Narrative Structure and Narrative Function From Movies The English Patient Essay

Plot is series of events, usually presented in chronological or causal order. That’s a plot, a sequence of events. Story would be a narrative connection between all these events. That’s what’s missing. The film opens with an introduction to Hana, a young nurse. She lives in an abandoned villa, the Villa San Girolamo, that is filled with hidden, undetonated bombs. In her care is the English Patient. All that she knows about the patient is that he was burned beyond recognition in a plane crash before being taken to the hospital by a Bedouin tribe and that he claims to be English. The only possession that the Patient came with was a copy of Herodotus’ histories that he carried through the fire. He has annotated these histories and, in a sense, become a part of them. He is constantly remembering his explorations in the desert in great detail, but cannot state his own name. The Patient is, in fact, Là ¡szlà ³ de Almà ¡sy, a Hungarian desert explorer. He, however, chose to erase his identity and nationality. It is unknown whether this was for protection or as a metaphorical statement. Prompted to tell his story, the Patient begins to reveal all. He had an affair with Geoffrey Clifton’s wife, Katharine. They both accompanied the patient’s desert exploration team. The Patient’s job was to draw maps of the desert and The Cliftons’ plane made this job much easier. One of their earlier discoveries was the â€Å"cave of swimmers†. Almà ¡sy fell in love with Katherine Clifton one night as she read from Herodotus’ histories aloud around a campfire. They soon began a very intense affair, but in 1938, Katharine cut it off, claiming that Geoffrey would go mad if he discovered them. Geoffrey, however, does find out of the affair when he tricks her into thinking he’s out of town for the day (wanting to surprise her for their first wedding anniversary) and sees Katherine getting into a car. When World War II broke out in 1939, the members of the exploration team decided to pack up base camp and Geoffrey Clifton offered to pick up Almà ¡sy in his plane. However, Geoffrey Clifton arrived with Katharine and tried to kill all three of them by crashing the plane, leaving Almà ¡sy in the desert to die. Geoffrey Clifton was immediately killed. Katharine was also horribly injured. Almà ¡sy took her to â€Å"the cave of swimmers† and covered her with a parachute so he could leave to find help. After four days, he reached a town, but the British were suspicious of him because he had a foreign sounding last name. They locked him up as a spy. When Almà ¡sy finally gets away, he knew it was too late to save Katharine so he joined the Germans, helping their spies cross the desert into Cairo in exchange for gas and a car to get back to Katherine. After leaving Cairo, his car broke down in the desert. He went to the cave of swimmers to find Katharine. He retrieved her body and took it to the crashed plane which had been buried under the sand. He tried to fly back to civilization, but the plane malfunctioned during flight. Almà ¡sy parachuted down covered in flames which was where the Bedouins found him. Caravaggio, who had had suspicions that the Patient was not English, fills in details. Geoffrey Clifton was, in fact, an English spy and had intelligence about Almà ¡sy’s affair with Katharine. He also had intelligence that Almà ¡sy was already working with the Germans but whether he was or not is unclear. The film also focuses on Kip. Kip’s brother had always distrusted the West, but Kip entered the British Army willingly. He was trained as a sapper by Lord Suffolk, an English gentleman, who welcomed Kip into his family. Under Lord Suffolk’s training, Kip became very skilled at his job. When Lord Suffolk and his team get blown up by a bomb, Kip becomes separated from the world and emotionally removed from everyone. He decides to leave England and begin defusing bombs in Italy. Kip forms a romantic relationship with Hana and uses it to reconnect to humanity. He becomes a part of a community again and begins to feel comfortable as a lover. Then he hears news of the atomic bomb being dropped on Japan. He becomes enraged. He feels deceived and betrayed by this western world that he has tried to assimilate to. He threatens to kill the English Patient, but instead just leaves the Villa. For some time after their separation Hana wrote Kip letters, but he never responded. She eventually stopped. Years later Kip is happily married with children and is a successful doctor; however, he still often thinks of Hana. The film is set during World War II and depicts a critically burned man, at first known only as ‘the English patient’, who is being looked after by Hana, a French-Canadian nurse in a ruined Italian monastery. The patient is suffering from amnesia, but through a series of flashbacks he is gradually able to rediscover his past. It is slowly revealed that he is in fact a Hungarian geographer, Count Là ¡szlà ³ de Almà ¡sy, who was making a map of the Sahara Desert, and whose affair with a married woman ultimately brought about his present situation. As the patient remembers more, David Caravaggio, a Canadian thief, arrives at the monastery. Caravaggio lost his thumbs while being interrogated by officers of the German Africa Corps, and he gradually reveals that it was the patient’s actions that had brought about his torture. In addition to the patient’s story, the film devotes time to Hana and her romance with Kip, an Indian sapper in the British Army. Due to various events in her past, Hana believes that anyone who comes close to her is likely to die, and Kip’s position as a bomb defuser makes their romance full of tension. Narrator Function: The narrator is omniscient, and conveys the points of view of several different characters. The narrator is capable of knowing, seeing, and telling whatever he or she wishes. It is characterized by freedom in shifting from the exterior world to the inner selves of a number of characters and a freedom and movement in both time and place but to and event greater extent characterize it by the freedom of the narrator to comment on the meaning of actions.    Reference: http://en.wikipedia.org/wiki/The_English_Patient A Hand Book to Litrature by C. Hugh Holman, William Harmon

Jonathon Livingston Seagull Essay

1. The fictional book, Jonathon Livingston Seagull written by Richard Bach, sold over a million copies during its debut in 1970 and stayed on The New York Times Top Ten list for 38 weeks in a row. The story focuses on Jonathon the seagull’s passion for flying and his belief that there is more to life than scavenging for food. Bach explores the idea that there is more to this life than what meets the eye and the extreme satisfaction you receive when doing something you are great at and have a passion for. 2. The setting of this story takes place on some sea shore where thousands of seagulls live. The sea shore setting described in the book really helps to paint a picture of what Jonathon and this flock of seagulls experienced daily, â€Å"It was morning, and the new sun sparkled gold across the ripples of a gentle sea.†(Bach pg 3) 3. Jonathon Livingston Seagull is the protagonist in this story with his strong drive and persistence to be different from the flock and to be his own seagull. The antagonists in the story are the Elders of the flocks of seagulls because they are very closed mined leaders and they force Jonathon and other seagulls to be outcast from society and ban them to a life of isolation and despair. Chiang was an Elder Gull that taught Jonathon very specialized flying techniques and improved his skills and taught him things about life. When Jonathon was outcast from the gull community everyone in the community thought that Jonathon was a reckless and irresponsible seagull, so when Jonathon finally returned to the community and everyone saw how amazing his flying skills were they changed their minds and many of them asked to be taught by Jonathon himself which was breaking the gull community law, This is an example of foil characters. â€Å"His thought was triumph. Terminal velocity! A seagull at two hundred and fourteen miles per hours! It was a breakthrough, the greatest single moment in the history of the flock, and in that moment a new age opened for Jonathon Gull.† (pg 16-17) 4. The plot of this story is a traditional plot type. The story ends with the last words of his Jonathon’s teacher, â€Å"Keep working on love.† Through his teachings, Jonathan understands that the spirit cannot be really free without the ability to forgive, and that the way to progress leads for him, at least through becoming a teacher, not just through working hard as a student. So, if any seagull believes that it is free to do what it wants to, it becomes Jonathan the seagull, for whom, possibilities were endless. Every law is an illusion. Once we become conscious of this, our existence gets a new meaning. a. The biggest conflict was Jonathon going against the norm of the seagull community and ultimately getting expelled from the community for his irresponsible acts. â€Å"For his reckless irresponsibility†, â€Å"Violating the dignity and tradition of the Gull family.† (pg 24) b. The situation at the end where Jonathon returned to the breakfast seagull flock was significant because it demonstrated forgiveness and compassion. These gulls hated Jonathon and wanted nothing to do with him and yet he still had the courage to forgive them and even teach them how to fly like he does. â€Å"You have to practice to see the real gull, the good in every one of them, and help them to see it in themselves.†(pg 89) 5. -This book was definitely one of the more inspiring books that made me think out of the box that I have read in quite some time. For example, I really liked one of the messages that implied that if you want to have a fulfilling happy meaningful life you need to stop following the crowd and make your own path even if there are consequences. If you find something that you are good at and enjoy doing stick with it and master it and watch how it will shape you life. -This story uplifted my spirits and motivated my behavior change in several ways. For example, Jonathon Livingston Seagull is a great example to me because not only does he go against the norm and try to learn everything about his passion in life, he also learns forgiveness and compassion for the other seagulls of the community and wants to teach them how to live a wonderful life. I have noticed in my life that I am most happy when I have found something that I love to do and also when I am helping others find that same thing or serving them in some manner and I think Jonathon mastered this aspect of true charity. â€Å"You have to practice to see the real gull, the good in every one of them, and help them to see it in themselves.†(pg 89) 6. In conclusions the book had both strong and weak contributing factors. The strong factors were that it had a very unique, interesting story line that kept the reader interested enough to keep reading. Bach also used implied messages of inspiration and important values in this life which in my opinion was very cool and had a strong plot. Some of the weak factors were that the book almost needed to be read straight through in one sitting to really get the message and make sense. It was not very challenging to read which could be good and bad. The setting was not very descriptive, it basically just took place either in the air or on the sea shore. I think the proper age group for this book would be late high school students and college students and even young adults. Richard Bach impacted me by creating a plot and story line that delivers a messages that anything is possible in life as long as you want it enough and practice at it thus, I am now interested in making some changes in my life. Works Cited Back, Richard. Jonathon Livingston Seagull. New York: Scribner, 1970.

Gimi coefficient Essay Example | Topics and Well Written Essays - 750 words

Gimi coefficient - Essay Example According to the ranges of gini coefficient, the developing or poor countries, those countries who have per captia GDP low, comes in the range from 0.25 to 0.71. As far as rich countries are concerned they come in the range of under 0.40 (Mandal 126). The Lorenz curve diagrams ratio of area can be used to elaborate the gini coefficient. In Lorenz curve if we say that A symbolizes the area among the line of perfect equality and B symbolizes as the Lorenz’s curve inner area then A/(A+B) is the equation which represents the gini coefficient. Subsequently A+B = 0.5, the gini coefficient, G = 2A = 1-2B. By incorporation the value of B can be found if the Lorenz curve is characterized by the function Y= L(x) and the equation will be, (Catalano and George D. n.p). The usage of gini coefficient measure of inequality leads to many advantages, one of which is that it can be used to compare income distributions crosswise diverse population. Gini coefficient is easily used because of its simplicity rather than other measuring techniques, through gini coefficient we can come to the results of changed distribution of income over the year in a country. It also satisfies great principles of anonymity, scale independence and population independence. As on one hand it has many advantages, on the other side there are many problems faced while using gini coefficient measure of inequality. Gini coefficient, uses income gained from wealth, it measures net income more than net worth, having a possibility of misinterpretation. For example, a low gini coefficient for income is seen in Sweden, but Sweden’s coefficient for wealth is higher. Numerous whiles in gini coefficient, there is no description of the proportions used for measurement. As granularity impacts the measurements of gini coefficient, we find numerous problems while conducting measurements through it. If there is low granularity, that is four 20% quantiles it will lead to a lower gini coefficient, while at t he same time if we take twenty 4% quantiles that is high granularity the results would be higher gini coefficient if we take both of these figures from the similar distribution (Mandal 129). Because it a measure of income dispersion a lot of care have to be taken through the use of gini coefficient as a measure of egalitarianism. For example We will get a result of difference in gini coefficients when we take two different countries having equal egalitarian, but as they both have different policies, gini coefficient will be different. As it measures at a point in time of the greatest problem of gini coefficient is that is errors a lot of energetic information about lifetime income of the individual. In gini coefficient, not only the income but also the individual’s age distribution within population and mobility in income classes are not taken into consideration (Mandal 129). It can be observed that if gini coefficient is showing higher results at one point, but will not gibe same result at different point because gini coefficient does not notice the changes over a period of time. A number of more problems arise when it comes to measurement through gini coefficient; difficulty arises that is when two counties income are associated as both the countries differ in benefits systems, like some countries give benefit in monetary form, while others not in monetary form. Some countries may include benefits some may not, as the

Effective Speaking Essay Example | Topics and Well Written Essays - 750 words

Effective Speaking - Essay Example In fact, experience of others in the field may be vital in the whole process because they encourage the development of personal experience. According to Carnegie, there is no person born a public speaker but it is learnt from others and experience (Carnegie, 2011, p. 12). In fact, the challenge is on the development of personal skills. The other suggestion offered by Carnegie understands the goal of the whole process. Before a person starts his speech, he must understand the goal of speech and what is to be achieved in the process. In addition, attitude plays a vital role in the effective public speaking process. Positive attitude leads to the increased success of the speaker and the ability to internalize the problem effectively. Predetermining the mind to success is beneficial because it shapes the destiny of the speaker and enables people to understand the presentation. In fact, it leads to a better understanding of the effective public speaking approaches. The goal of the speech is vital in all presentations as presented by Carnegie. In fact, the focus of a speaker must be on what to present and the objective of speech or presentation. Self-confidence is vital in the process because it leads to calmness in the presentation. Knowing the facts to be presented in the whole process is vital because accuracy is essential during the presentation. Preparation before the presentation is crucial because preparation improves confidence and allows facts to be presented accurately (Carnegie, 2011, p. 13). Speaking about something that is learnt through experience or study makes the public presentation effective and easy to conduct. In fact, it makes the control of facial appearance and mood effective in the whole process. In addition, it allows the reader to be able to effectively present issues with passion and relate with the listeners. The improvement of speech can be done through the

Audio Crossover Circuits Essay Example | Topics and Well Written Essays - 2000 words

Audio Crossover Circuits - Essay Example Analysis of first order crossover The first order cross over circuits is designed with the use of passive components, which include the resistors, capacitors as well as inductors. The passive components are used in conditioning the signal to obtain a specific result. The components are useful in the analysis and control of the signal. There are a number of designs of the circuits that is sued to condition the audio output of the circuits. Different configurations of the first order circuits have different results in terms of signal conditioning. In the audio crossover circuits, the circuits are specific to a selected frequency range, thereby introducing the elements of damping and rectification among others. The first configuration of the first order cross over audio circuits involves the use of a capacitor as the conditioner of the signal fed in the circuit. The capacitor plays a huge role in the circuit for it acts as a voltage regulator by storing charge. It stabilizes the voltage that is passed within the circuit. The speaker that is used in the circuit is represented as an inductor. The use of a speaker in signal conversion must involve the consideration of the inductance that is created by the use of a coil in the speaker design. The characteristics of the capacitor as what that govern the operation of the circuit. In this case, the capacitor characteristics when a voltage (V) is applied at the terminals of the capacitance in series with the inductor results to a particular waveform, which indicates the frequency, voltage, and gain patterns that are associated with the circuit. The graph above shows how the capacitor influences the audio crossover circuit. From the graph, a change in the frequency results to a change in the response of the capacitor after a specific sharp spike. The input voltage as well as the frequency of the circuit indicates that there is a break point that the circuit has to follow so as to get the most out of the circuit. The charac teristic of the graph shows that the capacitor has an optimal value under which performance is at its peak. These elements of the capacitor are of great necessity in the operations of the circuit for they determine the inputs as well as the outputs of the given design. In this circuit, the curve after the peak is as a result of the increasing conductivity that is associated with a time based charge supply across the capacitor terminals. In the second configuration of the first order audio cross over circuit, the capacitor is supported by the addition of a resistor in parallel with the speaker. In the circuit, the use of the resistor in parallel to the speaker acts as a form of damper and thus conditioning the signal in the circuit by damping. The inductor provides some resistance in operation, which is known as impedance, which in electronics is regarded as imaginary resistance in an inductor. Some of the current in the system passes through the resistor, which branches from the cur rent directed, to the speaker. The voltage across the speaker and the resistor in the system remains the same, but the resistor helps in dissipation of any residual current that the circuit might operate. In this scenario, spikes that might be associated with inconsistency with the power supply can be resolved by the use of the

Leadership (Nelson Mandela) Essay Example | Topics and Well Written Essays - 1250 words

Leadership (Nelson Mandela) - Essay Example Nelson Mandela started his Bachelor studies at University College of Fort Hare but did not complete the degree. He was expelled from school for joining in a student protest. He completed his BA from the University of South Africa and went back to Fort Hare for his graduation in 1943. Meanwhile he started studying law in the University of Witwatersrand. He was weak in studies and left the University without graduating. He again started studying from London University after his imprisonment in the year 1962 and then also he could not complete his degree. In the year 1989 he was graduated by the absentia ceremony in Cape Town. A two year diploma allowed Nelson to practice law in Africa. Nelson Mandela was caught in a countrywide police Swoop. Men and women of all the races found themselves in the dock for marathon trial including Nelson Mandela (Harris 35-40). Nelson Mandela is one of the people to achieve almost universal respect around the world and across the political spectrums. Racial discrimination is one major global social issue where agitation was raised leaded by Nelson Mandela. His role in fighting with struggle of oppressed people around the world and the ability of crisis of its rebirth gave him an international reputation. Mandela was the first elected president in 1994. He tackled the challenges making unity between both countries’ racial grouping and fragmented public services. The African National Congress is one of major party in Government of South Africa. ANC was founded in the year 1912 with an aim to create the South African Union which started institutionalizing on racial discrimination against the blacks. As the leader of South Africa, Nelson Mandela faces many challenges for leading his countrymen into the twenty first century. People have been divided and affected by years of racism, who introduced many ra ces and cultures. He was served peace, unity, and changes for the

Gender, sex ( with using CAUSE AND EFFECT style) Essay

Gender, sex ( with using CAUSE AND EFFECT style) - Essay Example A child will learn from its parents the difference between man and woman, boy and girl and identify the attributes that are associated with each term. In this respect, a childs idea of a man would be different in a household where the male is the breadwinner as opposed to the female, and vice versa. Although these gender categories are highly stereotypical, they form the basis for the childs basic understanding of gender and what it means to be female or male. Secondly, cultural beliefs play a large part also, with the views of the parents a strong factor. For instance, in Saudi Arabia, a number of people may believe that women were born only in order to serve a men or for giving birth to a child and then to raise him. In the same vein, and to use an extreme example, Eskimo men exploit their wives in order to set up trading associations with other Eskimos. They frequently present their wives sexual services in front of other Eskimo man just to strengthen the hunting or business relationship. In an Eskimo household, imagine how a young girl would see herself after being bared to these ideas over her first 5 years at home. Of course, this is an extreme example but it substantiates the point. Another aspect is media, media also uses interpellation as a form of recruitment that can inspire individuals to recreate their gender identity, presenting issues in a light that encourage people to join up or take a stand thus aiding the expansion of a collective identity amongst a specific gender. Phrases such as: "It was recognized that people label someone a feminist when someone expresses emotions that distinguish women from doormats," are designed to incite people into joining a shared individuality in the form of a group, in this case feminism. Lastly, our peers are a huge influence on the way that we see gender, and identify with the requirements of the same. The boys in a childs school may all play football, and therefore it is

Developing Website and Blog for Caf Cuisine Essay

Developing Website and Blog for Caf Cuisine - Essay Example The website would provide information regarding the restaurant over the internet to the customers. Moreover, the Cafe Cuisine has decided the business model of business to consumer to be presented by the website. In order to market the website of the Cafe Cuisine has decided to have their appearance on one of the Blogs – a free web service. The document presents a justification of the business model adopted by the Cafe Cuisine and a detailed discussion on the processes required to develop the website of the Cafe Cuisine for establishing their e-business. The document provides justification for selection of the web contents as well as the contents published over the blog for attracting the customers. It is pertinent to identify, analyze and evaluate the issues pertain to the e-Business including the electronic transactions, the procurement channel, and the supply chain management. Considering the importance of evaluating the e-business issues on failure or success, the document provides a brief description of these issues. 2. Business Model Business models for the e-Commerce can be categorized into the various categories include but are not limited to the Business - to - Consumer (B 2 C), Business - to - Business (B 2 B), Consumer - to - Business (C 2 B) and Business - to - Government (B 2 G) (Lauden and Traver, 2012). From the given business models, the Cafe Cuisine has selected Business - to - Consumer (B 2 C) considering their type of business i-e provision of cooked food services to the customers. In Business to Consumer business model, the Cafe Cuisine would sell the food products directly to the customers or consumers. The website of the Cafe Cuisine would facilitate the consumers to visit/review the food products online while sitting at their own places, select and order the food products. The menu list of the Cafe Cuisine would be available over the website containing the food items and their prices. Once the consumer/customer selected and ordered for the food item, the same would be delivered to the Cafe Cuisine management and they manage to sever the consumer order at their place. As the product of the Cafe Cuisine has directly been utilized by the consumer, therefore, the Cafe Cuisine’s management decided to adopt the B2C business model. Moreover, the B2C business model can facilitate the Cafe Cuisine to grow their business by planning and achieving clear objectives and goals. The website facilitates to manage huge customers at a time for reviewing their menus as well as placing orders. Taking into consideration facts and benefits of the B2C business model, the Cafe Cuisine decided to adopt it (Nikov, n.d). 3. Website Development and Evaluation A website development process has to be utilized for the development of the Cafe Cuisine’s website (Alexander, B., n.d). Initially, while website development, we carefully took the requirements of the Cafe Cuisine for the development of the website. The requirements o f the Cafe Cuisine consisted of functional and non-functional requirements (Vandeuren, 2012). In the next phase, we iteratively create the design of the website that was highly important to make the website usable. The usability is one of the features of the quality website. After completing the design of the website in the Dreamweaver, we started to write the contents of the website, as well as planned the contents of the Blog (Calhoun, 2003).  

Android and Apple Comparison Research Paper Example | Topics and Well Written Essays - 1250 words

Android and Apple Comparison - Research Paper Example iOS came in the first version of iPhone in 2007 and since then, it has been one of the most illustrious mobile firmware till date. Steve Jobs was the man behind the creation of Apple Inc. and its respective software’s. There are more than 400 million iOS enabled devices all around the world. Apple holds second position in terms of market share of Smart phones industry (Lee 31). Android initially started its development in 2003 and the theme was to produce spectacular mobile phone software. Google took over Android in 2005 and sustained the initiators of Android group to stay attached with the company. Android was launched in the mobile phone device for general public in 2008. It has achieved significant milestones in the past four years. Android enjoys of having the largest Smartphone’s market share. Android has given software licenses to many technological firms. There are more than 500 million android users all over the world (Lee 38). Apple Inc. has notorious name in the mobile phone industry. Company holds the prestige of launching first capacitive touch screen phone with one of the most advanced mobile operating software. Apple’s iOS is only used in its gadgets that are, iPhone, iPod, iPad and Apple TV. The company produced iOS firmware 1.0 originally and currently iOS firmware 6.1 is present in the market. Apple has been attracting software developers through its interesting interface. iOS was the pioneer in launching interactive applications and games for mobile phones which was later on followed by many companies. iOS interface is user friendly which enables its user to customize options. Applications and games purchasing mechanism was also introduced by Apple Inc. by deploying Apple Store in its software. Customers have the option to purchase applications and games online through Apple account (Rogers and Mark 112). The unique feature which distinguishes Apple from other mobile phone

Why Most People Oppress Others because of Their Different Ethnicity, Essay

Why Most People Oppress Others because of Their Different Ethnicity, Race or Gender - Essay Example A theorist and feminist writer; Gloria Anzaldua’s works were of vital significance for the last two decades. Her work should be noted that it is now anthologized systematically in different compositions that reach different audiences on an annual basis. Her theory of Mestiza and borderland identifies the fuller theory of a culture which is different and broadly deployed in most disciplines and lecture halls. In most lecture halls across the state, most students read the chapters and excerpts from her Borderland text. Anzaldua’s work serves in a primarily essayist fashion. She explicitly shows that an individual’s act of writing assists the person in identifying and expressing his or her identity complexities. Anzaldua described her strong belief in the need for individuals to form coalitions in their different groups. My choice of Gloria Anzaldua’s literary works in her anthology of essays and poetry; Making Face, Making Soul: Haciendo Caras include: Borde rlands/La Frontera, La conciencia de la Mestiza, The Homeland, Aztlan/El Otro Mexico, How to Tame a Wild Tongue and This Bridge Called My Back: Writings by Radical Women of Color. They are all arranged in order of significance. The first three literary works are some of Anzaldua’s best works and stand out from the other two. Anzaldua understood that individuals have diverse ideas and identity and that inter-sectionalism often creates conflicts between different people (Garci?a, 2006). Thesis Statement: Anzaldua understood and recognized the different ways that people use to oppress others, and the constituents that were overlapping their identity. Literary Works: Borderlands/La Frontera: One of Anzaldua’s outstanding works was Borderlands/La Frontera, which was published in the year 1987. Borderlands traces back to the personal and historical journey of people who are on the border between the United States and Mexico. Additionally, it talks about the political, spirit ual and the European socioeconomic impact that they have on conquering the indigenous and marginalized people on the borderland. All the contributors in Anzaldua’s works got affected by Anzaldua’s willingness to face her personal risks. Through Anzaldua’s acts and words, people learn to take risks on their own. These are the risks that form blurred boundaries and the identities challenge people’s ways of thinking (Anzaldua, 1987). By use of her words, she invites critics to engage with her theories and how they impacted on her life and work. In bridging, the contributors explore and discuss on Anzaldua’s spiritual and intellectual contributions of how new bridges are created through the community and diverse disciplines. The contributors and Anzaldua represented numerous generations of diverse ages of the twenties to seventies. This connection among many people could be seen in Anzaldua herself. Anzaldua’s words have touched most of the cont ributors separately.  

Сrucial part of job Essay Example for Free

Ð ¡rucial part of job Essay And here the other job of the sales team will kick in because they have to go around to talk with the retail establishment, big and small, in the cities they are operating, which will require an extended travel as sometimes they have to cover the outskirts of the city as well as the outlying regions. There is a huge competition to get space in the crowded shelves of retailers that will have to be convinced that the product is worth their recommendation and meets all the legal requirements to be sold for the public, which is part of the job of the sales team to furnish proof and explanation. This is also a very crucial part of their job, although at times it could be done through the distributors. However, the smaller retailers that are not chain stores might have to be approached individually or it might be the job of the distributors to convince them to carry the new product that should attract many buyers because of what it is offering, which is not only unique but functional foods are new even for the general food market that is catering for the adult buyers. After doing that, the particular brand depending on its popularity might start to sell itself, where distributors and retailers would want to put it in their stock and on their shelves because it is selling well, and when that point is reached the sales team could say their job is partially done, but they can still search for new locations and retailers in the same regions or in other regions. The conclusion is the baby food market is a highly regulated market and it is similar to the pharmaceutical market where manufacturers do not have a direct access to the buyers and users of their products, because of the sensitive nature of what is involved, which is the life of young children whose growth could be harmed irreversibly if they are not given what they exactly need for their normal growth from the beginning. Even if there is no outright opposition to the existence of the breast milk substitutes, the authorities and other concerned groups would have preferred if mothers start using it between four and five months, but since that might not be possible because of the nature of the life of the mothers themselves who could be working outside of the home, which will result in their being time strapped, and instead of preparing food for their children at home it will be easier for them to pick the substitutes form the various stores and mix the feeding process with their own breast-feeding since it is proven to be vital for the children. Similarly, the existence of the breast milk substitutes will become handy for children whose mothers cannot breast-feed them for various reasons that were mentioned earlier, and in their case the breast milk substitute will come close to breast milk and they will grow up healthy as there are sources that are saying even if people simply wanted to believe that breast milk is better for the child and it will create some kind of bondage between mother and child, in reality the substitutes are proven scientifically to be as good as the breast milk if not better. Therefore, any company that is selling baby food, which has a global market of close to $21 billion a year will have to go over many hurdles to put the substitute on the hands of the mothers that will use it to feed their baby properly and everyone will be benefited at the end of the day. [10] REFERENCE 1. Nestle in Northern Europe. Retrieved from the Web on April 5, 2007. www. nestle. se/neobuilder/200108091943_6622_3b72cbb9544e1. html 2. Baby Food Business Assessment. Retrieved from the Web on April 5, 2007. www.researchandmarkets. com/reports/3492 3. Baby Food Industry Lobbies WHO. Retrieved from the Web on April 5, 2007. www. bmj. com/cji/content/full/321/7273/1411 4. The Ecologist. Retrieved from the Web on April 5, 2007. www. theecologist. org/archive_detail. asp? 5. International Code. Retrieved from the Web on April 5, 2007. www. ibfan. org/english/resource/who/fullcode. html 6. Nestles Market War. HighBeam Encyclopedia. Retrieved from the Web on April 5, 2007. www. encyclopedia. com/doc/1G1-131934511. html 7. Breast Feeding. Retrieved from the Web on April 5, 2007. www. geocities. com/HotSprings/spa/3156/code. htm 8. Health Workers and the Baby Food Industry. Retrieved from the Web on April 5, 2007. www. bmj. com/cji/content/full/312/7046/1556 9. Nestle Public Relation Machine Exposed. Retrieved from the Web on April 5, 2007. www. babymilkaction. org/boycott/prmachine. html 10. Health-Conscious-Drive-Baby-Food-Market-Growth. Retrieved from the Web on April 5, 2007. www. rncos. com/Press_Release/Health-Conscious-Drive-Baby-Food-Market-Growth-July. htmÃ'Ž

Traditional Japan In Spirited Away

Traditional Japan In Spirited Away The protagonist of the film, Chihiro, has lived a pampered life in the city and is naive and unprepared for adulthood. Her parents are portrayed as greedy and irresponsible in the symbol of the credit card wielding father turning into an overindulgent hog. (Broderick, 2003) The spirit world that she unknowingly enters represents the Taisho period of Japanese history (around 1912 to 1926), a popular setting in Anime, but of particular personal significance to Miyazaki. (Yoshioka, 2008) Childhood memories have influenced his use of this time which does not simply create a feeling of nostalgia, but, as Yoshioka says, merges personal experience into a larger sense of past. (Yoshioka, 2008: p.257) The aspects of traditional Japan displayed in the film vary from the extravagant grandeur of the bathhouse to the simple, yet quaint wooden houses and shops in the spirit town. The bathhouse even includes sliding paper doors and massive ornate Satsuma-ware vases all representative of a prosperous location in Japan during the 1920s. It serves to act as an opposition to the modern character of Chihiro upon who the traditional aspects of Japanese society are lost. (Denison, 2007) Denison writes that the bathhouse holds valuable lessons for modern (Japanese) society, including, not allowing such a healthy eclectic heritage disappear in a culture obsessed with the furthering of technology as well as keeping the Japanese youth educated about their roots and heritage. Some of the major characters in the film also incorporate aspects of traditional Japanese folklore. Spirits have been featured as characters in many ancient Japanese folk tales, generally influenced by the two major religions Shinto and Buddhism. The ancient River Spirit which Chihiro helps to clean appears to have a face which resembles a Japanese Noh theatre mask. Another theatrical mask is also featured on the character of No-Face. The film also alludes to the practicing of religion in Japan and the ignorance of the youth towards it. In a scene at the beginning of the film Chihiro does not recognise some Shinto shrines and her mother explains their role yet it is evident that she does not consider them important saying some people think little spirits live there. (Spirited Away, 2001) It is evident from Miyazakis films as a whole that the spirituality is a common and often prominent theme, particularly, but not exclusively, among his films aimed at children. Certain themes recur in Miyazakis films. In Spirited Away many of these appear such as childhood, materialism and most notably environmentalism. The story of the spirit Haku links to the arguments mentioned so far about the portrayal of tradition. The disappearance of Hakus home the Kohaku River due to materialism has led to his forgetting of the past and even his name alluding to the real possibility of people in Japan being so focused on the future they forget elements of their past, in this case an ancient river paved over to build apartments. (Osmond, 2008) Other Miyazaki films have also included the relationship between the spirits or gods and humans, mainly about the difficulty of the two living in harmony. Princess Mononoke (1997), Ponyo (2008) and My Neighbour Totoro (1988) are examples of this with each also carrying the theme of environmentalism. All of the points mentioned so far have reinforced that the world featured within Spirited Away shows a traditional, typically Japanese culture which aims to critique modern Japanese society as well as educate the films young target audience about the importance of tradition. Thanks to Disneys worldwide distribution deal with Miyazakis production company Studio Ghibli, the market for anime has been expanded so hugely that theres a now global awareness of not only modern and pseudo-futuristic Japan but also heightened understanding of Japanese tradition; fans (are) engaged with the cultural origins of anime texts. (Cubbison, 2005: p.45) This market has been so developed that anime now seems to cater specifically for the international market within its films. The complex identities of Miyazakis characters, such as Haku or Yubaba in Spirited Away are, according to Denison, created to appeal to a Hollywood-saturated world market. These characters employ a number of traits not inherently Japanese. Also, some aspects of the architecture and artwork featured in the film are not typically Japanese but contain elements of Western styles. An example of this can be found in the small thatched cottage owned by Zeniba, the kind twin sister of the unpleasant witch Yubaba, the owner of the aforementioned bathhouse. The Anime film industry has varying takes on the issue of tradition, but Miyazaki has taken on the issue whole heartedly in his films. Miyazakis idea of the identity of the Japanese person, along with his concept of the loss of traditional culture in the technological Mecca of contemporary Japanese society, has proved significant in the visual appeal of his films as well as their artistic value. Not only does he reference parts of culture such as art, architecture and religion, but also references traditional theatre and behaviour (such as the removal of shoes before entering a house). Despite the fact that Miyazakis uses some hybridity with other cultures in his portrayal of tradition, the fundamental Japaneseness of Spirited Away is clear and irrefutable. 1030 words References Broderick, M. 2003. Spirited Away by Miyazakis Fantasy. Intersections: Gender and Sexuality in Asia and the Pacific [online] 9 August. Available from: http://intersections.anu.edu.au/issue9/broderick_review.html [Accessed March 4 2010]. Cubbison, L. 2005. Anime Fans, DVDs, and the Authentic Text. The Velvet Light Trap. 56 Autumn, pp.45-57. Denison, R. 2007. The Global Markets For Anime: Miyazaki Hayaos Spirited Away. In: Phillips, A. Stringer, J. 2007. Japanese cinema: texts and contexts. Hoboken: Taylor and Francis, pp.308-320. Napier, S. J. 2001. Why Anime? In: Napier, S. J. 2001. Anime from Akira to Princess Mononoke: experiencing contemporary Japanese animation. New York: Palgrave Macmillan, pp.3-14. Osmond, A. 2008. Being Spirited Away. In: Osmond, A. 2008. Spirited Away. New York: Palgrave Macmillan, pp.7-15. Spirited Away. 2001. Directed by Hayao Miyazaki. London: Optimum [DVD]. Yoshioka, S. 2008. Heart of Japaneseness, History and Nostalgia in Hayao Miyazakis Spirited Away. In: MacWilliams, M. W. 2008. Japanese Visual Culture: Explorations in the World of Manga and Anime. New York: M.E. Sharpe.

Introduction of an evening well baby clinic

Introduction of an evening well baby clinic Leadership Report Introduction of an evening well baby clinic 1.Introduction, Aim and Objectives 1.1This report will provide evidence of the application of leadership knowledge to the role of the health visitors practice. The report will look at my leadership style and skills in relation to developing and implementing an evening well baby clinic. When implementing this clinic I will aim to address and discuss past leadership experience and how I will use this within my team to achieve the best outcomes for families within my practice area. Attention will be paid to relating this to improving the quality of care as highlighted in the Nursing and Midwifery Council (NMC) Standards of proficiency for specialist community public health nurses, 2004. The standards also state that I, as a Specialist Community Public Health Nurse (SCPHN) must work in partnership with all team members and clients. I will apply my existing and newly developed leadership skills when managing my evening well baby clinic (NMC, 2004 and DOH, 2009). This report will include a discussion on my best practice and the use of evaluation and reflection in learning from experiences. The report will also include issues related to the quality of care and how my leadership can maintain or improve it. The aims and objectives of this report are to provide a clear expression of the quality issues in clinical care and to analyse my understanding of leadership and leadership styles in relation to quality of care. I will then look at change theories, management and leadership styles within my practice area and consider what the strengths and weaknesses are. Consideration will also be given to conflict management and my style of leadership within the team in order to promote effective working. 2. Knowledge and Copmetence of Leadership Practice 2.1Whilst undertaking the SCPHN course I have had many opportunities and experiences to develop my leadership, and reflect on the kind of leader I aspire to be. There are two types of leaders: transformational and transactional (Hartley and Benington, 2010). I feel that I am currently a transformational leader as I try to motivate staff members, encourage vision and ideas and inspire team members and clients to achieve the best possible outcomes. As identified by Huber (2010), vision is a key aspect of any leadership activity. I feel that my evening well baby clinic has shown my vision through the ideas and implementation of activities within the group. I shared my vision with fellow team members and this promoted motivation and inspiration. Transactional leadership is a more direct approach setting out clear goals and offering rewards to staff members in order to meet objectives (Hartley and Benington, 2010). I adapted aspects of this approach but felt that a transformational approach was more appropriate for my team and my practice. Whilst the transformational model of leadership may be seen as dynamic and therefore appeal to change agents, in this scenario the proposed change is largely transactional. It could be argued that the evening clinic will not provide staff with new skills or knowledge and it is unlikely to be seen as a particularly innovative as it is simply expanding an already existing service within the practice area. However, it is important to recognise the need for transactional change, in this instance practical concerns of an evening well baby clinic are being addressed. The evening clinic will not only benefit service users, but I feel that it will also give the health visitors a new perspective and insight into families that they would not normally see, thus it will improve service delivery and help achieve both local and national requirements. 2.2 I feel that in order to look at management and leadership theories, it is important to understand the differences between them. Warren (2005) states that the key role of leadership is vision, from this management embraces the vision, into the day to day running of the organisation thus allowing the leader to transform how the care is delivered while management focuses on budgets, targets and health and safety etc. Kotter (1990) furthermore illustrates the importance of both management and leadership within organisations for the implementation of a seamless service. This is supported by Marquis and Huston (2009) who argue that within nursing, management and leadership should be integrated. I believe that it is vital for leaders to have the ability to be both managers and leaders at the same time in order for quality of care to take place. It is important to remember that management and leadership are very different but have overlapping functions (Ellis and Hartley, 2009, Gopee and Galloway 2009). To combine aspects of leadership and management skills are an essential part of the SCPHN role. Gopee and Galloway (2009) support Huber (2010) about the key importance of a visionary approach to leadership. It is important to reflect on the differences between leadership and management, to have the ability to utilise management in order to enhance my leadership and promote flexible, positive and appropriate team development. This is contradicted by Goodwin (2006) who postulated that leaders must have vision but do not need management skills, but management must have vision. 2.3 In my leadership experience I believe that having an effective working relationship with your team can influence the outcomes of a project this is supported by Hartley and Benington (2010) as a key leadership quality. Kotter (1990) suggests that leadership sets directions and motivates people, inspiring them to have the ability to adopt a visionary position, to set direction, and to anticipate as well as coping with change. I have adapted this approach by undertaking regular team meetings where ideas and goals were set. Then time was given for the team to feedback their own personal vision which promoted self esteem and ownership of the project to enhance team motivation towards a common goal. Through this feedback time, team members were able to identify their own strengths and interests to bring to the project, any areas of weakness that were identified were discussed and any relevant training was given. Cooperation and collaboration from other agencies was resourced to provid e the best quality service for staff and service users alike. This enabled learning from each other where any potential conflict would be avoided by staff working within their capability within their role, and recognising that each member of staff is accountable for their own practice. 2.4 I believe that leadership from health visitors within the practice setting is key to quality care being given, along with a range of services being available and accessible within the community. In order to achieve this I considered my leadership approach to improving services for the community in which I work, based on guidance and policy highlighted in the Department of Healths NHS plan (2000). The white paper; The New NHS: Modern Dependable (DH, 1997) advocated improvements to the quality, range and accessibility of services available within the community. In order to improve the quality of my service I decided to implement a change in time and working structure for staff. Acheson, (1998) highlighted that within primary care it is important that services are not only effective but readily accessible. Acheson concluded that the NHS should be aiming to provide equitable access to effective health care for all. The project that I have implemented is aimed to improve the quality o f existing services by making the time more convenient to clients. Anecdotal evidence from parents who have or are due to return to work has highlighted a current deficit in service provision. Service users have indicated general dissatisfaction at there being no clinic available at a time accessible to working parents. When discussing inequalities it is easy to focus on disadvantaged families living in deprived areas. It is important to acknowledge that working parents have difficulty accessing services during the working day and are therefore also experiencing inequality. In response to this as a leader I have identified a gap in service provision and an opportunity to reduce inequalities in health by providing this service. As the leader of this project it was my responsibility to communicate and promote collaborative working with multi disciplinary organisations and to be a positive role model to the staff within my team. The document Our health, Our care, Our say (DH, 2006) ide ntifies aims and objectives for professionals to guide them in their role of improving services in the community. It also states that more co-ordination between services is needed and greater consistency across the health service in order to reduce inequalities. It advocated a more flexible service in order to increase accessibility and it recommends involving service users and the local population in decision making. 3. Leadership Styles and the Complexity of Care Delivery. 3.1 In the last year as a student health visitor I have been able to observe many different leadership styles which has enabled me to be adaptable and to manage the changing environment. On reflection I believe that I have chosen aspects of these styles to develop my own style. Hartley and Bennington (2010) suggest that better leadership within health care is central to improving the quality of healthcare. Through research I have found that there are many different leadership styles, Hersey et al (2007) identified these styles as authoritarian, laissez-faire and democratic. Within my career I have encountered many of the leadership styles, this has enabled me to choose aspects of these styles within my own practice. I found the laissez-faire approach of no interference and lack of decision making and a lack of structure to be confusing and unclear. The advantages of this approach with groups are that they are fully independent and promote professionals working together (Huber, 2010). The authoritarian approach from previous leaders has been very directive and not team focused. I found this approach did not encourage togetherness and therefore I would not want to promote this within my team. In conflict situations I can see how it would be an efficient approach. I aim to be a democratic leader who works with their team, sharing responsibility and decision making although this may be a long drawn out process I believe it will facilitate an improved project. Huber (2010) stated that the challenges of a democratic style are getting people with different professional backgrounds to work together and decide on a plan of action. To overcome this I ensured that the team shared common goals. I consider that the change in work practices that I brought to the team motivated the staff to examine their own working practice. This was shown to me through the interest and suggestions that the team offered in the form of their ideas to meet this challenge. By tapping into the moral dimension of a proposed change in this instance promoting the need for staff to contribute in order to protect child safety and also to reduce the health inequalities that the children and families who would not otherwise be in a position to attend a well baby clinic during the day could face. I recognised early on in the process that there was resistance to working unsocial hours. The clinic required two members of staff, one needing to be qualified health visitor, to en sure staff safety and adhere to the local lone working policy. Within the practice area as a whole there are approximately twenty health visitors, eight nursery nurses and two staff nurses employed by the Trust. This highlighted that staff may only be expected to cover one clinic every ten months. Some staff volunteered to work the clinic more often and this provided relief for those staff who were not so keen to work into the evening. Working into the evening provided a benefit to thee staff as this allowed them to commence work later in the day, therefore demonstrating that as a democratic leader I inspired staff to change by motivating followers to surpass their own self-interest for the sake of the team and organisation (Bass 1990). 3.2 Situational leadership was formulated by Hersey and Blanchard (2007) and postulates that leaders adapt their style according to the situation. Supportive behaviours encourage the team to facilitate the problem solving (Northouse, 2010). Situational leaders have two main types of intervention: those which are supportive and those which are directive. The effective situational leader is one that adjusts the directive and supportive dimensions of their leadership according to the needs of their workforce (Northouse, 2010). Most team members were found to be highly motivated in the project, identified by their suggestions and ideas, eliminating the need for a directive role. The supportive behaviours I employed encouraged a participative approach characterised by the use of finely tuned interpersonal skills such as active listening, giving feedback and praising. 3.3 I can see that my democratic style of leadership encouraged staff participation and commitment. This was achieved by assessing staff competence and commitment to completing the task. One member of staff appeared to take little interest and did not offer ideas, this displayed a lower level of commitment compared to other staff members and hence I directed her more. This was overcome using the coaching behaviours supported by Hersey and Blanchard (2007). This form of coaching allowed encouragement through two way discussions about the proposed changes and resulted in increased levels of commitment and motivation from this individual member of staff, integrating her into the change process. On reflection this can also be identified as reducing resisting factors to a change within a force field as by adapting to the needs of that team member, I encouraged her to take part and share her ideas. Rather than hindering progress and potentially opposing the change, she felt included and valued. I aim to develop my leadership style further by gaining feedback from my team members and by reflecting on what have been positive and negative experiences, whilst maintaining a link with best evidence based practice. 3.4 When implementing my evening well baby clinic and introducing my new leadership style, it was important to remember that change would be needed. When proposing change I recognised the need for a structured process. Keyser and Wright (1998) support this by stipulating that if structure is not used then the change process could easily fail. It is important therefore, to acknowledge the diverse nature of the process. Lewin (1951) identified three stages in the process of change unfreeze, move and refreeze. Within my project, the unfreeze process was achieved when communication and planning was undertaken with both staff and trust management to gain their support for the proposed evening clinic. The move process involved trialling the evening clinic for a period of six months to produce evidence of its effectiveness. The evidence would be gained from numbers of attendees and also through evaluation forms given to all attendees of both day and evening clinics. If the evaluation of th e service proved it to be successful it would ultimately result in the clinic becoming an established clinic this would conclude the refreeze process. Through informal face to face discussions while implementing the clinic, I gained peoples thoughts and opinions. In Kassean Jagoos study (2005), they identified the unfreezing stage as that of enabling people to express their thoughts on the current situation. Sheldon and Parkers (1997) research went on to explore the concept that people can only be empowered by a vision that they understand and that it is important that the strategies used foster inclusion and participation so that all team members are fully aware of the need for change. 3.5 When improving care, two potential obstacles have been highlighted by Tait (2004), these were highlighted as limited resources and the pace of change. With these in mind, a force field analysis (Lewin, 1951) has been completed to try and identify potential barriers. The issues I have identified are that it must be established early in the process the arrangements for the remuneration of staff time. Possible options being overtime payments or time owing. Staff displayed individual preferences depending on their individual perception of the benefit of each option and some staff raised the option of simply changing their hours of work. As the decision on how time will be paid, and how hours should be worked will lie with the management team it is important to establish their response promptly as this issue is likely to be raised by the health visitors very early in the change process. Another issue identified was health and safety. As the building is already used for a family planni ng clinic, any health and safety issues are already likely to have been addressed. I however considered it to be good practice to revisit and review the risk assessment. I identified a training issue around securing the health centre at the end of the evening these locking up and safety procedures could be addressed with a short in-house training session. After identifying the above issues it was my responsibility as a leader to consider resources and budgets available in order to achieve all my aims and objectives. 4.Leadership and the Quality of Client Care. 4.1 The Government outlines the need for nurses to develop leadership skills at all levels (DH 1998; DH 1999). Following Lord Darzis review( 2008), the Leadership Council (2010) was set up, to effect changes in health care delivery, which included supporting the national and local service. The NHS Confederation (2009) stresses that standards must be maintained through vision to avoid the regression of services through the recession. The leadership role expected of health visitors is evident in Shifting the Balance of Power (DH 2001a) and Liberating the Talents (DH 2002) with the expectation that health visitors will lead teams which will deliver family-centred public health within the communities they work (DH 2001b). I strongly believe that by collaborating with other agencies when setting up my evening well baby clinic I have improved the quality of care for clients within my practice area. 4.2 When implementing my project I took into consideration the feelings and expressed needs of service users (Bradshaw, 1972), and in line with both local Primary Care Trust (PCT) and government policy (Sec 2.3) regarding accessibility to services, an evening clinic was proposed for a trial period of six months. I made this decision as a leader of my team to ensure quality care and provision was implemented. To enable ongoing quality and evaluation, change will be audited and evaluated in order to inform future practice and service delivery. In health visiting I believe that the emphasis should be placed on quality of care, providing and promoting access to health information and helping people make sense of the information so that they are able to make informed lifestyle decisions (DH, 2000). 4.3 Research by Keatinge, (2005) suggests that parents preferred source of child health information comes from child health clinics. Health visitors were identified within the research to be a reliable source of information parents felt comfortable talking to them and their advice was perceived to be reliable. Attendance at child health clinic was viewed as an opportunity to obtain regular information and advice. Another study by Bowns, Crofts, Williams, Rigby, Hall, Haining (2000) looked at parental satisfaction within the health visiting service, this found that approximately two thirds of health visitor contacts took place in the clinic and routine weighing and general advice accounted for a high percentage of recent contacts in one year old infants. Feedback from parents within my area of practice contradicts this research attendance at clinic within my practice area is poor and parents comments would suggest that the implementation of an evening clinic would increase attendanc es. The National Service Framework (NSF) for Children, Young People and Maternity services (DH, 2004), Standards 1-3 are particularly relevant when considering a well baby clinic, as the focus is on promoting health and identifying needs, supporting parents and providing services that are family centred. Each of these standards can be addressed in the planning and implementation of a well baby clinic. The NSF is intended to promote a culture which provides services that are designed around the needs of the family, not the needs of the organisation or staff, thus maintaining and improving the quality of care for all (DH, 2004). 4.4 Organisations must develop structures to improve quality of care (Tait, 2004). This is maintained through clinical governance, risk assessment and audit (DOH 2000B, Bishop, 2009. Christmas, 2009). Health visitors work within corporate caseloads but much work is undertaken independently. It is therefore important that communication and team support is encouraged. Part of my leadership role was to facilitate this communication through regular health visitor meetings and also through less formal discussion with staff, which encouraged communication and helped stimulate a wider team spirit. Support for this is shown by Ferlie and Shortell (2001) who argue that emphasis needs to placed on shared and distributed leadership across all team members and organisations for quality care to take place and to promote organisational change. 5.Dynamic and Flexible Leadership. 5.1Within the project there is a mixture of cultures that have proved beneficial when planning the expansion of the well baby clinic. Managerial support was established early in the process, so that the change would be less opposed. However in addition to this staff were encouraged to contribute their ideas and concerns so that the change process could progress more smoothly. The implementation of this strategy reduced the risks of potential conflict. Barr and Dowding (2010) state that by being a dynamic and flexible leader who is able to resolve conflict effectively, high quality patient care can be achieved. Across all organisations change can sometimes be viewed as a negative thing. The majority of the team who will be affected by this change are established health visitors. There can at times has been some resistance to change and a tendency to continue with certain practices because historically it has always been done that way or because the team has seen other new ideas tried and fail before. 5.2 If conflict was to arise within my team I would use a conflict resolution strategy as identified by Barton (1991). This approach can be adapted by leaders to help improve team morale and productivity (Huber 2010). I believe the important factors for the leader to implement are effective communication, assertiveness and empathy. If this technique is delivered effectively I believe conflicts can be resolved quickly and with minimal upset. If conflict arises and a leader avoids confronting an issue or withdraws from the situation this can be beneficial as it allows for a cooling off period between team members, but I believe that this is not a solution as it will not resolve the conflict. Marquis and Huston (2009) support Hubers research by saying that a leader should address conflict but also needs to recognise and accept an individuals differences and opinions. Therefore a flexible leadership style should be adopted whenever possible. 6 Conclusion and Summary 6.1 In summary my leadership incorporates a transformational leadership model which places great importance on the needs, values and morals of others (Northouse, 2004). The goal of transformational leadership is to create a vision, to empower others and to adopt a style of encouragement, listening and facilitating. This lends itself to the nursing profession as it stimulates suggestions and discussion about change in practice this is strengthened by Marriner-Tomey (2004) who illustrate that transformational leaders are accustomed to sharing power, using influence, developing potential and moving groups towards common goals in a non coercive way and are seen as the only leader likely to bring about lasting change within health care. 6.2 Before completing this change within practice and from previous experiences within my career, I believed that a large proportion of change within practice was dictated to staff by managers, and that as an individual within a large workforce I had relatively little influence over work practices. I also felt that I had few opportunities to lead other staff. The benefit of compiling this report has been gaining valuable insight into the dynamics of leadership and understanding that different types of change and leadership are equally important. I have also benefited from completing and seeing through the process and analysing the actual and potential problems that may occur when trying to introduce a change in practice. I feel that the knowledge gained has influenced and inspired me to strive to become a motivational and democratic leader, and more importantly to understand that to be an effective leader you do not need to be born with the skills required but leaders simply need the motivation and the will to acquire the expertise. This is confirmed by theorists who believe that leadership is a learnable set of skills and practices available to everyone regardless of stature or position within an organisation (Yoder-wise, 2002 , Kouzes 2007). 6.3 I have found this experience has given me the opportunity to understand the process of planning and implementing a change within practice. I now feel that I have a better understanding of the need to become a flexible leader so that I am able to alter my approach to different situations and people, thus preventing staff conflict. I have discovered that there is a potential difficulty to gather the necessary evidence-base and I must pursue this further. In the future I hope my new confidence in my ability to lead and empower will make me a valuable contributor to the health visiting service. I will continue to study working practices that I would like to change, and ensure there is a good evidence-base for any new proposals and follow a structured process in order to maximise the potential success of future ventures. 7. Recommendations 7.1 In the current climate within the National Health Service it is clear that leadership practice is now the focus of staff at all levels. As health visitors are seen by Government to be leaders within their field, I recognise the need to focus on improving my leadership skills. Within my preceptorship, I intend to observe and reflect on how other experienced health visitors approach leadership within their teams. This will enable me to further develop my own leadership style within my future role.

Engle v. US :: essays research papers

SUMMARY Engle v. Vitale was the first case brought to the Supreme Court that used the establishment clause to remove religious activities that until this point had been used as a part of public observances. The First Amendment bars any enforcement of any law â€Å"respecting an establishment of religion† and the Fourteenth Amendment makes this applicable to the States. For that reason, state officials can not write an official state prayer and require that it be recited in the public schools, even if the prayer is nondenominational and students who wish to remain silent or be excused are allowed to do so during the recitation of the prayer.   Ã‚  Ã‚  Ã‚  Ã‚  The parents of ten students brought this issue to the New York State Court maintaining that the use of the official prayer in the public schools was â€Å"contrary to the beliefs, religions, or religious practices of both themselves and their children.† The question that was reviewed by the Supreme Court of The United States was whether New York overstepped the boundaries when they financed a religious exercise. The New York Court said that â€Å"the prayer given does not conform to all of the tenets of the Jewish, Unitarian, and Ethical Culture groups. The Supreme Court ruled that, though the prayer was nondenominational and students had the option of whether or not to recite the prayer and not be penalized for failure to do so, the state of New York and the school board had violated the Constitution of the United States and the rights of the students attending the public schools. Though many Americans still disagree with the verdict of the court, the rul ing still stands today. OPINIONS   Ã‚  Ã‚  Ã‚  Ã‚   The opinion of the Court was delivered by Justice Black. The Court said: â€Å"Shortly after the practice of reciting the Regents’ prayer was adopted by the School District, the parents of ten pupils brought this action in a New York State Court insisting that use of this official prayer in the public schools was contrary to the beliefs, religions, or religious practices of both themselves and their children. The New York Court of Appeals, over the dissents of Judges Dye and Fuld, sustained an order of the lower state courts which had upheld the power of New York to use the Regents’ prayer as a part of the daily procedures of its public schools so long as the schools did not compel any pupil to join in the prayer over his or his parents’ objection.

Great Gatsby Letter :: Great Gatsby Letter

Dear Gatsby,   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  I appreciate your care for our friendship, I'm glad that what we have done means something to you as it has to me. I also see that you haven't joined the rest of the flapper aristocrats, it's good to know you're not at the shallow depths of their ignorant mentality. Anyways, I hope that your worries isn't the reason why think that our lives are so troubled all of the sudden. I know myself very well and I know that my life isn't twisted, and I know you well enough to say that your life is not as troubled as you may think or seems. Everybody else living this wealthy luxury of a life has done something worse than anything you have done, used you for parties and drinking for one. One the other hand, the only crime you've commited is falling in love. I have seen Tom and Daisy; unhappyly married knowing their real truths about each other myself, and their marriage is a farse. I have seen you and Daisy; fullfilling that longlost love you had for each other before war, wondering why you lost it to begin with. You and I know Daisy for what she really is, not for that superficial act to gain self-respect, you can make her truly happy again. As for me, I have seen everybody is East Egg. for what they really are, and Jordan is no

Role of Computer in Parametric Design Essay -- Technology, Architectur

With the technological revolution, the telecommunications and information technologies opened the gate to rapid and unprecedented changes on society’s daily life which made computers significantly accepted. In architecture realm, it has become an important instrument in both design process and in the everyday operation of buildings and the city. After all, the current revolution is not just about the computer as a tool, but about its role in architecture design. Nowadays, the world is experiencing variety of new built environment with sophisticated forms as a result of this technological movement. Also, with the interaction between the computational development in architecture and the contemporary of spatial design intelligence, some new architectural design theories emerged to make differences between architects and control designing processes. These theories are employed in almost all designing realms, from architecture to urban design to provide fields of ideas and solution s that privilege complexity. Most of these theories are oriented to rely on understanding and using computational methods to generate exotic and complex geometries. In this respect, two of these theories will be discussed and compared to each other to highlight their Strengths and weaknesses. The theories are Parametricisem and Genetic architecture which characterise some of the contemporary architectural design approaches. One of the common design techniques used in contemporary architecture is parametric design which was established simultaneously with the development of high performance computing circles. This technique started to be presented in different context than its conventional understanding where parameters are manipulated manually in linear ... ...n with urban design than architecture and this is because of the need for high population in the simulation process that not appropriate for architecture scale. In conclusion, although the development of modern architecture and the intervention of computer technology to advocate this development, the contemporary architectural outcomes have become more complex and complicated with potential formulation problems. As a result, the new architecture theories came to put boundary lines between being in the range of these problems and producing elegant modern built environment. The seduction of computer-produced form also enhances architects to involve in seeking for new theories to develop the discipline and work to combine formalization with materialization. Finally, some of these theories are accepted and some other still a controversial aspect in architecture.

South Africa Gdp Compared to Brazil’s

Personal quote: Through economics, engineer the world†¦ ECONOMICS 232 BRAZIL- SA REPORT Introduction In 2010, South Africa joined The BRIC and set its level of ambition not only as an African leader, but also as an emerging world class economy along Russia, China, India and Brazil. This report will analyze and look at the economic trends and fluctuations between the later and South Africa from the year 2000 to 2010 using released World Bank data. AnalysisAccording to the World Bank, South Africa GDP was of about one hundred and thirty two billion in 2000 while Brazil’s was at six hundred and forty four billion Dollars. Over the following decade 2000 – 2010, the two economies registered a considerable and equal improvement of their total production with a respective increase of 41 % for South Africa and 42% in the case of Brazil. The GDP per capita on the other hand increased at a lower rate over the same period. While South Africa leveled up by 22. 4%, Brazil bette red its GPD per capita by 25 . %. This further entails a GDP yearly increase of $ 1095 /capita with regards to the former, and $1409/capita for the later. A better look at aggregate expenditure components will provide more detailed resources in explaining the above increase of GDP within the two economies. In 2000, South Africa and Brazil consumption by households ( C ) was about 63% and 64% of GDP, largely above the rest of the components where total gross capital formation ( I ) lied low with 16% and 18% respectively, and lastly a total government expenditure ( G ) of 18 and 19%.As it appears, the two economies spent relatively equivalent proportions of their expenditure aggregate component on GDP. At the end of the decade,2010, total consumption ( C ) rose by 49 % for both economies, Investment ( I ) strongly incremented by 93% with regards to South Africa and 52% in the case of Brazil which correlated with a respective increase of 3. 17% and 45% increase in the money supply in b oth countries over the period.Parallel to the increase in GDP, the two economies registered noticeable increases of Gross Value Added ( VGA ). In fact, between 2000 and 2010, South Africa VGA increased by 38% while Brazil as usual experienced a little higher accretion of 41 %. Looking at sectorial contribution, tertiary sector imparted for more than half of total VGA in 2000 as illustrated by the graphs below. 1. 1 South Africa World Bank 2000 data analysis : Sectorial Contribution to VGA . 2 Brazil World Bank 2000 data analysis : Sectorial contribution to VGA In 2010, South Africa tertiary contribution to VGA only increased marginally by 3% and hence moved from 65% in 2000 to 68% in 2010 where it leveled up to Brazil’s. Conversely, primary and secondary sector contribution deteriorated between 2000 and 2010 . The South African primary sector declined from 3% to 2% while the secondary also experienced a marginal decline of 3%.On that point, Brazil went through proportional ch anges with secondary sector falling from 28% to 25%, leaving the primary with a small yet surprising amelioration of its contribution from 5. 60% to 5. 86% . Graph 2. 1 and 2. 2 provide a more visual depiction of the above facts. 2. 1 South Africa World Bank 2010 data analysis : Sectorial contribution to VGA 2. 2. Brazil World Bank 2010 data analysis : Sectorial contribution to VGA Besides the above increase in VGA, another important factor to be onsidered is how the level of openness of both countries drastically evolved over the decade 2000 -2010. South Africa exports incremented by 13% while Brazil’s skyrocketed by 86%. This implies that Brazil opened to the rest of the world at a much higher level, local firms growing into world competitors, which not only appreciated the country’s currency but increased its competiveness and decreased dependency on imported products. South Africa imports increased by 73% in contrast to Brazil which only increased by 21%.This high level of imports from South Africa will eventually result in the deterioration of the balance of payment. Moreover, while Brazil rate of unemployment oscillated between 6 and 9% over the decade, South Africa experienced a rather high rate of unemployment, the lowest in 2007 and 2008 with an average rate of 23% and the highest between 2002 and 2003 with an average of 31%. Conclusion This report deciphered and revealed an objective analysis of two BRICS economies, precisely South Africa and Brazil over ten years, 2000-2010. Erouane Langard 747 Words

Software Testing and School University Graduate

Resume/CV Template Contact information Name Address Telephone Cell Phone Email Personal information Date of Birth Sex Optional personal information Marital Status Spouse's Name Children Employment history List in chronological order, include position details and dates Work History Academic Positions Research and training Education Include dates, majors, and details of degrees, training and certification High School University Graduate School Post-Doctoral Training Professional qualifications Certifications and Accreditations Computer SkillsAwards – if any Publications – if any Professional memberships – if any Interests Sample academic recommendation letter DATE: 20th August 2010 From Mr. Your professor name Lecturer, Department of Science, Your College, Chennai – 600018, India. | To whom so ever it may concern| Mr. Your name was my student during his undergraduate program. He is intelligent, hardworking and motivated student. His power of assimilation and his ability to grasp new concepts is good. His enthusiasm for work was conspicuous and he is proved himself to be a natural leader.Besides, he is also good in English language skills and has taken part in many debates and other literary activities. He has bagged many prizes in state-level inter collegiate contests. I am very sure that he will put forth all his efforts into any task he confronts. His positive outlook, capability to work with peers and his willingness to learn from his experimental situation bear testimony that he will do very well in this post graduate studies in your renowned institution. I strongly recommend Mr. Your name for admission to the post graduate program of your university.Thanking you, Yours sincerely (Mr. Your Lecturer name) Sample Work recommendation letter DATE: 12th June 2010 From Mr. Your professor name Project leader, Department of IT, Your Employer, Chennai – 600018, India. | To whom so ever it may concern| It is my great pleasure to write a letter of recommendation on behalf of Mr. Your name, for admission into your postgraduate program. I have know Mr. Your name since july 2007 in my capacity as senior HR executive with Your company name PVT LTd. Mr.Your name has exceeded expectations and has out – shined others in his work group. Mr. Your name strong work ethics, his ability to outperform and passion towards service excellence will be a value addition for your program. I am confident that Mr. Your name will be serious and enthusiastic candidate and someday a quiet successful senior level manager or entrepreneur that would be proud to call an alumini. If you need any additional information, please feel free to contact me over the phone or via email. Sincerely YOUR EMPLOYER NAME)| | Statement of purpose guidelines Review your essay by asking yourself the following questions: Are my goals well articulated? Do I explain why I have selected this school and/or program? Do I demonstrate knowledge of the program? D o I include interesting details that prove my claims about myself? Is my tone confident? Do’s & Don’ts Don’ts 1. Please give more importance in writing SOP, most of them takes it very easy 2. Don’t underestimate the length of time it will take to write your statement of purpose 3.Don’t give your SOP work to be done by someone else 4. Don’t include all your activities, just something which is more important is enough 5. Don’t use any particular name of universities; always prepare a general SOP that can be used for many universities 6. Avoid lengthy personal or philosophical discussions unless the instructions specifically ask for them 7. Don’t exceed more than two pages 8. Avoid grammatical or spelling mistakes this will show your carelessness is writing this SOP. Do’s 1. Always prepare a rough draft or outline of topics.Mostly the topics will include professional career goals, academic interests, research experience, pr actical experience, special skill sets and reason for choosing a course 2. Always find the course requirement from the university and stick to the points which are specified by university 3. Emphasize everything from a positive perspective and write in an active voice 4. Demonstrate your skill sets by experience 5. Your essay should be well organised and everything is linked with continuity and focus 6. Pay more attention to first paragraph 7.Ask others to proof read your statement of purpose. Sample Statement of Purpose Glad to introduce myself as Mr. YOUR NAME, a Software Engineer at present, with 5 years of experience in Software Testing, Quality Analysis and Management. My career is my passion, and it holds my fullest devotion, dedication and commitment. I belong to the field of IT Services Management, which had been the dream I had, the obsession in me and the long term desire that had lingered in me for a long while. And finally, when I got into this, I could give nothing from me but the best.To add more value to the same, I have decided with the best thought of doing my Masters Degree from a reputed institution which would give me not only a degree but also a new style of learning with international standards, innovative methods of self-development skills and the ability of survival among the fittest. Hence, I was left with no other ideas and suggestions from experts, other than to join you, the Bolton University, which I believe should shape me and make myself qualifiedly fit for the IT Services Management skills and to the progress in the modern globalized cultures, technology and era.I hold my Under-Graduate degree, B. Sc in Computer Science which I had completed in the period June 2001 to May 2004 from the YOUR University, Tamil Nadu. I pursued my UG Degree in the YOUR College, Rajapalayam. The syllabus covered here gave me immense knowledge on Software Development, Software Building, Software Techniques, Hardware Configurations, Mathematical skills and Personality Development. I was elected to be the Students’ Chairman at my final year 2003-2004 which had inspired me to know more about the management skills.I was an ardent speaker, athlete and player at my college and finally passed out with prominence winning the â€Å"Best Outgoing Student† Award at my final year. As a starting point in my career, I got employed as a Software Test Engineer with the YOUR PLOYER technologies, Chennai during the period June 2004. It was here that my zeal had taken an initial contour. I was poured with surplus opportunities around me to learn, to explore, to build, to experiment, to renovate and to give a shape to myself. I learnt the concepts of IT services practically.I gained buoyancy in myself. And with that hope I moved to Accenture YOUR EMPLOYER Pvt Ltd, Chennai during the period August 2006. I was promoted as a Senior Programmer. From that time until now, I keep on renewing myself to the changes in the technologies, to the new ways novelty, the exciting facts of Software Testing and many more. I got certified with the National Stock Exchange of India in Financial Services and Capital Markets. I got certified with the IBM Services in Rational Functional Tester tool.I got certified with the HP Services in Quality Center – Defect Management tool and the Quick Test Professional tool. I am also certified with the International Software Testing Qualification Board, as a certified Manual Software Tester. I had won the Celebrating Performance Award from Accenture thrice, for having achieved extreme satisfaction levels from the clients, building my technical skills and for the professionalism I depict in my job. But my journey towards success is still a few more miles away.I need to sparkle in my career with a Masters Degree in my relevant field – the Services Management, without which my career would not be fulfilled. For this to occur, I need your help, your support and your guidance. The Bolto n University gives its students a degree with a dignified knowledge of survival amidst the global standards and also makes you learn the professional development skills in creative leadership. I wish to be a part with you to develop myself in many such areas. Therefore, I request you to accept my purpose and make me move ahead in my career with more confidence and venerable knowledge.

Biography of Fernando Botero Essay

Fernando Botero, also named the most Colombian of Colombian artists, has developed a style the world notices as his own. Fernando was born in 1932 in Medellin, Colombia. Fernando came across heavy schooling as a child, which isolated him from traditional art in museums and such cultural institutions. It was his strict school however that brought art to be an interest for Fernando, the school Botero attended was run by Jesuits who were strict and brought little enjoyment into Botero’s life. To find enjoyment Botero began to draw at a young age. At that young age his inspiration was anything that interest him such as bullfighting. Fernando was a great fan of bullfights so he would paint scenes of this then sold them in front of the arena for 5 pesos. He spent nearly two years painting this subject. He had a growing interest in art his entire life; he shared his thoughts, and studied. When Botero was seventeen he worked for the Medellin newspaper, El Colombiano, titled Picasso and the Nonconformity of Art, which showed Botero’s mind and how it is linked with art. Botero is so well known because of his signature style, robust and round objects and characters. Botero tells critics that he is simply attracted to his form without knowing why. He claims that artists never know why artists use a form, he claims the style is intuitive and that the explanation for their style can be rationalized after it’s adopted. Botero is difficult to understand, as he doesn’t share his opinion with his art or even explaining his art. â€Å"He shares his vision with us but not telling us how to feel about it. Navas- Nieves says. We know his works are personal as some of his famous works depict his youth, â€Å"The Bishop†, â€Å"The Nun†, â€Å"The Bullfighter†, and â€Å"The Widow†. It is unknown to all except Botero however if these drawings reflect the beauty with these no proportional, bright colored, exaggerated sized or the turmoil. Botero eliminated brushwork and texture in his paintings as he favored a smoother look. Botero’s works are abstract and are educated by a Columbian upbringing and social commentary. When Colombian children go to church they see all these Madonnas, so clean and perfect. In South America china-like perfection is very much a part of the ideal toilet of beauty. More so even than the polychrome wood sculptures in Spain, Latin American sculptures look like porcelain. So, in contrast to Europe or North America, you connect the notions of art and beauty at a very early age. I grew up with the idea that art is beauty. All my life I’ve been trying to produce art that is beautiful to discover all the elements that go to make up visual perfection. When you come from my background you can’t be spoilt by beauty, because you’ve never really seen it. If you’re born in Paris, say, you can see art everywhere, so by the time you come to create art yourself you’re spoilt – you’re tired of beauty as such and want to do something else. With me it was quite different. I wasn’t tired of beauty; I was hungering for it. † Botero said this knowing he was not raised with art, which is his beauty. The lack of art in his life made him develop such an original style. The church influences Botero, his baroque style was adopted from the church. Botero is the most Colombian of Colombian artists because of his insulation from international trends. Botero once remarked â€Å"A painter can do things a photographer can’t do, because a painter can make the invisible visible. † This thinking lead Botero to create a series of serious paintings about prisoner abuse in Abu Ghraib. Botero, through his paintings in this series allowed us to feel the prisoners suffering. The paintings brought us to the agony of the victims, the humiliation they felt and all the pain was transferred from the painting to us, making us the victim. This series proved moreover Botero’s skill of art. Many critics thought the series was out of Botero’s league claiming that Botero’s style cannot do justice to the seriousness of the subject. Botero proved the critics wrong when he captures the emotion of the victims. The difference between photographs and paintings are that photographs come with a story. Just something that happened. They can be beautiful but paintings show affects and emotion and thoughts and different depictions. Much more thought goes into a painting, which sets the two apart.

Sickle Cell Plan of Care

Then, provide a brief description of the pathologically of sickle cell anemia and complete the nursing care plan by filling in the goals, outcomes, and nursing orders for the diagnoses provided in the table. SITUATION: Lavabo is a 30 year old, single African American who was diagnosed with sickle cell anemia when he was 4 years old. He works for a computer company and has been working 12 hour days to meet the deadline for a special project.Lavabo is complaining f fatigue and decided to relax by playing golf on a warm Saturday morning. After the seventh hole he experienced odyssey, tingling, and numbness in his legs. After the next hole, he experienced severe pain in his right ankle and knee. He was taken to the local medical center, where he was admitted. Lavabo rates his pain at 8 on a scale of 1-10. The physician ordered oxygen, IV fluids, and a PICA pump with morphine sulfate. Describe the pathologically that occurs in sickle cell anemia (4 points).Sickle cell anemia is the most c ommon form of sickle cell disease which is an inherited, autocross recessive disorder that causes an abnormal hemoglobin cell. The person with this specific disorder inherited hemoglobin S from both parents, also known as homozygous (Lewis, Drinkers, Hitchhiker, & Boucher, 2014, up. 644-647). This hemoglobin S results from the substitution of valise for glutamine acid on the B- globing chain of hemoglobin, and this ultimately causes the erythrocyte to stiffen and elongate taking a sickle shape in response to low oxygen levels (Lewis et al. 2014, up. 644-647). Due to the sickle cells elongated shape, and its stiff and sticky consistency it tends to get stuck in capillaries and vessels, and blocks blood flow to limbs and organs (Lewis et al. , 2014, up. 644-647). The major problems with sickle cell anemia is due to their sickles shape, reduced life expectancy and their ability to carry enough hemoglobin or transport it properly to the body to provide adequate oxygenation.Therefore a p erson who has sickle cell anemia has a lower number of red blood cells related to the shortened cell life that dies after only 10-20 days, compared to a normal red blood cell which lives about 120 days (Lewis et al. , 2014, up. 644-647). Bone marrow is unable to keep up with the demand for new red blood cells to replace the dying ones, making a person with sickle cell anemia left in a state of constant inadequate oxygenation (Lewis et al. , 2014, up. 644-647). Occlusion of capillaries and small vessels lead to acute or chronic tissue injury.This leads to further problems related to homeostasis which continues to perpetuate a cycle of local hypoxia, degeneration of more erythrocytes, and more suckling which continue to cause irreversible cell membrane damage (Lewis et al. , 2014, up. 644-647). Unless you're directly quoting you only need to address the authors once According to Lewis et al. , ASS is xx or write your summary and add to the end of the paragraph (Lewis et al. , 2014 up. 644-647) since all your information is from 1 source. If your quoting directly from the source you need to enclose in †Nursing Diagnoses Pain related to occlusion of small vessel by sickle cells as evidenced by severe pain in art. Knee and ankle. Altered tissue perfusion related to a decreased number of Orb's and decreased oxygenation as manifested by odyssey, tingling/numbness in ankle and knees. Activity Intolerance related to imbalance between oxygen supply and demand, as manifested by fatigue, odyssey,