A Tale Of Two Cities LA :: essays research papers fc

A Tale of Two Cities This paper is a literary analysis over the book A Tale of Two Cities, written by Charles Dickens. It contains information about the author, plot, and characters in the story. Devices and styles used to complete the book are also in this paper. On February 7, 1812 in Portsea, Charles Dickens began his life. His father, John Dickens, spent little time with Charles. The family lived in poverty and John was in prison much of the time. When Charles was two, the family moved to London. At age twelve, Charles worked in a factory pasting labels on bottles of shoe polish. He only worked there for a few months, but it was a miserable experience that would remain with him his whole life. Dickens attended school until he was fifteen. He always enjoyed reading, and especially adventure stories, fairy tales, and novels. Authors like William Shakespeare, Tobias Smollet, and Henry Fielding greatly influenced his work. However, most of the knowledge he used as an author came from his environment around him. In the late 1820s, Dickens became a newspaper writer and reporter. Dickens= first book, Sketches by Boz, written in 1836, consisted of articles he wrote for the London Chronicles. After he married Catherine Hogarth in 1836, his first work printed in The Posthumous Papers of the Pickwick Club. This was the beginning of his career.   Ã‚  Ã‚  Ã‚  Ã‚  When Dickens was twenty-four, he became famous for the rest of his life. His first fame came with The Posthumous Papers of the Pickwick Club with Dickens= adventure stories. Other works followed such as, Great Expectations, A Tale of Two Cities, and Our Mutual Friend. In 1837, Catherine=s sister Mary, died. Dickens suffered much grief. This led some scholars to believe that Dickens loved Mary more than Catherine. Dickens and Catherine had ten children in all. In 1958 the couple separated.   Ã‚  Ã‚  Ã‚  Ã‚   Through his life, Dickens was an actor, a conjurer, a poet, a lecturer, and an editor. Dickens had a remarkable mental and physical energy. This led to involvement in many organizations until 1865 when Dickens health started to decline. In 1870 Dickens died of a stroke. The world remembers him as one of the best authors in history. In two basic locations the story takes place. The main action is in England and France during the French revolution. The action begins in 1775 at Tellson=s bank in England, then it moves to France in a wine shop where the rebels have headquarters.

Democracy Verses The Red Machine :: essays research papers

In past and even in recent history, world politics has taken many faces ranging from the absolute monarchies of PhillipII to the dictatorships of Sadam Hussein. Some political institutions have even stood out and have taken center stage in political theses. Two successful institutions that follow this criteria include democracy, backed by de Tocqueville’s Democracy in America and communism, as written in Marx’s Communist Manifesto. While both these aspects of politics have enjoyed ample success, there is no possible way both these worlds can coexist and function because democracy has exceptionally achieved far more prestige and withstood the ravage of time in terms of American democracy. Communism could have been the answer to governing a nation but due to the vice of power-hungry leaders, democracy surpasses this institution with evidence from history, revealing why these political powers machines cannot remain mutually exclusive. Communism can be regarded as a social system in which property is owned by the community and each member works for the common benefit. Such an ideal where the community as a whole works for equal benefit may seem to paint the perfect picture at first but this theory becomes tainted. The Communist Manifesto proclaims, â€Å"Communism deprives no man of the power to appropriate the products of society; all that it does is to deprive him of the power to subjugate the labor of others by means of such appropriations† (Marx 12). What communism lacks, due to ignorance by its perfect picture, is the aspect of proper management to further a country’s prestige. And what happens when you have management via dictatorship? There usually lurks the abuse of power and later the overthrow of a power by civil war or international powers. What communism lacks that democracy fosters is the virtue of progress that allows a nation to rise above and endure times of hostility. The portrait of democracy is best painted by the French writer deTocqueville who acts as a mere observer of American democracy rather than a participant. Although taking such an objective stance, he adores the democratic institution in America. Democracy in response to communism is government by the whole people of a country. The answer communism exclusively has that democracy lacks is the solution to the class struggle as identified by deTocqueville, â€Å"The division of property has lessened the distance which separated the rich from the poor; but it would seem that, the nearer they draw to each other, the greater is their mutual hatred and the more vehement the envy and the dread†¦Ã¢â‚¬  (deTocqueville 6/10).

The Incredible Love Story of Pride and Prejudice Essay -- Pride Prejud

The Incredible Love Story of Pride and Prejudice      Ã‚  Ã‚   The novel of Pride and Prejudice, by Jane Austen, was a love story in which two complete opposite characters overcame their pride and prejudice and fell deeply in love. The story told how a bitter acquaintance could become a blooming love. Through lies, deceitful company, and separation the fondness of two characters prevailed, and confusing emotions arose. There were other relationships scattered throughout the story, but none were as grand as the mixing of oil and water. Some of these relationships bonded the two main characters together while others almost tore it apart.    Elizabeth Bennet was the second of five girls, the favorite of her father, and the least of her mother. The most sensible of her sisters, she was a keen-witted, outspoken, and intelligent girl.    "Lizzy is not a bit better than the others; and I am sure she is not half so handsome as Jane, nor half so good-humored as Lydia. But you are always giving her the preference." "They have none of them much to recommend them," replied he; "they are all silly and ignorant like other girls; but Lizzy has something more of quickness than her sisters. PP 6-7    She studied people's characters and behaviors, and she could almost always tell what someone's next step would be. She went on first reactions and was prejudice of anyone who she didn't like upon first meeting. Her mother was a beautiful woman who married Mr. Bennet; the most well to do man she could find. They had a marriage not entirely based on love, and that caused the two to grow somewhat distant. Mr. Bennet stayed quiet and levelheaded, but Mrs. Bennet became capricious and shrewish. For her, the onl... ... all odds to be together. Love prevailed through lies, deceit, and jealousy, and pride and prejudice was overcome. In the end, Darcy and Elizabeth showed how love could blossom from anything.    Works Cited and Consulted:    Austen, Jane. Pride and Prejudice. New York: Airmont Books, 1992.    Brower, Reuben A. "Light and Bright and Sparkling: Irony and Fiction in Pride and Prejudice." Ed. Donald Gray. New York: W.W. Norton & Company, 1966. 374-388.    Moler, Kenneth. Pride and Prejudice: A Study in Artistic Economy. Boston, MA: Twayne Publishers, 1989.    Southam, B.C., (ed.), Jane Austen: The Critical Heritage. Landon, NY: Routledge & Kegan Paul - Barres & Nobel Inc., 1968.    Wright, Andrew H. "Feeling and Complexity in Pride and Prejudice." Ed. Donald Gray. New York: W.W. Norton & Company, 1966. 410-420.      

Haemorrhagic Shock In Trauma Health And Social Care Essay

Fluid resuscitation is a critical constituent in the direction of haemorrhagic daze in injury. Recently, important promotion has been made in our apprehension and attack to this critical therapy. Traditional big volume fluid therapy is being replaced by a more conservative restricted volume attack purporting to better endurance rates in trauma patients showing with hemorrhagic daze. Haemorrhagic daze is one of the prima causes of preventable decease due to traumatic hurt, accounting for between 20 % and 40 % of trauma mortality. As such, betterments in the protocol for unstable resuscitation can hold considerable effects on the results for injury patients. Table 1 high spots some of the chief alterations in resuscitation methods from the last century and the benefits seen in trauma mortality. Table 1: Improvements in Resuscitation and the altering epidemiology of trauma deceases Shock occurs when circulative abnormalcy consequences in unequal tissue perfusion and oxygenation. In the bulk of instances this is as a consequence of bleeding. The purpose of intervention is to keep blood force per unit area and tissue perfusion until the bleeding can be brought under control. The focal point of unstable resuscitation developments has centred around three of import inquiries, when to give, how much and what sort of fluid. Since the mid 1960 ‘s, based on the plants of Shires and Wiggers, big volume crystalloid resuscitation has been favoured. The end of intervention has been to return blood force per unit area to normal values or even above normal. In the last few decennaries this attack has come under increasing examination, research has shown aggressive early fluid resuscitation to increase bleeding and mortality due to break of coagulums and dilutional coagulopathy. This has led to the debut of ‘permissive hypotension ‘ as portion of harm control resuscitation intervention to antagonize these issues.Advanced Trauma Life Support ( ATLS ) GuidelinesThe ATLS programme was developed by the American College of Surgeons. Its purpose is to supply consistent, standardised and effectual protocol for the direction of traumatic hurt. Their guidelines have become internationally recognized and adopted by many states. Between the 2004 and 2008 published guidelines a cardinal alteration was made to the protocol sing unstable resuscitation. Whilst the 2004 version advocators aggressive early fluid resuscitation to return blood force per unit area to normal values, urging extract of 2 liters of Ringers lactate in response to marks of acute blood loss, the 2008 guidelines suggest restricted usage of colloids and detaining unstable resuscitation to keep a lower blood force per unit area in the patient. This is known as ‘permissive high blood pressure ‘ and purposes to diminish the hazard of hemorrhage and dilution coagulopathy associated with aggressive fluid resuscitation. It should be noted nevertheless that permissive hypotension is perfectly contraindicated where traumatic encephalon hurt is suspected as care of intellectual perfusion is critical in this scene. Which is the best attack nevertheless is still a point of contention. A recent Cochrane reappraisal found that there was uncertainness as to the optimal volume and timing of unstable resuscitation and a deficiency of grounds for or against the different schemes.Traditional Fluid Resuscitation and the Evidence for ChangeTraditional fluid resuscitation has centred on the 3 to 1 regulation whereby the volume of unstable replacing is equal to three times the blood loss. This stemmed from by several surveies that determined there was a survival advantage obtained by utilizing big volume crystalloid extract to replace both the intravascular and interstitial fluid lost during bleeding. Concerns sing the possible harmful effects of aggressive fluid resuscitation began to emerge in the 1980 ‘s. A reappraisal by Cotton et al high spots increased happening of acute respiratory hurt syndrome ( ARDS ) , cardiac disfunction, increased bleeding and a possible hazard factor for developing abdominal compartment syndrome. Overall this method was seen to increase mortality. At this clip military research involvement tried to place the ideal resuscitation scheme. A 1999 study highlighted the insufficiency of the current resuscitation schemes and potentially harmful effects of current protocol. A follow up study in 2001 determined clinical triggers for when to implement resuscitation every bit good as ends for therapy. The trigger points were systolic blood force per unit area less so 80mmHg, diminishing blood force per unit area or altered consciousness in the absence of head hurt. The mark of therapy was to keep a tangible radial pulsation. These studies highlighted that aggressive fluid should be avoided due to the negative effects and that hypotension in the patient was allowed provided a radial pulsation was tangible. This led on to the permissive hypotension scheme advocated by the ATLS guidelines which forms portion of the harm control resuscitation attack to traumatic hurt.Damage Control Resuscitation ( DCR )DCR is a modern attack to the direction of traumatic hurts. DCR began life in the armed forces and has expanded to be a cardinal constituent of civilian injury direction. Its purposes are to battle the physiological upsets associated with bleeding, specifically the combination of acute coagulopathy, hypothermia and acidosis known as the ‘lethal three ‘ . This deadly three is initiated by decreased tissue oxygenation as a effect of daze, this leads to anaerobic metamorphosis which increases lactate production doing metabolic acidosis. Anaerobic metamorphosis besides reduces endogenous heat production declining hypothermia. This ‘lethal three ‘ has been shown to worsen bleeding and increase mortality. Permissive hypotension is a major constituent of DCR to pull off the deadly three.Permissive HypotensionPermissive hypotension is a scheme to aim hemorrhagic daze through limited fluid therapy. This is achieved by either cut downing the volume of infused fluids or detaining disposal. This method allows for a limited period of decreased terminal organ perfusion until equal control of the bleeding has been achieved. This scheme has developed in response to increased apprehension of the harmful effects of big volume crystalloid resuscitation. The 3:1 method of unstable resuscitation was developed from the survey of controlled bleeding in animate beings whereby a fixed volume of blood was removed before bleeding was stopped and the animate being resuscitated. It became clear that this did non accurately represent existent life injury hurt where hemorrhage may be ongoing or re-start if blood force per unit area is raised or coagulopathy worsens. The thought of permissive hypotension began with Cannon et Al in 1918. This survey noted the increased hazard of bleeding if blood force per unit area was returned to normal anterior to adequate bleeding control. This is believed to be due to break of the organic structure ‘s natural defense mechanisms to blood loss, in peculiar the formation of coagulums and vasoconstriction. A 1994 survey by Bickell et Al was a cardinal minute in the development of permissive hypotension. They found that by detaining resuscitation in patients showing with perforating injury increased endurance to 72 % from 62 % in patients treated with traditional aggressive fluid therapy. Similar consequences have been found when volume of fluid has been surveies. Tisherman compared the survival rates of patients having 2.5L of fluid to patients who received less than 0.5L. The consequence showed a survival rate of 70 % for the lower volumes versus 62 % for the higher volumes.DiscussionThe updated ATLS guidelines mark an of import promotion in the direction of haemorrhagic daze and the development of unstable resuscitation. This represents an increasing organic structure of grounds foregrounding the negative effects of high volume fluid resuscitation every bit good as improved endurance rates in instances where fluid volume has been restricted. However, as highlighted by the Cochrane reappraisal there is still limited grounds as to which unstable resuscitation scheme is best in the hemorrhage trauma patient.

Can Riots/Public Demonstration Bring Change?

Can Riots/Public Demonstrations Bring Change? A  demonstration  is an action by a group of people in favor of a  political  or other cause. It normally consists of walking in a mass march formation and either beginning with or meeting at a designated endpoint to hear speakers. Actions such as blockades and  sit-ins  may also be referred to as demonstrations. Demonstrations can be  violent or nonviolent. Nonviolent demonstrations can turn into violent demonstrations depending on the circumstances. Demonstrations are used around the world to take a stand on issues that the public find important.Demonstrations allow a person’s voice to be heard. These demonstrations range from civil rights marches against discrimination to demonstrations supporting nuclear disarmament. Demonstrations can make a very real difference in changing policies and laws. Demonstrations allow people to come together to stand up against oppression from governments and can prove to be a very ef fective way of promoting change. A demonstration is one of many tactics which are needed to challenge existing power structures and bring progressive change.When combined with media support, public opinion, and voting power demonstration plays a crucial role in change. Demonstrations can bring change because it increases the visibility of a cause and raises awareness. Demonstrations capture the attention of bystanders, politicians, and the media, attaching an issue to real people and consequently inviting persuasion and change. A protest, regardless of size, will almost always make at least one person see the cause with new eyes. Demonstration events can take all kinds of forms. Depending on your goal, different movements can be just as powerful in promoting change as demonstrations.Whether it’s taking part in a vigil, participating in a walkout, agreeing to wear a specific color or symbol, or even getting people to turn off their lights for an hour, the message is the same: something is wrong and we’re ready to do something about it. (Head â€Å"Why Protest Events Are Not a Waste of Time) Demonstrations exhibit power. In March of 2013 schools Chief Barbara Byrd-Bennett announced she wanted to close 54 schools and 61 school buildings come June (FitzPatrick and Dudek â€Å"Protesters block downtown streets over school closings†).A large a group of people planned a demonstration over the closing of public schools. The Chicago Police officially put the crowds at 700 to 900 people, though a police department source at the scene estimated it at about 2,000 around the time the crowd began moving to City Hall (FitzPatrick and Dudek â€Å"Protesters block downtown streets over school closings†). Not only did public school officials but families and students, who are upset with the school closing, rallied together downtown in hopes to save the schools from being closed.We wanted to make a statement about our schools closing that people woul d remember and hope more people will decide to get involved (FitzPatrick and Dudek â€Å"Protesters block downtown streets over school closings†). This demonstration was held in hopes to change the view of those who are intending to close the schools. They want people to understand the need to keep the m open. A demonstration like this does not bring change immediately but hopefully over time the change will happen. There have been many demonstrations in many states to legalize gay marriage. The demonstrations did not have an immediate impact.However, over time, these demonstrations have persuaded law makers to legalize gay marriages in many states. The demonstrations in other states and in our own city have made law makers reevaluate whether gay marriage should be allowed. When large numbers of people take to the streets in protest, politicians and other key decision-makers take notice. They don't always act, but they notice. Demonstrations promote a sense of solidarity. You may or may not feel like part of the movement even if you happen to agree with it. It is one thing to support same-sex marriage in the comfort of your own home.It is another thing entirely to pick up a picket sign and support it in public to stand together with others to represent a movement. Demonstrations make the cause feel more  real  to participants. Demonstrations put warm bodies and heavy feet out there representing an issue, taking up real space and real time, attaching the cause to real faces and real voices who care enough about the cause to go out there (Head â€Å"Why Protest Events Are Not a Waste of Time). A successful demonstration energizes participants. It causes people to get excited over their cause. People feel as though their voices are being heard.Demonstrations make people feel proud and good about themselves because they took a stand on an issue. A good demonstration has an almost religious effect on people, charging their batteries and inspiring them t o get up and fight again another day (Head â€Å"Why Protest Events Are Not a Waste of Time). The religious effect is very helpful to the demonstrators giving them a reason to fight for their cause. It is very helpful for veteran activists because it gives them a second wind which is just as helpful to the cause. It is when demonstrations become violent that change does not happen.When demonstrations become violent they are know to be riots. A  riot  is a form of  civil disorder characterized often by what is thought of as disorganized groups lashing out in a sudden and intense rash of  violence against  authority, people,  or property. Riots often occur in reaction to a  grievance. Riots typically involve vandalism and the destruction of private and public property. The specific property to be targeted varies depending on the riot and the inclinations of those involved. Targets can include shops, cars, restaurants, state-owned institutions, and religious buildings.Du ring the  1992 Los Angeles, 2,383 people were injured, 8,000 were arrested, 51 were killed and over 700 businesses burned. Property damage was estimated at over 1 billion dollars. Of the 51 killed,  at least ten of them were shot by police or National Guard forces (â€Å"Riots erupt in Los Angeles†). The effects of riots in terms of economic and political consequences are as complex as the socioeconomic origins of such events (â€Å"Riots erupt in Los Angeles†). Widespread property destruction and harm to individuals are often measurable effects. Riots do not help to change any cause because of the violence and the damage that is left behind.After a riot is under control there can be many people hurt, even dead. Buildings can be burned and the damage left behind can be devastating. Riots attract attention of the media and politicians to demand a change. People riot to get there voices heard but in a violence manner that brings them negative attention. This is when their voices do not get heard. People only focus their attention on the destruction left from a riot. Riots are a type of demonstration that usually don’t cause change because of the negative attention that comes with it.Riots take away from a cause and are no way to solve a problem or fight for cause. Riots bring attention to the actions of the people not the message they were trying to get across. In conclusion demonstrations can cause change. Demonstrators may organize a protest as a way of publicly making their opinions heard in an attempt to influence public opinion or government policy. A demonstration can attract attention to a certain issue that people feel that needs to be changed or stopped. When combined with media and public opinion demonstrations can play a role in change.It brings attention to issues that people feel that need to be changed. Demonstrations can help with change overtime. Demonstrations help to keep the attention focused at the matter on hand. The media notices when a demonstration happens. The public takes notice when a demonstration happens. Politicians notice when a demonstration happens. If the demonstration is staged well, it will make somebody look at the cause with new eyes. Demonstrations are not persuasive in and of themselves, but they invite persuasion. They invite change. â€Å"Riots erupt in Los Angeles. † 2013.The History Channel website. Apr 9 2013, 12:06 ;http://www. history. com/this-day-in-history/riots-erupt-in-los-angeles. htm;. Dudek, Mitch and FitzPatrick, Lauren. â€Å"Protesters block downtown streets over school closings. † March 27, 2013. The Sun-Times website. Apr 9 2013, 12:15 ;http://www. suntimes. com/news/education/protesters-block-downtown-streets-over-school-closings. htm; Head, Tom. â€Å"Why Protest Events Are Not a Waste of Time. † 2013. The About. Com website. Apr 9 2013 1:05 ttp://www. about. com/civilliberty/od/historyprofiles/tp/Why-Protest. htm;.

Econ 248 Assignment 2

ECON 248 Assignment 2 1. The bank rate is the interest rate at which the Bank of Canada stands ready to lend reserves to chartered banks. The banker's deposit rate is the interest rate that the Bank of Canada pays banks on their deposits at the Bank of Canada. Changes to these rates by the Bank of Canada typically spread to other interest rates and therefore will influence the amount of lending done by the banks. An open market operation is the purchase or sale of government securities, which are government of Canada Treasury bills and bonds, in the open market by the Bank of Canada. These transactions done by the Bank of Canada change the reserves of the banks, which have an immediately impact on the amount of overnight borrowing. This enables the Bank of Canada to hit its overnight rate target. Government deposit shifting is the practice of shifting government deposits between the government's account at the Bank of Canada and its accounts at the various chartered banks. These shifts of deposits affects the banks' reserves, and therefore their ability to make overnight loans. Since this tool is typically used on a small scale to smooth daily fluctuations in the amount of overnight loans, its impact on the implementation of monetary policy is small. The required reserve ratio is the portion of depositors' balances banks must have on hand as cash, as determined by the central bank. The monetary policy of a required reserve ratio is no longer in use by the Bank of Canada. The Bank of Canada's policy tools work by changing the quantity of money in the economy, by changing the monetary base. By raising the bank rate, the Bank of Canada can make it more costly for the banks to borrow reserves. By raising the interest rate it pays the banks on their own deposits at the Bank of Canada, it can induce the banks to want to hold larger reserves. By selling securities in the open market, the Bank of Canada can decrease the monetary base. The Bank of Canada can also decrease bank reserves and the monetary base by switching some government of Canada deposits from a chartered bank to itself. These actions decrease the quantity of money, other things remaining the same. . L = (1 – 0. 35) X (1 – 0. 07) L = 0. 6 Quantity of money created = $50,000,000 X 1/(1 – 0. 6) Quantity of money created = $50,000,000 X 2. 5 Quantity of money created = $125,000,000 3. a) The multiplier is the amount by which a change in any component of autonomous expenditure is magnified or multiplied to determine the change that it generates in equilibrium expenditure and real GDP. Investmen t expenditures increase aggregate expenditure and real GDP. The increase in real GDP increases disposable income, which increases consumption expenditure. The increased consumption expenditure adds even more to aggregate expenditure. Real GDP and disposable income increase further, and so does consumption expenditure. The initial increase in investment brings an even bigger increase in aggregate expenditure because it induces an increase in consumption expenditure. The multiplier determines the magnitude of the increase in aggregate expenditure that results from an increase in investment or another component of autonomous expenditure. The greater the marginal propensity to consume, the larger is the multiplier. ) The marginal propensity to import and the marginal tax rate together with the marginal propensity to consume determine the multiplier. Their combined influence determines the slope of the aggregate expenditure curve. Since Multiplier = 1 / (1 – Slope of AE curve) and the marginal tax rate determines the extent to which income tax payments change when real GDP changes, the size of the multiplier will decrease depending o n the extent to which the marginal tax rate reduces the slope of the AE curve. ) The slope of the AE curve equals 0. 75 Multiplier = change in real GDP/change in investment = 1/(1-MPC) Multiplier = 1/(1-0. 75) = 1/0. 25 = 4 The revised slope of the AE curve equals 0. 45 Multiplier = change in real GDP/change in investment = 1/(1-Slope of AE curve) Multiplier = 1/(1-0. 45) = 1/0. 55 = 1. 818181812 4. a) Given that the increase in unemployment means a decrease in real GDP, and that consumer spending and investment spending reductions mean a fall in aggregate demand, the economy is in recession. This is due to a fall in aggregate demand, and the fall in investment may lead to higher costs of production in the future. b) In a recession, the number of people experiencing economic hardship increases, so induced transfer payments such as unemployment benefits and welfare benefits increase. Induced taxes and induced transfer payments decrease the multiplier effect of a change in autonomous expenditure such as investments, and moderate recessions making real GDP more stable. Discretionary fiscal policy would be used in an attempt to restore full employment. The government might increase its expenditure on goods and services, cut taxes, or do some of both, increasing aggregate demand. An increase in government expenditure or a cut in taxes increases aggregate expenditure as well. c) In a recession, the Bank of Canada will conduct an open market purchase to lower the interest rate. The quantity of investment will increase, and other interest-sensitive expenditure items will also increase. With an increase in aggregate expenditure, the multiplier increases aggregate demand, bringing real GDP to equal potential GDP, and a recession will be eliminated. . Keynesianism is loosely defined as the economic view that, left to itself, the economy may not fully employ the resources available, and that expansionary governmental action may be required to achieve full employment and growth. Monetarists, in contrast, think broadly that the principal economic task of government is to regulate the money supply, and in particular set limits to it, and that achievement of adequate levels of employment and growth can be left to the market. Historically, Keynesians avoured fiscal policy and monetarists favoured monetary policy as the tool for stabilizing aggregate demand. Today, the divide between the two schools on this issue has almost vanished. Monetarists favour a target growth rate for the quantity of money, and feel that not keeping money growth on target risks outbursts of inflation. Keynesians favour a target for the interest rate, and feel that aggregate demand can be controlled more accurately by preventing the interest rate from fluctuating too wildly, which it might do with strict targeting of the quantity of money and its growth rate. When real GDP falls below potential GDP, Keynesians feel that taking swift action to stimulate the economy by cutting the interest rate and increasing government expenditures is the most effective road to take. Monetarists feel the best that stabilization policy can do to achieve a high level and growth rate of real GDP is to keep inflation in check. Monetarists favour an inflation target at a low inflation rate. When the inflation rate rises, monetarists want swift action to slow it regardless of the state of real GDP. 6. a) 1000 tons of breadfruit / 500 tons of fish = 2 The opportunity cost of 1 unit of fish in Kiribati is 2 units of breadfruit. b) 750 tons of breadfruit / 1875 tons of fish = 0. 4 The opportunity cost of 1 unit of fish in Tuvalu is 0. 4 units of breadfruit. c) Tuvalu has a comparative advantage because it is able to produce fish at a lower opportunity cost than can Kiribati. d) Kiribati will import fish from Tuvalu because Tuvalu has the comparative advantage in the production of fish. 7. The three main arguments for protection and restricting international trade are i. the employment argument ii. the infant-industry argument iii. the dumping argument The employment argument is that if a country imports cheap foreign goods, local workers lose their jobs and become a drain on the welfare system, spending less, and causing a ripple effect of further job loss. The proposed solution is to ban imports of cheap foreign goods and to protect local jobs, but that proposal is flawed. Free trade does cost some jobs, but it also creates jobs. It brings about global rationalization of labour and allocates resources to their highest valued activities. Local jobs are lost, but jobs are created in the foreign countries that now produce those goods. The local workers who lost their jobs now have better paying jobs because export industries have expanded and created more jobs than have been destroyed. Another point is that imports create jobs. They create jobs for retailers that sell imported goods and for firms that service those goods. They also create jobs by creating incomes in the rest of the world, some of which are spent on imports of locally made goods and services. The infant-industry argument for protection is that it is necessary to protect a new industry to enable it to grow into a mature industry that can compete in world markets. The argument is based on the idea of dynamic comparative advantage, which can arise from learning-by-doing. Learning-by-doing is a powerful engine of productivity growth, and comparative advantage evolves and changes because of on-the-job experience. These facts, however, do not justify protection. The infant-industry argument is only valid if the benefits of learning-by-doing accrue not only to the owners and workers of the firms in the infant industry but also spill over to other industries and parts of the economy. Dumping occurs when a foreign firm sells its exports at a lower price than the price at which the product is normally sold in the foreign firm's domestic market. A firm that wants to gain global monopoly might use dumping, selling its output in the domestic market at a price that is low enough to drive domestic firms out of business. When the domestic firms are gone, the foreign firm takes advantage of its monopoly and charges a higher price for its products. This practice is the typical justification given for anti-dumping tariffs. There are reasons for resisting the dumping argument for protection. First, it is virtually impossible to detect dumping. The test for dumping is a weak one because it can be rational for a firm to charge a lower price in markets in which the quantity demanded is highly sensitive to price and a higher price in a market in which demand is less price-sensitive. Second, it is hard to think of a good that is produced by a natural global monopoly. Even if all the domestic firms in some industry were driven out of business, it would always be possible to find many alternative foreign sources of supply and to buy at prices determined in competitive markets. Third, if a good or service were a truly global natural monopoly, the best way to deal with it would be by regulation. Such regulation would require international cooperation. 8. a) Exports to the US would decrease due to lower demand because it would cost US importers more to purchase Canadian goods. b) Canadian importers would see a decrease in cost when importing machinery and equipment from US suppliers. c) Cross border shoppers would pay less for goods they purchase in the US. ) If the retired Canadians have US dollar bank accounts, the fluctuation of the Canadian dollar would likely have little effect on them. However, if they have Canadian dollar bank accounts or have Canadian currency, they can buy more with those Canadian dollars. 9. Current account Exports of goods and services+411 Imports of goods and services-378 Net transfers+3 Net interest payments-34 Current account balance+2 Capital account Foreign investment into Canada+22 Canadian investment abroad-35 Statistical di screpancy+10 Capital account balance-3 Official settlements account Official settlements account balance-1

Business Communication Report Hnc

Wordcount (Excluding appendices): 1516 {draw:frame} Jan Cervenka HC-BUS-F Group B 2009 – 2010 Table of Contents Introduction This report was commissioned by Doctors Campbell and Stewart and compiled by Jan Cervenka of Total Administrative and Organisational Solutions (TAOS). It was compiled in order to examine the organisational issues and problems of Cairnwell Health Centre. The organisation risks losing additional funding for the next five years if the problems are not solved. The main issues are low staff morale; high levels of stress-related absenteeism and a lack of appropriate IT. This report aims to examine these issues in detail and make recommendations for change. The organisation is Cairnwell Health Centre, which is located in the middle of the Hamewith housing estate in Fraserhead. It is headed up in partnership by doctors Campbell and Stewart. They employ a number of staff: a Practice Manager, two receptionists, two typists, an archivist and nursing staff. The capacity of the Centre is about 1000 patients. The report was to be submitted by 5 October 2009. Methods of Investigation Questionnaires were distributed to patients on 5th September Results were collected on 10th September. Staff questionnaires were distributed on 5th September 2009. Results were collected on 10th September 2009. Observation of the surgery was held on 11th September. Costing for new IT system was researched with Hewlett & Packard on 15th September 2009. Doctors Stewart and Campbell were interviewed on 20th September Findings Patient Questionnaires (Appendix 1) Of the one thousand copies of Patient Questionnaires, which were distributed among patients, there were eight hundred and seventy six replies. The outcome was debatable, as you can see in PATIENT QUESTIONNAIRE OUTCOME (Appendix 2). Staff questionnaire (Appendix 3) Ten copies of the Staff Questionnaire out of fifteen copies were handed back to staff. The outcome of the Staff Questionnaire was more definite (Appendix 4). All members of staff felt uncomfortable within their occupation. All of them thought that the approach of the Practice Manager and leading doctors was not satisfactory. Members of nursing staff stated that they felt they are forced to work overtime very often. The typists and receptionists also pointed out that IT equipment is out of date. Their complaints were mainly addressed to the stability of hardware and to theage of software applications. Sometimes, they were unexpectedly unable to type in or find out personal data of patients, this causes long delays. Staff also think that that IT equipment does not let them work as well as they can. The majority of staff members would also welcome more training, because they sometimes can not deal with problems they face every day. They do not know, for example, how to deal with rude or elderly patients properly. Observation The main issues, which were extracted from both Patient and Staff Questionnaires, were affirmed by the observation of the surgery. The observation was held in the reception area, waiting area and staff area. It was noticed, that queues at the reception were undesirably long. Approximate waiting time was between 15-20 minutes. The receptionists were unpleasant and frustrated. It was found that this was caused by the computer, which stopped working suddenly. One of the receptionists tried to calm down waiting customers, but not successfully. The Practice Manager started shouting at the receptionist instead of helping her. They often did not answer telephone calls. Research into IT solutions It was found that the IT systems of the surgery were out of date and thus, very slow and unstable. Sometimes, it was impossible to type in personal information of the patients, because memory storage of the computers was full. In some cases, it was also impossible to find out personal data of patients due to system failures. Problems with IT equipment lead to increasing stress levels of staff. During an appointment with an advisor of Hewlett & Packard, costing of IT equipment refurbishment was discussed. Interview with Doctors (Appendix 5) Both Doctors are ready to undertake appropriate changes in order to improve patient services rapidly. Conclusion It was found that the problems that the Surgery faces are serious and need to be solved as soon as possible. All members of staff do not feel comfortable within their occupation. They are not satisfied with the managerial staff of the Surgery. They are also not satisfied with the IT equipment. This leads to one of the biggest issues of the Centre – IT equipment. Both hardware are software are outdated. Problems with the IT is a major influence on stress-related absenteeisem. It was found that the doctors realise that the service provided to patients is not the best. They are ready to undertake appropriate changes to improve levels of provided service. Doctors Stewart and Campbell should consider the following recommendations in order to improve the efficiency of the Surgery. Recommendations To improve levels of the service provided to patients TAOS recommends following solutions. Staff meetings Meetings between the managerial staff, the leading doctors and the lower staff should be carried out regularly and communication between all members of staff should be improved. Occasionally, staff reports should be compiled. Relationships between members of staff Teambuilding Appropriate building courses should help to improve responsibility and behaviour at work of every member of staff. Refreshment facilities improvement IT systems improvement Training of Staff All members of staff should be trained in order to learn how to deal with patients and possible problems properly. Fosters Seminars and Communications Company (http://www. fosterseminars. com) can provide training courses for healthcare staff. For further information see Appendix 9. Appendices Appendix 1 PATIENT QUESTIONNAIRE Dear patients, _We would like to take this opportunity to ask you to fill in this short survey. Our company, Total Administrative and Organisational Solutions, is compiling a report about the surgery that you attend. Then, we can make reccomendations to improve the service provided to you. _ _Thank you for your help. _ _(Instructions: Choose an answer that you feel is right by ticking it)_ The attitude of nursing staff is: Poor Satisfactory Good Excellent The waiting times at reception are: Satisfactory Unacceptable The attitude of receptionist towards patients is: Poor Satisfactory Good Excellent The cleanliness of premises of the Centre is: Unacceptable Satisfactory Good Excellent Is there anything else that you think we should know about? Appendx 2 PATIENT QUESTIONNAIRE OUTCOME _Of the one thousand copies, eight hundred and seventy six replies were received. _ The attitude of nursing staff is: {draw:frame} The waiting times at reception are: {draw:frame} The attitude of receptionist towards patients is: {draw:frame} The cleanliness of premises of the Centre is: {draw:frame} In the comment section, patients wrote further feelings about surgery, which were not covered in prior questions. The majority of the patients are not satisfied with the approach of the receptionist. Many of patients also pointed out, that the equipment of the surgery is very good. They are satisfied with magazines, which are up to date. Appendix 3 STAFF QUESTIONNAIRE _Thank you for your help. _ _(Instructions: Choose an answer that you feel is right by ticking it)_ How do you feel about your job? Very satisfied Satisfied Dissatisfied Very dissatisfied How do you feel about the managerial staff? Very satisfied Satisfied Dissatisfied Very dissatisfied How do feel about your working hours? Satisfied Dissatisfied Very dissatisfied. Would you welcome more training? Yes, I would No, I would not Appendix 4 STAFF QUESTIONNAIRE OUTCOME _Out of 15 copies of the questionnaire, 10 replies were received. _ How do you feel within your occupation? {draw:frame} How do you feel about the managerial staff? {draw:frame} How do feel about your working hours? {draw:frame} Would you welcome more training? {draw:frame} In the comment section, staff members wrote down further feelings about their occupation. All of them pointed out the very poor IT equipment. This is discussed in the Findings section. INTERVIEW WITH DOCTORS STEWART AND CAMPBELL Summary of the interview Examples of questions *How do you feel about the service* which is provided to patients? Dr. Stewart I realis_e, that the service is not the best and I know, that we must improve it as soon as possible. Otherwise, we can lose funding for upcoming years. It would by mandatory for us. _ Dr. Campbell _I agree wit Dr. Stewart. I would like to tell you that we are trying to improve it, but we have not been successful so far. That is the reason why we hired TAOS – to help us. _ What do you think about high levels of stress-related absenteeism? Dr. Stewart I think, that the problem is caused by everyone. Not only by us and management. Still, I think, that the staff should work harder. Dr. Campbell _I realise, that the Practice Manager is often too demanding. Sometimes, he shouts at the staff without any reason. I think, that he should attend a training course. _ Appendix 6 Overview of the company Team building events for corporate clients†¦ We also provide central London Team Building activities, for example our London Treasure hunt which can be undertaken on foot and public transport, and our River Thames Rib Experience is a real show stopper. Appendix 7 To get more information about the RefresU Company, it is needed to make an appointment with a manager of this company. It is needed to fill in a contact form on their website. Contact adress: RefreshU Unit 18A Lenham Storage Ham Lane, Lenham, Maidstone, Kent ME17 2LH Phone number: 1234567891 Appendix 8 _ {draw:frame} _ Health solutions  » AMBER on HP systems  » Contracts management  » Electronic Health Records Hospital information systems  » Medical archiving solution  » Medical image management and PACS  » Printing & Imaging Appendix 9 _~WE CARE~ A Guide to Patient Sensitivity _SM Dealing with the Challenging Patient_ SM_ _Documentation in the Clinic SM_ Work is Not Just a Daycare Program for Adults_ SM_ Dealing with Employee Management and Workplace Issue s_ SM_ Mediating Disputes in the Workplace_ SM_ Reducing Conflict & Improving Communication_ SM_ Violence in the Workplace_ SM_ _Legal Issues and the Nurse Manager SM_ Avoiding the Malpractice Blues_ SM_ Get Fired Up, Not Burned Out_ SM_ {draw:frame}