As a Head Nurse Essay Example for Free

As a Head Nurse Essay We all must experience have responsibilities beyond our expectation and limitation as we can improve ourselves every now and then. Responsibilities are just within our shoulders as we go on with our lives we add more on to it due to the things we learn and experience and simply being a student nurse responsibility is already on our shoulders as we gained knowledge in every step of the way. As a student nurse, knowledge is easy to get as we experience, learn, read and study. But every knowledge comes with great responsibility, which is to help and share it to others who are innocent about specifically toward to their health. Experiencing being a student head nurse is good as it adds my capabilities to manage my time, and my staff nurses. I have been a leader for some time now but I need more experience to be better than before. I am not at my best now as leader as I haven’t yet experienced every problem and responsibilities but I want to get better than I am now. Being a leader is hard because responsibilities weighs more than you expect, for your time, group and for yourself. But as I experience it once, twice or more to it, it is very helpful due to that I improve from before. Finding myself being a student head nurse is part of being a student but when I experience it was a little hard because I have difficulty at first in coping because it is my first time to lead a group in ER but I can manage. I was a little bit of loss for a minute on how to manage my time but I made a time table on the different things I have to manage from the start towards the end likely checking the works of my group mates and reminding them of the different responsibilities they have to prioritize first on the certain time. I was at ease because I felt blessed that my group mates work with less supervision and questions as the before group mates I have had. Some take initiatives for the different assigned work for our report. They manage to finish it on time and we communicate well. They also show respect with it comes to work as they call me â€Å"ma’am†, which I am not used to, during our shift of duty. I also was glad that I experience new and improved group mates. The things that I experienced as a leader was uncountable and unforgettable, due that I experienced new in every leadership that I account for. Responsibilities are just at our forefront and the moment we move forward it comes our way so we must be ready, so every experience that we take, took it as learning and a good endeavor to become a good leader not for other people but also for yourself.

Sickle Cell Disease: Causes, Effects and Treatment

Sickle Cell Disease: Causes, Effects and Treatment Abstract Sickle cell disease is a genetically inherited hematological (blood) disorder that results from a mutation in the beta globin gene that is responsible for the development of hemoglobin. Hemoglobin is the protein that delivers oxygen to the red blood cells throughout the body. In the disease, a mutated variant of normal hemoglobin generates an abnormal structure of the cells, leading to the development of symptoms. Sickle cell anemia and beta thalassemia are two common types of sickle diseases that are discussed in this review. The symptoms, complications, and therapies are also highlighted in the context of the pathophysiology of the disease. Sickle Cell Disease: An Overview Sickle cell disease is a genetically inherited blood disorder and it is characterized by an abnormal structure or production of hemoglobin. Hemoglobin is the protein in red blood cells that transports oxygen to cells throughout the body (National Institutes of Health, 2014). The disease results from a mutation in the beta globin gene causing a class of sickle diseases, such as sickle cell anemia and beta thalassemia (Thein, 2008). Together, they are often referred to as the beta hemoglobinopathies and present a range in disease severity (Thein, 2008). Beta globin is a protein that produces hemoglobin and the gene mutation in both diseases produces abnormal variants of hemoglobin in the blood. This results in either a predominance of abnormal hemoglobin molecules in red blood cells or an absence of normal hemoglobin, and thus, normal red blood cells (Edwards et al., 2005). There are a number of available therapies that manage sickle cell disease and the only curative treatment is hema topoietic cell transplantation. Pathophysiology of Sickle Cell Disease The National Institutes of Health reports that sickle cell disease is the most common inherited blood disorder in the United States and it affects 70,000 to 80,000 Americans (National Institutes of Health, 2014). It is estimated to occur in 1 in 500 African Americans and 1 in 1,000 to 1,400 Hispanic Americans (National Institutes of Health, 2014). The disease affects 30 million people worldwide and it is most common among people who have ancestors from Africa, Mediterranean countries, the Arabian Peninsula, India, parts of South America, Central America and the Caribbean (Khoury, Musallam, Mroueh, Abboud, 2011; National Institutes of Health, 2014). As it is an inherited disease, the sickle gene is presumed to have a genetic advantage in which it protects from the development of malaria infection (Stuart Nagel, 2004). There are many types of sickle diseases, such as sickle cell anemia and beta thalassemia. Sickle cell anemia is considered the most commonly occurring type of sickle c ell disease (National Institutes of Health, 2014). In sickle cell anemia, hemoglobin S replaces both beta-globin and the sixth amino acid is changed from glutamic acid to valine (National Institutes of Health, 2014; Rees Gibson, 2011). Sickle cell trait is not considered a disease and it is found in approximately 1 in 10 African Americans (Edwards et al., 2005). When both parents have the sickle cell trait, there is a one in four chance with each pregnancy that the child will have sickle cell anemia (Edwards, et al., 2005). Today, many health organizations offer newborn screenings that can determine if a child has either the disease or trait (National Institutes of Health, 2014). The development of the disease occurs due to the polymerization of deoxygenated hemoglobin S (Chirico Pialoux, 2012). The polymer formation modifies the normal red blood cell disc shape into a rigid, irregular-shaped, unstable cell and causes intravascular hemolysis, or rupture of the cells, to release hemoglobin into the plasma of the blood (Chirico Pialoux, 2012). The repeated polymerization leads to sticky blood cells (blood cell adhesion), obstruction of blood vessels (vasocclusion), and restriction of blood supply to tissues and organs in the body (ischemia) (Chirico Pialoux, 2012). Additionally, the endothelium and leukocyte, or white blood cells, are also found to play a role in disease mechanisms. Studies have found a connection between the endothelium, a thin layer of cells that line the interior surface of blood vessels, and sickled red blood cells (Stuart Nagel, 2004). The red blood cell receptors that are associated with cell adhesion are present in increased numbers on sickled immature red blood cells and mature sickle cells compared to normal red blood cells (Stuart Nagel, 2004). This finding demonstrates a structure-function abnormal activity that leads to coagulation on cell surfaces, leading to anemia (Stuart Nagel, 2004). Like cell adhesion, leukocytes have an impact in disease activity. White blood cells are found to be at an increased baseline in sickle cell disease, which serves as an independent risk factor for pulmonary and cardiac complications (Stuart Nagel, 2004). The size of the white blood cell, its rigidity, and adhesive characteristics are implicated in microvascular blood flow, vascular inflammation, and vasocclusion (Stuart Nagel, 2004). Clinical Symptoms of Sickle Cell Disease The clinical manifestation of sickle cell disease can lead to inflammatory responses and may result in acute chest syndrome, pulmonary hypertension, and stroke (Chirico Pialoux, 2012). People with sickle cell disease may also encounter several physical complications, such as delayed growth, fatigue, headaches, and cerebral vascular damage (Edwards et al., 2005). Acute chest syndrome is considered the second most common cause of hospital admissions and a leading cause of death in patients with sickle cell disease (Khoury, Musallam, Mroueh, Abboud, 2011). It involves the presence of a pulmonary infiltrate on a chest X-ray and the symptoms may include chest pain, a temperature of more than 38.5 degrees Celsius (101.3 degrees Fahrenheit), tachypnea (rapid breathing), wheezing or cough ((Khoury, Musallam, Mroueh, Abboud, 2011). The symptoms at clinical presentation vary with age as wheezing, cough, and fever are common in children 10 years or younger (Khoury, Musallam, Mroueh, Abboud, 2011). Pain in the arms and legs and shortness of breath are more commonly presented in adults with the disease (Khoury, Musallam, Mroueh, Abboud, 2011). It is believed that there are three mechanisms involved in acute lung injuries, which include infection, fat embolization (clotting) from bone marrow, and sequestration of sickled red blood cells (Khoury, Musallam, Mroueh, Abboud, 2011). People with sickle cell disease have an increased risk for developing infections, particularly pneumonia. Treatment for acute chest syndrome is primarily supportive and includes supplemental oxygen to keep the saturation above 92% (Khoury, Musallam, Mroueh, Abboud, 2011). Pain is considered the most frequent complication associated with the disease and acute chest syndrome stimulates this crisis (Edwards et al., 2005; Khoury, Musallam, Mroueh, Abboud, 2011). Repeated episodes of acute chest syndrome predispose patients to chronic pulmonary disease, such as pulmonary hypertension (Stuart Nagel , 2004). The occurrence of asthma is also associated with the increased incidence of acute chest syndrome, which is considered a comorbid condition found in people with sickle cell disease (Khoury, Musallam, Mroueh, Abboud, 2011). Beta Thalassemia Beta thalassemia is a common genetic blood disease that reduces hemoglobin production (National Institutes of Health, 2014). The hemoglobin gene mutation results in an unusually low level of beta-globin (National Institutes of Health, 2014). There are different levels of thalassemia based on the number of copies of beta thalassemia alleles or different copies of the same gene (Thein, 2008). The variety in alleles impacts the deficit in beta globin production, which, in turn, impacts disease severity (Thein, 2008). Carriers, for example, who have inherited a single copy of the beta thalassemia allele are clinically asymptomatic and may demonstrate mild anemia (Thein, 2008). Unlike a globin imbalance that is found in sickle cell anemia, variants of beta chains are broken down and result in ineffective red blood cell production in beta thalassemia (Thein, 2008). Physical complications involve cardiac and bone disease, bilirubin metabolism, and iron metabolism. Such symptoms may include jaundice and a predisposition to gallstones (Thein, 2008). Treatment for Sickle Cell Disease Several complications may emerge from sickle cell disease, whether it is in sickle cell anemia or in beta thalassemia. The purpose of therapies for sickle cell disease is to prevent and treat complications (Inati, Chabtini, Mounayar, Taher, 2009). The treatment of sickle cell disease is best achieved by decreasing the amount of hemoglobin S through the prevention of its production (Inati, Chabtini, Mounayar, Taher, 2009). People with severe sickle cell disease are treated with three validated therapies: hydroxyurea, transfusion and chelation therapy, and a hematopoietic or stem cell transplant (Inati, Chabtini, Mounayar, Taher, 2009). Hydroxyurea has been shown to be an effective form of treatment for children and adults with the disease. It has been demonstrated to reduce pain and acute chest syndromes, and it decreases the frequency of hospitalizations and the need for transfusions. This therapy has also been found to play a role in stroke prevention (Inati, Chabtini, Mounayar, Taher, 2009). At a molecular level, hydroxyurea reduces the adhesion of sickle red cells to endothelial cells. It also modulates endothelial cell activation and nitric oxide generation (Inati, Chabtini, Mounayar, Taher, 2009). Nitric oxide has been found to affect acute and chronic complications of sickle cell disease (Stuart Nagel, 2004). Nitric oxide, on a normal functioning level, induces relaxation of smooth muscle and dilation of blood vessels. In sickle cell disease, the bioavailability of nitric oxide is impaired, resulting in an imbalance between endothelial production and consumption (Stuart Nagel, 2004). The lungs are most affected by a reduction of nitric oxide and tend to constrict, which predisposes an individual to acute chest syndrome (Stuart Nagel, 2004). No adverse effects have been thus far reported on the usage of hydroxyurea and any toxicity is typically reversible (Inati, Chabtini, Mounayar, Taher, 2009). Transfusion therapy is currently considered a standard of care treatment for primary and secondary stroke prevention in children with sickle cell disease (Inati, Chabtini, Mounayar, Taher, 2009). It is used for short and long term management, preventing a first stroke in high-risk children as well as preventing against a recurrent stroke (Inati, Chabtini, Mounayar, Taher, 2009). Transfusions are also used for chronic and severe pain or in cases when patients with acute chest syndrome do not respond to hydroxyurea (Inati, Chabtini, Mounayar, Taher, 2009). Chelation therapy is used for patients who experience iron overload. Iron overload is a serious and inevitable outcome from receiving regular transfusion therapy (Inati, Chabtini, Mounayar, Taher, 2009). Unless treated, iron overload may result in severe organ damage and other life threatening complications and this treatment mediates this by removing excess metals from the body (Inati, Chabtini, Mounayar, Taher, 2009). While hydroxyurea, tranfusions, and chelation therapy aim to prevent and treat complications, they do not cure sickle cell disease (Inati, Chabtini, Mounayar, Taher, 2009). The currently available curative treatment is a stem cell transplant. A transplant is indicated in those patients who experience complications, such as recurrent severe pain, acute chest syndrome, and stroke (Inati, Chabtini, Mounayar, Taher, 2009). Only one-third of affected children meet the criteria for a stem cell transplant as it is an aggressive and serious procedure (Inati, Chabtini, Mounayar, Taher, 2009). The goal of a stem cell transplant is to replace the host’s marrow with normal cells, resulting in a new immune system (Stuart Nagel, 2004). Studies on stem cell transplant as a curative option for patients with severe sickle cell disease are demonstrating mean overall survival and event-free survival rates between 95 and 85% (Inati, Chabtini, Mounayar, Taher, 2009). Significant advancements have been made for pediatric patients who have beta thalassemia and were treated with a stem cell transplant. Over the last three decades, disease-free survival rates have exceeded 80% in patients who received transplants from biologically compatible family donors (Mehta Faulkner, 2013). Sickle cell disease is a genetically inherited blood disorder that is primarily diagnosed in people who have ancestors from Africa, Mediterranean countries, the Arabian Peninsula, India, parts of South America, Central America and the Caribbean (Khoury, Musallam, Mroueh, Abboud, 2011; National Institutes of Health, 2014). The disease results by a mutation in the gene that creates beta globin, which is the protein that is responsible for producing hemoglobin. Hemoglobin is the protein in red blood cells that transports oxygen to the body’s organs and tissues. When the mutation occurs, a hemoglobin variant is produced, resulting in a structural and functional change in the red blood cells. Several physical complications emerge in both children and adults who have the disease. These may include, but not limited to, pain, acute chest syndrome, cerebral and vascular damage (Edwards et al., 2005). There are three primary therapies for managing and/or treating the disease. These inc lude the drug, hydroxyurea, transfusion and chelation therapy, and hematopoietic cell transplantation (Inati, Chabtini, Mounayar, Taher, 2009). More research is underway in the development of additional treatment options, such as gene therapy and clinical trials are exploring this possibility. References Chirico, E. N., Pialoux, V. (2012). Role of oxidative stress in the pathogenesis of sickle cell disease. International Union of Biochemistry and Molecular Biology Life, 64 (1), 72-80. Edwards, C. L., Scales, M. T., Loughlin, C., Bennett, G. G., Harris-Peterson, S., De Castro, L. M., Whitworth, E., Abrams, M., Feliu, M., Johnson, S., Wood, M., Harrison, O., Killough, A. (2005). A brief review of the pathophysiology, associated pain, and psychosocial issues in sickle cell disease. International Journal of Behavioral Medicine, 12 (3), 171-179. Inati, A., Chabtini, L., Mounayar, M., Taher, A. (2009). Current understanding in the management of sickle cell disease. Hemoglobin, 33 (S1), S107-S115. Khoury, R. A., Musallam, K. M., Mroueh, S., Abboud, M. R. (2011). Pulmonary complications of sickle cell disease. Hemoglobin, 35 (5-6), 625-635. Mehta, P. A., Faulkner, L. B. (2013). Hematopoietic cell transplantation for thalassemia: a global perspective BMT tandem meeting 2013. Biology of Blood and Marrow Transplantation, 19, S70-S73. National Institutes of Health (2014). Genetics home reference: beta thalassemia. U.S. Department of Health and Human Services, Retrieved from http://www.ghr.nlm.nih.gov/condition/beta-thalassemia. National Institutes of Health (2014). Genetics home reference: sickle cell disease. U.S. Department of Health and Human Services, Retrieved from www.ghr.nlm.nih.gov/condition/sickle-cell-disease. Rees, D. C., Gibson, J. S. (2011). Biomarker in sickle cell disease. British Journal of Haematology, 156, 433-445. Stuart, M. J., Nagel, R. L. (2004). Sickle-cell disease. Lancet, 364, 1343-1360. Thein, S. L. (2008). Genetic modifiers of the ÃŽ ²-haemoglobinopathies. British Journal of Haematology, 141, 357-366.

Role and Significance of Budgetary Control

Role and Significance of Budgetary Control Introduction: Enterprise is a complex man-made running coupling system and a contractual association with body; it is very necessary to the business activities of its process and implements control. According to the modern management guru Robert  Simons theory, management control achieve management objectives. Through the implementation of a series of management control lever, so it should increase the importance of budgetary control and devote energies to the management of budgetary control to ensure that business objectives and performance management of the smooth realization. The essay will first give an overview of budget control. Secondly, it will introduce the Performance Management Overview. Thirdly, it will discuss How to improve the effectiveness of budgetary control. Finally, it will give a short conclusion. An overview of budget control The meaning of budgetary control Budgetary control has the existence of broad and narrow sense. Broad budgetary control sees the entire budget system as a control system, which it is the formation of a prior, during and after the whole process control system (David E.W. Marginsona, 1999). Through the budget preparation, budget evaluation, reward and punishment by monitoring of budget execution. Narrow budgetary control prepares a good budget as a basis for performance management and standards on a regular basis to compare actual performance with the budget analyze differences in the results and take corrective measures, which is mainly referring to something in the process of budget implementation in the monitoring of behavior. According to control activities, budget control includes target control, process control and system control, while the budget as the primary means of corporate internal controls provides a comprehensive management platform. Budget target of control is that Budget management through strategic planning to determine the annual business objectives; then through the decomposition of indicators to clarify the responsibility of the objectives of the responsibility of the budget units as a basis for evaluation. Budget program control is that Budget management achieves complete control over the purpose through the division of budget management decision-making authority and authorization controls, segregation of duties control is incompatible with the budget organization, budget, audit, budget monitoring and internal audit characteristics (John K. Christiansen and Peter Skà ¦rbà ¦k, 1997). Budgetary control regulates businesses and peoples behavior through a series of system control and enhances enterprise rule of law capacity, at the same time improves the enterprises core competitiveness. Budgetary control is the core of enterprise management control and a business management system, a very important control system. Budgetary control is a comprehensive system of budgetary control, That budgetary control infiltrates to the various business processes of enterprises. At the same time, it is still the core of internal control. Science and the implementation of budgetary control is an important guarantee for the effective implementation of budget management The role and significance of budgetary control Budgetary control mainly refers to the budget during the execution of the budget implementation of the routine supervision and control; it is the budget target to achieve the necessary guarantees. Control functions are the basic functions of management of the budget in the analysis of the implementation of enterprise budget management; Control effect of budget management throughout the management process. Budgeting is a pre-budget control, budget execution is a matter of control, budget evaluation is a kind of ex post control. As the enterprises own internal and external conditions change, sometimes business strategy need to make corresponding adjustments, though corporate budget management must change in accordance with the strategic objectives of changes in the future management of operational activities to achieve feed forward control (Peter Brownell ,1985). In the budget execution process, from budget management, budgetary control organizations in the field and promptly discovered that the actual deviations from the budget differences, and took the necessary measures to eliminate weaknesses and achieve process control. Budget management functions In the budget- feedback control, budget management, budget management and the implementation of the main functions keep the actual results to compare with budget targets in time, and deviations occur message to budget management and the main body so that adjust it timely to ensure the budget goals. In short, the advance control focuses on the corporate budget management and budgeting. Things in the process control focuses on each link to control the implementation of a business, and afterwards , feedback control focuses on the feedback according to deviate from the budget target follow-up control of information. Because of the combination, only the budget to strengthen all-round management and control capabilities, it enables Enterprises strategic objectives to be refined to implement. Budgetary control is not only a wide range of control, but also a full range of control; budget control must penetrate to the enterprise in all business processes and the business links, which is covering all business sectors and positions. On the one hand, the application of accounting measurement accounting methods reflect implementation of the budget process and oversight for accounting control and budget management for the basic values to provide the required information. On the other hand, in-depth into the origin of the value of management activities, the daily operations of specific business areas, such as procurement, production, sales and so on, to carry out management control. Enterprise Budget Management of the main needs of the accounting department and co-ordination between business units and communication account control and management control together. Budget management involves many factors, the breadth of the decision of the board of directors and the boards of supervisors only grasp what is important in order to take into account the overall situation, but also decided to encourage the implementation of the budget, the main body of self-control is particularly necessary. Performance Management Overview Performance Management connotation Performance management is developed on the basis of a management concept and management models in the traditional management ideas (David Otleya, 1999). Performance management objectives promote the responsible people accountable for results to achieve organizational behavior efficient; it could through the design of organizational activities and achieves the objective evaluation of the effects. Compared with traditional management, performance management activities of the organization is advocating relaxation of process management and rules of control, the management focus from a rules-based accountability to performance-based accountability, the entire management process demonstrates the activities of the organization goals and achieve its objectives effectiveness concerns. We must establish a performance-based accountability, it is necessary for organizations and individuals to evaluate the performance of activities which result in the activities of the organization and individual performance evaluation. By designing a set of performance evaluation index system of scientific, it reflect the objectives of organizations and individuals to achieve results, and it provide a basis for incentive and restraint and the allocation of resources for managers Performance appraisal is an important technology tool for performance management that improve the efficiency and it is the key factors of organizational behavior, thus constitute the core content of performance management An overview of Performance Budgeting The performance management concepts for budget management practices produced a performance budgeting. According to the Ministry of Finance Budget Division of the definition of performance budgeting, performance budgeting is a goal-oriented budget, it is based on achievement of the governments public sector objectives and it is in budget preparation, control and evaluation of a budget management model( Robert Dransfield,2000). In contrast with the traditional budget management, performance budget, focuses the effectiveness of fiscal spending in the stresses, at the same time it advocated to give managers sufficient autonomy in budget management and reporting system through the public sector, public sector reporting system in the traditional budget system to inject a kinds of incentive and restraint mechanisms to effectively contribute the organizational goals. In the performance budget management, budget expenditure performance evaluation as a management control tool, which is a core content in performance budget management. The so-called budget expenditure performance evaluation refers to the use of certain assessment methods, quantitative indicators and appraisal criteria and functions of the department to achieve its performance goals established by the realization of the extent, as well as to achieve this goal; the implementation of the budget was carried out by the results of a comprehensive assessment and evaluation. The aim of the department of performance objectives is rational allocation of resources, optimizing effectiveness and efficiency of the use of budgetary funds through a comprehensive evaluation. Performance evaluation of scientific conclusions of the performance of expenditure is the key to the successful implementation of performance management. This relates to how to organize the implementation, how to choose the scope of evaluation, how to determine the performance objectives, performance indicators and evaluation methods and so on; in order to obtain one scientific conclusion question on public expenditure in the economic, efficiency and effectiveness of the Three. From the definition of performance budgeting, performance budget has two core elements, one is performance evaluation to solve how to set up performance evaluation system of science to arrive at the performance of scientific information; second is performance information and budget integration to solve performance information (PI) how to combine of management and budget issues, which is how to combine the performance information and budget preparation, execution and reporting system in order to achieve the efficient budget management and the promotion of organizational performance improvement (Jack Diamond,2003). Both of these two aspects are interlinked and mutually distinction, which constitute a complete performance of the budget system. How to improve the effectiveness of budgetary control Sometimes, the implementation of the budget alone to assess a business operation in the period may be good or bad business lacks flexibility, and thus induce businesses to focus only on some short-term, and immediate interests, rather than from a long-term, strategic point of view thinking. Therefore, we should budget for the traditional appraisal methods to do some improvements and make control tools with some other combine, so as to achieve the optimum. Drawing on balanced scorecard thinking Balanced scorecard help us from the level of multi-dimensional performance of the integrated assessment managers, it both on the organizations financial indicators for evaluation and the organizations customers, internal operations, the learning and growth aspects of assessment. Incentive and constraint mechanism to conduct innovation Budgetary control get people to complete it, they have to take into account peoples behavior and psychological factors, so the incentive and restrictive mechanism in the budget management is most importance (Michel J. Lebasa, 1995). Enterprises should be based on objective circumstances to develop a series of truly value-creating linkages with the staff of the incentive and restraint mechanisms to fully and effectively mobilize the enthusiasm of staff performance and creativity, so that employees consciously enterprise business objectives into their own development to be achieved goals, and actively take the initiative to complete the business plan to develop a budget, so that the budget management companies could be more active and effective implementation. Dynamic evaluation Dynamic evaluation refers to the budget implementation process, the budget of the implementation of dynamic and tracking of evaluation of the budget in the implementation, the timely detection of the budget in the implementation of the problems found and processing and adjustment of the budget in time. Through dynamic evaluation, we can more timely control the budget management and ensure its effective implementation. Conclusion Some companies focus only on practical preparation of the budget and ignore the control of the budget implementation process. In fact, the control of budget management play a key role in the budget; if there is no budget control, the budget would be a mere formality lose control. Budget management control system is adopted by various government departments and budget implementation of the relevant series of internal control procedures and the adjustment mechanism, whose main function prevent errors and fraud to ensure the correct implementation of the budget, as well as the efficient realization of organizational goals. Budget management and budgetary control systems also known as the internal control system, which constitute a complete budget control system together with the budget and external control systems.

A Streetcar Named Desire - The Importance of Scene 6 Essay -- Streetca

A Street Car Named Desire - The Importance of Scene 6   Ã‚   Scene 6 is a poignant part of 'A Street Car Named Desire' and only contains the characters Mitch and Blanche. The scene begins with the impression that Blanche and Mitch have not enjoyed the evening that they have just spent together at a local carnival. Blanches voice and manner is described as being " the utter exhaustion which only a neurasthenic personality can know." Mitch is described as being "stolid but depressed." Mitch even admits "I'm afraid you haven't gotten much fun out of this evening Blanche." and "I felt all the time that I wasn't giving you much-entertainment."   At this point in the scene the viewer gets the impression that Mitch and Blanche are not compatible and as it continues we get the impression that Blanche and Mitch are very unlikely Bedfellows.    As the scene progresses the likelihood of Blanche and Mitch becoming an item oscillates. The chances begin low and begin to decline but by the end of the scene chances become extremely high. This happens as a result of Blanche's flirtatious character and in the confidence levels Mitch portrays in his conversation.    At the beginning of scene 6 Blanche and Mitch are not presented as being compatible or to have much have any chemistry between them. Blanche is an educated woman with an aristocratic upbringing where as Mitch is uneducated and working class. We can observe how Blanche is flirtatiously playing the 'hard to get game' (e.g. using words such as 'honey') and appears to be very confident and experienced when dealing with men. Mitch on the other hand does not seem so confident or experienced, nervously asking, "Can I - uh-kiss you - goodnight?"      W... ...a significant difference between the two. There is far less physical attraction between Blanche and Mitch and more of a need for companionship, love, and sincerity.   As the play continues and we watch how Stanley slowly destroys Blanche, the question "Does physical brute force, such as that of Stanley, overpower and dominate over the non-physical emotional force such as that of Blanche?" This scene and comparison of the two relationships aids this argument.    Works Cited Spoto, Donald. The Kindness of Strangers. Boston: Little, Brown and Company, 1985. Szeliski, John T. von.   Twentieth Century Interpretations of A Streetcar Named Desire. "Tennessee Williams and the Tragedy of Sensitivity".   Ed.   Jordan Y. Miller.   New Jersey: Prentice-Hall, 1971. Williams, Tennessee.   A Streetcar Named Desire.   Stuttgart: Phillip Reclam, 1988.      

Rosenberg Spies Essays -- Julius Ethel Rosenberg Nuclear Weapons Essay

Rosenberg Spies In 1951, Julius and Ethel Rosenberg were convicted of passing information to the Union of Soviet Socialist Republics (USSR) concerning the construction of nuclear weapons. In 1953, the United States Government executed them. Some say, the Rosenbergs received their just punishment. Many historians feel that the trial was unfair, and that international claims for clemency were wrongly ignored. These historians claim that the Rosenbergs were assassinated by the US government. This report will be an analysis of the trial, the events which led up to it, and its aftermath. What Led to the Arrest? The first clue America had that a Russian spy ring existed in the US was the discovery of a KGB codebook on the Finnish battlefield during World War II. When compared with Germany's machine-scrambled codes, the code appeared to be relatively primitive; a certain set of numbers corresponded to a word, letter, or essential phrase. There was a little catch though; the codebook was to be read with a corresponding page that every KGB officer was given. Because the American ciphers did not have the corresponding page, there were an infinite number of possibilities that could have corresponded to the book, making deciphering it impossible. (Milton 7) Klaus Fuchs In 1944, the FBI raided the New York offices of the Soviet Government Purchasing Commission, a known front for the KGB industrial espionage operations. When the FBI began to go through what they had taken, they found that many KGB officers did not adhere to their orders diligently. They were told to dispose of all their "corresponding sheets." Many memos and other letters were carelessly stored away, instead of being destroyed after their use. After much studying of all the confiscated letters of the KGB, including the new sheets, the ciphers were now able to elucidate some of the codebook they had found earlier. In 1949, a report by Klaus Fuchs was deciphered. This was America's first solid evidence that there was a spy ring operating within the US. borders. The American authorities had some doubts, however. It was possible that Fuchs was not a spy and somehow the KGB had obtained his report. After much investigation, the FBI arrested Fuchs. Along with other evidence, a letter deciphered by the FBI had a reference to a British atomic spy, whose sister was att... ...y after a jury's recommendations. From the day the Rosenbergs were indicted to three days before their execution, this act was ignored. Astonishingly, nobody realized, including the prosecutors, defendants, or any judges, that this was being ignored. A lawyer from the West Coast raised the issue that suggested to somebody that the Rosenbergs were being wrongly executed. Even after the issue was raised, the Supreme Court ignored it and the Rosenbergs were executed anyway. Still today, there is an ongoing and bitter controversy as to why the Rosenbergs were put to death. (Sharlitt 27) Bibliography Allen, Thomas, and Norman Polmar. Merchants of Treason. New York: Delacorte Press, 1988. Burkholz, Herbert, and Clifford Irving. Spy The Story of Modern Espionage. New York: Macmillan Publishing Company, 1969. Eisenhower, Dwight. Mandate For Change. Garden City: Doubleday & Company, Inc., 1963. Milton, Joyce, and Ronald Rodash. The Rosenberg File. New Haven: Yale University Press, 1997. Meeropol, Michael, and Robert Meeropol. We Are Your Sons. Boston: Houghton Mifflin Company, 1975. Sharlitt, Joseph. Fatal Error. New York: Macmillan Publishing Company, 1989.

Madly desirous for glory Essay

In the second letter Walton writes about his progress to Archangel. In the letter he describes his crew. Walton’s description of his ship’s master suggests that he is the embodiment of goodness. He frequently applauds the courage of his lieutenant. The lieutenant is ‘madly desirous for glory’. In this letter the theme of alienation arises. Like Victor, Walton’s ambitions isolate him from his family and friends: ‘But it is a still greater evil to me that I am self educated.’ Shelley’s choice of words are designed to anticipate Victor’s need of a friend. It does this by implying that Walton is annoyed that he had no one to teach him, and that he had no companions. The third letter that Walton sends simply expresses confidence in his quest: ‘I write a few lines in haste to say that I am safe – and well advanced on my voyage.’ Shelley may have decided to add a short letter to show that Walton maybe playing down the dangers of his voyage. He finishes the letter by saying: ‘Heaven bless my beloved sister.’ This clearly shows that Walton is a caring person.  The fourth letter is when Walton catches a glimpse of the creature. The crew take Victor on board. Walton believes that he has found a friend in Victor, and confides his ambition. This letter emphasises the admiration and affection that Victor inspires in Walton, who sees great nobility in this ‘divine wanderer’. In some ways Walton can be seen as a double to Victor Frankenstein. Walton rebels against his father’s decision for him to not go to sea. This is very similar to Frankenstein’s father, who dismissed Victor’s interests in science. Walton decides against the life of ease, he explains that ‘My life might have been passed in ease and luxury,’ he explains, ‘but I preferred glory to every enticement that wealth placed in my way.’ Shelley has added this to show a relationship between Victor and Walton. This shows that they have similar characteristics, and desire the same things from life. The fact that Walton is introduced before Frankenstein may show that Shelley was preparing the reader for Victor’s desire for knowledge. Although the two characters can be related to each other, they also have significant differences. Walton is not quite so alienated as Victor. Rather then rejecting companionship, Walton longs for an intimate friend to share his hopes and dreams. To add to this point, Walton is also is not so isolated in his search for knowledge, whereas Victor, whose ‘midnight labours’ and ‘secret toil’ keep him completely secluded. The fact that Walton had a crew around him prevented him from falling into the trap of Victor’s individualism. The first chapter begins in an embedded narrative, with Victor telling his story to Walton. Victor begins his story by describing his early life in Geneva, his tranquil domestic life and the young orphan Elizabeth, who becomes part of the household. Victor’s interest in science eventually takes him to university at Inglostadt. His experiments lead him to the discovery of a secret life force. He constructs a human form out of dead tissue and brings it to life. Horrified by his actions, Victor abandons the creature. One of the main themes portrayed by Shelley in this novel is that of birth and creation. When Victor gave life to the creature, he usurps the role of God. Victor imagines how, ‘A new species would bless me as its creator and source†¦ No father could claim the gratitude of his child so completely as I should deserve theirs.’ This shows that Victor’s main crime is not what he had done, but what he failed to do. He failed to ‘father’ his creation. Victor is an isolated individual. However, unlike Walton, Frankenstein’s isolation is self imposed. It is also ironic in the sense that Victor rejects his family and friends, whilst this is simply what the creature longs for. Victor claims that the rejection of his family is necessary in order to continue the quest for the secret life. Alienation is a key factor in this novel. Victor chooses to isolate himself from others, whereas the creature’s isolation is imposed upon him, due to Victor abandoning him, and people being generally scared of his appearance. However the creature does desire companionship, and he says that he becomes violent when he realises that he will never have this, ‘I am malicious because I am miserable.’ This shows that the creature is humane in the sense that all he wants is a companion, much like any human. So the fact that the creature only becomes ‘malicious because I am miserable’ represents that people become monstro us when the are isolated, and rejected from society. When Victor creates the creature, he is flooded with a huge feeling of anti-climax. Victor repulses the creature on first sight. He refers to the creature as ‘the wretch’ and is horrifies by the thing that he has given life to. This shows that Victor is only concerned with physical appearance. This shows intolerance of imperfection and a flaw in Victor’s character. Victor rejects the creation; this is like a father rejecting his child. When the creature came to life Victor may have realised the enormity of the monstrous deeds that he had committed. The passage in the novel shows Victor to be a monster, as he does not even try to understand the monster’s cries for help. He has forsaken any duties he is expected to perform as a father. When the creature ‘awoke’ from his ‘sleep’ he convulsed. When Victor awakes from his sleep, his muscles also convulse. This could be one of the first signs that the creature is a double of Victor. Victor even describes the monster as ‘my own spirit let loose from the grave†¦ forced to destroy all that was dear to me’ Victor has given a clear expression of the notion that he and the creature may be doubles, with the creature acting out Victor’s own aggressions. Shelley’s description of the creature is full of pathos. The first things that the creature desires are love and affection, as all newborn things want. However, Victor denies him this. When Victor awakes from his dream, he finds the creature reaching out a hand towards him. Victor rejects this appeal for help from the creature.  This passage from the novel may parody ‘The creation of man’ by Michelangelo, which shows God stretching out his hand to give life to Adam. The analogy of this is that Victor is playing God and that the creature is Adam. Another parody is the story of Prometheus, who stole fire from the Gods and gave it to the people on earth. The analogy of this is that Victor has stolen the power of life from the God’s and given it to the people. This is the reason for the book has the subtitle ‘The modern Prometheus’. Victor may be seen as monstrous in this passage, as he is usurping the role of woman, which goes against the laws of nature.

Analysis of Impact of Immigration on Uk Nationals Trying to Find a Job Using Entman’s Definition of Framing.

Immigration in Uk- although not a recent occurrence, has become one of the most pressing social and economic issue for the country in the present times. With migrant population escalating by 22% during the open door policy period of 2000 to 2005 (Mail Online, 19 April 2012) and the number of immigrants and foreign born residents at its greatest than anytime in the history, immigration has also become a controversial political issue in Uk.In this essay, using Entman's model of framing, I will examine how the media and different political actors exercise framing of arguments supporting and opposing immigration and it's impact on British nationals trying to gain employment. Entman defines framing as â€Å"to select some aspects of a perceived reality and make them more salient in a communicating text , in such a way as to promote a particular problem definition, causal interpretation, moral evaluation and/or treatment recommendation for the item described. (1993:52) The key points in E ntman's model of framing are selection and salience. After a more or less conscious selection process of a matter, salience is given to certain elements to establish argument about the problem, its cause, evaluation and the solution to the problem – the four main purposes of framing. The news media frames the high unexpected numbers of immigration from European Union and non European Union countries, defining it not as an issue but as a potential problem and a socio-cultural threat to the country.The existing schemata in the belief system of present British population also view immigration as a potential problem due to the rise of foreign population. Schemata are the cognitive mental frameworks that help us perceive reality. Watson suggests that these existing schemata hugely affect our responses, despite our efforts to maintain impartiality. Therefore for successful communication, the communicator selects the issue of their interest highlighting the elements that fit with th e receiver’s existing schemata. (2003:187)I have chosen two contradicting news media articles on impact of immigration on employment of people in Uk, by MigrationWatch Uk and The Guardian, written with different political ideological perspective to analyse how framing a text in different ways serves different purposes. After the careful problem definition, framing diagnoses the problem addressing the associations and the sources of the problem. MigrationWatch Uk (6 Jan, 2012) diagnoses the high number of immigrants specially European Immigrants, to be a hindrance on possibilities of British nationals' employment.The article stresses on all the negative impact immigration has had on the local youth pointing out that the high number of skilled immigrant working for lower wages has thinned the chances of British born of getting the jobs they would have got were it not for the immigrants. On the other hand, the article published by The Guardian is in stark contrast with the forme r article which states that â€Å"Immigration to Britain has had little or no impact on the overall levels of unemployment, even during the recent recession. (10 Jan, 2012) The article claims of having no evidence of negative impacts of immigration on employment in Britain. Therefore, a different diagnosis on the same issue shows how communication texts can be framed by giving salience to different elements. The moral judgment then prompted by the framing of immigration suggests that the European Union(EU) immigrants have taken maximum advantage of the open border policy therefore abusing Britain’s generosity.By highlighting the numeric data of high number of British youth unemployment and EU employment, since 2004 till 2011, and showing the enormity of the problem, MigrationWatch UK suggests stopping anymore immigration and lowering the current number of immigrants as the only possible solution to minimize the negative effects of EU immigration on employment. Migration Watc h Uk is an organization which opposes high level of immigration in Britain and is open about its anti-immigration policies.The report published by the organization as part of the ‘zero net migration' campaign can be argued to be biased in its framing of immigration as it portrays youth unemployment problem as an immigration problem itself. The report has omitted the issues like the recession and lack of qualifications during the selection process and giving salience only to comparison of number of employed EU workers with the number unemployed British youths. The Guardian (10 Jan, 2012) on the other hand frames immigration as a trivial issue in relation to impact on employment, disregarding the seriousness of the issue nd omitting the factual numeric data- admitting to only a slight impact on employment of less skilled people. It points out that the rise of youth unemployment was prevalent before the large flow of immigrants from the European Union since 2004. Any conscious or unconscious framing of any text carried out by the communicator are the product of the communicator's frames or schemata that organize their perception of reality. However, Entman also argues that the frames, in a communication process, also exist in the receivers of the text and the culture apart from the communicator and the communicating text. 1993:52) Influenced by various physical, and social factors, the receivers have their own set of frames that navigate their perceptions and their judgments which may or may not coincide with the communicator's framing judgements or the frames in the text. Similarly, common frames or schemata exists in culture among different people in a social group sharing similar belief systems. For example, People from an area with dense immigrant population might criticize The Guardian's article for undermining the potential threat of immigration as they have witnessed the losing jobs to immigrants and agreeing with MigrationWatch Uk's report.While peo ple from more affluent places might criticize the latter as they believe immigrants are taking up domestic and labour works for them that British nationals would not do hence leaving the high skilled jobs for British people. â€Å"News frames make the world beyond direct experience look natural; they are principles of selection, emphasis and presentation composed of little tacit theories about what exist, what happens and what matters. ( Glitin 1980:6 in Allan 2010;74) News hugely influence the choices of audiences by the way they present a communicating text by arranging issues and framing them in the order they are to be comprehended and made meaning out of them. The readers of MigrationWatch Uk are influenced to perceive both EU and non-EU immigration as a grave employment problem Britain is faced to tackled with. It influences people either aware or unaware of other issues the country is facing in regards to employment , to perceive immigrants as solely responsible for lack of youth employment opportunities.The report can also trigger people already in disapproval of immigrants to develop anti -immigration attitude leading to rejection of foreign nationals and xenophobia. While The Guardian, on the other hand fails to illuminate the exact factual details of the high amounts of working immigrants that points out the seriousness of the matter. As a left winged news provider, The Guardian comes across as biased on immigration issues. Readers can perceive the article as covering up the bad news or important information of the high amount of unemployment of youth by giving more priority or salience to inaccuracy of the MigrationWatch report.This shows how the coverage of the same matter by a different organization with a different ideology , has framed the matter in a different light. News media frame the events in a way that highlights the components that advance the story and interest the viewers and are much less concerned with the underlying conditions of the events and components that explain the event rather than advance. (Giltin 1980:28 in Allan 2010:7) Although framed in different perspectives, both the articles show an understanding that the issue of immigration overall appeals to all audience irrespective of their right winged- left winged political ideology.The readers may or may not be able to relate the disorderly events of the world to their cultural belief systems or schemata. Therefore, by framing the events or issues and highlighting the components the communicators want the viewers to acknowledge, they present the events in an orderly and understandable way to the readers. Framing gives meaning and order to the numerous arbitrary happening in the social world by composing them into ordered meaningful events therefore becoming an efficient and important attribute in prevalent news presentation systems.Although, the issue of impacts of immigration on employment as well as on various other factors in Uk is being treated di fferently by different media organisations, and presented in different ways highlighting different aspect of the issues- some news media arguing on fears of unemployment, declining public services and social security and decreasing wages while some news media stressing on arguments related to cheap labour force and economic growth- as immigration turns into a physical and economical threat from being just a cultural threat, the problem becomes more politically prominent and less polarized pproach and responses of the problem by all news media is imminent. Bibliography: Entman, R. (1993) Framing: Towards Clarification of a Fractured Paradigm, Journal of Communication, 43(4): 51: 58 [online] Available at: [Accessed: 22 April 2012] Gavaghan, J. (2012) Immigration boom under Labour changed face of Britain faster than any major country except Italy, Oxford experts reveal. Mail Online. [Online] 19 April Available at: < http://www. dailymail. co. uk/news/article-2132012/Immigration-boom-La bour-changed-face-Britain-faster-major-country-Italy-Oxford-experts-reveal. tml> [Accessed 26 April, 2012] Green, A. (2012) Youth Unemployment and Immigration From the A8 Countries. Migration Watch Uk. [Online] 6 Jan Available at: [Accessed 25 April 2012] Stuart, A. (2010) News Culture, 3rd ed. Maidenhead: Open University Press Travis, A. (2012) Migrants do not affect jobless levels, say researchers. The Guardian, [Online] 10 Jan. Available at: [Accessed 23 April, 2012] Watson, J. (2003) Media Communication: An Introduction to Theory and Process, 2nd ed. Basingtoke: Palgrave