Sunday, October 13, 2019

Symbolism in Bernard Malamuds The Natural Essay -- Bernard Malamud Th

Symbolism in Bernard Malamud's The Natural   Ã‚   The role of symbolism in Bernard Malamud's The Natural is important in helping the reader understand the theme and meaning of the novel as well as the time period in which it took place.   Malamud ¡Ã‚ ¦s use of symbolism defines the character of Roy Hobbs and shows how the events occurring around him affected his decisions and, eventually, his career.   Ã‚   Symbolism in The Natural takes the form of characters, such as women who strongly influenced Roy; historical events, such as the infamous 1919 World Series scandal; and even Greek and Roman mythology.   All forms of symbolism used by Malamud are woven into the life and career of Roy Hobbs.   As a first example, women have a tremendous influence on Roy ¡Ã‚ ¦s actions and feelings.   One of the more influential symbols in the book, women tend to control what Roy does.   The first woman Roy falls for is Harriet Bird whom he meets on a train on his way to Chicago to try out for the Chicago Cubs.   Roy is extremely attracted to her, but a major league ballplayer on the train named Whammer Wambold has already caught her eye.   Roy becomes jealous and begins to do things to try to get her attention.   At a stop in the route, the passengers get off for a break and go to a local carnival where Roy and the big leaguer clash in a contest of talent, a David-and-Goliath-type confrontation (Solotaroff 9).   Roy strikes out the batter with three blistering pitches, each of which make Harriet pay more and more attention to him.   As they arrive in Chicago, Harriet stays at the hotel at which Roy has booked a room.   She gives him a call and provocatively invites hi m to her room.   Succumbing to her invitation, and making his way to her room, he enters and se... ...he symbolism in The Natural is deep-seeded and is found by the reader upon reflection on the book. Therefore, understanding Malamud ¡Ã‚ ¦s use of symbolism is critical in understanding The Natural, its background, its times, and its meaning. WORKS CITED Abramson, Edward A.   Bernard Malamud Revisited.   New York:Twayne  Publishers,1993. Grail, Holy, ¡Ã‚ ¨Ã‚   Microsoft „ ¥ Encarta „ ¥ 98 Encyclopedia. „ ¦ 1993-1997 Microsoft  Corporation Helterman, Jeffrey.   Understanding Bernard Malamud.   Columbia:University of South  Carolina Press,1985. Malamud, Bernard.   The Natural.   New York:Avon Books,1952. Solotaroff, Robert.   Bernard Malamud: A Study of the Short Fiction.   Boston:Twayne Publishers,1989. Wasserman, Earl R.   "The Natural: Malamud's World Ceres" in Modern Critical Views: Bernard Malamud. Ed. Harold Bloom.   New York:Chelsea House Publishers. 47-64

Saturday, October 12, 2019

Acid Rain :: science

Acid Rain INTRODUCTION: Acid rain is a great problem in our world. It causes fish and plants to die in our waters. As well it causes harm to our own race as well, because we eat these fish, drink this water and eat these plants. It is a problem that we must all face together and try to get rid of. However acid rain on it's own is not the biggest problem. It cause many other problems such as aluminum poisoning. Acid Rain is deadly. WHAT IS ACID RAIN? Acid rain is all the rain, snow, mist etc that falls from the sky onto our planet that contains an unnatural acidic. It is not to be confused with uncontaminated rain that falls, for that rain is naturally slightly acidic. It is caused by today's industry. When products are manufactured many chemicals are used to create it. However because of the difficulty and cost of properly disposing of these products they are often emitted into the atmosphere with little or no treatment. The term was first considered to be important about 20 years ago when scientists in Sweden and Norway first believed that acidic rain may be causing great ecological damage to the planet. The problem was that by the time that the scientist found the problem it was already very large. Detecting an acid lake is often quite difficult. A lake does not become acid over night. It happens over a period of many years, some times decades. The changes are usually to gradual for them to be noticed early. At the beginning of the 20th century most rivers/lakes like the river Tovdal in Norway had not yet begun to die. However by 1926 local inspectors were noticing that many of the lakes were beginning to show signs of death. Fish were found dead along the banks of many rivers. As the winters ice began to melt off more and more hundreds upon hundreds more dead fish (trout in particular) were being found. It was at this time that scientist began to search for the reason. As the scientists continued to work they found many piles of dead fish, up to 5000 in one pile, further up the river. Divers were sent in to examine the bottom of the rivers. What they found were many more dead fish. Many live and dead specimens were taken back to labs across Norway.

Friday, October 11, 2019

Evolution of Health Care Information Essay

Over the last 20 years dramatic changes have occurred in the health care industry. â€Å"Health care technology has exploded over the last 20 years, not just in the arena of medical diagnosis and treatment, but also in the area of health information and documentation† (The art of patient care, 2008, p. 1). Two Major Events Twenty years ago, Riverview Hospital was limited with technology. The use of paper files for patient records is a thing of the past. Today Riverview Hospital uses electronic medical records (EMR). â€Å"An EMR is able to electronically collect and store patient data, supply that information to providers on request, permit clinicians to enter orders directly into a computerized provider entry system, and advise health care practitioners by providing decision-support tools such as reminders, alerts, and access to the latest research findings, or appropriate evidence-based guidelines† (Wagner, Lee, & Glaser, 2009, p. 1). â€Å"Paper-based records have been in existence for centuries and their gradual replacement by computer-based records has been slowly underway for over twenty years in western healthcare systems† (Open Clinical, n.d., p. 1). Riverview Hospital has also seen an increase in using personal digital assistants (PDAs). Twenty years ago, PDAs did not exist. Doctor’s and other health care providers had to look up information in books and other publications. â€Å"The use of personal digital assistants (PDAs) in medicine and the health sciences has rapidly increased. Health care professionals are using PDAs for patient tracking, medical reference, and drug dosage, as well as personal use† (Journal of the Medical Library Association, 2004, p. 1). â€Å"Health care personnel need access to updated information anywhere and at any time, and a Personal Digital Assistant (PDA) has the potential to meet these requirements. A PDA is a mobile tool which has been employed widely for various purposes in health care practice, and the level of its use is expected to increase. Loaded with suitable functions and software  applications, a PDA might qualify as the tool that personnel and students in health care need† (PubMed, 2008, p. 1). â€Å"According to a May 2002 article in BNET, PDA software enables health care professionals to store patient information, order prescriptions directly to pharmacies, check on lab results and access medical information remotely. PDA programs even allow health care professionals to document billing and claims encounters to be submitted to health plans† (eHow, 2010, p. 1). The EMR system can connect doctors in a single practice and then share patient data with clinics, hospitals, and pharmacies if their systems are linked and compatible. EMR and PDA With the implementation of the EMR and the PDA, Riverview Hospital has seen an increase in the number of patients. Although patient stays have decreased, the number of patients which pass though the hospital has increased. The average stay today is half of what it was 20 years ago. â€Å"With the introduction of technology, health care providers have the ability to look up almost any aspect of medical information needed at the touch of a button† (The art of patient care, n.d., p. 1). The EMR implementation at Riverview Hospital has improved quality, outcomes, and safety. The EMR has improved efficiency, productivity, and cost reduction. The EMR has also improved service and satisfaction. â€Å"With PDAs, health care professionals can provide quality medical services to patients that are efficient and effective. PDAs offer instant access to critical information, so patients do not have to wait long to hear back from their doctors about lab test results or their prescription needs† (eHow, 2010, p. 1). One has to take into consideration with the EMR and the PDA that HIPPA is not violated. Although with the introduction of the EMR, it is less likely to see HIPPA violations as compared to paper charts. â€Å"Health care professionals who use PDAs must be careful to properly secure their electronic devices in a way that complies with the Health Insurance Portability and Accountability Act† (eHow, 2010, p. 1). President Obama has pledged that every American will have an electronic medical record by 2014. Twenty years ago, this was not even a  consideration. President Obama sees health care information technology and electronic medical records as key to improving the quality of care while reducing costs. This implementation will not only improve care coordination that will lead to better health care (reduced cost, enhanced quality), it will create jobs. Barriers The EMR and the PDA can also cause barriers within the health care system. Some of the barriers are resistance. This resistance was seen among health care practitioners at Riverview Hospital, although the implementation happened. There may be technical matters that occur, financial matters, resource issues, training and re-training issues, certification, security, ethical matters, and confidentiality issues. There may also be incompatibility between systems and doubts on clinical usefulness. Conclusion Remarkable advances in medical technology, especially at Riverview Hospital, continue to transform health care delivery. With this transformation comes many issues that arise. The EMR and the PDA can enhance how health care is delivered and can pose both positives and negatives. Within the 20 years at Riverview Hospital much has changed with technology and information systems, although one thing remains the same, the mission to treat patients as well as to improve and preserve the health and well-being of those they serve. Their vision is to redefine the healthcare experience, becoming the best place to work, practice medicine, and receive care. References eHow. (2010). Use of personal digital assistants in health care. Retrieved from http://www.ehow.com/facts_7436608_use-personal-digital-assistants- healthcare.html Journal of the Medical Library Association. (2004). The use of personal digital assistants in the health sciences: results of a survey. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC442176/ Kreidler, M.K. (2008). Health Care and Information Technology. Research Starters – Business, (1). Open Clinical. (n.d.). Electronic medical records. Retrieved from http://www.openclinical.org/emr.html PubMed. (2008). The use of the Personal Digital Assistant (PDA) among personnel and students in health care. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/18957381 Scientific American. (2009). Will Electronic Medical Records Improve Health Care. Retrieved from http://www.scientificamerican.com/article.cfm?id=electronic-health-records The art of patient care. (n.d.). Health Care Technology and Patient Care. Retrieved from http://www.art-of-patient-care.com/health-care-technology.html Wager, K. A., Lee, F. W., & Glaser, J. P. (2009). Health care information systems: A practical approach for health care management (2nd ed.). San Francisco, CA: Jossey-Bass.

Thursday, October 10, 2019

Client conceptualization

Session Number: 3 Setting: Office Client's Age: 8 Estimated # of Sessions Required: 15 Case Conceptualization Client History: Client is an eight year old, Caucasian female. The client's mother, age 31 , works out of the home. She in not married or in a relationship at this time. Client's mother is the sole provider for client and her bother, age 10. Client's mother stated that, â€Å"their dad left when she was Just a baby and they have had no contact with him since†. Linnet's mother stated that client's dad would drink beer on a regular basis during he time in which they were married. Client's mother voiced that she and client's father would argue in front of the children before he left, but they were never violent. Client's mother voiced that she does not drink alcohol or take drugs and never has. Client's mother stated that she has never been In Jail or In trouble with the law. The current legal status of client's father is unknown at this time, as he now lives â€Å"out o f state†. Client's mother has never remarried and has not brought any boyfriends around the children.Client's mother stated that client interacts well with her brother, UT â€Å"they start out playing nice then they get rough and someone starts to cry'. Client is going to be in the second grade at a local public school next year. Her grades in school are not consistent, varying from As to As. Client is indifferent about going to school and stated that she â€Å"doesn't care if I have to go or not†. Client goes to a separate class to help her with her math and reading. Client began this last year, and mother states that there has been some improvement. Client does not have many friends at school.She has been suspended for hitting and kicking other dents. When asked why she was aggressive with the other students, client responded, â€Å"they were being mean to me and talking about my kitty. When asked about her pregnancy with the client, her mother responded, â€Å"l h ad a normal pregnancy and was not sick much. I took my vitamins everyday and tried to take care of my self. I had her at 39 weeks and 4 days†. When discussing client's development as a toddler, her mother stated â€Å"she was always a happy toddler, she would get upset when she didn't get her way or her brother took something from her. Present Concerns:The client was brought in to the agency by her mother. Client's mother stated, â€Å"l am worried about her because she plays very rough with her animals and her brother†. Mother stated that client has a difficult time following directions and is aggressive with her words as well. Mother stated that client is â€Å"very aggressive when I OFF up† for no reason at all; it does not take much to anger her. Mother reports that client fights with her brother while at home and does not get along with the neighbors. Actual Core Issues: Cognitive Behavioral Therapy (CB) seems to be the most appropriate approach to apply to this case.The CB model has great appeal because it focuses on human thought. Human cognitive abilities have been responsible for our many accomplishments so may also be responsible for our problems. By exploring patterns of thinking that lead to self-destructive actions and the beliefs that direct these thoughts, this client can modify her patterns of thinking to improve coping. CB is a type of psychotherapy that is different from traditional psychodrama psychotherapy in that the therapist and the client will actively work together to help the client recover from their mental illness.People who seek CB can expect their therapist to be problem-focused, and goal-directed in addressing the challenging symptoms of mental illnesses. Because CB is an active intervention, one can also expect to do homework or practice outside of sessions. Cognitive Behavior Therapy is usually more focused on the present, more time-limited, and more problem-solving oriented. In addition, patients learn spe cific skills that they can use for the rest of their lives. These skills involve identifying distorted thinking, modifying beliefs, relating to others in different ways, and changing behaviorsThe client's mother brought her in for services because of her â€Å"rough† behaviors and aggression. With CB, the therapist will focus on the thoughts that are causing the feelings, which are then causing the behaviors. When others tell the client something that she does not agree with or like, the client has an anger outburst and sometimes uses physical harm on the other person. The aggressive behavior could be triggered by the thought that no one else cares about what she thinks. With the CB model, we can help the client take responsibility for her own actions. When the linen plays rough with her brother, she gets angry and hits him.That behavior is triggered by the thought that client's brother is playing too rough with her and trying to hurt her. Through redirection, the therapist c an work with the client to understand how positive and negative thoughts lead to a specific thought, which then lead to a behavior. When the client is able to understand how her thoughts lead to a specific behavior, and the counselor has helped the client change the direction of her thoughts, the client will be better. When she is able to identify that a thought does to have to a negative reaction, the client will be able to discharge from treatment.Treatment Intervention: The treatment intervention here, should involve the active participation of the client in exploring her thoughts and behaviors. The expectation is that the client can realize how many distorted beliefs she has and help redirect her to healthy thoughts. The client's treatment will focus on thought patterns that cause distress and also on developing more realistic interpretations of events. Delusions are treated by their beliefs and encouraging them to recognize evidence that may have been overlooked, evidence that does not support the belief.The benefit of using CB with this client is that by changing the way she thinks about a situation, the client will be able to control her behavior. The goal of treatment is aimed to help the client become aware of when she makes negative interpretations, and of behavioral patterns, which reinforce her negative thinking. CB will help her develop alternative ways of thinking and behaving to reduce the psychological distress. It will be the counselor's Job to teach the client how to identify distorted cognitions through a process of evaluation. The linen will learn to discriminate between her own thoughts and reality.The end goal is for the client to be able to identify her own unhelpful benefits and prove them wrong resulting in her beliefs changing. The role of the counselor is to help the client solve problems that are of greatest distress. This can be done through a structure that seeks to maximize efficiency, learning, and therapeutic change. Important parts of each session include a mood check, a bridge between sessions, proportioning an agenda, discussing specific problems and teaching skills in the context of solving these problems, setting of self- alp assignments, summary, and feedback.

Wednesday, October 9, 2019

Crowdfunding

Grounding is a virtual phenomenon that aims to promote the realization of projects as varied as possible through the financial contribution of people who are interested in the implementation of such initiatives, motivated by several factors. To better understand the concept, we can break down the name in that crowd, in English, means â€Å"crowd†; and funding, ‘financing† Thus, it can be considered that are projects carried out by financing of a crowd of an audience. But is not based on â€Å"public† in â€Å"public money†, but money invested by the public itself.The various projects such as, for example, ultra nature, such as the production of a CD of a band or the publication of a book, are hosted on a site geared to attract collective donations towards the realization of the submitted work. â€Å"(OCTET , Fluvial – Libber – So Paulo v 15, n 29, p 135-144, June 2012) The history Of Grounding in the Brazilian market: The pioneering the use grounding in Brazil was the Vagina site, which enables any type of project, from cultural to staff personal projects, such as buying a mobile phone or even a car.This idea has been widespread and well accepted by the domestic market, is a new way of achieving a project, wrought the collective funding, the taxpayer donates because there is an identification with the project, and there are various forms of return, for example, an audiovisual production company is in need of 40,000 areas for the post production of a documentary on Iris's velars January, from that are created various mechanisms for attraction of such a taxpayer as videos of the creators of the project inviting people to donate and be part of the project, establish quotas, up to a certain value the taxpayer can download the documentary before the release, the other value win tickets to watch the commentary in theaters, finally there are several ways to attract that donor. Reception: My perception is that the Groundi ng is only a reflection of the new project finance models, drawing a parallel with the current state of the music industry, where there are 10, 20 years ago the artist was completely dependent on a record company to manage to get a album released on the market, recording studios were very expensive, and with the evolution of technology that has changed, anyone can pay your own album with little investment or even at home recordings. Grounding is only a new way, a espouse to former entertainment chain in which the artist was dependent on labels or sponsors today with people who identify with the project, there is a good chance enables you through the collective funding. Example Grounding: catharsis: The Catharsis is an exchange space between individuals that together enable the realization of creative projects. We believe that connecting people who share value as to a cause, an idea, a project is one of the best ways to make them come true. Be very welcome!This space is as yours as o urs, after all, Catharsis happens every day the adhering of people looking for new ways to give life to more initiatives of society itself. We understand that this is a alternative to government resources, by sponsors and not the banks. Legal barriers: Another point to be discussed are the legal barriers that grounding can face, as is a new method, there are no laws regulating the practice in the Brazilian market, same problem faced by group buying sites. One example is that all capital made by donors can not leave the country, the project has to happen in the domestic market, many foreign companies grounding can not enter our market because of this barrier.

Tuesday, October 8, 2019

Marlene Dietrich Essay Example | Topics and Well Written Essays - 2500 words

Marlene Dietrich - Essay Example She was able to cultivate an image that people easily identify as her persona and, most importantly, an image that created a need based on the desires of the audience. Through the manner by which her image was carefully defined, scripted and invented, Dietrich was able to hold onto the material and spiritual power which allowed her image to exemplify â€Å"society producing the impasse into which it casts its members on the level of the libido as much as on the level of economics: the desire for what cannot be avoided without a radical rupture with the world that has formed us.† Consider how some critics point out that the success of The Blue Angel was not because of an excellent storyline or the genius of neither its director, Josef von Sternberg nor its sexual context. If one says that the film succeeded because of Lola’s legs, then those that featured the same theme with different actresses exploiting equally excellent thighs could have been as effective. But that is not the case. With the film, men were given an object of desire that is mostly according to what Dietrich had to give. Lola’s legs and her character did not merely become the foundation of the Dietrich image that movie audience carried in their heads. It was Dietrich’s acumen and sense of what she wanted and how she wanted to be seen and perceived that made the difference. As she made her films, Dietrich learned how to best represent herself, highlight her assets or make an aspect of persona prominent.... Lola’s legs and her character did not merely become the foundation of the Dietrich image that movie audience carried in their heads. It was Dietrich’s acumen and sense of what she wanted and how she wanted to be seen and perceived that made the difference. As she made her films, Dietrich learned how to best represent herself, highlight her assets or make an aspect of persona prominent. This is demonstrated, for instance, in the invention of the so-called â€Å"Dietrich face.† In the earlier photographs of Dietrich, her upturned nose is quite obvious. As a matter of fact, this minor flaw has earned her the moniker "Ducknose" because it is stuck up like those of the duck’s.3 Critics were particularly focused in this aspect during Dietrich early career that is why she learned how to work around it. Later photographs would no longer show this weakness prompting some sectors to say she underwent facial surgery. This, of course, was not true because it was Dietr ich herself who discovered how she could address the problem. Bach explained this in detail: She found it in an automatic photo booth in Berlin, the kind that prints out cheap photograph on strips. She stepped into one to pose, actively searching for a look, and discovered that with a single overhead lamp, her hair went light, she had cheekbones, her pale blue eyes went dark, the upturned nose became straight. There would be sophisticated refinements of makeup and technique, but now the difficulty was getting cameramen to light her her way.4 One can say that Dietrich became a technician in this way. She would go against directions if the lighting is against her wishes. This â€Å"stubbornness† actually paid off. Besides appearing more pleasing, the

Monday, October 7, 2019

Impacts of MIS on Aramex Assignment Example | Topics and Well Written Essays - 2000 words - 1

Impacts of MIS on Aramex - Assignment Example As the discussion stresses  the managers will have to train and educate the employees on the various impacts MIS has on the entire organization’s operations, especially if they are to achieve competitive advantage. For Aramex, the way they implement their MIS will determine whether IT will drive their business or whether it will become a function to be absorbed by business lines as their managers become more versed with the systems. For this reason, this paper will seek to determine the impact of MIS on Aramex’s decision-making, organizational structure, data security, as well as the impact that future trends are likely to have on Aramex’s strategy.  This paper highlights that  Aramex has an abundance of data at their disposal that they can draw on when making decisions. Aramex can use many tools in the analysis of data to improve on their decision-making. According to Mr. Iyad Kamal, Aramex COO, they use the Performance Planning Value Chain to enhance thei r decision making. Through this, they are able to bring a vast collection of analytical tools to focus efforts and extract data value in adding value to the organization.  MIS aids in the process of value extraction from data, such as the development of a hypothesis, data gathering, data analysis, data interpretation, communication of insights, and making decisions that are informed to take action.  At Aramex, their MIS framework compares to the Plan Do Check Act cycle, which is an almost modern quality control.