 1970s; the population was discovered by researchers studying psychiatric utilization and morbidity in the area to be underserved, despite the general view that rural life was superior to urban. The problems contributing to low psychiatric utilization are complex; problems with service delivery, low quality of care (especially among minority patients) and lack of providers are entangled with social stigma surrounding psychiatric care, economic and social factors, geographic distance from providers, poverty, race and class issues to create a morass of issues a patient must slog through to acquire psychiatric care. Blank notes that at the time of the study, most counties lacked a single doctoral-level mental health professional; only 3% of licensed psychiatrists practice in the rural South, a number which has not changed significantly since the 1970s. In addition to the socioeconomic issues with receiving psychiatric care in the rural South, there are further problems relating to doctor-patient relations. Some theorists state that white mental health care providers cannot provide optimal care to Black patients because of their lack of knowledge and understanding of Black history and culture, as well as a lack of understanding of the difficulty of being Black in a white world; furthermore Black patients are less likely to trust white care providers due to racial tensions and differences in worldview (Blank , 1668). Instead, Black patients are considered to have a preference for Black care providers. While some studies have shown that Black patients do prefer Black care providers, stated reasons for this preference are a perception of greater professional competence and attitude, as well as racial and cultural compatibility (Blank , 1668). Blank emphasize the importance of sensitivity and cultural competence; it can lead to a greater understanding of non-normative minority behavior as well as an increase in trust levels between provider and patient which increase the possibility of a successful outcome. Blank discusses the cultural responsiveness hypothesis, which states that the effectiveness of psychotherapy is directly related to the therapist’s ability to communicate an understanding of the patient’s cultural background. Lack of this cultural responsiveness might account for some of the racial divide in diagnosis, treatment and premature termination of treatment observed between Black and white psychiatric patients (Blank, 1669). Blank hypothesized that rural churches provide fewer social and mental health services than urban churches, and that they have fewer links with the formal care system; furthermore, because of the importance of the church in the Black community and the historic exclusion of Black from formal care systems (schools, mental health services, etc), Black churches would provide more social and mental health services than white churches, but with fewer links to the formal care system (1669). Blank tested their theory using a phone survey of Black and white church leaders in both rural and urban areas in the South (defined in their study as Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Maryland, Missisippi, North Carolina, South Carolina, Tennessee and Virginia (Blank, 1670)). A total of 2,867 churches were targeted, with a total of 269 completed interviews, or an overall participation rate of just under 10% (Blank, 1670). Rural Black churches, the targeted demographic, were actually least likely to participate in the study, with only a one in fourteen survey completion rate; the researchers cited lack of full-time staff creating difficulties reaching church leaders and a high rate of church leader refusal as factors in this low completion rate (Blank, 1670). The researchers discussed topics such as church demographics, including size and racial composition of the congregation, number of services held and attendance at the services, the church budget and founding date; problems the church’s congregants faced that the church leader considered to be most important; specific questions about mental health services provided by the church or church leader, including such issues as depression, paranoia, nervous breakdown, dementia and Alzheimer’s disease and attempted suicide; What type of support services were offered formally by the church to deal with these types of issues; and what links to the formal care system, including hospitals, care providers and support services like Alcoholics Anonymous existed, and if links existed to what level church leaders provided referrals to the formal care system (Blank, 1669). The researchers then constructed four different scales on which to rank the churches: Problems, which quantified the degree to which responding churches dealt with mental health problems over the previous two years; Programs for Adults, which quantified the number of mental health programs offered by the church, including those dealing with alcohol and substance abuse, marital counseling, sex education and counseling, domestic violence and sexual assault; Programs for Children, which quantified programs specifically aimed at support for children, including individual and family support services; and finally Programs for Teenagers, which quantified programs specifically aimed at support for teens. Referrals, both in and out, were also quantified (Blank, 1670). Statistical analysis using factorial analysis of variance (ANOVA) was performed to determine the correlation between the varying factors. The researchers found some surprising differences in funding – when adjusted for congregation size, rural white churches had substantially larger budgets than rural Black churches, and urban Black churches also had significantly larger budgets than the rural Black churches (Blank, 1670). However, both urban and rural Black churches were shown to offer significantly higher numbers of mental health programs overall than their white counterparts. There were no statistically significant variables in the study of links between referrals, but the modal response among churches overall was 0, indicating that all churches tend to lack links with the formal care system (Blank, 1671). Blank extrapolate concerning the possible reasons for lack of links between the formal care system and the informal care system provided by churches. They note that one of the difficulties may be historical in nature; because churches are often divided among racial and ethnic lines, there may be barriers to connection between the formal care system and churches precipitated by racial and ethnic tensions. Additionally, because churches have played a role as a political entity in the past, there may be lingering social tensions between churches and formal care systems which prevent these roles. (Blank, 1671). Another barrier may be the different paradigms of the formal care system and the church regarding the nature, causes and treatment of mental health problems.