Osteoarthritis Sufferers In The Uk Health And Social Care Essay

A multi-centre, experimental randomised clinical test is the survey design chosen as it is the recommended attack to obtain a valid comparing of viing intercession schemes ( Green, 1997 ) . The independent variable is the instructional method which will be manipulated to see whether it has any affect on the dependent variables, which are attachment and exercising public presentation. The group having the Digital Versatile Disc ( DVD ) will stand for the survey group. The group having illustrations will move as the control group as illustrations are supported by literature and presently used in standard physical therapy pattern. It is necessary to include a control group to forestall overestimate of intervention consequence. A true control group ( having no instructional assistance and doing the test a randomised controlled test ) has non been used as it would be unethical to keep back intervention clearly shown to be effectual ( Schneiders et al. , 1998 ) .RecruitmentThe test aims to be as representative of the UK population as possible to increase population/external cogency. The test will include 84 females and 56 males to stand for the 3:2 female/male ratio of degenerative arthritis sick persons in the United Kingdom ( ARC ) . Under-representation of cultural groups would impact the external cogency of comparative consequence estimations. The National Statistics Office provinces that the 2001 Census found that 8.3 % of the UK population belonged to other cultural groups and this figure appears to hold risen to 10.1 % harmonizing to the Labour Force study, 2006. Thirty per centum of participants will be recruited from other cultural groups so that 1 ) the strata is big plenty and 2 ) cultural minorities are reasonably represented. This figure will nevertheless be checked with the statistician prior to test beginning. Research suggests that people with a lower educational attainment are less likely to adhere to exert, it is hence of import to see where participants will be recruited from. A survey by the Organization for Economic Cooperation and Development ( 2005 ) showed a close correlativity between educational underachievement and countries of societal want in London. Cooper ( 2003 ) found those populating in interior London by and large achieved lower classs than those in Outer London ( appendix1 ) .Therefore to increase external cogency, 2 Inner London and 2 Outer London locations have been chosen.Inclusion StandardsInclusion/exclusion standards are used in this survey to place appropriate participants and guarantee their safety. Strict standards will guarantee 1 ) research workers can non act upon choice to favor or except certain predictive factors, therefore biasing the consequences 2 ) participants are representative of populations to whom the test ‘s findings will use, therefore k eeping external cogency. It is besides of import to see that if the standards are excessively restrictive it could restrict the size of test and the findings will miss generalization. Participants will be eligible if they are aged 50+ as 1 in 5 grownups have knee degenerative arthritis by this age and it is uncommon in people younger. By the age of 80, it increases to 1 in 2 grownups ( ARC ) . The test will hold no upper age bound so that the findings are relevant to all age groups susceptible to knee degenerative arthritis. Inclusion of older participants is peculiarly pertinent to this survey as Henry et Al ( 2000 ) found grownups aged 65+ had greater troubles retrieving exercisings which may impact attachment and exercising public presentation. Participants must hold equal hearing, vision and apprehension of written and spoken English to let equal comprehension of the exercising instructions. In pattern this may non be necessary ; nevertheless, for the interest of this test it must be controlled to forestall confusing consequences. To forestall allotment prejudice, participants will be required to hold entree to a DVD participant, irrespective of their allotment. The Office of National Statistics ( 2008 ) found that 86 % of the population owns a DVD participant. This will merely except a little figure of the population so it is considered acceptable. Radiographic grounds of degenerative arthritis, grade 2-3 on the Kellgren and Lawrence graduated table is an inclusion standard as Deyle ( 2000 ) found increased disease badness is associated with lower attachment. Guaranting all participants are mild-moderate makes the consequences comparable. Additionally, it would be unethical to supply unneeded intervention. The Nice guidelines ( 2008 ) recommend beef uping exercisings for degenerative arthritis patients ; therefore participants would be prescribed beef uping exercisings irrespective of the test. Radiographic grounds ensures patients are non given an inappropriate intervention by clinicians who may desire to increase enlisting rate.Exclusion StandardsParticipants with inflammatory arthritis will be excluded as beef uping exercisings can worsen redness in the articulatio genus articulation during a flare-up ( Luqmani et al.,2006 ) . Similarly, Sharma et Al ( 2003 ) found that in certain joint environments, such as malalignment or laxness, higher quadriceps strength was associated with a greater hazard of disease patterned advance hence such participants will besides be excluded. Participants who have antecedently been prescribed lower-limb exercisings or partaken in regular exercising categories will be excluded as they may demo increased exercising public presentation and attachment. Participants with cognitive damages may non be able to give informed consent, therefore inclusion would be unethical. They may besides hold impaired ability to retain information which could confuse the consequences. Finally, participants will be excluded if they have cardiac jobs or any serious pathology as they may hold an increased hazard of an inauspicious reaction or necessitate onward specializer referral which may detain beginning of physical therapy.ProcedureRandom allotment and allotment privacyThis test will utilize consecutive numbered, otherwise indistinguishable, opaque, certain envelopes ( SNOSE ) to randomize par ticipants and guarantee allotment privacy. Participants will be randomised as it is considered the most dependable method of making homogenous intervention groups in footings of known or unknown predictive factors ( Altman 1999 ) . It controls for unsuspected effects and increases the likeliness that any ascertained differences are caused by the experimental status, therefore increasing the internal cogency of the test. An extra protection against prejudice during randomisation is concealment of allotment. This will forestall the research worker from act uponing which intercession group each participant is assigned to, hence forestalling a choice prejudice. A choice prejudice could ensue in an overestimate of the effects of the intercession by about 40 % ( Schulz, 2002a ) . SNOSE is an economical and straightforward agencies of guaranting allotment privacy. The extra safeguards ( e.g. aluminum foil, carbon paper ) increase the trouble of uncloaking the allotment strategy. By puting the group assignment card inside a folded sheet of aluminum foil ensures the envelope is impermeable to light and run alonging the interior of the envelope with C paper allows the envelope to reassign information onto the assignment card, making an audit trail. Stratified randomization is still possible utilizing randomization envelopes by holding a set of envelopes for each combination of stratification factors.Stratific ationBaseline features such as age, gender, ethnicity and instruction will be recorded at the beginning of the test. As this is a comparatively little test, there is a greater hazard of unequal distribution of patient features between groups ( Kernan 1999 ) . Age, ethnicity and educational attainment are known to be strongly related to attachment and public presentation ( predictive ) therefore stratification is needed ( Schluz, 2002b ) . A big survey by Sluijs et Al. ( 1993 ) found attachment to place exercisings increases with age and is reciprocally relative to educational degree. Rastall et Al. ( 1999 ) and Henry et Al ( 2000 ) found grownups aged 65+ had greater trouble memory exercisings which may impact public presentation. Evidence besides suggests cultural minorities are less likely to adhere to exert ( e.g. Muse, 2005 ) . To let for 3 strata the sample size had been increased. However, as the test is to include merely 30 % of participants from other cultural groups this ma y impact stratification. Therefore, this figure will be checked with the statistician prior to the beginning of test and if found to be excessively low to adequately stratify cultural minorities, either sample size or the figure of cultural minorities included will increase further. Stratified randomisation besides helps forestall type I error ( Feinstein and Landis, 1976 ) and better power ( Lachin and Bautista, 1995 ) and is most good to tests ( such as this ) with less than 200 participants ( Schluz, 2002b ) . As the writer is unsure as to what the existent figure of participants in each stratum will be before the test commences, permuted blocks within each strata will guarantee balance between the chief intervention weaponries. Schluz ( 2002b ) suggests that it may be possible to expect the randomisation sequence in some tests that are block-randomized utilizing unvarying block sizes, hence this test will utilize two different block sizes ( 2 and 4 ) .BlindingIdeally, both participant and research worker should be blinded to avoid the comparing of interventions from being distorted ( Schluz, 2002c ) and to forestall ascertainment prejudice. This test is a single-blind survey as active capable engagement is required. The physical therapist ( who besides acts as the result assessor ) will be blinded as cognition of group assignment could make a prejudice when measuring result steps due to preconceived impressions of â€Å" expected † results. Furthermore, as the Exercise Assessment Scale has a grade of subjectiveness, blinding the result assessor will beef up their objectiveness.Strengthening exercisingsStrengthening exercisings were chosen as they have been shown to better hurting and map in degenerative arthritis patients and are portion of the NICE ( 2008 ) guidelines. Previous surveies suggest a HEP can keep betterments ( Huang et al, 2003 ; Huang et Al, 2005 ) , nevertheless long term attachment was low. This suggests a demand to set up ways to better attachment to interventions clearly shown to be effectual. The exercising strength, frequence and repeats will be tailored to the person and based on findings of recent grounds ( e.g. Richards,2004 ; Jan et al. , 2008 ) . Strengthening exercisings are besides more likely to nece ssitate specific direction than, for illustration, aerophilic exercisings and older persons in peculiar may happen exercising technique hard to retrieve.DVD directionAssorted surveies ( e.g. Grove, 1999 ) find participants utilizing exercising pictures have increased motive to exercising and are less likely to develop bad habits/techniques. It is hence hypothesised DVD ‘s will increase attachment and exercising public presentation. Additionally, if public presentation improves physiotherapist clip rectifying exercising should diminish.Result MEASURESThe Exercise Assessment Scale ( Smith et al.,2005, adapted from Rastall et al.,1999 ) was chosen as it enables elaborate appraisal of public presentation and has the highest reported dependability out of the graduated tables found. Validity of graduated table has non been officially reported, nevertheless, inter-rater dependability has been assessed ( Smith et al.,2005 ) utilizing the intra-class correlativity coefficient ( ICC ) . The ICC was 0.99 indicating first-class inter-rater dependability ( Shrout and Fleiss, 1979 ) . Prior to the test, preparation will be given to guarantee truth and consistence of measuring is increased therefore increasing statistical power. As the measuring has a grade of subjectiveness, appraisals will be recorded so that public presentation can be analyzed post-intervention to guarantee participant scaling is tantamount. Participants will utilize a self-report log to mensurate attachment to their HEP. It is a normally used step which has been found to be dependable when compared to spouse studies ( Follick et al. , 1984 ) and nonsubjective pedometer values ( Speck,2006 ) back uping the cogency of the step. The recognized benefits include the ability to roll up informations from a big figure of people at low cost and that it does non change the behavior of the person ( increasing ecological cogency ) . However, as the step is subjective, Vitolins et Al ( 2000 ) recommends more than one method should be used to measure attachment. A widely used nonsubjective step of per centum attending to physiotherapy Sessionss will besides be used. Direction clip will be assessed as rectification of exercisings utilizations valuable physiotherapy clip that could be spent on accessory interventions. It is hence of import to mensurate the effectivity of any intercession in cut downing clip allocated to exert rectification.AnalysisMeanss and standard divergences will be calculated for all variables. For parametric informations ( e.g. figure of repeats, exercising frequence ) the agency of the two groups will be compared utilizing the independent-sample t-test as the survey is experimental in design, comparing 2 groups of topics ( Hicks, 2004 ) . The Exercise Assessment Scale provides ordinal informations ( Smith et Al, 2005 ) , hence a Mann Whitney U trial ( a non-parametric trial ) will be used. P-values are used to find whether a void hypothesis formulated before the survey commenced is to be accepted or rejected. To cut down the hazard of type II mistake, the degree of significance will be set at P & lt ; 0.05. In explorative s urveies such as this, p-values enable the acknowledgment of any statistically notable findings. Assurance intervals will besides be used as they provide a scope of values for the variable of involvement ( the step of intervention consequence ) . This scope has a specified chance of including the true value of the variable, every bit good supplying information about the way and strength of the demonstrated consequence. Decisions can so be made about the clinical relevancy and the statistical plausibleness of the survey ‘s findings. Both statistical steps will be reported because they provide complementary types of information ( Prel,2009 ) . Purpose to handle analysis will be used as it retains balance in predictive factors originating from the original random intervention allotment and gives an indifferent estimation of intervention consequence. Additionally it gives a more valid representation of intervention efficaciousness as it relates to clinical pattern ( Pocock, 1983 ) .Time REQUIREDThe test is 18-months to let for a sufficient accrual period and for a long-run intercession. The writer contacted a similar sized Outpatient section, which reported about 30-40 patients present with degenerative arthritis over a 6-month period. In add-on participants will be recruited from physician ‘s surgeries and orthopedic waiting lists. It is estimated that 12-14 participants at each infirmary will come in the test during each enlisting stage. The minimal figure required is 12 so that 140 participants are recruited by the terminal of recruitment stage-3. If merely 2 participants at each infirmary are recruited each hebdoma d, it will necessitate a 6-week accrual period for each stage of the test. The clip to enroll the mark population is frequently under-estimated ( Carter,2005 ) therefore the accrual period has been increased to 8-weeks to guarantee equal Numberss are reached. The intercession period will be for 1-year as a recent reappraisal ( Jordan,2010 ) identified a demand for tests with long-run follow ups which explicitly address attachment.Forces REQUIREDFour physical therapists, one from each infirmary will be required to work 153 hours over the 18-month test. Participants will be seen 9 times by their physical therapist. The initial session will be 45minutes and the staying Sessionss will be 30minutes ( as criterion in physical therapy pattern ) . The 3 enlisting and intercession stages are staggered, hence, if the physical therapist sees 3 participants per hebdomad ( the required 12 per month ) and assignments are made for the same clip each month, the physical therapist will be required to work 0-4.5 hours per hebdomad ( see physical therapist timetable, appendix2 ) . The physical therapists will be employed on an hourly footing. The research helper will be employed on a parttime footing to randomize participants and publish the instructional A IDSs.ETHICAL ISSUESThis survey addresses ethical considerations highlighted the by the Chartered Society of Physiotherapists ( 2001 ) publication on research moralss ( Appendix3 ) . The survey aims to be of â€Å" value † and to better the wellness of patients with degenerative arthritis of the articulatio genus. It is of import that the test is published so that the participants have non been unnecessarily inconvenienced and subjected to possible hazards. Therefore this test will merely take topographic point after blessing and understanding to print by a well-thought-of diary.

Deontology: Ethics and Kant Essay

In our world today it is often hard to genuinely decide what in fact is right or wrong. The reason that it is so tough to determine is because of our human nature given everyone has their own opinion. We do not all think the same or think the same actions and consequences have the same effect. It is this reason we analyze situations with ethical theories, such as that of Kant’s deontology. Kant’s theory in its own right has a strong moral foundation in which it seems understandable to decide what is right or wrong. However it has its weakness as well. To me however, I believe Kant’s theory on deontology offers a sound premise for which to determine what is morally right or wrong. Kant’s theory on deontology is a way of assessing one’s actions. One’s actions are either right or wrong in themselves. To determine if actions are right or wrong we do not look at the outcome in deontology. Instead Kant wants us to look at the way one thinks when they are making choices. Kant believes that we have certain moral duties in regards to one’s actions. It is our moral duty that motivates ones to act. Theses actions are driven either by reason or the desire for happiness. Since happiness is differs from person to person, it is conditional. Reason on the other hand is universal and can be applied to all making it unconditional. In Kant’s theory on deontology, actions are either intrinsically right or wrong, which is based largely on reason. Kant says that it is in virtue of being a rational being that we as humans have the capacity to be moral beings. Also that moral law amounts to one’s duty. Kant says duty is grounded in a supreme rational principle, thus it has the form of an imperative. To determine what actions one should take Kant utilized imperatives. Imperatives are a form of instructions that will guide an individual on what one should do. Kant had two classifications between imperatives, hypothetical and categorical. Hypothetical imperatives can apply to one who aspires for a desired outcome. These imperatives allow one  to take an action for the method of obtaining a certain outcome, meaning if one has a desired outcome, then they ought to act. Kant has divided hypothetical imperatives into two subcategories, the imperatives of skill and imperatives of prudence. The imperatives of skill are imperatives that lead to an action in which the end result desired would be anything other than happiness. The imperatives of prudence are imperatives that lead one to actions, where the desired outcome is happiness. Kant believes that morality however is not like this. Morality does not tell one how to act in order to achieve a goal. Instead morality is made up of categorical imperatives. Kant taught that morality is universal, meaning it could be applied to all and moral law must be obeyed. He believed that when we act we are using moral law and act on the maxims, or the universal rules, of our actions. Kant’s categorical imperative states one can â€Å"act only on that maxim through which you can at the same time will that it should become universal law.† Kant’s uses categorical imperative commands one to take an action. Before one can act they must analyze the principle on which they are acting. Once they have determined why they are acting, it may no longer be ideal, then it is wrong for one to use that maxim as a basis for taking that action. Kant’s principle of morality is the categorical imperative. This means that as an imperative it is a command and being categorical the command has its whole worth with in itself. The categorical imperative doesn’t have some proposed end as in a hypothetical situation, it has its own rational necessity in its justification. Kant’s principle of morality is essential to â€Å"good will.† This is a will that acts for the sake of duty. It is the only thing that is good without qualification. Thus a good will cannot be made better or worse by the result it produces. Good will is also the basis for a major part of Kant’s theory and that is the Universal Law Formula, which is the basis in which Kant uses to determine whether or not things are morally right or wrong. This formula states that one should act in such a way that your maxim could become a universal law of nature. That is if you took your belief or ideal and applied it to the entire world would it hold true and not contradict itself. Kant’s categorical imperative has two formulations included within it, one being the Formula of Universal Law and the other being the Formula of Humanity. The second formulation, The Formula of Humanity, is a principle under the Formula of Universal Law.  Kant’s defines the Formula of Humanity as â€Å"Act in such a way that you always treat humanity, whether in your own person or in the person of any other, never simply as a means, but always at the same time as an end.† This formulation states that one’s actions are immoral if it is using a person as a means to an end. It also has to be understood that Kant’s ideals greatly fall on a matter of agency, whether or not you are in fact the one willing an action that causes a negative outcome even if you did so now the result of that action would do more good. Because you took act ion you are the agent that caused a negative outcome. The proposed â€Å"better† outcome has no value towards the morality of your action. Kant’s strengths in his theory are that they can be applied to nature as a whole, thus the universal law formula. His theory doesn’t depend on an individual’s virtues or character. His weakness is that his morality is based on one’s personal action and doesn’t take in to account the outlying consequences that could ultimately benefit from that action. With Kant’s theory I believe we can make a more sound argument as an approach to ethics. With Kant we have to take situations and become very specific with them. We focus on what the action is and universalize it. That way no matter where in the world it can apply to everyone and won’t contradict itself. Then and only then we decided if it is morally right. Also Kant’s theory is good because it leave no grey area with its matter of agency. It doesn’t let possibilities of better or worse consequences affect the morality of the action in question. Thus I believe in all Kant has a more promising approach for ethics.

Early Childhood Research and Practice Essay

From the heading I am able to see that the journal is going to be about â€Å"Learning Stories and Children’s Powerful Mathematics. † There are three authors in total who were part of the publishing of the journal, they are Bob Perry, Sue Dockett and Elspeth Harley. It is possible to find out a great deal of information about the authors, for example what university they attended, their current job roles and what they are interested in researching. The journal was published in the Early Childhood Research Practice, and it can only be found here. The journal has been peer reviewed. From reading the title and the abstract, I have learnt that â€Å"The approaches to teaching and learning mathematics in Australian preschools and schools can be quite different. † It is believed that different cultures are taught in different ways, however I would have to disagree with this statement, as schools today have multicultural classes, therefore every child has an equal opportunity and is taught the core subjects in the same way. The introduction made it clear that there is often conflict between this increase in formality and the play-based, child-centred philosophies of prior-to-school settings (Thomson, Rowe, Underwood, & Peck, 2005). They key to the research was to investigate young children’s mathematical experiences. The article was set out under numerous headings, separating key information into paragraphs. With-in the articles there are also tables showing how maths can be linked with play and whether it is a successful way of teaching the younger generation. Two of the authors of this paper worked with a small group of early childhood educators for two days in 2005 and two days in 2006. This paper reports how the powerful mathematical ideas and the developmental learning outcomes were brought together by a group of practicing early childhood educators into a numeracy matrix that encouraged the educators to plan, implement, and assess their practices. It also considers the use of learning stories by the early childhood educators to assess the mathematics learning of preschool children. Their list bears many similarities to other such lists (see, for example, Greenes, Ginsburg, & Balfanz, 2004; National Council of Teachers of Mathematics, 2000). Learning Stories are qualitative snapshots, recorded as structured written narratives, often with accompanying photographs that document and communicate the context and complexity of children’s learning (Carr, 2001). Luke has been given the opportunity, through the provision of time, materials, and space, to â€Å"participate purposefully in spatial tasks† and to â€Å"demonstrate flexibility and to make choices. † The article was easy to follow and fulfilled all of its set aims. Through their use of the numeracy matrix, the educators are now able to see how each of the powerful ideas contributes to the DLO. One of them was able to suggest that the work with the numeracy matrix had helped them see how the DLOs were the capstones to all that they were trying to do in all learning areas The purpose of this paper was to introduce the numeracy matrix, which has been developed as part of the Southern Numeracy Initiative in South Australia. subjective evidence from the participants in the Southern Numeracy Initiative suggest that the use of the numeracy matrix and the thinking behind it have had positive effects on the pedagogical practices of the early childhood educators involved. However some educators disagreed with this and the source can’t be trusted. The article gave a to the point review of what they were trying to achieve and also gave references so if you wanted to further your knowledge on the topic or similar reports then you could do so. Unlike previous articles, this one did not relate to anything that I have previously read. It interested me as I believe that maths is over looked and there is a great amount of ways in linking it in with everyday play and practice; however some educators do not do that. With Australia now putting this â€Å"matrix† into place others may follow suit and see the positive outcomes. References Australian Association of Mathematics Teachers and Early Childhood Australia. (2006). Position paper on early childhood mathematics. Retrieved March 7, 2010, from http://www.aamt. edu. au Carr, Margaret. (2001). Assessment in early childhood settings: Learning stories. London: Paul Chapman. Carr, Margaret, & Claxton, Guy. (2002). Tracking the development of learning dispositions. Assessment in Education, 9(1), 9-37. Greenes, Carole; Ginsburg, Herbert P. ; & Balfanz, Robert. (2004). Big math for little kids. Early Childhood Research Quarterly, 19(1), 159-166. Thomson, Sue; Rowe, Ken; Underwood, Catherine; & Peck, Ray. (2005). Numeracy in the early years: Project Good Start. Melbourne: Australian Council for Educational Research.

A case of identify Essay Example | Topics and Well Written Essays - 1250 words

A case of identify - Essay Example At the center of the story is Miss Mary Sutherland who is described as a woman with substantial income. The earnings majorly come from an interest fund which had been set up for her. Miss Sutherland gets engaged to a very quiet Londoner who later disappears. This is where the power of Sherlock Holmes’s detective is tested with the case later turning out to be what can be said to be an elementary case (Doyle 67). Miss Sutherland’s fiancà ©, Hosmer Angel is a very peculiar character. He is quiet and a very secretive man. No one knows any details about his life. Even Miss Sutherland herself is only aware that Hosmer works in an office in Leadenhall Street. She has no specific details on the kind of work he does or the people he works with. All the letters that he sends to his fiancà ©e are typewritten including the signature. Hosmer advises Miss Sutherland to reply his letters only through the local post office. Miss Sutherland’s courtship and meetings with her fiancà © are very clandestine. They only plan to be meeting when the stepfather is in France as he was against the relationship (Doyle 230). At times, Miss Sutherland would goes to ball against the wishes of her father with the hope of meeting Hosmer. Despite the secrecy of the man, he manages to convince her fiancà © to marry him. It is at this point that the story reaches the climax when Mr. Hosmer abandons Miss Sutherland at the altar on their day of wedding. Hosmer steps into a carriage to go to the church where the ceremony was to take place. However, he is nowhere to be seen when the carriage reaches the church. This amazes everyone who had seen him step into the carriage. Sutherland is very much disappointed, worried and heartbroken since she did not expect someone who had proposed to her to act the way Angel did. After the disappearance, Miss Sutherland

3 hours online test Assignment Example | Topics and Well Written Essays - 1000 words

3 hours online test - Assignment Example Last fall, the FDA had promulgated an administrative proposed  rule  that  would have required  all pharmaceutical companies  that sold over-the-counter medications  to incorporate a special tracking bar code (i.e., UPC bars) on  their packaging to ensure that recalls could be done with very little trouble.  The bar codes cost about 35 cents per package. Robins & Robins lobbied hard against this rule and managed to get it stopped in the public comments period. They utilized multiple arguments, including the cost (which would be passed on to consumers). They also raised  Ã¢â‚¬Å"privacy† concerns, which they  discussed simply to get public interest groups upset.  (One of the drugs impacted is used for assisting with alcoholism treatment – specifically for withdrawal symptoms – and many alcoholics were afraid their use of the drug could be tracked back to them.) Robins  & Robins argued that people would be concerned about purchasing the medication with a tracking mechanism included with the packaging and managed to get enough public interest groups against the rule. The FDA decided not to impose the rule. Robins & Robins contract with Casings, Inc., states, in section 14 B.2.a., "The remedy for defects in supplies shall be limited to the cost of the parts supplied."  Casings, Inc., had negotiated that clause into the contract after a lawsuit from a person who was shot by a gun resulted in a partial judgment against Casings for contributory negligence. List any bases Robins & Robins could sue Casings, Inc.,  under contract theory ONLY  for the damages caused by the explosives in their drugs, over and above the cost of the capsule shells. (short answer question) An agreement which is legally enforceable between two or more parties having mutual obligations is said to be a Contract. Damages or compensation in monetary form of compensation is the remedial activity in case of a breach of contract. Specific performance or

Relocation Stress Syndrome Essay Example | Topics and Well Written Essays - 250 words

Relocation Stress Syndrome - Essay Example The essay "Relocation Stress Syndrome" analyzes the article "Reducing Relocation Stress Syndrome In Long Term Care Facilities" written by Sherri Melrose where she states that one of the possible issues that care, givers, patients and their families experience due in health care settings is relocation stress syndrome. She states that relocation may disturb cognitive as well as physical balances of the patient during the initial year of his transfer to a care unit that provides long-term care. She states that during the initial three months of the transfer, both the patient as well as their family may express feelings that are negative in nature due to relocation. She states that care givers can deal with the issue, by carefully listening to the problems stated by both the family and the patient, the care giver con put forward different choices and identify patient’s coping strategies and use them to make the patient comfortable. She concludes her research by stating that it is very difficult for a registered nurse to identify whether a patient is suffering from such stress and providing empathy may even become difficult and the most difficult part of the entire process is keeping a record. I believe that every individual has a way of coping with stress, but certain people are informed about it and others are not. A nurse can identify these strategies through observation and interviews and once they have identified the strategies, they can implement to help the patient in coping with the stress.

Virginia and Kentucky Resolutions Essay Example | Topics and Well Written Essays - 500 words - 1

Virginia and Kentucky Resolutions - Essay Example However this evolution came with a struggle that was marked by numerous constitutional crises. Perhaps the most important early constitutional crisis that dealt with this issue revolved around the passage of the Alien and Sedition Acts. These laws, which dealt censorship in the press, immigration, treason, and related punishments, were established by national government and endorsed by a majority of the states as a means of securing the national safety and welfare during its time of early development, but they were believed by several key founding fathers – notably Thomas Jefferson and James Madison – to be unconstitutional. In response to the laws, Jefferson penned the Kentucky Resolution and Madison the Virginia Resolution – both documents that mapped out a protest against the national laws which eventually fed into those later constitutional fights. In this brief paper, the arguments Jefferson and Madison put forward will be compared and contrasted. Both Jefferson and Madison relied on a theory of a national compact in the establishment of the US Constitution which argued that the states were the true representatives of the people and that they had endorsed the national constitution, but only so far as it went in carrying out its limited powers enumerated in the Constitution. Madison (1798) wrote that the Virginia Assembly viewed the national government’s role â€Å"as resulting from the compact, to which the states are parties; as limited by the plain sense and intention of the instrument constituting the compact.† He argued that that the states had a â€Å"right† and in fact were â€Å"duty bound† to â€Å"interpose† when the national government overstepped its role and sought powers that the states believed were beyond the limits of its authority. Jefferson (1799) agreed, claiming that if the national government were the sole authority regarding the limits of its authority it would lead to the dissolution of the states and a

'The problem with the global monetary regime is that there are too Essay

'The problem with the global monetary regime is that there are too many institutions involved in its management.' Discuss - Essay Example One main argument against the global monetary regime is the complexity of managing too many institutions with multiple interests, issues, rules and hierarchies that have been quite unstable, which are involved in the global monetary regime(Obrien etal,2002,p3). At the same time it is argued that in spite of the differences, there are many similarities existing among these institutions involved which help in the decision making process(Karns and Mingst,2004,p27) . In this report, this issue of managing too many institutions involved in global monetary regime is discussed in detail. In section 2, an overview of the global monetary regime is shown with reference to evolution of global monetary regime and the various actors involved in the regime. The argument of the complexity of managing too many institutions involved in the global monetary regime is discussed with the help of examples in section3. At the same time, the similarities which have facilitated the decision making process ar e also discussed in section4. .Section 5 concludes the report. Three periods can be distinguished in the evolution of global monetary regime. First is the Bretton Woods Period from 1945 to 1971, seconds is the interdependence period from 1971 to 1989 and the third is the globalization period from 1989 to the present (Hart, 2008,p5). The first period is characterized by fixed exchange rate regime together with currency convertibility, financing, exchange controls, exchange rate changes and adaptation of national policies to form a new international monetary order. This period saw the emergence of international organizations like IMF and World Bank (Hart, 2008,p8). In the second period, monetary system is characterized by floating exchange rates with central bank interventions, debt crises, petrodollar recycling etc. In the third period, global monetary system has been characterized by rising financial flows,

Wabash Watershed Essay Example | Topics and Well Written Essays - 2000 words

Wabash Watershed - Essay Example There is also a relevant trend for the cycle of increase of temperature if we based it on the average annual maximum temperature in the Wabash valley watershed based on the 5-year and 10-year data from 1961 to 1990. It started higher somewhere in 1961 then went to a downward spiral somewhere in 1981 and 1982, but again it surged higher back to the temperature equivalent to almost one unit experienced in 1961 based on a 10-year covered data. The above trends are consistent with the overall trend of the average annual temperature in the Wabash valley watershed. There is a remarkable cycle of temperature increase, starting with the lower one in 1961, then a relative increase along the way, and decrease in 1981 and again a remarkable increase of the graph slope until 1990. This trend significantly shows a cycle of temperature increase, but reveals us the point that in totality there is an observed temperature increase within the range of time between the years 1961 to 1990. To look at it a specific level, we can also observe the average daily temperature range in the Wabash valley watershed. The graphical representation shows a downward trend from 1961 to 1990 based on the average 5 and 10-year data. This is in fulfilment to the envisioned scenario of some theorists that there is a more pronounced warming of minimum temperatures than maximum temperatures, which we can relatively observe as realistic if we based in on the graphical trend representations. Furthermore, this could be observed from a reduced range of temperatures, which we significantly see from the decreasing trend of the average daily temperature from 1961 to 1990, as the 5-year and 10-year average data show. The evidence of drought and water surplus To investigate the evidence of drought and water surplus conditions for inland or continental locations, we can look at the trends in precipitation amounts and the frequency of certain amounts of precipitation taking place at Wabash valley watershed. Glob al warming theorists believe that global warming phenomenon foresees drought and less surplus water conditions for inland or continental locations. The average annual precipitation in the Wabash valley watershed generally has an increasing trend starting from 1961 to 1990 and if we also based it on the 5-year and 10-year data. On the average annual days of light precipitation in the Wabash valley watershed, the trend remarkably goes high and even higher starting from 1982 to 1990, 5-year and 10-year data. This trend is also remarkably observed if we based it on the average annual days of precipitation in the Wabash valley watershed, as there is a depiction of increasing trend from 1961 to 1990. On the other hand, the average annual surplus in the Wabash valley watershed relatively increases to fewer inches, higher in fewer inches from 1961 compared to the level in 1990. Between these corresponding years, there is also evidence to suggest that the surplus level tends to maintain a hi gher trend compared from 1961. Expectation from a warming climate As there is evidence to support the overall warming of the environment based on the data generated from Wabash valley watershed, the average annual actual evapotranspiration has an increasing trend starting from 1961 to 1990.

Outline marketing plan for the next year for Atlantic Quench 02133 Essay - 1

Outline marketing plan for the next year for Atlantic Quench 02133 - Essay Example The main competitors and their product mix are also analyzed. This is followed by an in depth analysis of the company in terms of the 4ps, SWOT, PESTEL of external environment of the company. This is followed by a strategic analysis of the company and designing objectives of the company derived from SWOT. After performing these, future marketing strategy of the company is designed. Market analysis and past performance evaluation plays an important role in determining the future strategies of a company. The current paper is an effort towards understanding the market conditions existing in the fruit juice sector in the U.K, the U.S and globally so that suitable marketing strategies can be formulated for Atlantic Quench Cranberry for the coming year. The paper takes into consideration vivid description of the fruit juice industry. Accordingly suitable strategies are laid down which can facilitate the firm to grow in the coming years. The beverage sector is subject to frequent changes and therefore it becomes essential to frequently analyse the trends and accordingly adopt changes. PEST analysis is a useful tool for understanding the conditions existing in the external environment. Changes in external environmental conditions such as political, economical, social and technical may either cause organizations to grow or lead to losing their market strength. For such reasons, PEST analysis is a widely used system by organizations across the globe for strategic evaluation. The political framework existing in the nations of U.K and the U.S are quite stable and supportive towards growth. However the governments of both the nations are seen to impose immense tax burdens, especially post the financial crisis times. This has restricted the economic spending of the people in general. Interest rates have also increased on loans provided to organizations. This may impact the growth related activities for Atlantic Quench. The company may be required to depend upon internal

Human Beings Essay Example for Free

Human Beings Essay A. Holmes 2013 ENG140, Week 7, Assignment Stacey A. Holmes 2013 ENG140, Week 7, Assignment Essay 3 Summary and Response (Draft 2) Ivy Bridge at Tiffin University ENG 140 April 25 Essay 3 Summary and Response (Draft 2) Ivy Bridge at Tiffin University ENG 140 April 25 Author and world renowned Philosopher, Dr. Peter Singer who is currently at Yale University, defines terms such as â€Å"Personhood† and â€Å"Speciesism† rather distinctively, and he does it in a way, that does not fit in with most of societies’ ideas of what represents the meaning of either, personhood (such as an infant not being a â€Å"person† because it is not yet self-aware, but a dolphin being a â€Å"person† because it can recognize itself in a mirror) or discrimination (he describes individuals who eat meat as being speciesist, because he or she doesn’t take into consideration the feelings of the animal or the animal’s desire to continue on living). When asked the question â€Å"What is a person? † Most would answer by saying, â€Å"A  person  is a being, such as a  human, that has certain mental capacities or attributes constituting  personhood, which in turn could be defined differently by different authors in different disciplines and by different cultures in different times and places†. The definition for human being is â€Å"a member of any of the races of  Homo sapiens;  person; man, woman, or child† (Collins English Dictionary – Complete and Unabridged  Ã‚ © HarperCollins  Publishers, 2003). When asked to give the definition for a person, Singer, who is currently at Yale University; describes a person as â€Å"Someone who is aware of their own existence over time, is aware enough to realize that they are the same being that lived previously; who can expect to live into the future† (Singer, Peter. (2008, January 28th). Human Use of Animals [http://www. open. edu/openlearn/history-the-arts/culture/philosophy/human-use-animals]. Singer believes that some non-human animals have individuality and could be considered â€Å"persons†; describing some human beings who lack mental capacity and attributes (i. . intellectual disability, dementia, brain injury, mental illness and even infants) as non-persons, because there is†¦ no awareness of a past, present or future being. Singer says that these human beings are still showed compassion, respect, and regard. So, why aren’t we (human beings/persons) capable of showing that same compassion towards animals or non-humans? He argues that we should be able to recognize that animals are aware of their being, are aware of their past and present, that they have a desire to live, and are also very conscience of the way they are treated by human beings. He also believes that they understand suffering. He says that human beings or â€Å"persons† should be more evolved to think that there is no suffering for these animals. Singer thinks that we should be more concerned for them individually, think about what would be in their best interest, and take in consideration the things that could be bad for them or quite possibly, be harming them; rather than, using them for our own wants, needs, and desires. Society has a total disregard for animals and the fact that they are suffering, because our need for what the animal has to offer us is greater; lbeit sustenance, experimental purposes, etc†¦ (Singer, Peter. (2006, December 11th). The Colbert Report [http://www. colbertnation. com/the-colbert-report-videos/79412/december-11-2006/peter-singer]. Singer argues that this total disregard for animals’ is what he deems as speciesism (which is much like racism only targeted toward other species), and that those who practice thi s (speciesism) are speciesist (someone who has prejudices towards species other than their own). Singer says that â€Å"Some animals have a higher moral status than some humans and that our disregard for animal suffering is a deplorable moral blind spot† (Singer, Peter. (2008, January 28th). Human Use of Animals [http://www. open. edu/openlearn/history-the-arts/culture/philosophy/human-use-animals]. I am bipartisan to his argument; I can neither agree nor disagree with his philosophy. Singer makes some valid points in his argument. He says that animals â€Å"non-humans† have the same capacities or attributes that some human beings have, implicating that a non-human could potentially be categorized as a â€Å"person†. He also states that we should recognize that animals or non-humans have an acknowledgement of self and of suffering. Lastly, Singer speaks of the way that human beings or persons should care for animals. These can be categorized as â€Å"reasonable assumptions†. I believe that animals could be categorized as persons. Because, I do believe that they are fully aware, just as aware (if not more, than some human beings) as we are, of their past, present and future being. I also believe that animals are aware of their suffering and, who is causing the suffering. I also think that as human beings we should show more compassion, respect and regard toward animals, in all aspects, of our need, use, want or desire for them. But, as a Christian, I believe that all things serve a â€Å"Divine Purpose† and that mankind (human beings) remains at the top of the food chain. And God blessed Noah and his sons, and said unto them, be fruitful, and multiply, and replenish the earth. And the fear of you and the dread of you shall be upon every beast of the earth, and upon every fowl of the air, upon all that moveth upon the earth, and upon all the fishes of the sea; into your hand are they delivered. Every  moving  thing that liveth shall be meat for you; even as the green herb have I given you all things. But flesh with the life thereof, which is the blood thereof, shall ye not eat† (The Holy Bible, KJV, Genesis 9:1-4). Scripture says that all things on the Earth are for us (human beings) and that there isn’t anything that we could not eat (or use for our purposes) other than another human. If God can take into the consideration the â€Å"feelings† of the beings that He created, and still give them to us (humans) for sustenance. Then who are we (the created) to say that it’s wrong? Well, Singer also suggests that even infants aren’t fully aware of there being, there present, past and/or future and I say to that; If they were afforded the time then they would certainly be aware of these things. So, that statement holds no validity for me. I could understand if his philosophy, applied only toward those that have any intellectual disabilities, dementia, brain injuries, and mental illnesses his statement would have more substance. But, at some point and time; infants would eventually be considered persons. When looking back at my own experience with infants (my children and grandchildren), I felt as if the child’ knew exactly who I was and that we had this â€Å"mutual understanding† and affection for one another. Or it could be very possible for the infant to never fully develop. Who knows with life, it’s too unpredictable. But once again, that is just the nature of life, I do not believe that we were meant to know or have knowledge of everything. I respectfully disagree with Dr. Singer’s analysis of infants. But, I think that his analysis could be applied to people who lack in mental capacities. This subject for me is simply the rules of nature, no more, no less. It is just in the laws of nature to be either prey or predator. Animals’ or non-humans may have full awareness of their suffering and we as humans should create a better environment for animals (that we use for our â€Å"purposes†) so that they don’t have to endure a tremendous amount of suffering. Farmers, Scientist and the general public alike should make changes in the laws that regulate the treatment of animals. Society as a whole should not be so vain to think that we are the only species on Earth that can feel, love, think, and desire, hurt and/or suffer. But, I disagree with Singer when he suggests that we start treating animals with the same moral composition that we show our fellow human beings. Animals are just, simply put†¦not our equals. Yes, my mother who suffers from dementia is going to receive better treatment from me than my dog, cat, fish, bird, llama etc†¦That will never happen (animals as humans equals) in my opinion. I don’t see a comparison between my mother, who has taken care of me for the majority of my life, and an animal. Human beings should start treating the animals’ that provide us nourishment, clothing, friendship and the list goes on, with more compassion and allotting them the quality, respect and dignity of life that someone could say to them in the end â€Å" You lived a full, dignified and â€Å"good life†. References Singer, Peter. (2006, December 11th). The Colbert Report [http://www. colbertnation. com/the-colbert-report-videos/79412/december-11-2006/peter-singer] Singer, Peter. (2008, January 28th). Human Use of Animals [http://www. open. edu/openlearn/history-the-arts/culture/philosophy/human-use-animals]

Patterns A short documentary by Kirsten Sheridan Essay Example for Free

Patterns A short documentary by Kirsten Sheridan Essay Autism is a lifelong developmental disability that shapes the way a person communicates and relates to people around them. People with autism have difficulties with everyday social interactions, learning disabilities and difficulty in making sense of the world. Kirsten Sheridan found an interest in this and chose to portray it in a brief documentary. She lived with her autistic cousin and he was a strong influence on her which got her interested in autistic people. The short film is about an autistic boy and the way he sees things from his point of view and how he interprets things. I will be analysing; the way Tommy acts compared to the other characters in the film, the different types of sounds used to represent whats going on in Tommys head, camera angles, movement, lighting, colour and editing. Also, I will be looking at the patterns and shapes established or repeated throughout the film. At the start of the film, there is a homely rhythmic guitar chord playing when Tommy is walking down the corridor alone. By doing this, Kirsten Sheridan gives the audience the awareness that Tommy is a simple person and that he likes things in a pattern or order. You can hear children playing outside; this makes us assume that Tommy is different as he was isolated from everyone else. The long camera shots show us that Tommy is walking with his head down and taking heavy steps like he is trying to block out all the noises going on around him. At the beginning of Patterns a plain, black and white check pattern is already established and gives us the notion that this pattern will be shown throughout the film. When Tommy was at school he couldnt walk across the black and white tiled floor because he was puzzled and couldnt understand the pattern. Kirsten Sheridan illustrated this by having a scene where Tommy is stood still, staring at the floor, trying to figure out the pattern. Jimmy helps him by telling him to look up and they both count in odd numbers whilst running across the floor. Most autistic people count in odd numbers, prime numbers and so on. In the film you can tell that Tommy is autistic or has something wrong with  him because he doesnt face people when they are talking to him, he tends to turn away. When Tommy and Jimmy are walking home from school, Tommy is talking to Jimmy with his back to him, when Tommy says What time is it Jimmy? And Jimmy says Ten minutes past four. Autistic people are likely to face away from the person they are talking to. Kirsten Sheridan uses a mixture of sounds and camera shots to show unusual aspects of Tommys autism. When Tommy comes home from school and his Mother asks him what he wants for dinner, Tommy hears a lot of different noises in the house, which results in Tommy shaking and holding his head and shouting I dont want anything to eat. Tommys Mother gives him too many choices and autistic people like things in order or something they can put in a pattern. Kirsten Sheridan muffles all the sounds, which are going on around Tommy, together so it sounds confusing for the audience to hear what is going on, so we can hear what Tommy is hearing. He then goes into the bathroom and turns the tap on to watch the water run down the drain, the repetitive pattern of the running water settles him down and puts things back in order. The close up camera shot of the running water shows us what its like from Tommys viewpoint. Tommy and Jimmy go outside to play on the swing. Jimmy is pushing Tommy on the swing and they are both laughing. Tommy appears to be enjoying this as he is in a calm, relaxed and ordered environment. Kirsten Sheridan uses a camera shot from Tommys point of view, in this scene, to show us the repeating pattern of seeing the grass then the sky. Kirsten Sheridan shows a distinct line between the ways the other characters dress to the way Tommy dresses. Tommy is dressed in dull, dreary, dark clothes whereas his brother Jimmy is dressed in the complete opposite, in bright and vivid colours to show that he is a typical 8 year old. This gives us the sense that Tommy is unlike everyone else. This helps us distinguish who is autistic. Also Tommys speech and accent is different to everyone elses, the other characters all talk with an Irish accent but Tommy talks with an English accent. In one of the scenes the family are sat at the dinner table, Tommy and Kathleen are talking. What was my baby today? Kathleen says. Tommy replies He was the best baby, and Kathleen was very proud wasnt she? This shows that Kathleen isnt very close with Tommy as he refers to her as Kathleen not Mum. Tommy takes things that people say literally. Tommys Dad said he will be at home at 6 oclock and Tommy expects him to come through the door at exactly 6 oclock. Sheridan shows this by having a scene where Tommy is sitting on the stairs in front of the door waiting until the time was precisely 6 oclock. He was making clicking noises while looking intently at the door waiting for his Dad to come home. Autistic people take what you say literally; in contrast, non-autistic people dont take what people say literally because the person isnt exactly going to know whats going to happen in the future. At the dinner table, Tommy is picking letters out of his bowl to spell numbers, when he cant find the T to spell eight he starts making clicking noises with his mouth and flicking his soup everywhere. His parents dont know what to do, so then Jimmy starts tapping a rhythm on the table which calms Tommy down and seems to put everything back in order in Tommys brain. Autistic people like things in order. The camera shots Kirsten Sheridan uses in this scene are very efficient, as they show us what its like to be in Tommys mind. The camera rotates around the dinner table very swiftly, this makes you feel dizzy and awkward which gives us and insight to what Tommy feels like. Tommy is in his room listening to music when the record starts to jump which causes him to have a panic attack. Kathleen rushes over to him and tries to control him but that does nothing except instigate the problem even more. So then Jimmy has to come in and help Tommy calm down, while Kathleen stands in the doorway crying. And Tommy says Bye now Kathleen. Not realising that his Mother was upset. Autistic people are often unaware of other peoples emotions and facial expressions. Near the end of the film Kirsten Sheridan adds a turning point, where Tommy starts to let go of his brother and the assistance he gives him. Tommy says  to Jimmy Time to go now, so bye now. Jimmy responds with Youll be on your own so. Tommy appreciates what Jimmy says and goes inside leaving Jimmy to go and play with his friends. Tommy becomes more independent at this point and this is the initial start to Tommy and Jimmy leading their individual lives. Throughout the study of Patterns I have discovered that Jimmy is a big part of Tommys life and I have presented the problems caused from Tommys autism. I think this short film is a clever method of presenting to non-autistic people the way an autistic person acts, behaves and why they do so. It also gives an inside view of how an autistic person has to deal with everyday life. Bibliography: the short documentry by Kirsten Sheridan.

Business health check in hospitality industry

Business health check in hospitality industry 1.0 Introduction 1.1 Aim of the assignment   Ã‚  Ã‚  Ã‚  Ã‚  This report is all about business health check in hospitality industry and finding the gaps of the organisation. After finding the gaps giving the appropriate recommendation and giving the action plan as well as time spam. After that how much it will cost to your organisation to implement that action plan.   Ã‚  Ã‚  Ã‚  Ã‚  As presently I am not working any hospitality related industry therefore I chose to do business health check in Kohinoor continental where I completed my training. 1.2 Organisational introduction The Kohinoor Continental is located at Andheri (East), at a stones throw from Mumbais International Airport and in the midst of the newly developing Business District. It is indeed rare that there exists a business hotel, which enjoys a distinguished patronage such as ours. Therefore during our period of renovation, much as we would have liked to, we could not offer you our hospitality. But now youll agree that the new Kohinoor Continental was well worth the wait. From the moment you enter, youll see that we have spared no expense in order to make your stay as comfortable as possible, with the finest materials imported from all over the world and many aesthetic nuances, which adorn the hotel like jewellery. Accommodation: The ambience and hospitality at Kohinoor Continental match international standards. Each and every one of our 120 rooms is equipped with state-of-the-art lighting and furnishings. The well being of our guests is our main concern. So if theres anything you need at any hour, well get in for you. Be it access to the Internet or a bowl of fresh fruit, no desire of yours is too big or too small. Restaurant: A royal feast awaits your taste buds at Solitaire, the multi-cuisine restaurant at the Kohinoor Continental. Conference and Banquet facilities: With the unique mood lighting in our banquet hall, were sure your parties and conferences here will be evenings to remember. Indeed we had been closed for long but now you might be tempted to stay a little longer in the Kohinoor Continental. We look forward to seeing you soon. Recreation: If you want to unwind after a tiring day, then just melt in our pool or savor a Daiquiri at our bar. Health Fitness Centre: In case you want to work up an appetite then the Health Club and the sauna are just the places for you. The hotel incorporates environmentally friendly measures such as medium density fibre wood for construction materials, and plumbing, electrical, and mechanical systems that conserve water and energy This hotel offers 92 guestrooms and 14 suites in a six-story building. Air-conditioned rooms also come with ceiling fans. Among the amenities are coffee/tea makers, refrigerators, and wireless Internet access. Furnishings are made from environmentally friendly materials. 1.3 What is quality? â€Å"Quality itself has been defined as fundamentally relational: ‘Quality is the ongoing process of building and sustaining relationships by assessing, anticipating, and fulfilling stated and implied needs.'(Richard e. and Daniel k, 1996) As per the ISO quality is providing excellent products and services that all about meeting customer requirements. Its all about meeting the needs and expectations of customers. So a quality product orservice is one that meets the needsandexpectations ofcustomers. (Anon, 1994) Quality defined by as, conformance to the requirements which is the company itself has established for its product based directly on its customers need. (Crosby p,1979) 1.4 What is Quality audit? It has been a long established practice for major industries and sector to carry out on site evaluation of their most important and sub contractors. The quality audit undoubtedly began with customer inspection. These have been typically intended to : To prove technical capability of the establishment the product or service To check that establishment have capacity or not to cope the customer demand To confirm the commercial stability of establishment. To form an opinion as to whether this is the type of establishment that we would like to do business with. 1.5 Why is it necessary? It is a management tool covering services, products, equipment and financial aspect of a property. Most guests have no time to give feedback, or give only negative comments on one aspect of their experience. It measures and ensures service standard consistency within a chain/group. It identifies staff training needs and rewards. It identifies cost cutting efficiencies. Used for long term benchmarking data. 2.0 Quality audit for Kohinoor continental How you conduct the quality audit? Presently I am not working in hospitality industry therefore I chose Kohinoor continental for my quality audit. As I completed my training from there, so its easy to me to do the quality audit of Kohinoor Continental. In Kohinoor I worked most in bar therefore I chose bar section. Name of the bar Baryl club No of covers- 44   Ã‚  Ã‚  Ã‚  Ã‚  For quality audit purpose I have called to Bar manager and bar tender and asked several question regarding quality audit. 3.0 The gaps in Bar of Kohinoor Continental Lack of upselling The service personnel dont have any knowledge about upselling. Product out of stock- Sometime due negligence of steward, bar tender forgot to order the items which are low in stock. Therefore sometime we have to tell to our guest stock out of stock. No proper crowd management- Actually Baryl club offering heavy discount to there customer therefore there was very rush in the evening time. and its has only capacity of 40 cover at a time therefore crowd just roaming in the lobby and there is no one to handle that crowd from bar. Also there is no one for advanced booking. No proper storage area and very small pantry- In Baryl club pantry itself in the bar where we stored snacks (peanuts, wafers) some bottles of wine, beer, whisky etc. Also in pantry there is account department for bar section so its very congested to work. The pantry area is so small only two person can stand properly therefore its very difficult to work in peak hours. Less staff in bar- Although Baryl club has capacity for 40 covers only 2 peoples were there to serve them. Also there is no one to take the advanced bookings. Its difficult for staff to take the order and place the order and also take care the new guest. Also kitchen area is very far from bar section therefore if one bar personnel was busy to pick up the order from kitchen its very difficult for other to mange in the bar. I completed my training in bar therefore I observed these gaps during my training period. 4.0 Recommendation I am planning to fill the above gaps with PDSA model which is commonly used in hospitality industry. (Wiseman B. 2005) PLAN- it is the test how you are going to work. DO-how you are going to carry out the plan STUDY-look what are the result, what can you improve, what are your mistake. ACT- It is the designs time what are you going to do. 4.1 Recommendations on above gaps: Upselling- Recommendation for this to give your staff proper training for upselling. So they can also know what benefit of upselling is and also help them to earn some tips. Bar manager can also show some upselling practically so they can understand easily. Product out of stock-Recommendation for this is Bar manager have to keep eye on stock list so they can also order for stock without intimation of steward. Also Bar manager can check stock list in every 15 days so he is also aware about the stock in bar. Crowd management- Recommendation for this management H.R department have to hire a service personnel or public relation officer for bar so he/she can handle the crowd properly and also take the bookings on phone. Also management can keep separate area in lobby for those people who are waiting for table inn the bar. So they can wait in that area without disturbing front office staff. Storage area- Recommendation for this will be management can shift account department in the restaurant (where they already have account dept for restaurant) from bar and keep the that area fully utilised for bar purpose so that more stock can stacked properly and also no complaint about the lack of stock. After that during the billing we can give all KOTs to cashier in the restaurant and he can give us the proper bill and at the end of the shift we can handover the cash and all bills to cashier. Less staff in bar-Its very difficult to handle bar with only 2 staff therefore recommendation for this is management can recruit 1 or 2 more staff so its very easy to handle during the rush hours. 4.2 Action plan as per the recommendation and time spam Upselling-For upselling management can give proper training to food and beverage staff. The bar manager or the senior person can give proper training because of there experience. The training can held in the afternoon time when there is less rush or in the morning time when there is no guest in the bar. The manager have to show the upselling tactics practically so that they can understand it very easily and the will also try do upsellings. The training is for only once or twice in a week for a month. The one month period is enough to learn the upselling. Product of out of stock- Actually this is bar tenders duty to keep eye on the stock list. But due to negligence of bar tender some time products are of of stock. The solution for this is bar manager can check the stock list once in a fifteen days and he can also give the intimation to bartender about the stock. Another plan is they can save the stock list in computer and check the stock whenever the want and order as per the convenient. Crowd management-To fill this gap the H.R department have to appoint a public relation officer (P.R) for bar who can take the advance booking for bar and also control the crowd during the rush hours in bar. To appoint the P.R 15-20 days are enough after giving advertisement in newspaper or in job searching site. The P.R will also help in the bar to fill the tent cards asking the guest about the service and other things also like quality of food etc. Storage area- To fulfil this gap management have to shift the account dept of bar in the restaurant where they will see the accounts of restaurant as well as bar. The restaurant already have accounts therefore it doesnt take time for shifting purpose. But it will take 1 week to settle down there. After that in bar management have to make some storage shelves and proper area to stack the all items therefore this also take 1week time. Less staff in bar- For this gap H.R department have to recruit a steward or one more bar tender who will help service personnel from the bar. This will also take 15-20 days to recruit. One more option for H.R is they can hire the steward on temporary basis during the rush hours of the bar instead of hiring a permanent staff. For example they can hire a student form a hotel management college to work in the evening time. so it will save the cost as compare to hiring the a permanent staff. 4.3 Cost factor Upselling- As bar manager is giving the training during his duty hours so it doesnt cost to organisation. Product out of stock- This is covered in duty activity therefore this also doesnt cost anything. Crowd management- This will cost for organisation to pay the P.R staff. Storage area- This will cost only less amount to make proper shelves in storage area. Less staff in bar- This will cost as hiring of new personnel. 5.0 Bibliography Richard E. and Daniel K.(1996). Organisational orientation. Reference to: http://www.qualitydigest.com/html/qualitydef.html. (Accessed on 22 June 2008) Crosby P.(1979). Mini tutorial quality functional deployment. Reference to: http://66.102.9.104/search?q=cache:cxe5V4NPKRcJ:www.freequality.org/sites/www_freequality_org/Documents/knowledge/QFD.pdf+quality+definition+by+diffrent+authorhl=enct=clnkcd=1gl=in.. (Accessed on 22 June 2008) Reference to:http//www.praxiom.com/iso-definition.htm#Quality. (Accessed on 22 June, 2008)

speech from FDR in our perspective :: essays research papers

F.D.R. Speech Announcer: We interrupt you regular broadcasting, for an urgent word from your president. F.D.R.: Good evening fellow Americans. I speak to you tonight about an urgent issue. I have recently met with my council and advisors on the events in Europe. Japan, Germany and Italy have become axis powers, in the fight to defeat our ally, Great Britain. Together the axis powers have over-thrown much of Western Europe. We have passed the "cash-and-carry" on order to help Great Britain, by supplying when with weapon and such needed for their win. Recently, Britain has run out of cash to pay for our supplies. I have been informed that it may not be possibly for America to remain neutral in this war. In case of the axis powers defeating Great Britain; it is possibly that they may not stop there. There is a chance that Germany, Japan and Italy will extend their fight to the western hemisphere, capturing the US into their power and over-throwing democracy. We, the American people can not sit back and watch these three nations over-power this continent or the continent of Europe. We must fight for our people. We must fight for democracy. These axis powers are three powerful armies combined, and it is our belief that Great Britain can not defeat them single-handedly. We have tried to remain neutral and only supply Britain with supplies, as long as they pay cash and carry it home on their own ships. Now, this is not longer possible. German U-boats are constantly attacking Britain's supply ships, preventing supplies from getting there. Also, Britain no longer has the money to pay for these supplies. In entering this war, we could help Great Britain defeat these three powerful nations, and prevent the Untied States from future threat. In current meetings with advisors a plan has been made to ease the US into this war. Over a year ago, a selective training and service act was signed, established a peacetime draft, in preparation for this time. Germany has conquered many countries in Western Europe, including: Norway, Denmark, Belgium, Holland and France. Soon after Italy joined Germany in the fight to take over Europe, Romania, Greece and Yugoslavia fell into the hands of Hitler and Missolini. In January of this year, the Lend-Lease Act was passed. This allows the United States the right to sell or lend war materials to countries fighting Germany, Japan and Italy.

No Bull in The Sun Also Rises :: Hemingway Sun Also Rises Essays

No Bull in The Sun Also Rises I finished reading SAR around ten o'clock tonight. I could have taken it all in one big gulp when I began a week ago, but I couldn't do that. It wanted me to bring it out slowly, so I often found myself reading five or ten pages and laying it aside to absorb without engulfing. A man gets used to reading Star Wars and pulp fiction and New York Times Bestsellers and forgets what literature is until it slaps him in the face. This book was written, not churned out or word-processed. I thoroughly enjoyed reading. I never noticed it until it was brought up in class, maybe because it wasn't a point for me in In Our Time, but He doesn't often enough credit quotations with, ",he said," or, ",said Brett," or, ",Bill replied." In SAR it stood and called attention to itself. I wasn't particularly bothered by His not telling me who said what, but it was very...pointed. I first noticed around the hundredth page or so. Then I realized I couldn't keep track of who was speaking. By not dwelling on it, though, sort of (hate to say this) accepting it, I managed to assign speech to whomever I felt was speaking. Gradually I came to enjoy it, in another plane of reading, figuring out from whom words were originating. To not notice it, as if it were one of those annoying 3-D posters that you can't see until you make a concerted effort not to try and see, became simple - much like those 3-D pictures are once you know what not to look for. (I abhor ending sentences with prepositions...) His not telling was heightening to the story. It made things come even more alive. As a conversation that you're hearing at a nearby table in a restaurant, the exchanges flowed, with me as a more passive reader than in a story written to be read instead of lived. It has always been troubling for me to read a book with the knowledge that there are things I am supposed to be catching, but not quite. The fish in the pools and the allegory and analogy and symbolism aren't

Brazil :: essays research papers fc

The similarities between the societies found in Brazil and those found in the Andean Highlands are relatively few. The Andean Highland dwellers were mostly Incas, found in greatest numbers in Peru. The inhabitants of Brazil were mainly concentrated around the Amazon River Basin area. The Andean Highland people consisted in large part of the Inca civilization (the name of the ruling family, not an ethnicity). However, the geographic location of these societies is not the only disparity that exist between these groups of people. Perhaps the most striking of the differences is the characteristics of these societies and the advancements, or lack of, that where achieved in each. With each group having distinct characteristics in the way of life, government, and labor, this affected the colonizing groups in significantly different ways and ultimately lead to the prosperity or decline of the colony at that specific time. The forms of rule in the Amazon Basin and the Andean Highlands were of great contrast. At the time of European discovery of the New World, there existed very little political hierarchy in the areas of the Amazon River Basin. At most, and this was fairly uncommon, there was a local tribal chief. However, the government did not extend any further. There was no network of higher ruling. This may have stemmed from the fact that villages were scattered around the Amazon, divided by dense forest. The tribal chiefs would make some village decisions and be a liaison with other local villages. Still, territorial war was a major aspect of the Amazon Basin dwellers' lives. This is in sharp contrast to the political system that existed in the Inca civilization. The Inca had a profoundly intricate political system that was based on rule that was inherited through blood lines. There were local, regional, and empire ruling leaders. These statesmen demanded tribute from the lower classes and also force labor upon them, but they did provide services for the good of the people and the empire. The leaderships had relatively few physical duties other than overseeing the domain that he ruled. Territorial war was also a characteristic of the Inca society. This society has often been labeled either a socialist empire or a welfare state. Specifically, the people of the Amazon Basin lived in small villages around the Amazon River and relocated often (when the soil became fallow). They were a tribal society maintained itself through shifting agriculture and hunting and gathering. The staple of their diet was of the tuber variety, a kind of potato. The society had no classes that differentiated between the rich and poor because the people had very little or no private property.

Research Proposal on English Skills Improvement through the Use of iPad Technology Essay

Research Proposal on English Skills Improvement through the Use of iPad Technology Introduction   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The application of technologies in schools at all levels has proven to yield positive results. There is a variety of technologies that are used in schools today and among them is the use of iPads in learning. In Saudi Arabia, a number of primary schools have adopted the use of iPads and this, as studies have shown, has contributed to improved skills in English. Below is a proposal on the impact of using iPads in the primary schools in Saudi Arabia, taking The 16th Girls Primary School in Zulfi as the case study. Thesis Statement   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The use of normal computers and laptops have fairly well been established in schools and a considerable body of practical evidences support and confirm the impact and value on learning as at 2014. However, the integration of iPad devices in the schooling system is still at the start level. There are few established researches documenting the impact of these tools on teaching, learning and improvement on English skills. iPad application’s language has helped students in the 16th Primary School in Zulfi to improve the students’ English speaking, writing and listening. This proposal sets out to investigate, explore and demonstrate the innovative and beneficial practice of IPad applications on learning and improvement of English language skills among students (Cavanaugh, 2007). Literature Review   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Over the past few decades, technology has turned out to be a prerequisite in countless schools at all levels. Its influence has seeped into all facades of life, with the inclusion of English language education. In contemporary age of teaching English language, media tools such as animation, DVDs, video conferencing, internet and iPads have lessened distance making the globe a small village, thus contributing to trouble-free learning of the subject. According to Brey (2006) â€Å"the current generation has an entitlement to get equipped for substantial integration of technology in the learning process.† This statement is supported by the outcomes of a research done on 1,050 pupils of North Essex School in London, aged between 11 to 16 years, which found out that the use of technologies in learning, such as the ipad, was warmly received and improvement on the performance of the pupils’ learning and thinking, was immediately reg istered (Todorovic et al., 2011). The pupils are able to tackle their personal challenges in learning in ways that fit them best, with the use of technology.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   According to research done by Jackson et al., (2006), it was proved that the pupils, who utilize the technology most, attain higher grades and better results. According to Todorovic et al (2011), English educators are obliged to come up with effective practices that are applicable in teaching the subject with the use of technology (Cavanaugh, 2007). The students perform different tasks through the use of technology and thus, their cognitive learning ability is enhanced (Brey, 2006). Owing to this statement, the focus should be on learning through the technology as opposed to learning about it. It is further proposed that, the constant use of hypermedia makes the use of multimedia painless in enhancing language learning and teaching (Jackson et al., 2006). A similar research on the effect of the use of technology in language learning asserted by Cavanaugh (2007) is that â€Å"the equipments enhance the retention power of the student as wel l as the argumentative ability.†   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The most helpful broader term used in technology is CMC (Computer Mediated Communication), which permits the verbal communication learner to communicate with other learners through chats, discussion forums, conferencing, e-mails, and text messaging (Jackson et al., 2006). All these activities enhance the learner’s skills in English language. It is, thus, critical that the program be implemented in all primary schools in Saudi Arabia. On the other hand, effective integration of this technology necessitates teachers to obtain familiarity on their use in teaching the substance, pedagogy and the connection of the entirety (Kubey, 2001). According to Ajab Al-Furaydi (2013), the use of these devices will facilitate the delivery of lessons to the learner in limited time and cost. This helps in managing, improving and sustaining the learning and teaching practice, thus assists in assessing and calculating the outcomes of the pupil. As Ahmad (2012) asserts, the use of these devices boost communication, enhances ability to acquire information, give better access to diverse resources of learning, and inspire students to increase challenge solving aptitudes and give support to deeper understanding (Ahmad, 2012). It is true that the technology has changed the language learning process and literacy acquisition and so is the dynamics of the settings of language teaching (Young and Kajder 2003). In latest years, teachers have been searching for techniques in which electronic learning can be engaged to make language learning extra efficient and inspiring for the students (Kubey, 2001). As the research has shown, the use of technology in language teaching and learning empowers the abilities of the students in becoming improved crisis solvers, speakers and communicators (Ajab Al-Furaydi, 2013).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The use of these devices in learning also enhances communicative and linguistic expertise by giving autonomy to the learner during the learning process (Young and Kajder 2003). This is so because the learner is given a chance to enhance the skills without duress or fear. Also, as Ahmad (2012) states, learning through the use of technology promote the sharing of personal experiences among students thus, they are able to learn from each other’s experience. This enhances their perceptions on the learning of the subject at hand which leads to improved performance (Ahmad, 2012).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Owing to the discussion above, it is, therefore, likely that the use of iPads in the 16th Girls Primary School in Zulfi, Saudi Arabia will have a positive impact on the performance of the pupils in English language skills improvement. The impacts on the English language skills are all likely to turn out positive (Todorovic et al.2011).Significance of Research   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The research will scrutinize the relationship between the applications of iPads on learning and the effects it has on English language skills. It draws attention on how the technology can be utilized to improve English language skills in primary schools (Young & Kajder, 2003).Statement of the Problem   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In Saudi Arabia, most of the primary schools use the customary means of teaching, but currently with all the technological advancements, some primary schools have applied technologies in their education system, such as the use of iPads in learning. The application of this technology has its corresponding impacts on English language skills. It is on the basis of the impacts of the use of iPads on the English language skills that this investigation will be performed (Kubey, 2001). Research Questions   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Based on the structure and statement of the problem, the research questions are created. A thorough investigation will be performed on the following questions in this study (Young & Kajder, 2003). RQ1: What is the teacher’s believe on the possible improvement of English language skills through the use of iPads? RQ2: How does the use of iPads in language learning impact on the English skills? RQ3: What factors contribute to dispositions of advocating the use of iPads in language learning in primary schools? Tools   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The research will involve interviewing teachers of girls students aged between 6 and 12 years. In addition, the researcher will observe the students in their class for a period of one month. Through the use of interviews, the researcher will be able to answer the first and the third questions of the research after a comprehensive collection of views from the teachers interviewed. By observing the pupils for one month, the researcher will be able to answer the second question of the research after collecting qualitative data on their reactions on the use of iPads. Similarly, the researcher will be able to go through the past performance records before the application of the iPads and compare them to the recent ones to determine the impact of the technology on English performance (Kubey, 2001). Ethical Considerations   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Some of the considerations which are ethical that the researcher will adhere to are; voluntary participation, non-maleficence, autonomy and confidentiality. The participants of this study will not be coerced to participate neither will they be given bribes to participate. On the other hand, the research will ensure that no harm is experienced by the participants either physically, spiritually or psychologically. They will be left the way they were met before their participation or even better than they were. Similarly, the researcher will uphold confidentiality requirements of the research. Whatever the information given by the respondent will not be shared with another respondent. On the same note, all the names of participants will not be disclosed. Instead, pseudo names will be used in place of their real names (Brey, 2006).Limitation of the Study   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The researcher will limit the study to 16th Girls Primary School in Zulfi, Saudi Arabia. This is attributed to the resources available to conduct the research, such as time. The time for the study will be limited to one month. The sample size will include ten teachers for the interview, most of whom are English teachers, and several classes of pupils who the researcher will observe for one month (Brey, 2006). The sample size of the research may not reflect the whole sample of primary teachers and pupils in schools where the technology is applied, in Saudi Arabia. Each interview will be translated in English by the investigator. The investigator is not eligible as a translator; nevertheless, the scholar will work long hours with the university’s writing center to build up and set down the interrogation as best as possible (Ajab Al-Furaydi, 2013). Expected Results   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Based on the discussion in the literature review, it is likely that the use of iPads in the 16th Girls Primary School in Zulfi, Saudi Arabia will lead to improvement on pupils’ English language skills. The impacts of iPads on the English language skills are all likely to turn out positive (Cavanaugh, 2007). References Ahmad, J. (2012). English Language Teaching (ELT) and Integration of Media Technology. Procedia – Social And Behavioral Sciences, 47, 924-929. doi:10.1016/j.sbspro.2012.06.758 Ajab Al-Furaydi, A. (2013). Measuring E-Learning Readiness among EFL Teachers in Intermediate Public Schools in Saudi Arabia. English Language Teaching, 6(7). doi:10.5539/elt.v6n7p110 Brey, P. (2006). Social and ethical dimensions of computer-mediated education. Journal Of Information, Communication And Ethics In Society, 4(2), 91-101. doi:10.1108/14779960680000284 Cavanaugh, M. (2007). English Teachers: We Need to Hop on the Technology Train. Language Arts Journal Of Michigan, 23(1). doi:10.9707/2168-149x.1142 Jackson, L., von Eye, A., Biocca, F., Barbatsis, G., Zhao, Y., & Fitzgerald, H. (2006). Does home internet use influence the academic performance of low-income children?. Developmental Psychology, 42(3), 429-435. doi:10.1037/0012-1649.42.3.429 Kubey, R. (2001). Internet use and collegiate academic performance decrements: early findings. Journal Of Communication, 51(2), 366-382. doi:10.1093/joc/51.2.366 Todorovic, J., Stojiljkovic, S., Ristanic, S., & Djigic, G. (2011). Attitudes towards Inclusive Education and Dimensions of Teacher’s Personality. Procedia – Social And Behavioral Sciences, 29, 426-432. doi:10.1016/j.sbspro.2011.11.259 Young, C., & Kajder, S. (2003). Research on Technology in English Education. Source document

Emotionally Focused Therapy Essay

To love and be loved in return is essential for an individual’s happiness. In accordance with many other aspects of life, marital status as been linked to influencing ones life in a positive way; making it happier (Stack, Eshleman, 527). The problem with this is that not all marriages stay healthy and good. With divorce rates raging from 40%-50% in the United States, there ends up being a gap in the happiness of many (Marriage and Divorce, 1). One path that some pairs choose is couples therapy. Unfortunately, generalized couples therapy can be tricky in the way that there is not enough empirical data and it proves difficult for a therapist to know what to do, when to do it, or how to do it properly. As Greenman and Johnson point out, â€Å"Research done in the past 30 years would suggest that between 25%-30% of couples who receive therapy do not demonstrate significant improvement and that there are substantial rates of relapse (close to 40%) among those who do† (Greenman, Johnson, 46). This being said, they continue on to talk about an exception to this rule. It is an experiential-humanistic, systemic intervention that has plenty of empirical support and linked evidence between client outcome and the therapy process. This intervention is called Emotionally-Focused Therapy (EFT). To introduce this type of therapy is it important to know about Attachment Theory. This theory was developed in great part by a British psychiatrist named John Bowlby in the 1950’s (Peterson, 258). This theory has since been studied vigorously using the Strange Situation technique, which measures infant-parent attachment. It will observe infants reactions to their mothers leaving, and also to their return. What has been found is that children at a very young age develop one of three possible attachment styles. The first of the possibilities is to become securely attached. This is the case for around 70% of children (Peterson, 258). When the mother leaves the room, the infants will become upset, but upon her return the infant will reach out in  some positive way including smiling, touching, or speaking to the mother. The second outcome is known as Avoidant (about 20%) (Peterson, 258). In this case, the child will not become upset when the mother leaves, or will the child show enthusiasm when the mother returns. The third possibility is called Ambivalent (about 20%) (Peterson, 258). These children will cry when their mother leaves, and will not be comforted when she returns. In some cases, the child will actually punish the mother for leaving in the first place. These different outcomes have been linked directly to how a mother interacts with her infant. If the mother is affectionate and caring, the children will often develop secure attachments. On the other hand, if the mother is rejecting and judgmental, this could result in the child being ambivalent or avoidant (Peterson, 258). The importance of Attachment Theory is the fact that data shows these attachments, developed in infancy, can stay with an individual throughout the rest of their lives. Avoidant and ambivalent children often grow up to be less sociable than securely attached children. Once these children grow into adulthood, their attachment stops being to their parents or caregivers and are replaced by romantic partners (Peterson, 50). It is common that someone who grew up being avoidant or ambivalent may find it hard to express their basic emotional needs to another individual. It is also common that marital problems can come down to a lack of positive communication. Being critical, defensive or stonewalling, which is often the case with people unable to express themselves, can absolutely effect a marriage negatively (Stack, Eshleman, 528). If a married couple find they are struggling through their marriage, it could be possible that one or both of them were not securely attached in infancy. This is where Emotionally-Focused Therapy can aid significantly to a couple. With around 40% of children growing up either avoidant or ambivalently attached, it is not surprising that divorce rates are as high as they are (Peterson, 260). In addition, with standard couples therapy not being as successful as one would hope, Emotionally-Focused Therapy is a refreshing, and supported way to get the help many couples may need. Peterson defines EFT as, â€Å"An approach for troubled couples based on attachment theory that  directly teaches a more-flexible approach to the expression and satisfaction of needs† (Peterson, 272). The goal of this technique is to be able to send and receive accurate affective messages with their partner which helps each of them achieve the comfort and connection they desire. This therapy is separated into 3 stages, with different sets of therapeutic goals for each. The first stage of EFT is called Cycle De-Escalation (Greenman, Johnson, 47) . This is where the couple can identify the main difficulties in their marriage and begin to understand their problem-cycle. This can often include loneliness, dejection or the fear that that can be associated with not being close and connected to their spouse. This is often when attachment styles are most notable. The second stage involves two main ideas being, Withdrawer Re-engagement and Blamer Softening (Greenman, Johnson, 47). This is a very important stage because it involves restructuring the way the couple interact with each other. The therapist will use many different methods including reflections, enactments, and empathetic restatements to guide the conversation. It is also important in this stage that the individuals turn to one another and portray their true affect. The therapist will help to teach them to control their body language, facial expressions, and tone of voice when speaking to each other. After stage two, the couple should be able to provide and ask for comfort from their partner, coming from a place of vulnerability (Greenman, Johnson, 47). In the third stage the therapist will act as a facilitator. The couple will be redirected and asked about major longstanding conflicts they had. They can then incorporate their new way of interacting with each other into their problem cycle, successfully minimizing it (Greenman, Johnson, 48). This form of therapy is important in showing individuals, who may not have ever expressed themselves thoroughly, that it is okay to recognize their need for emotional closeness. It is also important that they are aware of their avoidance toward speaking vulnerably. Once individuals can obtain a safe haven in their relationship and participate in problem solving effectively, most couples have reported a significantly higher satisfaction with themselves and in their marriage (Greenman, Johnson, 50). When learning about Attachment Theory, some may find themselves in the avoidant or ambivalent categories. This can be daunting, due to the fact that these attachments stay with us throughout our lives. It is discouraging to look into the future and assume you will still not be able to express yourself to your loved ones, and all of this because we did not become securely attached in infancy? This hardly seems fair. Emotionally-Focused Therapy gives an opportunity to those, who perhaps have never been in a secure relationship, to express themselves securely. It allows them the opportunity to build on their relationships in a healthy, productive way. Also allowing them the weight lifting feeling of being vulnerable, heard, and responded to with positivity. Work Cited: Greenman, P., & Johnson, S. (2013). Process Research on Emotionally Focused Therapy (EFT) for Couples: Linking Theory to Practice. Family Process, 52, 46-61. Retrieved November 29, 2014, from http://web.b.ebscohost.com.dml.regis.edu/ehost/pdfviewer/pdfviewer?sid=552d7eaa-fd7a-47e1-85e2-1e0eeb60ec88@sessionmgr115&vid=3&hid=110 Marriage and Divorce. (n.d.). Retrieved November 29, 2014, from http://www.apa.org/topics/divorce/ Peterson, C. (2006). A primer in positive psychology. Oxford: Oxford University Press. Stack, S., & Eshleman, R. (1998). Marital Status and Happiness: A 17-Nation Study. Journal of Marriage and Family, 60(2), 527-538. (Stack, Eshleman, 527)