Mrs Dalloway Analysis Of The Film Essay Example For Students

Mrs Dalloway Analysis Of The Film Essay After review ?Mrs. Dalloway? I was not intrigued. The film appeared to bounce from the present to the past. The character Septimus didnt seem to have any reason in the storyline. Clarrisa likewise appeared to be firmly limited by the Victorian way of life of the day to make her fascinating to me. The plot just appeared to be too difficult to even think about following. This film more likely than not been for individuals that search for significance more profound than I. I accept that Mrs. Dalloway was fixed on the past. For a certain something, the crowd never observed Clarissa Dalloway consider the future; she generally returned to the past. Each time she halted to consider something it was of the past, for instance; the flashback of the evening of drifting, and Septimus capricious contemplations of World War I.I think her one genuine affection was Peter. I think she wedded Mr. Dalloway in light of the fact that she was terrified to concede that she cherished Peter in excess of a caring way. At the point when she was more established and seeing Peter at the gathering, I think she lamented not wedding Peter. Maybe the film would have been all the more fascinating if Clarissa would have been all the more free vivacious like Peter or Sally. Septimus didn't have a very much characterized job in the film. He was continually remembering his days in the war, and appearing to everybody that craziness has become him. His motivation was muddled, the story ju st hopped from Clarissa to Septimus. Regardless of whether he matches or is an inverse of Clarissa, I dont know. In the event that Septimus was an equal of Clarissa, at that point his character was played well, being that he, as Clarissa, continually thought of the past, and never what's to come. Making the two generally comparative, yet they appear to be changed in that Clarissa remembers on more joyful considerations, while Septimus harps on discouraging musings of the primary universal war. Clarissa was committed to the Victorian way of life, found in her flashbacks to the past. At Bourton she was excessively stuck in a rut to be free vivacious. In contrast to Sally or Peter, Clarissa couldn't express her genuine thoughts, or do however she sees fit. She showed up as the model Victorian lady, yet that held her back from following her affection for Peter. The worry that her gathering would be sub-par compared to different gatherings kept her from having fun on a day that she ought to be rejoicful. Clarissa likewise appeared to be a visionary. Her life clearly spun around dreams that seem great. For instance, the way that everybody has some good times at her gathering isn't as significant as the way that she has a ton of fun. The film ?Mrs. Dalloway? was difficult to follow, and for the most part not fascinating. This is only my sentiment and conclusions shift from individual to individual. However on the off chance that Clarissa had been a free soul, and not a conventionalist she would have caught my consideration as having a reason. Septimus reason for existing is hazy, and the plot is made for the individuals who dont take things for what they are and leave them at that.

Code Of Ethic Compliance Essay Example | Topics and Well Written Essays - 500 words

Code Of Ethic Compliance - Essay Example Constrained! It doesn't work. A tranquil psyche is the principal imperative in any undertaking. The propensity of the psyche is to meander. The brain must be held under scholarly watch however that is conceivable just through initiating the correct evaluation of needs. Brain responds to the upgrades from the world, and reacts in like manner, yet a distracted psyche prompts a befuddled reaction. The primary goal of instructor ought to be to upgrade mind fixation or accessibility to draw the consideration absolutely and totally. Where is the room of any uncertainty for the person who is persuaded that the assignment is inside his ability This ought to be the quintessence of very training. A favorable domain must be made by the teacher to fabricate high fearlessness and high confidence inside understudies. Demeanor has the effect. The teacher should turn into a wellspring of inspirational mentality for the understudies. Louis A. Berman said A decent instructor is an ace of disentanglement and an adversary of simplism. An instructor must advance straightforward living however high reasoning mentality. This significantly helps in scholarly improvement which thusly will do. As per William Arthur Ward The fair instructor tells. The great instructor clarifies. The predominant instructor illustrates. The incredible instructor motivates. An instructor needs to show others how its done. One needs to act than to address.

Puritan Dbq Essay Example

Puritan Dbq Essay Report Based Question Emily Morlock The Puritan provinces of New England created in a serious distinctive manner from the past English settlements in Virginia. The individuals who settled New England drove totally various lives and had completely unexpected qualities in comparison to those of other English pilgrims. Religion was essential to them and they emigrated from England to the states for totally unexpected reasons in comparison to past pioneers. These qualities and thoughts drove the Puritans to impact the development of their provinces. The Puritan’s estimation of difficult work and training enormously formed the political, financial, and social development of New England from 1630 through the 1660’s, yet the principle contributing element being developed was the significance of religion. The Puritan political structure was the forerunner for present day American government. The Puritans, with religion at the forefront of their thoughts, made a religious government. Be that as it may, they held town gatherings. These town gatherings, however not totally vote based, offered considerably more political association by townspeople than in England. When establishing Plymouth province in 1620, Puritan men marked the Mayflower Compact expressing that they would adhere to the laws set out by the lion's share and they would build up a self-administering settlement. These men would not like to make another monarchial government like the one they had recently gotten away in Europe and by marking this agreement; they all consented to do what was best for the network. These perspectives showed up in numerous other New England people group also. We will compose a custom article test on Puritan Dbq explicitly for you for just $16.38 $13.9/page Request now We will compose a custom article test on Puritan Dbq explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer We will compose a custom article test on Puritan Dbq explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer The Enlarged Salem Covenant of 1636 states that the townspeople â€Å"do thusly guarantee to convey our selves in all legal submission to those that are over us, in Church or Commonwealth, realizing how satisfying it will be to the Lord. † (Doc C) The Puritans accepted that God offered capacity to man and man ought not manhandle it inside the legislature. In â€Å"Limitation of Government†, John Cotton expresses that â€Å"it is along these lines fit for each man to be contemplative of the limits which that Lord has set: and for the individuals, in whom on a very basic level all force lies, to give as much force as God in His promise provides for men†¦Ã¢â‚¬  (Doc H) Correspondingly to their political impact, Puritan goals influenced the monetary advancement of New England. Contradicted to Virginia, New England was not established as a monetary endeavor. In â€Å"The Cause of God and His People in New England† John Higginson reminded all that â€Å"New England is initially an estate of Religion, not a Plantation of Trade†¦worldly gain was not the end and designe of the individuals of New England, however Religion. † (Doc J) Even considering this, the Puritans strove to make a fruitful economy. The normal term â€Å"protestant work ethic† originates from the Puritans need to consistently be profitable. In a Puritan’s mind â€Å"an hour’s inaction is as awful as an hour’s intoxication. † Puritans had faith in endeavoring to excel, and they were glad for their accomplishments, as showed in Robert Keayne’s last will and confirmation. â€Å"[My account books]†¦testify to the world on my behalfe that I have not experienced an inactive, lazzie or dronish life. † (Doc I) Even however financial aspects was not on the psyches of New England’s authors, Puritan standards helped to create a thriving economy. Generally evident of every one of, the Puritans significantly impacted the social improvement of New England. Religion was essential to the point that, here and there or another, it in a roundabout way controlled everything about the settlements. New Englander’s accepted that they were to make a â€Å"city on a hill†, one for all pioneers to gaze upward to. John Winthrop, the legislative leader of the New England state of Massachusetts, composed that â€Å"the eies surprisingly have arrived. † (Doc A) Due to their craving to oversee all individuals from the network, ensuring that everybody acted suitably, the Puritans had an incredible feeling of solidarity inside their provinces. In â€Å"A Modell of Christian Charity†, John Winthrop expressed that â€Å"wee must be knitt together, in this worke, as one man. Small should be eager to condense ourselves of our superfluities, for the gracefully of others’ necessities. †(Doc An) As found in Document B, New England towns were set up with a congregation and town corridor in the center, encompassed by unassuming measured ranches, all near one another. This was another ploy to ensure that the townspeople could oversee each other. The Puritans didn't permit different religions inside their provinces. This added to the unvarying ethnic improvement of numerous New England settlements. They evaded individuals who even acknowledged another religion. As expressed by Nathaniel Cotton in â€Å"The Simple Cobbler of Aggawam, â€Å"He that is happy to endure any religion†¦besides his own†¦either questions of his own or isn't earnest to it. † (Doc G) Roger Williams and Anne Hutchinson, two radical strict scholars, were exiled from their New England provinces for the wrongdoing of not concurring with Puritan beliefs. Hutchinson was sentenced for the apostasy of antinomianism and Williams was banished for lecturing partition of chapel and state alongside strict opportunity for all. Totally contradicting to Puritan sees, the expelled Roger Williams, in â€Å"A Plea for Religious Liberty, composed â€Å"God requireth not a consistency of religion to be established in any affable state,† (Doc F) Similarly to this, the Puritans didn't care for the Indians, and they blamed their solid strict ties so as to threaten them. For the sake of God† they attacked Indian towns and executed men, ladies, and kids. After a settler assault on the Pequot’s Mystic River Village, William Bradford noticed that â€Å"It was a dreadful sight to see them in this way fricasseeing in the fire, and the floods of blood extinguishing the same†¦but the triumph appeared to be a sweet penance, and they gave acclaim thereof to God, who had fashioned so brilliantly for them, therefore to encase their foes in their grasp, and give them so expedient a triumph over so pleased, annoying, and disrespectful an adversary. (Doc D) Also on a social premise, the significance of religion to Puritans built up an open tutoring framework, one that would be developed to in the long run make the framework we have today. The Puritans needed their youngsters to have the option to peruse the Bible, so training was critical to them. Each New England town comprising of at least fifty families was required to build up a state funded school. It didn't take long after the establishing of New England for the Puritans to begin setting up schools. Archive E expresses that â€Å"After God had conveyed us safe to New England†¦one of the following things we yearned for, and took care of was to progress Learning†¦dreading to leave an ignorant Ministery to the Churches. † Clearly, the significance of religion fundamentally influenced New England’s social turn of events. New England was incredibly molded by the ethics of Puritans. The region was created to entirely accommodate their thoughts and qualities. From 1630 through the 1660’s, the Puritans built up the New England settlements as they saw fit by mixing their solid strict beliefs into the political, monetary, and social structure of their networks.

Opportunity Network Application Essay

The top of the line creator and powerful orator Roger Crawford once stated, â€Å"Being tested in life is inescapable, being vanquished is optional.† I have experienced various impediments throughout my life, however none were as troublesome as learning my subsequent language, English. At the point when I moved to the United States in 2009, I knew no English. In this manner, my father selected me into a bilingual school, trusting that I would learn English rapidly with the assistance of Chinese-talking educators. Rather, the entirety of my cohorts talked in Chinese thus I learned English substantially more gradually. When I entered secondary school, my generally less fortunate English aptitudes kept me from doing schoolwork productively and making companions. After a large portion of a year, my instructors saw how discouraged I was. They helped support my confidence by praising my scholarly accomplishment. That was the point at which I understood I had qualities, as well. I started taking a stab at greatness, since I understood that my commitment and difficult work would at last be perceived and compensated. Step by step, more cohorts conversed with me and I started to feel like I had a place in my locale. I am appreciative for this test as it opened my heart and instructed me to be resolved. In addition to the fact that I like creation new companions, I additionally like difficulties. Despite the fact that a few difficulties appear past my range, I request myself to do as well as can be expected. I don’t consistently succeed, yet I consider each to be as a learning experience. I realize that, as a Chinese maxim says, a serious tempest is constantly trailed by an excellent rainbow.

Black Boys Journey essays

Dark Boy's Journey articles The tale Black Boy, composed by Richard Wright takes you back in the profound south of Jackson, Mississippi where whites endeavored to tame into accommodation blacks by hard control. It appeared that the more Richard had picked up throughout everyday life, the more he was harmed. Richard was estranged from his condition, despite the fact that he attempted to separate himself from the partiality surrounding him, the white individuals despite everything attempted to transform him into the cliché southern dark individual. Richard was constantly a renegade, from his childhood to his more established high school years. From the earliest starting point he would not curb underneath the white man himself like the other dark individuals around him did. The white individuals around him knew that he was unique in relation to other dark men. The individuals were terrified in light of the fact that he tested the framework that they had made for themselves as the super force. They dreaded Richard, and a portion of the white individuals felt it important to showcase their supremacist emotions to request to conceal their dread. Their were numerous occasions in Richard Wrights life which may have formed his theory of his life. In the novel, the head at Richards school had asked Richard to give a discourse to an enormous crowd of white and dark understudies, Richard would not peruse the principals arranged discourse. By perusing the principals discourse, Richard was stating what the white influence needed him to state and to Richard this would be surrendering to the thing he detested to such an extent. Richard was eager to leave school without a confirmation of this. White individuals distanced Richard from his condition since he didn't acknowledge the lifestyle that other dark individuals did. This even happened in his life, molded his theory on life, very, this told individuals that he would have his psyche set on one thing and focus on that, to accomplish his objective, at the end of the day he had a hard head and nobody could convince or alter his perspective on... <!

The Impact of Alcoholism on Society

The Impact of Alcoholism on Society Addiction Alcohol Use Print The Impact of Alcoholism on Society By Buddy T facebook twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial policy Buddy T Updated on September 20, 2019 Richard Hutchings / Getty Images More in Addiction Alcohol Use Binge Drinking Withdrawal and Relapse Children of Alcoholics Drunk Driving Addictive Behaviors Drug Use Nicotine Use Coping and Recovery The real-world impact of alcohol abuse reaches far beyond the financial costs. When a loved one has a problem with alcohol, it can affect their marriage and their extended family. Theres also the larger impact on the community, schools, the workplace, the health care system and on society as a whole. How Alcoholism Affects Society Approximately 14 million people in the United States meet the criteria for severe alcohol use disorders and alcohol is involved in more than 88,000 deaths per year. But its not necessarily people who have alcohol addiction having the biggest impact on these figures. Its estimated that more than 75 percent of the cost of excessive alcohol consumption in the U.S. is due to binge drinking, and most binge drinkers are not alcohol-dependent. Financial Costs of Alcoholism According to the Centers for Disease Control and Prevention (CDC), the cost of excessive alcohol use in the U.S. alone exceeds $200 billion annually. More than 70 percent of that is attributed to binge drinking, defined as four or more alcoholic beverages per occasion for women or five or more drinks per occasion for men. The CDC estimates that 40 percent of the cost of excessive alcohol consumption is paid by federal, state, and local governments. The biggest cost is loss of workplace productivity. Healthcare costs, crime and law enforcement, as well as motor vehicle crashes are also among the top alcohol-related expenses. The CDC estimates that these figures are all underestimated because alcohols involvement in sickness, injury, and death is not always available or reported. These figures also do not include some medical and mental health conditions that are the result of alcohol abuse. Also not included in these figures are the work days that family members miss due to the alcohol problems of a loved one. Healthcare Costs of Alcohol Abuse Alcohol consumption is a risk factor in 25 chronic diseases and conditions, and alcohol plays a significant role in certain cancers, psychiatric conditions, and numerous cardiovascular and digestive diseases. Additionally, alcohol consumption can increase the risk of diabetes, stroke, and heart disease. The majority of the estimated $28 billion spent each year on alcohol-related health care  goes toward the treatment of unintentional and intentional alcohol-related injuries. How Alcohol Intoxication Increases Injury Risk Alcohol-Related Aggression and Violence Along with unintentional injury, alcohol plays a significant role in intentional injuries as a result of aggression and violence. Alcohol has been linked to physical violence by a variety of research studies. On top of the healthcare cost of alcohol-related intentional violence in the United States, the estimated annual cost to the criminal justice system is another estimated $25 billion. Effect of Alcoholism on the Family The social impact of alcohol abuse is a separate issue from the financial costs involved, and that impact begins in the home, extends into the community, and often affects society as a whole, much like the financial impact does. Alcoholism as a Family Disease Research on the effects of alcohol abuse on families shows that alcohol abuse and addiction plays a role in intimate partner violence, causes families financial problems, impairs decision-making skills, and plays a role in child neglect and abuse. As with the financial costs of alcohol abuse, studies have found occasional binge drinking can affect families also. One study revealed that spousal violence is more likely not only when a partner is alcohol dependent or a problem drinker, but also when the partner is an infrequent drinker who occasionally drinks heavily. Effects of Alcohol Abuse on Children Fetal alcohol syndrome (FAS) is one of the most common direct consequences of parental alcohol use in the United States, caused by alcohol consumption by the mother during pregnancy. Children with FAS display a variety of symptoms, many of which are life-long and permanent. Children who grow up in a home with a loved one dealing with alcohol addiction may be affected as well; they are likely to develop alcohol use disorders themselves. Growing up in a home where at least one parent has a severe alcohol use disorder can increase a childs chances of developing psychological and emotional problems. Challenges Faced by Children of Alcoholics

Branches of Government

Branches of Government The Framers carefully incorporated a system of checks and balances within the government by establishing three co-equal branches of government: the Legislative, Executive, and Judicial. The power is separated between the three branches of government to avoid one particular branch from becoming dominant over the other branches. The respective powers and functions of each branch of government are addressed in the Articles of the United States Constitution. Article I of the Constitution establishes the Legislative both the House and the Senate and the necessary qualifications of representatives (U.S. Const. art. I,  §Ã‚ § 1-2). Article I sets forth the procedure for how bills become law (U.S. Const. art I,  § 7, cl. 3). Article I also lays out the specific enumerated powers of Congress (U.S. Const. art I,  § 8). Article II of the Constitution establishes Executive branch of government. Article II specifically provides that the Executive power is vested in a President (U.S. Const. art II,  § 1, cl. 1). Article II also provides for the method for selecting the President, which is through the Electoral College (U.S. Const. art II,  § 1, cl. 2). Most importantly, Article II provides for the specific powers of the President (U.S. Const. art II,  § 2). Article III of the Constitution establishes the Judicial branch of the government. Article III vests the judicial power of the United states in one Supreme Court and gives Congress the power to create inferior courts as needed (U.S. Const. art. III,  § 1). Article III provides for the jurisdiction of the federal courts and the limitations on the types of cases that the federal courts are empowered to hear (U.S. Const. art. III,  § 2). In a federalist system, both the federal and state governments have respective powers. While some areas are reserved exclusively for the federal government to regulate, many issues are left up to the states. In the modern business market, millions of business transactions take place across state lines. Congress has the express authority to â€Å"regulate Commerce†¦among the several states† (U.S. Const. art I,  § 8, cl. 3). Known as the Commerce Clause, the power of Congress to regulate interstate commerce has been interpreted extremely broadly. The practical significance of Congress’ Commerce power is that most business transactions will be subject to both state and federal regulations. In today’s world, nearly every commercial activity has some impact on interstate commerce, which would bring the activity within the reach of Congressional regulation. Even activities that are purely local in nature have been construed to have an economic effect on interstate commerce, and therefore can be regulated by Congress pursuant to the Commerce Clause. Arguably, this unfettered authority under the Commerce Clause is an unwelcome and unwarranted intrusion into state sovereignty. By taking the Commerce Clause powers to the extreme, virtually every activity could theoretically be subject to Congressional regulation. Such a result runs afoul of the purpose of federalism and the right of the states to address local concerns as the states see fit. While there are certain issues that assume a national character that require federal intervention or regulation, many problems are local in nature and are best left up to state-by-state regulation. As an increasing number of business deals are taking place without regard to state borders and boundaries, a much narrow interpretation of the Commerce Clause should follow suit to avoid Congress overshadowin g virtually every state law and regulation.

Chaos And Confusion Of The Asb Speech - 1486 Words

Chaos to Unity â€Å"Is everyone here? Can we finally start? We’re two minutes late!† â€Å"Miss President, calm down! The ASB advisor isn’t even here.† The ultimate chaos and confusion of the ASB could be seen by observing the first weekly meeting that took place on a Friday afternoon after a tiring day of arduous classes. The medium-sized, stuffy room in which meetings were held did not aid in enlivening the snoozing council and the burned-out cabinet. Usually, everyone arrived late, the tardiest being the ASB advisor, who was incessantly typing things that even he couldn’t make sense of. Two sisters, Briann and Mickey Shue, also arrived late and threw themselves on the ‘70s style couch in the back of the room, where Briann dozed off. Daniel, â€Å"the†¦show more content†¦As secretary, I was given the task to troubleshoot the lack of participation and share the results with the rest of the cabinet; after analyzing the information, we decided to better promote our group by emailing students and distributing flyers to advertise our upcoming events. We also decided to conduct fundraisers more frequently in orde r to excite the rest of the high schoolers. Therefore, by applying these tactics, the ASB planned to resonate its purpose throughout the school and attract passionate high schoolers to contribute, despite foreseen numerous disagreements to be encountered along the way. We were so close to unification. It was a month since this meeting when our ASB President, Vice President, Activities Coordinator, and I huddled in front of the Eisenhower Nursing Home, gently rubbing our hands against each other as the biting cold sought to subdue it. We squinted as the raindrops trickled over our think coats, our eyes attentively seeking the arrival of any high schooler we had contacted. I sniffled my nose as I felt my already present virus doubling in triumph. â€Å"Kayla, I emailed at least ten people to come and join us,† I assured our president as she inquired who was to come. â€Å"But they must have forgotten or didn’t receive my email. It’s a pity Briann and Mickey should have a recital to go to. I’ve heard they have really great voices and couldShow MoreRelatedMetamorphoses Within Frankenstein14861 Words   |  60 PagesMariner , who erupts into Mary Sh elley’s text as o ccasionally and inev itably as th e Monster into Victor Frankenstein’s lif e, Frankenstein; or, The Modern Prometh eus passes, like night, from land to land and w ith stang ely ad aptable powers of speech addresses itself to a critical aud ien ce that is larger and mor e diverse than that of almo st any oth er work of liter atur e in Eng lish : Mary Shelley’s Franken stein is famously reinterpretable. It can be a late v ersion of th e Faust myRead MoreExploring Corporate Strategy - Case164366 Words   |  658 Pagesdiscipline to the team. Whilst there had always been a huge supply of talent at Ferrari, particularly in the design and development of engines, it had not always reached its collective potential. Enzo’s autocratic style of ‘divide and rule’ had created confusion and rivalry within the team. Montezemolo deï ¬ ned strict areas of responsibility in order to reduce the amount of interference and internal politics. This created a situation where the various technical teams (chassis and suspension; engine; gearbox)

Biography of Augustine the African Essay example - 5161 Words

Biography of Augustine the African Augustine was born in Tagaste (modern Souk Ahras, Algeria) in 354 and died almost seventy-six years later in Hippo Regius (modern Annaba) on the Mediterranean coast sixty miles away. In the years between he lived out a career that seems to moderns to bridge the gap between ancient pagan Rome and the Christian middle ages. But to Augustine, as to his contemporaries, that gap separated real people and places they knew, not whole imaginary ages of past and future. He lived as we do, in the present, full of uncertainty. Augustines African homeland had been part of Romes empire since the destruction of Carthage five hundred years before his birth. Carthage had been rebuilt by Rome as the metropolis of†¦show more content†¦Augustine set out to make himself more Roman than the Romans and to penetrate to the center of the culture from which he found himself alienated by his provincial birth. But that was only the beginning of his story. Augustine was born on 13 November, A.D. 354, in Tagaste, a town large enough to have its own bishop but too small for a college or university.[[1]] His parents, Patricius and Monica, belonged to the financially imperilled middle class. They were well enough off to have educational ambitions for their son, but too poor to finance those ambitions themselves. The fourth century was an age of mixed marriages at this level of society, in which devout Christian women like Monica were often to be found praying for the conversion of their irreligious husbands. Her prayers were not unavailing; Patricius accepted baptism on his deathbed. Though Patricius offered no direct impulse towards Christianity for his son, he must not have been much more than a passive obstacle. Of Augustines childhood we know only what he chooses to tell us in the highly selective memoirs that form part of the Confessions. He depicts himself as a rather ordinary sort of child, good at his lessons but not fond of school, eager to win the approval of his elders but prone to trivial acts of rebellion, quick to form close friendships but not always able to foresee their consequences. He studied Latin with some enthusiasm but never loved Greek. 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Eva told Tom he would now have a happy life, for her father was kind to everyone. Augustine St. Clare was married to a woman who imagined herself sick therefore took no interest in her daughter Eva. He had gone north to bring back her cousin, Miss Ophelia, to provide care for the delicate Eva. When they arrived at the St. Clare plantationRead More jumping Essay3456 Words   |  14 Pagesthe campaigns that followed differ greatly. Both Hannibal and Scipio, in order to link up with their respective Numidian allies (North African or people of Mediterranean stock) , moved up the Bagradas River to the region of Zama Regia. Hannibal was now deficient in cavalry; the mercenary troops of his front line and the African infantry (sub-Saharan or black African stock) of his second line together were routed, and Scipio, seeing that Hannibals thi rd line, the veteran soldiers, was still intact

Study Schedule for a Test Six Days Away

Your test is coming up in six days, and thankfully, youre ahead of the game because for you, cramming for a test is a huge no-no.  By giving yourself six days to prepare, youve done yourself a big favor. Not only have you reduced the amount of study time needed per session, but you have also given yourself enough time to be perfectly prepped for your test. Great news, huh? Heres a study schedule to help you prepare for a test thats six days away. Have less time? Check out the study schedules below for fewer days. Study Schedule Day 1: Ask and Read In School: Ask your teacher what type of test it will be. Multiple choice? Essay? Thatll make a difference in how you prepare.Ask your teacher for a review sheet if he/she hasnt already given you one. (i.e. test content)Get a study partner set up for the night before the test if possible – even via phone/facebook/Skype.Take home your review sheet and textbook. At Home: Eat some brain food.Read your review sheet, so you know whats going to be on the test.Reread the chapters in the textbook that will be on the test.Thats it for day one! Study Schedule Day 2: Organize and Make Flashcards: In School: Pay attention in class – your teacher may be going over things that will be on the test!Take home your handouts, assignments, and former quizzes along with your textbook and review sheet. At Home: Organize your notes. Rewrite or type them up so theyre legible. Organize your handouts according to dates. Make note of anything youre missing. (Wheres the vocab quiz from chapter 2?)Go through your review sheet, finding the answers for every question on there from your notes, handouts, textbook, etc.Make flashcards with a question/term/vocab word on the front of the card, and the answer on the back. When youre finished, put your flashcards in your backpack so you can study throughout the day tomorrow.Stay focused! Study Schedule Day 3: Memorize In School: Throughout the day, pull your flashcards out and ask yourself questions (when youre waiting for class to start, at lunch, during study hall, etc.)Clarify anything you didnt totally understand with your teacher. Ask for missing items (that vocab quiz from chapter 2).Ask if there will be a review before the test later this week. At Home: Set a timer for 45 minutes, and memorize everything on the review sheet that you dont already know using mnemonic devices like acronyms or singing a song. Stop after 45 minutes and move on to other homework. You have three more days to study for this bad boy!Put your flashcards in your backpack for more review tomorrow. Study Schedule Day 4: Memorize Some More In School: Again, pull your flashcards out and ask yourself questions throughout the day. At Home: Set a timer for 45 minutes again. Go back through your flashcards and review sheet, memorizing anything you dont have down pat. Stop after 45 minutes. Youre done for the day!Put your flashcards in your backpack for review again tomorrow. Study Schedule Day 5: Finalizing memory In School: Throughout the day, pull your flashcards out and ask yourself questions again.Confirm study date with a friend for tomorrow evening. At Home: Set your timer for 45 minutes and run through your flashcards and review sheet. Take a 5-minute break. Repeat the process until your content knowledge is better than your teachers. Study Schedule Day 6: Review and Quiz In School: If your teacher is having an exam review today, pay close attention and write down anything you havent learned yet. If the teacher mentions it today – its on the test, guaranteed! At Home: Ten-twenty minutes before your study partner (or mom) shows up to quiz you for the exam, review your flashcards. Make sure you have everything down pat.Quiz. When your study partner arrives, take turns asking possible exam questions to each other. Make sure each of you has a turn asking and answering because youll learn the material best by doing both. Stop once youve been through the questions a few times and get a good nights sleep.

The Necklace by Guy De Maupassant - 1367 Words

â€Å"Being Honest is Always Best† Telling the truth will always prevent future conflicts. Author Guy De Maupassant who lived from 1850 to 1893 proves in the story of â€Å"The Necklace,† that no matter how bad a situation is, speaking with the truth is always best. Now, this author does not prove this theme directly. Instead, throughout various situations in the story the main characters are faced with a long-term conflict because decisions were not made with honesty. Mathilde and Loisel who is her husband, who works as a clerk at the Ministry of Public Instructions, were both faced with a conflict that could have been prevented. For instance, Mathilde asked her friend Mme. Forestier if she could borrow a beautiful piece of jewelry for a ball†¦show more content†¦Wishing to have someone else’s lifestyle is a sin according to the Ten Commandments in the bible. Nevertheless, Mathilde does not seem to care much about that and is constantly comparing her l ifestyle with the high-class society. Even though she and Loisel were considered to be of middle-class, she was unsatisfied with her life. Author Guy De Maupassant in the beginning of the story shows how Mathilde expresses her feelings towards not being wealthy. He writes, â€Å"She suffered ceaselessly, feeling herself born for all the delicacies and all the luxuries. She suffered from the poverty of her dwelling, from the wretched looked of the walls, from the worn-out chairs, from the ugliness of the curtains, all those things, of which another woman of her rank would never even have been conscious, tortured her and made her angry.† (p.64) The author makes it very clear to the reader that Mathilde was upset because she had not been born into the rich, or because she hadn’t married a â€Å"rich and distinguished man,† (p.64) Now, even though the necklace is the main theme of this story, this factor plays a major role into making the necklace an important part of the story. The necklace would have never gotten lost in the first place if Mathilde hadn’t been so obsessed with the idea of being rich. She should have accepted the fact she was a middle class person in the 19th century with a wonderful husband who was willing to do anything for herShow MoreRelatedThe Necklace By Guy De Maupassant863 Words   |  4 PagesThe short story â€Å"The Necklace† written by Guy De Maupassant, tells the story of a married couple who live an average lifestyle together in France—when one day everything in their lives changes due to a simple decision. The author aims to show the reader the power of decision making when faced to decide between needs, wants, honesty and untruthfulness and how every decision we choose to make affect our lives in ways we never thought possible. In the first few lines of the story, the narrator introducesRead MoreThe Necklace by Guy de Maupassant1034 Words   |  5 Pagesregret which Guy de Maupassant depicts throughout â€Å"The Necklace.† Guy de Maupassant, a French writer, born in 1850, was considered one of France’s greatest short-story writers. His writings were mostly influenced by the divorce of his parents when he was thirteen years old and by great writers such as Shakespeare, Schopenhauer, and Flauber. His parent’s divorce caused his stories to depict unhappiness of matrimony, deceit, miscommunication, and a profound misunderstanding (Maupassant, Guy de, 1850-1893)Read MoreThe Necklace, by Guy de Maupassant791 Words   |  4 Pagescharacterized by other people. In â€Å"The Necklace† Mme. Loisel is a beautiful woman with a decent life, and a husband that loves her, and only wants to make her happy. She is not rich but she makes it along, she insists of a better, wealthier life. When her husband gets her invited to a ball, she feels the need for a brand new fancy dress and tons of jewelry. When the couple realizes they cannot afford jewelry as well, they search out to borrow her friend, Mme. Forestiers’ necklace. She comes to notice she noRead MoreThe Necklace, By Guy De Maupassant966 Words   |  4 PagesIn Guy De Maupassant’s â€Å"The Necklace,† Mathilde is a 19th century French woman who desires a wealthier lifestyle than she can acquire. She is completely indulged in the material possessions of life and is focused on the items she does not have rather than what she owns. It seems her happiness is entirely dependent on wealth and status. She neglects her husband and is never content with what he can offer. Eventually, Mathilde’s struggles of envy, selfishness, and materialism drive her to poverty.Read MoreThe Necklace By Guy De Maupassant934 Words   |  4 Pagesduring this time period was Guy de Maupassant, who wrote one of th e most influential short stories of this century. â€Å"The Necklace†, written by Guy de Maupassant, illustrates elements of fiction such as the symbolism of the necklace because of Mme. Loisel’s desire to be rich, irony due to the twist ending, and a powerful theme. Firstly, the necklace Mme. Loisel borrows and her perspective symbolizes the desire she has towards being wealthy and important in society. Maupassant describes effectively theRead MoreThe Necklace By Guy De Maupassant1381 Words   |  6 Pagesstories are â€Å"The Necklace† by Guy de Maupassant and â€Å"The Secret Life of Walter Mitty† by James Thurber. â€Å"The Necklace† was about a materialistic woman who faced consequences because of her envious personality and â€Å"The Secret Life of Walter Mitty† was about a man who experienced daydreams randomly throughout the day. Although both short stories used literary elements, Guy de Maupassant utilized them for readers to understand and enjoy the story more than James Thurber. â€Å"The Necklace† was a short storyRead MoreThe Necklace By Guy De Maupassant1093 Words   |  5 PagesThroughout the short story titled â€Å"The Necklace† by Guy de Maupassant, it is clear that the main themes being stressed are pride versus greed, and that things are not quite what they appear. Each of these things are represented throughout the story in some way, whether it be using animated language or symbolism. It is also clear that background information clearly aided the development of the themes Maupassant incorporated throughout the passage. It is seen throughout the story that the main characterRead MoreThe Necklace, By Guy De Maupassant999 Words   |  4 PagesIn Guy de Maupassant’s â€Å"The Necklace,† readers experience Mathilde Loisel’s life-changing event. Coming from nobility, de Maupassant tells the story of luxurious desire through the eyes of the middle class woman Mathilde. Mathilde constantly dreams of living the life of the upper class, and this prohibits her from acting in reality. Mathilde’s internal struggle for a sense of social royalty shows readers how quickly selfish pride destroys a person’s life. Throughout the course of â€Å"The NecklaceRead MoreThe Necklace By Guy De Maupassant1019 Words   |  5 PagesIn the short story of â€Å"The Necklace†, the author Guy de Maupassant is a creative and intriguing tale which reveals a person s dreams of a luxurious lifestyle with countless materialistic possessions. He has skillfully developed the story into a mystery which reveals itself at the end. The main point in the story is that materialism can distort your view of happiness and fulfillment. It is wrong to be materialistic to the extent that you disregard what you already have and lose everything. MathildeRead MoreThe Necklace, By Guy De Maupassant823 Words   |  4 Pagesbe totally unhappy, â€Å"She was a simple person without the money to dress well, but she was as unhappy as if she had gone through bankruptcy, for a woman have neither rank nor race†(Maupassant 7). Loisel s sorrow over wealth and fancy things puts a constant pain on her husband. In Guy de Maupassant short story â€Å"The Necklace,† Mathlide Loisel goes from being a materialistic, dishonest woman to becoming an honest, hard-working woman. At the beginning of the story, Mathlide Loisel is a raging, spoiled

Renminbi Case Free Essays

662, Case 3 1. Do you think the Renminbi is overvalued against the US Dollar? 2. Why does the Chinese government want to keep its currency at an artificially low level against the US Dollar? What is the risk for China? For the US? 3. We will write a custom essay sample on Renminbi Case or any similar topic only for you Order Now What would be the consequences of a 20% revaluation (increase in the value of the Renminbi) for China, western countries, Japan, and developing countries? How would it impact workers, exporters, and importers in China? Various studies have suggested that the RMB is undervalued, with recent estimates ranging from 15-50 percent. The greatest beneficiary from a gradual RMB revaluation, accompanied by measures to stimulate demand, will be China itself. Its growth is likely to be more balanced and resilient, and that will have a positive spillover on the rest of the world, including by reducing currency and trade tensions. RMB revaluation causes a loss to consumers outside China since they will confront higher prices of goods imported from China. These losses have to be offset against those of producers who will gain competitiveness. Moreover, China’s trading partners are more likely to gain from RMB revaluation if it comes with measures that accelerate China’s domestic demand relative to its GDP. Indeed, without those measures, the effect of RMB revaluation on China’s current account surplus is likely to be marginal or even to widen it. In the very long run, a revaluation of the RMB could help commodity-exporters to diversify into basic manufacturers. However, over the next few years, RMB revaluation is unlikely to affect these countries’ exports significantly because the prices of their commodity exports are determined in global markets (and denominated in dollars). However, the dollar prices of China’s exports to those countries are likely to rise, reflecting small profit margins in those sectors and the fact that China, as the biggest exporter of those goods, is the price-setter. Some middle-income manufacturing exporters running a trade surplus with China will benefit, too. Other middle-income exporters that import a lot from China could be net losers from the hike in China’s export prices in the short term, but gain as their export volumes expand at China’s expense. Low-income commodity exporters will generally be net losers from RMB revaluation alone and will only benefit if China’s growth accelerates because of accompanying measures taken by the Chinese authorities. Some high-income countries, such as Germany and Japan, which have an initial small trade deficit with China, may lose or gain a little from RMB revaluation alone. However, countries such as Italy and the United States—whose initial trade deficits with China are large and whose exports are not competitive with China’s—will very likely lose, and their lower-income consumers will suffer most as the price of Chinese goods rises. This conclusion does not imply a judgment that a large bilateral trade deficit in Italy and the United States with China is good or bad. It only implies that RMB revaluation is not the way to fix the deficit problem. Instead, increasing national savings rates in Italy and the United States, and increasing consumption in China would be more effective. Given China’s high dependence on price-sensitive exports, a large one-time RMB revaluation may carry unacceptable risks to its growth and stability. In the event of a sharp slowdown in China, those countries that are likely to lose from RMB revaluation anyway, starting with the United States. How to cite Renminbi Case, Papers

Undue Industry Influences Health Research -Myassignmenthelp.Com

Question: Discuss About The Undue Industry Influences Health Research? Answer: Introduction Quality: Given the Colesworth scenario customers looks for quality products as they help in reducing the cost and the risk of replacing the faulty goods (Goetsch and Davis 2014). With respect to time, customers expect a timely response. Therefore the preferred channels for generating a response should be prompt. Customers usually balance benefits of the products against its cost. The product is purchased when the benefits out ways cost. Plan for Ensuring Customer Satisfaction in terms of: Quality: To ensure customer satisfaction, in terms of quality of gym and personal fitness equipment, Colesworth must create a long term plan for quality improvement by talking to the clients. Time: For ensuring better timely response it is necessary for setting up an automatic response email and ensuring availability of quick reply option Cost: Colesworth should reduce the cost of its gym and fitness equipment for better customer satisfaction without compromising on the cost factor. Identification Process for the Market Trends of the Products of Colesworth The process adopted by Colesworth in identifying market trends for its products are as follows (Thompson 2015): By keeping track of the industry influencers Through absorbing the up to date trends and research Accessing industry behavior through analytics and digital tools By listening to the customers By keeping a track of the competitors Product Delivery to the Customers within Targeted Quality, Time and Cost The customer Service of Colesworth can ensure effective delivery by responding as fast as possible (Stark 2015). They can also do so by knowing the customers exact needs and wants. The customer service can also fix any existing problem by going extra miles. This will also lend them customers for a lifetime. Monitoring Team Performance The quality and delivery standards of the team can be monitored as follows: By listening to the customers by monitoring their interactions By capturing all the channels for customer feedback By making use of quality monitoring that helps in improving agent skill By ensuring means for continuous improvement of the productivity and performance of the agent By measuring the result and keeping track of the constant evaluation and feedback for measuring and monitoring progress. Monitoring and Evaluation of Own Performance The manager can monitor and evaluate their own performance by the following means: By not being afraid to the delegates Through effective communication By keeping the goals focused and clear By training and developing the employees By embracing telecommuting Learning Opportunities for Performance Improvement The learning opportunities for performance improvement are based on the 5As model which includes: Alignment: Aligning the learning with the strategic goals of business Anticipation: Setting an expectation for improving the performance Alliance: Creating an alliance for learning between the learner and the manager Application: Applying the new learning on an immediate basis Accountability: Holding the learner and the organization accountable for measuring the impact Team Assistance in Overcoming Difficulties Managers can assist team in overcoming their difficulties by adopting the following means: By maintaining proper communication By Ensure maintaining a positive work ambience By acknowledging good work By managing conflict. Communication Skills Used The communication skills that the managers must use include: By setting a context By ensuring the repetition of the messages By creating dialogue and checking whether it is understood By ensuring proper listening Anti-discrimination law Anti-discrimination lawrepresents the law on the peoples right to be equally treated (Lukes and Bangs 2014). As an employee Colesworth need to prevent any kind of bullying, harassment and discrimination taking place in the workplace. Australian Consumer Law This represents a national law that guarantees customer rights while buying any goods or services (Howells and Weatherill 2017). According to this law Colesworth cannot avoid the responsibility of meeting consumer guarantees. Industry Codes of Practice This ensures compliance of the industry with the agreed objectives that helps in benefiting employers, workers and consumers (Stamatakis, Weiler and Ioannidis 2013). Under such constraints, Colesworth needs to promote the best practice, help enhance consumer confidence and improve safety standards. Work, Health Safety This provides a framework for protecting health, safety and welfare of the workers at work (Schaufeli and Taris 2014). Abiding by this, the prime responsibility of the company lies in ensuring the health, wealth and safety of the workers Ethical Principles This provides a framework for analyzing typical ethical dilemmas (Bryman and Bell 2015). The ethical principles of Colesworth represent the ethics that helps in shaping the company as well as its employees. Importance of Public Relations and Product Promotion for Colesworths Public relations are important since it helps inbuilds the credibility of the company through various intermediaries. On the other hand, product promotion helps in delivering the benefits of the products of the company to the customers. References: Bryman, A. and Bell, E., 2015.Business research methods. Oxford University Press, USA. Goetsch, D.L. and Davis, S.B., 2014.Quality management for organizational excellence. Upper Saddle River, NJ: pearson. Howells, G. and Weatherill, S., 2017.Consumer protection law. Routledge. Lukes, R. and Bangs, J., 2014. A critical analysis of anti-discrimination law and microaggressions in academia.Research in Higher Education Journal,24, p.1. Schaufeli, W.B. and Taris, T.W., 2014. A critical review of the Job Demands-Resources Model: Implications for improving work and health. InBridging occupational, organizational and public health(pp. 43-68). Springer Netherlands. Stamatakis, E., Weiler, R. and Ioannidis, J., 2013. Undue industry influences that distort healthcare research, strategy, expenditure and practice: a review.European journal of clinical investigation,43(5), pp.469-475. Stark, J., 2015. Product lifecycle management. InProduct Lifecycle Management (Volume 1)(pp. 1-29). Springer, Cham. Thompson, W.R., 2015. Worldwide survey of fitness trends for 2016.ACSMs Health Fit J,19(6), pp.9-18.

Choose two poems and compose the ways poets deal Essay Example For Students

Choose two poems and compose the ways poets deal Essay Both Keats and Frost write about the pleasure and pain of human experience. Choose two poems and compose the ways in which the poets deal with these issues.  Through out the poems Ode to a Nightingale and Birches, both Keats and Frost shows us of their happy and beautiful human experience in the two poems, which are contrasted with the sadness and pain of their past.  In Ode to a Nightingale, John Keats displays the quality of the pleasure of the human experience (in this case the human experience of encountering the nightingale) and also the pain and sorrow of the real world, so much that he wishes for a painless death so that he can forget the past and go for a heavenly escape. One of the reason why Keats display so much sadness in this poem is probably because of Keats younger brother had died the previous December and in this ode the poet attempts to come in terms with a world so cruel that: Youth grows pale, and spectre-thin, and dies;  A world full of sorrow, which the nightingale cannot feel.  In the first stanza, Keats describes a pleasure so powerful that it pains him, the pleasure in which the nightingale gives Keats it bringing a feel of numbness to the pain of the real world:  My heart aches, and a drowsy numbness pain  as thought of hemlock I had drunk,  On the above quotation, we see a description of how the pleasure is so good that it hurts Keats by giving him a heart aches, we know this is because the sentence carry on by explaining that it feels like he has been drink hemlock (A drug drink that allows the drinker to feel no pain.) and it is the nightingales ability to be numbness that hurts Keats the most as Keats cannot get that. (The word numbness here does not really mean that it doesnt get hurt, but numbness as in because the nightingale is not human, and therefore it has no family to lost, or no sense of sadness / wont get depress because of l osing a family members etc) However in stanza 2, his pains are beginning to have some sort of explanations, as he begins this stanza by wanting to escape by drinking more wine in his effort to escape and leave the world unseen. Then he explains why he wants to escape, showing all of the main reason of his pains, for example:  Where palsy shakes a few, sad, last grey hairs,  Where youth grows pale, and spectre-thin, and dies;  Where but to think is to be full of sorrow  And leaden-eyed despairs,  Beauty cannot keep her lustrous eyes,  Or new love pine at them beyond tomorrow.  Here we can see that he explains by mainly telling us that life is short and even the beautiful people will one day lose their beauty and die too. This is one main difference between Keats and Frost poems in the way they express their happy and sad feelings, as you have already seen above that Keats is very desperate and really want to leave the world, however Frost is not as desperate to his goals as Keats does, because he only wishes and dreams of going back, he does not imagine it as Keats does in his poem.  Stanza 5, this is where Keats changed his idea and so that the character is wanting to take a painless death, as he play around with Death like love:  I have been half in love with easeful Death,  This shows a sense of humour and a sense of giving up. As if hes gone mad, this shows just how much he wants to die now, and this is a good way to express his deepest feeling about his life and how much he want to die. .u14197b9366108a1cc835db468ea3ce91 , .u14197b9366108a1cc835db468ea3ce91 .postImageUrl , .u14197b9366108a1cc835db468ea3ce91 .centered-text-area { min-height: 80px; position: relative; } .u14197b9366108a1cc835db468ea3ce91 , .u14197b9366108a1cc835db468ea3ce91:hover , .u14197b9366108a1cc835db468ea3ce91:visited , .u14197b9366108a1cc835db468ea3ce91:active { border:0!important; } .u14197b9366108a1cc835db468ea3ce91 .clearfix:after { content: ""; display: table; clear: both; } .u14197b9366108a1cc835db468ea3ce91 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u14197b9366108a1cc835db468ea3ce91:active , .u14197b9366108a1cc835db468ea3ce91:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u14197b9366108a1cc835db468ea3ce91 .centered-text-area { width: 100%; position: relative ; } .u14197b9366108a1cc835db468ea3ce91 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u14197b9366108a1cc835db468ea3ce91 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u14197b9366108a1cc835db468ea3ce91 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u14197b9366108a1cc835db468ea3ce91:hover .ctaButton { background-color: #34495E!important; } .u14197b9366108a1cc835db468ea3ce91 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u14197b9366108a1cc835db468ea3ce91 .u14197b9366108a1cc835db468ea3ce91-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u14197b9366108a1cc835db468ea3ce91:after { content: ""; display: block; clear: both; } READ: The term Postmodernism Essay PaperIn the next stanza, he uses the example of the nightingale shows us that there will be sadness for mankind for the next centuries, this is a very strong way of telling what he thinks for sadness and death.  Robert Frost also writes a lot about joy and pain, and deal with similar issues, however he does not have a deep sorrow in Birches as Keats does in Ode to a Nightingale.  The poem is about a man which thinks about a type of tree Birches, and when he saw a boy playing around the trees and climbing them, he started to look back at his childhoods where he was once swinger of birches. and it is this missing of the past, that is cause t hat sorrow and sadness in him which is quite different to Frosts death and escaping. The idea of wanting to be a child a again to experience all of this climbing around the trees and playing so that he can experience joy again is very important in this poem:  Id like to get away from earth awhile  And then come back to it and begin over  Id like to go by climbing be a birch tree,  And climb black branches up a snow-white trunk  Toward Heaven  Both of these tells as that how much he wants to be a child again, unlike Keats who didnt have a good time when he was young, Frost did, and what Frosts wants was to go back for more, which means that Frost must have had a good time when he was young, but maybe not later as he was old where he might be having a lots of frustration and lots of pressures on him and his life. One of the ways in which Frost shows of his pleasure was to actually tell what he did by using an example and in this case he used a child who was playing baseball and climbing on the birches. And Birches is mainly about this point, until the very last section, he changed the mood, by adding parts about his pain, of wanting and desperate to go back and be a child again, so that he can be a swinger of birches again.  Frost s Birches also kind of tells of the pleasure of being young, and all of the freedom and excitement that you get when you are a youth. We clearly see these in the middle section and through out Birches.

A Critique Of Two Concerts Essays - Johann Sebastian Bach

A Critique Of Two Concerts Music is one of the most unique performing arts due to the way it has evolved. Styles and melodies considered unfit in one era are displayed prominently in another. The two concerts previewed in this report have two different and distinct techniques. The first performance that I attended was a symphonic concert playing a mix of contemporary and early 20th century works at Carnegie Hall. The second performance was an organ recital highlighted by the by the live performance of Bach's most well known pieces. Hopefully this term paper will objectively and subjectively critique and compare the two performances. An orchestra is a collection of a variety of instruments usually consisting of brass, woodwinds, strings and percussion sections. In the concert at Carnegie Hall, the music was abundant in tone color and a variety of pitches and moods. While the Bach music played by the organist could only demonstrate one type of sound, the multitude of instruments at the conductor's disposal can flood the listener with a variety of sound. The key pieces of music performed were Music for Violin and Orchestra by Maazal and Symphony No. 1 in D major by Mahler. Maazal's piece pits the virtuoso, Maazal, against the entire orchestra. It seems to be a sophisticated concerto with the violinist and the orchestra dueling with each other. Unlike Baroque music, the mood changes constantly, at one moments the violin conveys a tranquil image only to be shattered by the dissonance created by the orchestra. While Toccata and Fugue in D minor is a piece of absolute music, Maazal's music is program music. The main th eme is sort of a violinist's journey and struggle with the much more powerful monster-like orchestra. Objectively, the odd notes from the percussion coupled with the frequent use of low tone color instruments (e.g. bassoon, bass) created tension. The trills provided by the virtuoso and the strings section displayed a tension reserved only for the shower scene in Hitchcock's Psycho. The dynamics of the piece are deliberately arranged to convey images of peace and fright. When the virtuoso plays his violin for a requiem of the world it knew, it plays in a soft, whimpering manner. On the opposite is the tension created by the orchestra as it goes through a crescendo. Not only does this increase the tension, but conveys the image of a monster running after the hero as it drowns out the violin due to its increase in volume. In both cases, the music would not be Baroque. The dynamics of the music (e.g. crescendo) would not be allowed in Baroque while the changes in mood from soothing to homicidal would be a violation of the Baroque spirit. Maazal's music is clearly 20th century music. Mahler's music, on the other hand, is much more difficult to understand than any other piece heard in class, concert or home. The long melodies and abrupt shifts in meter and melody are jarring. Moreover, while the symphony elicits feelings of a funeral, the only requiem it plays is the one for the listener's interest in his music. In short, the symphony is overly long and tedious. It is not as entertaining as the struggle of Maazal's violin versus the orchestra. While the symphony tends to be boring it shares many of the same characteristics of Maazal's music, 20th century music. The key characteristics of 20th century music differ from those of the Baroque period. First, there is a variety of tone color provided in the music. In Maazal's ?Music for the Violin and Orchestra? violins, flutes, basses and even bongos are used to create images such as a ferocious monster. Moreover, the music played in this piece had dissonance and consonance, another important feature of 20th century music. While Baroque and Renaissance music does not use dissonance extensively, Maazal and Mahler use dissonance as a major tool in developing the music. In the final part of ?Symphony No. 1 in D major?, the music shifts abruptly from C minor to D major. The monstrous orchestra in Maazal's music uses unstable chords to convey a horrific beast. In addition to this changing melodies and rhythms are another characteristic of 20th century music. The rhythm and

Free Essays on Multicultural Philosophy

The aspect I feel most strongly about in my literacy framework is diversity. Literature is a wondrous way to expose students to diversity. I am a firm believer in multicultural and culturally conscious literature. By using these types of books my students get a fascinating depiction of other cultures, languages, and races. In using these books I feel that my students will become more sensitive, knowledgeable, and well-rounded, in turn making them more valuable citizens. I believe in the transformation approach to diversity. â€Å"In this approach, the nature of the curriculum is transformed to include the perspective of subordinate cultures to concepts, historical events, and issues† (Leu and Kinzer, 206). I will continuously base many of my thematic literacy units on diversity. In doing this, I feel my students will be exposed to culturally conscious biographies, autobiographies, poetry, and historical fiction. Finally, I feel that incorporating diversity into my lit eracy framework will help my students to become open-minded and insightful to the world we will in. Integrating diversity into my literacy curriculum is crucial for my students.... Free Essays on Multicultural Philosophy Free Essays on Multicultural Philosophy The aspect I feel most strongly about in my literacy framework is diversity. Literature is a wondrous way to expose students to diversity. I am a firm believer in multicultural and culturally conscious literature. By using these types of books my students get a fascinating depiction of other cultures, languages, and races. In using these books I feel that my students will become more sensitive, knowledgeable, and well-rounded, in turn making them more valuable citizens. I believe in the transformation approach to diversity. â€Å"In this approach, the nature of the curriculum is transformed to include the perspective of subordinate cultures to concepts, historical events, and issues† (Leu and Kinzer, 206). I will continuously base many of my thematic literacy units on diversity. In doing this, I feel my students will be exposed to culturally conscious biographies, autobiographies, poetry, and historical fiction. Finally, I feel that incorporating diversity into my lit eracy framework will help my students to become open-minded and insightful to the world we will in. Integrating diversity into my literacy curriculum is crucial for my students....

The significance of the lady in Black and her two Lovers Essay

The significance of the lady in Black and her two Lovers - Essay Example What Walker is also suggesting is that the feminist strivings are not exclusive of broader political seeking of equality. Indeed, the two causes are intricately connected and partly explain why Vyry and her two lovers are showcased in same scenes in the novel. (Graham 96) Apart from this symbolic display of solidarity, another reason why these characters appear together is to contrast their different mindsets and attitudes. In other words, there seem to be diversity of personality and character within the larger common objective of freedom. To illustrate, in one passage Innis Brown responding to his wife Vyry states â€Å"Just like you can make candles and soap and feather beds, rag rugs, and quilts, and spin and weave and sew, and cooking was your main job, I learned to do a lot, of things sides working in the fields." (Walker as quoted in Cash 78) The message here is one of establishing the dichotomy between the masculine and the feminine. The other dichotomies that these pairings bring out are those of â€Å"black versus white, rich versus poor, empowered versus disempowered, enslaved versus free†. (Beaulieu 15) Margaret Walker, writing in the middle of the twentieth century, factors an additional pair into the list, namely, legally enslaved versus legally free. One crucial way in which the genre of slave narrative is revised in Jubilee is the attention paid to the personal (especially the romantic) facets of Vyry’s difficult life. This is accomplished by showcasing the relationship between Vyry and her two lovers at several points in the work. Vyry’s loyalties are thoroughly tested as she is made to choose between â€Å"her loyalty to her first husband and her white family and loyalty to her second husband and her children. She is guided by her Christian ethics in arriving at a practical rather than radical resolution of the conflict.† (Bell 289) Her great virtues are best illustrated as she

Ideological Relations between Mao Zedong and Nikita Khrushchev Essay

Ideological Relations between Mao Zedong and Nikita Khrushchev - Essay Example The second fight was against the nationalist Kuomintang (Marks 10). The Nationalist Kuomintang was led by Chiang Kai Shek. The overlapping wars persuaded Mao to ignore the advice and directions by Stalin. During the Second World War (1939-1945) Mao followed the lead of Stalin and agreed on the Joint Anti-Japanese Coalition with a leader of Nationalist Kuomintang, Chiang Kai Shek (Hershberg 149). The treaty of friendship was signed with Nationalist Kuomintang in 1945. After 3 months of Japan’s surrender, Stalin broke the treaty (Li 4). In 1950, Mao Signed Sino-Soviet Treaty of Friendship & Alliance (Li 409). The alliance resulted in $300Mio loan at a very minimal interest rate along with the military alliance for the period of 30 years. In 1954, after the death of Joseph Stalin, Nikita Khrushchev met Mao and formally handed over Port Arther base to China (Khoo 4). The Post Stalin policies by Khrushchev were in conflict with the mindset of Mao. The reason was that Khrushchev den ounced Stalin through his speeches. In 1956, Khrushchev developed the relationship with Yugoslavia. The leader of Yugoslavia Joseph Broz Tito was denounced by Stalin. Mao was the supporter of Stalin’s ideology. Khrushchev tried to dismantle Mao’s support of USSR. ... Â  The major reason for the Sino-Soviet split was the national difference. The political line of Mao was totally opposed to that of Khrushchev. Therefore, the conflict in political perspectives between the two parties leads to the creation of two rival formations internationally. The issue was not explicitly considered as the national difference. The issue was believed to be the different historical developments between Russia & China. Different level of productive forces was considered as the major difference between two rivals. In addition to this, the Russian revolution began from the cities and moved towards the countryside, whereas the Chinese revolutions began from the countryside and moved towards the cities (Westad 9). Moreover, the relations to imperialism between the countries were also having a different perspective. The Sini Soviet split was basically the ideological conflicts. Therefore, in 1960, the worsening of ideological relationships between Mao Zedong and Nikita K hrushchev lead to the Sini Soviet Split. 2. Critical Evaluation of the Sources Most of the data regarding the Sino Soviet Split was retrieved from a number of different sources. A brief critical evaluation of two of the sources is as follows Source 1: Sino Soviet Conflict: Cold War In the Communist World 1921-1959 The Sino Soviet Conflict was the book written by Lorenz Luthi, which was published in 2010. The book elaborated the Sino-Soviet Conflict with great details. Therefore, the book describes in detail history of Cold war and the reasons for Sino Soviet Conflict.

An overview of atrial fibrillation

An overview of atrial fibrillation Section1: Atrial fibrillation (AF) is a condition when the heart does not beat to its normal speeds or rhythm, often it beats faster than it should. This irregularity leads to an increased risk of stroke and death. The pump function of the heart deteriorates as a result of the un-coordination (due to uncoordinated excitation of muscles). The net result of impaired pump action is the upper chambers of the heart contract randomly and at times too quick for the heart to relax before it can contract again effectively. At the junction of the pulmonary veins in the left atrial musculature, abnormal impulses fire which override the heart natural pace maker. There are 3 major classifications for AF: Paroxysmal AF- lasts from 30 seconds to 7days Persistent AF- longer the 7days Permanent AF- AF that fails to terminate using cardioversion, or is terminated but relapses within 24hours. If there are no obvious cause and all investigations are normal, this is known as lone AF. Lone AF tends to occur in Paroxysmal cases. Otherwise the most common causes are ischaemic heart disease hypertension mitral stenosis hyperthyroidism Other causes which arent as common are can be classified into 3 sub catagories; Cardiac: Rheumatic heart disease, Sick sinus syndrome, Pre-excitation syndromes (such as Wolff-Parkinson-White syndrome) and heart failure. Less commonly, congenital heart disease, atrial myxoma , atrial septal defect, pericardial disease, and cardiomyopathy. Non-cardiac: Drugs (e.g. bronchodilators/thyroxine), Electrolyte depletion infection, Pulmonary embolism, Lung cancer Diabetes. Lifestyle: Obesity, high caffeine or alcohol intake1. A fast pulse (often >140bpm) which may or may not be irregular is the most common symptom of AF however it is also accompanied by tiredness, breathlessness, dizziness, angina1, syncope, reduced exercise tolerance, or polyuria2. The decreased efficacy of the pumping of the heart may result in the reduction of blood pressure. AF is diagnosed by the use of an ECG and is characterised by the absence of consistent P waves and presence of fibrillation. The method of management of suffers of AF has two main strategies, either by the control the arrhythmia aspect of the condition or by the tachycardia side of the condition. Rhythm controlling drugs include flecainide (and other similar drugs), beta-blockers (particularly sotalol), and amiodarone. Rate controlling drugs such as beta-blockers bisoprolol atenolol or the calcium channel blockers verapamil ordiltiazem. Thrombolytic and antiplatelet drugs are also used to manage the thromboembolic risk. There are non pharmacological ways to manage AF, the most common being cardioversion. Aspirin inhibits cycloxygenase from producing thromboxane A2 which is responsible for platelet activation and thus aggregation Diltiazem of use in AF for its affects on calcium channels on the heart. The blocking of calcium channels reduces excitability of cardiac muscle and hence decreasing fibrillations it also decreases the force of contraction Atenolol is a beta receptor blocker(a classII), it decreases the effects of the sympathetic drive to the heart, such that the neurotransmitters adrenaline and noradrenaline are competitively blocked. Thus the levels of cAMP decrease. cAMP mediates many events in the heart:decreases stability in resting potentials (phase 4) of nodal tissue(AVN conduction SAN firing). In nodal tissue(myocytes) a decrease in cAMP reduces Ca2+ entry thus action potentials take longer, it also causes repolarisation to longer i.e. increasing the refractory period Amiodarone has all four classes of activity (of Vaughan Williams system MAKE APPENDIX) however its main method of action is its class III mechanism. By the blocking potassium channels the potassium efflux in an action potential is blocked, thus action potentials duration is a prolonged refractory period (causing a region of unidirectional block remain refractory for longer effectively having a bi directional block)3 Verapamil a non selective calcium channel blocker (classIV), by reducing the Ca2+ into the cell through L-type channels in the nodal tissue (SAN AVN) depolarization takes longer as does the refractory period causing slower AVN conduction. Reduces tachycardic impulse from AVN to the ventricles and also AVN re-entrant rhythms. Phase 2 is limited in nodal tissue (myocytes and purkinje fibres) reduces triggered automaticity4. Warfarin inhibits the effective synthesis of biologically active forms of the vitamin K-dependent clotting factors: II, VII, IX and X, as well as some regulatory proteins. Flecainide a class1c sodium channel blocker.There is decreased diastolic excitability and Phase 0 (depolarization) takes longer as does the refractory period together causing slower conductions4. Propafenone is a class1c sodium channel blocker.There is decreased diastolic excitability and Phase 0 (depolarization) takes longer as does the refractory period together causing slower conductions4. Digoxin is a K+/Na+ ATPase inhibitor which leads to an increase in the intracellular concentration of sodium this stimulates of sodium-calcium exchange as a result there is an increase in the intracellular concentration of calcium causing stronger less frequent contractions. Cardioversion may be tried in some people with AF. The heart is given a controlled electric shock to try to restore a normal rhythm1. Catheter ablation is a procedure that very carefully destroysthe diseased area of your heart and interrupts abnormal electrical circuits. It is an option if medication has not been effective or tolerated1. A pacemaker may be fitted alternatively to drug treatment when it is not appropriate of failing1. Section 2: AF is the most common rhytm disorder of the heart with up to 500,000 sufferes in the UK1. In the UK over 46,000new cases of AF are diagnosed each year5. The incidences increase with age, with a higher incidence in men, when data is adjusted for age6. AF is uncommon in the young unless there is an existing heart disorder. At 50-59years of age, the prevalence is around 0.5%. At 80-89years of age, the prevalence is around 9%. Section 3: AF is a significantly increases the chance of stroke and emboli. The decision to use antithrombotic therapy involves a complex balancing of risks, benefits, and costs. The probabilities of stroke, bleeding complications, and death; the associated costs of all treatment options and outcomes; and the quality of life associated with treatment and disability. These have shown that warfarin therapy is generally cost-effective and often cost-saving. However, the economic value of antithrombotic therapy in terms of cost-effectiveness is most strongly influenced by 2 factors: stroke risk and perceived quality of life. The cost-effectiveness models indicate that warfarin can be cost-effective or, indeed, cost-saving for a wide variety of patients with AF, provided that it is prescribed appropriately based upon stroke risks7 In patients at high risk of stroke, anticoagulation is most cost effective, but not for those at low risk of stroke8. Aspirin 75mgx28 Â £1.66, Aspirin 300mgx28 Â £0.55, Warfarin 1mgx28 Â £1.10, Warfarin 3mgx28 Â £1.15, Warfarin 5mgx28 Â £1.21, Atenolol 25mgx28 Â £0.82, Diltiazem MR 60 mgx84 Â £3.52, Diltiazem MR 60 mgx56 (or over 70yrs), verapamil 40mgx80 Â £1.55. Section 4: Symptoms should be monitored; often AF has no symptoms, however you should look for the common presenting symptoms (stated in section 1). Tests: Heart Rate- Should be done when treating with rate lowering drugs Electrocardiography- every 12months blood electrolytes, urea and creatinine- 1-2 weeks after initiation, and 1-2 weeks after reaching the maintenance dose, then every 6 months. For Beta-blockers, digoxin, amiodarone Monitor blood pressure Liver function tests- every 6months for amiodarone Thyroid function test- when using amiodarone eye examinations- annual eye examinations. Plasma levels- for digoxin, shortly after initiation or after a dose increaee. 0.7and 2.0nanograms per millilitre Drugs to reduce the risk of thromboembolism (warfarin, aspirin and clopidogrel) The target INR for oral anti coagulants is 2-3 usually 2.5. Patients should be considered for warfarin use if risk is perceived to be medium or high according to nice (see appendix)9. It is important that INR be measured daily or alternate days at initiation of treatment. Then at longer intervals depending on dose response up to 12 weeks10. Note the importance of increased monitoring as drugs are added to the regimen, pre-adjustment to warfrin are sometimes necessary e.g. decreasing dose by one or two thirds before initiation of amiodarone1. Section 5: Although systematic reviews have shown that aspirin reduces the rate of stroke by 25%8 The Atrial Fibrillation, Aspirin Anticoagulation Study demonstrated a reduction of strokes by 64% per year with warfarin (INR 2.8-4.2), compared with placebo, a 3.5% per year reduction. A non-significant reduction in stroke was seen with aspirin 75mg8. Where warfarin is contraindicated or patient requests not to initiate therapy, it has been found that a combination of antiplatelets (aspirin and clopidogrel) was associated with a significant reduction in major vascular events compared with aspirin alone. The number of people that would need to be treated with aspirin plus clopidogrel for 3.6years to prevent one vascular event was 421. According to a meta-analysis the combination of both aspirin and warfrin yielded no significant reduction in stroke rates and had increased side effects8. No mortality difference was found between rhythm control and rate control. Although for people older than 65years of age or those with coronary artery disease, a significant difference was found in favour of rate control in terms of all-cause mortality. Studies showed significantly higher rates of hospitalisation and adverse events in the rhythm control group and no difference in quality of life between the two groupsa.Incidence of ischaemic stroke, bleeding and systemic embolism was similar in the two groups, but certain malignant dysrhythmias were significantly more likely to occur in the rhythm control groupa. No cognitive decline was seen with the use of rhythm controlling drugs. Quality of life scores were similar in both groups. Therefore it is recommended that rate control, is used as it is less costly11. IA, IC and III drugs are effective in maintaining sinus rhythm but increased adverse effects. Class IA drugs may increase mortality. Calcium antagonists versus digoxin Seven studies found no difference in average heart rate between calcium antagonists verapamil or diltiazem and digoxin either at rest or during periods of normal daily activity. Studies have found calcium antagonists resulted in a lower heart rate during exercise, compared with digoxin2. Beta-blockers versus digoxin Three studies found no difference in average heart rate between digoxin and beta blockers while at rest or during periods of normal daily activity. However, the beta blockers atenolol and labetalol controlled heart rate during exercise more effectively than digoxin did2. Beta-blockers versus calcium antagonists One crossover study found no difference between the calcium antagonist diltiazem and the beta-blocker atenolol in terms of either the mean heart rate over 24 hours or during exercise2. Beta-blockers with digoxin versus beta-blockers One crossover study found no statistically significant differences in heart rate during periods of exercise. Some studies found the beta-blocker atenolol used in combination with digoxin to be associated with a lower heart rate over 24 hours than atenolol alone2. Calcium antagonists with digoxin versus calcium antagonists Four crossover studies found that calcium antagonists diltiazem or verapamil used in combination with Digoxin to be more effective in controlling heart rate over 24 hours, as well as during periods of exercise, than either diltiazem or verapamil alone2. Section 6: Many people whom suffer from AF suffer no symptoms, some have been diagnosed incidentally1. It is in these patients that concordance is a particular issue. Education as to the risks and complications of the condition are necessary to achieve optimum concordance. It is important that patients are aware the side effects (SE) as well as the dosage regimen. Many of the dugs used in the management of AF have common and serious side effects which patients should be trained to spot. Interactions and side effects of note. Further information can be derived from the British National Formulary (BNF) and a comprehensive analysis available in the most current Stockleys drug interaction. Classes of drugs have been mentioned although this does not mean that the entire class will interact Amiodarone Interactions: Anti-arrhythmic (rate and rhythm modulating), Antibiotics, Anti coagulants, Tricyclic antidepressants, mizolastine, thyroid hormones, diuretics and phenytoin10. it is of note that due to its long half life amiodarone may still interact several months after treatment is stopped particularly relevant in the switching over of treatments. Amiodarone reduces the clearance of warfarin, prolonging prothrombin times (PTs) and elevating international normalized ratios (INRs). To avoid bleeding complications, the patient being put on amiodarone must have their current dosage of warfarin reduced by at least one-third and PT and INR closely monitored until they are stabilized15. Although routine eye examinations should occur to asses the ocular effects of amiodarone, if a patient experiences any visual impairment the treatment should be stopped10. Patients should be aware for the signs of thyroid dysfunction (signs and symptoms of which included in appendix 1) Warfarin interactions: Alcohol, amiodarone, propafenone, analgesics, antibiotics, antidepressants, antiepileptics, thyroid hormones, ulcer healing drugs, lipid regulating drugs, hormones, corticosteroids Warfarin levels are easily effected by changes in diet, major changes in diet should be done in consultation with healthcare professional, commonly eaten foods that are known to interact with warfarin are cranberry, grapefruit and vitamin K rich foods16. bleed or bruise easily. Also, if you bleed, the bleeding may not stop as quickly as normally. For example, you may have: bleeding gums; nosebleeds; prolonged bleeding from cuts; blood in the urine. Beta blocker interactions: Antiarrhythmics (rhythm and rate modulating), antibiotics, antidepressants, mizolastine, antipsychotics and diuretics. Beta blockers should be avoided in people with asthma, or with chronic obstructive pulmonary disease13, Beta-blockers should not be stopped suddenly unless absolutely necessary; there is a risk of rebound in the condition13. Doses are titrated for patients and are gradually increased10. Digoxin interactions: Antiarrhythmics (rate and rhythm modulating), diuretics, anti biotics and anti epileptics. Signs and symptoms of digoxin toxicity are important to report promptly. Digoxin toxicity may cause drowsy, dizzy, and affect your vision, disorientation, confusion, headach or disyurbed vision14. Flecainde interactions: Antiarrhythmics (rate and rhythm modulating), antidepressants, antihistamines, antipsychotics, diuretics and tolterodine Roughly 1% of the general population and 10% of asthma suffers are allergic to aspirin12. Each drug has the potential for interaction with other medication and even food. Self help advice In order to minimise the risk of stroke and heart attacks it is important for patient to receive practical advise on diet as this will impact on blood cholesterol levels, weight management and blood pressure it is of particular importance when the patient is diabetic. Important components in a healthy diet are low fat and salt intakes, with an emphasis on complex carbohydrates found in vegetables. Advice on the sources of esstential fatty acids should be given (for example nuts and oily fish). Smoking cessation counseling and Nicotine replacement therapy should be offered, discussing the statistical significance smoking alone contributes to the Cardio vascular events. Section 7: Pharmacists have contact at various stages along a patients treatment. A specialist PCT pharmacist may manage patients, prescribe, review and monitior. A community pharmacist should attempt medicine use reviews and prepare to make interventions on prescriptions when appropriate. Clinical pharmacists are involved in monitoring and providing guidance on protocols and current evidence. In the future there will be an increased scope for pharmacists to play a larger role when full patient records become available, full clinical reviews may be conducted taking into account the persons history (familial, drug, treatment, condition) and make appropriate interventions and recommendations according to the most current evidence. Section 8: In order for the condition and the services to run effectively is necessary to run audits regularly. This will ensure the national standards are met. Nice guideline audit criteria: All people presenting to primary or secondary care with a hypertension, heart failure, diabetes made or stroke and noted to have an irregular pulse to be offered an ECG and any new diagnosis of AF recorded2. All AF patients in whom a rate-control or rhythm-control strategy is initiated to have their involvement in choosing a treatment strategy recorded2. All patients who are prescribed digoxin as initial monotherapy for rate control to have the reason for this prescription recorded where it is not obvious (e.g. sedentary patient presence of contraindication to alternative agents)2. All patients should be assessed for risk of stroke/thromboembolism and given thromboprophylaxis according to the stroke risk and have this assessment and any antithrombotic therapy recorded2. It is important for pharmacists to keep uodate and maintaining a high levels of competenacy. Advice should be evidence based and current. There are regular updates produced by nice NICE and the Guidelines for atrial fibriliation are a good source of information. Section 9: the National Service Framework for coronary heart disease has a chapter pertains to AF. Arrhythmias are of great importance Cardiac arrhythmia affects more than 700,000 people in England and is consistently in the top ten reasons for hospital admission, using up significant AE time and bed days. AFis the most common arrhythmia, affects up to 1% of the population (rising to 4% in the over 65s) and absorbs almost 1% of the entire budget of the NHS to the NHS16. Of the three quality requirements there are two relevant in AF. Quality requirement one: patient support. People with arrhythmias receive timely and high-quality support and information, based on assessment of their needs16. Markers of good practice People with arrhythmias receive a formal assessment of their support needs and those at significantly increased risk of anxiety, depression or a poor quality of life receive appropriate care16. People with long-term conditions receive support in managing their illness from a named arrhythmia care co-ordinator16. Good quality, timely information about arrhythmic conditions is given by appropriately trained staff16. Quality requirement two: diagnosis and treatment. People presenting with arrhythmias, in both emergency and elective settings, receive timely assessment by an appropriate clinician to ensure accurate diagnosis and effective treatment and rehabilitation16. Markers of Good Practice Initial Treatment All patients receive a hard copy of the ECG documenting their arrhythmia and a copy is placed in their records. Patients who survive out-of-hospital cardiac arrest and patients presenting with pre-excited AF are assessed by a heart rhythm specialist prior to hospital discharge. The following patients are assessed urgently by a heart rhythm specialist: Patients with syncope or any other symptom(s) suggestive of an arrhythmia and a personal history of structural heart disease or a family history of premature sudden death Patients with recurrent syncope associated with palpitations Patients with syncope and pre-excitation Patients with documented 3rd degree AV block (not associated with acute MI) Patients with recurrent syncope in whom a life-threatening cause has not been excluded Patients with documented ventricular tachycardia The following patients are referred to a heart rhythm specialist: Patients with a presumed diagnosis of ventricular tachycardia Patients with Wolff-Parkinson-White (WPW) syndrome or asymptomatic pre-excitation Patients with symptomatic regular recurrent supraventricular tachycardia which is unsuccessfully treated with one type of medication or who would prefer not to take long-term medication Patients with recurrent atrial flutter Patients with symptomatic AF despite optimal medical therapy First degree relatives of victims of sudden cardiac death who died below the age of 40 years Patients with recurrent unexplained falls Markers of Good Practice Ongoing Treatment Mechanisms are in place for urgent referral of patients with sustained or compromising arrhythmias for prioritisation of appropriate treatment. Implantable cardioverter defibrillators (ICDs) are considered in patients presenting with life-threatening ventricular arrhythmias and in those without demonstrable arrhythmia but identified as being at high risk. Catheter ablation is considered as the treatment of choice in patients presenting with sustained supraventricular tachycardia (SVT) other than AF, and cardioversion of recent onset AF is considered as early as is clinically safe. Where further hospital treatment is not recommended, a care plan is agreed between the patient, GP and the arrhythmia care team, including follow up and support as required. Management of long term conditions and elderly also have a priority in the governments plans and frameworks for the future. Section 10: Emphasis should be on patient centered care, projects such as near patient testing for warfarin have proved to be effective at managing patients and their potential complications. Primary care workers such as GPs PCT pharmacist should screen at risk patients. They shall be involved in the management of there condition frequently monitor patients. If required a referral can be made on lifestyle issues to manage the risk of stroke, e.g. if lipids are elevated may want to refer to a dietitian. Community pharmacists have a role in conduction medicines use reviews and be prepared to make inventions in prescribing, regimen concordance and side effect management/referral. It is of utmost importance that the specialist (cardiologist) makes clear recommendation and maintains communications with their counterparts in primary care.