Dealing With Stress in Life Essay -- Expository Essay

The times that hair-pulling seems to prevail over other activities in life. The hair pulling is just one symptom of stress. Everyone will at some point in their life come across stress. Stress is our learning of the environmental events and accommodating to coincide. Some symptoms to mention that can be notice are being irritable and tired from not sleeping well, unable to concentrate, and having emotional outbursts. Different types of stress that exist can fall under a category of stressors including appraising, conflict, defenses, frustration, learned helplessness, micro, nature of threat, and urban. An appraising stressor is how we determine if an event of life is stressful in a sense of threat or if a come across at a challenge. Conflict happens when someone has to choose what to do, being influenced by contradictory needs, desires, motives or demands. The frustration stressor is when something or maybe someone is preventing a destination from being reached causing a negativ e mental statue. Learned helplessness can be thought of as something to look forward to at a given time and when t...

Individual Presentation: Kevin Mitnick :: Computers Technology Kevin Matnick Essays

Individual Presentation Kevin MitnickIntroduction Originally, I had planned on researching George Lucas as my creative genius. I am in love with the Star Wars saga, but I really could not get interested in George Lucas. Then, late peerless night, I saw a movie called Takedown. It was based on a true story that dealt with the pursuit and capture of Kevin Mitnick, one of the most infamous information processing system hackers of all time. I was instantly amazed. As soon as the movie was over, I began scouring the internet looking for information concerning him. I am rather interested in reckoners, and Mitnicks achievement of them drew me towards him. I knew then that he was who I wanted to research. His creativity encompasses a wide range of skills. Obviously, his mastery of computer and telephone systems deals with the Mathematical/Logical domain. Also, he is talented at acquiring information from people, which is an intrapersonal skill. Plus, he is strongly sel f-motivated and that deals with the interpersonal domain. This combination of skills elevated him to be one of the best hackers the world has ever seen. I have a great deal of respect for Kevin Mitnick beca use up he is able to use a computer creatively to acquire whatever he wants to know. In a way, I wish I could be like him. A computer is such a valuable asset, but many times it is not close to being used to its full potential. Kevin Mitnick realized this, and put his computer to maximum usage. However, it is unfortunate that what he did was against the law. Due to this, I really cannot consider him a role model. I have no desire to risk going to jail over a computer-related crime. Even so, there is still a great amount of potential within Mitnick. Since he knows so much about breaking into computers, he could use that knowledge when he gets out of jail to design security systems that would be almost impenetrable. He knows all the tricks of the trade on how to tap into someones system. It is this insight that could enable him to design a nearly full-proof security system. Only time will tell what happens with Mitnick in the future.

F. Scott Fitzgerald’s The Great Gatsby - The Power of Money Essay

In the preface to Major Barbara, the playwright George Bernard Shaw observes that money is the most important thing in the world--it represents health, strength, honor, generosity and beauty, but, the poet continues, it also pulverizes people as for sure as it fortifies and dignifies others (Shaw 28). Shaw recognized that many people look toward money, the ultimate representation of materialism, in search of the power that enables them to live. But, money can play many part in the drama of life. It can represent or give the illusion of wealth, prestige, nobility, and power. Those that seek to harness its powers must also strive to conquer its ability to destroy and corrupt. In F. Scott Fitzgeralds The Great Gatsby, the repeated image of money, no matter in what form or through whom it is portrayed, is used to such an extent that it becomes central to the evolution of the story. The abstract idea of money can be expressed in many ways. Perhaps the most straightforward way is thro ugh the acquisition of larger-than-life possessions. In the first chapter of the novel, Nick, the first-...

hard :: essays research papers

Hard Times, by Charles Dickens, was a representation of his time. Times were hard for children and adults alike. People who questioned what they were taught, often went through struggles and hard times. Eventually, the nation who were looked down were the ones who really helped those in need. Throughout the book, there are many ironic instances. Thomas Gradgrind was a man built on the idea that facts and statistics were the lonesome(prenominal) truth in life and all that was needed to have a healthy and productive life. The only truth to him was his very own vision of the truth. unproblematic put, Thomas Gradgrind strived for perfection. He strived to be perfect, which is what his philosophy was based on, and he strived to make his children perfect and not to wonder. He raised his children neer to wonder, never to doubt facts and to never entertain any vice or fancy. As soon as Gradgrinds children were old enough to absorb, he was feeding giving much lessons than they could hol d. His children were brought up only knowing one way to live and that was the idea that if it is not fact, then it is false. He was emotionaless as were his children because they were brought up only knowing what they were taught by him. Eventually, as Gradgrinds children became older, what they were taught began to turn sour in their minds. tom, Grandgrinds son, began to despise his father and all he was taught and thus began to rebel. He took to smoking and gambling, which eventually led to his downfall. Tom had grown up to become a sycophantic, self-absorbed parasite. He had turned out the exact opposite as hoped. Thomas Gradgrind had raised his children never to wonder, scarce wondering intrigued them. Gradrgind had observed his children peeking into a circus tent because they were curious as to what was inside. The children were scolded for being curious, but seeds were planted into their minds of how there was more to life than what they had been taught. Futhermore, Tom, a usually well-behaved child, began to rebel after this incident. At first, he was rebelling in his mind, but eventually, after Tom moved out of his fathers house, so began his more visible rebellion. Once more, this is exactly what Mr. Gradgrind had tried to avoid whilst raising his children. When Tom Gradgrind was in serious trouble because of his gambling debts, he confided in his sister, Louisa.

Antony and Cleopatra and The Aeneid Essay -- Compare Contrast

There are two reasons why The Aeneid is associated with the Shakespearean turning Antony and Cleopatra. First, The Aeneid was written by a Roman named Virgil who, among many other reasons, wrote it as a tribute for Augustus Caesar, the leader of the Roman Empire. Augustus Caesar was formally named Octavian and is a character in Shakespeares play. Secondly, both The Aeneid and Antony and Cleopatra share a common theme of a patriotic, heroic man having to choose between duty to his country and the rabid pick out of a beautiful, foreign and strong queen. In The Aeneid, the lovers are Aeneas and Dido and Antony and Cleopatra are the lovers in Shakespeares play.First, an overview of the books of The Aeneid in which Aeneas is with Dido is needed in order to fully understand the historical connection, and the thematic relation to Antony and Cleopatra. The Aeneid tells the story of the Trojan hero Aeneass perilous flight from Troy to Italy following the Trojan War. In Italy, Aeneass desc endents are destined to found Rome (Sparknotes). However, Aeneas does not go straight to Italy because having been blown off course by a storm, he makes a stop at Carthage and allows himself to stay there and fall in love with the leader of Carthage, Dido (Slavitt 103). Dido is a Phoenician princess who fled her home and founded Carthage after her brother murdered her husband (Sparknotes). While in Carthage, Aeneas recounts the story of the Trojan War. Impressed by Aeneass adventures and kind-hearted to his suffering, Dido falls in love with Aeneas. They live together as lovers for a period, until the gods remind Aeneas of his duty to found a new city. Upon this reminder from the Gods, Aeneas leaves Carthage and sets sail to Italy. Dido is deva... ... and the passionate love of a beautiful, foreign and strong queen. And, they are connected through the historical figure Augustus Caesar, for whom The Aeneid honors and Antony and Cleopatra portrays. Works CitedBevington, David, ed. The Necessary Shakespeare. New York Pearson Education, Inc,2005.Great Lovers Antony and Cleopatra. ABC radio National. 2005. 1 Nov 2006.Rose, Mark, ed. Twentieth Century Interpretations of Antony and Cleopatra. EaglewoodCliffs Prentice-Hall, Inc, 1977.Slavitt, David R. Virgil. New Haven Yale University Press, 1991.Sparknotes. 2006. 1 Nov 2006 .Toohey, Peter. Reading Epic An Introduction to the Ancient Narratives. London Routledge, 1992.Virgil. The Aeneid. Trans. C. Day Lewis. New York Doubleday & Company, Inc, 1953.

Antony and Cleopatra and The Aeneid Essay -- Compare Contrast

There are two reasons why The Aeneid is associated with the Shakespearean play Antony and Cleopatra. First, The Aeneid was written by a Roman named Virgil who, among many other reasons, wrote it as a tribute for Augustus Caesar, the leader of the Roman Empire. Augustus Caesar was formally named Octavian and is a character in Shakespeares play. Secondly, both The Aeneid and Antony and Cleopatra packet a common theme of a patriotic, heroic man having to choose between duty to his country and the passionate love of a beautiful, foreign and sloshed queen. In The Aeneid, the lovers are Aeneas and Dido and Antony and Cleopatra are the lovers in Shakespeares play.First, an overview of the books of The Aeneid in which Aeneas is with Dido is needed in order to fully understand the historical connection, and the thematic comparison to Antony and Cleopatra. The Aeneid tells the story of the trojan horse hero Aeneass perilous flight from Troy to Italy following the Trojan War. In Italy, Aeneas s descendents are destined to found Rome (Sparknotes). However, Aeneas does not go straight to Italy because having been short-winded off course by a storm, he makes a stop at Carthage and allows himself to stay there and fall in love with the leader of Carthage, Dido (Slavitt 103). Dido is a Phoenician princess who fled her home and founded Carthage after her brother murdered her husband (Sparknotes). While in Carthage, Aeneas recounts the story of the Trojan War. Impressed by Aeneass adventures and sympathetic to his suffering, Dido falls in love with Aeneas. They live together as lovers for a period, until the gods remind Aeneas of his duty to found a new city. Upon this reminder from the Gods, Aeneas leaves Carthage and sets sail to Italy. Dido is deva... ... and the passionate love of a beautiful, foreign and strong queen. And, they are connected through the historical figure Augustus Caesar, for whom The Aeneid honors and Antony and Cleopatra portrays. Works CitedBevington, David, ed. The Necessary Shakespeare. New York Pearson Education, Inc,2005.Great Lovers Antony and Cleopatra. ABC Radio National. 2005. 1 Nov 2006.Rose, Mark, ed. ordinal Century Interpretations of Antony and Cleopatra. EaglewoodCliffs Prentice-Hall, Inc, 1977.Slavitt, David R. Virgil. New Haven Yale University Press, 1991.Sparknotes. 2006. 1 Nov 2006 .Toohey, Peter. Reading Epic An Introduction to the Ancient Narratives. London Routledge, 1992.Virgil. The Aeneid. Trans. C. Day Lewis. New York Doubleday & Company, Inc, 1953.

Commentary on ‘Daddy’ and ‘The Arrival of the Bee Box’ By Sylvia Plath Essay

Sylvia Plath was born in 1932 to Otto Plath, a German immigrant and Aurelia Plath, an American of Austrian descent. She had a very(prenominal) troubled flavour, suffering extreme depression and emotional trauma before she committed suicide in 1963 by putting her head into a hitman oven. Most of her numberss reflect this distress and reveal the sorrows of her short life. The verse forms Daddy and The Arrival of the Bee Box are both sad and gloomy poems which highlight many aspects of her life and perhaps reason out why she was forced to kill herself.Both the poems are directly or indirectly tie in to the two most grand and influential men of Sylvias life- her fix, and her husband Ted Hughes, who himself was a poet. She loved both men, tho both of them dominated her and gave her pain and misery which made her life unhappy. As the title suggests, the poem Daddy is primarily about her find, but many references are in addition made to Ted Hughes. The Arrival of the Bee Box is m ore about herself, but in spite of that the reader has to know the nature of these two men to understand the poem completely and derive a meaning from it. Daddy highlights the relationship of Sylvia and her father.Sylvias father died when she was just ten. This was the time when she adored her father and his death meant a lot to her. But the poem shows the immense hatred she has towards him as she step by step realized how he oppressed her and dominated her life. To use the word daddy as the title of the poem is in a way ironical because although the poem is about Sylvias father, the word doesnt fit in particularly well, as it is usually used in a positive way, not in a pessimistic and dark way. The poem has a lot of imagery, metaphors and similes which illustrates Sylvias anger towards her father and husband and gives the poem a dark tone.In the poem Sylvia has compared her father to a black shoe while has called herself a foot living in it for thirty years. Usually a shoes hypoth esise is to protect or comfort the foot, not to make it feel trapped and helpless. Her father was so authoritarian, that he made Sylvia feel just that. Although her father died when she was ten, she says that she lived similar the foot for thirty years, barely daring to breathe or achoo. This shows that her fathers nature haunted her even after he died, as it left wing such(prenominal) a profound and negative psychological mark on her.The word black can be related to death and makes us presuppose of the shoe like a coffin. The idea of a coffin can also be related in the other poem, The Arrival of the Bee Box, when Sylvia calls the bee lash a midgets coffin. Sylvias father was a zoology and bee expert, and so again we can notice how she has created a dark atmosphere with everything related to her father. On an abstract level, the bee box can be thought of as Sylvias brain and the bees as her thoughts. The idea of her thoughts being trapped inside a coffin shows how depressed and unhappy she is.The imagery of Daddy is very vivid and striking. Sylvia calls her father a Nazi as she writes, With your Luftwaffe, your gobbledygoo. And youre neat moustache and your Aryan eye, bright blue. She compares her father to Hitler, highlighting how cruel and heartless he was. She calls herself a Jew, indicating how he used his dominance to oppress her. Such thoughts make us refer to the Holocaust, in which Jews were tortured and killed by the German Nazis. Although Sylvia was dominated by her father, she has used a Hyperbole to describe the situation. According to me her father must not have been as ruthless as Hitler. She has just used this comparison to express her immeasurable hatred towards him.She has further developed images of her father by art him a vampire-someone who doesnt kill a person, but haunts it all his life by sucking his blood. She is trying to say that although her father is dead, his character will twinge her forever. The imagery of The Arrival of the Bee Box is also strong. We get a clear picture of the bees struggling in the dark box illustrating how Sylvia is thinking and feeling. We get a feeling that her thoughts are tormenting her and that she is in a disturbed state of mind. She compares her thoughts to a Roman Mob and says she is not Julius Caesar to control them. Although it is not mentioned, we know that Sylvia is in such a state of mind because of her broken marriage with Ted Hughes. She might be feeling cheated as Ted Hughes left her for another woman. She must be feeling insecure and lonely and cannot in any way run away from her thoughts.In Daddy Sylvia also says that she found her fathers resemblance in Ted Hughes, who also dominated her and broke her heart. Here she compares their torture to the medieval methods of the rack and the screw which were cruel and bloody. The tone of the poem is of fear and a little bit of anger, blaming her father and her husband for giving her such a horrid life and simultaneousl y feeling scared of all that has happened to her in the past. The tone of The Arrival of the Bee Box is different, as she is sort of blaming herself for what she thinks. She is agitated with herself because she cannot get rid of her negative thoughts.The function two stanzas of both the poems are very strong and demonstrate an attitude of power and authority from Sylvia. In daddy the tone changes from fear to anger when Sylvia says, Daddy, daddy, you bastard, Im through. One feels that she has overcome all her fears to finally stand up to her father and speak with confidence and fight back. In The Arrival of the Bee Box she shows that she has power when she says, Tomorrow I will be sweet God, I will adjust them free. But here she makes it a point to tell the reader that she will not misuse her authority like the way Otto Plath and Ted Hughes did. In the last line of the poem she says that the box is only temporary, showing that she will make an effort to remove those thoughts from her mind, which is a positive end to the poem.

William and the Khans

With little gifts to bear, William is advised by the merchants of Constantinople that the captains and the Mongol Khans must be greeted with gifts, some otherwise he will not be looked upon flop (William, p. 49). William embarked on this mission to deliver a letter on behalf of King Louis IX to Scratch, and to encourage conversion to Christianity. However, In his encounters with Scratch, Abate, and Managua Khan the purpose of his escort is misunderstood by a linguistic misinterpretation.Despite his allure to convert many people to Christianity, his letter is significant in pre directing some of the educational and religious movements occurring deep down europium, and the relations that were emerging through commerce In the thirteenth century. Rupees growing emphasis on education would broaden the horizons of Christianity, and commerce created interconnectedness among cultures regardless of religious differences. Western Europe developed a growing desire for advancements In educa tion during the twelfth century.Places such as Toledo, spawn was renowned as a center f learning where Muslims, Jews, and Christians freely intermingled (Smith, Crossroads p. 414). After the Latin versions of Aristotle works began to enhance the method of thought towards the natural world, Pope Innocent Ill, on with the other popes of Rome, placed Pearls schools of theology under their own supervision, and recognized them as the first university (Smith, Crossroads, p. 414). The schools basis on Christianity was built on language of religion, translation of texts, and the notion of facing pagesing Christian values.With driven by such educational ND religious values, William Informed King Louis IX that his letter had been translated into Arabic and Syrian, so that it could be interpreted for Scratch Khan (William, p. 105). To his misfortune, the lack of linguistic accuracy did not allow the letter to be delivered as he expected. From this mistake, he was sent to see Abate, who then sent him to see Managua Khan. Upon seeing Managua, William was Informed that Abate had sent a letter to Managua informing him that he had asked for serviceman and aid from Scratch against the Saracens (William, p, 166). Pone hearing this, William as overcome with a sense of astonishment and annoyance toward what he believed to be a misinterpretation. However, during this period Europe was heavily involved In the Crusades, and a plea for assistance from King Louis IX by letter might have been a probability. Western European universities promoted a sense of support for the 1 OFF to be overcome to properly interact the religious teachings. Williams attempts, though futile, were agreeable with the church and universities in the spread of Christianity.Along the way to Khartoum, William encounters many people of diverse cultural ND religious backgrounds. Some of which include Muslims, Tibetan, Buddhists, and Insertion Christians. With such a willingness to allow the existence of other re ligious sects in the Mongolia Empire, there is a better sense of commercial mentality end-to-end the land. During this century, economic growth was driven by rising rural productivity, population increases, and the expansion of markets, rather than revolutionary changes in industrial organization and technology (Smith, Crossroads, p. 381).European benefactors that contributed to this growing immemorial environment include, innovations in navigation such as the marine compass, Portland, and the astrolabe (Smith, Crossroads, p. 382). Intercultural commerce became interdependent and more efficient. In the sasss the Mongol conquests dominate the history of Eurasia, which allowed them to ascendency many components of commerce along China, the Pacific Ocean, and the Mediterranean (Smith, Crossroads, p. 443). This reign in intercultural trade and commerce was expressed in the Mongols excessive representation of pride in their culture, and apathy towards others.Before Williams encounter with Abate, he mentions that they have risen so frequently in their pride, that though they may believe somewhat in Christ, yet will they no be called Christian, wishing to exalt their own name of gun moll above all other (William, p. 107). As a leading culture, the Mongols represent their religious and political dominance by moral expressions, and a vast control in agricultural trade around the time of Williams visit. The connections between Williams visit to Khartoum, and Rupees new found sire for educational institutions can be drawn unitedly by a desire for advancement.Just as educational acknowledgements in Christian teachings, Summary Theological were core ideas for progress in the overgrowing number of Universities, the spread of Christianity had a similar drive within European society (Smith, Crossroads, p. 414). Williams attempt to translate the French Kings letter was done in a hopeful effort to cultivate it understandable to Scratch, and to show his acceptance of Chri stianity as suspected prior to the mission. Rather than converting Scratch, he as sent to see Abate, where his mission and efforts of conversion continued.Williams experience throughout his Journey was one of constant struggle. He was thoroughly misunderstood by the Mongolia people, and was looked down upon at various times. During this period the Mongolia Empire had a sense of transcendency for their culture, which was a reflection of their successes. Controlling and preserving Chinas agriculture way of life would generate far greater rewards, and would allow them ample opportunities in the trade market (Crossroads and Cultures, p. 42).Despite Williams diminutive recollections, the events and circumstances that surrounded him superseded the importance of a single friar on a conquest to covert people into Christians. Following his Journey, he noted that his efforts notwithstanding allowed him to convert six people. Whether this account is truthful is unknown. His recollections mu st be taken as observations of a time period, rather than an when we observe how the outside world reacted towards the writer, we atomic number 18 able to get a better perspective of the time and context of discussion.

Hilarious Flaws

Hilarious Flaws BY Fana-Rashld Karrie Yusefzad English 12 Instructor Wilder 6 November 2013 Whether it is via film, late night television shows, newspapers, comics, or literature, caustic remark is tound virtu everyy everywhere. Satire reminds and teaches us as globe to laugh at ourselves every once In a while, as well as directs us to acknowledge and accept our own imperfections as we strive to become perfect people Satire helps us ds humans take d step back and see what life Is truly about.Late night television shows such as Saturday night Live, which has been on television since 1975, are reated Just to satire humanity. actors act upon Jokes out ot polltlcal and social situations on the weekly segment Weekend Update. These Jokes, wherever they are from, help us understand who we are and who we want to be It allows us to celebrate the life that we live, no matter how bad It can get, In fact making the situation humorous may even make it easier to handle.Geoffrey Chaucers The Ca nterbury Tales celebrates and satires humanity, especially the everyman, in his story he included to characters in particular, one representing the best of humanity and the other illustrating the worst Chaucer ractically Idolizes the Knight, who represents everything us humans aspire to be. He was of sovereign value in all eyes. And though so much distinguished, he was wise and In his bearing lower-ranking as a maid. He never yet a boorish thing had said In all his life to any, come what might he was a true, perfect gentle-knight. (Chaucer 69-74) Chaucer says that though the knight had been through so many brave and amazing situations, from Alexandria to Prussia, fought against the Turks, and In Granada, he had never once been over confident he remained as modest as one ould be. The Knight symbolizes everything good In a human, Chaucer does not satire him at all however, it is the complete opposite with the Pardoner. The Pardoner symbolizes the lowest a man could get, he cheats, he steals, and he lies all for the benefit of himself.Chaucer narrates that he had the same small voice of goat has got. His chin no beard had harbored, nor would harbor, sleek than ever chln was left by barber. I Judge he was d gelding, or d mare. Chaucer describes the Pardoner as a mare because making recreation of others is one of many ways of making urselves teel break dance, yet still a way to see that all humans are flawed. Similar to Chaucer, Seth Meyers of Saturday Night Live does a great, hilarious, yet interesting way of satiri7ing others, making us feel better as humans, and still show us how to celebrate life.Not solely does he satlrlze politicians, but he also finds d way to satirize common people. In a recent episode of Saturday Night Live he states A man In Hawaii came face to face with a shark while surfing survived by punching the shark in the face, meanwhile aphorism a cockroach in the bathroom and now I shower at he gym (SNL S39 E4) Examples such as this one sh ow that humans make funny decisions, yet It still finds a way to celebrate life because the guy lived and the people but still makes fun of himself.Humans are flawed, and it is better and easier to satire the flaws, rather than try so hard to become perfect. Satire is seen every day, everywhere, whether it is television, literature, movies, comics, newspapers, etc. It is a great way to show the flaws, but helps all of mankind to aspire to become better people as well as celebrate the unperfected yet beautiful life we have.

Whole Foods: a Whole-Istic Strategy

1. Define Whole food for thoughts intersection. How does it deliver value to customers? The Whole Foods Market chain was the first retailer in the get together States offering products to its customers that ar natural (grown without being treated with growth hormones or antibiotics) and certified organic. The product of Whole Foods are organic, natural and gourmet foods, winning into account the environment as an important factor, and making of the earth the first priority. heyre not a telephoner selling cheap products but theyre a company selling quality and health to their customers. Theyre not giving importance to businnes, but to quality and satisfy their customers. Whole foods is not yet taking care of their customers but also of the environment and of our oplanet.Whole foods deliver value to their customers by selling the highest quality natural and organic products available, satisfying and delighting their customers, funding team member happiness and excellence, creati ng wealth through profits and growth, caring about communities and the environment, creating ongoing win-win partnerships with their suppliers and promoting the health of their stakeholders through healthy eating education. 2. Organic food are becoming very popular. Many chains, including Wal-Mart, have begun offering and expading their selection of organics. Does this pose a competitive threat to Whole Foods?Wal-Mart represent a better-looking threat to the Whole Foods stores, because it is starting to offer organic products at lower prices and if consumers start to see this in Wal-mart theyre going to start buying in there, but now in the USA completely Products sold as Organic must now meet the requirements of the USDA Organic Rule, and every product close under a number show how organic is their product, that could be an advantage for Whole Foods because it preserve show that the quality meet the prices that they have, and for Wal-Mart could be a little difficult to have suc h quality product at such a low price. . With respect to Whole Foods targeting and positioning strategies, what challenges will the company face in the future as it continues to grow and expand? As it grows and expand its difficult to the market of organic food to keep all of these demand as far as it has Whole-Foods, it is also very difficult to satisfy the expectations of all the customers using such a high quality direct in each of the products. For high quality products it is improtant to takle care of every item that comes out to the market, and it is so expensive for Whole Foods to do that so it is going to quash quality.It is also important to know that Whole Foods incomes are flattening and net income is plummeting. And this is all going to create a debt for Whole foods and making such expensive products, they most cut costs to make make the company more proffitable. 4. In some places, Whole Foods is commonly known as Whole Paycheck plot of land the firm has clearly posit ioned itself away from pricing issues, can it avoid this element of the marketing mix forever? Why or why not?It can avoid them by giving lower prices to their customers, but its difficult because theyre offering organic quality products, which in countries like the United States are very expensive to afford. It is very difficult to overcome this situation but Whole Foods is doing well by offering more discounts, increasing lower-priced store brands, advertising products they sell at a good value and organizing budget-focused store tours. This could be a major move for Whole Foods to create a new character of their market. . What other trends in the future of retailing do you think will have an impact on Whole Foods? The economy have it cycles but in the other hand it gives some trends like its people taking care of their health, there is a lot of people with their awareness and their consciousness and how modus vivendi plays into the role of health. Theres a million of people rea lizing they want vitality in their lives. And these are big trends. These are shifts that people are not going to go back from.

Recommendations to Management Essay

Problem Increase marketing of Chiropractic Services.My aim is to bring strategies that will summation the profitability of your practice, magical spell at the same time improving forbearing satis evention and results. In the process of achieving these aims, I also seek to improve the generals mental image of chiropractic care. First Recommendation To increase scratch and public awareness.RationalIncreasing profit is the main goal in any business. To help you increase profits I wish to provide advice in the following areas, as suitable debt reduction retirement planning overhead reduction investment strategies bankruptcy counsel collection assistanceI feel that by using sound business advice in these areas you will improve your profits marginally. Together we will assess what products or services are making you money. We will decide whether other products or services should be promoted in addition or in institutionalise of current services. To cite a classic business planning question, Are you making 80 percent of your profits from 20 percent of your offerings? Are you atrophy time on products and services that dont return the favor by providing you with profits? Again, together we will find these answers. Why is this recommendation of import now?I feel will that with the current economic situation, now is the time to work at increases your profits to its fullest. Now is not the time to allow your business take a down fall.Priority ranking of the recommendationThe priority for profits is an important pauperism in business.ProposalI aim that within the next few years your Chiropractic office will increase profits by increasing services and lowering costs. This will beachieved by first looking at business expenses. One seriously important area to insure is staffing. This is typically one of a companys biggest expenses. You need to ask yourself Did you make necessary cuts during the recession or are you still overstaffed? Are you getting your dollars worth from every employee? Make necessary adjustments now. Next, we need to examine your other expenses as well. These expenses include expense accounts to seminars, up to magazine subscriptions. We will go over your entire profit and loss controls for this year. Remember to track everything. take stock your cash flow, profits and trends every week. Whats more, figure out what your companys important numbers are.Second Recommendation Increase marketing and public awareness.RationalI do not recommend door-to-door surveys or other unsuccessful marketing gimmicks. Nor do I support high patient fees or unwarranted patient visits. Instead, I want to custom-tailor solutions to your distinctive needs and goals. Some marketing tools that I recommend you use are questionnaires, patient fact sheets and health concerns hand outs. These items can be posted in your office, made into brochures, newsletters, newspaper articles, and reading material in specific areas of your office like respons e area.Why is this recommendation important now?In order to make money and have a profit you must advertise. This advertising will increase the public awareness of your business and the services you offer.Priority ranking of the recommendationI feel that this is one of the most important recommendations. Good marketing is the cite to great business and success.ProposalI propose that you step up your marketing by using public relations, Web marketing, email newsletters, and other targeted or large outreach. This will be a great way to market your business since you are a small company. How do these recommendations align with the mission statement and vision? Mission Statement Rantoul Chiropractic Clinic is committed to finding the cause of your symptoms and treating it in the most effective manner possible.We are also committed to explaining your condition to you in a manner in which you will know and understand what the problem is and what itwill take to correct it and to keep it f rom reoccurring. Vision Statement Our Vision is to contract our community and strive together for optimal health through the journey of life. Promoting Excellence and Assuring Quality in Chiropractic Education. We understand the chiropractic profession and appreciate the services, workflow, and barriers that cross you and slow you down.ReferencesRJF Consulting. http//www.chiroevidence.com/RJFConsulting/mission-values.html

Academic and social-emotional development Essay

Academic victimization is associated with the educational growth of the student. Social-emotional development is another aspect of a student that allows children to interact with their peers. This paper seeks to compare and railway line the donnish and companionable-emotional development of students with and without disability in the lights of broad and diverse academic resources. Comparison between Students with and without Learning Disability Learning disability is considered to be throw out of kilter which affects the study processes of verbal communication, speaking, gaining new things, writing, mathematics, etc.It is caused by the failure of brain to execute its function systematically and by emotional or behavioral disorders. A investigate was conducted at various school trains where much than one hundred students were analyzed. Academic results of students with and with out breeding disability were analyzed. It was concluded that disabled students got frown class rank as compared to their peers (Grites & Gordon, 2000). Academic Development Students with LD collect found academic backbreakingies in various areas as compared to their abled counterparts.They have academic problems in math, development and writing, and language, poor performance on timed test, theoretical reasoning and information. Grites and Gordon studied performance of college students with and without LD and came to the conclusion that students with LD perform lower on all measures (Grites & Gordon, 2000). They find it difficult to lowstand and process information from diverse and several perspectives which often cause complicatedness and complexity in their academic development.These students have different pattern of learning which comes with strengths and weaknesses that differ from others. Their disability can create difficulties in academic field because they may have problems in basic skills such as reading, writing, art, etc (Jordan, 2000). It is requirement tha t teachers and parents impart a pivotal role in their academic development. However, most of the times they do not understand their problems and assume these students are lazy and unmotivated. Gunther-Mohr conducted a research and found out that students identified with LD have greater academic difficulties.They are more likely to struggle on timed tasked as compared to other students. In the same study, it was concluded that these special students showed no improvement as compared to their peers (Gunther-Mohr, 2003). Social-emotional development Several students with learning disabilities have some social and emotional problem associated with their learning difficulty. Experiential facts and figures suggests that more than sixty percent of students with LD under the age of eighteen committed suicide in Los Angeles (Bender & Wall, 2000).Literature suggest that students without LD are socially accepted if they are helpful, accommodating, communicate, exchange pleasant greetings, ha ve positive interactions with peers and make conversation(Bender & Wall, 2000). It is true that not all students with LD have social-emotional problems. However, they are most likely to develop these problems than their non-disabled peers. In their early school life, they are often rejected by their fellow classmates and suffer from poor self-concepts. As teenagers, the wounds of scorn and rejection can be agonizing and not forgotten without difficulty.After assessing more than one hundred different studies, Jordan came to the conclusion that more than seventy percent of the students with LD display deficits in social skills (Jordan, 2000). Social skills deficits hold recognition by classmates, trouble making friends, viewed as overly dependent, incapable of being leaders, managing conflicts, starting a conversation, showing empathy and maintaining companionship. Harwell discovered that students with LD suffer from depression because of social skills deficits.Kadison & DiGeronimo s uggests that social-emotional develop of students with LD is the result of lacking social ability to understand (Kadison & DiGeronimo, 2004). It has been revealed that students with LD when compared to students without LD are less accepted by class mates, have poor self-concepts and are more likely to feel lonely. Students with LD are most likely to experience frustration more than students without LD because of negative behaviors from their classmates, inadequate services and programs and physical barriers.Studies suggest that students without LD interact with students with learning disabilities based on outlook and fixed typecast. Attempts to Cope with Learning Disability When coping with students who have LD, the teacher should employ such teaching strategies which effectively supply different learning styles. Special education involvement to handle LD should be applied. For example, Karmen recommends that using pictorial representation has constructive and helpful effect on stu dents who have learning disabilities to comprehend new theories and concepts (Karmen, 2003).Teachers should give special attention to the student and discuss his or her anxiety or depression. They should also encourage and support them and get ahead their confidence. They should also allow them to participate in classroom activities so that they can show and reveal their talent and competencies. A study conducted at University of California selected 30 students (Mercer &Mercer, 1997). These students had taken reading comprehension and reading rate test. Sixteen students had learning disabilities and the rest were without LD (Harwell, 1996).Extra time condition was applied and students with LD performed at same level as normal students. In another study, eighty college students were selected. Forty students with learning disability and other forty without learning disability took math test under extended time conditions. The study demonstrated that the scores of students with learn ing disability improved under extended time condition. Conclusion This study has compared academic and social-emotional development of students with and without learning disability.Students without learning disability are more likely to be successful than their disabled counterparts. Students who have LD are most likely to suffer from academic and social-emotional deficits because of their disorder. They are more likely to develop anxiety, depression, low self-esteem, etc. However, these special students can learn to perform better at school with the help of parents and teachers. It is essential for teachers to encourage and support them and devise innovative methods in order to help them in their learning processes.They should also be given extra time because they grasp concepts slowly. In the lights of information provided in this essay, it can be concluded that students with LD need special attention so that they become competent.References Grites, T. , & Gordon, V (2000). Develo pmental academic advising revisited. NACADA Journal, 20(1), 12-15. Gunther-Mohr, S. (2003). counsel college students with learning disabilities. (pp. 77-106). Putney, VT Landmark College. Jordan, P. (2000). Academic advising in the 21st century. NACADA Journal, 20(2),21-30. Kadison, R. , & DiGeronimo, T. (2004).College of the overwhelmed. San Francisco Jossey-Bass. Karmen, K. (2003). Advising students with learning disabilities A developmental approach. (pp. 133-60). Putney, VT Landmark College. Harwell, J. (1996). Ready to use tools and materials for remediating specific learning disabilities. Englewood Cliffs, NJ Prentice-Hall. Mercer, C. D. , & Mercer, A. R. (1997). dogma students with learning problems. Englewood Cliffs, NJ Prentice-Hall. Bender, W N. , & Wall, M. E. (2000). Socialemotional development of students with learning disabilities. Learning Disability Quarterly, 17, 323-341.

Class in America

Mantsios Class in the States In Mantsios article Class in America he states that Ameri substructures hold beliefs that blind them to social single outes, citizens in America drop four myths they use to ensure defecate to task slightly the kines never take place. America has the largest infract surrounded by rich and short(p) in the world, and the spurn class has no means to an end they abidet afford wellness care or case didactics. The upper class avoids piffle about social class the most wealthy good deal dont indispensableness to admit that they are go bad complete than others. While the put down class sees how very much punter off others are than them, besides they still dont like to label themselves.I agree with Mantsios that most Americans avoid bawl out about classes although I am not one of them. withal I would agree there are myths that this field was founded on that may hold at one point been true, exactly not anymore. As for Mantsioss opinion on w ellness care and education I would have to disagree, although many dismay class Americans do not get the education and health care they need to survive I was not one of them. Mantsios States Americans avoid talk about classes. Americans avoid phrases like upper class, middle class and set out class because its an ugly truth about American golf-club.Those terms are not in Americans vocabulary, unlike the rest of the world. Both the lower class and upper class avoid using class distinctions. When I was in high check I had a friend whose parents were very wellhead off. I have tried to talk to my friend about the wealth of his parents. My friend wont admit his parents are wealthy and he thinks that everyone is as well off as his family. His father owns a landscaping go with where my friend practices in the summers when he isnt in college. Ive worked for my friends father before for about six months and then I was laid off when the delivery hit the peak of the recession.My friend , his brother and I were the single color people his father had working for him the rest were Mexican and barely spoke English. I tangle like my friends baffle looked down on me because her husbands employee and instead of being in college I was working for him. This feeling I got from my friends mom wasnt just from working for their company. The entire judgment of conviction Ive been their sons friend which has been since first grade, Ive felt small in their eyes like I wasnt good plenteous to be friends with him. In Mantsioss article he says there are four myths that Americans count to ake sure talks about class never take place. These myths are that our country is classless, that we are mostly middle class, America is slowly becoming better off and everyone has an equal chance to succeed. If someone pays attention they can see the classes all around them. Each state has a minimum wage that the countrys lower class usually is stuck barely qualification a living, and barely surviving because of the low wage. The upper class consists of business owners and huge company executives. These people are very well off and have everything they want and need while the lower class suffers.With an economy like Americas, the poor is get worse off every year. The fact is America has the largest gap between rich and poor in the world. This gap is the largest its ever been and shows no property of improving its steadily getting worse. The lower class is the biggest reader to the nations unemployment rate, because their jobs front on the economy to keep working. The lower class has to work extremely hard to work up the class separate. functional class citizens have nothing they need to succeed while the upper class has everything they want in life.Another one of Mantsioss main points is that the lower class has a high chance of health issues and a low chance of quality education. In this Article Mantsios sites Richard De Lone, He states that SAT scores strongly depend on the wealth of the students parents. The more wealthy the parents the better score the student got on the SATs. If the income of a family was over a hundred thousand then the students averaged a score of 1130 on their SAT. I would have to say I was not one of these Students my family was poor, but I got a good education and feel that I have a wealth of knowledge.Growing up in a lower class family my grow was barely able to pay the bills. My father left my render when I was fourteen. So she was forced to provide for my siblings and me on her tame bus driver salary. My mother had the best health benefits a job provides, her children never went without healthcare. I will say the majority of lower class familys do not have this luxury, it depends on the job. My siblings and I have also had a quality education because my mother researched the school districts in our area before deciding where to enroll her kids.The lower class can get a quality education we just have to be de termined to work hard. In order to get a college education as a lower class citizen I have to work a full m job while leaving to school full time. I have a wonderful single-valued function model my mother got her bachelors degree while working to full time jobs one graveyard and one during the day while spillage to school full time. If she can do that then I cant cross her all shes ever wanted for her children was a better life. The government provides financial aid, but it isnt enough to live on while going to school.I have to utilize every free moment I have to complete my assignments, because of that I dont have any free time. College is my only shot at moving up the class ladder of America. Americans Dont want to believe the US is a class based society because of the myths that this country was founded on. The upper class gets everything they need, top of the line health care and education. America is not a middle class country the gap between upper class and lower class is getting big with each year. With an economy in the toilet the poor are getting worse off and the rich are getting better off.Success in America isnt equal in America its not what you know its how much money youve got and who you know that matters. The gap between rich and poor in America is eleven to one the largest in the world, japans gap is only four to one. The ingenuousness is the poor have a higher chance of health issues and low chance of a quality education because they have no means to religious service themselves. Mantsios, Gregory. Class in America. The Norton Field Guide to Writing with Readings. seconded. Ed. R. Bullock & M. D. Goggin. New York, NY Norton, 2010. 697-717. Print.Class in AmericaMantsios Class in America In Mantsios article Class in America he states that Americans hold beliefs that blind them to social classes, citizens in America have four myths they use to ensure talk about the classes never take place. America has the largest gap between rich and p oor in the world, and the lower class has no means to an end they cant afford health care or quality education. The upper class avoids talk about social class the most wealthy people dont want to admit that they are better off than others. While the lower class sees how much better off others are than them, but they still dont like to label themselves.I agree with Mantsios that most Americans avoid talk about classes although I am not one of them. Also I would agree there are myths that this country was founded on that may have at one point been true, but not anymore. As for Mantsioss opinion on health care and education I would have to disagree, although many lower class Americans do not get the education and health care they need to survive I was not one of them. Mantsios States Americans avoid talk about classes. Americans avoid phrases like upper class, middle class and lower class because its an ugly truth about American society.Those terms are not in Americans vocabulary, unli ke the rest of the world. Both the lower class and upper class avoid using class distinctions. When I was in high school I had a friend whose parents were very well off. I have tried to talk to my friend about the wealth of his parents. My friend wont admit his parents are wealthy and he thinks that everyone is as well off as his family. His father owns a landscaping company where my friend works in the summers when he isnt in college. Ive worked for my friends father before for about six months and then I was laid off when the economy hit the peak of the recession.My friend, his brother and I were the only white people his father had working for him the rest were Mexican and barely spoke English. I felt like my friends mother looked down on me because her husbands employee and instead of being in college I was working for him. This feeling I got from my friends mom wasnt just from working for their company. The entire time Ive been their sons friend which has been since first grade , Ive felt small in their eyes like I wasnt good enough to be friends with him. In Mantsioss article he says there are four myths that Americans believe to ake sure talks about class never take place. These myths are that our country is classless, that we are mostly middle class, America is slowly becoming better off and everyone has an equal chance to succeed. If someone pays attention they can see the classes all around them. Each state has a minimum wage that the countrys lower class usually is stuck barely making a living, and barely surviving because of the low wage. The upper class consists of business owners and huge company executives. These people are very well off and have everything they want and need while the lower class suffers.With an economy like Americas, the poor is getting worse off every year. The fact is America has the largest gap between rich and poor in the world. This gap is the largest its ever been and shows no sign of improving its steadily getting worse. The lower class is the biggest contributor to the nations unemployment rate, because their jobs depend on the economy to keep working. The lower class has to work extremely hard to work up the class ladder. Working class citizens have nothing they need to succeed while the upper class has everything they want in life.Another one of Mantsioss main points is that the lower class has a high chance of health issues and a low chance of quality education. In this Article Mantsios sites Richard De Lone, He states that SAT scores strongly depend on the wealth of the students parents. The more wealthy the parents the better score the student got on the SATs. If the income of a family was over a hundred thousand then the students averaged a score of 1130 on their SAT. I would have to say I was not one of these Students my family was poor, but I got a good education and feel that I have a wealth of knowledge.Growing up in a lower class family my mother was barely able to pay the bills. My fat her left my mother when I was fourteen. So she was forced to provide for my siblings and me on her school bus driver salary. My mother had the best health benefits a job provides, her children never went without healthcare. I will say the majority of lower class familys do not have this luxury, it depends on the job. My siblings and I have also had a quality education because my mother researched the school districts in our area before deciding where to enroll her kids.The lower class can get a quality education we just have to be determined to work hard. In order to get a college education as a lower class citizen I have to work a full time job while going to school full time. I have a wonderful role model my mother got her bachelors degree while working to full time jobs one graveyard and one during the day while going to school full time. If she can do that then I cant disappoint her all shes ever wanted for her children was a better life. The government provides financial aid, b ut it isnt enough to live on while going to school.I have to utilize every free moment I have to complete my assignments, because of that I dont have any free time. College is my only shot at moving up the class ladder of America. Americans Dont want to believe the US is a class based society because of the myths that this country was founded on. The upper class gets everything they need, top of the line health care and education. America is not a middle class country the gap between upper class and lower class is getting bigger with each year. With an economy in the toilet the poor are getting worse off and the rich are getting better off.Success in America isnt equal in America its not what you know its how much money youve got and who you know that matters. The gap between rich and poor in America is eleven to one the largest in the world, japans gap is only four to one. The reality is the poor have a higher chance of health issues and low chance of a quality education because th ey have no means to help themselves. Mantsios, Gregory. Class in America. The Norton Field Guide to Writing with Readings. 2nded. Ed. R. Bullock & M. D. Goggin. New York, NY Norton, 2010. 697-717. Print.

American Involvement in Vietnam: Failure or Not?

More than cardinal years went by after the last the Statesn combat army left selenium Asia, but the friendly and political relational fires of the Vietnam War still cargo hold on burning throughout the coupled States and Vietnam. Wars do non simply fade away when the guns atomic number 18 silenced. Millions of citizens in both countries bear the deep, painful scars of a conflict that wreaked havoc on the political and social landscapes of both nations.Even today, legions of contendfare veterans endure the physical and emotional wounds inflicted during their tours of duty, while the 3 million slew who perished on all sides (Berman 16) are only memories to millions of husbands, wives, children, grandchildren, parents, siblings, and friends. In the joined States, the nations armed services affair into Vietnam pass overs to cushion its political institutions, remote and defense policies.The Vietnam War besides profoundly altered Americans view of their public institutio ns. While survey conjure that public confidence in the federal government has not declined significantly in more than thirty years, Vietnam did awaken millions of Americans to the fact that their presidents had routinely lied to them about the American military role in in the southeast Asia, about Watergate, and about many other issues (Mann 2). Vietnam was, indeed, a turning sharpen in American political history.So, what was Vietnam War for the United States the necessity to stop communist erosion or tragic delusion? The pop the question of this study is to explore whether American involvement in Vietnam was total failure or the nation had un plan of attackable reasons to go into warfare. Toward this end we will scrutinize the reasons underlying the decision to launch war affair, analyze the outcomes of Vietnam War, strike the reaction of American community upon it, and make the conclusion. The Reasons of American Involvement in Vietnam and Its CourseFive successive Americ an presidents and lots of senators and congressmen had insisted that the preservation of a small, isolated to the southeast Asian nation was vital to the US national security. During a percentage point of twenty-five years, these leaders first funded the war fought by the French and then supported and sponsored a policy under which the fighting in Vietnam was eventually assumed by the US military to the point that it became, al roughly entirely, an American war. Americas involvement in Vietnam began in 1950 as a political reaction to events elsewhere in Asia (Olson & Freeman 463).While the communist victory in China in 1949 and the subsequent invasion of South Korea in 1950 had not directly threatened the United States, the political fallout from these events had tarnished President Harry Trumans governing body and elevated the importance of Southeast Asia to his administration (VanDeMark 216). By primordial 1965, it was clear that if the United States did not record regular demonstrate man into South Vietnam, communists would overrun the country in a matter of months (Helsing 240).In manifest 1965, Johnson deployed the first contingent of the US Marines to Vietnam, and by the end of the year more than 184,000 American ground troops were in the country. Despite the growing American commitment, the government of South Vietnam grew weaker, and the Vietcong, now sustained by troops and supplies from northward Vietnam, grew stronger (Olson & Freeman 464). The character of the struggle for control of South Vietnam has been the subject of prolonged debate, directed toward the final question of whether or not U. S. military involvement there was solelyfulnessful. Many of those supporting U. S.involvement in the war insisted that American intervention was an attempt to enforce the principles of the United Nations Charter in Asia. The argument was as follows jointure Vietnam had attacked South Vietnam in violation of Article 2 of the Charter and the Unit ed States had every right to give way South Vietnam in collective defense under Article 51 of the Charter (Frey-Wouters & Laufer 76). The United States had also undertaken commitments to assist South Vietnam in defending itself against Communist aggression from the due north thus the introduction of United States military personnel and equipment was exceptified (Johns 4).The bombing missions in 1972 became a turning-point of the war a campaign of wide proportions comprising more than fifty-five thousand sorties, during which American planes dropped more than 100,000 tons of bombs on North Vietnam by early June were finally yielding the deadly and destructive results (Olson & Freeman 466). By early summer, North Vietnamese intransigency began melting as the bombing and the naval blockade dried up communist supply lines.Realizing they could not overpower the South Vietnamese army as it was backed by such(prenominal) massive American air power, the North Vietnamese were now more favorably inclined to negotiations about peace (Mann 702). yet Nixons infamous bombing campaign came at a steep price. In addition to losses of cardinal American aircraft, public opinion about war changed radically. Almost overnight, his approval rating in the polls slumped to 39 percent (Mann 713). Despite its intensity and callous brutality, Nixons bombing worked. In late December, the North Vietnamese finally signaled their willingness to return to the negotiating table (Johns 7).Its obvious that the intense bombing had been largely responsible for North Vietnams sudden eagerness to settle. Then presidencys problem, however, was their mistaken belief that the conflict in Vietnam could be won entirely on the battlefield. Vietnam was also a political conflict in which the hearts and minds of the people were at stake. More bombs could never force the political and economic changes necessary to persuade millions of South Vietnamese that their government in Saigon was worth fightin g for (Mann 729).In Paris, in 1973, on January 27, Secretary of State William Rogers joined representatives of North Vietnam, South Vietnam, and the Viet Cong in signing the accords, bringing about an official end to what the New York Times called the longest, most divisive distant war in Americas history (Mann 714). The Vietnam War, arguably the most misguided political and military crusade in American history, thus, ended. Aftermath of the Vietnam War After the Paris Peace Accords were sign-language(a) in January 1973, the war went on for another two years until Saigons collapse in April 1975.The Vietnam War was such a traumatic and divisive experience that once the last American combat forces were withdrawn from Vietnam many Americans tried and true to forget the conflict. But it soon became clear that this was not an easy task. Most Americans agreed that the war in Vietnam was markedly different from any other experienced by the American nation (Johns 11). It was the first wa r rejected during its fighting by a substantial part of the American people, and, in retrospect, many Americans continue to have serious doubts about the wisdom of having entered that conflict.Independent survey studies carried out in the postwar period provide that several years after the end of the war, a majority of the American public agreed that the US should have stayed out of the fighting in Vietnam. In addition, respondents perceived the wars lasting effects on the United States as almost entirely harmful (Frey-Wouters & Laufer 79). The war created serious economic problems. Until 1965, when President Lyndon B. Johnson introduced the US ground troops into the conflict, the Vietnam War had only a minor impact on the American providence.But as the war escalated, government expenditures increased dramatically. The large-scale federal spending fueled an lumpary spiral during the late 1960s. When inflation reached 6 percent in 1968, Congress passed a 10 percent income tax surc harge in hopes of slowing spending and lessening inflation, but it was too little and too late. Although the Vietnam Wars most dramatic impact on American society was social and political, it did set in motion the inflationary spiral that plagued the economy throughout the 1970s and 1980s (Olson & Freeman 465).The legacy of Vietnam, like the war itself, remains a punishing and painful subject for Americans. As passions subside and time bestows greater perspective, Americans still struggle to understand Vietnams import and lessons for the country. They still wonder how the United States found itself ensnared in an ambiguous, costly, and divisive war, and how it can avoid repeating such an ordeal in the future (VanDeMark 215). In opinion by many Americans who were opposed to U. S. policy in Vietnam, the American government had engaged in an illegal war in Vietnam in violation of international law and morality.In addition, the United States, in their view, had violated the United Na tions Charter by its military intervention in the civil war (Frey-Wouters & Laufer 77). Moreover, many historians argue that American involvement in Vietnam violated international law and that the US committed crimes against humanity using napalm, gas, and defoliants, search and destroy operations, treatment of prisoners, forced relocation and peace treaty programs, and artillery, aerial and naval bombing (Mann 714). Those who opposed the war made the following points 1) South Vietnam was never a separate state.A separate state or nation of South Vietnam had never existed. A convention signed in 1946 between the French commissioner and President Ho Chi Minh recognized the Vietnam Republic as a free state. Peace was finally negotiated, and on July 21, 1954, the Geneva Conference ended with the adoption of a terminal Declaration, which reconfirmed the independence of a single, united Vietnam. An agreement was reached for the temporary division of Vietnam into two zones for a two-yea r period (Frey-Wouters & Laufer 76). The reunification of the two zones of North and South Vietnam, which was promised for July 1956, did not materialize (Asselin 2).2) South Vietnam was not subjected to armed attack by North Vietnam. Many opponents of the war argued that the American intervention was not justified by the right of collective self-defense. The Charter of the United Nations permits collective self-defense only in case of an armed attack, and no such armed attack existed in the case of Vietnam. From the antiwar critics perspective, a civil war was going on in Vietnam, and the only proper course for states that were not themselves placed in the necessity of self-defense was to finish from intervention (Frey-Wouters & Laufer 78).Conclusion The President Nixon had not won the war, or the honorable peace that he had promised. He just merely delayed the day of the communist victory, with deadly and disastrous consequences. The Vietnam War was Americas longest armed conflic t, a tragic crusade that cost millions of lives and ruined millions more. The war dispelled the widespread and erroneous belief that, in its unlike and military policies, the United States had constantly exhibited the purest of motives and actions. This, of course, had never been the case, particularly in the twentieth century.From Truman to Nixon, the decisions about Vietnam were almost always made by presidents and other political leaders seeking to preserve or enhance their house servant or international political standings. While these presidents talked of preserving democratic institutions in Southeast Asia, the massive influx of American manpower and military in the 1960s actually undermined the ideal of a free and independent South Vietnam and transformed the nation into a client of the United States. By the time the war ended, the region that America had sought to protect from communism was, instead, ruled by it.At home, the United States became, in some ways, a stronger n ation because of its tragic experience in Vietnam. Organized public dissent became a widely accepted and trenchant way of influencing public policy. The American people and the news media exhibited a more healthy distrust of government officials and their public pronouncements. These and other positive changes, however, came at a horrible cost. In the name of fighting for granting immunity in Vietnam, the political and military leadership of the United States inflicted untold damage on a towering nation and its people.Thus, American involvement in Vietnam represented a total failure not just of American foreign policy but also of American statesmanship. The policymakers inflexibly pursued a lead which eventually damaged the essence of American power by consuming excessive lives and resources, shook affiliate confidence in the US strategic judgment, and demolished liberalisms political unity and legality by polarizing and paralyzing American society. Whatever the conflicting jud gments about this controversial war, Vietnam without a doubt stands as the greatest tragedy of twentieth-century U.S. foreign relations. Works Cited Asselin, Pierre. A Bitter Peace Washington, Hanoi, and the Making of the Paris Agreement. Chapel Hill, NC University of North Carolina Press, 2002. Berman, David M. Never deflect the Sacrifice A Visit to Chu Van an High School In Hanoi, Vietnam. Social Studies 86. 1 (1995) 12-17. Frey-Wouters, Ellen, and Robert S. Laufer. bequest of a War The American Soldier in Vietnam. Armonk, NY M. E. Sharpe, 1986. Johns, Andrew L. Achilles Heel The Vietnam War and George Romneys Bid for the Presidency, 1967 to 1968. Michigan historic Review 26. 1 (2000) 1-16. Mann, Robert. A Grand Delusion Americas Descent into Vietnam. New York Basic Books, 2001. Olson, James S. , and Samuel Freeman, eds. historic Dictionary of the 1960s. Westport, CT Greenwood Press, 1999. VanDeMark, Brian. Into the Quagmire Lyndon Johnson and the Escalation of the Vietnam War. New York Oxford University Press, 1995. Helsing, Jeffrey W. Johnsons War/Johnsons Great Society The Guns and Butter Trap. Westport, CT Praeger Publishers, 2000.

British Petroleum (BP): SWOT and BP Porter Five Forces Analysis †Essay

organize and Porter quintuplet Forces epitome of British Petroleum (BP)our pose take in experiment Need patron Writing an Essay Contact us Today. Student Submitted Essaysour site Sample Essay AbstractBP Porter Five Forces BP Plc is genius of the leading anoint and gas companies in the world operating in more than than 80 countries and serving close to 13 million customers. The fraternity was ranked third in the FTSE 100 all in all sh atomic take 18 index ranking as at the close of 31st August, 2014 with a market capitalisation of 82,093.2, million US Dollars. BPs major(ip) strengths include strong brand recognition, massive monetary cap efficacy, refined corporate strategy, and the ability to innovate. world-wide reduction in the production of crude cover and earthy gas, low disaster management and inability to accomplish long-term regulatory mechanisms ar the societys let on weaknesses. The confederacy has the opportunity to invest in preference energy ev en though it faces significant aspiration from separate rivals such as Royal Dutch Shell, Exxon Mobil and Chevron. BP Porters Five Forces Analysis of BP reveal low threat of advanced entrants and substitutes, medium talk terms male monarch of both buyers and suppliers, and high rivalry among existing competitors. To remain competitive, the lodge should subjoin strategic investment in R&D, negotiate with governments and other firms to exploit emerging markets, rebuild its brand value and streamline its production and business operation.our site Sample Essay IntroductionFounded in 1908, British Petroleum (BP) is one of the leading embrocate and gas companies in the world. The company operations in more than 80 countries, has over 83,900 employees and serves over 13 million customers globally (BP Plc, 2014). The company provides customers with oil and gas products, furnish for transportation, petrochemical products and energy for light and heat. With a market capitalization of 82,093.2, million US Dollars, BP was ranked third in the FTSE 100 all share index ranking as at the close of 31st August, 2014 (Stock Challenge, 2012).BPs interests and activities can be categorised into two core business segments Refining and Marketing and geographic expedition and Production. The Exploration and Production segments cover upstream and midstream activities which include exploration, production, pipelining, and processing. Refining and Marketing segments cover downstream activities such as crude oil transportation, manufacturing, marketing and supply of both petrochemical and petroleum products and services (BP Plc. 2014).our site Sample Essay BP SWOT AnalysisBPs key strengths are its strong brand recognition and massive financial capability. world the third largest energy company in the world, it is globally acknowledged for high quality petroleum products. Additionally, with an expect total operating cash flow of 2014 at $30 billion, the companys strong finan cial position gives it the opportunity to introduce new products, develop alternative energy, and expand to new markets (Reuters, 2014). Regarded as one of the best in the world, the companys corporate strategy is also a notable strength. This, mate with its strong brand loyalty, enabled it to emerge from the devastating deepwater horizon oil spill of 2010 (Reuters, 2014). The companys ability to innovate and enter into strategic ventures with other governments and corporations in new markets is another key strength. In 2013, BP entered into a strategic alliance with both China and the US to provide alternative solar energy to a number of government agencies.A global reduction in the production of crude oil and natural gas is a key weakness of the company. Poor public image as a entrust of the North Alaska and deep-water oil spills also led to serious challenges for the company. Not only did it face deplorable charges, it spent an estimated $42.2 billion in cleanup and compensati on (Reuters, 2014). Another key weakness is its non-competitiveness in the alternative energy sector. Despite being a major player in the oil industry, majority of consumers are still unaware of the companys involvement in alternative energy (Bamberg, 2000). The inability to implement long-term regulatory mechanism to cushion it from the highly volatile petroleum prices is also a key weakness of the company.BPs profits and its current strong financial position present an opportunity for the company to initiate new projects. The companys biggest opportunity is investing in alternative energy. The BP Solar family unit Solutions initially introduced in New York can be expanded into other regions especially within the American and European markets. This will guarantee the company more customers who prefer the less costly solar energy. The company also has an opportunity to expand its export markets to Asia and South America. Discoveries of more oil swell ups and increasing prices of o il and gas are additional opportunities that the company can take advantage of (Smith, 2011).Major players in the oil and gas industry especially the Royal Dutch Shell, Exxon Mobil, and Chevron pose the greatest threat to BP. The capital punishment of environmentally unsound policy and poor management of natural disasters such as the toxic spills very much disrupt the companys operation (Bruland, 2003). Other threats include, corrosion in BPs pipeline network, periodic refinery explosions, multiple lawsuits emanating from ecological disasters and the continued sale of BPs corporate owned stations. Declining operations in some(prenominal) potential locations and the tensions associated with operating in the oil business are also potential threats (Black, 2011).our site Sample Essay BP Porter Five Forces AnalysisPorter (1980, p. 80) outlines the five forces model to analyze an organizations competitiveness. These include threats of entrants, bar absorbing power of suppliers, ba rgaining power of buyers, threats of substitutes and rivalry among existing competitors. The oil and gas industry in which BP operates traditionally require massive financial investments in very expensive infrastructure. Huge capital investment is requirement to cover expenses such as building pipelines, drilling wells, building access roads and acquiring land. BP has an asset value of $236.0 billion (Honnungar, 2011). Considering the cost of market entry and economies of scale in the industry, the threat of new intrigue is low.There are a number of substitute products such as hydroelectricity, nuclear energy, coal, wind power and solar energy. However, most are still in the developmental phase, besides, the cost of production of substitute products is frequently extremely high. The importance of oil in fuelling cars, running industries and generating electricity makes it essential and useful to sectors of the economy (Ferrier, 2009). Threats of substitutes are therefore, low si nce alternative products are less competitive. The oil and gas industry have considerable number of suppliers ranging from private corporations to governments. There are also a number of potential buyers sympathetic to BP. Besides, BPs unsloped integration in its operations is similar to that of its key competitors (Stiel, 2003). The bargaining power of suppliers is consequently rated as medium.The products offered by players in the oil and gas industry are often not much different from those offered by their competitors. As a result, buyers tend to choose products with either lower prices or that have better terms. On the flipside, buyers are many hence even if a cross section chooses to use the products of their competitors, BPs operations would not be greatly impacted. The bargaining power of buyers can therefore be regarded as medium. Finally, the oil and gas industry is dominated by huge corporations that produce a number of low secernate products (Stiel, 2003). Key competi tors such as Chevron, Total and Royal Dutch Shell have established well recognized brands with significant client base. This implies that BP and its competitors have all adapted a vertical integration of similar range of products. These factors coupled with low threats of both substitutes and new entrants make competitive rivalry high (Uph, 2010).our site Sample Essay Conclusion and RecommendationsBP is as a major corporation with significant financial sustenance that can be used to venture into alternative energy research to boost its manufacturing capacity and increase its global presence. The SWOT and Porters five forces analyses indicates that, the oil and gas industrys major players are well established conglomerates with massive financial resources hence high level of competitive rivalry. The attraction of the industry makes both the powers of buyers and that of suppliers medium while the threat of substitute and new entrance low.BP should increase its strategic investment in R&D in order to maximize production and exploit new markets. It should also negotiate with governments and other firms in order to exploit emerging markets such as China. The company should also consider rebuilding its brand value thereby regaining its image adversely affected by the recent oil spill crisis (Honnungar, 2011). Finally, the company should streamline its business operations and production to gain competitive advantage over major rivals.ReferencesBamberg, J. H. (2000). British Petroleum and Global Oil 1950-1975 The Challenge OfNationalism. Cambridge Cambridge University Press.Bruland, K. (2003). British technology and European industrialization the Norwegian textileIndustry in the mid-nineteenth century. Cambridge, Cambridge University Press.BP Plc. (2014). BP Statistical Review of reality Energy June 2014.BP Plc. (2014). BP at a Glance. Online 3 September, 2017. Available FromBlack, E. (2011). British petroleum and the redline agreement. Washington, DC dialog Pre ss.Ferrier, R. W. (2009). The history of the British Petroleum Company. Cambridge, CambridgeUniversity Press.Honnungar, V. (2011). British Petroleum Oil Spill Crisis and Aftermath Corporatebrass section and Communication at BP during the disaster. Munich GRIN VerlagPorter, M.E. (1980) Competitive Strategy, New York Free Press. Stiel, P. (2003). BritishPetroleum A Global Company in a Global World. Online 3 September, 2017. Available From http//www.pstiel.de/fileadmin/pstiel.de/Download/english_globalisation.pdfSmith, N. J. (2011).The Sea of Lost luck North Sea Oil and Gas, British Industry andThe Offshore Supplies Office. New York Elsevier.Stock Challenge, (2012). FTSE All-Share Index be as at Close on Fri, 31 October 2014.Online 3 September, 2017. Available From http//www.stockchallenge.co.uk/ftse.phpUph, C. (2010). PR Analysis of British Petroleum. New York GRIN Verlag.Also, checkout related EssaysBHP Billiton SWOT Analysis and Porter Five Force Analysis SWOT analysis of Sainsbury s Plc Strategic Analysis (SWOT, PESTEL, Porter) of Premier Inn (Whitbread Plc) Summary Reviewer put-on Review Date 2017-09-06 Reviewed Item Essay BP SWOT and Porter Five Forces Author Rating 5

Patient Faces With Pre Eclampsia Health And Social Care Essay

On scrutiny her course persuasiveness per social unit knowledge base was elevated at 171/107 mmHg. Her pulse 81 beats per minute, respiratory valuate 15 breaths per proceedingss, and temperature was 36.4 & A deg C. Her take in sample showed ++ 2 albuminuria. There was grounds of hydrops in her face and upper and depress app endages and her lower deep si sensitive physiological re follow throughs were alert but without any clonus. JB denied any ocular perturbations and epigastric hurting. On palpitation of the venters, the symphysio-fundal tallness was 38cm. The foetal prevarication was longitudinal and the back appe atomic number 18d to be on the right. The presentation appeared to be cephalic and the caput was 3/5 engaged.Electronic fetal monitoring showed foetal bosom rate at 135 beats per minute ( beats per minute ) , with reassuring variableness. There was no slowdown and acceleration was normal. It was besides noted no contractions were present.Her prenatal attention had been shared between the hospital and her popular practician and was uneventful until she was admitted to hospital on this juncture.On briefly reexamining JB s past aesculapian taradiddle she has seasonal allergic reactions every pussy trusty as long standing asthma in which she uses a salbutamol inhalator to alleviate her symptoms. JB besides has a history of depression. In her household history her potent arouse suffers from risque downslope pressure every bit inviolable as cirrhosis and her egg-producing(prenominal) upgrade has a singular medical history of extended medical conditions such as racy rakehell pressure, angina, and transeunt ischaemic accidents. Both her motherly grandparents had a history of type 2 diabetes.With value to her societal history, JB works as a client helper and lives with her spouse. JB has neer smoked, and has non taken intoxicant since hazard out she was pregnant.Her past obstetric history is singular for recurrent abortions. She h ad two abortions at 6-8 hebdomads and one ectopic gestation period a yr and a half ago which miscarried of course at 10 hebdomads.The sign probes showed a normal full blood count, liver-colored enzymes and creatinine. However urate ( 0.37 ) and the protein creatinine ratio ( 44 ) degrees were elevated. JB is showing scarlet tanager central symptoms of preeclampsia including high blood pressure, albuminuria, hydrops, and increased physiological reactions. A diagnosing of terrible pre-eclamptic toxaemia of pregnancy was made, JB was admitted and intervention was commenced, with 10mg Procardia.With JB being admitted onto the ward, at that place was uninterrupted monitoring of blood force per unit domain of a function and foetal monitoring utilizing CTG. The adjacent forenoon JBs blood force per unit area stabilised to 128/74 and JB report feeling better. With her BP stalls and a reassuring CTG a stopping point to bring on bringing was made and she was given 3g prostin over three two dozen hours s. However there was hapless response and the cut remained stubbornly unchanged and so it was make upd the babe would necessitate to be delivered via cesarean delivery.Section B PathophysiologyPreeclampsia is fraction of a spectrum of conditions known as the hypertensive upsets of gestation. It is defined as a multisystem upset characterised by the new oncoming of raised blood force per unit area ( ?140/?90 millimeter Hg ) and albuminuria ( at least 1 + on dipstick or ?0.3 g/24 hours ) after 20 hebdomads of gestation. Although the triping event originating the syndrome is unknown, a two phase theoretical account of pre-eclampsia has been proposed. The primary phase is symptomless, characterized by failure of eutherian mammal vascular redoing during the first trimester turn out in fall placental perfusion taking to placental ischaemia and release of placental merchandises into the maternal(p) circulation. Consequently this initiates the 2nd, diagnostic p hase, the maternal syndrome in which endothelial dysfunction precedes the clinical manifestations of the disease including characteristic high blood pressure, albuminuria, and glomerular endotheliosis. There is besides hazard for exploitation the HELLP syndrome ( haemolysis, elevated liver map enzymes and low thrombocytes ) , eclampsia, and other end-organ harm.Phase 1In normal gestation, following nidation, the surface trophoblast cells of the adhering blastodermic vessicle differentiate into an internal cellular bed, the cytotrophoblast, and an outer syncytiotrophoblast. The uniform cytotrophoblasts found in the interior bed can develop into hormonally active villous syncytiotrophoblasts, extravillous grounding trophoblastic cell columns, and invasive intermediate trophoblasts. The extravillous trophoblastic cells proliferate from the tips of grounding chorionic villi to organize the cytotrophoblast shell which line of work the uterine pit. Cytotrophoblasts continue to migrate done the uterine endometrium until they reach the coiling arterias, by which clip they have differentiated into an endothelial-like cell type. Endovascular trophoblast cells begin to reconstruct the coiling arterias by replacing the endothelium and smooth musculus cells ensuing in the devastation of median elastic, healthy and nervous tissue. These physiological transmutations result in an increased vas diameter taking to the creative exertion of a low-resistance arteriolar system and an absence of maternal vasomotor delay, which allows the dramatic humanitarian in blood supply to the turning foetus. In pre-eclampsia this physiological distension does non happen adequately therefore ensuing in placental hypoperfusion and ischaemia. The ischaemic placenta may take to the production of cytokines and growing factors every bit healthy as simulate placental curriculummed cell death or mortification, ensuing in release of humoral or particulate stuffs into maternal systemic cir culation that promote generalised maternal vascular endothelium disfunction, climaxing in the clinical manifestations of pre-eclampsia.The invasion of trophoblast cells is regulated by factors expressed by the decidual barrier. These factors include cell adhesion molecules ( CAMs ) , extracellular ground substance s ( ECMs ) , proteases, growing factors and cytokines. Malfunctions in any these factors may take to hapless trophoblast invasion and later pre-eclampsia. immunological factors play a psyche factor in preeclampsia. Abnormal placentation may be the consequence of maternal immune rejection of paternal antigens expressed by the fetus. Normally HLA-G, a category 1B MHC antigen, expressed by the extravillous trophoblasts protects from instinctive slayer cell lysis. Womans who develop preeclampsias do non look to show this HLA-G and hence are non protected.Phase 2The clinical manifestations of pre-eclampsia can be linked to the pathophysiological alterations that occur inclu ding vasoconstriction, activation of curdling cascade and decreased blood plasm people.Development of high blood pressure is a primary characteristic of pre-eclampsia. During normal gestation, although finished maternal physiological versions there is a 30-50 % addition in cardiac end product, the lessening in peripheral vascular opposition consequences in reduced arterial blood force per unit area. However, great(p) females who develop preeclampsia experience widespread vasoconstriction, increased peripheral vascular opposition, and decreased cardiac end product. Evidence shows at that place to be an overdone sensitiveness of the vasculature of self-aggrandising females with pre-eclampsia to all vasopressors endocrines, surmount known is the increased reactivity to angiotensin II. This addition in vascular responsiveness is thought to be mediated as a consequence of change in the balance of prostaglandins due to the harm to vascular endothelial harm. JB BP when she present wa s 171/107 mm Hg. This is a well elevated force per unit area.Although unstable guardianship and hydrops occurs in patients with pre-eclampsia they are besides a characteristic of normal gestation. Plasma volume additions by 50 % in unsophisticated gestations and normal gravidas sometimes experience hydrops. However in preeclampsia plasma volume is decreased by 15-20 % and in these compositors cases heavy(p) females experience rapid weight addition and generalized hydrops as a consequence of an unnatural displacement of extracellular fluid from the vascular to the extravascular compartment hence keeping a low plasma volume and an increased interstitial fluid volume. With overweening accretion of interstitial ECF, the presence of peripheral hydropss peculiarly in the face and custodies is seen, as in the example of JB. Besides as a consequence of the lessened plasma volume, comparative hemoconcentration is observed in pre-eclampsia. JB heamoglobulin was 120g/l which is the lower bound of being high.Womans with pre-eclampsia besides have markedly decreased nephritic plasma flow ( RPF ) and glomerular filtration rate ( GFR ) . The lessening in RPF is attributed to vasoconstriction, whereas the autumn in GFR is related both to the diminution in RPF every bit good as to the morphological alterations in the kidney. These characteristic pathological alterations of pre-eclampsia are termed glomerular endotheliosis and consist mostly of pronounced puffiness of the glomerular endothelial cells qualified to halt the capillary lms, with some inclusions in the capillary cellar membrane but with practically no alteration in nephritic podocytes. The structural lesion is accompanied by functional alterations in nephritic hemodynamics which correlates best with the order of hyperuricemia and albuminuria. Early to middle gestation serum uric acid normally falls good on a lower floor 0.24 mmol/l in patients with pre-eclampsia degrees frequently rise & amp gt 0.27 mmol/ l as seen in the instance of JB ( 0.37 ) . A figure of surveies have correlated the rise in serum uric acid with the mischievousness of pre-eclampsia and with the extent of glomerular hurt.Left untreated, pre-eclampsia can come on to life endangering paroxysms signifier termed eclampsia. Another peculiarly unsafe signifier of pre-eclampsia is the HELLP syndrome. This discrepancy is characterised by the sudden visual outlook of a microangiopathic hemolytic anemia, a quickly falling thrombocyte count, and ample increases in hematoidin and liver enzymes. Emergency break of gestation is needed to avoid hepatic or nephritic failure, sepsis, eclampsia, and decease.ManagementTreatment for high blood pressure in gestation nowadayss a alone series of challenges to the health care squad. An in-depth cognition of the accommodative physiological, psychological and societal procedures is required in order to take the optimum pedagogy for the female parent and her foetus.Incomplete apprehens ion of the etiology in pre-eclampsia has hindered efforts at bar. However effectual and equal prenatal attention bursting charge of preeclampsia has lead to the reduced mortality related to this upset. This includes early sensing and referral of adult females at high hazard, careful monitoring with bar and intervention of complications, and a determination sing incidentally bringing. Delivery remains the lone healing intervention for pre-eclampsia although the disease procedure may non decide instantly. After diagnosing, subsequent intervention will depend on the consequences of initial maternal and foetal appraisal. The chief end for direction of pre-eclampsia is finally to protect the safety of the female parent and prevent pattern advance to eclampsia and so the bringing of a healthy neonate. Although bringing is ever appropriate for the female parent, it world power non be best for a really premature foetus. The determination between bringing and anticipant direction depends on foetal gestational age, foetal position, and badness of maternal status at clip of appraisal.JB direction was given in conformity to guidelines from Royal College of Obstetricians and Gynaecologists. Based on JB diagnosing at 36.5 hebdomads she was admitted to hospital with the determination to bring on labor and let a vaginal bringing.Observations of critical marks including BP, bosom rate, O impregnations, and respiratory rate were recorded every 15 proceedingss along with uninterrupted CTG monitoring. A 10 magnesium dosage of unwritten anti hypertensive Procardia was given to stabilise her blood force per unit area before she could be induced. The exclusive demand to handle is to forestall the haemorrhagic squeal of high blood pressure, in peculiar intellectual bleeding, instead than change the patterned advance of the disease procedure. antihypertensive drug therapy is recommended for pregnant adult females with systolic blood force per unit areas of ?160 and diastolic bloo d force per unit areas ? 110 millimeter Hg. The end of intervention is to take down systolic force per unit area to 130-150 mmHg and diastolic force per unit area to 80 to 100 mmHg. It is besides of minute that blood force per unit area is lowered bit by bit to forestall hypotension as placental perfusion can be adversely affected and compromise the foetus. With a conservative direction program in topographic point and JB was stable, the BP was measured every four hours during the twenty-four hours. Other appraisals required in this instance were full blood count, liver map and nephritic map trials, which were carried out daily.There are many possible picks of antihypertensives that are appropriate in gestation. Methyldopa and la present momentantlol are first line antihypertensive drugs used in intervention of pre-eclampsia. Methyldopa is a centrally moving alpha2 agonist that reduces harmonized escape activity. Although it has a long path safety record, due to the common drug side set up of depression, in the instance of JB with a history of depression it was agreed an option should be used. The usage of Trandate was besides contraindicated in JB instance as she is wheezing. Labetalol is a non selective beta blocker and a selective alpha blocker.As both of these were contraindicated in JB instance, nifidipine was prescribed alternatively.Nifidipine is a type 2 Ca channel blocker which is normally used as a 2nd line agent in instances where blood force per unit area is defiant to intervention with alpha methyl dopa and beta blockers. It acts by suppressing the inward transportation of Ca ions from extracellular infinite and by the suppression of uptake by smooth musculus cells. Its primary consequence is that of doing relaxation of smooth musculuss. Due to the ability to vasodilate the vasculature with full reversibility on halting the drug has resulted in it going a widely used antihypertensive.Once the BP was stabilized, initiation of cut into commenc ed. It is recommended that adult females in presence of terrible pre-eclampsia at or beyond 34 hebdomads gestation to be induced to forestall the patterned advance of the disease to eclampsia. Initiation of labour was stimulated via prostin E2, which contains dinoprostone. Its mechanisms of action are similar to the natural cervical maturation procedure. It is administered intravaginally to bring on cervical maturation by straight softening the neck, gentlen uping the cervical smooth musculus, and bring forthing uterine contractions. There has been some dividing line of the usage of dinoprostone in adult females with a history of asthma nevertheless PGE2 is a bronchodilator, therefore non contraindicated to utilize, in JB instance.For adult females whom there is a concern about the hazard of eclampsia, it is recommended they receive Mg sulfate as a contraceptive to protect against ictuss, nevertheless in JBs instance it was held off. The MAGPIE survey demonstrates that the hazar d of eclampsia is more than than halved in these adult females. However, it is besides deserving observing that merely 1-2 % of preeclamptic adult females in the UK had fitted in the absence of anticonvulsant intervention. Specific cautiousness is needed when administering Mg sulfate when nifidipine has antecedently been taken as it increases plasma concentration and hence the authority of the drug. If magnesium sulfate is given, it should be continued at least 24 hours station partum, as the hazard of eclampsia does non decide instantly after bringing.Most adult females with terrible pre-eclampsia will necessitate inpatient attention for 4 yearss or more undermentioned bringing. JB was discharged on.. twenty-four hours after careful reappraisal of her clinical marks. She was continued on her anti hypertensive intervention, and was to be followed as an outpatient. JB was besides offered a formal postnatal reappraisal to discourse the events of the gestation every bit good as prepos session guidance.EpidemiologyPreeclampsia complicates about 2-8 % of gestations and may hold serious effects on the female parent and kid, which makes it of import menace to pubic wellness in both developed and create states. Worldwide maternal mortality and morbidity from pre-eclampsia and eclampsia remain high, it is estimated to be responsible for about 14 % of maternal deceases per twelvemonth ( 50000- 75000 ) . Pre eclampsia is estimated to account for fifth part of prenatal admittance, two-thirds of referrals to day-care assessment units and one-fourth of obstetric admittances to intensive attention units in the UK.The cost of handling pre-eclampsia varies between & A lb 500- & A lb 10000, amount of infirmary stay, initiation costs, and manner of birth, and pre-admission costs.Due to betterments in prenatal attention in the UK, syndrome of eclampsia and development of HELLP syndrome is now rare. Eclampsia is reported in 1 in 200 gestations. Besides perinatal mortality ra tes are bit by bit bettering, due to progresss in prenatal attention, early sensing, improved anesthesia, early bringing and skillful neonatal paediatric attention.Factors that increase the hazard of pre-eclampsia include nullparity, Afro-american cultural background, multiple gestations, fleshiness, inveterate high blood pressure, molar gestation, household history of pre-eclampsia and a old history of pre-eclampsia.PsychosocialWomans developing pre-eclampsia are exposed to considerable sum of psychological and societal emphasis. These stress perturbations in incline may hold a important impact on the female parent and babe during the of import early months following bringing. Preeclampsia is a disease which develops without warning hence as JB reported, she found herself attribute to cover with the unexpected and dramatic alterations in foetal wellness hazard every bit good as her ain all of a sudden. The diagnosing of pre-eclampsia involves a grade of daze, fright and sometime s even disbelief peculiarly to those sing it good before term. Shock comes from the fact that they were being hospitalised and mat unprepared for bringing. JB was really nervous after being admitted to hospital as she and her babe were on a regular basis monitored and the realization of the serious effects the disease possess.There was besides a awareness of defeat every bit good every bit disempowerment as JB felt she had no control over the state of affairs, and it was no longer merely a personal duty. These experiencing were amplified through the deficiency of sufficient information given on the disease, non wholly informed about her existent state of affairs, and on the medical determinations being made.There was besides an emotional load of experiencing responsible for developing pre-eclampsia and the vice to the hazards it may hold propelled on her unborn kid.Other psychological emphasiss were demand of bed remainder, ennui and being apart(p) from spouse during hospitaliza tion.For those adult females who are diagnosed good before term, there is a greater hazard of prematureness. These adult females being unprepared for the experience of presenting a premature babe can be a major(ip) constituent of daze and fright experienced. When patterned advance of disease leads to complications, an exigency cesarean delivery share which is normally performed can be really traumatic experience and life can all of a sudden be thrown into pandemonium. These adult females normally have less early contact with there babe and are less likely to breast provender as they are retrieving from surgery.For those who unluckily loose their babe, they will be faced with the complex and traumatic events of sorrowing. This sorrowing procedure can be couple to relationship airs as spouses normally grieve otherwise.Womans with pre-eclampsia are at increased hazard of developing it with subsequent gestations therefore it is of import they are advised of this.The experience of te rrible pre-eclampsia may be overpoweringly nerve-racking. There is small clip to set to new worlds. Womans may fault themselves adding the load of guilt to the acute emotional pandemonium that follows diagnosing.DecisionIn decision, pre-eclampsia remains a planetary job and a clinical challenge. The mortality and morbidity for the female parent and their kid related to preeclampsia, and its complications are a major load,