Managing Outbreaks of an Infection Essay

NICE and Department of Health Guidelines NICEandDepartment of Health guidelines set the standards for high quality healthcare. It encourages a healthy lifestyle for people. The NICE and Department of Health guidelines are also used by the NHS, Local Authorities, employers, voluntary groups and anyone else involved in delivering care and promoting wellbeing. The recommendations that are given provide guidance on infection control and taking precautions. These should be applied by all healthcare personnel, and other carers, to the care of patients in all healthcare settings. For example, hands must be washed immediately before each and every episode of direct patient contact or care, and after any activity or contact that could potentially result in hands becoming contaminated. Another example is, when handling and disposing sharp objects. Sharps must not be passed directly from hand to hand and handling should be kept to a minimum. Also needles must not be recapped, bent, broken or opened before use or disposal. This is to ensure that infections do not spread and no one gets hurt with the needles. When it comes to precautions then these guidelines say that precautions should be taken with care. Health care professionals should ensure that these precautions benefit the patients who have TB and also prevent anyone else from getting these ill. For example, isolation nursing. The guideline says that this should be done to prevent anyone else from catching the infection and to stop the infection from spreading. What is Tuberculosis (TB)? Tuberculosis (TB) is a bacterial infection that is spread through inhaling tiny droplets from the coughs or sneezes of an infected person.It is a serious condition but can be cured with proper treatment. TB mainly affects the lungs but it can also affect any part of the body, including the bones and nervous system. In some cases the bacteria infect the body but do not cause any symptoms which are known as latent TB. It is called active TB if the bacteria causes symptoms.  A TB infection of the lungs is known as pulmonary TB but TB can occur outside the lungs, which is known as Extrapulmonary TB. What are my Concerns? My concerns are that the TB infection can spread from four patients to more. TB is caused by a type of bacterium called mycobacterium tuberculosis. TB is spread when a person with the TB infection in their lungs coughs or sneezes. Someone else needs to inhale and take in the droplets containing the TB bacteria. To catch it from someone else you would usually have to spend a long period of time in close contact with the infected person for you to catch the infection. For example, TB is more likely to spread between family members who live in the same house. This is because family members are living and are around the infection person mostly. This means they are at more risk of catching the infection. It would be very unlikely for someone to become infected by sitting next to an infected person on a bus. It is my concern that some of my other patients will be able to catch the infection from the four patients who already have TB. This is a concern because we do not want all the patients within our ward being infected with TB. TB is a serious infection. Why I need to prevent an outbreak? I need to prevent this outbreak because TB is an infection which could harm the person who has it. If untreated the patients can become worse. Also we need to prevent it from spreading. This is done to ensure that other people do not catch the infection. Also when one person has the infection then it will keep spreading and everyone in the hospital will be sick. This will be done by isolation. This is when we isolate the patient away from the other patients. This ensures that this infection is not able to spread to anyone else. This means the infection will keep spreading. The bacteria enters our body and once it has entered our body it starts to multiply and because it is a bacterial infection it does not need to attach to another cell to multiply. It is able to multiply on its own. After multiplying it starts to cause mycobacterium infection. Our immune system cannot stop the TB bacteria from growing and spreading after the infection has started to spread into our body. Medication and treatment is then needed for the body to then recover. Preventing an outbreak is important because it can spread and start  to infect other people. If a person is around someone that has been infected then they need to make sure that you stay away from them. This is because the individual is able to catch the infection from affected items and affected people. The NICE guidelines:â€Å"It has long been recognised that people who are sputum microscopy positive from spontaneously expectorated sputum are those cases with the highest infectivity, and pose a risk to household and other close contacts such as workplace contacts. For these reasons, traditionally, patients with pulmonary disease in whom tuberculosis is suspected are isolated in a single room.† Isolation nursing is one way in which an outbreak of infection can be prevented. The Department of Health guidelines:â€Å"This section discusses the evidence and associated recommendations for the use of person al protective equipment by healthcare workers in general care settings, including aprons, gowns, gloves, eye protection and face masks. Where appropriate, in addition to the grade of the evidence underpinning the recommendations, there is an indication of a Health and Safety requirement. The decision to use or wear personal protective equipment must be based upon an assessment of the level of risk associated with a specific patient care activity or intervention and take account of current health and safety legislation.† Using personal and professional equipment is another way in which an outbreak can be prevented. The doctors, nurses and other professionals working in a hospital should make sure that they do everything that prevents the infection from spreading to the workers, all the patients and visitors. Preventing an outbreak is important because we do not want other people getting ill. TB is a serious bacterial infection. Preventing other people from getting it is important. What are the risks and damage of an outbreak on staff, patients, visitors and their families? The risks of this are that staff, patients, visitors and their families are able to catch the TB illness. This is a risk because we will have more patients in the hospital with TB. Once a person is infected with TB bacteria, the chance of developing TB disease is higher if the person; has HIV infection, has been recently infected with TB bacteria (in the last 2 years), has other health problems, like diabetes, that make it hard for the body to fight bacteria, abuses alcohol or uses illegal drugs; or was not treated correctly for TB infection in the past. The damage of  this is that it then damages the individual’s body. This is because they go into getting further illnesses in the future. The department of Health Guidelines: â€Å"The incidence of TB is influenced by risk factors such as exposure to, and susceptibility to, TB and levels of deprivation (poverty, housing, nutrition a nd access to healthcare), and differs in different parts of England and Wales. Where scientific evidence supports it, this guideline makes recommendations on service organisation, as well as for individual teams of healthcare professionals. The guideline aims to focus NHS resources where they will combat the spread of TB, and some sections deal with high- and low-incidence areas separately. The NICE guidelines: â€Å"Anyone exposed to TB bacteria can become infected but people at particular risk are those that are less able to fight infection. Those at risk include: Household and frequent contacts of infectious cases, those who have lived in, travel to or receive visitors from places where TB is still very common, those who live in ethnic minority communities originating from places where TB is very common, those with immune systems weakened by HIV infection, the very young and the elderly, as their immune systems are less robust, those with chronic poor health and nutrition because of lifestyle problems such as homelessness, drug abuse or alcoholism, those living in poor or crowded housing conditions, including those living in hostels. Other conditions that suppress immunity such as renal failure and chemotherapy and diabetes increase the likelihood of reactivation of TB.† What precautions do we need to take? Personal and Professional Equipment is a regulation which protects the person at work from any risk/harm to their health and safety. We need to make sure that we use the right equipment. This will ensure that we are safe. It will also ensure that everything is done well while at work. Wearing/using personal and professional equipment prevents contact with a infectious agent of a bodily fluid that may contact an infectious agent by creating a barrier between the potential infection and then the worker. For example, if we wear a duck mask then it blocks our nose and mouth. These are two portals in which infections can come into a person. That I why blocking these two portals of entry is important so the infection is not able to get into people. If a nurse or doctor does go into the room to then they need to make sure they use personal and professional equipment. This will ensure that they are protected from the infection. The NICE guidelines: â€Å"Healthcare workers caring for people with TB should not use masks, gowns or barrier nursing techniques unless: MDR TB (multidrug-resistant Tuberculosis) is suspected or aerosol-generating procedures are being performed. When such equipment is used, the reason should be explained to the person with TB. The equipment should meet the standards of the Health and Safety Executive which is mentioned in section 9.3.†The Department of Health Guidelines: â€Å"This section discusses the evidence and associated recommendations for the use of personal protective equipment by healthcare workers in general care settings, including aprons, gowns, gloves, eye protection and face masks. Where appropriate, in addition to the grade of the evidence underpinning the recommendations, there is an indication of a Health and Safety requirement. The decision to use or wear personal protective equipment must be based upon an assessment of the level of risk associated with a specific patient care activity or intervention and take account of current health and safety legislation.† Isolation is one more thing which health and social care professionals need to take care of. By isolated patients who have TB is another precaution which needs to be taken. TB is able to spread to other people who do not have TB. That’s why it is important to make sure that we keep the patients who have TB away and isolate them. This needs to be done to ensure that the patient is isolated to prevent illness from spreading. We need to isolate the micro-organism and make sure that the person stays isolated until the TB infection is not treated. The NICE guidelines:â€Å"This isolation has been recommended until three separate sputum tests have been analysed on the patient. If these tests are negative, the patient is usually considered to cause a significantly lower infection risk. They may then be moved from the single room to a shared ward, provided there are no HIV-positive or other patients with major issues on the same ward. If patients are tested positive for tuberculosis, and need to be admitted to hospital, isolation is required until treatment makes the person non-infectious.†The Department of Health Guidelines:â€Å"It is recommended that patients with suspected or confirmed pulmonary TB who are admitted to hospital should remain isolated in a negative pressure room with airborne precautions applied, until discharge criteria are met. In principle these criteria include: a reduction in or  absence of cough, reduced smear burden or smear negativity, assured treatment and an appropriate discharge plan.† Also some other precautions that need to be taking are making sure that everything is clean and looked after. Cleanliness is very important because it prevents infections from spreading. Another precaution which needs to be taken it to make sure that all of the things which the patient with TB has used are disposed and cleaned properly. Also the patients clothes and linen should be washed separately from the other patients linen and clothing. This will ensure that infections do not spread. Taking all of these precautions is important because it ensures that patients, staff and visitors are safe and do not get any infections. The NICE guidelines: â€Å"Linen, Waste and Cleaning for bed linen, books, crockery or washing up facilities should be washed separately. Disposal of infected material should be as clinical waste per hospital policy. Rooms should be cleaned as normal/regularly and a normal full clean after discharge. Extra cleaning is unnecessary.† The department of Health Guidelines: â€Å"There are three levels of TB infection control: Administrative (managerial) control measures/ work place policy, environmental control measures, and personal protective equipment (respiratory protection). Administrative control measures are the most important since environmental control measures and personal protective equipment (respiratory protection) will not work in the absence of solid administrative control measures. Each level operates at a different point in the transmission process: administrative control measures reduce HCW and patient exposure; environmental control measures reduce the concentration of infectious droplet nuclei, personal protective devices (respiratory protection) protect HCWs in areas where the concentration of droplet nuclei cannot be adequately reduced by Administrative and environmental control measures.† How would we educate staff, visitors and patients? Education is vital for people. If we educate staff, visitors and patients about TB then they would be more aware of what TB is, how it affects the body and how to prevent yourself from getting TB. We could do this through putting up posters around the ward and hospital. We could also make leaflets and hand them out to patients and visitors around the hospital. Also doctors and  nurses could speak to family members and friends and tell them about TB. Doing all of this will make people more aware of TB and the risks of it.The Department of Health Guidelines: â€Å"It is recommended that service providers aim to improve awareness of TB among the public, the professions and local authority agencies. Experience suggests that targeted campaigns tailored to the local population work better than national campaigns. Examples include: keeping local GPs informed about local TB services and reminding them of the importance of screening new entrants on arrival and on an ongoing basis. Keeping GPs aware of prompt referral systems. Resourcing TB services adequately so that they are not only involved in teaching clinical colleagues, but also in raising awareness of TB, particularly among high-risk groups; and informing clinicians of peer group networks and encouraging them to seek advice on treatment where appropriate. The NICE guidelines:â€Å"During the development of the guideline, patient and carer representatives on the GDG highlighted these suggestions: a single national source of high-quality TB information in relevant languages, and formats for vision- or hearing-impaired people. TB services to assess local language and other communication needs, and accordingly make information from the national source available locally. Clear discussion between healthcare professionals, people with (or at risk from) TB and their carers about tests, treatment, contact tracing and infection control measures, to enable understanding. People with both HIV and TB to be provided with information about the different specialties who may provide care during and after their treatment for TB. Contact tracing explained and handled sensitively to avoid misunderstanding and stigma. Information set out so as not to medicalise the patient. TB services providing each patient completing anti-tuberculosis treatment with clear ‘inform and advise’ information.† D1: ASSESS HOW THE SUGGESTED MEASURES TO MANAGE AN OUTBREAK OF INFECTION MEET LEGAL REQUIREMENTS AND GUIDELINES OF THE PREVENTION AND CONTROL OF INFECTION IN A HEALTH AND SOCIAL CARE SETTING One of the measures that we will use to prevent the outbreak of TB is by using personal and professional equipment. By usingpersonalandprofessionalequipmentit ensures that we are safe. It makes sure that we are trying our best to prevent ourselves from getting any infections. Doing this is important because we need to make sure that the bacterial infection does not get into us.Personal and Professional Equipment  protects a person in hospital from any risk/harm to their health and safety. We need to make sure that we use the right equipment to ensure that we are safe. Wearing/using personal and professional equipment prevents contact with an infectious agent of a bodily fluid that may contact an infectious agent by creating a barrier between the potential infection and then the worker. The NICE guidelines say about Personal and Professional Equipment: â€Å"Healthcare workers caring for people with TB should not use masks, gowns or barrier nursing techniques unless: MDR TB (multidrug-resistant Tuberculosis) is suspected or aerosol-generating procedures are being performed. When such equipment is used, the reason should be explained to the person with TB.†The Department of Health Guidelines say about Personal and Professional Equipment: â€Å"This section discusses the evidence and associated recommendations for the use of personal protective equipment by healthcare workers in general care settings, including aprons, gowns, gloves, eye protection and face masks . The decision to use or wear personal protective equipment must be based upon an assessment of the level of risk associated with a specific patient care activity or intervention and take account of current health and safety legislation.† The strengths of this measure are that by using personal and professional equipment it protects the person at work or visitors from any risk/harm to their health and safety. We need to make sure we use the right equipment. PPE prevents contact with a infectious agent or a bodily fluid that may contact an infectious agent by creating a barrier between the potential infection and the worker. This is important because it prevent the infection from getting into other people. We need to make sure that we prevent the infection from getting to anyone else. It ensures people are safe. Also teaching this to people who do not know e.g. visitors and family members of the patient is also important. This gives them an understanding of how serious the illness is and what should be done to prevent it. It makes them more aware and next time if someone else they know catches TB then they will know what personal and professional equipment to use and the important of them. A weakness of this is that sometimes people might forget to use them. They might go into the patient’s isolated room and not realise that they have forgot to put on equipment. This is a weakness because if people forget to put on protective equipment then they are more likely of catching the TB infection. Also when visitors come into  the hospital then they might not know that they have to use personal and protective equipment, especially children. The nurses or doctors need to make sure that they are there at the ward and are telling visitors about the importance of personal protective equipment. This is another weakness. This is because nurses and doctors might be busy with many other patients within the hospital. They might not always be there to tell the visitors. Meanwhile the visitors might go into the isolation room without realising. Isolation is one more thing which health and social care professionals need to take care of. By isolated patients who have TB is anothe r precaution which needs to be taken. TB is able to spread to other people who do not have TB. That’s why it is important to make sure that we keep the patients who have TB away and isolate them. This needs to be done to ensure that the patient is isolated to prevent illness from spreading. We need to isolate the micro-organism and make sure that the person stays isolated until the TB infection is not treated. The NICE guidelines say about Isolation:â€Å"This isolation has been recommended until three separate sputum tests have been analysed on the patient. If these tests are negative, the patient is usually considered to cause a significantly lower infection risk. They may then be moved from the single room to a shared ward, provided there are no patients with major issues on the same ward. If patients are tested positive for tuberculosis, and need to be admitted to hospital, isolation is required until treatment makes the person non-infectious.†The Department of Health Guidelines say:â€Å"It is recommended that patients with suspected or confirmed TB who are admitted to hospital should remain isolated in a negative pressure room with airborne precautions applied, until discharge criteria are met. In principle these criteria include: a reduction in or absence of cough, reduced smear burden or smear negativity, assured treatment and an appropriate discharge plan.† Strengths of isolation are that it protects the patient from getting any other infection from other people. Isolation nursing also protects staff, visitors and families/friends that have come into the hospital. This is very important because the patients are protected from getting any other illnesses which will make their TB. Also another benefit of isolation is that it gives time for the patient to recover. The patient is alone and isolated which lets them rest and recovery time. This is important for the patient. On the other hand if they were on a shared  ward with other patients then they might not get time to rest and also with visitors as well. Weaknesses of isolation are that the patients might feel socially and emotionally isolated. This is not good for them. They might not like the fact that they are isolated and could feel restricted. This could then lead to them refusing to go into isolation. It is important that they go into isolation because if they don’t then it leads to their infection getting worse as their body is vulnerable and could catch other illnesses. Also they could infect other people with their illnesses which then make them ill. It might make the people isolated moody and depressed. This is not good for them. The aim of isolation nursing is to isolate the micro-organism and not the patient even though the patient is still being isolated. Also some other precautions that need to be taking are making sure that everything is clean and looked after. Cleanliness is very important because it prevents infections from spreading. Another precaution which needs to be taken it to make sure that all of the things which the patient with TB has used are disposed and cleaned properly. Also the patients clothes and linen should be washed separately from the other patients linen and clothing. This will ensure that infections do not spread. Taking all of these precautions is important because it ensures that patients, staff and visitors are safe and do not get any infections. The NICE guidelines say: â€Å"Linen, Waste and Cleaning for bed linen, books, crockery or washing up facilities should be washed separately. Disposal of infected material should be as clinical waste per hospital policy. Rooms should be cleaned as normal/regularly and a normal full clean after discharge. Extra cleaning is unnecessary.† The department of Health Guidelines say: â€Å"There are three levels of TB infection control: Administrative (managerial) control measures/ work place policy, environmental control measures, and personal protective equipment (respiratory protection). Administrative control measures are the most important since environmental control measures and personal protective equipment (respiratory protection) will not work in the absence of solid administrative control measures. Each level operates at a different point in the transmission process: administrative control measures reduce HCW and patient exposure; environmental control measures reduce the concentration of infectious droplet nuclei, personal protective devices (respiratory  protection) protect HCWs in areas where the concentration of droplet nuclei cannot be adequately reduced by Administrative and environmental control measures.†

Tietam Brown Critique essays

Tietam Brown Critique essays The book Tietam Brown was written by two time New York Times best selling author, Mick Foley. The novel is his third book, and his first fiction. His first two books, Have A Nice Day!: A Tale of Blood and Sweat Socks and Foley is Good: And the Real World is Faker Than Wrestling are autobiographies about his life and career in the world of professional wrestling. Tietam Brown is his first attempt at writing fiction, and a tremendous success. Foley mixes a blend of immature humor, teenage emotions and a very disturbing look at the perversions that, while not always in the mainstream, is definably evident in the modern day world. He makes his characters easy to connect to, by putting them into situations that while most people have not had, are easy to relate to. Foley also uses a very unique style of writing that allows him to put a humorous point to even the darkest situations, and make the reader feel like they are being told the story from the point of the main character. An exa mple of this is found in Her hand was entwined with mine, in what was the most romantic moment of my life, with all due respect to the two young men who tried to forcibly sodomize me during my stay at the Petersburg Home for Boys.[pg12]. The story keeps the reader captivated from start to finish, using memories to give more background on the protagonist. The story follows the life of a eighteen year old boy named Antietam Brown V. Andy, as he is often called, has a less than perfect life, spending the better part of it in foster homes and correctional facilities. Andy lost his right ear and the use of his right hand in a car crash when he was young. His mother died while giving birth to him and his father abandoned him after six months. The story starts off after a date with the high school cheer leading captain Terri Johnson. Andy had been recently reunited with his dad, who like Andy is named ...

How to Write a Dissertation in Shakespeare Studies the Only Guide You Need for Success

How to Write a Dissertation in Shakespeare Studies the Only Guide You Need for Success A dissertation is an academic paper that details your research and findings on a particular topic and is the result of the work you carried out as a part of your efforts to earn an academic degree. In fact, the quality of your dissertation accounts for 90 percent of how your candidature is going to be evaluated, which means that you should spare no effort in gathering information, doing research and writing it up. A dissertation is an extremely time-consuming, complex and just plain difficult assignment to write, as it requires you to choose a sufficiently original venue of research, comprehensively study the existing body of literature on the subject, carry out your research following a carefully established methodology and provide plenty of proof for your hypothesis. There can be no half-measures: dissertation committees are always extremely strict and attentive to details in their evaluations, and even mild mistakes or flaws can mean rewriting the entire work from scratch or even having to choose another subject and start over. When it comes to Shakespeare studies, things are even more complicated. It is a narrow field that has a rather firmly delineated research methods and principles, and it is quite easy to make an error that will force you to, at the very least, rewrite huge swathes of your work. How to Choose an Original Topic for Your Shakespeare Studies Dissertation One of the main problems you are going to encounter when selecting a topic for your dissertation is that Shakespeare studies is a fairly narrow field that has been meticulously and systematically studied for centuries. It is limited to the works of a single author, and it is only very rarely that something genuinely new is discovered about them. In effect, you have to find a new topic in a field that has been picked clean of any original research questions – ultimately it can turn out to be a greater challenge than the writing per se. However, there are ways to streamline the process of selection and make sure you find a reasonably creative topic. 1. Focus on a Particular Work With about 40 plays, over 150 sonnets, two long narrative poems and a few other smaller works attributed to William Shakespeare, you have a lot to choose from. Focus on a specific work is a viable option. However, each of them has already been the subject of its fair share of research, which means that generic topics like â€Å"The Image of Caliban in The Tempest† are not a very good idea. Try looking for an unusual angle to study the work of your choice, for example: Comparison with another of Shakespeare’s writings; Specific element of imagery or symbolism in the play; Its relation to other Shakespeare’s works of the period; Shakespeare’s interpretation of the historical setting he uses; Popular scholarly arguments related to the play; Peculiarities of language and rhetorical devices used in this particular writing. 2. Focus on the Authorship of the Writing For the most prominent playwright in the English literature, surprisingly little is known about Shakespeare, his life and work. Even now scholars are not 100 percent sure that he wrote all the texts attributed to him by general consensus, and different authorities have different opinions on the provenance of some of these works. Some texts, like Arden of Faversham, have possibly been written by Shakespeare, with no comprehensive evidence for or against it. Others, like Edward III, have been printed anonymously and have strong indications of at least partial authorship by Shakespeare. Still others, like Henry VIII, were collaborations between Shakespeare and other authors, but nobody knows for sure which parts were written by whom. Other, less popular theories, claim that Shakespeare did not even write the plays commonly attributed by him, and even that Shakespeare himself was no more than a collaborative pseudonym of a group of writers. All this opens a rich venue for research. 3. Focus on Historical Background and How It Is Reflected in Shakespeare’s Work The theatre of the Elizabethan age was quite different from what we are used to now, and it is important to take into account that Shakespeare wrote his plays with contemporary realia in mind. It is commonly known that women were not allowed on stage during this period; there are, however, many more peculiarities that influenced the way Shakespeare constructed his plays. For example, Elizabethan theatre typically used large stages that could accommodate many people at once, which allowed for large scenes, sometimes divided into several individual smaller scenes indicating events happening simultaneously. At the same time, the audience was seated far closer to the scene than today, with a sharp vertical gradient – this means that actors could talk in stage whispers and still be heard by all attending. These are just two examples of how the medium influenced the plays – you can dig further and find other factors. 4. Focus on a Specific Theme across Multiple Works Like any other writer, Shakespeare had a number of themes that dominated more than one of this works. You can choose one of them and analyze its importance across several texts. The themes can range from something simple and self-evident, like love, friendship or politics, to complex ideas of your own creation. 5. Focus on Shakespeare’s Language The English used by Shakespeare was very different from the English we all are used to today, to the point that his unadapted texts are almost unintelligible for a modern English speaker without a hefty dose of references. Not only did the language go through many changes since then, but it also was far less standardized at the time, which leads to further confusion. Naturally, all this opens up great possibilities for research, aimed at such things as: Alternative translations of words and phrases; Alternative interpretations of the more obscure fragments of the original texts; Deeper analysis of meaning based on better understanding of particular words and phrases; And so on. All in all, despite Shakespeare’s work having been thoroughly studied for generations, there are still topics to be researched. Here are some ideas you may find useful: The Role of Structure in Expression of the Meaning in Shakespearean Sonnets; Parent-Children Relations in Shakespearean Plays and Their Connection to the Poet’s Family; Shakespearean Fool as the Voice of Reason at the Center of Insane World; Edward III and Its Authors: Shakespeare’s Role in the Play’s Creation; The Influence of the Principles of Elizabethan Theatre on the Structure of Julius Caesar. How to Properly Structure Your Dissertation in Shakespeare Studies A dissertation is a highly complex piece of work, with different colleges and other educational institutions having their own ideas of how exactly one should structure it. This means that the plan we offer here is just a recommendation – if your supervisor gives you instructions that differ or contradict what you see here, you should naturally follow the guidelines provided by your university. For example, a dissertation may be structured as a long essay, with a main thesis, an argument supporting it flowing through the entire body of the paper and chapters covering individual points or themes. However, what you will find here can help you better understand what you should write in different parts of your paper if they are present in the structure you are offered. Title Page The requirements for a title page differ from college to college and professor to professor, but normally you put all identifying information about your paper here: its title, your name and department, your college, degree program you write your dissertation for, submission date, etc. Ask your supervisor what exactly and in what order you should write. Acknowledgements An optional part to list everybody you want to thank for their help in writing the dissertation. Abstract Here you provide a short summary of your research. Although it usually goes as the first meaningful part of a dissertation, it should be that last part of it you write, because by the time you work on it you should already know how your research went and what results you achieved. A typical abstract is about 200-300 words long and contains: The main topic and purpose of your research; Your methodology; The most important results; Conclusions you have come to. Despite its negligible size, an abstract is probably the most important part of a dissertation, as it is the first (and often the only) part of it that the audience reads. So make sure it is short, clear and to the point. Table of Contents This part contains all the headings and subheadings of your dissertation along with the accompanying page numbers. Make sure you include all parts here, including the appendices. Glossary This part should be included if you used many obscure terms and expressions that some of the readers may not know. Put them in alphabetical order and give short definitions. Introduction Introduction leads up to the main part of your research, and should delineate your dissertation’s topic, define your research goals and explain why your work is important and relevant. It performs the following functions: Names the topic and provides basic background data; Defines the focus of your research and separates it from irrelevant information; Provides a short overview of the existing research on the subject matter, mentioning how your work refers to it, why it is necessary and what new information you hope to uncover; Defines the questions you want to answer and sets your goals; Gives a short overview of the paper’s structure. The introduction should answer three questions: what, why and how you intend to research. Answer them in as few words and as directly as you can. Literature Review No academic work exists in isolation, especially in such a heavily researched field as Shakespeare studies. In this part, you show that you have sufficient knowledge of the existing literature on the subject. This means that by the time you write this part you should: Gather relevant sources. The majority of them should come from peer-reviewed academic journals and books by recognized authorities on Shakespeare, although other sources should be used as well. The best approach is to maintain balance: use some high-authority sources and other types, such as websites, bestselling books and so on, to show the breadth of your research. You can find most sources you need using online academic search engines and databases like Google Scholar, EBSCO Academic Search or JSTOR; Evaluate and sift through them. Some sources are biased or affiliated with organizations that may be the source of tendentious conclusions. Before using a source, try to define if it is to be trusted; Make conclusions based on the bigger picture. You should not just summarize everything that was written on the subject so far, but also show the existing books and articles in relation to each other. For example, you can identify gaps in the research that your work will fill in, conflicts between the existing points of view that you aim to resolve, patterns that can be drawn further, to cover additional works by Shakespeare and so on. Methodology A dissertation is not a freeform assignment; it has to be carried out following a particular set of methods, and in this section, you have to enumerate and explain them. What exactly this section should include depends on the nature of your research, but most often this is: Research type (e.g., qualitative or quantitative); Data collection methods (archives, linguistic analysis, etc.); Information on where and how you have obtained your data; Analysis methods; Equipment and tools you used (e.g., software); Problems you have encountered and how you have dealt with them. This section should carefully describe what and how you did and persuade the reader that your choice of methods was optimal for the chosen research. Results and Discussion Sometimes these constitute a single section, sometimes they are separated – refer to your professor and college guidelines to know for sure. In Results, you enumerate all your findings that are relevant to your original research questions. In Discussion, you analyze what the results of your research mean in relation to research questions and the existing body of research on the topic. Did you expect these results? How can your findings be interpreted alternatively? What are the limitations of your research? What could have influenced the outcome of your work? Conclusion Here you give the answer to your main research question, reflect on your work in its entirety, how you approached your task and point out promising potential venues for further research based on your findings. This section should make it clear how your dissertation added to the existing knowledge on Shakespeare’s work and why it was worth doing. How to Edit Your Dissertation on Shakespeare to Achieve Optimal Results With its complicated structure and numerous sources it is based on, your average dissertation can go wrong in dozens of different ways. Therefore, it is wrong to think that the work on it is finished once you have written the final line. If you want it to be accepted, you have to spend a lot of time editing and perfecting it. Here are a few things you should pay attention to. 1. Review the Guidelines Dissertation committees are extremely strict about the rules. Mistakes in formatting or suchlike can be just as disastrous for the overall result as wrong choice of methodology. Study the formatting style you have been told to use, the guidelines of the college and personal instructions of your professor and make sure you have followed them correctly. 2. Do not Do It in One Sitting You have not written your dissertation in one sitting, and you should not try to do the editing this way. Whether you read it multiple times in search for different types of mistakes or make a single slow sweep correcting all types of mistakes as you go along, break your work into segments and take breaks. When you leave off, mark the place where you finished to continue from it later. 3. Know Your Weaknesses Each person has typical mistakes to look out for. Make a list of mistakes you know you have been making in the past, and check with it as you proofread. 4. Check for Missing and Superfluous Parts As you read your dissertation, analyze it one paragraph at a time and evaluate every detail, asking yourself whether you truly need it to make your point. If not, delete it. When you have finished a paragraph, check if anything is missing and add any information you need to prove its point. 5. Use Proofreading Tools Proofreading tools like Grammarly and Readable are limited in their functionality and cannot replace a determined proofreader, but they can help you notice mistakes and flaws. Just don’t take everything they tell at face value, and you will be alright. Now you are ready to handle your own dissertation without asking anybody for help. Check with our manual as you write, and even the most difficult topic will not give you any trouble!

Global warming Essay Example | Topics and Well Written Essays - 250 words - 8

Global warming - Essay Example People have changed the land use that has increased the emission of greenhouse gases. For instance, deforestation has led to increased emission of carbon dioxide in the atmosphere that was previously stored in vegetation. Kuwait is located on the Arabian Gulf; the country is made up the mostly flat desert. The climate of Kuwait can be severe, with temperatures that are freezing and scalding. The increased temperatures in Kuwait are as a result of increased industrialization and urbanization. However, some researchers have said that the raised temperatures are not as a result of the industrialization. Kuwait has numerous environmental issues that are severely affecting its biophysical ecosystem, as well as the human health. The rapid industrialization and the careless environmental oversight have resulted in these issues. One of the major issues is the desertification that has remained a serious problem. The government of Kuwait are taking measures to address this problem through restoring the desert lands to forests. Another major issue affecting Kuwait is the increased pollution. The different forms of pollution have increased with growth in industrialization. The government is taking precautions to ensure that this issue does not go beyond the limit. Therefore, the government is setting up the pollutant treatment infrastructure that is adequately addressing this

Course Reflection Essay Example | Topics and Well Written Essays - 1750 words

Course Reflection - Essay Example s discussed in each weak indeed contributed towards acquiring rich understanding and knowledge about different aspects pertaining to strategic human resources planning. Human resource, finance and marketing and other related concepts and discussion covered in each week enhanced my knowledge base to be competent future managers. Moreover, from human resource I have gathered knowledge about organizational policies and programs and other functional activities such as forecasting, succession management, downsizing & restructuring, mergers & acquisitions, and outsourcing among others. Alongside, from marketing and finance studies I learnt about varied strategies and functional activities of management. The understanding derived in each week helped me to perform more effectively in my professional and personal life. More importantly, prior to attending the weekly session I have little knowledge about strategic human resource planning. However, the understanding that I acquired in each week together made the role of strategic human resource planning crystal-clear. Notably, with the help of human resource management, an individual can develop a positive attitude about cultural belief and value in the workplace. Therefore, I believed that human resource management helps an individual to maintain proper balance among personal and professional life. Reflecting upon the understanding and knowledge that I derived from the discussion facilitated an in-depth insights. Accordingly, f human resource management has been linked with marketing and finance. In general, sustainability of an organization in a market depends on productivity and labor force (Anderson & Nilsson, 2012). Moreover, it was learnt that human resource has helped managerial heads to perform better in market. Management functions include planning, organizing and motivating. With the help of human resource, managerial heads has implement strategy for enhancement of organizational growth. Besides, decision-making is

Blues Culture Essay Example | Topics and Well Written Essays - 2000 words

Blues Culture - Essay Example They took the form of second lines, pleasure, social clubs and even music. Its roots were in different manifestations of African American slave melodies, for example, field hollers, work tunes, spirituals, and nation string numbers. Blues music that caught the torment, anguish and any expectations of 300 years of bondage and inhabitant cultivating, soul was regularly played by travelling solo musical artists on acoustic guitar, piano, or harmonica at weekend gatherings, picnics, and juke joints. Their audience was essentially comprised of farming workers, who moved to the propulsive rhythms, groans, and slide guitar. As the African American group that made soul started moving far from the South to escape its hardscrabble presence and Jim Crow laws, blues music advanced to reflect new circumstances. After a great many African-American ranch specialists had moved north to urban areas like Chicago and Detroit amid both World Wars, numerous started to view customary blues as an undesirable indication of their humble days drudging in the fields; they needed to hear music that mirrored their new urban surroundings. Accordingly, transplanted soul specialists, for example, Muddy Waters, who had lived and chipped away at a Mississippi manor before riding the rails to Chicago in 1943, swapped acoustic guitars for electric ones and rounded out their sound with drums, harmonica, and remain up bass (Woods). This offered ascent to an energized soul music with a blending beat that drove individuals onto the dance floor and directed the route toward musicality and soul and shake and roll. Malcolm x was a black child whose father was killed by the white people and as a result, he developed mistrust for the white community. As a result, he started engaging in crime and was soon imprisoned. However, he found Islam in the prison and found out that he had

European Union as an international organization Essay Example for Free

European Union as an international organization Essay The European Union cannot be an international organization and it is not a domestic political system. It is a new and unique trend in governance, which transcends the nation – state structure. In the EU the nation – state governments are drifting away from both sub national and supranational systems. This in turn raises questions about the EU’s capacity to govern and its democratic legitimacy. The European Union is composed of democratic nations that aim to achieve peace and prosperity. It is not a nation – state but an international organization with unique features (Europeans united in diversity). However, the events that took place in the period from 1960 to 1970 changed the thinking of federalism by the people. The then French president, Charles de Gaulle was very much interested in nation – state structure in the Europe. However, he rejected the federalist system. Subsequently, the European Council was created in order to take up the matters of the Union with administrative powers. Thus there is no centralized power in the European Union and it was distributed between the primary entities, which do not fall within parliamentary control (Europeans united in diversity). The significant characteristic of the EU is that the decisions taken at the European level are ratified by its Member States in order to establish EU level common institutions, by surrendering their sovereignty on certain specific issues. There is unity in diversity in Europe where there persists a multitude of different traditions and languages. Respecting these shared values, the EU promotes cooperation among the people of Europe and it protects the interests of the individual citizens of Europe. While respecting the sentiments of European citizens, the EU promotes cooperation with external nations without comprising its solidarity and in a spirit of tolerance (Europeans united in diversity). The European Union is a distinct entity. It is not a federation like the United States. Moreover, it is not a simple form of structure as it entails inter – governmental coordination and cooperation. The European Union is composed of a number of Member States. These Member States have combined their individual sovereignty and adopted a system of shared governance, in order to achieve unity and international importance. Nevertheless, as it is noteworthy to mention, these Member States did not relinquish their national sovereignty (McCormick). Further, there is a delegation of powers by the agencies of the European Union, in areas of joint interests, upon which the EU can impose its democratic authority for the benefit of Member States. Thus the European Union is to some extent an intergovernmental organization and to some extent it is a supranational organization. The supranational aspects of the EU include economic policy, social policy, immigration policy and education. The intergovernmental aspects comprises of mutual cooperation between the member states in order to formulate a common foreign policy and security policy (McCormick). The intergovernmental organizations like the United Nations are in general constituted by several states in order to promote voluntary cooperation and coordination amongst them (McCormick). The Member States of such an organization retain their independence and the decisions and agreements taken are not enforceable. The Member States of the European Union do not surrender their sovereignty to it. However, in the supranational organization, Member States are required to surrender their sovereignty in certain key areas to the governing body of the supranational organization (McCormick). Moreover, the Member States are also required to comply with the decisions taken at the supranational level. The Courts would initiate penal actions for violations by the member states. The European Union has both the characteristics of an intergovernmental organization and supranational government. An international organization is an entity which develops voluntary cooperation and coordination among its members (McCormick). Hence the European Union cannot be a truly typical international organization. The normal features and definition of an international organization is narrow in its scope. Therefore, the European Union cannot be compared to an ordinary international organization. The European Union is founded by an international treaty like any other international organization. However, it cannot be construed to be a proper international organization and a very close description is that it is not a state, nor a nation – state; but a characterization of sui generis (Vuorinen). The fundamental characteristic that differentiates the European Union from other international organizations is that it attempts to change the Member States. Integration is the process that brings about the coalescing of state structures. The European Union has several structures combined together some of these structures represent the characteristics of a federal state while other structures resemble an international organization. In the process of evolution, the EU had gone beyond an association of states and became an economic and political union. However, the EU is not a federal state (Vuorinen). The emergence of the European Community was the result of federalist views. Its drafters were of the opinion that federalism would be the solution to the persistent problem of war in Europe. Thus their main objective was to establish a federal state. These efforts resulted in the formulation of the European Coal and Steel Community in the year 1951, which created a common market for the coal and steel industries of that period. The objective of this institution was to combine the important and strategic resources of Europe. Subsequently in 1957 The Treaty of Rome established the European Economic Community or EEC and the European Atomic Energy Commission or Euratom (Vuorinen). The federalist creation of the Union was based upon the three important pillars of the EU, namely, the European Commission, the European Parliament and the European Court of Justice. These branches of the EU, which do not pertain to any single member state of the Union, aim to promote the common European policy. The federal structure could have operated with a sufficient degree of democracy (Vuorinen). The European Union has been described as an international organization and with the adoption of a constitution it can become a supranational organization in addition to an intergovernmental organization. The Maastricht Treaty of the year 1993 established two types of institutionalized cooperation in the European Community, the Common Foreign and Security Policy or CFSP and cooperation on justice and international issues. Since, the extant system in respect of functioning of the EU involves the surrender of sovereignty by states to the EU in certain areas and the dependence of the member states on intergovernmental cooperation in other areas, it can be describes as a hybrid system (European Union). Issues of international interests of the EU are regulated by the Integration Ministry; some of these issues encompass the cooperation of EU, Nordic legislation and cooperation with the United Nation’s agencies. Extension of such cooperation is frequent to the United Nations Refugee Agency or the UNHCR, the Council of Europe, Intergovernmental Consultations or IGC and the International Organization for Migration or the IOM (The Ministry of Refugee, Immigration and Integration Affairs). Furthermore, the Ministry negotiates with many foreign nations on issues relating to repatriation agreements, other forms of practical cooperation as well as mutual exchange of information. The International Division of the Integration Ministry governs international cooperation and participates in meeting and makes the necessary preparations for meetings and discussions that involve other nations. This Division also prepares meetings in Denmark with regard to issues relating to asylum and immigration. It also makes the necessary preparations for EU casework in national procedure (The Ministry of Refugee, Immigration and Integration Affairs). The destruction and loss of a large number of human lives in the Second World War resulted in European integration, which was expected to put a stop to such killing and destruction. In the year 1950, Robert Schuman, the French Foreign Minister proposed the idea of European integration. The present European Union consists of five institutions with specific goals. These are the European Parliament, which is elected by the citizens of the Member States; the Council of the European Union, which represents the governments of the Member States; the European Commission, which is the executive branch of the EU; the European Court of Justice, which ensures compliance with the EU law by the Member States and the Court of Auditors, which controls and ensures efficient and legal management of the EU budget (The European Union). There are other important agencies, which support these five driving forces of the European Union. They are, the European Economic and Social Committee, which reflects the opinions of the civil society on issues pertaining to economic and social interests; the Committee of the Regions, which is responsible for monetary policies and regulates the euro; the European Ombudsman, which deals with the complaints of individuals in case of breach of law or failure of proper administration by any EU institution or agency and the European Investment Bank, which promotes the objectives of the EU by providing financial support to investment projects. In addition, there are several other institutions to facilitate the smooth functioning of the EU (The European Union). The functionality of the EU is based on the Treaties, which were ratified by the Member States. In the beginning there were only six nations in the EU and these were Belgium, Germany, France, Italy, Luxembourg and the Netherlands. In 1973 Denmark, Ireland and the United Kingdom became members of the European Union and subsequently, in 1981 Greece became a member. In the year 1986 Spain and Portugal and in the year 1995 Austria, Finland and Sweden joined the European Union. In the year 2004 the largest expansion of the European Union took place with ten new countries being permitted to become members of the European Union (The European Union). In the beginning, much attention was bestowed on providing cooperation in the areas of trade and economy. Subsequently, the EU became the guardian of the Member States and commenced to deal with a wide range of issues pertaining to all aspects of society and humans. The EU protects the rights of individuals, ensures freedom, security and justice, employment, regional development and environmental protection. For more than fifty years the EU has been catering to the needs of its member states in respect of stability, peace and prosperity. It strived hard to enhance the standard of living of its citizens. It created a single European market, launched the euro or the single European currency and fortified the European Union’s stance on the international platform (The European Union). The European Union plays an important role in the field of international trade. It provides advantageous norms for trade to a large number of developing countries. The EU withdraws the preferential business terms from a country that violates these norms, while dealing with any member state of the EU. Moreover, the EU is the largest single donor of humanitarian and development aid in the world. The financial aid supplied by the EU and its member states comprises sixty percent of the total aid to the world. The EU also provides assistance for reconstructing nations ravaged by war and its aid projects are significant in promoting peace among warring nations and in settling disputes. The foreign assistance programs of the EU are remarkable in respect of the benefits offered to refugees of war and famine. Economic integration in the EU has become a role model for many upcoming trade blocs, which have consequently, sought the support of the EU in their financial reforms. Thus, the EU is an economic giant and a superpower. As a matter of fact, the EU influences the economic activities and policies of most nations of the world and plays a key role in the global economy and occupies the first rank in this area (The Rationale for Studying the Outcomes of European Foreign Policy Activity). In the international arena the EU had evolved as a superpower from its very inception. It underwent considerable modifications and later on it expanded itself by establishing common institutions and foreign policy requirements. In 1958, the Rome Treaty founded the European Community and established a legal pedestal on which the EU forged ahead to influence international trade activities, foreign aid programs and diplomatic terms with countries that were not its members. In 1970, the European Political Cooperation was established to facilitate governments to initiate dialogue and promote mutual cooperation with respect to foreign policy matters. In 1987, the Single European Act was developed. In 1993, the EU was institutionalized by the Treaty. The EU is supported by three pillars, the first is the European Community, the second is the New Common Foreign and Security Policy and the third pillar is comprised of by the policies with regard to anticrime and police cooperation (The Rationale for Studying the Outcomes of European Foreign Policy Activity). In 1998, the Treaty of Amsterdam had modified the Treaty of European Union. It brought about High Representation for the Common Foreign and Security Policy. The European Security and Defense Identity was supplanted by the European Security and Defense Policy in 1999. This change facilitated the EU to establish a rapid deployment force to maintain peace in the region. The Common Foreign and Security Policy is a set of objectives, procedures and devices formulated to encourage sophisticated joint actions and positions in foreign policy. The CFSP also formed the link between joint actions and civilian foreign policy of the EC. These developments transformed the EU into an international organization in the areas of commerce, trade, aid and diplomatic relations. Moreover, the European Foreign Policy addresses civilian actions, policies, relations, commitments and choices of the EU in international politics (The Rationale for Studying the Outcomes of European Foreign Policy Activity). The nature of the EFP controls the competence of the organs of the EU, so as to influence matters pertaining to international politics. As an international actor the EU enjoys a special status in international politics. However, there is still some doubt regarding the nature of the EU because it has no polity and because it is not a state or a territory with fixed borders. There are an array of tests that measure the end results of the foreign policy and decision – making power of the EU. However the scope of the CFSP was not utilized to the fullest extent by the EU. The end results achieved through this instrument clearly establish the prominence and effective role of the EU as an international actor in international politics (The Rationale for Studying the Outcomes of European Foreign Policy Activity).