Who Am I Essays - Testament Of Pope John Paul II,

Who Am I Who Am I? Believe it or not, I find very difficult to talk about myself. I think that the only way to accurately describe myself is to give a little background information. I was born in Indianapolis, where I have lived my whole life. I live in an old three-story farmhouse, which was built in the 1780's. It has been remodeled somewhat since then but all of the woodwork is the same. The surroundings are beautiful, like a calendar picture. The house sat on about 15 acres of land. Most of that was in the woods and there was a small stream that ran through it. As a child, I was very adventurous. It seemed like every day I would travel further and further from my house. I was always the one who was curious about how far we could go and what else could we do. My friends looked to me as a leader. As I got older, I realized that I had some athletic talent. I began to play just about every sport that I could for my elementary school and middle school. Baseball, and football were the two sports that I excelled at all during high school and now in college. Even though sports took up a lot of my time as a child and as a teenager, I felt that there was something missing in my life. It is something that made me who I am today and still works through me daily. I am talking the love of my personal savior Jesus Christ. It took me 14 years of my life to realize how lost I was without him. He comes before everything in my life. That is why I am proud to say that I am a Christian. If I did not have Christ in my life I would not be the great person who I am today. English Essays

Burger King Customer and Market situation of the industry Essays

Burger King Customer and Market situation of the industry Essays Burger King Customer and Market situation of the industry Paper Burger King Customer and Market situation of the industry Paper yet if it were in a promotion it would be sold for 5 Dhs. thus prove that the margin of profit is extremely high. Distribution situation: In terms of distribution we wish to discuss the number o branches and their locations. In that aspect McDonalds has far more branches and stall as compared to Hardees or Burger King. McDonald in its short span of few years has already established an extensive network of outlets through out the UAE with heavy emphasis on Dubai. Where as Burger king has only 6 outlets. Also McDonalds is located at many venues where it draws its synergies from the location it is in. we found that McDonalds has located its outlets at petrol pumps in major malls and also near residence and office or trade hubs, this allows them to attract customers. We found that McDonalds drew a major advantage against Burger King by locating it self across the UAE and in the Globe so that it was accessible and available. This attributed to better product awareness. Burger King on the other hand has failed to establish itself so strongly in the Dubai market and UAE market, yet it has counted on Snob effect to draw its customers. Burger king how ever has located it self in few yet prime locations where it draws on from the high spending power of the consumers and also on accessibility (City Center). Promotion and Competitive situation: The fast food industry in the region has shown the emphasis and the importance of promotion. In the burger industry itself we can see a promotional war-taking place between McDonald and Burger King, with Hardees playing a minor role. Where McDonalds and Burger king emphasizes on Value Meals and movie memorabilia, Hardees emphasizing on Big Gifts and prizes. But we can see that the Global Advertisement and promotional campaigns of these burger giants spills in to UAE also. Most of the promotional schemes undertaken here are very much similar to the ones undertaken in the region and hence no customization is seen. Though lucrative market for both McDonalds and Burger King we saw that other than value meals both had nothing special for the Regional or UAE market. The competition between McDonald and Burger King is fierce as now both compete to capture a larger market share of the existing size of the market. Burger King has so far emphasized on its Value and quality and hygienic food. The Competition for Burger king and McDonalds is rising slowly but steadily from Hardees who underwent a radical face lift and change of logo and customer driven service standards, yet the real competition is coming from a wholly unpredictable side, the small cafeterias. Yep though hard to believe these small sized cafeterias are spread out through out the entire UAE and cater to a large segment of the market. What we noticed was that on daily basis and on regular basis teenagers, college students and working class people preferred to go to these small cafeterias rather, and prefer Hardees and McDonalds and Burger king on special occasion or if quality is of prime concern or if time was of essence. Surprisingly of the 100 students we questioned 85 accepted that they went more regularly to these small cafeterias than to anywhere else. The reason they stated was that these students stated was that these cafeterias were available everywhere and anywhere, they were much cheaper and they had good things to eat. Though baffling as it may sound we think that there is a common segment, which is competed by the burger industry and these small cafeterias. The upper segment of the market with good marginal propensity to consume and with higher end of the income strata preferred burger outlets. The low-income group of people namely students who cannot afford or labor class prefer these cafeterias. And the teenagers/student and white collar people prefer either of the two, depending on their budget at that given time and the accessibility. We found that these classes of people namely the middle class were very flexible and would adapt to either of the two industries, i. e. urger or cafeterias. When compared with price we found that both were cheap and the cost of a decent average Burger meal from Hardees/ McDonald/ Burger King would be same for a complete meal from these small cafeterias. We understood that the only thing, which differentiated or made the difference, was the quality of the food. As one student put it; we students are ok with anything, it all costs the same for us, we are hungry and we need something to eat, now if it is a burger or if it is a cafeteria burger for us it is all the same. On asking a white-collar male bachelor, he replied we have to be practical as bachelor I consider saving an importance, and if I can get a filling meal at one of these cafeterias which are near by why should I go further down the road to locate a burger joint? Unless I am looking for quality it is indeed a threat, which needs to be addressed by the burger industry. The small cafeterias though catering to a different segment o the market, do sometimes and are taking growing share for the burger joint industry. They are a threat and need to be addressed for the future of burger joints.

Enterprise Systems Case Study Analysis Essay Example | Topics and Well Written Essays - 3500 words

Enterprise Systems Case Study Analysis - Essay Example For example, an organization has a number of departments include: sales & marketing, procurement & inventory, finance & accounting and human resources. In order to automate the organization develops independent or separate information system for each department and these individual systems might not be integrated because of incompatibility. Therefore, the information or data available in one system might not be accessible to the other independent information system. In this regards, it can be stated that the organization could not be benefited from the main purpose/advantages of the information systems including the information must be shared easily, correctly, and on time among business units. Disparate Independent Systems – High Maintenance Cost Problem The second problem of disparate information that has been identified in the paper is the huge cost of their maintenance. There are two types of maintenance costs, the first is the direct maintenance costs and the other is ind irect maintenance costs. ... nformation or communication flow problem in the independent information systems, the organization’s management has to bear indirect costs by taking wrong decisions by their own instinct rather than the decisions based on the information / reports provided by the group of independent information systems. Precisely, it can be stated that if an organization has the fragmented or autonomous information systems, the operations of the organization is fragmented (Davenport, 1998). Identification of Two Issues in each Organization in China Implementing ERP CosmeticCo Company There are total five (5) problems have been identified in the case study for implementation of ERP in CosmeticCo company by Sweden’s Intentia AB – the software package provider (ERP vendor). The five problems include: the language, Business Process Reengineering (BPR), Partnership, human resource, report and table. From these I have chosen the language, and report and table problems and it is pertine nt to mention here that according to the authors of the paper, both chosen problems are categorized as cultural problems. Language In the words of Davison in 2002, the culture is â€Å"A collective programming of the mind which distinguishes one group from another†. Particularly the Chinese are strict to their language and the only way to make the Chinese understand is to write in their own language rather than the Western language. However, the MOVEX ERP software did contain English words by which the human resources got confused and unable to use the software effectively. The Davison identified three cultural reasons of failure in ERP in China from which one is â€Å"miscommunication due to homonyms in the Chinese language†. It is one of the important factors to be considered while deployment of software

Executive Summary Case Study Example | Topics and Well Written Essays - 750 words

Executive Summary - Case Study Example Different researchers and scholars focus on specific issues that relate to these programs in one or more of the aforementioned concerns. In his article, Junsen Zhang focuses on the links, relationships, and effects realized between welfare programs and criminal behavior. The objective is to determine whether such programs reduce or exacerbate criminal activities (Zhang 121). The primary concern for Junsen Zhang in this line is property crime. In assessing the relationship between welfare programs and criminal behavior, Junsen Zhang highlights the position held by Medicaid in regard to criminal behavior. Junsen Zhang’s article, The Effect of Welfare Programs on Criminal Behavior: A Theoretical and Empirical Analysis, addresses the effects that welfare programs have on criminal behavior. In the article, an analysis that is both theoretical and empirical is presented in the process of accounting for all the underlying variables in the subject matter. According to Zhang (123), welfare programs have some form of effect on criminal behavior. Generally, welfare programs exhibit a negative relationship to property crime. This effect is significant in evaluating the success of the specific program in question. In other words, welfare programs are associated with reduced crime activities. However, this is not always the case. The variables and factors that define each implemented welfare program influence the outcome of that program in regard to illegal practices. In his theoretical and empirical analysis, Junsen Zhang found out that Medicaid’s effect on criminal behavior is relatively little. In other words, Medicaid does not trigger a reduction in property crime or any other related illegal activities. The use of empirical data crowned Junsen Zhang’s findings relative to the predictions that had been made in the study. Therefore, empirical findings confirmed the positive, negative, or little effects of welfare programs on criminal behavior based on the

Risk Identification In Water Treatment Plant Projects Construction Essay

Risk Identification In Water Treatment Plant Projects Construction Essay Projects can fail for a number of reasons and the risks are always high. All project, program, and portfolio are subject to risk, whether positive or negative risks. The aim is to decrease negative risks and enhance positive risks. Managing risks is one of the most important tasks for the construction industry as it directly affects project outcomes. Unfortunately, many organizations do not realize that there is a need to include risk management as a key element to success in business. Hence, some organizations delegate the risk management tasks leaving to someone to needs to plan, identify, assess, develop response plans, and control risks or do just part/ parts of the risk processes. It is not integrated into their project management philosophy. Project risk management has been intensively discussed in recent years. Projects are becoming shared efforts of multiple parties construction industry is a good example of an area, where the project outcome is delivered in an extremely complex actor network. This paper discuss identified the common and specific risks that may occur in the infrastructure projects specially in the water treatment plant projects in Egypt then we make initial assessment to these risks through a questionnaire was designed using the matrix method then we make analyzing of the responses of this questionnaire. Introduction This paper is focused only on the qualitative assessment of the risks. We use the matrix method for the assessment of these risks. Responses to the questionnaire were then collected and analyzed. The analysis included ranking the risks in terms of degree of occurrence (probability) (v.high, high, med, low, very low) the level of influences (impact) (v.high, high, med, low, very low) as the following matrices: A general water supply system is composed of water sources, raw water transmission pipes, water treatment plants, and water distribution networks. However, these components and subsystems give the greatest opportunities for both natural and human-related influences because most of them are spatially diverse and accessible. With respect to this, researchers have identified the potential vulnerable areas during the process of delivering water from the sources to the customers as (see Figure 1): (1) water sources (e.g., river, reservoir, and wells); (2) water treatment plant that removes impurities and harmful agents and makes water suitable for domestic consumption and other uses which consists of: Screen, Mixing tank, Flocculation basin, Settling tank, Sand filter, Disinfection (3) water distribution pipelines that deliver clean water on demand to homes, commercial establishments, and industries which consists of: pipes, pumps, junctions/nodes, fitting (4) storages (tanks water tower s); and (5) other facilities (transmission pipes, channels, pumps, valves, etc.).These vulnerable points are the focus of risk assessment. Figure 1 Elements and vulnerable points in a general water supply system QUANTITY REQUIREMENTS: Factors affecting used Consider the following factors affecting use ashore: * Water uses (domestic, industrial, fire protection) * Peak demands (all uses). * Other essential demands. * Missions of the activity. * Climatic effects. Water treatment plant Water treatment plant is the most important facility in a water supply system to remove contaminants in raw water, disinfect treated water, and produce drinkable water to consumers. However, hazards may be introduced during the process of treatment, or hazardous circumstances may allow contaminants to pass through treatment in significant concentrations. Constituents of drinkable water can be introduced through the treatment process, including chemical additives used in the treatment process or products in contact with water. Furthermore, suboptimal filtration following filter backwashing can lead to the introduction of pathogens into the distribution system. Three attributes are crucial to water users: * There must be adequate quantities of water on demand. * It must be delivered at sufficient pressure. * It must be safe to use. In our paper we will focus on the Water treatment plant in the water supply system which considers an important part in the water supply system. We will discuss the risks may occur in the projects we will make an initial assessment to these risks but at the beginning we will give overview of risk management in the construction projects specially the infrastructure projects which owned by the government, we will discuss the risks from the view of contractor. Research methodology A questionnaire was designed for assessment for all possible risks that may occur in the water treatment plant projects in EGYPT which some of these risks are general risks that may happen in all infrastructure projects and some are specific risks for the water treatment plant projects through the construction operation phase as discussed previous in the stage of risks identification then forward to some of managers in. This paper is focused only on the qualitative assessment of the risks. We use the matrix method for the assessment of these risks. Responses to the questionnaire were then collected and analyzed. The analysis included ranking the risks in terms of degree of occurrence (probability) (v. high, high, med, low, very low) the level of influences (impact) (v. high, high, med, low, very low) as the following matrices: 1- Identification of risks Categories of risks for infrastructure and service delivery projects: 1-Political risks: Political risks are the first category of risks identified. It contains all the risks of government actions that may endanger a project. 1-1 Political support risks: Host government support is essential for any infrastructure projects (ex: government support for the owner disputes on land) 1-2 Taxation risks: Taxation risks mat raises of tax rate, or applied new tax tariffs, which, may lead to decrease the promoter profit and unbalanced project cash flow. 1-3 Import/export restrictions risk: The import and export restriction risk covers the legislation changes, which arrange the import of the equipment. 1-4 Failure to obtain approvals. Failure to obtain approval risk occurs when the central or local government authority does not approve the project-related issues in time or even cancels the ones already approved. Obtaining approvals for a project from complex web of government agencies and departments, from municipal to provincial to central government levels, can be extremely time-consuming process, delaying entire projects and hurting their financial viability. 2-Financial risks: The risk that the financiers will not provide or continue to provide funding to the project 2-1 Delayed Payment by the government: Payments on time are considered extremely important by the contractors maintain the cash flow and eliminate financial difficulties . Delayed payment will influence the financial situation of the contractor, especially if the due payment is substantial and or delayed for along time. 2-2 Changes in law regulation: Local authorities and government have specific codes and regulations that might be changed or revised from time to time. These regulations must be adhered to by contactors. But this has low probability to occurrence in our project because it is owned by the government. 2-3 Inflation risks: This risk category mainly depends on the economic conditions of the country. As the inflation increases this risk becomes more important. 2-4 Interest rate changes. 2-5 Devaluation risks. 2-6 Financial failure: Financial failure of any party (contractor or owner) wills significant impact the projects schedule and consequently the budget. This is more likely happen in big projects where the owner (government) might not have sufficient fund for the project or the contractor bids low on the project. 3- Development risks: Development risks describes the risk of the bidding procedures, which are very important part of the project, the bid evaluation criteria must be clearly defined and the bids must be evaluated in a public and objective manner, the chances for success are predictable. The competitive bidding systems usually lead to terms and conditions more favorable to the national interest. An orderly and transparent bidding procedure should also win public support for that project which can solve the problems that face the contractor such as land owner disputes. 3-1 Bidding risks: The bidding process in Egypt includes the following risks, which can face the contactor: contractor spend high cost for the preparation of the feasibility studies, investigation, design, planning and estimation of the project to be able to tender. Contractor warred about the risks of their innovative proposals being put out to competitive tender without gaining exclusivity or preferential treatment from other competitors. 3-2 Planning delay: The planning delay risks refer to the delay of the tender evaluation by the government officials whom responsible to do such task. 3-3 Approval risks: Delays in approval risk appear when the central of local government authority does not approve the project-related issues in time. Obtaining approvals for a project from complex web of government agencies and departments, from municipal to provincial to central government levels, can be extremely time-consuming process, delaying entire projects and hurting their financial viability. 3-4 Force majeure risk: Force majeure risk is the risk that a specified event entirely outside the control of either party will occur and will result in a delay or default by the contractor in the performance of its contractual obligations. for example cyclone, earthquake, outbreak of war. 4-Site risk: Site risk is the risk that the project land will be unavailable or unable to be used at the required time because of Land owner disputes that the site will generate unanticipated liabilities, with the result that the service delivery and revenues are adversely affected. 4-1 Site access: This risk category refers to the right of way and access to the project site. This an important category especially if the project is in a remote or undeveloped area or where access is limited to small trucks where large construction tools like big trucks and loaders cannot get into the project site. Also, this important when the project is located in a very congested area or access to other facilities and public areas need to be blocked or detoured in some stages of the project. 4-2 Statutory approvals. 4-3 Environmental issues 4-4 differing site condition: This is a clear risk category and could happen in most of construction projects. For instance the soil conditions changes and the contractor might face or hard soil during excavation instead of soft soil as the top layer at the site showed or as the tender document may have indicated. Another example is underground buried utility piping, power cables and high water table area. These types of differing site conditions occur mostly in renovation and /or expansion of existing projects where new construction interface with the existing structures. These differing site conditions will require extra efforts and may necessitate special equipment and tools for excavation and/or de-watering. 4-5 Suitability of the site and any existing infrastructure: Means existing of any underground infrastructures (e.g. sewage pipes) 5- Construction risks: Construction risks are the identified risk category which contains the risks faced the project during the construction phase which can be highly affect on the project cost and in turn the investment needs to complete the project. It can be endanger to the feasibility of the project. 5-1 Delay risks: Delay risk means delay in the construction time schedule which, can be occur due to poor project management applied or due to bad cost estimation, which lead to financial failure. 5-2 Cost overrun risks: Cost overrun risk occur when construction costs exceed original estimates, either due to inflation, non realistic cost estimation, excessive design changes or lack of risk management framework. 5-3 Re performance risk: Re performance risk is occurred due to reconstruct or maintains the bad work done by unqualified contractor. 5-4 Completion risk: Completion risk refers to the non-completion of the project due to effect of force majeure or unforeseen soil conditions. 5-5 Variation risks: A change in work is an important risk category in the construction projects. It could be change in work procedures, methodology o change of plans and scope of work. These changes might lead to change orders demolitions and re-working and must be considered in the assessments of risks because they affect the project budget, schedule, safety and quality. Normally changes in work result because of insufficient planning at the project definition stage or because of lack of clear scope and drawing detail or simply because the owner s desire to make changes to the project. 5-6 Loss or damage to work: Loss or damage to work risks rises by the unforeseen soil conditions or breakdown of equipment, which are common occurrences on any construction site, especially for large civil engineering projects. Usually, these will have repercussion on cost and time but the effects are usually surmountable with today s technology. 5-7 Force majeure risk: Force majeure risk is the risk that a specified event entirely outside the control of either party will occur and will result in a delay or default by the contractor in the performance of its contractual obligations during the construction period. For example, earthquake, outbreak of war. 5-8 Mistakes in installation of pipes. 5-9 Mistakes in installation valves of pipes. 5-10 The permeability of the reservoir during a test. 5-11 Labor equipment availability: This risk category is mainly related to the availability of some of the resources namely, labor, material and equipment. Certain jobs may require specific skilled expertise and /or special material and equipment that might not available or scarce in the local market and take a long time to procure. For example a skilled a qualified welder or special lifting and fitting of some heavy structure that may require crane capacity or piece of equipment that is not available in the local market may force the contractor to hire a certain skilled labor and import the special piece of the equipment or change the construction method to suit. This is more likely to happen in complex major projects or projects involving some degree of high technological complexity like water treatment plant project. 5-12 Labor equipment productivity: Like the previous risk category, certain jobs involving the productivity of labors and equipment might be affected because of the complexity of jobs or the nature of the work. if this not routine, then the labor and/or the equipment operator need to go through a learning curve. Another example that might affect labor and equipment productivity is the morale of the labor and the use of defective tools and equipment. 5-13 defective material: Material is essential resource for construction projects and there is need for quality control and quality assurance to eliminate material replacement and re-work. this risk category becomes more important for lump sum contracts if the specifications were not well defined. 5-14 labor disputes: This is more likely to happen in large companies where the work forces are multinationals who come from different countries with different background or where the relationships between management and workforce are tense. Usually any labor dispute is either resolved internally or by the local authorities and police. 5-15 Safety accident: Safety and accidents in construction projects can not overlooked, especially when the projects involves deep excavation or high elevation construction. The risk category is inherited in the construction industry but can be minimized by following safety rules and the use of safety equipment such as goggles, safety hats and shoes. 5-16 Coordination with sub. Contractor: Coordination with sub-contractors and material suppliers is an important task especially in a multi-player environment like big construction projects. Beside it could be risky if not kept smooth, in a timely manner and continuous. Miss-coordination between subcontractors and material suppliers (especially for long lead items) will lead to schedule and budget overruns. 5-17 Quality of work: Quality of work would reflect the reputation of the contractor and might either rank him on the top of contractors or force him out of the market. Generally, owners (government) strive to get a quality end product by their project and contractors try their best to deliver quality projects. However; poor workmanship that leads to demolition and rework will negatively impact the project budget and schedule. Also, interior quality of work will reflect the bad reputation of the contractor. Good quality and assurance programs will helps reduce the negative effects of this category. 6- Operation risks: Operation risk describes the category of risks faced the project during the guarantee period of the facilities, which starts after project completion continued for one year such as equipment breakdown or the discovery of defects in the work which may hinder the revenue generating capability. 6-1 Technical risks: The breakdown of equipment or failures of any part of the project which are common occurrences on any project, Usually, these will have repercussions on cost and time but effects are usually surmountable with today s technology. 6-2 Corruption risk: It the risk of occurrence of failure or breakdown in any part of the water treatment plant, e.g.(breakdown of the pipes, or failure of tanks in the system) during the guarantee period of the project. 6-4 Force majeure risk: Force majeure is the risk that a specified event entirely outside the control of either party will occur and will result in a delay or default by the contractor in the performance of its contractual obligations during the operation period. For example cyclone, earthquake, outbreak of war. Water treatment plant Water treatment plant is the most important facility in a water supply system to remove Contaminants in raw water, disinfect treated water, and produce drinkable water to consumers. However, hazards may be introduced during the process of treatment, or hazardous circumstances May allow contaminants to pass through treatment in significant concentrations. Constituents of drinkable water can be introduced through the treatment process, including chemical additives used in the treatment process or products in contact with water. Furthermore, suboptimal filtration following filter backwashing can lead to the introduction of pathogens into the distribution system. Meanwhile extreme natural hazards, willful human attacks, or interdependency failures (e.g., power failures) can all introduce risks in water treatment process. CONCLUSIONS: Based on the results analysis of the risks discussed in the previous, the following conclusions were reached: From the analysis of the six risk categories depended on the questionnaire received from five managers in the Arab company, our conclusions were as follow: * The most critical risks in the political risks were the: import export restriction failure to obtain approval, the lowest critical risks were: taxation risks. * The most critical risks in the financial risks were the: devaluation risks payment failure. the lowest critical risks: inflation risks. * The most critical risks in the development risks were the: bidding risks the lowest critical risks: force majeure risks. * The most critical risks in the site risks were the: differing site condition risks the lowest critical risks: site access risks. * The most critical risks in the construction risks were the cost overrun risks coordination between the subcontractor the lowest critical risks: force majeure some risks discussed in the matrix. * The most critical risks in the operation risks were the force majeure risks the lowest critical risks: technical risks. * At all the most critical risks category in the construction risks category. REFERENCES 1. Risk management of the BOT projects in Egypt. by Ibrahim Ahmed Ibrahim Hara Faculty of engineering at Cairo University. 2. http://www.google.com.eg/search?hl=arq=2ech10_riskbtnG=%D8%A8%D8%AD%D8%AB+Google%E2%80%8Fmeta=aq=f oq= 3. http://www.google.com.eg/search?hl=arq=LECTURE+11+RISK+MANAGEMENTbtnG=%D8%A8%D8%AD%D8%AB%21meta= 4. Hierarchical Risk Assessment of Water Supply Systems Huipeng Li Submitted for the Degree of Doctor of Philosophy from Loughborough University 5. ASSESSMENT OF RISK MANAGEMENT PERCEPTION AND PRACTICES OF CONSTRUCTION CONTRACTOR IN SAUDI ARABIA.BY ALI ABDULLAH AL SALMAN. APPENDIXES

Do Not Resuscitate Legal and Ethical Issues Essay

Introduction DNR, Do Not Resuscitate, is an order that alerts medical professionals not to perform cardiopulmonary resuscitation, CPR, on an individual. CPR consists of life saving methods such as procedures that can involve mouth to mouth resuscitation to using a defibrillator, intubation, and using cardio tonic drugs to bring the patient back to life. DNR orders is a legal document that has been sustained by the individual or proxy, typically is for patients that are seriously ill or may be terminally ill, preventing aggressive efforts to bring them back to life. DNR enables a person to exercise their right to autonomy, to make decisions about their healthcare in case they are unable to do so in the future. In this paper I will be analyzing the requirements of New Jersey’s DNR. Secondly I will be identifying the requirements of three hospitals DNR’s in New Jersey. The three hospitals will be Jersey City Medical center, St. Joseph’s Hospital, and Hackensack Medical Center; I will examine the differences and similarities between the three hospital DNR requirements and address the following: what they are and which one should be followed. Lastly the paper will explain how a DNR is applied if a patient is under hospice care and the EMT’s are called. Requirements for New Jersey Do Not Resuscitate Orders State of N.J. www.state.nj.us/health/ems/dnr_introduction.shtml This is the State of New Jersey Department of Health website. This website contains the requirements for the state of N.J. This also contains information of the guidelines for  physicians, policies for EMS personal, and Do Not Resuscitate brochure. This web site is valuable for the research paper in the understanding of the states requirments and policies. New Jersey Do Not Resuscitate (DNR) http://www.njha.com/media/33214/DNRGuidelines.pdf. This website provides the state’s education for guidelines for health care professional, patients and their families. This also contains important information about the DNR background and history to further understand the requirements. The website also includes physician guidelines, EMS policy, how to get a valid out of hospital DNR, bracelet guidelines, and an educational brochure for family members. The website will allow me to identify the requirements of New Jersey’s DNR policy and also provides tools for the patient and their family. DNR’s Advanced Directives-NJ http://www.njha.com/media/33214/DNRGuidelines.pdf. This website is the NJ Hospice and Palliative Care Organization; this will enrich my knowledge about hospice care, DNR orders, Advanced Directives, and living wills. Duke, G., Thompson, S., & Hastie, M. (2007). Factors influencing completion of advanced directives in hospitalized patients. International Journal Of Palliative Nursing, 13(1), 39-43 This was retrieved form the Ashford library; this is a journal article that discusses the completion of DNR forms and the importance in protecting the patient’s right in making decisions for end of life care. The article gives important in formation about DNR and also describes assessment tools that are used to better educate the patient. Advanced Directives- Jersey City Medical Center https://www.libertyhealth.org/pdf/LibertyHealth_Advance_Directive.pdf St Joseph’s Health care- https://www.stjosephshealth.org/patients-and-families/your-hospital-stay-information/24-your-hospital-stay-information Advanced Directives-Hackensack Medical Center http://www.hackensackumc.org/assets/1/7/advdirectives.pdf. This is the Jersey City Medical Center’s, St. Joseph’s Hospital’s, and Hackensack Universities advance directive information and DNR forms. They provide education for the patient and or families. This will provide me the information to examine the differences and similarities between the states and the three hospitals DNR requirements to address the following questions:  what are they and which one should be followed. DNR is applied under hospice care and EMT’s are called Do Not Resuscitate Orders State of N.J. www.state.nj.us/health/ems/dnr_introduction.shtml This website provides information on how a DNR is applied if patients are under hospice care and the EMT’s have been called. This will be very important in the research paper. Providing information and ethic realization to issues when DNR guidelines and a call for emergent services on a hospice patient. This is the State of New Jersey Department of Health website. This website contains the information how DNR is applied if a patient is under hospice care and EMT’s are called. From researching the information provided this will greatly help me explain and understand the issues involving DNR document and a call for to the EMT’s to provide help. Van Leuven, K. (2012). Advanced care planning in health service users. Journal Of Clinical Nursing, 21(21/22), 3126-3133. doi:10.1111/j.1365-2702.2012.04190.x This was retrie ved form Ashford University Library; this journal article provides information of advanced directives and DNR orders. This is critical to my research paper, it will help me to understand and analysis various situations such as EMT’s being called with a patient that has a DNR. Croke, E., & Daguro, P. (2005). Liability for the health care provider: non-implementation of patients’ advanced directives. Journal Of Legal Nurse Consulting, 16(2), 19-24. This was also retrieved form Ashford Universities library, the journal artical explains how a DNR should be kept with a patient and should also be kept in the patient’s permanent medical record. DNR orders should be honored by health care professional including EMT’s. The information also explains that a living will is not a DNR and that a bracelet is one of the best ways for EMT’s to recognize a patient’s wishes. Taghavi, M., Simon, A., Kappus, S., Meyer, N., Lassen, C., Klier, T., & †¦ Wiese, C. (2012). Paramedic’s experiences and expectations concerning advance directives: A prospective, questionnaire-based, bi-centre study. Palliative Medicine, 26(7), 908-916. doi:10.1177/0269216311419885 This was also retrieved form the Ashford library; it is a questionnaire based investigation from the EMT’s perspective. It explains their concerns for improved guidelines on end of life decisions and to not provide cardiopulmonary resuscitation in palliative care patients.

Caught Up in Different Worlds

The short story Caught Up in Different Worlds is a fascinating piece that takes the readers through different jaunts of experiences of a woman called Sylvania, a good pretender who can imply to be happy even if sad, and can also appear to be sad when really happy. She is caught in different escapades that force her to fake what she does not feel. When wedding Horace, she pretends to be happy, yet in a real sense, she hates what she goes through. Later, when Horace dies, she pretends to be at a great loss, yet feeling relieved at last. This study examines the story alongside different stylistic devices used by the author. The devices include anaphora, asyndeton, polysyndeton, and kenning. Sylvania's parents arrange her marriage with Horace in accordance with their culture where parents decide whom to marry their sons and daughters. That is done to ensure they marry the right person. Even if they do not agree, children are obliged to accept their parents' verdicts. As a result, Sylvania pretends to be happy to meet Horace as her husband, but inside her is a heart of pain and despair that is forced to accept something she does not feel for. The story is a captivating piece about the experiences of a woman living in a world controlled by her parents who choose to express what she does not feel, just to conform to their expectations. She appears to be happy from outside, yet suffering from inside.AnaphoraAnaphora is one of the stylistic devices used in the story. It is the repetition of common or similar words at the start of consecutive phrases in conjunction with the pinnacle of the story. The author uses anaphora to express Sylvania's feelings on the last day of the wedding. While in her room, he engages in a monologue repeating the words ‘How I wish they understood'. The speaker uses the statement to explicate her inner feelings about what she is yet to face. The reader is able to see a jovial woman from outside but is in pain from inside. At one time, she opted to run away not to wed Horace, but on the other hand, she is strongly held by the love and respect she has for her parents. Horace, on the other hand, is comfortable and promises to be a good husband. The readers follow the story keenly to see how Sylvania would survive in the arms of a man she does not have any feeling for. At the end of the story, Horace involves in a road accident that claims his life. In that too, Sylvania pretends to be grieved and saddened by the death of her husband, but from inside, she is happy that she is free at last and makes her own decision. The culture allows a widow to remarry any man of her choice without being dictated by her parents. Therefore, the story is about a character that lives by pretense to please the people around her.AsyndetonAsyndeton is an act of omitting conjunctions between clauses, words, and phrases. In the story, Sylvania eulogizes her husband as loving and caring by the statement, â€Å"Horace, is loving, caring.† the people who listen to her are carried by her expressions to realize that they have not stayed for long in the marriage and feel that it is a great loss to her. She makes them think so by appearing so, but on the other hand, she feels relieved and happy at last. She falsely narrates how she was happy to have him as her husband, yet by the time of a wedding, she had thought of running only to be kept by the love and respect she has for her parents. In fact, the readers usually have an extended advantage over the characters since they can see the holistic story of what takes place. Among the people attending the two events, wedding and burial go home with a different image of Sylvania. They think that she is happy when she is very sad. On the other occasion, they think of her to be sad, yet she is the happiest. Therefore, any written piece has a lot for the readers compared to the characters involved.PolysyndetonPolysyndeton is structurally opposite to asyndeton. It involves the use of a conjunction between each phrase, word or clause. The use of polysyndeton is apparent at the beginning of the story where Sylvania is informed about the impending wedding. According to his father, though not named in the story, Horace is a good man with standard discipline and qualities of a husband. When given the news, Sylvania appreciates and accepts to marry as a demand of the custom, while inside her heart she does not have any feeling for him. Similarly, when the message of his death is delivered to her, she appears to be shocked and wails bitterly, yet feeling better to finally live a life that is uncensored by her parents. The other uses complete sentences that are well conjunct to express Sylvania's inner world. The story is so electrifying to see the way Sylvania is able to pretend and get away with it. In fact, Horace also lived with Sylvania for their short time in marriage imagining that she loved him, but not really. From this plinth, Sylvania represents many people in the society who live in particular ways just to impress the people around them, yet they do not like what they are. Therefore, it is an educating piece for the readers and the society to avoid putting more pressure on people to an extent that they live to express what they are really not.KenningKenning is used to creatively describe something in a more creative and skillful way. Chopin uses the same in her story on the first page, paragraph four and five. The story gives the readers an outlook of what Sylvania looks like while inside her room, during the wedding and when eulogizing her husband. As depicted in the story, she narrates her experience with Horace right from the time they had their first encounter. She also refers to him as a loving, caring and responsible husband. The readers can imagine a woman who enjoyed her marriage. They see someone at a great loss, more so because the marriage did not last long. Two things they are not aware of is that Sylvania did not enjoy the marriage, did not support her parents' choice and is very happy to have the news about the death of her husband. Life is a journey where two people can walk together facing the same direction, but not having a common destiny. Horace and the people around him thought that his wife loved her. When he died, people thought that it was a blow to his wife. However, the truth of the matter is that no assumptions were consistent with whatever Sylvania was.ConclusionThe story gives the readers an outlook of Sylvania, more so whatever she feels about the wedding and the death of her husband. People living around her are very unclear about what she really is. The story is a captivating piece about the experiences of a woman living in a world controlled by her parents. They choose a husband for her and she pretends to like it, yet not. When the husband dies, she pretends to be in a great pain of loss yet happy inside. It represents the people in the society who can smile to please people, but from inside, they suffer. Therefore, it has a lot for the readers to desire. Study Outline Attention Getter: The short story Caught up in Different Worlds is a fascinating piece that takes the readers through different jaunts of experiences of a woman called Sylvania, a good pretender who can imply to be happy even if sad, and can also appear to be sad when really happy. Thesis Statement: The story is a captivating piece about the experiences of a woman living in a world controlled by her parents who choose to express what she does not feel, just to conform to their expectations. She appears to be happy from outside, yet suffering from inside. Main PointsPoint#1: Anaphoraa) Explanation of anaphorab) How it used in the storyc) It's relevance to the storyPoint#2: Asyndetona) Explanation of asyndetonb) How it used in the storyc) It's relevancePoint#3: Asyndetona) Meaning of asyndetonb) How it is used in the storyc) It's relevancePoint#4: Polysyndetona) Meaning of polysyndetonb) How the author used it in the storyc) It's significance in the storyPoint#5: Kenninga) Meaning of Kenningb) How it is used in the storyc) It's relevance. The readers learn a lot from the story, more so the inner world of Sylvania. It tells more about living in a bigoted society. It paints the picture of the pressure that the society places on people to live according to certain expectations. The story is an electrifying piece with much for the readers to desire.