buy custom The Wingfields, A Case of a Dysfunctional Family essay

buy custom The Wingfields, A Case of a Dysfunctional Family essay Authors of fiction works are known for their creative in taking the reader to a world of their own where reality does not abode. However, this phenomenon is not common to all literary works as some allude so much to reality that the reader is tempted to take the work as non-fictional were it not for the eminent features of fictitiousness. Take for instance when a playwright writes a play that is almost a replica of his or her autobiography. In this case, many are left wondering where to classify this work; is it fictional or a nonfictional. Such is the case with a play written by Tennessee Williams in 1937. This play, The Glass Menagerie is a representation of the type of life Williams led. This essay however is not interested with the auto fictiveness of the play but what it addresses. From a careful study of this play, one theme is very dominant; the state of a dysfunctional family. This paper is based on my thesis that; The Glass Menagerie is a critic of a dysfunctional family. This is a memory play narrated by one of the characters, Tom who doubles as a narrator and an actor. Tom is an ambitious poet who works in a shoe warehouse. Other characters in the play include Amanda, Toms mother, Laura, sister to Tom, Mr. Winfield, husband to Amanda and father to Tom and Laura and finally Tim OConnor, a friend to Tom. Such a simple family and one wonder what goes wrong in the play to warrant it a prototype of a dysfunctional family. The conflict in the story is set from the beginning by the description of the setting. I am alluding to the postcard portraying Mr. Wingfields picture on the wall of the living room, which also serves as the bedroom for Laura. Mr. Wingfield as we learn from the play ran off years ago and his role in this play is made manifest by the postcard. This is the first evidence that the text provides for a dysfunctional family. Mrs. Wingfield and her children have grown knowing Mr. Wingfield as passive figure in the background of their every day endeavors. This is in contrast to what a typical family man should be regardless of whatever society one hails from. How can a father who is supposed to be the breadwinner of the family flee away leaving the family in desperation? Whatever reasons Mr. Wingfield may have had for his flight, they are altogether unjustified by whatever means. This single act of a man of a man apparently fleeing his duties has numerous repercussions to the characters left behind as the whole play revolves around all the anomalies a family without a father-figure to serve as a mentor possesses. This paper will single each of these repercussions. This will be achieved by examining the misery life led by each of the characters left behind. If there is any one who was primarily affected by the fleeing of Mr., Winfield, then it must be her wife, Amanda. Amanda has been forced to double roles as a caring mother, disciplinarian and role model to her two children. This as led to a life of conflict in opinions between her and the children. This apparently has overburdened her and she sometimes goes overboard to overdo her roles. The results of this have been more damaging than constructive. Take for instance Laura, her daughter who suffers from pleurosis and has a crippled leg. Amanda goes out of way her to enroll Laura in a college to expose her to social life and hence fight her shyness. Does this work? Unfortunately, no! Laura ends up dropping out of the college and goes for movies and adventure tours to avoid being discovered she is not in college. How is her father to blame for this? Laura testifies that her father was so caring to her and thus we can deduce on this ground that her self-esteem would have been boosted if her father being around. After all, girls are believed to be more close to their fathers than to their mothers. Maybe if Mr. Wingfield had devised this plan, it might have worked given the amount of confidence Laura had bestowed upon him. When this plan of enrolling Laura to a college failed, Amanda came up with a lasting solution to the shyness of her daughter. She determined to get her married. To this, she enquired from Tom if Laura had any suitors. The answer was obvious given the nature of her daughter. Amanda once again was not short of options. She portrays a character of willingness to sacrifice for her daughter, a phenomenon unparalleled elsewhere in the play. She subjects herself to humiliation by engaging in subscription sales in a magazine to see through Lauras marriage prospects. This she does with no word of complaint (Tennessee, p 1432). This may be regarded as an act of a caring mother concerned about the future of daughter. On the other hand, it is depiction of Amandas over-protective measures against her children. All this boils down to a missing link in the childrens upbringing especially given that Amanda is bringing them up single-handedly. Another flaw that taints this family and makes it a dysfunctional is the frequent mother-son quarrels that are characteristic of Amanda and Tom. Though the blame may fall on Amanda for her nagging attitude, Tom has his part to play too. The play states categorically that Tom has an indifferent attitude towards his mother and sister. He does not, at any particular scene of the play, portray kindness to her sister or mother, not even when he has broken the formers glass menagerie. Like father like son, the old adage goes. Tom, just like his father is an alcoholic who apparently withdraws to alcoholism to escape his worries. His father, as evident from the fact that he escaped his family, is a perfect example of an escapist. Therefore, Toms plans of leaving his family may have stemmed from his father. This is because of the burden Tom has of parenting. His mother bestows the task of taking care of his sister with him after which Tom may go his ways. This is a phenomenon common with alcoholic families in whiich the older child is charged with the duty of parenting (Parker p.143). In this context, Tom, although not the older of the two had to take the place of his fled-father. This was attributed to the fact that Laura wads handicapped and thus could not take that role. This causes an outburst between Tom and his mother. Another characteristic which was evident in this dysfunctional family and which has its root in the absentee father is the lack of emotion and love obviously evident here. Once again as with the case of child parenting, this is a phenomenon not peculiar in alcoholic families. This is caused primarily by the amount of pressure amounted to the parent who is non-alcoholic. The latter is so much stressed that he or she has no time for the children. This in return, results to feelings of anger, resentment, guilt and blame. There is no better example like the one depicted by Amanda in every conversation he had with her son Tom. The frequent outbursts can be attributed to this pressure. In an effort to cover this disposition, Amanda adopted an attitude of over-protecting her children, a strategy that worked against her. In order to survive this entire trauma, children of dysfunctional homes use escapism strategies to cope with the chaos and pain ever-present in the family. This is evident in the play in the case of Toms alcoholism. Laura is also not left behind. She spends hours with her menagerie, identifying with the unicorn and listening to her old records. Such an environment provides refuge for her while alcoholism on the other hand soothes Tom. Just like their father, the two do not face the reality and find escape in different ways. Williams succeeds in painting to us the true picture of a dysfunctional family. Traits common to this family and to extension all the other families of its kind are attitudes of rigidity, repressed, and twisted emotions. Another trait common with such families is reverence for past traditions that prove detrimental in the present contexts. For instance, the efforts of Amanda to raise money for the marriage arrangements of her daughter are futile. She thinks that just like her time, she should have attracted many suitors by now and therefore she goes out of her way to make efforts on her behalf to have some. All these coping attitudes are adopted with the sole aim of maintaining integrity, cohesion and a degree of sanity in the family. Nevertheless, this does not bind them. The thread of it is well; creating fantasies, making excuses and a general avoidance cement such families. In conclusion, this play apart from painting the picture of a dysfunctional family also gives as an intrigue in the life of William. In fact, it is considered by critics as the most autobiographical of his work. Having grown in an alcoholic family, he had first hand experience with what it meant to hail from such backgrounds, a phenomenon he has successfully represented in The Glass Menagerie. Buy custom The Wingfields, A Case of a Dysfunctional Family essay

Case Management in the Psychiatric ICU-The Clinical Governance Essay

Case Management in the Psychiatric ICU-The Clinical Governance Perspective - Essay Example The word Clinical Governance derives its roots from Corporate Governance, which aims at ensuring sound business and financial management. The term Governance therefore has significance in clinical practice since it addresses concerns about quality of health (Lazare 1987). Department of Health (1999) defines Clinical Governance as, "a framework through which NHS organisations are accountable for continuously improving the quality of their services and safe-guarding high standards of care by creating an environment in which excellence in clinical care will flourish". Clinical governance is aimed at improving the quality of clinical care at all levels of an organization by consolidating, codifying, and standardizing organizational policies and approaches, particularly clinical and corporate accountability (Scally & Donaldson, 1998). Clinical Governance is also explained as the ability to create an effective change in order to achieve improved quality of care. (O'Kelly,2003). It aims at ensuring that standards are adhered to and processes are mapped for continuous quality improvement Natalie Jones (2004). Its focus is on providing holistic care to patients and more than a structure, it is an ideology to be adopted and implemented by healthcare organizations. 1. There are seven key principles, commonly referred to as the seven pillars supporting Clinical Governance (Camden 2004;,South Leeds, 2005). These are explained below: 1. Clinical Audit: This refers to adherence of nationally set standards for clinical care by National Service Framework (NSF), and those set by the organization locally. Clinical audit also involves sharing information with others in the healthcare industry for benchmarking and exchange of best practices. Department of Health, Government of Western Autralia, n.d.) points out that "Clinical audit is the cyclical process of reviewing clinical performance, refining practice as a result and measuring the outcomes against agreed standards. Part of good clinical practice for generations, audit is practised at a number of levels, from regular morbidity and mortality reviews through to national studies. There are many successful examples of its application, such as the national audit of stroke, undertaken in the UK". 2. Clinical Effectiveness: Ensuring that patients get the right treatment is assurance of clinical effectiveness. This implies using evidence based medicine and keeping abreast with latest updates in medicine. 3. Patient and Public Involvement: Clinical governance emphasizes user participation. Patient's feedback to the service provided is an important precursor to quality improvement. 4. Risk Management : Optimum processes for service delivery is essential in minimizing risks to both patient and staff . Reporting of errors and lapses is a crucial step in risk management since it controls future errors. And though clinical governance places importance on robust systems to control lapses, it also recognizes that clinicians are human beings and can make errors. Recognizing the human element as an integral aspect of healthcare delivery gives great strength and wide acceptance to the concept of clinical governance. 5. Staffing and Staff Management: Encouraging teamwork and helping

Is China in an asset bubble Yes or no Why or why not (Particularly Assignment

Is China in an asset bubble Yes or no Why or why not (Particularly real estate bubble) - Assignment Example Fan Gang joined the regional officials in expressing their concern over the surging prices of assets (Leung & Wong Para 1). According to Forsythe and Hamlin, there is a sprout of empty buildings across the nation as firms with access to 1.4 trillion dollars- given in new loans in 2008- build skyscrapers. This has led to the Chinese property’s market bubble. James Chano, the hedge fund manager, says that there is a monumental asset and fixed asset, including real assets, bubble in China right now. He adds that deflating such an issue will be quite difficult at best (Forsythe & Hamlin Para 4). The Chinese government, since October 2010, has increased asset bubbles three times. This suggests fears of a shaping asset bubble and high inflation. China is highly dependent on oil and her growth rate is higher than that of Japan. If the worldwide prices of oil continue rising, China could be in some serious trouble. Moreover, there are numerous IPOs (Initial Public Offerings) in China with ample foreign investors wanting to invest in them. This move could only be fueling the growth of asset bubbles (Zhou 79). Conclusively, a serious market bubble is looming in China if the government does not take effective measures to contain it. Since 2006, economists and analysts have predicted a large asset bubble and this has increased with time. Forsythe, Michael and Hamlin, Kevin. China’s Real Estate Bubble Causing Growing Concern. Bloomberg News. 14 February 2010. Web 27 April 2012, Leung, Sophie and Wong, Chia-Peck. China Faces Asset-Bubble Risk, PBOC Adviser Fan Says (Update 2). Bloomberg. 18 November 2009. Web 27 April 2012,

Two Parts to a Double Dissociation

Two Parts to a Double Dissociation Organisms, at one level, are obviously collections of parallel systems that are potentially independent, although normally interactive. (Weiskrantz, 1990) The argument of separate visual processing streams is a long and turbulent one, which stems largely from Ungerleider and Mishkins (1982) early work with monkeys. Following this research, Mishkin, Ungerleider, and Macko (1983) suggested two streams of processing. They characterised the ventral stream as the what route, used to analyse visual characteristics of objects, and the dorsal stream as the where stream, which calculated the spatial relations of the object. However, in 1992, Milner and Goodale proposed a reinterpretation of the dual pathway model (Goodale Milner, 1992, 2004; Milner Goodale, 1993, 2006). In this new model, the ventral stream was concerned with the visual perception and processing of object form and object recognition, to transform visual information into a perceptual representation of the world (Goodale Milner, 1992). Importantly, it also encoded spatial relations of objects in an allo-centric sense. This allows us to think about our world, its objects, and t he placement of objects. In contrast, the dorsal stream was involved in the controlling actions interacting with the goal object. The dorsal stream calculates spatial relations in an ego-centric view, using accurate and precise measurements. In more general terms, it can be stated in short, that this new model suggested that differences between the two streams should be evaluated, not in terms of visual inputs, but as the output systems which the two streams serve. Both streams receive the same visual information, but they interpret it in different ways (Milner Goodale, 2008). In their study of this model, researchers searched for the ideal complementary double dissociation which would unequivocally support Milner and Goodales claim that these streams are completely separate entities, which receive visual information, and then interpret and react to this information in very different ways. They found support for these claims by the flagship double dissociation studies using neuropsychological patients. The key conditions in these case studies and experimental research studies are Optic Ataxia (OA) and Visual Form Agnosia (VA). These neuropsychological disorders are, to Milner and Goodale, the quintessential case for a double dissociation. The term of double dissociation is an elusive idea in neuropsychology, with clear and concise dissociations difficult to come by. In a single dissociation, damage to a particular brain region interrupts one function, but not another function. This implies that these two functions are independent of each other in some form. The most commonly referenced single dissociation is the condition VA, in which the patient perceptual abilities are impeded, but not the visuomotor abilities. Furthering on from single dissociations, interest has turned to finding double dissociations. These double dissociations, as originally described by Teuber (1955) are seen as powerful tools in neuropsychological research, to discover and study the separate functional modules and to strengthen the evidence for a single dissociation. However, double dissociations can be very difficult to prove, as to be a true double dissociation it must be shown that two different external manipulations will affect two patients differently. That is, the first manipulation will affect patient A, but not B, whereas the second manipulation will affect patient B, but not A. This can be used as a starting block to make inferences of the modular functions of brain areas. The dual visual systems double dissociation of OA and VA, or perception of objects with mis-reaching and inability to perceive with successful grasping became the workhorse of Milner and Goodales model. They based much of their early findin gs upon studies carried out with patient D.F which showed a single dissociation (James, Culham, Humphrey, Milner, Goodale, 2003; Goodale, Milner, Jakobson, Carey, 1991). Patient D.F. is the most researched neuropsychological patient in the study of dual visual streams, and it is from research carried out with her that led to the fruition of Milner and Goodales model (Goodale et al., 1991). D.F. suffered bilateral lesions of the occipito-temporal cortex, considered to be the ventral stream area, which resulted in a profound case of Visual Form Agnosia (Milner et al, 1991). That is, she was incapable of visually perceiving the form of objects and yet she could accurately make visually guided movements and grasp objects (James et al., 2003; Goodale et al., 1991). It was argued that this research indicated that D.F.s visuomotor skills were left intact, implying firstly, that there was evidence for a single dissociation, and secondly, that D.F. could show pure visuomotor skill with out the interference of perception. In other words, she could show what the dorsal stream in Milner and Goodales model was capable of achieving (Milner et al., 1991). This original study was quickly followed by a stream of research which investigated the visuomotor capabilities of D.F (Goodale, 1994b; Milner et al, 1991) and a second VA patient; S.B. (Dijkerman, Le, Demonet, Milner, 2004). The further research illustrated that D.F.s visuomotor skills allowed her to scale her grip and orientate her wrist correctly, similarly to controls (Milner Goodale, 1995). In matching orientation tasks D.F. failed, appearing to choose orientations at random, yet when asked to reach towards a slot and post an item she performed at a similar level to controls (Goodale et al., 1991). Studies illustrated her ability to use visual information involving the orientation and shape of a particular object for online corrections of hand movements and in an object grasping task for regular shapes, (Dijkerman, Milner, Carey, 1996; Carey, Harvey, Milner, 1996), and irregular shapes (Goodale et al., 1994c). These findings were later replicated with S.B. (Dijkerman, McInto sh, Schindler, Nijboer, Milner, 2009; Dijkerman et al., 2004). The interpretation given to D.F.s visuomotor abilities suggested that the undamaged dorsal stream was controlling the visuomotor abilities, without the input of the damaged ventral stream. This was a powerful argument for Milner and Goodales model as it emphasised the functional dissociation within the visual system. On the opposite side of this dissociation, researchers studied patients (I.G. and A.T.) with Optic Ataxia (OA); a visuomotor disorder. This involves gross mis-reaching for visual targets, usually most severe in the peripheral visual field, can manifest in the contralesional visual field and the contralesional hand (Perenin Vighetto, 1988). However, patients can identify objects normally; unlike patient D.F., OA patients can discriminate the size, shape, and orientation of objects. However, these patients have difficulty in grasping objects correctly or in a functionally correct manner. OA patients will not appropriately scale their grip during reaching; they open their finger grip too wide, and close it once they reach contact with the object (Jeannerod, Decety, Michel, 1994). In addition, their reaching duration is increased, their peak velocity is lower than controls, and they misplace their fingers when they have to visually guide their hand towards a slit (Grà ©a et al., 2002) . Similarly, in reaching tasks with target jumps, both A.T. and I.G. failed to show online adjustment of movement like healthy controls (Pisella et al., 2000; Grà ©a et al., 2002). This indicates a feed forward and feedback deficit in OA. More simply, OA patients do not possess the capabilities to quickly alter their movements; they rely on the involvement of slower and later visual and motor feedback. However, does all this research lead onto the conclusion of a classic double dissociation? Milner and Goodale argue that no clearer evidence could be shown; one condition (VA) leads to inability to perceive items, yet can act on these items, and the other condition (OA) shows an inability to grasp an item, and yet they can perceive all their features. The problem is, this case of double dissociation may not be as straight forward and concise as Milner and Goodale assume. There is a new stream of research showing the exceptions and difficulties in the dual visual system assumption. A classic dissociation calls for one function to be within normal performance range and the affected function to be far below normal performance (Shallice, 1988). In relation to D.F.s visuomotor abilities, more recent research has highlighted difficulties in claiming a classic dissociation. Although D.F. does manage to grasp items in most cases, this is not to the level of normal range; she makes semantic errors in grasping tools in non-functional ways (Carey, Harvey, Milner, 1996). However, she also fails to grasp neutral laboratory blocks using the most comfortable grasp (Dijkerman, et al., 2009), and she fails to complete visuomotor guiding or grasping tasks with any shapes of significant complexity (Goodale et al., 1994a; Carey et al., 1996; Dijkerman et al., 1998; McIntosh, Dijkerman, Mon-Williams, Milner, 2004). In fact, more recent research has found restrictions to D.F.s grasping abilities, showing that she does not automatically select a grip posture which minimises awkwar d and uncomfortable grasps, like control subjects (Dijkerman et al., 2009). Furthermore, even in successful completion of simplistic tasks, D.F. may not use the same visual cues that healthy controls use. When prisms were used to perturb D.F.s vision, it was found that D.F. relies almost exclusively on vergence angle and vertical gaze for establishing object distance in reaching tasks (Mon-Williams, McIntosh, Milner, 2001; Mon-Williams, Tresilian, McIntosh, Milner, 2001). In fact there have been reports of the daily difficulty in carrying out actions for VA patients, namely S.B. showing at times greater peripheral misreaching than OA patients (Là © et al., 2002; Pisella, Binkofski, Lasek, Toni, Rossetti, 2006). VA patients use compensation techniques such as, moving their head to focus the target in central vision and slowing their goal directed movements (Rosetti, Vighetto, Pisella, 2003; Pisella et al., 2006). Dijkerman and colleagues found that patient D.F. could perform a grasping task well when she could use binocular viewing, even when her head po sition was fixed on a chin rest. However, she could not complete the task under monocular viewing unless she could tilt her head to compensate (Dijkerman et al., 1996). Specifically, D.F. needs to use either binocular disparity or motion parallax to recover the depth of an object and successfully carry out a grasping task. The empirical evidence illustrates that patients with VA struggle with many visuomotor tasks and in many cases can only complete simple tasks. Therefore, their performance is far from within the normal range, shown by control tasks with uninjured brains. Firstly, this puts into question the strong single dissociation thought to be illustrated by VA. However, even more importantly and secondly, these findings cast doubts on the pure dorsal abilities, suggesting that even with an uninjured dorsal stream visuomotor skills are affected, which in this case prevents the possibility of a double dissociation. The past research of OA has equally been viewed only through the eyes of the dual processing model, excluding the finer details. For example, clinically, a diagnosis of OA requires for all other perceptual deficits to be excluded. Specifically, issues with visual acuity, visual neglect or injury to the eye itself must be ruled out as explanations for misreaching with visual guidance. However, these diagnostic guidelines have not always been followed, and assessments of such issues have been absent or carried out in approximations (Schenk McIntosh, 2010). Stricter assessments have recurrently shown impaired discrimination of object location or orientation, particularly in the extra-foveal visual field where OA symptoms are most severe (Michel Henaff, 2004; Pisella et al., 2009). It has been argued that in truth, OA is more closely linked to attentional disorders, such as visual neglect or visual extinction (Michel Henaff, 2004; Pisella et al., 2009; Streimer et al., 2007, 2009). A.T.s attentional visual field was described as being narrowed to a functional tunnel vision (Michel Henaff, 2004). The confusion of OAs true origin comes from the fact that misreaching occurs in extra-foveal vision, when patients cannot fixate on the object. The visuomotor abilities of OA patients in central vision show little to no deficits in carrying out visually guided grasping tasks under normal conditions, unlike the misreaching that is present in the peripheral visual field (Grà ©a et al., 2002; Pisella et al., 2000). More recent studies have suggested that misreaching also affects proprioceptive targets which are not in the direction of gaze (Jackson et al., 2009; Blangero et al., 2007). Jackson et al. (2009) argue that this indicates a difficulty in representing several locations simultaneously, indicating that OA is not simply a visuomotor problem. Similarly, recent papers have shown that perception itself is also impaired in the peripheral visual field (Michel Henaff, 2004; Rosetti et al., 2005). These findings plunge the status of OA as a visuomotor disorder into uncertainty; and it unquestionably casts doubts on optic ataxia being considered as evidence of a dissociation of perceptual and motor functions within visual processing. Furthermore, with a growing number of researchers questioning the clarity of OAs strict visuomotor deficits, the argument of a double dissociation loses even more conviction. Many years of research have emphasised an impairment of actions in OA, and an impairment of perception in VA. However, are the differences between these two conditions and the empirical evidence strong enough to support a case for a double dissociation? As Pisella and colleagues (2006) highlights, looking over past research on the vision for action studies on OA patients and VA patients; it becomes obvious that these sets of patients have not been tested in identical settings. As previously noted, vision guided grasping movements are impaired in the peripheral vision of OA patients; however, these same abilities have only been tested in the central vision for VA patients (Pisella et al., 2006). As indicated earlier, OA patients have been shown to deal with visually guided grasping to a successful level in central vision and ecologically valid conditions (Grà ©a et al., 2002; Pisella et al., 2000). Without empirical evidence to indicate the true abilities of VA patients reaching in p eripheral vision, it cannot be concluded that their reaching is unaffected. Similarly, OA patients perceptual abilities have not been significantly studied. It is assumed that their perception is at normal levels, however, this same assumption was given to VA reaching until it was more closely studied. Thus, this major fault in the claim for a double dissociation does not take into account the fundamental assumption for double dissociations; that testing of the function must be carried out in the same conditions (Teuber, 1955). Given the arguments presented, it seems unlikely that OA and VA are a complementary double dissociation reflecting the inner workings of a separate vision for action and vision for perception processing routes. This suggestion is much too simplified. It is much more likely that the vision for perception and vision for action streams interact a great deal, and thus both streams have an effect upon each of these two conditions. We are unclear of VA patients peripheral visual abilities, and thus they cannot be truly compared to OA patients extra-foveal misreachings. In fact, with doubt mounting about OAs actually link to the vision for action stream, the argument becomes even more clouded. Diagnostically, this must be cleared up before any conclusions of its involvement can be made. In a comparable trend, patients with VA do not perform as well in visually guiding grasping tasks as originally claimed; they in fact perform well below normal levels (Goodale et al., 1994a; Carey et al., 1996; Dijkerman et al., 1998; McIntosh et al., 2004). Furthermore, under normal conditions and in central vision, OA patients actually perform better than previously claimed, due to their compensatory techniques (Grà ©a et al., 2002; Pisella et al., 2000). This coupled with recent findings of OA patients perceptual difficulties in peripheral vision, (Michel Henaff, 2004; Rosetti et al., 2005), it becomes an extremely difficult task to claim a double dissociation. Although, it may be extreme to claim no interaction between these conditions, they are not completely separate entities either. The fact remains that both conditions allow us to learn a great deal about the visual system under the Milner and Goodale model, and there is certainly a complementary divergence of symptoms in p art. However, the issue lies in attempting to construct these components into a complementary double dissociation; the components just do not add up. Hence, it is necessary to move beyond the rudimentary dichotomy of vision for action and vision for perception, and consequently the supposed double dissociation and simplification of OA and VA. Despite previous conventions on the unification of these deficits as one dissociation, as has been shown deeper research is beginning to highlight the cracks in this dissociation. It is necessary to advance the Milner and Goodale model beyond the research reliance on the OA and VA double dissociations. It is important that the assumptions made of OA and VA being clear and concise indicators of each visual streams abilities is eased. Although individually, patients such as D.F. and S.B., who have perceptual deficits as found in VA, can be useful indicators of the most basic abilities of the dorsal stream, this cannot be guaranteed to indicate workings of the ventral stream. As shown previously, the interaction between the two streams may be greater than previously thought. Thus higher function s of the dorsal stream may fail in patients with VA without the necessary interactive involvement from the ventral stream. Similarly in cases of OA, moreover, this may be in even more doubt with the disagreement of attention deficits playing a vital role in OA symptoms. In essence, the fixation on a double dissociation between OA and VA is hindering future research and the advancement of the dual visual processing model. This simplistic idea of the absolute double dissociation must be abandoned, and a more interactive approach taken to achieve research advancement.

The Impact of Information Technology on Marketing Strategies for Health

Information has become the most valuable commodity in any market. Utilizing accurate information about customers and their interests is vital for successful marketing activities. In today's fast paced, highly competitive markets, companies must make marketing decisions quickly or risk losing their competitive edge. Using information technology (IT) allows companies to gather, analyze, and utilize large amounts of customer information. This information is used to reduce risk and uncertainty in decision making and maximize the profitability of marketing activities. IT also allows companies to evaluate the success, benefits, and profitability of IT investments, marketing strategies, and other business ventures over long periods of time. Today utilizing IT is essential in all aspects of marketing activities and successful marketing is not possible without the use of IT. Marketing in healthcare involves unique challenges which other markets do not face. According to Shaw (2008) "healthcar e marketers promote a service that is complicated, expensive, and even frightening." Most people do not want to imagine themselves needing healthcare products or services and usually reject information concerning the statistical chances of their future medical needs. As a result, traditional marketing techniques like directing products and services to specific consumers or broadcasting brand images are often ineffective in healthcare markets. In order to maintain a marketing advantage, healthcare marketers started moving toward a consumer driven marketing approach focused around consumer wants, needs, and expectations. The purpose of this study is to examine the impact of IT on the marketing strategies of healthcare organizations. The rapid expans... ...ult, healthcare organizations have started marketing campaigns focused on patient privacy and cyber security. References Berisha-Namani, M. (2013). Information technology, internet, and marketing. International Journal of Electronic Commerce, 4(1). doi: 10.7903/ijecs.1116 Kotler, P., & Clarke, R. N. (1987). Marketing for health care organizations (p. 265). Englewood Cliffs, NJ: Prentice-Hall. Rooney, K. (2009). Consumer-Driven Healthcare Marketing: Using the Web to Get Up Close and Personal. Journal Of Healthcare Management, 54(4), 241-251. Shaw, G. (2008). Department Focus: Marketing–Lessons from the Field. Online article on HealthLeaders Media website. White, K. R., Thompson, J. M., & Patel, U. B. (2001). Hospital Marketing Orientation and Managed Care Processes: Are They Coordinated?. Journal Of Healthcare Management, 46(5), 327. The Impact of Information Technology on Marketing Strategies for Health Information has become the most valuable commodity in any market. Utilizing accurate information about customers and their interests is vital for successful marketing activities. In today's fast paced, highly competitive markets, companies must make marketing decisions quickly or risk losing their competitive edge. Using information technology (IT) allows companies to gather, analyze, and utilize large amounts of customer information. This information is used to reduce risk and uncertainty in decision making and maximize the profitability of marketing activities. IT also allows companies to evaluate the success, benefits, and profitability of IT investments, marketing strategies, and other business ventures over long periods of time. Today utilizing IT is essential in all aspects of marketing activities and successful marketing is not possible without the use of IT. Marketing in healthcare involves unique challenges which other markets do not face. According to Shaw (2008) "healthcar e marketers promote a service that is complicated, expensive, and even frightening." Most people do not want to imagine themselves needing healthcare products or services and usually reject information concerning the statistical chances of their future medical needs. As a result, traditional marketing techniques like directing products and services to specific consumers or broadcasting brand images are often ineffective in healthcare markets. In order to maintain a marketing advantage, healthcare marketers started moving toward a consumer driven marketing approach focused around consumer wants, needs, and expectations. The purpose of this study is to examine the impact of IT on the marketing strategies of healthcare organizations. The rapid expans... ...ult, healthcare organizations have started marketing campaigns focused on patient privacy and cyber security. References Berisha-Namani, M. (2013). Information technology, internet, and marketing. International Journal of Electronic Commerce, 4(1). doi: 10.7903/ijecs.1116 Kotler, P., & Clarke, R. N. (1987). Marketing for health care organizations (p. 265). Englewood Cliffs, NJ: Prentice-Hall. Rooney, K. (2009). Consumer-Driven Healthcare Marketing: Using the Web to Get Up Close and Personal. Journal Of Healthcare Management, 54(4), 241-251. Shaw, G. (2008). Department Focus: Marketing–Lessons from the Field. Online article on HealthLeaders Media website. White, K. R., Thompson, J. M., & Patel, U. B. (2001). Hospital Marketing Orientation and Managed Care Processes: Are They Coordinated?. Journal Of Healthcare Management, 46(5), 327.

The Industrial Giant Known as America

Many factors led to America having a tremendous rise in industry. The five points that made the most impact were technology, mass distribution and production, education, railroads, management ideas and structure, and immigrant labor. These five points not only improved the existing industry, but they revolutionized how the American industry would be run for the next generation. As with any change in an existing system, there were a few problems, the main problems where with workers so management just replaced them with machines. Many people weren†t ready to make the adjustment from small town arming to big city living but the benefits far out-weighed any unusual situations, so the people and the nation when along with it. In the 1850†³s and on, most Americans were wondering about the benefit of a society dominated by cities, factories, and masses of wage earners. Along with cities and factories, pollution, and unhygienic situations was rising as well. Industrializing of the nation was wanted by many people but on the other hand, many people did not want to see the nation industrialize. The United States, at this point, mostly an agricultural society, nd most of the people lived on farms or in small towns, and had lots of open space to live in. These caused a slowing of the United States transforming into a industrial nation. Depression set and there was unrest in the work force. This began to change in the 1870†³s when the Populist Party gained a strong foothold. In 1897, the economic depression finally came to an end. In 1910, the United States firming planted itself as the world†s Probably the most important feature aiding the nation†s growth was technology. Two major inventions during this period were the invention of the gasoline-powered, nternal combustion engine and harnessing of electric power. Harnessing electrical power opened many doors for technological advancements. The cheaper and cleaner electrical power allowed for longer working days and easier working day for the laborers. Metal-working went right hand in hand with electric generators and related equipment. In 1878 the first gas engine was patented. This was responsible for the first production of the Model-T, the nations first automobile made by Henry Ford. Millions of people bought the Model-T, and that in turn called for millions of pounds of steel ,glass, rubber, etroleum, and other materials viable materials to be produced. This called for millions of jobs in coal and iron-ore mining, oil refinery, steel making, rubber manufacturing, machine tooling, and service stations. These and many other jobs led to corporations and new jobs Management of business is the next issue. The number of managers grew, as elaborate corporate hierarchies deformed both the tasks and status of individual managers. Day to day operations were replaced by middle managers, who oversaw a single department in corporate headquarters. This rapid expansion within corporate managerial ranks created a new middle class. They were loyal to their employers, but were at odds with both the blue-color workers, and with the older middle class of shopkeepers. Also small businessmen, an independent craftsmen were not too happy with the idea of this also. With all of this happening, there was a growing need to ship goods, which in turn led to a major need for the railroads. The next factor that helped the industrial growth was immigrant labor. Immigrant labor constituted about 70% of all the labor in the twentieth century. Immigrants built the nation†s tunnels and railroads , mined iron ore, coal and other minerals. They stoked the hot steel furnaces on the trains and in steel factories also. In the railroad industry was where the immigrants really made their mark. Immigrants worked long hours because really they were all of the early work force so they built much of the early railroad and were in on most of its matinence. Domestic markets were growing at such a enormous rate, manufacturers had to improve on mass-production. To speed up production, they needed to lower the cost of ll shipped items. This often meant that most workers were replaced by machines. Aside from an occasional matinence the machines worked cheaply. Also, manufacturers often found that distribution systems need to be revamped. This led to specialized sale forces, and on-going customer service. Duke who started a regional sales offices, made it so that his saleman could keep in touch with local retailers. This helped manufacturers tap into what the public wanted in turn keeping sales high. Duke also started national advertising which was a huge success. Duke was the father of advertisers of early industry. Many factors helped contribute to the growth of the nation†s industry. The five emphasized are the main factors that contributed the most to improvements in the industry. The improvements not only changed not only in increased revenue, but also in the way people lived their daily lives. The adjustment from small town, rural living and farming to big city living and urbanization led to some conflict of ideas among early workers. Other conflict of interest in business also surfaced as everyone wanted the get there hand in the money.

The Origin Of International Or Intercontinental Adoption

This paper sees the sights the origin of international or intercontinental adoption in U.S. martial intercession, mainly the Korean War and its consequences. Keeping focus on the concealed practice in Korean adoption research, the prostitute and her biracial kid, this article tends to recast armed camp town in Southern Korea as the original situate of communal casualty, a very important situation that causes to be biracial children homeless and their respective Korean mothers attenuate mothers for adopting them. â€Å"One people, one nation† is the National philosophy of South Korea which has coupled with American geopolitical benefits in this Asian expanse shaped the primary push and draw reasons and causes for children of Korea to be†¦show more content†¦and South Korea. Representing biracial offspring whose existence diagnosis was precluded in Korea, on the other hand, the South Korean administration relate to introduced large scale adoption as the only practicable as another possibility for biracial progeny. But, this biopolitical exercise was painful to all children at the limitations whereas encouraging worldwide adoption for the upcoming fifthy years. Pearl Buck who is one of the significant American who publicly supports global adoption says as follows: â€Å"Hybrid Asian and American families created through adoption could eventually facilitate better political relations between the United States and Asia...Page 16 The figure of speech and descriptions mentioned in this article unfold a fractional account regarding the genesis of the international adoption and portray themselves as confirmation of the US familial dominance and compassion. The chronicle of the Holts and their eight biracial Korean children is considered to be a prodigy amongst the adoptee society. It tempts us to believe the substantial circumstances and affinity attachments as of which biracial children were extorted. Most of the adoptees that were viciously hauled out from their unique relation, but, have been brought up obsessed by the worries of their societal bereavement, as