Joyas Voladoras free essay sample

In Brian Doyle’s essay â€Å"Joyas Voladoras†, he uses the hummingbird’s heart to describe how small a heart could be so powerful and other examples of hearts to show what it could endure. He mainly tells us with shifts and changes of tone, imagery, and many selection of details of how the heart is very fragile to emotional events and that life should be lived at its best. Doyle shifts his tone when he writes â€Å"†¦Mammals and birds have hearts with four chambers† he gave examples of animals who have hearts because he wants us readers to think deeply about what animals could go through such as the hummingbird. ‘No living being is without interior liquid motion’ meaning us living creatures are sort of like animals because we have liquid motion and we can’t live without it. Doyle shifts his tone from talking about animal hearts more to hearts in general when he mentions ‘So much held in a heart in a lifetime’, and he gives us many examples of what a human heart endures. We will write a custom essay sample on Joyas Voladoras or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page He wanted us to experience every feeling of despair through examples such as ‘a cat with a broken spine dragging itself into the forest to die’. Doyle wanted us readers to feel the sorrow in our hearts so we could consider how truly fragile the heart really is by reading something so heartbroken as a cat slowly dying as well as the hummingbirds who don’t open there eyes due to their heart slowly stopping. When Doyle described the hummingbird’s heart, he gives us an image of the size it really is such as a small pencil eraser to an infant’s fingernail. He names many different types of hummingbirds such as the ‘velvet-purple coronets’ because he wanted us to imagine how colorful these hummingbirds are and how beautiful they can be, and he crushes that imagine when he describes how a lot of them cease to be every day. He then compares the hummingbird to a tortoise when he says ‘you can spend them slowly, like a tortoise and live to be two hundred years old or you could spend them fast, like a hummingbird, and live to be two years old. ’ The significance of this comparison was that he wanted us to realize that life cannot be lived as fast as it can be, but should be lived slowly for each goal you plan to accomplish and then succeed. That doesn’t take two years but 200 years is more than we need. In Doyle’s very descriptive writing, he gives us readers an idea about how fragile life could be without us knowing it. The heart is the most fragile of all because it gives us the privilege to feel. And that’s something we should all be thankful for.

Biography of Edward Blackbeard Teach, Pirate

Biography of Edward 'Blackbeard' Teach, Pirate Edward Teach (c. 1683–November 22, 1718), whose surname was spelled Thache and is better known as Blackbeard, was the most feared pirate of his day and perhaps the figure most often associated with the Golden Age of Piracy in the Caribbean- or piracy in general, for that matter. Fast Facts: Edward 'Blackbeard' Thache Known For: English privateer and pirate BlackbeardBorn: c.1683 in Gloustershire, EnglandParents: Captain Edward Thache, Sr. (1659–1706) and his first wife Elizabeth Thache (d. 1699)Died: November 22, 1718 off Ocracoke Island, North CarolinaSpouse(s): At least one in Jamaica, who died before 1721; he may have married a local girl in Bath, North Carolina in 1718Children: Elizabeth, who married Dr. Henry Barham in 1720 Blackbeard was a skilled pirate and businessman, who knew how to recruit and keep men, intimidate his enemies, and use his fearsome reputation to his best advantage. Blackbeard preferred to avoid fighting if he could, but he and his men were deadly fighters when they needed to be. He was killed on November 22, 1718, by English sailors and soldiers sent to find him. Early Life Blackbeard was born Edward Thache Jr. (pronounced Teach and alternately spelled Teach, Thatch, Theach, or Thach) in about 1683, in Gloucestershire, England up the Severn River from the port city of Bristol. He was one of at least two children of Captain Edward Thache, Sr. (1659–1706) and his first wife Elizabeth Thache (d. 1699).  Edward Sr. was a mariner who moved the family to a plantation in Jamaica, where the Thaches lived as a respectable family living not far from Port Royal in the old city of Spanish Town, also known as St. Jago de la Vega. In 1699, Edward Sr.s first wife Elizabeth died. He remarried six months later to Lucretia Ethell Axtell. They had three children, Cox (1700–1737), Rachel (born 1704), and Thomas (1705–1748). After his father died in 1706, Edward Jr. (Blackbeard) turned over his inheritance from  his father to his stepmother.   Edward Jr. (Blackbeard) was a mariner based in Kingston, Jamaica, and was married to a woman who probably died before 1721- records were not kept in Kingston until then. The couple had at least one surviving daughter, named Elizabeth, who married Dr. Henry Barham in 1720.  Blackbeards sister, also named Elizabeth, married a man named John Valiscure, in Jamaica, in 1707. The Life of a Pirate The main source used for Thaches biography is A General History of the Robberies and Murders of the Most Notorious Pyrates, a book published in May 1724 by Nathaniel Mist (a.k.a. Captain Charles Johnson). It was an overnight success and a second edition was published a few months later, and a third in 1725 and expanded fourth in 1726- many of the details in the latest edition were embroidered to be more salacious and sensational. Mist, who was a former sailor, printer, and journalist in London, based his tales on trial records, newspaper reports, and personal contact with retired pirates. Mist described Blackbeard as outrageous and scary, but many of his tales were overblown.  Since then, historical, genealogical and archaeological studies have pared back to the events that are likely to have happened. Edward Thache Jr. was a mariner by trade who served on a Royal Navy vessel, the HMS Windsor, as early as 1706. He became a privateer under the English flag at the end of Queen Annes War (1702–1713), a common gateway to piracy. Association With Hornigold Thache joined the crew of Benjamin Hornigold, at that time one of the most feared pirates of the Caribbean. Their earliest joint venture was after July 3, 1715, when a hurricane on the coast of Florida wrecked 11 ships, an entire flotilla of Spanish treasure galleons, dumping that treasure along the coastline. The entire community had been fishing the wrecks and raiding the Spanish salvage workers when the governor of Jamaica commissioned Thache and Hornigold to recover it for them. Hornigold saw great potential in Teach  and soon promoted him to his own command. With Hornigold in command of one ship and Teach in command of another, they could capture or corner more victims, and from 1716 to 1717 they were greatly feared by local merchants and sailors. Hornigold retired from piracy and accepted the Kings pardon in early 1717. Blackbeard and Stede Bonnet Stede Bonnet was a most unlikely pirate: he was a gentleman from Barbados with a large estate and family who decided he would rather be a pirate captain. He ordered a ship built, the Revenge, and fitted her out as if he were going to be a pirate hunter, but the minute he was out of port he hoisted the black flag and began looking for prizes. Bonnet did not know one end of a ship from the other and was a terrible captain. After a major engagement with a superior ship, the Revenge was in bad shape when they limped into Nassau sometime between August and October 1717. Bonnet was wounded, and the pirates on board begged Blackbeard, who was also in port there, to take command. The Revenge was a fine ship, and Blackbeard agreed. The eccentric Bonnet stayed on board, reading his books and walking the deck in his dressing-gown. Blackbeard on His Own Blackbeard, now in charge of two good ships, continued to prowl the waters of the Caribbean and North America. On November 17, 1717, he captured La Concorde, a large French slaving ship. He kept the ship, mounting 40 guns on it and naming it Queen Annes Revenge. The Queen Annes Revenge became his flagship, and before long he had a fleet of three ships and 150 pirates. Soon the name of Blackbeard was feared on both sides of the Atlantic and throughout the Caribbean. Blackbeard was much more intelligent than your average pirate. He preferred to avoid fighting if he could, and so cultivated a very fearsome reputation. He wore his hair long and had a long black beard. He was tall and broad-shouldered. During the battle, he put lengths of a slow-burning fuse in his beard and hair. This would sputter and smoke, giving him an altogether demonic look. He also dressed the part, wearing a fur cap or wide hat, high leather boots, and a long black coat. He also wore a modified sling with six pistols into combat. No one who ever saw him in action forgot it, and soon Blackbeard had an air of supernatural terror about him. Blackbeard in Action Blackbeard used fear and intimidation to cause his enemies to surrender without a fight. This was in his best interests, as the victimized ships could be utilized, valuable plunder was not lost and useful men such as carpenters or doctors could be made to join the pirate crew. Generally, if any ship they attacked surrendered peacefully, Blackbeard would loot it and let it go on its way, or put the men aboard some other ship if he decided to keep or sink his victim. There were exceptions, of course: English merchant ships were sometimes treated harshly, as was any ship from Boston, where some pirates had recently been hung. Blackbeard had a distinctive flag. It featured a white, horned skeleton on a black background. The skeleton is holding a spear, pointing at a red heart. There are red blood drops near the heart. The skeleton is holding a glass, making a toast to the devil. The skeleton obviously stands for death for enemy crews who put up a fight. The speared heart meant that no quarter would be asked or given. Blackbeards flag was designed to intimidate opposing ship crews into surrendering without a fight, and it probably did. Raiding the Spanish In the late part of 1717 and early part of 1718, Blackbeard and Bonnet went south to raid Spanish ships off Mexico and Central America. Reports from the time indicate that the Spanish were aware of the Great Devil off the coast of Veracruz who was terrorizing their shipping lanes. They did well in the region, and by spring of 1718, he had several ships and close to 700 men when they arrived in Nassau to split up the plunder. Blackbeard realized he could use his reputation to greater gain. In April 1718, he sailed north to Charleston, then a thriving English colony. He set up right outside Charleston harbor, capturing any ships that tried to enter or leave. He took many of the passengers aboard these ships prisoner. The population, realizing that none other than Blackbeard himself was off their shores, was terrified. He sent messengers to the town, demanding a ransom for his prisoners: a well-stocked chest of medicine, as good as gold to a pirate at the time. The people of Charleston happily sent it and Blackbeard left after about a week. Breaking up the Company Near the middle of 1718, Blackbeard decided he needed a break from piracy. He devised a plan to get away with as much of his loot as possible. On June 13th, he grounded the  Queen Annes Revenge  and one of his sloops off the coast of North Carolina. He left the Revenge there, and transferred all of the loot to the fourth and last ship of his fleet, marooning most of his men on an island that was visible from the mainland. Stede Bonnet, who had gone to unsuccessfully seek a pardon, returned to find that Blackbeard had absconded with all the loot. Bonnet rescued the marooned men and set off in search of Blackbeard, but never found him. A Pardon and Marriage Blackbeard and some 20 other pirates then went to see Charles Eden, the governor of North Carolina, where they accepted the Kings Pardon. In secret, however, Blackbeard and the crooked governor had made a deal. These two men realized that working together, they could steal far more than they could alone. Eden agreed to officially license Blackbeards remaining vessel, the  Adventure, as a war prize. Blackbeard and his men lived in a nearby inlet on Ocracoke Island, from which they occasionally sallied forth to attack passing ships. In the town of Bath, local lore is said to have married a young woman there and had several children. He and his shipmates provided the town with cash, black market goods, and manpower. On one occasion, the pirates took the French merchant ship the Rose Emelye loaded with cocoa and sugar: they sailed it to North Carolina, claimed they had found it afloat and abandoned, and shared the spoils with the governor and his top advisers. It was a crooked partnership that looked to enrich both men. Blackbeard and Vane In October 1718,  Charles Vane, leader of those pirates who had rejected Governor Woodes Rogers offer of a royal pardon, sailed north in search of Blackbeard, who he found on Ocracoke Island. Vane hoped to convince the legendary pirate to join him and reclaim the Caribbean as a lawless pirate kingdom. Blackbeard, who had a good thing going, politely declined. Vane did not take it personally and Vane, Blackbeard, and their crews spent a rum-soaked week on the shores of Ocracoke. Local merchants soon grew infuriated with a pirate operating  nearby  but were powerless to stop it. With no other recourse, they complained to Governor Alexander Spotswood of Virginia. Spotswood, who had no love for Eden, agreed to help. There were two British warships currently in Virginia: he hired 57 men off of them and put them under the command of Lieutenant Robert Maynard. He also provided two light sloops, the  Ranger  and the  Jane, to carry the soldiers into the treacherous inlets of North Carolina. In November, Maynard and his men set out to look for Blackbeard. Blackbeards Final Battle On November 22, 1718,  Maynard and his men found Blackbeard.  The pirate was anchored in Ocracoke Inlet and, fortunately for the marines, many of Blackbeards men were ashore including Israel Hands, Blackbeards second-in-command. As the two ships approached the Adventure, Blackbeard opened fire, killing several soldiers and forcing the  Ranger  to drop out of the fight. The Jane closed with the  Adventure  and the crews fought hand-to-hand. Maynard himself managed to wound Blackbeard twice with pistols, but the mighty pirate fought on, his cutlass in his hand. Just as Blackbeard was about to kill Maynard, a soldier rushed in and cut the pirate across the neck. The next blow took off Blackbeards head. Maynard later reported that Blackbeard had been shot no fewer than five times and had received at least 20 serious sword cuts. Their leader gone, the surviving pirates surrendered. About 10 pirates and 10 soldiers died: accounts vary slightly. Maynard returned victorious to Virginia with Blackbeards head displayed on the bowsprit of his sloop. Legacy Blackbeard had been seen as an almost supernatural force, and his death was a great boost to the morale of those areas affected by piracy. Maynard was hailed as a hero and would forever after be known as the man who had killed Blackbeard, even if he didnt do it himself. Blackbeards fame lingered long after he was gone. Men who had sailed with him automatically found positions of honor and authority on any other pirate vessel they joined. His legend grew with every retelling: according to some stories, his headless body swam around Maynards ship several times after it was thrown into the water following the last battle! Blackbeard was very good at being a pirate captain. He had the right mix of ruthlessness,  cleverness,  and charisma to be able to amass a mighty fleet and use it to his best advantage. Also, better than any other pirates of his time, he knew how to cultivate and use his image to maximum effect. During his time as a pirate captain, about a year and a half, Blackbeard terrorized the shipping lanes between the Americas and Europe, but there is no evidence that he ever killed anyone until his final battle. All told, Blackbeard had  little  lasting economic impact. He captured dozens of ships, its true, and his presence greatly affected transatlantic commerce for a time, but by 1725 or so the so-called Golden Age of Piracy was over as nations and merchants worked together to combat it. Blackbeards victims, the  merchants  and sailors, would bounce back and continue their business. In Fiction and Archaeology Blackbeards cultural impact, however, is tremendous. He still stands as the quintessential pirate, the fearsome, cruel specter of nightmares. Some of his contemporaries were better pirates than he was- Black Bart Roberts  took many more ships- but none had his personality and image, and many of them are all but forgotten today. Blackbeard has been the subject of several movies,  plays  and books, and there is a museum about him and other pirates in North Carolina. There is even a character named Israel Hands after Blackbeards second-in-command in  Robert Louis Stevensons  Treasure Island. Despite  little  solid evidence, legends persist of Blackbeards buried treasure, and people still search for it. The wreck of the  Queen Annes Revenge  was discovered in  1996  and has turned out to be a treasure trove of information and articles. The final report was published in 2018 as Blackbeards Sunken Prize: The 300-Year Voyage of Queen Annes Revenge. Among the findings reported by archaeologists Mark Wilde-Ramsing and Linda F. Carnes-McNaughton, are the wrecks nearly certain identification as the QAR, based on the location and the presence of 45 classes of late 17th and early 18th century artifacts, including the ships bell cast with a date of 1705, and a Swedish-made cannon with a date of manufacture of 1713. Evidence also indicates that Blackbeard dealt in slaves, who were kept as menial laboaers and perhaps elevated to crew status. Many of the more interesting relics found there are on display at the North Carolina Maritime Museum in nearby Beaufort. Sources Brooks, Baylus C. Born in Jamaica, of Very Creditable Parents or a Bristol Man Born? Excavating the Real Edward Thache, Blackbeard the Pirate. The North Carolina Historical Review 92.3 (2015): 235-77.Cordingly, David.  Under the Black Flag  New York: Random House Trade Paperbacks, 1996.Johnson, Captain Charles [pseudonym of Nathaniel Mist].  A General History of the Pyrates. Edited by Manuel Schonhorn. Mineola: Dover Publications, 1972/1999.Konstam, Angus.  The World Atlas of Pirates.  Guilford: The Lyons Press, 2009Wilde-Ramsing, Mark U., and Linda F. Carnes-McNaughton. Blackbeards Sunken Prize: The 300-Year Voyage of Queen Annes Revenge. Chapel Hill: University of North Carolina Press, 2018.Woodard, Colin.  The Republic of Pirates: Being the True and Surprising Story of the Caribbean Pirates and the Man Who Brought Them Down.  Mariner Books, 2008.

Hazardous Wastes from Materials Extraction Assignment

Hazardous Wastes from Materials Extraction - Assignment Example The two metals are mined as ores with impurities such as lead, selenium, benzene, cadmium and numerous other impurities. The ores are melted in a furnace till they reach their boiling points which are 7000 degrees Celsius. The boiling point of other impurities in these ores is lower and, therefore, by the moment aluminium and steel begin to boil the impurities are already in vapour form which is condensed to their respective pure metals such as lead, and selenium (Fletcher 10). Aluminium and steel are left in their furnaces as a sludge that is condensed with the help red sludge as a reducing agent. The success of steel and aluminium refining depends on how well the vapour of impurities is condensed and not released into the atmosphere. It also depends on how the manufacturer is ethical so as not to dump these wastes illegally. When released illegally, these heavy metals will be swept off by running rain water and taken into rivers. This causes these metals to de eaten by fish. This f ish is then consumed by human beings. As these metals cannot be digested, they accumulate in the body causing various ailments such as cancer. In addition, if the red sludge is not well disposed of it causes soil alkalinity that is expensive to correct. The substance also contains heavy metals that it picks from the molten aluminium. Its proper disposal is, therefore, important. The refining of oil is also an energy intensive process. Crude oil is boiled in a fractionating column that allows the various components to evaporate when its boiling point is reached. When the boiling point of plastic elements in crude oil is reached, the liquid is collected and molten into various forms. The success of this process also depends on how impurities such as plastics are trapped before they escape into the atmosphere as pollutants (Fletcher 10). Similarities The refining of the three elements involves melting their original complex compound, that is, crude oil, steel ore and aluminium ore. The impurities of these ores evaporate and these elements are left in pure form (Smith 13). US industries and Reporting US have many industries dealing with steel, aluminum, and crude oil. These industries are required by law to submit annual environmental audits of their activities. These reports outline the effects their activities have on the environment. They also outline the measures they are taking to control the bad effects of their production process. They are also required to employ latest technologies to save energy use and conserve resources. Environmental Protection Agency monitors all industries to ensure they have complied with environmental laws (Kubova 12). Fairness of the Industries The cases presented in the websites do not give a fair compensation to those who were affected by the sludge and toxic smoke from the steel industry. This is because they are reported to be dumping illegal toxic materials beyond levels that are agreed. They also promise to restore degraded land areas of which they cannot be restored completely. They also give false information that the sludge is not harmful to both people and environment (Olivares 12). This is not the reality because people had to be taken to hospital with burns and some also died due to harmful effects of the sludge. Are there differences in pollution generation based on country of production? Companies from developed countries shift their industries to third world counties because they often find it

Nursing as Defined by Nightingale Essay Example | Topics and Well Written Essays - 1000 words

Nursing as Defined by Nightingale - Essay Example Women during my time could not go outright and do what they want. Their role is to marry and manage the household. Sidney Herbert, a man close to my heart, knew of my desire to do something more than just be a wife. He respected my choice and has been my friend ever since. For choosing a different path, I have been called an activist. And, because of this choice I had to live most of my life away from my family. My mother was very vocal that she was against what I was doing. Despite this, I persisted. My commitment to the task was growing as I worked everyday to help people to get well. But commitment and will without preparing oneself for the task would amount to nothing. This is the reason why I used the donations I obtained from the war survivors, soldiers and their families, to open the world’s first school for nurses: The Nightingale School for Nurses at St. Thomas’s Hospital in London (Morgan, 1992). It was also at this time that my â€Å"Notes on Nursing† was published. It became popular as a compilation of rules on practical nursing and hygiene (Harmelick, 1969). For me, these notes were not rules, but: â€Å"The following notes are by no means intended as a rule of thought by which nurses can teach themselves to nurse, still less as a manual to teach nurses to nurse. They are meant simply to give hints for thought to women who have personal charge of the health of others.† (Nightingale, 1860) â€Å"It ought to signify the proper use of fresh air, light, warmth, cleanliness, quiet, and the proper selection and administration of diet—all at the least expense of vital power to the patient† (Nightingale, 1860) Basically, the issues that I wanted to answer in this book dealt with: â€Å"the proper use of fresh air, light, warmth, cleanliness, quiet, and the proper selection and administration of diet† (Nightingale, 1860). According to Mr. Selanders these can be combined to form three central

Norwegian Health System Analysis

Norwegian Health System Analysis Organization and governance: The Norwegian health care system can best be described as a semi decentralized system. Municipalities are in charge of primary care and have the full responsibility of organizing health services on a local level. Since 2002, the four regional health authorities (RHAs) have been under state supervision and have been held responsible for specialist care. Counties’ role is confined to statutory dental care. The Ministry of Health is responsible for regulation and supervision of this framework, however many missions and assignments are mandated to different subordinate organisms. The ministry regulates the activities of its subordinate organisms through direct controlling in the case of national agencies, ownership arrangements such as budgets and letters of instructions (RHAs), and legislation and money-related instruments (counties and municipalities). It guarantees that health and social services are granted in line with national acts and regulations. Recently, inter-sectorial coordination has become an important tool in order to hinder social imbalances in health. In addition, more consideration has been dedicated to improve resource allocation (by emphasizing on the importance of health technology assessment and through priority settings), quality outcomes and patient safety. Since the beginning of 21st century, reinforcing patients’ role has become a top priority, for instan ce, through an overarching patient rights legislation handling issues such as patient choice and complaint procedures. Overview of the health system: The hierarchical structure of the Norwegian welfare system is based on the moral principal of equal access to healthcare services for all inhabitants irrespective of their social, economic or geographical residency. Norway has a three-tier healthcare system: national/state, regional health authorities (RHA) and municipalities (fig1.2). Counties play a small role in the health-care organization. The system is managed through an expansive number of acts and secondary legislation. Legislation mirrors the decentralized structure of the welfare system: specialist care is controlled by the Specialist Care Act of 1999 and the Health Authorities and Health trust Act of 2001, dental care is managed by the Dental Health Services Act of 1983 and primary care is regulated by the Municipal Health and Care Act of 2011. Other areas of care that encompass several hierarchical levels are managed by distinct acts: for instance, the Mental Care Act of 1999 and the Public Health Act of 2011. The government determines national priorities and the national budget is negotiated within the parliament. Almost all proposals presented to the parliament are studied in depth by an expert committee. The Standing Committee on Health and Care Services is in charge of matters related to health services, drug and alcohol policy, public health and pharmaceuticals. The overall responsibility for the health-care sector however, rests at the national level with the Ministry of Health and Care Services. The ministry determines the national health policy, prepares and oversees legislation, decides on the allocation of funds within the health sector (allocation of resources to health and other sectors is the responsibility of the Ministry of Finance), and implements national health policy with the help of several subordinate institutions (Directorate of Health, 2012c). The Ministry of Labor plays an indirect role in the welfare system, essentially through the Labor and Welfare Administration (NAV) that regulates various benefits regimens within the National Insurance Scheme (NIS), such as sick leave and disability compensation. The Ministry of Health and the Directorate of Health have been in charge of the healthcare budget in the overall NIS budget plan. This part of the budget is directed by the Norwegian Health Economics Administration HELFO. Historical Background: The directorate of Health was founded in 1945 and its work and the general health policy were inspired by the United Kingdom Beveridge Report (Kuhnle, 2006). The foundation of the NIS in 1967 (which was integrated into the NAV in 2006) was an imperative step towards attaining universal coverage of welfare services. The Regular General Practitioner (RGP) scheme was implemented, giving people the right to choose a general practitioner (GP) of their choice (to be subscribed on the GPs list). Since 2012, the Coordination Reform gave the municipalities a bigger financial responsibility regarding patients who are about to be discharged from hospitals. This reform also aims to amend coordination between the municipal level and the RHAs. Organization Central governance of the health system The ministry of Health puts national health regulations, elaborates major reforms and enforces their applications. The ministry via the RHAs has a direct obligation regarding the procurement of specialist care to patients. In addition, it has administrative control over a number of subordinate agencies (table 2.1, pages 21 and 47) Regional health authorities and hospital trust specialized health care There are four RHAs in Norway: Northern Norway RHA (Helse Nord), Central Norway RHA (Helse Midt Norge), Western Norway RHA (Helse Vest) and, the biggest, South-Eastern Norway RHA (Helse Sà ¸r Øst), covering nearly 55% of the population. The RHAs are in charge of the provision of specialized care and other specialized services including radiology, laboratory and ambulatory services. Presently, there are 27 health trusts managed by the RHAs. Counties dental care and public health In general, the Counties’ part in healthcare is restricted. They are primarily in charge of the procurement of statutory dental care. Municipalities primary care Municipalities are accountable for the procurement and financing of primary care. Moreover, they are accountable for a large scope of public health and preventive measures. Municipalities are not under the direct commands of the central authorities and have a lot of flexibility in arranging primary care services. Private health care sector The engagement of private actors in primary care is considerable. The majority of the general practitioner is self-employed. However, most GPs are integrated in the public system by contracting with municipalities. On the contrary, private pecuniary providers play a small role in the procurement of secondary care: less than 2% of hospital beds are in private profit-making hospitals. Radiology centers and laboratory services remain the major profit-making institutions (80% and 60% of GP referrals for respectively radiology and laboratory services were made to for-profit facilities in 2010) (Directorate of Health, 2012b). Associations of health care professionals The major associations are the Norwegian Medical Association (27000 members), the Dental Association (6300) and the Nurses Union (90000).These associations play a double role as trade union and professional associations. As professional associations, they are responsible for a large scope of activities, for example, trainings, education, health policies and ethics. As trade union, they aspire to protect and enhance the financial and professional interests of their members. Decentralization and centralization (3.3 pooling of funding) Scandinavian health care systems are often characterized as being run according to decentralized national health service (NHS) model: funding is raised by taxation and the main actors are public (Rice Smith, 2002). The twentieth century saw a considerable delegation of power from central authority to the municipal level, however both tendencies currently co-exist. â€Å"The funding system for municipalities was changed in 1986 when about 50 different earmarked grants were replaced by block grants† (Ministry of Local Government and Regional Development, 2005). This reform granted municipalities a more prominent level of independence regarding resources allocation across services. Municipalities are also entitled to raise taxes in the interest of financing their activities. In addition, some further decentralization actions were implemented since the beginning of the 21st century. For instance, the 2000 reform changed the paradigm of hospitals’ management (day-to day running of the hospital is the responsibility of the general manager and executive board) (Johnsen 2006). On the other hand, centralization tendencies can be observed at the same time. The 2002 reforms transferred responsibility for second care from counties to the national level (state). The country was segregated into 5 RHAs (then reduced to 4 in 2007) and hospitals were organized as hospital trusts, which were founded at the same time (Hagen Kaarboe, 2007). (Sections 3.3.3 and 2.8.4) Planning The National Health Plans is the groundwork planning tool in the welfare area for the coming four years. The plans describe the existing status of the healthcare system, as well as the major challenges, and propose policy goals and actions aimed at meeting them (Nylenna 2007). Intersectoraility The coordination of the different measures aimed to improve the overall organization of the healthcare system relies on the interaction of various ministries other than the ministry of Health. The Ministry of Education is concerned with the forecasting of the health workforce, the Ministry of finance is involved through the taxation system and the Ministry of Labor is implicated in the NIS. Information systems: National registers gather an extensive scope of healthcare data and cover the entire population (table 2.2). Collecting data is compulsory for healthcare professionals and it doesn’t entail patients’ consent. At this date, there are 15 central registries in Norway. Hence, the quality of data in these registers is in general considered to be high (NIPH, 2009). Statistics Norway is the central institution in charge of gathering, examining, and publishing official statistics. Moreover, there are several medical databases (kvalitetsregistere) which gather data about health outcomes and other information concerning specific treatments or diagnoses. These databases give important information to evaluate the impact of different treatment strategies and provide valuable data for research and quality control. Health technology assessment (HTA) HTA is under the responsibility of the Norwegian Knowledge Centre for the Health Services (NOKC). This appraisal evaluates both the clinical and cost-effectiveness benefits of a medicine or procedure. The new system launched in early 2013 is backed by â€Å"mini-HTA â€Å"reports†(assessed at the level of local hospitals), as well as â€Å"full-HTA† reports carried out by the Norwegian Medicines Agency (NoMA) and the NOKC. The purpose of the â€Å"mini HTA† is to guarantee that patients have fast access to innovative and safe hospital treatments. Priority setting or resource allocation Regulation: Regulation and governance of third-party payers The NIS is the main third party payer in Norwegian welfare system. Its budget is under the control of the Directorate of Health (HELFO). Voluntary health insurance (VHI) is the only other third –party payer in the Norwegian system. Governance and regulation of specialist care We should to a previous section? The ministry of health is in charge of secondary care through RHAs. However RHAs are independent legal entities, governed by independent boards. The RHAs are responsible of health trusts but health trusts are also separate legal institutions with their own management an executive board. Regulation and governance of pharmaceuticals Regulation of pharmaceutical products The Norwegian Medicines Agency (NoMA) is responsible for granting/withdrawing marketing authorizations and is in charge of post-marketing pharmacovigilance. The regulation of pharmaceuticals comes into agreement with applicable EU regulations since Norway is a member of the EEA. Therefore, there are four relevant procedures that industries should use when requesting marketing authorization: the national procedure, centralized procedure, mutual recognition and decentralized procedures. Regulation of pharmacies and wholesalers The 2000 Pharmacy Act shapes the activities of pharmacies in Norway. This act remolded the pharmaceutical environment. First, pharmacist monopole was cancelled (only certified pharmacists can manage pharmacies, however any individual can possess the pharmacy). Second, the restrictions on opening new pharmacies were removed (until 2001 the NoMA adjusted the number of pharmacies). Hence, every drugstore must have two different licenses: one license to possess the pharmacy (the owner’s license) and the second to manage the pharmacy (the operating license). Third, drugstore chains are permitted. Pharmacists have been granted the right for generic substitution since 2001, though only drugs available on the â€Å"substitution list† published by NoMA can be substituted. Only a couple of internet pharmacies are available in Norway and are only permitted to sell OTC medicines. Policies to improve cost effective use of pharmaceuticals â€Å"First–choice scheme† is an initiative taken by the government to encourage the usage of generics. Doctors are now compelled to prescribe generic drugs unless there is a life-threating medical reason that justifies the use prescription of the name brand drug. Pharmacists are bound to advise patients if there is a less expensive generic drug when their doctor prescribes the original name brand medicine. Patients are obliged to pay the price difference if they insist on buying the originator drug rather than the generic. Higher profits on generic drugs are a key driver for pharmacist to encourage the switch.

Final Corporate Enterprise

Enterprise architecture is a strategic planning model of an organization. It is an important foundation that has grown from the impact of globalization and modern market dynamics. It facilitates an organization streamline technological and Information Technology (IT) strategies achieve tangible synergies and value addition in its business. There are key steps, and milestones involved in the designing and implementation of this model from the corporate current state to a final corporate Enterprise Architecture (EA).The steps, standards and guidelines involved in the enterprise architecture process are discussed below. However every enterprise has its own unique characteristics meaning that there can be no particular model of enterprise architecture that suits all enterprises. The person responsible for the development of the enterprise architecture is the enterprise architect (Feurer, 2007). Step 1: Initiate the EA Program The involvement and approval of the management of the corporat ion bears a pivotal role in this process.Therefore the initial step would be to win the goodwill and commitment of the management team (Feurer, 2007). Step 2: Establish EA governance Effective governance demands a competent decision-making process that elaborately defines the roles and responsibilities of the parties involved in the process as well as the desired standards to be attained. Enterprise architecture governance has five fundamental viewpoints namely: organization and roles, processes, standards and templates, tools, and key performance indicators (KPIs).The responsibility of the enterprise architect will be to; define governance principles, integrating governance into the EA and identifying the relevant governance bodies to ensure the process complies with the defined EA principles (Feurer, 2007). Step 3: Define the Architectural Approach In this step the EA team defines the bridging strategy to close the gap between the current-state and the final-state.There are six ma jor tasks in this step; to understand and utilize the enterprises operating model, draw a basic core graphic representation of the organization’s operating model that depicts the desired state of the enterprise architecture (this may require a particular template ), definition of the utilization and scope of the EA-this should be in tandem with the organization’s strategic plan, collaborate with the various stakeholders of the organization by educating the stakeholders on the benefits of the EA, the identification of the most appropriate EA framework is done at this point and lastly, the implementation of the EA is bound to demand skills that may not be currently in the organization, therefore elaborate educational and skill enhancement programs are developed at this stage (Feurer, 2007). Step 4: Develop the EA In developing the final-state EA, the basic viewpoints will have to be clearly elaborated for the purpose of accomplishing the following; collecting information and developing an information resource base on enterprise architecture in order to develop appropriate EA products as well as carry out a gap analysis and design the way forward to the final-state, defining the final-state as it would be desired (the â€Å"to-be state), document the current-state. The current-state assessment document is meant to provide the necessary information to guide the strategy to the final-state (Cashman, 2005.p 8) (See a graphic representation of current-state assessment in appendix A). Also in this step the EA products should be reviewed and updated to comply with the desired state. This is jointly done with the subject matter experts (SMEs) (Feurer, 2007). The gaps between the current-state and final-state are analyzed with the help of a gap analysis. The way forward referred to as the â€Å"migration path† is planned. It will include a step by step process of movement from the current-state to the final-state with a focus on the resources requir ed. Finally the approval and publishing of the EA is done. Step 5: Use the EA The Enterprise architecture is used as a strategic planning model of an organization.It will provide a collaboration platform for the EA team and the people who will implement it. In this step there is the promotion of the use of EA, the utilization of EA in procurement of the appropriate technological infrastructure, and lastly the implementation of the Corporation’s projects by the use of EA. Step 6: Maintain the EA The EA should be assimilated in the dynamics of the corporation’s business. It should be periodically reviewed with the view to adapt the necessary changes. Conclusion The evolving of enterprise architecture is a major step in the growing opportunities for innovation in any organization that seeks to comply with the global standards.As much as EA enhances the corporate image of an organization it is paramount that the corporation shares the lessons learnt with other organization s (Feurer, 2007). Appendix A The graphic representation above shows the current state of ICT in an organization’s department under five separate but interrelated topics (Cashman,2005. p 3). References Cashman, T. (2005). Current State Assessment: ICT Strategy Project. Department of Communications, Marine and Natural Resources. Retrieved February 21, 2009 from http://www. dcenr. gov. ie/NR/rdonlyres/C7917512-C6D9-43AB-8FAF-75525AC353B0/0/ICTStrategyCurrentStateAssessment. pdf Feurer, S. , (2007). Putting the Enterprise Architect in Enterprise Architecture.SAP NetWeaver Magazine. Retrieved February 21, 2009 from http://www. netweavermagazine. com/archive/Volume_04_(2008)/Issue_01_(Winter)/v4i1a09. cfm? session Feurer, S. , (2009). Building an Agile Enterprise Architecture. SAP NetWeaver Magazine. Retrieved February 21, 2009 from http://www. sapnetweavermagazine. com/archive/Volume_03_(2007)/Issue_04_(Fall)/v3i4a12. cfm? session Kreizman, G. , & Robertson, B. , (2006). Incorpora ting security into the Enterprise Architecture Process. Retrieved February 21,2009 from http://egovstandards. gov. in/egs/eswg5/enterprise-architecture-working-group-folder/gartners-reports/incorporating_security_into__137028. pdf/download

Methods Poets Essay

Poets often use their work to express their thoughts, this is what the writers of ‘hour’ and ‘to his coy mistress’ have done to express their thoughts on time and love. In hour the poem is about time and how it is short lived when you are in love, whereas ‘To His Coy Mistress’ is a poem where the man is trying to convince the woman to sleep with him and exploring the idea of living and enjoying your life whilst you’re young. Within both of these poems, the poets use different types of poetic techniques to show how time can affect the relationship of two lovers. The language used in the two poems is very different but they both show the same prospective of time. In ‘hour’ the language used is very blunt and in ‘to his coy mistress’ the language is more creative and imaginative. This is shown in hour when the poet says, â€Å"time hates love†, whereas in ‘to his coy mistress’ the poet says â€Å"we cannot make our sun stand still†. Both of the poets are trying to say that time is in control and it is very powerful. In ‘hour’ Duffy uses personification and simile; this is shown in, â€Å"love’s time’s beggar†. This suggests to us that time is love’s enemy and love is begging time. The word beggar almost makes you feel sorry for love. The poet personifies time as loves enemy. In ‘to his coy mistress’ Marvell uses metaphors. For example, â€Å"Time’s winged chariot hurrying near†, this suggest to us that death will be near. There are lots of imagery used in the two poems. For example, in ‘hour’ Duffy says, â€Å"but even a single hour bright as a dropped coin, makes love rich†. This suggests to the reader that even one hour with your loved is very precious and should cherish the moment. We also see love being powerful than time for the first time. In â€Å"to his coy mistress† imagery is used in the first section of the poem, when the speaker says â€Å"thou by the Indian Ganges side shouldst rubies find; I by the tide of Humber would complain†. Ganges is thought be to be a sacred place India whereas the Humberside in north of England tend to be boring to Marvell. So this suggests to the reader that He is complimenting her as she is unique to him in a desirable way. She is the only person who fulfils the qualification in his vicinity. The both poets use different form and structure to the poems. In ‘hour’, Duffy only has one type of view which is time is always stopping love. This is followed the whole way through the poem. The first opening says, â€Å"Loves times beggar† and in the last stanza it says â€Å"time hates love â€Å". Duffy uses at the start and at the end to show straight away that time is the enemy of love. By structuring the poem like this, the reader will have the same opinion throughout the poem. Duffy also uses short sentences, â€Å"time slows, for here†¦Ã¢â‚¬ . Duffy has added a comma next to â€Å"slows† to show slowness. Some of the sentences in her poem run off, â€Å"summer sky and a grass ditch†, this suggest that she is excited. ‘Hour’ also follows the structure of a Shakespeare sonnet. In ‘to his coy mistress’, Marvell makes his point at the end this is because in the first stanza he talks about what if they had all the time in the world, in the second what would happen if she doesn’t sleep with him. Finally in the third stanza he tells her what she should do. By structuring his poem in that way Marvell shows the lover preparing his argument to his mistress to seize the day and not to hold back. In the first stanza Marvell doesn’t use violent words as he does to the second and third stanzas. Marvell has written the poem in rhyming couplets. Both of the poets show different feelings and attitude. In ‘hour’ the speaker wants a relationship which holds them together and wants nothing else but in ‘to his coy mistress’ the speaker wants a sexual relationship. In ‘hour’ the writer is frustrated with time and love being together. We see this when speaker says, â€Å"time hates love†. It also shows us that the speaker wants a simple kind of love meaning without material possessions, this is shown when the speaker says, â€Å"spend it not on flowers or wine†¦Ã¢â‚¬  In ‘to his coy mistress’ he is cynically flattering his mistress in order to get his own way. This is shows when he says, â€Å"two hundred to adore each breast†. The poem also suggests that the speaker wants a violent love this is shown when the poet says, â€Å"and now, like amorous birds of prey, rather at once our time devour†. Overall both poets have the same prospective of time but have different opinions on relationships. In ‘hour’ the speaker doesn’t want to waste time and wants to cherish every moment by being together. On the other hand ‘to his coy mistress’ wants a sexual relationship. So the speaker says that time is running out for them to have sex and that they do not have all the time in the world. Both of the writers say that time will go fast so don’t waste it. We will also feel time going fast when we are having fun or in love, so we should cherish every minute of our life as it will never come back once it is gone.