Sunday, August 23, 2020
Saturday, August 22, 2020
Narrative Essay On The Bubonic Plague Black Death Example For Students
Story Essay On The Bubonic Plague Black Death The Bubonic plague.. The side effects for the Bubonic Plague are in a request. First the heart thumps uncontrollably as it attempts to siphon blood through swollen tissues. Next your sensory system begins to crumple into itself, causing exceptionally extraordinary torment and odd developments of the arms and legs. Next, as death approached, your mouth would hole open and your skin would darken from inward dying. The end ordinarily would come around the fifth day. Different side effects are high fever (somewhere in the range of 101 and 105 degrees F), hurting appendages and the retching of blood. In the first place the blood is vile and tinted. At that point it turns out to be free-streaming and splendid red. The most trademark is the growing of lymph hubs which additionally advertisements to the obscuring of the skin. A few people even turn dim purple. Did you realize that there is a pattern of the Bubonic Plague? This is the manner by which it goes. 1 Fleas drink rodent blood that conveys microscopic organisms 2 Bacteria duplicate in flea’s gut3 Gut obstructed with bacteria4 Flea nibbles a human and disgorges blood into an open wound5 Human is infectedThe Bubonic Plague was utilized for war as well. Individuals put unhealthy rodents or flies in different people’s water. It was likewise utilized for something different. The dead collections of the casualties of the Plague were taken shots at their adversaries by launch with the expectation that the infection would spread. Around 850 years back Physicians were entirely abnormal. They suggested holding a bundle of sweet smelling herbs and blossoms up to your nose to avert the plague. Some state this training was a motivation for an old nursery rhyme. You may know it. It’s called Ring a ring o’ roses. In those days it was a little extraordinary it went this way. Ring a ring o’ roses a pocket loaded with posies, atishoo, atishoo, we as a whole tumble down. Ring a ring of roses was supposed to be a rash that frequently flagged contamination. A pocket loaded with posies were the blossoms individuals conveyed to improve the air. Atishoo was the sound of a wheeze, a typical manifestation of the infection. We as a whole tumble down implied that the entirety of its casualties had passed on. Presently for some passing aggregates and dates. On October of 1347 the Bubonic Plague showed up in Sicily. Among February and May of 1349, 400 individuals every day passed on of the plague. In this equivalent year more than 50,000 Parisians passed on. That’s half of the Sicily’s population!The plague has numerous preventive measures, for example, sanitation, murdering of rodents, and anticipation of the vehicle of rodents in ships showing up from ports in which the malady is endemic, are compelling in decreasing the rate of plague. Starvation, which decreases protection from the infection, brings about a spread of the plague. People who have gotten the sickness are disengaged, taken care of, and took care of liquids and easily absorbable nourishments. Tranquilizers are utilized to diminish agony and calm insanity. During World War II, researchers utilizing sulfa drugs had the option to deliver fixes of the plague; before long, anti-toxins, for example, streptomycin and antibiotic medications, were seen as progressively successful in controlling the sickness. Anti-infection agents have demonstrated effective in treating about all instances of plague. In any case, in 1997 researchers experienced a disturbing exemption †a kid in Madagascar who was contaminated with a strain of bubonic plague that was impervious to all the anti-toxins typically used to battle this malady. The kid recuperated, yet researchers dread that this strain of plague, whenever spread, could have genuine general wellbeing results. Science Essays
Wednesday, July 15, 2020
Stuart, James Ewell Brown
Stuart, James Ewell Brown Stuart, James Ewell Brown (Jeb Stuart), 1833â€"64, Confederate cavalry commander in the American Civil War, b. Patrick co., Va. Most of his U.S. army service was with the 1st Cavalry in Kansas. On Virginia's secession, Stuart resigned (May, 1861) and became a captain of cavalry in the Confederate army. He distinguished himself at the first battle of Bull Run (July, 1861) and in September was made a brigadier general. In June, 1862, he conducted the first of his celebrated cavalry raids, making a complete circuit of General McClellan's army on the Virginia peninsula, noting the Union positions. General Lee used this information to advantage in the Peninsular campaign. Stuart was promoted to major general in July and given command of all the cavalry of the Army of Northern Virginia. After another bold and successful raid (Aug., 1862), this time to John Pope's rear, he covered the last stage of Stonewall Jackson's flanking movement before the second battle of Bull Run (Aug., 1862). He was actively engaged in that battle and in the subsequent Antietam campaign. Again in Oct., 1862, Stuart rode around the Union Army ranging as far as S Pennsylvania and capturing 1,200 horses. He made effective use of his famous horse artillery in the battle of Fredericksburg (Dec., 1862). In the battle of Chancellorsville , he moved with Stonewall Jackson in the brilliant flank attack. When both Jackson and A. P. Hill were wounded, Stuart took command. In June, 1863, he fought his greatest cavalry battle at Brandy Station . For knowledge of the enemy Lee depended on Stuart, who, he said, never brought him a piece of false information. But in the Gettysburg campaign , Stuart was absent from the army on a raid, and Lee was not apprised soon enough of the Union concentration N of the Potomac. On May 11, 1864, his corps, now decreased in size and deficient in equipment, met a force of Union cavalry at Yellow Tavern, and Jeb Stuart was mortally wounded. Not since the death of Stonewa ll Jackson had the South sustained so great a personal loss. His rollicking, infectious gaiety and hard fighting were sorely missed in the gloomy last days of Lee's army. See biographies by J. W. Thomason, Jr. (1934, repr. 1971) and E. M. Thomas (1986); W. W. Blackford, War Years with Jeb Stuart (1945); D. F. Riggs, East of Gettysburg: Custer vs. Stuart (1985). The Columbia Electronic Encyclopedia, 6th ed. Copyright © 2012, Columbia University Press. All rights reserved. See more Encyclopedia articles on: U.S. History: Biographies
Thursday, May 21, 2020
Challenges Of Children Face When They Start School
What are the challenges that children face when they start school? Transition from early childhood to middle childhood involves many milestones in a child’s life, but none quite as significant for both parent and child as when it is time to start fulltime school. Even when a child has been attending pre-school nursery, private nursery, a childminder, or nanny, it is still a major event in any parent and child’s relationship, and as such can cause a lot of anxiety for either or both child and parent. Research carried out by The Professional Association for Childcare and Early Years (PACEY), found that over two-thirds of parents feel anxious over their child starting school, with half believing they are more anxious than their child. In†¦show more content†¦It is suggested that advice, resources and tips should be made available to parents, nationwide from schools and authorities, pointing out that the already established collaboration and support in place between early year care providers and families could be built on in order to deliver information to families, a long time before that all important first day. Bayram. L, (2014) proposes that the resources and tips should be made available to all, in written form, and accessible across the internet, through school forums, and states, that they should be in line with EYFS framework, that all reception classes follow. Information should highlight the importance of positive parental interactions, and relationships with infants during early years, along with suggested activities, to encourage parent child dyadic. If parents feel supported and confident about the transition to full-time school, it will help them to ease any worries their child may have and allow them to focus on the key areas with their child to achieve school readiness. EYFS, (2014), identify three prime areas crucial for building a child’s capacity to learn from relationships and thrive, in addition to developing their
Wednesday, May 6, 2020
Week 4 Learning Team Assignment Essay - 1723 Words
1 Week 4 Learning Team Exercises Rashonna Web and Crystal McQueen ACC/543 Sandria Stephenson December 7, 2014 2 26.1)Mechanics Lien. Ironwood Exploration, Inc. (Ironwood) owned a lease on oil and gas property located in Duchesne County, Utah. Ironwood contracted to have Lantz Drilling and Exploration Company, Inc. (Lantz), drill an oil well on the property. Therafter, Lantz rented equipment from Graco Fishing and Rental Tools, Inc. (Graco), for use in drilling the well. Graco billed Lantz for these rentals, but Lantz did not pay. Graco filed a notice of mechanics lien on the well in the amount of $19,766. Ironwood, which had paid Lantz, refused to pay Graco. Graco sued to forclose on its†¦show more content†¦Juras, who at the time lived in California, still refused to pay these amounts. Subsequently, a vice president of Aman, Mr. Gloss, telephoned Juras twice in California before 8:00 A.M. Pacific Standard Time. Gloss told Juras that if he did not pay the debt, he would not receive a college transcript. Juras sued Aman, claiming that the telephone calls violated the Fair Debt C ollection Practices Act. Gloss testified at trial that he made the calls before 8:00 A.M. because he had forgotten the difference in time zones between California and Aman’s offices in South Dakota. Who wins? Juras v. Aman Collection Services, Inc., 829 F.2d 739, Web 1987 U.S. App. Lexis 12888 (United States Court of Appeals for the Ninth Circuit) 27.1)Financing Statement CH Trucking, Inc. (CH), borrowed $19,747.56 from SD Petroleum Company, Inc. (SD). SD hired Clifton M. Tamsett to prepare a security agreement naming CH as the debtor and giving SD a security interest in a new Mack truck. The security agreement prepared by Tamsett declared that the collateral also secured: any other indebtedness or liability of the debtor to the secured party direct or indirect, absolute or contingent, due or to become due, now existing or hereafter arising, including all future advances or loans which may be made at the option of the secured party. Tamsett failed to file a financing statement or the executed agreement with the appropriateShow MoreRelatedHrm 326 Employee Development Complete from Week 1 to 5728 Words  | 3 PagesComplete from Week 1 to 5 Purchase here http://homeworkonestop.com/HRM%20326/hrm-326-employee-development-complete-from-week-1-to-5 Product Description HRM 326 Employee Development WEEK 1 Individual Assignment, Organizational Focus and Goals Discussion Questions 1, 2, 3, 4, 5 WEEK 2 Individual Assignment, Training Key Areas Learning Team Charter Discussion Questions 1, 2, 3, 4, 5 Weekly Quiz WEEK 3 Learning Team Assignment, Needs Analysis Discussion Questions 1, 2, 3, 4 WeeklyRead MoreCmgt 442 Week 2 Individual Assignment Risk Information Sheet Cmgt442 Week 2 Individual Assignment Risk Information Sheet957 Words  | 4 PagesCMGT 442 CMGT Complete Course Click below link for Answer visit www.workbank247.com http://workbank247.com/q/cmgt-442-cmgt-complete-course/11526 http://workbank247.com/q/cmgt-442-cmgt-complete-course/11526   CMGT 442 Week 1 Individual Assignment  Outsourcing risks   Prepare a 6-10 slide narrated PowerPoint presentation that identifies the possible risks to an organization in each of the following outsourcing situations: The use of an external service provider for your data storage. 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What Difference Did the Renaissance Make to Medicine Free Essays
What difference did the Renaissance make to medicine? The discoveries of the Renaissance didn’t make a significant difference to medicine for many reasons. The main reasons for this are that the discoveries made were primarily about anatomy and physiology, not about cures and treatments, and that even though people had proven Galen to be wrong about several things, they still wouldn’t let the four humours theory go. This meant that when King Charles II became ill even the best physicians in the country couldn’t save him which just shows that medicine didn’t advance very much from the renaissance. We will write a custom essay sample on What Difference Did the Renaissance Make to Medicine or any similar topic only for you Order Now The main reason that the renaissance didn’t make a significant difference to medicine was that the discoveries made were primarily about anatomy, not about treatments and cures. For example, Vesalius dissected bodies and produced a book including pictures of the body drawn by renaissance artists. By doing these dissections and producing his book, he realised that Galen was wrong about several things. He proved that we only have one jaw bone, not two as Galen said, he corrected the scale of our skeleton and he proved that there were no holes in the centre of the heart and therefore Galen’s theory about the heart was wrong. Although Vesalius did all this, he had still only improved the anatomical knowledge; he hadn’t discovered any cures/treatments or anything about our physiology, just that Galen was wrong with his ideas about the heart. William Harvey also did a bit of dissection to prove his theory. He focused on the distribution of blood around the body. He discovered that blood flows only one way around the body, and that blood is reused and not constantly produced by the liver as Galen had suggested. He used many complex diagrams which, when combined with the invention of the printing press, became quickly distributed throughout the world in the form of a book entitled ‘An anatomical account of the motion of the heart and blood in animals’. Although this was an important discovery, it is still just about anatomy and physiology. Harvey didn’t come up with any new treatments or cures during the Renaissance. As well as this, because they didn’t have very good technology at the time, Harvey had no way of proving that we have capillaries and so some people still didn’t believe what he said. Even though both Vesalius and Harvey had proven Galen to be wrong several times, the people still believed in the four humours theory which was really the underlying problem and the reason that renaissance didn’t make a significant difference, and why medicine didn’t develop during the renaissance. It’s easy to see that medicine hadn’t advanced very much and that the renaissance hadn’t made a significant difference when you look at how they handle the plague and King Charles II’s illness. When the plague returned in 1665, they still had no idea that it was carried by fleas. They also still had no real treatments that worked against the plague. All they knew was that it was contagious. Although this was an improvement on their knowledge from the last plague in 1348, it was still not a significant advancement to medicine. Another example that the renaissance hadn’t really made a difference was when King Charles II fell ill. It is thought, from the symptoms of the King, that he had suffered a stroke. The best doctors and physicians in the country tried to save him with treatments of Bezoars stones, blister agents over his head as well as bloodletting, purging and vomiting – based on the four humours theory. The king died within 4days after being treated by these doctors. It’s thought that it probably would have been better if they had simply left the King alone because it seems that he suffered a stroke. This shows just how bad medicine still was and just how little difference the renaissance had made to medicine as the best doctors in the country couldn’t save their King. In Conclusion, the discoveries of the Renaissance didn’t make a significant difference to medicine for many reasons. The main reasons for this are that the discoveries made were primarily about anatomy and physiology, not about cures and treatments, and that even though people had proven Galen to be wrong about several things, they still wouldn’t let the four humours theory go. This meant that when King Charles II became ill even the best physicians in the country couldn’t save him which just shows that medicine didn’t advance very much from the renaissance. How to cite What Difference Did the Renaissance Make to Medicine, Papers
Friday, April 24, 2020
Strategic Management of the NHS
Introduction The main objective of the NHS is to ensure that all residents of the UK are able to access medical services irrespective of their demographic, social, cultural or economic background (NHS 2014). One of the major advantages of the NHS is that it enables the residents of the UK to receive healthcare free of charge. In addition, it provides a variety of services to all patients. This has resulted into improved health outcomes in the country.Advertising We will write a custom case study sample on Strategic Management of the NHS specifically for you for only $16.05 $11/page Learn More However, the NHS has faced serious challenges in the last few years. These include limited funding from the government and inadequate capacity to handle rising demand for medical services (Schmid et al. 2010, pp. 455-486). In addition, patients have complained about declining service quality standards, whereas physicians are concerned about deteriorating terms of se rvice. This has forced the government to intervene by implementing new policies and strategies to improve the performance of the NHS. This report will provide a detailed analysis of the NHS, with the aim of proposing recommendations to the government to improve its performance. The report will begin by highlighting the current state of the UK’s healthcare system. This will be followed by analysis using various tools and models. Problems First, secondary care institutions are facing sustainability challenges. This is illustrated by the fact that nearly 15% of the country’s hospitals that provide specialized care have been declared unsustainable in the recent past. As more institutions become clinically and economically unsustainable, access to high quality healthcare will reduce significantly (Rothgang et al. 2008, pp. 132-146). Second, the government believes that it should reduce its expenditure on healthcare by 20%. This need arose as a result of the country’s poor economic performance in the last five years. Third, there is no effective integration between hospitals and community services. Some of the factors that hinder integration include poor communication, conflicting objectives among care institutions, and competition among care providers (Williams 2011, pp. 100-113). Fourth, the public has lost trust in general practitioners (GPs). The GPs have focused on pursuing their interests at the expense of providing improved and accessible services to the public. Aims and Objectives of the Healthcare System in the UK First, the government intends to cut its expenditure on healthcare without compromising quality and access. This objective is meant to improve efficiency in the healthcare system. Second, the NHS intends to distribute the existing workload between primary and secondary care institutions.Advertising Looking for case study on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More A fair distribution of the workload will enhance capacity optimization in existing care institutions, thereby improving access. Third, the integration between care institutions is to be improved. This objective will facilitate effective and efficient cooperation among care providers (Williams 2011, pp. 100-113). Fourth, the NHS intends to increase the range of local services that are provided by the GPs. This will restore public confidence and trust in GPs (Costigliola 2012, p. 42). In addition, the demand for secondary care will reduce if improved services are provided at the local level. Finally, the process of commissioning healthcare is to be improved by increasing the representation of clinicians in the CCGs. Improved participation of clinicians will ensure that quality medical services are available in every region in the UK (Costigliola 2012, p. 52). Stakeholders The stakeholders include the Care Quality Commission (CQC), National Health Service (NHS) England, Clinical Com missioning Groups (CCG), Health and Wellbeing Board, the government, the National Treasury, and Monitor (NHS 2014). The CQC monitors the health sector by ensuring that care institutions are providing safe, effective, and high quality medical services. NHS England facilitates access to healthcare by providing adequate care facilities, medical supplies, and qualified physicians. The main role of CCGs is to plan and design the process of providing medical services at the local level (NHS 2014). This involves purchasing medical services such as planned hospital care and rehabilitation care. The Health and Wellbeing Board collaborates with the commissioners and the community members to facilitate equitable access to healthcare at the local level. Monitor regulators the health sector by ensuring that the services provided meet the varied needs of the citizens (Monitor 2014). Analysis of Major Provider Sectors The government of the UK provides healthcare at different levels. These include primary care, secondary care, community care, and social care. Primary care is mainly provided by general practitioners and nurses as a first response to various health conditions. Primary care â€Å"provides universal and comprehensive access to all citizens†(Greener 2009, p. 76). The services include diagnosing diseases, prevention of diseases, and encouraging healthy behaviors (NHS 2014). The main strengths of the country’s primary care system include high access rate and effective coordination of services. However, the system is underfunded and the demand for services keeps rising (Appleby et al. 2014). Secondary care in the UK is provided by consultants who are hired by the NHS. The consultants are doctors and health professionals who specialize in specific areas such as cardiology and physiotherapy. Generally, the consultants provide their services in hospitals that are owned by the government (NHS 2014).Advertising We will write a custom case study sample on Strategic Management of the NHS specifically for you for only $16.05 $11/page Learn More The main strength of the UK’s secondary care system is that it provides high quality medical services. In addition, it is less expensive than those of most developed countries. However, access to secondary care in the UK has reduced tremendously in the last decade due to limited capacity. Patients have to wait for a long time to be attended to by specialists such as neurologists. In addition, poor coordination between primary and secondary care institutions limits access. Community care is mainly provided at the local level to specific groups of people such as the disabled and the elderly. The aim of community care is to enable beneficiaries to receive care while maintaining their independence in their residential homes or care homes (NHS 2014). The services provided by the community care system include meals, helping with domestic chores such as cleaning, pers onal tasks such as bathing, and recreational activities. Community care enables the government to reduce the strain on health facilities since the services are provided in the patient’s home or in a care home (Appleby et al. 2014). The main weakness of the community care system is that the criteria for selecting the beneficiaries is often complicated and time consuming. Social care is also provided at the local level to help citizens and their families to cope with the life challenges that are attributed to disability and illnesses. Social care is also negatively affected by the complexities associated with selecting the beneficiaries. Analysis of the NHS SWOT Analysis SWOT analysis highlights the strengths and weaknesses of the NHS. It also identifies the opportunities that are available to the NHS and the threats in the health sector (Gerlinger 2009, pp. 145-175). Table 1 summarizes the strengths, weaknesses, opportunities, and threats. Table 1: SWOT Strengths Weaknesses NHS has been rated as an excellent healthcare provider by CQC Operating costs are rising beyond the sustainable level NHS has expertise in developing appropriate clinical content and processes to deliver healthcare Long waiting lists due to limited capacity in public hospitals NHS has extensive infrastructure and personnel at the local and national level (NHS 2014) Poor coordination between primary and secondary care institutions. This prevents access to healthcare at the local level NHS is the only public provider of healthcare on a large-scale basis. Thus, it does not face high competition from private hospitals Low public confidence due to the declining quality of the medical services that are provided by the GPs Opportunities Threats NHS 111 provides opportunities to serve more customers Poor economic growth may reduce funding from the government. This will negatively affect service delivery The market for long-term conditions is underdeveloped. This is an opportu nity to provide more services to the underserved The rise in chronic diseases such as cancer and diabetes will increase the strain on the limited resources Collaborating with private care providers provide opportunities for cost reduction Insufficient supply of specialized personnel to treat chronic diseases in public hospitals The main strength of the NHS is its ability to provide medical services on a large-scale to the residents of the UK. Moreover, it has an extensive infrastructure and well trained medical personnel. The threats facing the NHS include limited funding and the increase in the number of patients with chronic conditions. The opportunities that are available to the NHS include using NHS 111 call service to enable more patients to access healthcare. Moreover, the NHS can address its capacity constraints by collaborating with private providers to deliver healthcare.Advertising Looking for case study on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More PESTEL Analysis The PESTEL analysis highlights the external factors that are likely to influence the performance of the NHS in future. These include political, economic, social, technological, environmental, and legal factors (Greener 2009, p. 213). The influence of these factors is summarized in table 2. Table 2: External Factors Political Economic Government is committed to improving efficiency by reducing costs Reduction of spending in healthcare due to poor economic performance NHS reforms will reduce inequalities in access, improve transparency, and enhance citizens’ participation (House of Commons 2011, pp. 1-40) More citizens will opt for the free services provided by the NHS due to low purchasing power Allowing more private sector organizations to deliver healthcare is expected to improve access and quality Rising cost of private health insurance will increase dependence on the NHS Social Technology Improvement in e-learning and digital inclusion is an op portunity to reduce costs through technologies such as telehealth High penetration of web and mobile phone technologies (NHS 2014). This will enhance provision of remote care via the internet and mobile phones Increasing and aging population will strain the resources for community care (Farnsworth 2012, pp. 146-151) DH/NHS transaction engine enhances access to care through digital channels Increase in long-term conditions will increase demand for secondary care Government is committed to enhance use of ICT in the health sector Legal Environment All trusts are required to achieve NHS foundation trust status to promote sustainability (House of Commons 2011, pp. 1-40) NHS has to reduce greenhouse gas emissions The main external factors that pose significant threats to the NHS include increase in the prevalence of long-term conditions and rapid aging of the population, as well as, reduced funding. These factors will lead to resource limitations, thereby causing failure. Howev er, improvements in e-learning and digital inclusion provide opportunities for cost reduction through technologies such as telehealth. Competition: Porter’s Five Forces Analysis Porter’s five forces analysis highlights the nature of competition in UK’s health sector (Costigliola 2012, p. 115). Table 3 summarizes the main forces in the competitive environment that are likely to influence the competiveness of the NHS. Table 3: Market Forces Buyer’s bargaining power Supplier’s bargaining power Self-pay patients have high power due to their low switching cost NHS is the dominant supplier Commissioners have high power due to their dominance Consultants in the private healthcare market have high bargaining power due to their limited number and ability to jointly set prices Threat of new entrants is low because of Threat of substitutes High entry costs Services provided by the NHS perform better than substitutes in terms of accessibility and co st. Difficulty in introducing a model that is superior to the NHS Threat is moderate and is attributed to patient empowerment and medical tourism (Gilardi, Fluglister Luyet 2009, pp. 549-573). Intensity of competition is low because of: Dominance of the NHS Private providers lack national coverage Limited availability of specialists Table 3 shows that the NHS is able to overcome competition in the market. This is explained by the fact that the NHS is the largest provider of healthcare and its services perform better than those of the competitors in terms of accessibility and costs. However, the NHS should improve the quality of its services to overcome the threat attributed to alternative services such as medical tourism. 7S Analysis The 7S analysis is a strategic management model that states that an organization must align and reinforce its soft and hard elements to achieve success (Sadler 2003, p. 56). The soft elements include staff, skills, shared values, and styl e. The hard elements include structure, strategy, and system (Sadler 2003, p. 56). These elements are summarized in table 4. Table 4: The Soft and Hard Elements of the NHS Soft elements Hard elements Shared values The values used by the NHS are respect, improving lives, compassion, commitment to quality, and working together for patients. Strategy The strategy of the NHS is to improve healthcare by designing and commissioning care programs. The programs focus on five areas namely, prevention of premature deaths, safety, acute care, experience of care, and long-term conditions. Skills Employees are provided with learning and development opportunities to improve their skills. Staff are required to achieve accreditation after formal training (NHS 2014) Structure A hierarchical organizational structure with various management levels is in place. Directors and officers have been appointed to various positions. Style NHS promotes leadership development and staff involvement. It a lso promotes the culture of teamwork, public service, accountability, quality, and safety. System NHS provides healthcare through several organizations. These include CCGs, NHS foundation trusts, ambulance trusts, and care trusts. Staff NHS has a workforce of over 1.3 million people. This consists of medical and non-medical personnel. NHS conducts regular review of its workforce to identify and to address emerging staffing needs. The organizational values that have been adopted by the NHS include compassion, improving lives, commitment to quality, and working together for patients. Compassion and commitment to quality will enable the employees of the NHS to provide the best healthcare, thereby improving patients’ health. In addition, teamwork will facilitate effective coordination of healthcare services. Professional development will improve the employees’ skills. As a result, they will be able to satisfy patients’ health needs. The NHS delivers healthcare through several organizations, which include CCGs, and NHS foundation trusts. The organizational structures of these organizations should be streamlined to improve efficiency in healthcare delivery. Stakeholder Analysis Stakeholder analysis identifies the individuals and organizations that are likely to influence the activities of the NHS. Generally, stakeholders with high interest and power/ influence on delivery of healthcare are likely to have a great impact on the strategy and activities of the NHS and vice versa (Sadler 2003, p. 73). Table 5 sheds light on the stakeholders. Table 5: Key Stakeholders High power Parliament Government National directors of the NHS Union leaders Medical staff CQC CCGs NHS foundation trusts Monitor Low power Non-medical staff Patients Public Health Patient representative groups Low interest in healthcare High interest in healthcare Stakeholders with high interest in healthcare are the main consumers of medical services. Thus, the NHS mus t align its strategy to the needs of stakeholders with high interest (patients) to achieve success. Non-medical personnel have low interest because they are not directly involved in the provision of healthcare. Thus, they are not likely to have a significant impact on the strategy of the NHS. The union leaders and the government have high influence on healthcare provision. Thus, the NHS must satisfy their needs, which include cost reduction and maintaining acceptable quality standards. Medical staff, Monitor, and CQC have high interest and influence. Thus, the NHS must actively manage them to ensure long-term cooperation. The patients and Public Health have high interest and low influence. Thus, the NHS should keep them informed about its activities to facilitate access to care. Recommendations The government should adopt the following recommendations to reform the NHS. The main objective of the recommendations is to address the weaknesses of the NHS so that it can overcome external threats and take advantage of existing opportunities. The recommendations will also meet the objectives of the healthcare system in the UK. Reduce Spending by 25% Reducing expenditure is the major strategy that the NHS needs to reduce its budget deficits. Expenditure should be reduced by adopting the following strategies. First, the organizational framework of the CCGs should be decentralized. One of the major weaknesses of the NHS is high operating costs, which are partly attributed to centralization of CCGs’ organizational framework. Significant cost reductions can be achieved by decentralizing CCGs. This will involve increasing the participation of the local communities in commissioning healthcare. The local communities will have high involvement in the ownership and management of healthcare facilities. This will promote cost reduction at the local level. Second, specialized services should be merged. Services such as treatment of chronic diseases should be centralized or merged to reduce costs. This strategy is justified by the fact that specialized services are very expensive to provide. Centralizing the services will lead to cost savings through sharing of scarce resources (Wilstow 2012, pp. 5-13). For example, accessing specialists such as cardiologists who are in short supply will be easy and cost-effective if their services are centralized. Reorganization of the Workforce Reorganization of the workforce through professional development is required to improve the quality of healthcare. In this regard, the NHS should adopt the following strategies. First, the NHS should train more specialized medical personnel. The NHS has a long patient waiting list because of the limited availability of specialized medical personnel. Thus, it is important to train more specialized personnel to improve service provision (Charlesworth, Smith Thorlby 2014). Second, the NHS should focus on on-the-job training of non-specialized medical personnel (Hall, Miller Mi llar 2012, pp. 49-62). Improved skills will enable the personnel to provide high quality services, thereby restoring public confidence in GPs. Third, the NHS should deploy personnel to underserved areas. Increased influence of politicians in commissioning healthcare in the country has led to unbalanced access to care. To address this situation, medical personal should be redeployed from overstaffed to understaffed hospitals and clinics to improve health outcomes (Hall, Miller Millar 2012, pp. 49-62). Disease Prevention The NHS should focus on disease prevention to reduce demand for healthcare, thereby reducing its capacity constraints. Thus, staff and patient education programs should be introduced to increase the information that is in the public domain about disease prevention. If the information is utilized appropriately, infection rates will reduce (Lombardo Buckeridge 2012, pp. 7-20). This will reduce expenditure on healthcare and improve the health of the citizens. Regular s creening of members of the public should be conducted to facilitate early detection of various illnesses. As a result, it will be possible to provide timely interventions to prevent premature deaths (Gerlinger 2009, pp. 145-175). Moreover, chronic diseases such as cancer can be treated at a low cost if they are detected early. Quality of Healthcare Improving the quality of healthcare is the major strategy that the NHS should adopt to improve patient outcomes and to win the trust of the public. The NHS should introduce effective care pathways to improve the quality and safety of healthcare. Care pathways will use evidence-based clinical interventions, thereby reducing chances of medical errors. The resulting improvements in health outcomes will reduce readmission rates and strain on healthcare resources (Gerlinger 2009, pp. 145-175). Monitor and CQC should provide guidelines and technical assistance to improve compliance. Moreover, Monitor should improve supervision of healthcare pro viders. This will ensure that only accredited institutions are providing medical services, thereby improving quality. Use of Technology Use of advanced information and communication technologies is one of the main strategies that the NHS should adopt to improve access to healthcare. The NHS should focus on using telehealth, websites, and mobile phone applications. Since majority of the population already has access to the internet and mobile phones, telehealth and websites will be convenient and cost-effective channels for delivering healthcare (Ramena Staggers 2013, p. 14). Furthermore, care providers should use text reminders to encourage patients to attend medical appointments. Empirical studies indicate that SMS text reminders motivate patients to attend all clinical appointments, thereby improving their health (Mitchell Selmes 2007, pp. 423-434). Participation of the Private Sector in Service Provision The participation of the private sector is required to increase the capaci ty to provide healthcare to all citizens. The government should provide incentives to private insurers to provide affordable health insurance. As the cost of health insurance premiums reduce, more citizens are likely to pay for their healthcare. As a result, the budget deficits that the NHS is grappling with will reduce. The government should also deregulate establishment of private hospitals and clinics. By eliminating regulations that prevent entry, the participation of the private sector will increase, thereby enhancing access and quality. Capacity Change The capacity of the healthcare system should be increased to meet future increase in demand for healthcare. The NHS should establish additional hospitals, care homes, and clinics to address the expected increase in demand for care. Moreover, the NHS should improve availability and functionality of medical equipment. One out of five public hospitals is not sustainable partly because of inadequate equipment (Appleby et al. 2014). Thus, the existing medical equipment should be improved to enhance clinical sustainability. Integrated Care The NHS should focus on providing integrated care to eliminate fragmentation of medical services, which often leads to poor patient outcomes. There should be improved collaboration among commissioners to facilitate pooling of resources at the local level to provide more services to citizens (Currie, Finn Peters 2007, pp. 406-417). Additionally, healthcare for the elderly and patients with long-term conditions should be centralized. Evidence from the Veterans Health Administration in the US shows that patient outcomes often improve if the services needed by specific groups such as the elderly are centralized. Conclusion The NHS is the leading provider of healthcare in the UK. Its main strengths include access to an extensive infrastructure and well trained personnel. Furthermore, it is capable of developing and implementing improved healthcare solutions. However, its effective ness is threatened by several factors. These include rising demand for healthcare, reduced funding from the government, and declining quality of healthcare. Despite its weaknesses, the NHS can still be reformed by taking advantage of the opportunities in the healthcare sector. These include the use of telehealth and partnering with private care providers. Moreover, the NHS must improve its internal efficiency to reduce operating costs. This calls for centralizing specialized services and decentralizing the organizational framework of CCGs. Furthermore, the NHS must improve the quality of its healthcare services in order to regain the trust of the public. References Appleby, J, Humphries, R, Thompsons, J Jabbal, J 2014, How is the health and social care system performing. Web. Charlesworth, A, Smith J Thorlby, R 2014, The coalition government’s health and social care reforms. Web. Costigliola, V 2012, Healthcare overview: new perspectives, Oxford University Press, London. Cu rrie, G, Finn, R Peters, M 2007, ‘Spanning boundaries in pursuit of effective knowledge sharing within networks in the NHS’, Journal of the Health Organization and Management, vol. 21. no. 4, pp. 406-417. Farnsworth, A 2012, ‘Unintended consequences: the impact of NHS reforms upon Torbay Care Trust’, Journal of Integrated Care, vol. 20. no. 3, pp. 146-151. Gerlinger, T 2009, Competitive transformation and state regulation in health insurance countries, Edward Elgar Limited, Cheltenham. Gilardi, F, Fluglister, K Luyet, S 2009, ‘Learning from others: the diffusion of hospital financing reforms in OECD countries’, Comparative Political Students, vol. 42. no. 1, pp. 549-573. Greener, I 2009, Healthcare in the UK: understanding continuity and change, Sage, London. Hall, K, Miller, R Millar, R 2012, ‘Jumped or pushed: what motivates NHS staff to setup a social enterprise’, Social Enterprise Journal, vol. 8. no. 1, pp. 49-62. House of Commons 2011, Achievement of foundation trust status by NHS hospital trusts, Stationary Office, London. Lombardo, J Buckeridge, D 2012, Disease surveillance: a public health informatics approach, Palgrave, London. Mitchell, A Selmes, T 2007, ‘Why don’t patients attend their appointments: maintaining engagement with psychiatric services’, Advances in Psychiatric Treatment, vol. 13. no. 1, pp. 423-434. Monitor 2014, What we do. Web. NHS 2014, About us. Web. Ramena, N Staggers, N 2013, Health informatics: an inter-professional approach, John Wiley and Sons, New York. Rothgang, H, Cacace, M, Frisina, L Schmid, A 2008, The changing public-private-mix in OECD healthcare systems, Palgrave Macmillan, London. Schmid, A, Cacace, M, Gotze, R Rothgang, H 2010, ‘Explaining health care system change: problem pressure and the emergency of hybrid health care systems’, Journal of Health Politics, Policy and Law, vol. 35. no. 3, pp. 455-486. Schmid, A Gotze, R 2 009, ‘Policy learning in health care system reform: the case of diagnosing related groups’, International Social Security Review, vol. 62. no. 1, pp. 21-40. Williams, S 2011, ‘Safeguarding adults at risk in the NHS through inter-agency working’, Journal of Adult Protection, vol. 13. no. 2, pp. 100-113. Wilstow, G 2011, ‘Integration and the NHS reforms’, Journal of Integrated Care, vol. 19. no. 4, pp. 5-13. 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Tuesday, March 17, 2020
Free PDF Chemistry Worksheets To Download or Print
Free PDF Chemistry Worksheets To Download or Print This is a collection of chemistry worksheets in pdf format. The answers to the questions are available on separate worksheets so you can fill them out and then check your work. Please feel free to download these to your computer, print them, and use them as hand-outs. Metals, Nonmetals, and Metalloids WorksheetMetric to English Conversions WorksheetMetric to English Conversions AnswersMetric to Metric Conversions WorksheetMetric to Metric Conversions AnswersTemperature Conversions WorksheetTemperature Conversions AnswersTemperature Conversions Worksheet #2Temperature Conversions Answers #2Moles to Grams Conversions WorksheetMoles to Grams Conversions AnswersFormula or Molar Mass WorksheetFormula or Molar Mass Worksheet AnswersPracticing Balancing Chemical Equations - WorksheetBalancing Chemical Equations - AnswersPracticing Balancing Chemical Equations - Worksheet #2Balancing Chemical Equations - Answers #2Practicing Balancing Chemical Equations - Worksheet #3Balancing Chemical Equations - Answers #3Balancing Equations - Worksheet #4Balancing Equations - Answer Key #4Common Acid Names Formulas - WorksheetAcid Names and Formulas - AnswersPractice Calculations with Moles - WorksheetMole Calculations - AnswersAcid Base pH - WorksheetAcid Base pH - Answers Gas LawsGas Laws AnswersGas Laws Answers - Shown WorkLimiting Reagent - WorksheetLimiting Reagent - AnswersCalculating Molarity - WorksheetCalculating Molarity - AnswersBalancing Redox Reactions - WorksheetBalancing Redox Reactions - AnswersPrintable Element CrosswordPrintable Element Crossword - AnswersChemical Names to Chemical Formulas - WorksheetChemical Names to Chemical Formulas - Answer KeyChemical Formulas to Chemical Names - WorksheetChemical Formulas to Chemical Names - Answer Key Printable Periodic Tables Here are some printable periodic tables to help you out, also in pdf format. Color Printable Periodic Table - Pretty much everything you need that can fit on a page and still be readable. Color table with atomic numbers, element symbols, element names, atomic weights, periods, and groups. [2013 Edition] [2012 Edition]Black/white Printable Periodic Table - Black/white table with atomic numbers, element symbols, element names, atomic weights, periods. [2013 Edition] [2012 Edition]Blank Printable Periodic Table - Fill in the boxes yourself.Electron Configuration Periodic Table - Periodic table that lists the electron configurations for each element.Color Printable Periodic Table - Color table with atomic numbers, element symbols, atomic weights, periods, and groups. (no names)Basic Printable Periodic Table - Black/white table with atomic numbers, element symbols, atomic weights, periods. (no names)Basic Periodic Table with Element Names - Black/white table with element symbols, names, atomic numbers, and periods. (no weights)Basic Periodic Table with Element Nam es (color) - Color periodic table with element symbols, names, atomic numbers, periods, and groups. (no weights) The atomic weights given on these tables are the most recent (2007) values as accepted by the IUPAC. Printable Scientific Method Flow Chart This is a flow chart of the steps of the scientific method, available as a PDF file: Scientific Method PDF Also available is a PDF of a pie chart of the elemental composition of the human body.
Sunday, March 1, 2020
Conjugation of Past or Preterite Tense Verbs in Spanish
Conjugation of Past or Preterite Tense Verbs in Spanish As one of Spanishs two simple past tenses, the preterite has a conjugation that is essential to learn. It is the verb form used most often to tell of events that have already happened and that are seen as completed. The other simple past tense, the imperfect, is used for past actions that are not completed, meaning the past action did not have a definite beginning or a definite end. How to Conjugate the Preterite Tense In Spanish, verbs are the words that change the most often and depend on different tenses, moods, gender, and agreement in person according to what needs to be conveyed in the sentence. A verb ending can indicate when the action occurs, and also give the listener a better idea of who or what is performing the action. As is the case with standard Spanish conjugation rules, the preterite verb forms are made by removing the infinitive ending of the verb, such as -ar, -er or -ir, and replacing it with an ending that indicates who is performing the action of the verb. Verbs agree in person and number. For example, the infinitive or base form of the verb that means to speak is hablar. Its infinitive ending is -ar, and the verb stem is habl-. To say I spoke, remove the -ar, add -à © to the stem, forming hablà ©. Yo hablà © is I spoke. To say you spoke, singular you in an informal way, remove the -ar, add -aste to the stem, forming hablaste: Tu hablaste is You spoke. Other forms exist for other personal pronouns. The endings are slightly different for verbs that end in -er and -ir, but the principle is the same. Remove the infinitive ending, then add the appropriate ending to the remaining stem. Conjugation of Regular -AR Verbs in the Preterite Tense Person -Ar Ending Infinitive: Hablar Translation: To Speak yo - habl I spoke t -aste hablaste you (informal) spoke l, ella, usted - habl he/she spoke, you (formal) spoke nosotros, nosotras -amos hablamos we spoke vosotros, vosotras -asteis hablasteis you spoke (informal) ellos, ellas, ustedes -aron hablaron they spoke, you (formal) spoke Conjugation of Regular -ER Verbs in the Preterite Tense Person -Er Ending Infinitive: Aprender Translation: To Learn yo - aprend I learned t -iste aprendiste you (informal) learned l, ella, usted -i aprendi he/she learned, you (formal) learned nosotros, nosotras -imos aprendimos we learned vosotros, vosotras -isteis aprendisteis you learned (informal) ellos, ellas, ustedes -ieron aprendieron they learned, you (formal) learned Conjugation of Regular -IR Verbs in the Preterite Tense Person -Ir Ending Infinitive: Escribir Translation: To Write yo - escrib I wrote t -iste escribiste you (informal) wrote l, ella, usted -i escribi he/she wrote, you (formal) wrote nosotros, nosotras -imos escribimos we wrote vosotros, vosotras -isteis escribisteis you wrote (informal) ellos, ellas, ustedes -ieron escribieron they wrote, you (formal) wrote In the preterite tense, regular -er and -ir verbs use the same pattern of endings. Additionally, the first-person plural, the we form of nosotros and nosotras, has the same conjugation for both the present indicative tense and the preterite past tense for -ar and -ir verbs. The word hablamos can mean either we speak or we spoke, and escribimos can mean either we write or we wrote. In most cases, the context of the sentence makes clear which tense is intended. Conjugations of Common Irregular Verbs Below are the preterite-tense for the irregular verbs you are most likely to use. Irregular forms are shown in boldface; the forms given follow the same order as in the charts above, beginning with the first-person singular and continuing to the third-person plural. dar (to give): di, diste, dio, dimos, disteis, dieron. decir (to say, to tell): dije, dijiste, dijo, dijimos, dijisteis, dijeron. estar (to be): estuve, estuviste, estuvo, estuvimos, estuvisteis, estuvieron. haber (to have as an auxiliary verb): hube, hubiste, hubo, hubimos, hubisteis, hubieron. hacer (to make, to do): hice, hiciste, hizo, hizimos, hicisteis, hicieron. ir (to be): fui, fuiste, fue, fuimos, fuisteis, fueron. (Note that the preterite conjugations of ir and ser are identical.) llegar (to arrive): lleguà ©, llegaste, llegà ³, llegamos, llegasteis, llegaron. poder (to be able, can): pude, pudiste, pudo, pudimos, pudisteis, pudieron. poner (to put): puse, pusiste, puso, pusimos, puisisteis, pusieron. querer (to be): quise, quisiste, quiso, quisimos, quisisteis, quisieron. saber (to know): supe, supiste, supo, supimos, supisteis, supieron. ser (to be): fui, fuiste, fue, fuimos, fuisteis, fueron. tener (to have or possess): tuve, tuviste, tuvo, tuvimos, tuvisteis, tuvieron. ver (to see): vi, viste, vio, vimos, visteis, vieron.
Friday, February 14, 2020
Ethical Behavior Essay Example | Topics and Well Written Essays - 500 words - 1
Ethical Behavior - Essay Example This is especially so by being the origin of all the wrong doings of all the rest. By following the logic of wrong doings, the moment one puts another individual in a position that compromises his or her beliefs morally and logically, one turn into the evil person. This is as is the case with the creation story, in which the tempter was the devil asking Eve to participate in wrongdoing (John, 2010). Therefore, in tempting his friends and acquaintances for exam papers, she is the most unethical person. This is despite the comments given by the acquaintances, which appear to be measures at stopping her from cheating in the exam, especially with Biff. The real deal comes with Rex who shows complete corruption of morality by both lying and extorting money from Babbs, which still appears as a creation of Babbs. However, it appears that Rex’s source of unethical behavior is his greed and innate desire to deceive, or offer punishment to Babbs for not taking her time to do that which is required of her, attend lessons and submit her own work on ethics. On the other hand, the professor’s lack of ethics is not dependent on Babb’s behavior on the exam but is based on his own bias. In relation to this, the professor is expected to be an individual of high moral standing, where they observe honesty, fairness and pay attention to cheating students, as well as respect their position in power (Friedman et al, 2005). However, professor Wind plenty only portrays his ethics with a bias by punishing Babbs appropriately and sparing another who cheats right before his eyes. This shows his lack of ethics as the concept of right and wrong is not based on relativity, but rather on black and white truth and untruth. Therefore, the professor offers partial justice by letting the student with disability go but still punishes Babbs. This is an extreme case of lack of ethics on the professors side, as it shows how easily swayed he is by explanation or reasons he
Saturday, February 1, 2020
Postmaster Brown Essay Example | Topics and Well Written Essays - 500 words
Postmaster Brown - Essay Example However, the public did not send much airmail because it was expensive, and neither the Post Office nor the airmail carriers made money" (Freeman, 2003). Improvements made by postmaster Brown were radical. He had convened the conference "to get airline operators to agree to a consolidation of the various airmail routes into three or four coast to coast networks operated by the best equipped and most financially stable companies" (ecommcode2.com, 1999). It was United Airlines that kept the northern airmail routes; Transcontinental and Western Airlines (TWA) operated in the middle of the US; and American Airways flew across the southern part. Additionally Brown stripped all the benefits for air mail transportation and created incentives for passenger flights. Unfortunately, Brown fall into political disfavor when the new democratic president Franklin D. Roosevelt was elected. In 1993 charges were made against the postmaster fro collusion, illegal administration and unfair mail awards. Small aviation companies, which were pushed out of the business complained along with Senator Hugo Black who investigated the air mail case, were accusing Brown for improper use of power he gained. The conclusion was Brown has made it so, that air mail business has gone completely to friends of the Hoover administration. Nevertheless, they could not charge Brown for incompetence or unsuccessful policy.
Friday, January 24, 2020
How Can We Help The Homeless And Should We?: Searching For A Solution :: essays research papers
How Can We Help the Homeless and Should We?: Searching for a Solution Just a few months ago I was with my friends Mike and Kim and we had been walking around having a great time in the city. We then exited a store and Kim said something under her breath like, "Oh, no," when I looked in the same direction to find a middle aged man with a drunken stare to him. She knew this man as "the town drunk" and he had been homeless for years. He asked us for the time and we replied, but he didn't just stop with that and followed us across the street talking up a storm. He was telling his whole life story in the fifteen minutes we stood there: he talked about how he grew up living poor with his family and how he wanted to be educated and go through college to get a good job so he could live well. But he said his parents just didn't have the money and it was impossible. I felt threatened as did Mike and Kim from the drunken gestures of this man and thought to myself, if this man wanted to make something of his life, I mean if he really wanted to, he would try harder and somehow do wh at he wanted. We tried to leave as soon as possible. But then I began reading these essays about the homeless and it started to change my mind. The essay "Virginia's Trap" by Peter Marin especially effected me because of the way it portrays the young woman that has nothing going for her and almost everything against her. I though about this and decided I had misunderstood the whole plight of this population and thought there must be a better way to help these unfortunate people. How should we help the homeless and should we try even though they may not help themselves? I figure that is the most important question that needs to be answered if anything is to be done. Of the essays I analyzed Awalt's "Brother Don't Spare a Dime" was the one essay that went against the idea of helping the homeless because the author thinks it's their own fault for being the way they are. The other two essays are easier on the homeless and want to lend a helping hand. In "Address Unknown: Homeless in Contemporary America" James Wright thinks that helping the homeless by giving them more benefits that they will be more prosperous. Peter Marin has the same idea in "Virginia's Trap" where the young woman is in need of just a
Thursday, January 16, 2020
Claire McCloud Case Assignment Questions Essay
Strategic Management of Technology and Innovation Class Preparation for In-Class Discussion Feb 2, 2013 (Please prepare two page notes to bring to class) Claire McCloud Case Assignment Questions Please read the Claire McCloud case and the other three assigned articles about the management styles of Selina Lo (at Alteon), Andrea Jung (at Avon), and Christos Costsakos (at E-Trade). Prepare a two-page paper (with a word processor) to address the following questions: (Please hand in one copy of the notes at the beginning of the class.) 1. What are the pros and cons of Claire accepting the general manager position of the Fiber Optics division? What issues should Claire be considering in her decision to accept or decline the general manager position? Pros: A.Become CEO of a subsidiary company for Fiber Optics. Gain experience as an executive B.Fiber Optics is important fast growing business C. Cons A.She lacks technical R&D knowledge. B.She has no line management experience 2.List the functional areas of a business; i.e.., finance, R&D, Manufacturing, marketing, and rate each one with respect to the amount of industry specific knowledge that will be required for Claire to do the job effectively (what the company lacks currently) vs. what she possesses. What does Claire need to know about the technology? (You might set up a table to show your assessments.) 3. What are OWS’s strengths and weaknesses? How do they compare with Claire’s strengths and weaknesses? Function How important for the Company Company’s current strength McCloud’s Strength R&D +++ ++ + Production +++ + + Marketing & Sales +++ 0 ++ to +++ Finance +++ +++ +++ Human resource 4. What are the immediate short and long term tasks Claire will need to address if she accepts the job? Lay out a specific action plan for her to accomplish by i) the two months of her new job, ii) by the end of six months, iii) by the end of eighteen months. i)understand issue by informal meeting, and then call formal meeting to confirm issues. Finally report top management. Solve production issues. ii)solve marketing issue by visiting top 15 customers.
Wednesday, January 8, 2020
Compare The Charge Of The Light Brigade And Exposure By...
In the poems ‘The Charge of the Light Brigade’ by Alfred Lord Tennyson and ‘Exposure’ by Wilfried Owen, both poets incorporate ideas of patriotism to convey a message about the futility of war. This is revealed in many similar and different ways: One of the ways in which poets present the ideas of patriotism is in the loss of hope as the war progresses, which patriotism helps to could help overcome in one war, but not another. For example, the soldiers don’t lose hope despite the mistake made by one of the commanders in ‘The Charge of the Light Brigade’ due to their patriotic views as seen through the words: ‘Theirs but to do and die’ †¦ ‘Into the Valley of Death’. The words ‘but to do and die’ suggest that the soldiers were so patriotic†¦show more content†¦Similarly, Owen uses the concept of the futility of war in ‘Exposure’ to highlight patriotism through the words ‘merciless iced east winds that knive us’. The metaphor of the weather in ‘winds that knive us’ conveys the way in which the soldiers are facing another battle against another force in war, which is suggested to be their false beliefs of patriotism in the connotation ‘What are we doing here?’. Owen uses the rhetorical question in ‘here?’ to demonstrate the ways in which the soldiers feel that they have been betrayed by their false perception of patriotism, which highlights the potential propaganda set out during the beginning of the First World War, highlighting the true futility of why they were fighting a battle against nothing, as the ‘wind’ is just a force which is air. A third way in which the poets present ideas of patriotism in their poems is through the different references of the legacy that the soldiers carry. This is presented by Tennyson through his last stanza, which states ‘When can their glory
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