English Communicative Grammar Essay Example for Free

English Communicative Grammar Essay 1. The following passage has not been edited. There is one error in each line. Write the incorrect word and the correction in your answer sheet against the correct question number. Remember to underline the word you have supplied. Incorrect Correct Often these days we hear and speak of the conquered (eg.) conquered conquest in nature, ‘the taming of a river’, ‘the war against insects’ (a) _________ _________ and so on. Often these phrases being used without consciously (b) _________ _________ attaching any value to them, but they have an underlying attitude of hostile towards Nature and Nature’s (c) _________ _________ creatures, a viewpoint which seeming to assume (d) _________ _________ Nature as an enemy that needs to being vanquished. (e) _________ _________ Alternatively, Nature is seen merely as the ‘resource’ to be(f) _________ _________ ‘exploited’. 2. Read the following conversation and complete the paragraph. Write the answers in your answer sheet against the correct blank numbers. One morning while reading the paper, Raj told his wife (a). His wife, Rita, said that she thought (b).. . Raj replied that (c).. as the cashier had run away with Rs 5 million. 3. Complete the headlines by choosing the correct answers from the options given below: a) Drive against Liquor Mafia launched The police ______________________ engaged in smuggling of liquor to the state. b) China develops medical robot A polytechnic university in China ______________________ that can conduct surgeries. 4. Read the extract given below and answer the questions that follow by choosing the correct options. All pity choked with custom of fell deeds: And Caesar’s spirit, ranging for revenge, With Ate by his side come hot from hell Shall in these confines with a monarch’s voice Cry ‘Havoc’, and let slip the dogs of war; 1.Who is speaking these lines and when? a) Brutus at Caesar’s funeral b) Cassius at Caesar’s funeral c) Antony before Caesar’s body d) Antony to the Roman mob 2.How shall Caesar appear and what for? a) as a ghost to take revenge b) as a ghost with Ate to take revenge c) as a ghost to announce doomsday d) as a ghost to destroy humanity 3.Ate’ in Greek mythology is the a) goddess of revenge b) goddess of death c) goddess of destruction d) goddess of deception. 5. Answer the following questions briefly: ( 20-25 words)(1 Â ½ x 3 = 4 Â ½ Marks) i. Antony was indeed an excellent orator who ignited the spirit of revenge in the minds of the Roman people. Describe how he moulded the minds of the Roman people and turned them against the conspirators. ii. How is Brutus successful in taking Caesar to the Senate inspite of Calpurnia’s efforts to the contrary? iii. Write a note on the famous words ‘Et tu Brute!’ spoken by Caesar. 6. Though both Brutus and Antony address the public of Rome before Caesar’s funeral, there is a basic difference between the two. Bring out this contrast. Your answer should not exceed 75 words. (6 Marks)

Gender Roles in Angela Carters The Company of Wolves Essay -- Carter

Gender Roles in Angela Carter's The Company of Wolves In her transformation of the well-known fable "Little Red Riding Hood," Angela Carter plays upon the reader's familiarity. By echoing elements of the allegory intended to scare and thus caution young girls, she evokes preconceptions and stereotypes about gender roles. In the traditional tale, Red sticks to "the path," but needs to be rescued from the threatening wolf by a hunter or "woodsman." Carter retells the story with a modern perspective on women. By using fantasy metaphorically and hyperbolically, she can poignantly convey her unorthodox and underlying messages. Before telling the story of Red Riding Hood, Carter establishes the nature of wolves in a folk-lore or legend style, which appears to be at least partially factual. The narrator describes wolves as malicious hunters in an ominous tone: "The wolf is carnivore incarnate and he's as cunning as he is ferocious; once he's had a taste of flesh, then nothing else will do" (Norton Anthology of Literature by Women, 2232). She tells of their desperation for food, one possible explanation for their eagerness to devour humans, but warns that the danger of falling prey to a wolf is ever-present. Beneath her descriptive background information of wolves lies Carter's real message: men are sexual predators, and hunt for flesh like wolves do. This subtle and foreshadowed element becomes slightly more overt as the focus changes from wolves of the forest, to the mythical creatures of werewolves. The narrator alludes to three plausible legends involving the hunter, the witch, and the bride, who all encountered men who transformed into wolves. She references possible explanations for this phenomenon, citing the Devil tra... ...al roles and become the sexual aggressor to be the victor instead of the victim. Carter's twist on a well-known tale likely surprises many readers. Thus she is likely suggesting we should rethink our expectations of gender roles. Another way of presenting alternate gender roles would be making Red a boy, and having him saved by a girl at the end, but this scenario would not be as striking and therefore effective. Furthermore, Red's sexual awakening and consequent taming of the "wolf" serves as encouragement for women not to be passive, but to assert themselves in all situations, especially sex, which is one area that has long been characterized by rigid/traditional expectations of gender roles. Works Cited: Carter, Angela. "The Company of Wolves." Folk and Fairy Tales. Eds. Martin Hallett and Barbara Karasek. 3rd Edition. Toronto: Broadview Press, 2002.

Ehrs in Health Care

EHRs in Health Care x x x Abstract In 2009, the Health Information Technology for Economic and Clinical Health Act (HITECH) was passed into law mandating interoperable Electronic Health Record (EHR) adoption throughout the United States health care system for all providers who serve Medicare or Medicaid patients. The HITECH Act sets â€Å"meaningful use† requirements, goals, and objectives, and gives specific timelines for which to achieve them.As an incentive to expedite the process, the Centers for Medicare and Medicaid Services (CMS) has offered monetary rewards for those facilities and physicians who are taking steps to implement an EHR system by 2015. Beginning in 2015, CMS will penalize facilities and physicians who have not implemented an EHR system. One of the stipulations of receiving the incentive money is demonstrating â€Å"meaningful use†, or utilizing EHR technology in a meaningful way that improves patient care.Meaningful use has three stages, each focusi ng on different areas of patient care. There are several advantages and disadvantages of implementing an EHR system, but the benefits greatly outweigh the risks. The HITECH Act is one of the most important pieces of health care legislation to date and has been called the â€Å"foundation for health care reform† (Blavin & Ormond, 2011). In 2004, the Bush administration introduced a plan to ensure that the medical profession completely converts to electronic health records (EHR).This plan was passed into law by the Obama administration in 2009 under the Health Information Technology for Economic and Clinical Health Act (HITECH), which is a provision of the American Recovery and Reinvestment Act (ARRA) (Kwami, n. d. ). This Act is essentially a $27 billion stimulus package meant to accelerate health care information technology in the United States. It allows the Centers for Medicare and Medicaid Services (CMS) to offer financial incentives (up to $44,000 from Medicare and $63,75 0 from Medicaid per physician or up to $2 million per hospital) for implementing anElectronic Health Record (EHR) system in their facility by 2015 (Murphy, 2012). Not only do they have to implement it, they must also meet the â€Å"meaningful use† requirements set forth by CMS for successful utilization of the EHR system. To receive the maximum incentive payment, physicians/facilities must begin participation by April 1, 2013. Starting in 2015, physicians and facilities who have not met those requirements will be penalized. What is Meaningful Use? Meaningful use is an umbrella term for the rules and regulations that hospitals and physicians must meet to qualify for the federal incentive funding under ARRA.There are three stages of meaningful use; each has different goals and objectives. For example, stage one focuses on data capture and sharing, and is grouped into five patient-driven areas related to patient health outcomes: 1. ) Improve quality, safety, and efficiency, 2. ) Engage patients and families, 3. ) Improve care coordination, 4. ) Improve public and population health, and 5. ) Ensure privacy and security for personal health information (â€Å"Meaningful Use 101,† n. d. ). Step two focuses on the advanced clinical processes involved in patient care and stage three will focus on improving actual patient outcomes.Requirements for meaningful use include the ability to e-prescribe, electronically exchange patient health information, and report on clinical data. The eventual goal is a national health information network. Facilities and physicians must achieve stage three of meaningful use by 2015. Traditionally, physicians have been reimbursed based on how many services they provide (fee for service). Meaningful use shifts this paradigm to a more patient centered process and concentrates on performance-based initiatives like pay for performance (P4P) reimbursement.CMS recently introduced three P4P programs mandated by ARRA designed to reward higher-performing hospitals and penalize poorer-performing hospitals through these reimbursement practices. Hospitals performing at or below the 50th percentile nationally on hospital quality and patient experience measures can expect to see a significant reduction in payment from CMS as early as 2012 (â€Å"Pay for Performance Payment,† n. d. ). The shift from volume-based to value-based reimbursement methodology puts more emphasis on patient care and achieving positive outcomes.Another part of meaningful use requires that EHRs are interoperable with other facilities and physicians even if they are not the within the same organization. This means that every organization’s EHR system must to be able to â€Å"talk† to other organizations’ systems. If a patient travels to another state or another country and needs to go to the doctor for any reason, the physician there will be able to bring up the patient’s EHR and treat them based on the up-to-date medical information contained in their EHR. This is especially important in emergency situations where the patient may not be in the position to supply needed information.Locally, interoperability is important because it helps physicians communicate with other facilities such as a referral. A patient’s family physician may refer them to a specialty doctor and with an EHR, both doctors can view and document findings in one record rather than having separate papers that need to be brought in by the patient and filed in their paper record. EHRs are also an asset within the same facility. When a patient gets a lab or x-rays done, the physician can immediately bring up the results rather than having to wait for the lab/x-ray technician to physically bring the results to them.Interoperability makes coordination of care easier and more efficient. Advantages of Implementing an EHR In addition to the benefits of interoperability, there are several other advantages of implementing an EHR. The main goal of an EHR is to improve the quality and safety of patient care. EHRs can help provide better health care by improving all aspects of patient care like safety, effectiveness, patient-centeredness, communication, education, timeliness, and efficiency (â€Å"What Are the Advantages,† n. . ). Having a single record that includes all of a patient's health information and is up to date, complete, and accurate allow for better coordination of care, accessibility of information, convenience, simpler disease management, enhanced collaboration between providers by improved information sharing, a significant reduction in medical errors, up-to-date medication and allergy lists, and cost savings in the long run (â€Å"Benefits of EHRs,† n. d. ). EHRs also reduce waste and liminate duplicate screenings and tests, as well as help physicians make better, more comprehensive clinical decisions by integrating patient information from multiple sources into one EHR (â₠¬Å"What Are the Advantages,† n. d. ). Another advantage of having your health record in electronic format is increased security and privacy. With a paper record, anyone can pull it off the shelf and browse through it, but with an electronic record there are differing levels of authorization allowing only certain people access to your chart. Also, your chart cannot get â€Å"lost†.Instead of someone having to sign it out every time they need to use it and having to manually track it, an EHR allows multiple users to access it at different times, on different computers, and leaves an audit trail automatically. Disadvantages of Implementing an EHR There are also disadvantages of EHRs including overall cost, ongoing maintenance costs, changes in workflow, and temporary loss of productivity just to name a few (Menachemi ; Collum, 2011). One of the biggest concerns of implementing an EHR system is the initial cost.Acquiring and implementing an EHR system can be quite expensive depending on the size of the facility. The projected total cost for a medium sized inpatient facility with a seven year EHR installation is approximately $19 million. In the outpatient setting, cost is approximately $14,000 per physician in the initial year of implementation for a six-physician practice, and $19,000 per physician with three or fewer physicians (Menachemi ; Collum, 2011). Smaller practices may find it hard to cope with the added expense of an EHR system; the viability of those practices may suffer as a result.Another disadvantage of implementing an EHR system is the cost of transitioning from paper to electronic records. Additional staff will be required to scan in all of the paper documents into electronic format. This process can take months depending on how big the facility is so it could really have an impact on a facilities bottom line. There will also be a period of time where the staff is less productive than they would normally be as they learn how to use th e electronic system. This period is called the â€Å"learning curve†.To help remedy this, temporary staff will need to be hired to fill in the gap and keep the workflow up to date which also has a significant financial effect on an organization. The maintenance of an EHR system can be costly and technology is not always reliable. Hardware must be replaced and software must be upgraded on a regular basis. In addition, providers must have ongoing training for staff as well as IT support available, such as a 24/7 help line. Also, as with all things electronic, there is always the possibility of the system going down.Hospitals and physicians must have a plan in place outlining what the proper procedure is for the â€Å"down time† until the system is up and running again. This generally means they will have to revert back to paper documentation while the system is down, so they also need to have a recovery plan in place detailing how they will go about getting the paper doc umentation from the â€Å"down time† transferred into the EHRs. Conclusion Although some might argue that an EHR system is too costly and too much work, it is a federal mandate that all physicians/facilities (who service Medicare or Medicaid patients) implement an EHR system.And while the transition from paper to electronic is a costly and tedious process, the benefits of an EHR are numerous and greatly outweigh the cost of implementation. As President Obama said, â€Å"You shouldn’t have to tell every new doctor you see about your medical history or what prescriptions you’re taking. You shouldn’t have to repeat costly tests. All that information should be stored securely in a private medical record so that your information can be tracked from one doctor to another — even if you change jobs, even if you move, even if you have to see a number of different specialists.That’s just common sense. † (Making the Switch: Replacing, 2010). Ref erences Benefits of EHRs. (n. d. ). Retrieved February 13, 2013, from http://www. healthit. gov/providers-professionals/improved-care-coordination Blavin, F. , ; Ormond, B. (2011, May). HITECH, meaningful use, and public health: Funding opportunities for state immunization registries [White paper]. Retrieved from http://www. medicaidhitechta. org/Portals/0/Users/011/11/11/ImmunRegWhitePaper. pdf Kwami, K. K. (n. d. ). The EMR federal requirements of physicians. Retrieved February 13, 2013, from http://www. how. com/list_6961848_emr-federal-requirements-physicians. html Making the switch: Replacing your EHR for more money and more control [White paper]. (2010, September). Retrieved from http://www. healthcareitnews. com/sites/default/files/ resource-media/pdf/making_the_switch_replacing_your_ehr. pdf Meaningful use 101. (n. d. ). Retrieved February 13, 2013, from http://www. medicity. com/meaningful-use-101. html Menachemi, N. , ; Collum, T. H. (2011, May 11). Benefits and drawbacks of electronic health record systems. Retrieved from http://www. ncbi. nlm. nih. ov/pmc/articles/PMC3270933/ Murphy, K. (2012, May 9). American Recovery and Reinvestment Act (ARRA). Retrieved from http://ehrintelligence. com/glossary/american-recovery-and-reinvestment-act-arra/ Pay for performance payment systems that reward or penalize hospitals based on performance. (n. d. ). Retrieved February 13, 2013, from http://www. getwellnetwork. com/services/health-reform/pay-performance What are the advantages of electronic health records? (n. d. ). Retrieved February 13, 2013, from http://www. healthit. gov/providers-professionals/faqs/what-are-advantages-electronic-health-records

Marketing and Finance Integration - 954 Words

MARKETING AND FINANCE INTEGRATION Marketing and finance departments in a company are generally at odds with each other due to their opposing orientations. But their qualities, when integrated, can be productive and greatly enhance value of the corporation. Financial input in marketing can create shareholder value and demonstrate how to achieve the required integration of the finance function with marketing for the successful modern business. The functions of these departments are as follows. ïÆ'Ëœ ïÆ'Ëœ Marketing function-To generate sales (revenue, income) to be used by finance department to meet costs, capital expenditure, service capital, strengthen firm’s financial position Finance Function-To ensure that a firm remains financially strong,†¦show more content†¦FOCUS ON SMALLER SUB-PROJECTS Just like any large project, marketing and finance work better when focusing on smaller subprojects. If you create smaller portfolios focused on a specific product or customer segment, it will be easier to measure the portfolio’s results. INCLUDE NON-MONETARY DIMENSIONS Finance managers must develop models that explicitly connect marketing-related intangibles—the nonmonetary dimensions that customers will pay for—to proï ¬ table changes in customer behavior. By asking Marketing to put the expected impact of its investments in intangibles into concrete terms (for example, by estimating the anticipated number of new customers that would be acquired during a certain time frame), Finance can analyze and discuss marketing expenditures in relation to speciï ¬ c performance criteria while acknowledging that quantifying customer behavior is an inexact science. VALUE INTERESTS Despite their focus on customer value, marketing managers must develop an appreciation for Finance’s interest: shareholder value. Marketers rarely incorporate the perspective and language of Finance when communicating the value their activities deliver to the organization. They often fail to recognize that the measures of value they ï ¬ nd important—things like customer awareness, preference, brand equity, and loyalty—don’t translate easily for the ï ¬ nance department.Show MoreRelatedCompany s Integration Of Marketing Communications1093 Words   |  5 PagesRunning Head: Company’s Integration of Marketing Communications 1 Unit 5 Assignment: Company’s Integration of Marketing Communications Patrice Bradley Capella University Company’s Integration of Marketing Communications 2 Introduction: â€Å"Integration marketing is a process designed to assure that all brand contacts received by a customer or prospect for a product, service, or organization are relevant to that person and consistent over time† (www.ama.org)Read MoreMis System Form Functional Perspective763 Words   |  4 Pagesin figure 1.0- [pic] Figure 1.0: The four major types of information systems ââ€" ª Sales Marketing Systems Marketing is concerned with the planning, promotion dales of existing products in existing market. Business firm have increasingly turned IT help them to perform vital marketing function in face of the rapid changes to today’s environment. Example of Sales Marketing systems are shown below. | SYSTEM |DESCRIPTION Read MoreProcter Gamble s Organizational Structure1150 Words   |  5 Pagesand matrix organizations. According to Bateman Snell (2011), â€Å"In a functional organization, jobs (and departments) are specialized and grouped according to business functions and the skills they require: production, marketing, human resources, research and development, finance, accounting, and so forth† (pg. 287). While Proctor Gamble uses functional structure within their multidivisional structure, the size and multitude of products made require the growth of functional structure to divisionalRead MoreManagement and Functional Areas1731 Words   |  7 PagesSystem appropriately sustain the business objective operation strategy of an organisation. 298 CHAPTER 7TRANSACTION PROCESSING, FUNCTIONAL APPLICATIONS The major functional areas in many companies are the production operations, marketing, human resources, accounting and ï ¬ nance departments. Traditionally, information systems were designed within each functional area, to support the area by increasing its internal effectiveness and efï ¬ ciency. However, as we will discuss in Chapter 9, the traditional functionalRead MoreCalpine Corp1045 Words   |  5 PagesExecutive Summary: Calpine Corporation s Senior Vice President of Finance (S.V.P.) Bob Kelly and Vice President (V.P.) of Finance Robin Crabtree knew 1999 was going to be a difficult year. Chief Executive Officer (C.E.O.) Pete Cartwright had recently announced a bold ramp-up in Calpine s growth strategy, raising the 5-year target for generating capacity from 6,300 to 15,000 megawatts (MW). The financial requirements were formidable. Adding 12,000 MW to Calpine s current 3,000 MW electric generatingRead MoreOrganizational Structure Essay examples902 Words   |  4 PagesMi crosoft’s management, functions, and design all play a key role in the success of Microsoft. The organizational function of any company starts with the employees. 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Each department still has their own system specifically geared to perform their own tasks, i.e. human resources maintain employee records, finance and accounting view cash requirements, purchasing personnelRead MoreEvaluation Of The Simulation Weekend Essay1595 Words   |  7 Pages Initial Plan Prior to the simulation weekend, our team developed four operational goals for Marketing, Production and Operations, Finance and Product RD. The objective of these goals was to act as a guideline to how we make our decisions during the weekend. Initially, we planned to position our product as a high quality durable good (a 2.2 product), priced at $10. We depended on the consumer reports, which we purchased during Year 3 Quarter 1, to provide us with an indication of the productsRead MoreStrategic Planning, Budgeting And Forecasting847 Words   |  4 Pages SENIOR-LEVEL FINANCE MANAGEMENT A change-agent acknowledged for sound recommendations and counsel, and capacity to steer consensus among core business disciplines. Rapid progression throughout leadership career spanning across sales, marketing, strategy and finance functions within large and small corporations. Driver for operational and financial efficiency who establishes core metrics that optimize team performance and maximize ROI across organizational functions. ________________________________________Read MoreNew Furniture And Decor : Strategic Integration Through Information Technology Prepared Essay1735 Words   |  7 PagesDate: 5th April 2016 Title: Stately Furniture and Dà ©cor: Strategic Integration Through Information Technology PREPARED BY: GROUP A Abhijit Chethan Garima Sahil Sunny Executive Summary In June of 1999, Rajesh Moham, president of Stately Furniture and Dà ©cor (SFD), ended up pondering a troublesome issue. The opposition was getting progressively savage and his organization needed to locate an inventive method for staying ahead. To this end, he had hired Lehi Pradas to fill a newly created position of

Essay about French Feminism - 1679 Words

Feminism -- it is a term that inspires a spectrum of emotions that range from undying passion to unabashed disgust. The first time that I gave serious thought to where my heart stood on this spectrum was in a Womens Studies course during my freshman year of college. In my mind was the American stereotype of a feminist: a bra-burning, man-hating, and somewhat-hairy old maid. As a self-proclaimed, loudmouth liberal that despises patriarchy and other forms of gender discrimination, I wanted to call myself a feminist, but I could not align myself with that unfeminine stereotype. Being a collector of high heels, lover of men, and an abuser of feminine guile, I felt as though claiming to be a feminist would be in turn proving to be a†¦show more content†¦The unleashing of the female sex into the active politics of modern France occurred in 1945 under the Liberation Government led by Charles de Gaulle (Ardagh 599). Before this year, which is relatively recent in relation to Frances age, women were not only absent from office, but simply did not even have the right to vote (Ardagh 599). Only since then have women been legally considered full citizens with equality to men (Sineau 113). The initial progress was hopeful with 30 women elected to the National Assembly in the first year of suffrage (Ardagh 599). Unfortunately for feminists, the progress took a reverse with this number dropping to 10 by 1977, coupled by a severe lack of women in the ministries (Ardagh 599). This lack of political representation of women was in spite of the feminist movement in France that marked the 1970s. Although few women were sitting in offices of power, many were marching in the streets in protest. Through the political pressuring of the feminist movement, remarkable gains such as the legalization of abortion and progressive rape laws were made (C#233;lestin, DalMolin, and Courtivron 2). In terms of women participating in electoral politics, one part of the feminist movement actually discouraged it with a call for absentation from voting because womens issues were being oppressed by the patriarchal political parties in power (Duchen 106). France has never had a woman asShow MoreRelatedThe noun feminism is derived from the French in the 19th century . It refers to the campaign at700 Words   |  3 PagesThe noun feminism is derived from the French in the 19th century . It refers to the campaign at first but now women have been endowed with greater meaning when it is used extensively in many places. Feminism was born because there are those who feel that women have been oppressed by injustice exists between man and woman . Oppression of women is a human act under social institution and it is not biologkal . Thus, the women themselves able to change this situation . Theories of feminism has changedRead MoreFeminism : Women s Rights On The Grounds Of Political, Social, And Economic Equality1507 Words   |  7 PagesFeminism has been around as long as women have been. Feminism according to google is the advocacy of women s rights on the grounds of political, social, and economic equality to men. So it is basically women wanting to be treated equally. The history of feminism is pretty sketch considering how it was never called feminism until america got a hold of it. But never the less there are definite matriarchal influences throughout the history of the world. 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Feminism is a widely debated topic across the world. People either support feminism or protest against it. It is important to know the correct meaning of feminism as it is commonly used in an incorrect manner. Even though the majority of people do not acknowledge the true meaning of feminism and the history it has created, we are oblivious to social mediaRead MoreBlack Feminist1005 Words   |  5 PagesPress). Black feminism argues that sexism, social class oppression, and racism are inseparably bound together (Collins). The feminist movement has been around since the 1880s when the word â€Å"Feminism† appeared in the French language (Collins). The word found traction in Britain in the 1890s, and the United States in 1910, feminism sought to influence popular culture by its very presence and by its persistent demands to be recognized as the official voice of all women (â€Å"What is Feminism†). 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The Dramatic Impact of Act 3 Scene of William...

The Dramatic Impact of Act 3 Scene of William Shakespeares Romeo and Juliet Shakespeares Romeo and Juliet, and in particular Act 3 scene 5 is full of dramatic tension, fuelled by various themes. Among the most prominent of these themes are those of secrecy, conflicting public an private worlds, dramatic irony, and the major contrasts in the beginning of the scene when compared to the end of the scene. Many of the stark contrasts that fill the play are clearly seen in Act 3 scene 5, and these include some of the major issues of the day (late 16th century Britain) such as those of life and death, and loyalty and honour. As well as these contrasts there are also contrasting references to light†¦show more content†¦The scene begins with Romeo and Juliets intimacy and the pain of knowing they must part. The audience knows that they will never see each other alive again because of the chorus part at the beginning of the play and because of Romeos pending banishment, thus making it full of dramatic irony. Romeo says, Let me be tane, let me be put to dea th, and here he is referring to if he stays with Juliet he will be found and killed. He also says, Come, death, and welcome! Juliet wills it so. This also makes it dramatic because the audience knows Romeo will die because of Juliets and his love, and this will climax to become very tragic at the end because he is saying it in a light-hearted manner. At the end of the scene Romeo says to Juliet in what will be his final words to her, more dark and dark our woes! The last time they see each other when they kill themselves is in the tomb that Shakespeare describes as a dark place and these premonitions of theirs help in creating a opening full of dramatic irony and tension. In lines 64 to 105, Juliet and Lady Capulet discuss her proposed marriage to Paris and it is in these line that Shakespeare makes his mastery of language clear, whilst building up the tension. In this scene, the most important feature of Juliets speech is her ambiguity. For example, when she and her motherShow MoreRelatedWilliam Shakespeare s Romeo And Juliet979 Words   |  4 PagesEES81QFC Freshman Composition 1 November 2015 Romeo and Juliet Were Never Meant To Be William Shakespeare’s masterpiece Romeo and Juliet tells the story of a pair of star-crossed lovers willing to defy all odds to be together. However, throughout the story, we repeatedly see how fate intervenes and wreaks havoc on their lives in destructive and devastating ways. 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Japanese Medical Beliefs free essay sample

Japanese Medical Beliefs Medicine is all around us. It comes in all forms and all types of beliefs. Each person has their own beliefs on what medicine can do to or for the body. No matter what country one visits, there will be a medical office to assist, however their views may vary that what one may be use to. In Japan, things are no different; however, Japan has some beliefs that contrast other countries. The Japanese has received influence from other countries, such as the Chinese, but they have turned everything into their own. They have their own superstitions, traditional medicine (including how they view modern medical needs), and different types of current trends that they follow. Every country has its own superstitions. Certain things that are not allowed to happen on certain days or even certain things must be kept away because of its meanings. In 1998, an experiment was done to see if the Japanese was using the Taian-Butsumetsu superstition when discharging patients. We will write a custom essay sample on Japanese Medical Beliefs or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The basis of the study was â€Å"To determine the influence of superstition about Taian (a lucky day)-Butsumetsu (an unlucky day) on decision to leave hospital. To estimate the costs of the effect of this superstition† (Hira, Fukui, Endoh, Rahman, Maekawa, 1998). They took figures from patients discharged from Kyoto University Hospital from the beginning of April 1992 to the end of March of 1995, 3 years worth of patients. In the Japanese world, the Taian-Butsumetsu belief is related to the six day lunar calendar and affects the Japanese culture in a variety of ways since the Taian is suppose to be a lucky day where as the Butsumetsu is supposed to mean unlucky. Due to this superstition, some patients have asked to extend their stay so that they can be released on the following Taian day, which means more costs to the hospitals. To get the most accurate data, they used hospital records and calculated the amount of days that patients were released on each day of the six lunar cycle, and then estimated the costs that the extension brought on to the hospital. They also took into consideration the patients age and gender. The results showed that â€Å"Of the 23677 patients discharged from the Kyoto University Hospital during the study period, 12613 (53. %) were female and 11064 (46. 7%) were male. The mean number of discharged patients was 21. 6 a day with the mean age 42. 3 years and the mean hospital stay 37. 1 days. The mean number, age, and hospital stay of discharged patients were highest on Taian and lowest on Butsumetsu. The Kruskal-Wallis test showed significant difference among the days of this cycle regarding the mean number, age, and hospital stay of discharged patients† (Hira, Fukui, Endoh, Rahman, Maekawa, 1998). Reports also showed that 3. 3% of the discharged patients adjusted their discharge date due to their belief in Taian. It goes on to state the estimation that the mean of a typical hospital charge was 12 600 yen a day. The extra charges the patients caused the hospital to incur in order to stay to the next Taian, amount to 7. 4 million yen a year all due to a superstition. If the patients would have shorted their stay to a prior Taian, there could have been a savings of roughly 12. 1 million yen. Another superstition for the Japanese is blood type. According to superstitions, your blood type can tell your temperament and personality. A man named Furukawa Takeji suggested a link between the two after working in a high school and observing the temperamental differences between applicants. His theory suggests that type A were generally mild tempered and intellectual, while blood types B were opposite (Thatcher). This superstition has influenced the Japanese so much that some companies have actually grouped their workforce together depending on their blood type. In the 1920’s and 30’s blood type grew more intriguing. Scientists in the west found that type B was common in Asia, but rare in Caucasians. As type B was typical in animals, they argued that Asians were inferior, lower on the evolutionary scale. Japan does have some forms of traditional medicine. They are required to have independent licensees for Kampo, acupuncture, moxibustion, and anma-massage-shiatsu. Kampo is only able to be performed by physicians with western medical doctor’s license. Acupuncture and moxibustion can be given by a person graduated from senior high school and later completed a 3 year education at one of the educational facilities specified. Acupuncture, moxibustion and anma are classified within the framework of the Japanese medical care system (Katai). Of these, Kampo seems to be the most widely used in Japan. Kampo medicine is widely practiced and is fully included into their modern healthcare system. The word Kampo means Han Method, which refers to China’s herbal system which developed in the Han dynasty. It was used in ancient China but is believed that Kampo came to Japan from Korea in the 5th or 6th century. In 1976, it was added to Japans national health insurance plan. Although it relies on herb formulas, it uses acupuncture, moxibustion and a few other components. 70 percent of physicians in Japan regularly prescribe it to their patients (Tanaka, 2010). It has been used by gynecologists, urologists, cardiologists and even gastrointestinal specialists. In order to determine the right formula for each patient, they require a sho. This is a diagnosis based on patient’s symptoms and patterns of disease. In 2007 Japan’s Society of Oriental Medicine issued an evidence report which shows all the findings of the research published from 1999-2005. 8 papers were deemed qualified. Some double blind showings were, â€Å"Hypertension related symptoms (flashed faces, etc. ): The administration of Ourengedokuto (Huang Lian Jie Du Tang) decreased hypertension related symptoms (Muli-center study of 116 facilities) Upper Gastric Symptoms: Rikkunshito (Liu Jun Zi Tang) was effective in decreasing upper GI discomfort and related complaints, such as a l ack of appetite. Irritable Bowel Syndrome: Administration of Keishikashakuyakuto (Gui Zhi Jia Shao Yao Tang) decreased abdominal pain among IBS patients. The effects were more pronounced among diarrhoea-dominant IBS cases. Muscle Cramping: Shakuyakukanzouto (Shao Yao Gan Cao Tang) was effective for reducing muscle cramping among cirrhosis patients. Obesity: 24 weeks of administering Bofutsuseisan (Fang Feng Tong Sheng San) decreased visceral fats and waist circle, as well as improved insulin resistance among obese female patients. Allergic Rhinitis: Shouseiryuto (Xiao Qing Long Tang) was effective in improving symptoms of allergic rhinitis† (Tanka, 2010). Another form of traditional medicine is Acupuncture and Shiatsu massage. Acupuncture is where extremely thin needles are gently placed in certain areas of your body. It can be uses to help balance the flow of energy through pathways in the body or can be used to stimulate nerves, muscles and tissue. It can be a more natural way of making the body feel better, without medication. Shiatsu is a massage that is used to relax people. The massage therapist uses hand, thumbs, elbows and knees to help dig into the more â€Å"knotted† areas of the body. It is an acupressure therapy. By using these additional parts of the body, they can use their whole body to endure more pressure onto the person in order to offset tension. The difference between acupuncture and acupressure is that acupuncture uses needles, where as acupressure uses body part to dig into the tissue. Some people do not truly understand the alternative ways. â€Å"The biggest misconception about alternative medicine is that its just a different procedurethat one can just replace it with conventional medicine, like taking an herb instead of a pill. †(Gray 2009). The Japanese also has strong views on medical beliefs. Things such as organ transplants are strongly discouraged due to Japans belief. In 1987, the Medical Association declared brain death to be equivalent to the death of a human being (Masahiro, 1995). Some Japanese doctors practice â€Å"closed-door medicine†, which is where the doctor fails to properly inform patients about their condition or straight out lies to them about it. A study in 1992 showed that only 20% of terminal cancer patients knew they had cancer because of the doctor’s decision to inform them on the truth. This shows that 80% of patients were lied to or told nothing. Masahiro, 1995) Due to this, Through the brain death controversy quite a few people expressed great fear that in the process of the determination of brain death and transplantation no information might be given to family members, and in the worst case that the doctors might lie to family members. Some pointed out the possibility that doctors might psychologically threaten the family members if they refuse to agree to organ donations from a brain-dead relative. As time passed, it appeared that Japan accepted modern technology in almost every form except human birth and death. Research has shown that they believed a dead person goes to the next world as a soul. If parts of that body were to be donated, then body as a whole would not be together, thus making the soul unhappy in the next world. The Japanese has however become more willing to use terms such as â€Å"informed consent† or â€Å"patients rights†. It appears as if Japans beliefs will simply be based off of their own cultural beliefs, as oppose to something such as the Euro-American beliefs. Due to the fast paced living in Japan, they have begun trends to help ease the stressed out society and bring forth relaxation. They have opened oxygen bars, nap salons and animal therapy. In oxygen bars, you can have personal flavored oxygen cans that can help bring you energy and provide fresh air. You can also purchase them at salons and beauty halls. The canisters, such as Big Ox’s helpfully informs that oxygen is an essential gas for human beings and claims that its 89 per cent oxygen blend (normal air contains about 21 per cent) can help boost energy, particularly during exercise (Feelgood, 2008). In recent years, major cities in Japan have opened nap salons. A particular salon in Tokyo, Napia has over 1,500 members. Fatigued office workers can take a brief lunchtime nap on a daybed there for roughly equivalent of $4. 50 (US). Sleep studies have shown that their naps should not go beyond 30 minutes because it is then more likely for them to fall into a deep sleep and end up waking up feeling extremely groggy. To help ensure that customers do not sleep beyond 30 minutes, they provide customers with coffee right before their nap. Since it generally take 20 minutes for the caffeine to kick in, they can get a quick nap in, then the caffeine will kick in and allow the person to have a more natural wake up (Faiola, 2006). Some Japanese companies have even gotten their health insurance providers to cover the fees for nap salons. If they have not succeeded in that route, they simply take naps at their desk during lunchtime. This way they are not only getting their nap in but the office lights are being turned off which is saving energy. In Japan, bathing in mineral waters is popular as a health-promotion practice. (Miller, 2007) Onsen, which is a hot spring, is in their belief to be opposite of everything in their normal crazy lifestyle. It represents an opportunity for the Japanese to melt down the hierarchical nature of society through mutual nakedness and intimacy (Onsen, 2006-7). It is pretty much a public bath with natural hot spring water for them to use in order to relax from their hectic work schedules. It is their belief that the water holds healing powers. There are a few different types of hot springs: Simple Springs, Carbonate Springs, Salt Springs, Sodium Sulfate Springs, Iron Springs, Acidic Springs, Sulfur Springs and Radium Hot Springs. Most people sit back quietly and enjoy the silence that surrounds them while bathing for roughly 20-30 minutes. The extremely acid hot spring Onsen water is believed to ease neuralgia, alleviate muscle pain and the symptoms of chronic skin disease. It also relieves chronic fatigue and stress. Since ancient times, Onsen water has been renowned to help maintain a beautiful skin. In addition to its other health and beauty benefits, the hot springs energize the metabolism. The Onsen experience is also known to calm nerves and put the bather in a relaxed, meditative state† (Onsen, 2006-7) Unfortunately today there are only three hot spring resorts remaining. One is Kusatsu Thermal Spring which is in a small town roughly two and a half hours from Tokyo by train. It can either be visited for the day, or turned into a mini vacation. If only wanting to spend a day, you can visit one of 18 public hot springs in the town for a quick fix. Another location is Gero Thermal Spring. It is roughly three and a half hours from Tokyo by train to Nagoya, then about an hour and a half to Gifu, where Gero is located. Here, you can stay at one of the resorts or visit the public springs which allows you to test out three of the twenty. The final is Arima Onsen Thermal Spring. This final spring is roughly three hours from Tokyo then another 30 minutes to Kobe, where Arima is located. This spa is the oldest spa known to the country. Here, there is a public theme park which holds 17 hot springs. Another trend is fish pedicures. At some Onsen Springs, there are spas where you can dip you feet into the water and have these fish eat the dead skin off your feet. Although they are considered â€Å"flesh eating† they actually have no teeth, meaning that you will not get bitten. They basically suck the dead skin and cells off, leaving your skin silky smooth. No matter what country you look at, each will have its own beliefs on medicine. Some are traditional and some may by alternative. Japan is widely known for having a mixture of each. While receiving influence from other countries, Japan has incorporated other medical approaches into their own. They have their own superstitions, traditional medicine (including how they view modern medical needs), and different types of current trends that they follow.