Explain, with examples from recent years in the UK, the main reasons Essay

Explain, with examples from recent years in the UK, the main reasons why a government taxes its citizens - Essay Example This paper will be discuss why the United Kingdom government collects taxes from its citizens and to what use the collected taxes are used for in the state. Some of the reasons the United Kingdom government collects tax from its citizens is in order to facilitate the construction and maintenance schools or education, as well as hospitals and roads. When looking at schools, it will be right to say that the taxes collected by the state in this endeavor is used in the public school sector where the government has a responsibility to provide free education. Hence, the money collected as taxes are used to maintain the schools and besides that cater for any expenses incurred. Public hospitals are another area where taxes are utilized in the name of public service offered by the government to its citizens, here the government offers health care at a subsidized rate in order to offer cheaper medical care and assistance to the less privileged in society. The state also collects taxes in order to be able to provide defenses as well as military capabilities to the state. Defense is one of the most important duties a state has to its citizens. Therefore, majority of the taxes are usually consumed in defense, the state uses the resources possible to track information as well as protecting the country from internal and external attacks of terrorism. Being so the government uses the money to provide the defense ministry with the required necessities to protect the state from attacks as well as be prepared for war when the need may arise. Citizens in the United Kingdom also pay taxes in order to support the royal family.For example the recent royal wedding between Kate Middleton and Prince William expenses were paid for by the tax payer The British government has the civil list, which contains the list of members of the royal family who receive payment in exchange of performing state duties. Such duties include opening buildings,

How Is the Story Told in Chapter 1 of the Great Gatsby Essay Example for Free

How Is the Story Told in Chapter 1 of the Great Gatsby Essay Throughout chapter one of The Great Gatsby, Fitzgerald varies in technique to tell the story. He uses the character Nick Carraway to start off the chapter by having him narrate. And throughout Chapter 1 we are introduced to many other characters such as Tom, Jordan, Daisy and Gatsby. The use of narrational voice is very important in The Great Gatsby as Fitzgerald has created the character Nick, not only to narrate the story, but also be a key person in the novel. This adds a personal touch, but it could also make parts of story bias or inaccurate. We get hinted at this inaccuracy when Nick says I have been drunk twice in my life, and the second time was that afternoon. We can see that his narration may be inaccurate as he was under the influence of alcohol, so he may not be able to remember parts of the story so well. Each character is described through the narrator’s voice and therefore the perceptions and thoughts of each character are effected by Nick and his views. The personal delivery of the story compels us to read on. This is down to Nicks creative style of telling the story. Fitzgerald has created the character Nick to essentially tell the story and to have the opportunity to add personal judgements. Although the character repeatedly admits that he doesnt make these judgements; this is a contradictory statement, and throughout the first chapter Nick continually breaks this. The first few pages can be described as a brief summary of Nick Carraway and his life where as a reader we begin to create and establish our perceptions of his character. Through the early summary, In my younger and more , Nick is summarising his life; it is as if he is shortening and quickly describing snap shots of his life. Fitzgerald has created the character of Nick as a participant of the story, although he is more of a spectator. The brief beginning summary is then followed by And so it happened that on a warm windy evening.. which can mark the beginning of the narrative and again shows the clever way that Fitzgerald has used Carraways character as a participant and a writer of the Gatsby story. This narrative technique focuss the readers attention and creates a link between the reader and the character of Nick as it feels like he is personally relaying the story. Whereas through the later stages of the Chapter the other girl, Daisy, made an attempt is much more descriptive and film like. Overall Fitzgerald uses different techniques to tell the story on Chapter 1. One of these being, having Nick not just be a narrator but also a character. This adds to the overall delivery of not just Chapter 1 but the whole novel.

The Leisure Ability Model

The Leisure Ability Model Therapeutic Recreation seeks to promote the capacity and ability of groups and individuals to make self determined and responsible choices, in light of their needs to grow, to explore new perspectives and possibilities, and to realise their full potential. (reference) Within this assignment I am going to critically compare and evaluate the use of the following models in the Therapeutic Recreation Service: The Leisure Ability Model and the Health Promotion/ Health Protection Model. In doing so I will firstly describe the two models in detail and then critically compare and evaluate them both and their use in the therapeutic recreation service. The Leisure Ability Model: Every human being needs, wants, and deserves leisure. Leisure presents opportunities to experience mastery, learn new skills, meet new people, deepen existing relationships, and develop a clearer sense of self. Leisure provides the context in which people can learn, interact, express individualism, and self-actualize (Kelly, 1990). A large number of individuals are constrained from full and satisfying leisure experiences. It then follows that many individuals with disabilities and/or illnesses may experience more frequent, severe, or lasting barriers compared with their non-disabled counterparts, simply due to the presence of disability and/or illness. The Leisure Ability Models underlying basis stems from the concepts of: (a) learned helplessness vs. mastery or self-determination; (b) intrinsic motivation, internal locus of control, and causal attribution; (c) choice; and (d) flow. Learned Helplessness: Learned helplessness is the perception by an individual that events happening in his or her life are beyond his or her personal control, and therefore, the individual stops trying to effect changes or outcomes with his or her life (Seligman, 1975). They will eventually stop wanting to participate in activity or participate in any other way. They will learn that the rules are outside of their control and someone else is in charge of setting the rules. Their ability to take a risk will be diminished and they will learn to be helpless. Learned helplessness may present a psychological barrier to full leisure participation and it may, conversely, be unlearned with the provision of well-designed services. Intrinsic Motivation, Internal Locus of Control, and Causal Attribution: All individuals are intrinsically motivated toward behaviour in which they can experience competence and self-determination. As such, individuals seek experiences of incongruity or challenges in which they can master the situation, reduce the incongruity, and show competence. This process is continual and through skill acquisition and mastery, produces feelings of satisfaction, competence, and control. An internal locus of control implies that the individual has the orientation that he or she is responsible for the behaviour and outcomes he or she produces (Deci, 1975). Typically individuals with an internal locus of control take responsibility for their decisions and the consequences of their decisions, while an individual with an external locus of control will place responsibility, credit, and blame on other individuals. An internal locus of control is important for the individual to feel self-directed or responsible, be motivated to continue to seek challenges, and develop a sense of self-competence. http://dw.com.com/redir?tag=rbxira.2.a.10destUrl=http://www.cnet.com/b.gif Attribution implies that an individual believes that he or she can affect a particular outcome (Deci, 1975; Seligman, 1975). An important aspect of the sense of accomplishment, competence, and control is the individuals interpretation of personal contribution to the outcome. Without a sense of personal causation, the likelihood of the individual developing learned helplessness increases greatly. Choice: The Leisure Ability Model also relies heavily on the concept of choice, choice implies that the individual has sufficient skills, knowledge, and attitudes to be able to have options from which to choose, and the skills and desires to make appropriate choices. Lee and Mobily (1988) stated that therapeutic recreation services should build skills and provide participants with options for participation. Flow: When skill level is high and activity challenge is low, the individual is quite likely to be bored. When the skill level is low and the activity challenge is high, the individual is most likely to be anxious. When the skill level and activity challenge are identical or nearly identical, the individual is most able to achieve a state of concentration and energy expenditure that Csikszentmihalyi (1990) has labeled flow. Treatment Services During treatment services, the client generally has less control over the intent of the programs and is dependent on the professional judgment and guidance provided by the specialist. The client experiences less freedom of choice during treatment services than any other category of therapeutic recreation service. The role of the specialist providing treatment services is that of therapist. Within treatment services, the client has minimal control and the therapist has maximum control. The specialist typically designates the clients level and type of involvement, with considerably little input from the client. In order to successfully produce client outcomes, the specialist must be able to assess accurately the clients functional deficits; create, design, and implement specific interventions to improve these deficits; and evaluate the client outcomes achieved from treatment programs. http://dw.com.com/redir?tag=rbxira.2.a.10destUrl=http://www.cnet.com/b.gifThe ultimate outcome of treatment services is to eliminate, significantly improve, or teach the client to adapt to existing functional limitations that hamper efforts to engage fully in leisure pursuits. Often these functional deficits are to the degree that the client has difficulty learning, developing his or her full potential, interacting with others, or being independent. The aim of treatment services is to reduce these barriers so further learning and involvement by the client can take place. Leisure Education: Leisure education services focus on the client acquiring leisure-related attitudes, knowledge, and skills. Participating successfully in leisure requires a diverse range of skills and abilities, and many clients of therapeutic recreation services do not possess these, have not been able to use them in their leisure time, or need to re-learn them incorporating the effects of their illness and/ or disability. Leisure education services are provided to meet a wide range of client needs related to engaging in a variety of leisure activities and experiences. (Howe, 1989, p. 207). The overall outcome sought through leisure education services is a client who has enough knowledge and skills that an informed and independent choice can be made for his or her future leisure participation. Leisure education means increased freedom of choice, increased locus of control, increased intrinsic motivation, and increased independence for the client. Recreation Participation: http://dw.com.com/redir?tag=rbxira.2.a.10destUrl=http://www.cnet.com/b.gif Recreation participation programs are structured activities that allow the client to practice newly acquired skills, and/or experience enjoyment and self-expression. These programs are provided to allow the client greater freedom of choice within an organized delivery system and may, in fact, be part of the individuals leisure lifestyle. The clients role in recreation participation programs includes greater decision making and increased self-regulated behaviour. The client has increased freedom of choice and his or her motivation is largely intrinsic. In these programs, the specialist is generally no longer teaching or in charge per se. The client becomes largely responsible for his or her own experience and outcome, with the specialist moving to an organizer and/or supervisor role. As Stumbo and Peterson (1998) noted, recreation participation allows the client an opportunity to practice new skills, experience enjoyment, and achieve self-expression. From a clinical perspective, recreation participation does much more. For instance, recreation opportunities provide clients with respite from other, more arduous, therapy services. Leisure education programs may focus on: (a) self-awareness in relation to clients new status; (b) learning social skills such as assertiveness, coping, and friendship making; (c) re-learning or adapting pre-morbid leisure skills; and (d) locating leisure resources appropriate to new interests and that are accessible. Recreation participation programs may involve practicing a variety of new leisure and social skills in a safe, structured environment. In designing and implementing these programs, the specialist builds on opportunities for the individual to exercise control, mastery, intrinsic motivation, and choice. The ultimate outcome would be for each client to be able to adapt to and cope with individual disability to the extent that he or she will experience a satisfying and independent leisure lifestyle, and be able to master skills to achieve flow. Health Promotion/ Health Protection Model: The Health Protection/Health Promotion Model (Austin, 1996, 1997) stipulates that the purpose of therapeutic recreation is to assist persons to recover following threats to health, by helping them to restore themselves or regain stability. (health protection), and secondly, optimising their potentials in order that they may enjoy as high a quality of health as possible (health promotion). Within this model (Austin, 1997, p. 144) states that à ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒâ€¦Ã¢â‚¬Å"the mission of therapeutic recreation is to use activity, recreation, and leisure to help people to deal with problems that serve as barriers to health and to assist them to grow toward their highest levels of health and wellness The health promotion, health protection model is broken up into four broad concepts which are the humanistic perspective, high level wellness, stabilisation and actualisation and health. Humanistic Perspective: Those who embrace the humanistic perspective believe that each of us has the responsibility for his or her own health and the capacity for making self-directed and wise choices regarding our health. Since individuals are responsible for their own health, it is critical to empower individuals to become involved in decision-making to the fullest extent possible (Austin, 1997). High-Level Wellness: High-level wellness deals with helping persons to achieve as high a level of wellness as they are capable of achieving (Austin, 1997). Therapeutic Recreation professionals have concern for the full range of the illness-wellness continuum (Austin, 1997). http://dw.com.com/redir?tag=rbxira.2.a.10destUrl=http://www.cnet.com/b.gif Stabilization and Actualization Tendencies: The stabilizing tendency is concerned with maintaining the steady state of the individual. It is an adaptation mechanism that helps us keep stress in a manageable range. It protects us from biophysical and psychosocial harm. The stabilizing tendency is the motivational force behind health protection that focuses on efforts to move away from or avoid negatively valence states of illness and injury (Pender, 1996, p. 34). The actualization tendency drives us toward health promotion that focuses on efforts to approach or move toward a positively valence state of high-level health and well-being (Pender, 1996, p. 34). Health: King (1971) and Pender (1996) health encompasses both coping adaptively and growing and becoming. Healthy people can cope with lifes stressors. Those who enjoy optimal health have the opportunity to pursue the highest levels of personal growth and development. Under the Health Protection/Health Promotion Model, therapists* recognize that to help clients strive toward health promotion is the ultimate goal of therapeutic recreation. Further, therapists prize the right of each individual to pursue his or her highest state of well-being, or optimal health. TR practice is therefore based on a philosophy that encourages clients to attempt to achieve maximum health, rather than just recover from illness (Austin, 1997). The Component of Prescriptive Activities: When clients initially encounter illnesses or disorders, often they become self-absorbed. They have a tendency to withdraw from their usual life activities and to experience a loss of control over their lives (Flynn, 1980). Research (e.g., Langer Rodin, 1976; Seligman Maier, 1967) has shown that feelings of lack of control may bring about a sense of helplessness that can ultimately produce severe depression. At times such as this clients are encountering a significant threat to their health and are not prepared to enjoy and benefit from recreation or leisure. For these individuals, activity is a necessary prerequisite to health restoration. Activity is a means for them to begin to gain control over their situation and to overcome feelings of helplessness and depression that regularly accompany loss of control. At this point on the continuum, Therapeutic Recreation professionals provide direction and structure for prescribed activities. Once engaged in activity, clients can begin to perceive themselves as being able to successfully interact with their environments, to start to experience feelings of success and mastery, and to take steps toward regaining a sense of control. Clients come to realise that they are not passive victims but can take action to restore their health. They are then ready to partake in the recreation component of treatment. The Recreation Component: Recreation is activities that take place during leisure time (Kraus. 1971). Client need to take part in intrinsically motivated recreation experiences that produce a sense of mastery and accomplishment within a supportive and nonthreatening atmosphere. Clients have fun as they learn new skills, new behaviors, new ways to interact with others, new philosophies and values, and new cognition about themselves. In short, they learn that they can be successful in their interactions with the world. Through recreation they are able to re-create themselves, thus combating threats to health and restoring stability. http://dw.com.com/redir?tag=rbxira.2.a.10destUrl=http://www.cnet.com/b.gif The Leisure Component: Whereas recreation allows people to restore themselves, leisure is growth promoting. Leisure is a means to self-actualisation because it allows people to have self-determined opportunities to expand themselves by successfully using their abilities to meet challenges. Feelings of accomplishment, confidence and pleasure result from such growth producing experiences. Thus leisure assumes an important role in assisting people to reach their potentials (Iso-Ahola, 1989). Core elements in leisure seem to be that it is freely chosen and intrinsically motivated. The Recreation and Leisure Components: Although recreation and leisure differ in that recreation is an adaptive device that allows us to restore ourselves and leisure is a phenomenon that allows growth, they share commonalities. Both recreation and leisure are free from constraint. Both involve intrinsic motivation and both provide an opportunity for people to experience a tremendous amount of control in their lives. Both permit us to suspend everyday rules and conventions in order to be ourselves and let our hair down. Both allow us to be human with all of our imperfections and frailties. It is the task of the therapeutic recreation professional to maintain an open, supportive, and nonthreatening atmosphere that encourages these positive attributes of recreation and leisure and which help to bring about therapeutic benefit (Austin, 1996). http://dw.com.com/redir?tag=rbxira.2.a.10destUrl=http://www.cnet.com/b.gif According to Bandura (1986), bolstered efficacy expectations allow clients to have confidence in themselves and in their abilities to succeed in the face of frustration. Thus, clients feel more and more able to be in control of their lives and to meet adversity as they move along the continuum toward higher levels of health. It is the role of the TR professional to help each client assume increasing levels of independence as he or she moves along the illness-wellness continuum. Of course, the client with the greatest dependence on the therapist will be the individual who is in the poorest health. At this point the stabilizing tendency is paramount while the client attempts to ward off the threat to health and to return to his or her usual stable state. At this time the therapist engages the client in prescriptive activities or recreation experiences in order to assist the client with health protection. During prescriptive activities the clients control is the smallest and the therapi sts is the largest. During recreation there is more of a mutual participation by the client and therapist. With the help of the therapist, the client learns to select, and participate in, recreation experiences that promote health improvement. Approximately midway across the continuum, the stabilising tendency reduces and the actualising tendency begins to arise. Leisure begins to emerge as the paramount paradigm. As the actualisation tendency increases, the client becomes less and less dependent on the therapist and more and more responsible for self-determination. The role of the therapist continues to diminish until the client is able to function without the helper. At this point the client can function relatively independently of the TR professional and there is no need for TR service delivery (Austin, 1997). Comparison of the use of the Leisure Ability Model to the Health Promotion/ Health Protection Model in Therapeutic Recreation Services: The role of the therapeutic recreation specialist, in order to reverse the consequences of learned helplessness, is to assist the individual in: (a) increasing the sense of personal causation and internal control, (b) increasing intrinsic motivation, (c) increasing the sense of personal choice and alternatives, and (d) achieving the state of optimal experience or flow. In theory, then, therapeutic recreation is provided to affect the total leisure behaviour (leisure lifestyle) of individuals with disabilities and/or illnesses through decreasing learned helplessness, and increasing personal control, intrinsic motivation, and personal choice. This outcome is accomplished through the specific provision of treatment, leisure education, and recreation participation services which teach specific skills, knowledges, and abilities, and take into consideration the matching of client skill and activity challenge. Another strength is the Models flexibility. One level of flexibility is with the three components of service. Each component of service is selected and programmed based on client need. That is, some clients will need treatment and leisure education services, without recreation participation. Other clients will need only leisure education and recreation participation services. Clearly, services are selected based on client need. In addition, programs conceptualized within each service component are selected based on client need. flexibility allow the specialist to custom design programs to fit the needs of every and any client group served by therapeutic recreation. The ultimate goal of leisure lifestyle remains the same for every client, but since it is based on the individual, how the lifestyle will be implemented by the individual and what it contains may differ. As such, the content of the Leisure Ability Model is not specific to any one population or client group, nor is it confined to any specific service or delivery setting. Some authors, including Kinney and Shank (1989), have reported this as a strength of the Model. According to the model, intervention may occur in a wide range of settings and addresses individuals with physical, mental, social, or emotional limitations (Peterson Gunn, p. 4). The intervention model is conceptually divided into three phases along a continuum of client functioning and restrictiveness. The three phases of therapeutic recreation intervention are arranged in a sequence, from greater therapist control to lesser therapist control, and from lesser client independence to greater client independence. This arrangement is purposeful and is meant to convey that the ultimate aim of the appropriate leisure lifestyle is that it be engaged in independently and freely. Summary The Health Protection/Health Promotion Model contains three major components (i.e., prescribed activities, recreation, and leisure) that range along an illness-wellness continuum. According to their needs, clients may enter anywhere along the continuum. The model emphasizes the active role of the client who becomes less and less reliant on the TR professional as he or she moves toward higher levels of health. Initially, direction and structure are provided through prescriptive activities to help activate the client. During recreation, the client and therapist join together in a mutual effort to restore normal functioning. During leisure, the client assumes primary responsibility for his or her own health and well-being. Evaluation of both models and there use in therapeutic recreation services: The overall intended outcome of therapeutic recreation services, as defined by the Leisure Ability Model, is a satisfying, independent, and freely chosen leisure lifestyle. In order to facilitate these perceptions, therapeutic recreation specialists must be able to design, implement, and evaluate a variety of activities that increase the persons individual competence and sense of control. In relation to leisure behaviour, Peterson (1989) felt that this includes improving functional abilities, improving leisure-related attitudes, skills, knowledge, and abilities, and voluntarily engaging in self-directed leisure behaviour. Thus, the three service areas of treatment, leisure education, and recreation participation are designed to teach specific skills to improve personal competence and a sense of accomplishment. Csikszentmihalyi (1990) summed up the importance of these perceptions: In the long run optimal experiences add up to a sense of mastery-or perhaps better, a sense of participation in determining the content of life-that comes as close to what is usually meant by happiness as anything else we can conceivably imagine (p. 4). The therapeutic recreation specialist must be able to adequately assess clients skill level (through client assessment) and activity requirements (through activity analysis) in order for the two to approximate one another. Given Decis (1975) theory of intrinsic motivation which includes the concept of incongruity, therapeutic recreation specialists may provide activities slightly above the skill level of clients in order to increase the sense of mastery. When this match between the activity requirements and client skill levels occurs, clients are most able to learn and experience a higher quality leisure. To facilitate this, therapeutic recreation specialists become responsible for comprehending and incorporating the: (a) theoretical bases (including but not limited to internal locus of control, intrinsic motivation, personal causation, freedom of choice, and flow); (b) typical client characteristics, including needs and deficits; (c) aspects of quality therapeutic recreation program delivery process (e.g., client assessment, activity analysis, outcome evaluation, etc.); and (d) therapeutic recreation content (treatment, leisure education, and recreation participation). These areas of understanding are important for the therapeutic recreation specialist to be able to design a series of coherent, organized programs that meet client needs and move the client further toward an independent and satisfactory leisure lifestyle. Again, the success of that lifestyle is dependent on the client gaining a sense of control and choice over leisure options, and having an orientation toward intrinsic motivation, an internal locus of control, and a personal sense of causality. The Leisure Ability Model provides specific content that can be addressed with clients in order to facilitate their development, maintenance, and expression of a successful leisure lifestyle. Each aspect of this content applies to the future success, independence, and well-being of clients in regard to their leisure. http://dw.com.com/redir?tag=rbxira.2.a.10destUrl=http://www.cnet.com/b.gif The client has reduced major functional limitations that prohibit or significantly limit leisure involvement (or at least has learned ways to overcome these barriers); understands and values the importance of leisure in the totality of life experiences; has adequate social skills for involvement with others; is able to choose between several leisure activity options on a daily basis, and make decisions for leisure participation; is able to locate and use leisure resources as necessary; and has increased perceptions of choice, motivation, freedom, responsibility, causality, and independence with regard to his or her leisure. These outcomes are targeted through the identification of client needs, the provision of programs to meet those needs, and the evaluation of outcomes during and after program delivery. A therapeutic recreation specialist designs, implements, and evaluates services aimed at these outcomes Austin (1989) objected to the Leisure Ability Model on the basis that is supporting a leisure behaviour orientation, instead of the therapy orientation. A number of authors have objected to the Leisure Ability Model, having observed that its all-encompassing approach is too broad and lacks the focus needed to direct a profession (Austin, p. 147). Austin advocated an alignment of therapeutic recreation with allied health and medical science disciplines, rather than leisure and recreation professionals The Model in Practice The Health Protection/Health Promotion Model may be applied in any setting (i.e., clinical or community) in which the goal of therapeutic recreation is holistic health and well-being. Thus, anyone who wishes to improve his or her level of health can become a TR client. TR professionals view all clients as having abilities and intact strengths, as well as possessing intrinsic worth and the potential for change. Through purposeful intervention using the TR process (i.e., assessment, planning, implementation, evaluation), therapeutic outcomes emphasize enhanced client functioning. Typical therapeutic outcomes include increasing personal awareness, improving social skills, enhancing leisure abilities, decreasing stress, improving physical functioning, and developing feelings of positive self-regard, self-efficacy and perceived control (Austin, 1996). Conclusion: In conclusion to this assignment on the critical comparison and evaluation of the use of the Leisure Ability Model and the Health Promotion/ Health Protection Model in the therapeutic recreation services I found that.. Reference Page:

Global Health Care Challenges Essay -- World Health Organization, Poor

When analyzing the global health care crisis, one should pay particular attention of the problem from both the macro and micro scale. Overlooking either side of the issue wastes both valuable time and resources during an era that cannot afford such loss. Some argue that health care is a fight that politicians must win to enact change. Others say the crisis is simply another economic matter that will eventually resolve itself under the theories of supply and demand. When we look at these explanations without seriously considering the issues that arise in the microcosm, we expose ourselves to moral hazard. In Banker to the Poor (1), Nobelaureate Muhammad Yunus describes how a great deal of change can result from looking at the problem from a smaller perspective. A Lack of Labor In 2006, the World Health Organization released a report that assessed the global health workforce and concluded that the health care crisis was in part due to the lack of health care workers in many regions around the world. It is important to note that the WHO report defines health workers as individuals who act with the intent of improving health. This means that even a mother caring for a sick child is essentially a health worker. However, the WHO report recognizes the difficulty in drawing accurate conclusions from this broad definition and decided to hone in on two special types of health care workers. An example in the report compares a doctor working for a mining company and a painter working in a hospital. Ultimately, the report concludes that it would be best to count the two as health care workers, the doctor providing direct services and the painter providing indirect services. This definition assumes that without the support of the ... ...ever, even an increase for funds dedicated to health care is insufficient to meet the MDGs. Short-term and long-term plans must be implemented in both the micro and macro scale of the problem to ensure an even distribution of resources. Focused surge of health workers into key regions over time and improved access to information are both powerful solutions that will make all the difference within a few years. As Muhammad Yunus said, â€Å"my greatest challenge has been to change the mindset of people. Mindsets play strange tricks on us. We see things the way our minds have instructed our eyes to see.† Similarly, a lack of information has given many people certain mindsets that often lead them to become prone to illness. Information is practically free; why not distribute it to those who would benefit from its presence the most and save something as precious as a life.

The Samples - No Room :: Music

The Samples - No Room The cold January air sent chills down my spine as my sister Susan and I hustled down the streets of New Haven, Connecticut. Our destination was a small club called Toads' Place. When we finally arrived at the club I was relieved to feel the warm air inside begin to restore the numbness that had taken over my body. We made our way in to find that the club was virtually empty. This was to be expected, considering we arrived forty-five minutes before the opening band was scheduled to play. I immediately clung to the heaters trying to warm my frozen body, but Susan ripped me away and dragged me to the front of the stage where Andy Sheldon, the bass guitarist of The Samples, would soon stand. My sister had dreams of one day marrying him, overlooking the fact that he was married and had kids. As we waited I stood and took in the surroundings, which included walls covered with pictures, albums and autographs. Jackson Browne, Bob Marley and Bruce Springsteen are only a few of the famous name s; history was seeping out of the walls. At first the club seemed large, but as the people piled in it became smaller and smaller. A thick haze of smoke began to collect above us and hover under the dim lights. The atmosphere was perfect for an incredible show. The opening band began to play and herds of people rushed in charging their way to the front. Susan and I stood our ground bonding together to keep our ideal spot. As the opening band played, Sean Kelly, the lead singer of The Samples, video taped the crowd from behind the stage as Jeep, the drummer, ran around trying to get our attention. Eventually The Samples took the stage opening with "Did You Ever Look So Nice;" the song that would set the tone for the rest of the show. The song opens with the quiet tap of Jeep's drumsticks and then Al joins in on the keyboard with a beat that you can't help jumping to. It becomes your pulse; the crowd begins to jump up and down in unison; if you stop you don't know what will happen. The rest of the band slowly works its way in and then Jeep jumps in on the drums completing the sound. Sean begins to sing. The Samples - No Room :: Music The Samples - No Room The cold January air sent chills down my spine as my sister Susan and I hustled down the streets of New Haven, Connecticut. Our destination was a small club called Toads' Place. When we finally arrived at the club I was relieved to feel the warm air inside begin to restore the numbness that had taken over my body. We made our way in to find that the club was virtually empty. This was to be expected, considering we arrived forty-five minutes before the opening band was scheduled to play. I immediately clung to the heaters trying to warm my frozen body, but Susan ripped me away and dragged me to the front of the stage where Andy Sheldon, the bass guitarist of The Samples, would soon stand. My sister had dreams of one day marrying him, overlooking the fact that he was married and had kids. As we waited I stood and took in the surroundings, which included walls covered with pictures, albums and autographs. Jackson Browne, Bob Marley and Bruce Springsteen are only a few of the famous name s; history was seeping out of the walls. At first the club seemed large, but as the people piled in it became smaller and smaller. A thick haze of smoke began to collect above us and hover under the dim lights. The atmosphere was perfect for an incredible show. The opening band began to play and herds of people rushed in charging their way to the front. Susan and I stood our ground bonding together to keep our ideal spot. As the opening band played, Sean Kelly, the lead singer of The Samples, video taped the crowd from behind the stage as Jeep, the drummer, ran around trying to get our attention. Eventually The Samples took the stage opening with "Did You Ever Look So Nice;" the song that would set the tone for the rest of the show. The song opens with the quiet tap of Jeep's drumsticks and then Al joins in on the keyboard with a beat that you can't help jumping to. It becomes your pulse; the crowd begins to jump up and down in unison; if you stop you don't know what will happen. The rest of the band slowly works its way in and then Jeep jumps in on the drums completing the sound. Sean begins to sing.

All Calculations Used to Arrive at Solutions Essay

1. Community Hospital has annual net patient revenues of $150 million. At the present time, payments received by the hospital are not deposited for six days on average. The hospital is exploring a lockbox arrangement that promises to cut the six days to one day. If these funds released by the lockbox arrangement can be invested at 8 percent, what will the annual savings be? Assume the bank fee will be $2,000 per month. 2. St. Luke’s Convalescent Center has $200,000 in surplus funds that it wishes to invest in marketable securities. If transaction costs to buy and sell the securities are $2,200 and the securities will be held for three months, what required annual yield must be earned before the investment makes economic sense? 3. Your firm is considering the following three alternative bank loans for $1,000,000: a) 10 percent loan paid at year end with no compensating balance b) 9 percent loan paid at year end with a 20 percent compensating balance c) 6 percent loan that is discounted with a 20 percent compensating balance requirement Assume that you would normally not carry any bank balance that would meet the 20 percent compensating balance requirement. What is the rate of annual interest on each loan? 4. An important source of temporary cash is trade credit, which does not actually bring in cash, but instead slows its outflow. Vendors often provide discounts for early payment. What is the formula to determine the effective interest rate if the discount is not utilized? 1. Community Hospital has annual net patient revenues of $150 million. At the present time, payments received by the hospital are not deposited for six days on average. The hospital is exploring a lockbox arrangement that promises to cut the six days to one day. If these funds released by the lockbox arrangement can be invested at 8 percent, what will the annual savings be? Assume the bank fee will be $2,000 per month. Annual net patient revenue = $150 million Lockbox arrangement will earn interest for 5 days (As payment received by the hospital are not deposited for 6 days. Lock box arrangement will cut the 6 days to 1 day). Interest rate = 8% Bank fee = $2,000 per month So, interest earned = $150 million *(5/365)*8% = $164,384 Annual bank fee = $2000*12 = $24,000 Hence, annual savings = $164,384 – $24,000 = $140,384 2. St. Luke’s Convalescent Center has $200,000 in surplus funds that it wishes to invest in marketable securities. If transaction costs to buy and sell the securities are $2,200 and the securities will be held for three months, what required annual yield must be earned before the investment makes economic sense? Surplus fund = $200,000 Transaction cost = $2,200 Holding period = 3 months So, yield should be minimum $2,200. Let minimum required annual yield = r% So, $200,000*(3/12)*r% = $2,200 50,000*r% = 2,200 r% = 2,200/50,000 = 4.40% Thus, minimum required annual yield = 4.40% 3. Your firm is considering the following three alternative bank loans for $1,000,000: Assume that you would normally not carry any bank balance that would meet the 20 percent compensating balance requirement. What is the rate of annual interest on each loan? a) 10 percent loan paid at year end with no compensating balance Annual interest rate = 10% b) 9 percent loan paid at year end with a 20 percent compensating balance Annual interest rate = 9%/(1-20%) = 11.25% c) 6 percent loan that is discounted with a 20 percent compensating balance requirement Annual interest rate = 6%/[(1-6%)*(1-20%)] = 7.98% 4. An important source of temporary cash is trade credit, which does not actually bring in cash, but instead slows its outflow. Vendors often provide discounts for early payment. What is the formula to determine the effective interest rate if the discount is not utilized? Effective interest rate if discount is not utilized = [Discount %/(1-Discount %)] x (360/(Full allowed payment days – Discount days)) Example: Let credit term is 2/10, n/30 Then effective interest rate if discount is not utilized = 2%/(1-2%)*(360/(30-10)) = 36.73%

Carrie Chapter Sixteen

Some of the fights puffed out. There was a dazzling flash somewhere as a live power cord hit a puddle of water. There were dull thumps in her mind as circuit breakers went into hopeless operation. The boy who had been holding the mike stand fell over on one of his amps and there was an explosion of purple sparks and then the crepe bunting that faced the stage was burning. Just below the thrones, a live 220-volt electricity cable was crackling on the floor and beside it Rhonda Simard was doing a crazed puppet dance in her green tulle formal. Its full skirt suddenly blazed into flame and she fell forward, still jerking. It might have been at that moment that Carrie went over the edge. She leaned against the doors, her heart pumping wildly, yet her body as cold as ice cubes. Her face was livid, but dull red fever spots stood on each cheek. Her head throbbed thickly, and conscious thought was lost. She reeled away from the doors, still holding them shut, doing it without thought or plan. Inside the fire was brightening and she realized dimly that the mural must have caught on fire. She collapsed on the top step and put her head down on her knees, trying to slow her breathing. They were trying to get out the doors again, but she held them shut easilythat alone was no strain. Some obscure sense told her that a few were getting out the fire doors, but let them. She would get them later. She would get all of them. Every last one. She went down the stairs slowly and out the front doors, still holding the gymnasium doors closed. It was easy. All you had to do was see them in your mind. The town whistle went off suddenly, making her scream and put her hands in front of her face (the whistle it's just the fire whistle) for a moment. Her mind's eye lost sight of the gymnasium doors and some of them almost got out. No, no. Naughty. She slammed them shut again, catching somebody's fingers-it felt like Dale Norbert – in the jamb and severing one of them. She began to reel across the lawn again, a scarecrow fig= with bulging eyes, toward Main Street. On her right was dowtown – the department store, the Kelly Fruit, the beauty parlour and barbershop, gas stations, police station, fire station (they'll put out my fire) But they wouldn't. She began to giggle and it was an insane sound: triumphant, lost, victorious, terrified. She came to the first hydrant and tried to twist the huge painted lug nut on the side. (ohuh) It was heavy. It was very heavy. Metal twisted fight to balk here. Didn't matter. She twisted harder and felt it give. Then the other side. Then the top. Then she twisted all three at once, standing back, and they unscrewed in a flash. Water exploded outward and upward, one of the lug nuts flying five feet in front of her at suicidal speed, It hit the street, caromed high into the air, and was gone. Water gushed with white pressure in a cruciform pattern. Smiling, staggering, her heart beating at over two hundred per minute, she began to to walk down toward Grass Plaza. She was unaware that she was scrubbing her bloodied hands against her dress like Lady Macbeth, or that she was weeping even as she laughed, or that one hidden part of her mind was keening over her final and utter ruin. Bemuse she was going to take them with her, and there was going to be a great burning, until the land was full of its stink. She opened the hydrant at Grass Plaza, and then began to walk down to Teddy's Amoco. It happened to be the first gas station she came to, but it was not the last From the sworn testimony of Sheriff Otis Doyle, taken before The State Investigatory Board of Maine (from The White Commission Report), pp. 29-31: Q. Sheriff, where were you on the night of May twentyseventh? A. I was on Route 179, known as Old Bentown Road, investigating an automobile accident. This was actually over the Chamberlain town line and into Durham, but I was assisting Mel Crager, who is the Durham constable. Q. When were you first informed that trouble had broken out at Ewen High School? A. I received a radio transmission from Officer Jacob Plessy at 10:21. Q. What was the nature of the radio call? A. Officer Plessy said there was trouble at the school, but he didn't know if it was serious or not. There was a lot of shouting going on, he said, and someone had pulled a couple of fire alarms. he said He was going over to try and determine the nature of the trouble. Q. Did he say the school was on fire? A. No, sir. Q. Did you ask him to report back to you? A. I did. Q. Did Officer Plessy report back? A. No. He was killed in the subsequent explosion of Teddy's Amoco gas station on the corner of Main and Summer. Q. When did you next have a radio communication concerning Chamberlain? A. At 10:42. I was at that time returning to Chamberlain with a suspect in the back of my car – a drunk driver. As I have said, the case was actually in Mel Crager's town, but Durham has no jail. When I got him to Chamberlain, we didn't have much of one, either. Q. What communication did you receive at 10.42? A. I got a call from the State police that had been relayed from the Motton Fire Department The State Police dispatcher said there was a fire and an apparent riot at Ewen High School, and a probable explosion. No one was sure of anything at that time. Remember, it all happened in a space of forty minutes. Q. We understand that Sheriff. What happened then? A. I drove back to Chamberlain with siren and flasher. I was trying to raise Jake Plessy and not having any luck. That's when Tom Quillan came on and started to babble about the whole town going up in flames and no water. Q. Do you know what time that was? A. Yes, sir. I was keeping a record by then. It was 10.58. Q. Quillan, claims the Amoco station exploded at 11:00. A. I'd take the average, sir. Call it 10:59. Q. At what time did you arrive in Chamberlain? A. At 11: 10 P.M. Q. What was your immediate impression upon arriving, Sheriff Doyle? A. I was stunned. I couldn't believe what I was seeing. Q. What exactly were you seeing? A. The entire upper half of the town's business section was burning. The Amoco station was gone. Woolworth's was nothing but a blazing frame. The fire had spread to three wooden store fronts next to that – Duffy's Bar and Grille, The Kelly Fruit Company, and the billiard parlour. The heat was ferocious. Sparks were flying on to the roofs of The Maitland Real Estate Agency and Doug Brann's Western Auto Store. Fire trucks were coming in, but they could do very little. Every fire hydrant on that side of the street was stripped. The only tracks doing any business at all were two old volunteer fire department pumpers from Westover. and about all they could do was wet the roofs of the surrounding buildings. And of course the high school. It was just †¦ gone. Of course it's fairly isolated-nothing close enough to it to burn – but my God, all those kids inside †¦ all those kids †¦ Q. Did you meet Susan Snell upon entering town? A. Yes, sir. She flagged me down. Q. What time was this? A. Just as I entered †¦ 11:12, no later. Q. What did she say? A. She was distraught. She'd been in a minor car accident – skidding – and she was barely making sense. She asked me if Tommy was dead. I asked her who Tommy was, but she didn't answer. She asked me if we had caught Carrie yet. Q. The Commission is extremely interested in this part of your testimony, Sheriff Doyle. A. Yes, sir, I know that. Q. How did you respond to her question? A. Well, there's only one Carrie in town as far as I know, and that's Margaret White's daughter. I asked her if Carrie had something to do with the fires. Miss Snell told me Carrie had done it. Those were her words. ‘Carrie did it. Carrie did it.' She said it twice. Q. Did she say anything else? A. Yes, sir. She said: ‘They've hurt Carrie for the last time.' Q. Sheriff, are you sure she didn't say: ‘We've hurt Carrie for the last time?' A. I am quite sure. Q. Are you positive? One hundred per cent? A. Sir, the town was burning around our heads. I Q. Had she been drinking? A. I beg pardon? Q. Had she been drinking? You said she had been involved in a car smash. A. I believe I said a minor skidding accident. Q. And you can't be sure she didn't say we instead Of they? A. I guess she might have, but Q. What did Miss Snell do then? A. She burst into tears. I slapped her. Q. Why did you do that? A. She seemed hysterical. Q. Did she quiet eventually? A. Yes, sir. She quieted down and got control of herself pretty well, in light of the fact that her boy friend was probably dead. Q. Did you interrogate her? A. Well, not the way you'd interrogate a criminal, if that's what you mean. I asked her if she knew anything about what had happened. She repeated what she had already said, but in a calmer way. I asked her where she had been when the trouble began, and she told me that she had been at home. Q. Did you interrogate her further? A. No, sir. Q. Did she say anything else to you? A. Yes, sir. She asked me – begged me – to find Carrie White. Q. What was your reaction to that? A. I told her to go home. Q. Thank you, Sheriff Doyle. Vic Mooney lurched out of the shadows near the Bankers Trust drive-in office with a grin on his face. It was a huge and awful grin, a Cheshire cat grin, floating dreamily in the fireshot darkness like a trace memory of lunacy. His hair, carefully slicked down for this emcee duties, was now sticking up in a crow's nest. Tiny drops of blood were branded across his forehead from some unremembered fall in his mad flight from the Spring Ball. One eye was swelled purple and screwed shut. He walked into Sheriff Doyle's squad car, bounced back like a pool ball, and grinned in at the drunk driver dozing in the back, then he turned to Doyle, who had just finished with Sue Snell. The fire cast wavering shadows of light across everything, turning the world into the maroon tones of dried blood. As Doyle turned, Vic Mooney clutched him. He clutched Doyle as an amorous swam might clutch his lady in a hug dance. He clutched Doyle with both arms and squeezed him, all the while goggling upward into Doyle's face with his great crazed grin. ‘Vic-‘ Doyle began. ‘She pulled all the plugs,' Vic said lightly, ‘Pulled all the plugs and turned on the water and buzz, buzz, buzz.' ‘Vic-‘ ‘We can't let 'em. Oh no. NoNoNo. We can't. Carrie pulled all the plugs. Rhonda Simard burnt up. Oh Jeeeeeeeeeesuuuuuuuuusss-‘ Doyle slapped him twice, calloused palm cracking flatly on the boy's face. The scream died with shocking suddenness, but the grin remained, like an echo of evil. It was loose and terrible. ‘What happened?' Doyle said roughly. ‘What happened at the school?' ‘Carrie,' Vic Muttered. ‘Carrie happened at the school. She. . .'He trailed of and grinned at the ground. Doyle gave him three brisk shakes. Vic's teeth clicked together like castanets. ‘What about Carrie?' ‘Queen of the Prom,' Vic muttered. ‘They dumped blood on her and Tommy.' ‘What-‘ It was 11: 15. Tony's Citgo on Summer Street suddenly exploded with a great, coughing roar. The street went daylight that made them both stagger back against the police car and shield their eyes. A huge, oily cloud of fire climbed over the elms in Courthouse Park, lighting the duck pond and the Little League diamond in scarlet. Amid the hungry crackling roar that followed Doyle could hear glass and wood and hunks of gas-station cinderblock rattling back to earth. A secondary explosion followed, making them wince again. He still couldn't get it straight (my town this is happening in my town)