Great Power Hegemony

Name: Sayed Jamaluddin Firozi, St no: 1B1019 Great power hegemony There is a question that which system (empire, balance of power, concert of power or great power hegemony) provides the best conditions for advancing peace, prosperity and civilization? There are several opinions about the advantages and disadvantages of each system and the functions, abilities and disabilities of them to maintaining the peace and stability in international arena. But I want to argue on hegemonic power system as a preventer of war among states and a maintainer of peace as comparison to other suggested types of system for advancing peace, stability and civilization in all over the world. Hegemonic power system is the best system for advancing peace, prosperity and preventing war among states comparing to other types of systems such as empire, balance of power, and concert of power. In this paper I will argue that as history of international relations show most wars and conflicts among states occurred in a lack of a hegemonic power because a hegemonic power try to act as a policeman and don’t let the states to start war. If war happens mostly the super power will enter the war to stop it because the hegemonic power does see itself as a policeman to have the right to intervene. So, hegemonic power is good for making peace and stability in the world. There are many reasons that great power hegemony system could be the best option for developing peace and preventing the war. It is clear that two world wars happened in the absence of a great hegemonic power. For example if in the 1910s there was great power hegemony the First World War may did not happen. In addition, hegemonic power system naturally makes its allies and don’t want to go just for its own interest but also look for others as well. In contrast in balance of power each actor in the system try to pursue its national interests and want to increase the power in terms of military or other resources. Furthermore, great power hegemony can be very helpful in cooperation among states, because the hegemonic power bear the most cost of transaction in the system. For example USA as a hegemonic state â€Å"pays the 22 percent regular expenditure of United Nation and 25 percent of the budget while UN goes for peacekeeping operations around the world. On the other hand, â€Å"the system of balance of power doesn’t seem to contribute the cooperation among states but in contrast it pushes the states to go for a competition and armament race because each state in the system will increase its capabilities to make the balance in the system. Eventually this competition will lead nation state to build its arm forces†. However, there are some arguments about the weakness of hegemonic power to prevent states from going to war. They argue that hegemonic power has its own limitations in term of internal and external barriers to go as policeman around the world. This arguments see very good and logic. But they don’t have any proposal that which system could be the best to make the world more peaceful and prosperous. So, despite these points of view the other types of system such as balance of power or concert of power likely aren’t good replacement for great power hegemony system to be succeeded for making peace and stability in the world. So I will try to give more examples from history of international relations to show the other systems (empire and balance of power or concert of power) couldn’t make a stable and peaceful world. But mostly went to war and there was fear of attack from other country in the era of those systems. In conclusion, there might be some suggestion for advancing peace, prosperity and stability within the system of great power hegemony. References: 1. Luard, Evan. The balance of power: The System of International Relations, 1648 – 1815, St. Martin’s Press, New York, 1992. 2. Kennedy, Paul, The Rise and Fall of Great Powers, Random House, New York, 1987 3. Huntington, Samuel P. The Clash of Civilizations and the Remaking of World Order, Simon and Schuster, New York, 1996. 4. Journal of Peace Research. 5. Brooking Institution Press. 6. The Better World Campaign. ——————————————– [ 2 ]. . U. S. Dues and Contributions to the United Nations, The Better World Campaign, http://www. betterworldcampaign. org/issues/funding/us-dues-and-contributions. h tml , [ 3 ]. . Journal of p eace research, 1964-2007 (Vols. 1-44), http://www. jstor. org/stable/422972? seq=3

A Crisis in My Life

Oh God! I think I'm going to die. I'm sorry if this sounds really dramatic but I feel like I've been struck by lightning, hit over the head with a hammer and thrown from the top of a building†¦Ã¢â‚¬ ¦ This morning everything started normally. At seven o` clock I was awoken by the sound of the man- hunting piranha (my sister Elle) asking if she could borrow my new Gucci bag for her interview and when I shouted back â€Å"no get your own!† I was screamed at and lectured about how selfish I am. I mean who does she think she is, as if I'm going to let her use my Gucci bag, I thought she would of got the picture by now that I am never going to borrow any of my stuff to her! When the man- hunting piranha had finally left I got up and started to blow-dry my hair but after about ten minutes she came back into my room again snatched the hairdryer off me and screamed â€Å"that's mine, as you say Get Your Own!† I don't know what's wrong with her lately, we used to get on so well but recently she's become so self obsessed! As she left I shouted at her and when I realised that she wasn't listening I screamed â€Å"bitch† really loudly. Seeing as I didn't have a hairdryer to use I had to use the straightening irons instead which set me back about half an hour. When I had finished my hair I started to do my make up only to find that my sister had nicked my pink eye shadow and I couldn't get it back because she had locked herself in her room and to make matters worse she had her crappy old steps album playing full blast so even if I banged on the door and made all the noise in the world she wouldn't be able to hear me. In the end I had to use my white eye shadow which was nearly running out. After I had finished I got dressed ran down the stairs, took a fiver off the side and left the house. I didn't have time for breakfast because as per usual I had spent too much time getting ready and was late. I met Karen and Carrie at Archway station and I could tell that they were pissed off with me! We talked it over and I told them that it took a lot of time and patience to look as beautiful as me and they just laughed. After about half an hour a bus finally came and we arrived at school about an hour late. When we got into school I had to rush down to the music department because I had a microphone practice for the forthcoming school concert. I was going through my song and everything was going well, the song sounded great and I was singing all the right notes when in walked a vision that I had only ever seen in my dreams. Then I noticed that the vision was wearing a school uniform. This had too be one of the worst days of my life because this meant that I would see the boy of my dreams every day and this meant that I would have to get up an hour earlier every morning so that I would look just perfect. The teacher that he had come in with went over to talk to my music teacher. I tried to avoid eye contact with the Sex God but I failed and ended up looking straight into his beautiful blue eyes. I couldn't believe my eyes when I saw him coming towards me and then he asked me to come down off of the stage so that we could talk. It was like a dream come true. This is where things started to go terribly wrong. As I went to go down the stairs of the stage my legs turned to jelly and I ended up tumbling down the stairs head over heals, then as if things couldn't get any worse I ended up flat on face with my knickers showing right in front of the Sex God . He was kind enough to help me up and we just laughed it off but I still felt really embarrassed. We talked for a while and he told me that his name was Daniel and he had just moved down to London from Newcastle due to his dad's new job. The teacher that he had come in with called him to go with him down the hall, I walked back towards the stage looking back at Daniel and like the idiot I am I fell flat on my face for the second time. I didn't tell any one about Daniel nor did I tell them about my idiotic behaviour and fortunately I didn't see him again till the end of the day where once again I made a complete fool of my self! We were walking home when I saw him again he was with a big group of boys and I was dreading walking past them because I was sure that he would have told them how stupid I had been. When we walked past nothing was said and just as I thought I was in the clear I heard my name being called. I turned round to see who it was and because I wasn't looking where I was going. I bashed into a lamp post. It turns out that it was Daniel who called me, he came over to me and started talking to me he asked me if I had a boyfriend and of course I had to say no. He then looked at me with his beautiful big blue eyes and I think he was just about to ask me out when to my horror I heard my dad's voice calling out my name I tried to ignore him but every one was looking at me so grudgingly I turned round. When I turned around my dad blew a kiss at me, beckoned me over to the car and called out â€Å"leave my little princess alone or I'll hunt you down and kill you† and then to make matters worse I saw him giving Daniel a dirty look. I turned back round to where Daniel was standing before my dad had arrived but Daniel was no longer there he was back in the crowd with all the other boys and I could tell that nearly every one in Archway was talking about me. I have never been so embarrassed in all of my life and now to be totally honest it wouldn't surprise me if Daniel never talks to me again. I made such a fool of myself today what with falling flat on my face twice, bashing into a lamp post and having my dad embarrass me in front of the whole of Archway. Daniel must think I'm a right fool! Any way I'll keep you posted. Love Jade x.x.x Friday December 1st You'll never guess what my music teacher told me today, I'm going to the fame academy house on Monday with my music class and I can't wait! I didn't see Daniel today, but I had another argument with Elle this time it was because she had sneakily borrowed my little black dress from Morgan and not only did she get make up all over it but she had split it trying to get out of it. The fat cow! I hate her so much I wish she would just die! Any way I've got to go mums calling me. Chat to you soon. Love Jade x.x.x Monday December 4th Sorry I haven't wrote all weekend but i`ve had a really bad stomach. Today has been the best day of my life not only did I go to the fame academy house for a private concert but despite of all that happened last week Daniel asked me out. I am the girlfriend of a Sex God! Daniel came up to me today during break and asked me out I was so happy and to make things even better every girl in school fancies Daniel so they are all jealous of me! We're going out on Saturday to the cinema and then were going for something to eat. I don't have a clue what to wear I might try and sneak something from the man-hunting piranha's room! The concert was wicked I even got to meet the stars of fame academy and I got their autographs it was great I loved every minute of it. I haven't had so much fun in ages and the concert was filmed so we were on television. I've got to go now because I've got course work to do. Talk to you soon. Love Jade x.x.x Monday December 4th The sex God just rang me, Thank fully my mum picked up the phone so Daniel couldn't be scared off. I say this because my mum is really sweet and wouldn't hurt a fly and seeing as I'm a spoilt little mummy's girl and she isn't very protective she doesn't mind boy's phoning the house. I wasn't expecting it to be Daniel, I thought it was just going to be one of the girls so I got a surprise when I heard â€Å"hello gorgeous† I couldn't believe it was him, my legs turned to jelly again and I had to hold onto the wall so that I wouldn't fall to the floor. He asked me if I wanted to go out with him next week to an Alicia Keys concert so I asked mum and fortunately she said yes. I don't think I'll be able to sleep tonight, I'm to0 excited. Oh I love being the girlfriend of a Sex God! Goodnight, chat to you soon Love Jade x.x.x Tuesday December 5th Sex God didn't come into school today but he came to pick me up after school and he walked me home. When we met outside the school I ran up to him and hugged him and then he kissed me and it was just amazing. We held hands all the way home and he looked even more gorgeous in his own clothes. He was wearing Evisu jeans with a white Evisu t shirt and as we walked down the street all the girls were looking at him and I just kept thinking to myself â€Å"He's gorgeous and he's all mine!† Daniel walked me to the end of my road and then he kissed me good bye and told me he would see me tomorrow. Oh how I love my life! Love Jade x.x.x Wednesday December 6th I hate my sister, I wish she would just die, she's such a bitch! You'll never guess what she's gone and done now she had the cheek to read my diary and then she went and told my dad everything that was in it and now I might not be able to go out with Daniel on Saturday. I've got to go now because the bitch is coming up the stairs and I want to know why she told my dad about Daniel. Bye Love Jade x.x.x Friday December 8th Dad said I could go out with Daniel on Saturday. Hurray! I can't wait I've got to go now I've got loads of homework to do. Bye Love Jade x.x.x Saturday December 9th I have waited for this day for so long and now it's finally here I feel sick! The day has barely even started and already everything is going wrong! I got up at half five this morning and had a shower only to find that some idiot had forgot to leave the hot water on. Then as if things couldn't get any worse once again my sister had nicked my pink eye shadow so this meant I had no eye shadow to match my outfit. The next disaster happened when I was blow drying my hair and the hair dryer blew up. My sister is going to kill me when she finds out! I have to go now because I've only got two hours before I have to meet Daniel. Bye Love Jade x.x.x Sunday December 10th I can't believe it despite all of the problems I had yesterday the date actually went well! Elle found the hairdryer and she went mad, then she told my dad and now I'm not allowed to go to the Alicia Keys concert. I hate her so much! If I had the chance I really would kill her! Love Jade x.x.x Monday December 11th At about twelve o` clock I got pulled out of class and I was told that I was to go home, I said bye to Daniel and he said he would ring me later and then I went home. When I got home no one was in so I got changed out of my uniform and just watched M.T.V Base. At about half three the phone rang and it was my mum she told me to put some of Elle's stuff in a bag and wait with it by the door. My mum pulled up about ten minutes later and when I got in the car I asked what was going on, she pretended not to hear me but I knew something was wrong because she looked upset. My mum didn't speak to me for the whole journey there was just an awkward silence I kept asking her where we were going but she just ignored me. When we stopped we were outside the Whittington hospital, and at first I wondered why we were there and then it clicked that we were here to see Elle. I asked my mum what was wrong with her and once again I was ignored .When we got inside we headed towards intensive care and not expecting to get an answer I asked if Elle was going to be O.k., surprisingly my mum answered with a muffled â€Å"I don't know† . When we reached intensive care I saw my dad he was crying, this was the first time I had ever seen my dad cry so I knew that something bad had to of happened to Elle! I asked my dad all the questions that I had asked my mum but the difference was that this time I actually got some answers .My dad told me that there had been a hit and run accident in Muswell hill and that the victim was Elle. I asked if she was going to be alright and my dad said that they didn't know. I had never seen my sister like this before, she looked so helpless she had a cast on her leg, a bandage round her head and she was connected to loads of tubes. I looked at my sister and thought about what would I do without her and that's when I realised that all of the tubes that were connected to my sister were also connected to a life support machine ! I thought about what the last thing I had said to her was and then I remembered that the last time we spoke was yesterday when we had an argument. I then tried to think when I last said something nice to her but it was that long ago that I couldn't remember. It was then that I broke down in tears my mum and my dad tried to comfort me but nothing they said could make me feel better, cause all I could think of was that she could die not knowing that I love her! I'm at home now and Mum has just left to go back to the hospital because dad is still there. I don't think I'll be able to sleep tonight .bye Love Jade x.x.x Tuesday December 12th I was sitting watching over Elle in the hospital when I realised that I might never get to speak to her again. Mum and dad were outside talking to the doctor so it was just me and Elle. The doctor had told me that she could hear everything I said, so I took the opportunity to tell her that I loved her. When my mum and dad came back into the room they found me leaning over Elle crying. I told them that I wanted to stay but they just ignored me and took me home. When I got home I just cried and cried until I had no more tears left to cry then I made myself something to eat and I went and sat in my sisters room just wishing that she could be there to tell me to get out. At about half five the phone rang but I didn't want to pick it up in case it was my mum or dad ringing to tell me that she was dead. At the moment I am sitting on Elle's bed. Mum and dad still aren't home yet so I'm just going to try and go to sleep. Bye Love Jade x.x.x Friday December 15th Sorry I haven't written in all week but I've been at the hospital with Elle. She isn't getting any better and the doctors are starting to loose faith. I've got to go now because I've got to go to the hospital. Bye Love Jade x.x.x Saturday December 16th When I woke up this morning there were two bouquets of flowers don stairs they were both from Daniel one was for me and one was for Elle . Monday December 18th I went back to school today and all day I had people coming up to me telling me how sorry they were. I just couldn't wait for school to finish so that I could just go to the hospital. When school finished Daniel walked me to the hospital gave me a hug then he told me that everything was going to be o.k. but for some reason I didn't believe him. As I made my way towards intensive care I had a feeling that something wasn't right , when I reached the ward I found my mum and dad crying and I knew instantly that something was wrong. I asked what was wrong and my dad told me that they were going to turn off the life support machine. I told them that they couldn't do that because she would die and they told me that the doctor said that they wanted to see if she can breathe for herself. I said that they couldn't do that because if she couldn't breathe then she would die and then I went over to the bed held her hand told her I loved her and began to cry. After about ten minutes the doctor came in and asked my mum and dad to come outside with him. When they came back in my mum was crying again and that's when I knew that I would never see or talk to my sister again. When the doctor returned he told my mum and dad that he would be ready in ten minutes and I screamed and told him to leave us alone, then I started hysterically crying and my mum came over to me and hugged me then he left .

Youth problems

I believe that the graduate study would be able to help me achieve this dream This program . graduate study . uld help me become more develop and equip on the things that I want to learn that I can be able to use In my teaching career In the future . I believe that It is not sufficient to be a graduate of a normal school or college , or to stand high in the profession of teaching . Like the students , the teacher must grow , and this growth must be long lines both professional and general _ The teacher must have knowledge of educational movements and a familiarity with the progress in educational thought and research . Hence . ith the rogress In education literature and new educauon textbooks , and adopt the new Ideas that are sound that I can learn from the graduate school The zeal with which the teacher takes up and tests them in is one of the most helpful features of education work . The graduate school would help me become an earnest searcher and investigator in my own profession al field _ Thus , this program would develop my ability to create effective learning situation youth problems By bosya TermPaperWarehouse. com – Free Term Papers, Essays and Research Documents TheHome Page? » Social Issues Since childhood , it is my dream to be a teacher . It is the noblest Job in the world there are no teachers thus , the future of our nation lies on the teacher ‘s hands . This principle is inculcated in my mind and it motivates me to pursue this dream of profession I have chosen which is to be a good teacher someday because I want to to further my studies in education where I can be a competitive teacher and a role This program , graduate study , would help me become more develop and equip on he things that I want to learn that I can be able to use in my teaching career in the future .I believe that it is not sufficient to be a graduate of a normal school or general . The teacher must have knowledge of educational movements and a familiarity with th e progress in educational thought and research . Hence , with the progress in education literature and new education textbooks , and adopt the new ideas that are sound that I can learn from the graduate school The zeal with which and investigator in my own professional field . Thus , this program would develop my Youth problems I believe that the graduate study would be able to help me achieve this dream This program . graduate study . uld help me become more develop and equip on the things that I want to learn that I can be able to use In my teaching career In the future . I believe that It is not sufficient to be a graduate of a normal school or college , or to stand high in the profession of teaching . Like the students , the teacher must grow , and this growth must be long lines both professional and general _ The teacher must have knowledge of educational movements and a familiarity with the progress in educational thought and research . Hence . ith the rogress In education literature and new educauon textbooks , and adopt the new Ideas that are sound that I can learn from the graduate school The zeal with which the teacher takes up and tests them in is one of the most helpful features of education work . The graduate school would help me become an earnest searcher and investigator in my own profession al field _ Thus , this program would develop my ability to create effective learning situation youth problems By bosya TermPaperWarehouse. com – Free Term Papers, Essays and Research Documents TheHome Page? » Social Issues Since childhood , it is my dream to be a teacher . It is the noblest Job in the world there are no teachers thus , the future of our nation lies on the teacher ‘s hands . This principle is inculcated in my mind and it motivates me to pursue this dream of profession I have chosen which is to be a good teacher someday because I want to to further my studies in education where I can be a competitive teacher and a role This program , graduate study , would help me become more develop and equip on he things that I want to learn that I can be able to use in my teaching career in the future .I believe that it is not sufficient to be a graduate of a normal school or general . The teacher must have knowledge of educational movements and a familiarity with th e progress in educational thought and research . Hence , with the progress in education literature and new education textbooks , and adopt the new ideas that are sound that I can learn from the graduate school The zeal with which and investigator in my own professional field . Thus , this program would develop my

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An analysis of the financial crisis and collapse of Lehman Bros - Essay Example An analysis of the financial crisis and collapse of Lehman Bros. Many of the investment strategies designed to improve the liquidity position of major banks and ensure asset growth had lost the majority of their value and companies such as Lehman Bros. were unable to find appropriate buyers for many derivatives that were backed by the high volume of home mortgages granted to higher-risk consumer segments prior to 2007. As aforesaid, the inter-dependency within the international banking system led to a crisis when asset values on certain derivatives plummeted, when major banking institutions could no longer successfully meet their debt obligations, and even sizeable financial bailouts both internal and from government were insufficient in sustaining banking operations. The main contributors to the financial crisis of 2007-2010 was not largely attributable to improper or lax regulatory forces, it was a product of poor banking leadership and inappropriate investment strategies within the financial institutions’ business models. This essay describes the catalysts for what drove the financial crisis, focusing specifically on the role of Lehman Bros. in facilitating the problem. Research has identified that the mechanisms creating the financial disaster included the derivatives market, investor and executive-level behaviour in the financial markets, poor auditing systems responding proactively to observable or quantitatively-supported market trends, and the growing consumer adoption of adjustable rate mortgages being offered by major banking institutions. ... The main contributors to the financial crisis of 2007-2010 was not largely attributable to improper or lax regulatory forces, it was a product of poor banking leadership and inappropriate investment strategies within the financial institutions’ business models. This essay describes the catalysts for what drove the financial crisis, focusing specifically on the role of Lehman Bros. in facilitating the problem. Research has identified that the mechanisms creating the financial disaster included the derivatives market, investor and executive-level behaviour in the financial markets, poor auditing systems responding proactively to observable or quantitatively-supported market trends, and the growing consumer adoption of adjustable rate mortgages being offered by major banking institutions. The Adjustable Rate Mortgage (ARM) Consecutive and recurring drops in the national interest rate in the United States and the United Kingdom occurring between 2001 and 2006 in an effort to stave off a perceived, impeding economic recession created a favourable environment for home ownership. When the Federal interest rate is lowered, it affects the published prime rate by which financial lenders establish an appropriate interest rate on home mortgages. In 1982, the prime rate in the United States was set at a record of 19 percent (Fedprimerate.com 2013), a period where the country was emerging from a period of intense inflation increases and previous economic recession. Home mortgages generated between 1982 and 2000, therefore, were significantly profitable for lending institutions as they were able to justify loan generation to diverse consumer

My Grandmothers Bedroom Essay Example | Topics and Well Written Essays - 1000 words - 1

My Grandmothers Bedroom - Essay Example One could not fail to notice the jasmine smell and the sweet scent of flowers that was right in front of her balcony. My grandmother had planted a lot of Chinese plants which she had valued them as medicinal through their good scent. Her green stripped door always reminded me of her favorite colors which he had grown fond of since childhood. The doorknob to the bedroom is aluminum plated one, which when touched, sends shivers down your spine as it is always cold. In opening her door, no one could fail to notice the sultry scent that passed through one's nostrils. The place had poor lighting as all the windows had been locked; hence one had to grapple with the main light switch at the right-hand side of the entrance so as to have light. Getting the switch is not an easy task too as your eyes maneuver through the dark lit room. After finding it, one always made a sign of relief as the place is just creepy. The first thing one always notices after switching on the lights in the bedroom is an old black sewing machine positioned in the center of the room. The machine has never been used for over 10 years and as far as I can remember, my mother ever told me that it was the best gift which my grandfather gave to her when they got married. One could not fail to notice how dusty it looked. Furthermore, on the furthest corner of the room, an old hanging clock existed. Though old, it still functioned. Dusty and hanging clumsily on the wall, no one could notice that the wall clock had been there for the past 20 years. Next, to it, there were three pictures, one for my grandmother, one for my grandmother and a picture of Virgin Mary. My grandmother was a Catholic and one could not fail to notice a rosary hang next to Virgin Mary’s portrait. This came as a surprise as most Chinese do not actually believe in Religion.

FDT response 1 week 3 Essay Example | Topics and Well Written Essays - 250 words

FDT response 1 week 3 - Essay Example Amexica’s location has made it easier for exploitation of maquiladora employees and the corresponding border town economies by the corporation factories with union free, and cheap labor. Amexica is narco hubs that are marred by lawlessness thus making it to harbor signs of global capitalism (Rosenbaum & Friedman, 2007). Conversely, Amexica geography and the presence of the unlawful narcotics trade have aid in rising the standard of life and the elements of the sensitive culture such as music, clothing, and jewelry couple with consumer items such as fancy trucks, luxurious homes. Amexica geography is strategic for gangs and drug cartels. Gangs normally abduct citizens of United States thus creating fear among the people. This massively hampers development of the area. Moreover, drug cartels occasionally hire Mexican Mafia, Texas Syndicate, and MS-13 as their own enforcers and supply of narcotics to the street (Rosenbaum & Friedman, 2007). This makes the location to be extremely insecure for investment thus hindering its entire

Southwest Airlines Strategic Management Essay Example | Topics and Well Written Essays - 1250 words

Southwest Airlines Strategic Management - Essay Example The mission statement of Southwest Airlines apparently affirms that the airline company is strategically concentrated to serve its international customer base with the highest degree of quality assurance with a sense of warmth, company spirit and friendliness along with individual pride. Moreover, the vision of Southwest Airlines indicates that the company desires to become a famous airline company by providing inexpensive, reliable and comfortable flight transportation facility, both in the national and international contexts (Southwest Airlines Co, 2012). Strengths The strengths of Southwest Airlines can be identified as its capability to serve its worldwide customers with low prices and higher quality services. Moreover, the organizational structure of Southwest Airlines is identified to be flexible which in turn rewards a competitive advantage for the company. Additionally, the airlines company helps its customers to book tickets mostly through online sources. Generally, the most apparent strength of Southwest Airlines is the working environment of the company which is built on an effective relationship among the staffs (Hawkins, Misra & Tang, 2012). Weaknesses Southwest Airlines does not pursue any partnership or membership with unions. Generally, the organizational operations are examined to indicate the nature of a follower rather than a leader in the global marketplace.

Analogy of Poetry Essay Example for Free

Analogy of Poetry Essay The poem There Is Another Sky by Emily Dickinson was a poem written for her brother Austin. Emily uses nature to explain the message she is trying to provide for him. The poem provides a hopeful and positive feeling. The poem is full of optimism and inspiration. The pint of the poem is to provide encouragement and offer guidance. The lines â€Å"Here is a brighter garden† and â€Å"And there is another sunshine† demonstrate the optimism she is trying to portray. There are no stanzas or major events in the poem. The order that the aspects of nature are presented in provides. The last few lines of the poem further enhance the message. The poem ends with an open invitation for Austin to leave his gloomy state. Dickinson shows a sincere concern while providing inspiration for both the readers and her brother. She describes a utopia throughout the poem and uses words to describe a better place such as serene, fair, brighter, and unfading. The title there is another sky provides the since that there is an alternative option instead of a consistent negative outlook on life. There is a change in tone after the dash. Before the dash Dickinson states that there is a negative place and recognizes that everything in life doesn’t always work in your favor. She also uses â€Å"there is† creating distance. After the dash Dickinson implies that there in fact is another sky. She uses â€Å"here is† which implies that she can provide a better situation. Knowing that the poem is for her brother almost obligates you to feel sympathy for him and makes her message even stronger. Overall, Emily is trying to say that entering a new mind set and believing that there is a light at the end of the tunnel can provide you with a new attitude.

Public Office And Private Lives Social Policy Essay

Public Office And Private Lives Social Policy Essay The development of the media and high speed information exchange brings private lives of public officials to public discussion. Transgress moral boundaries may damage public officials career, especially elected ones, severely. The growing attention to private lives among the population makes the topic more important for the social sciences. On one hand politicians use certain aspects of their ideal private lives in their election campaigns in order to gain popularity, on the other hand they require the right for privacy in the things that will affect their lives negatively. Interestingly, the level of public interest in private life varies in modern democracies. While USA citizens are interested in every aspects of public officials (mostly elected ones), and try to find relationship between officials job performance with his private life, Greek people seems to be less caring about private lives and prefer to focus on officials job performance only. The purpose of this paper is to exp lain level of public interest for private lives of politicians, its reasons, affect on politics the Greece and the USA comparatively. In the first section I will focus on the USA case, in the second on the Greece, in the third section I will give comparison of these two countries. The final section Privacy in USA In past three decades borders between private and public life of public figures in USA became more invisible; their private lives are brought to public discussion more often. Privacy in general considered as freedom from unauthorized intrusion: state of being let alone and able to keep certain esp. personal matters to oneself.( Merriam-Websters). Freedom from unauthorized intrusion may include media, police, and government and so on. Although to define hat is public is not that easy. According to Frederick Schauer in public issue individual preferences is not indulged, including a preference that information not to be disclosed(Frederick Schauer 2000, 294 ). In this case electors right to whether decision making public official is suitable for the job, and how his/her policies affect their lives. Having normal childhood, family, and friends seems indicator of good personality as well. Through the history there are several cases showing that public leaders having abused childhood, lea ders who treated their families in abusive ways used alike policies in their job. For example Hitlers abused childhood caused disaster for the world as Alise Millen said Hitler did not invent fascism; he found it, like so many of his contemporaries, prefigured in the totalitarian regime of his family (The Natural Child Project). Or another dictator, Joseph Stalin, also had abusive childhood, problems with his family. Stalins wife Nadejda Alilulayeva wife committed suicide in 1982 after he spoke her mind about Communist Party purges and the famine and was met by a flood of vulgar abuse from Stalin (Nyu York Times, April 14, 1988) and another member of his family, his son Joseph committed suicide in 1943. Today family images of politicians play very important in their career path and their successful marriages brings moral and softer image to them. Perhaps its not coincidence that British Prime Minister Gordon Browns workaholic, lonely man changed before becoming prime minister. He is not mentioned as lonely man but family man who loves his family. In USA situation is not that much different than most of the world, even politicians private lives are more exposed than other countries. While most of the politicians complain about insufficiency of privacy in their private lives, they use their private lives as a means of advertisement. Since USA presidential election of 1992 politicians started to publicize their private lives more and more. Public interest for private life increasing, people prefer more entertaining programs, the American electorate are regarded as fed up with Washington politicians, voter want people who arent political ( Newman, in Schauer 2003, 301,). Candidates private life scandals seemed very interesting topic for news programs. Perhaps Bill Clintons extramarital relationship with Monica Lewinsky was one of the biggest scandals in USA history which was on headlines of newspapers for years. Although Clinton was elected for office for the second time after the scandal, some of higher ranked officials, had to resign after scandals, Randall L. Tobias, Deputy Secretary of State, resigned a day after confirming his usage of Washington escort services. Although April 27, 2007 dated press release of the state department said that he was leaving for personal reasons. New York governor Eliot Spitzer who also accused having extramarital affair with prostitute resigned from his post after scandal. Before his resignation he made a brief public appearance during which he apologized for his behavior, and described it as a private matter. (New York Times, March 10, 2008). There might be several reasons for this increase, but probably the most important two reasons which is decrease of interest to real politics as mentioned above peoples being fed up with Washington politicians (Schauer 2003, 301) and media which always tries to meet popular demand. In the last elections in USA candidate Barack Obamas race, family, religion was discussed and much as his election platform. Today media is considered as one of most profit bringing areas in the world. In the competitive market companies are working to maximize their profits at any price. American media is called as freest and most commercial media in the world by Heather Savigny (2004, 225). Privacy in Greece Discussions about privacy and public life are not something new for Greece. In ancient Greece private lives and public were separated from each others, private life was called oikos and public life was called as dimos. In Platos Republic Plato and Socrates discuss privacy issue. After reviewing Greek newspapers headlines in last 25 years one might thing that Greeks might seem not to be interested in oikos of politicians after over than 2000 years from Socrates times or Greeks are not interested in politics at all or having politicians who has very ideal life without any scandals, so that there are only two well known publicized high ranked public officials scandals. Both of these scandals have very similar feature. In the first case Andreas Papandreou, while receiving hospital treatment in London, was accompanied by a former air hostess, Ms. Dimitra Liani rather than with his wife, even friendly press gave the fact widespread publicity. Later, he was constantly seen with Ms. Liani, most notable on his return to Greece from London, In Autumn 1988 and at the EC Summit in Rhodes in December of that year. (Georgia Chondreleou 2004,5,) However this case was not revealed by journalists or someone else but Prime Minister Andreas Papandreou himself let rumors to be spread. Greek prime ministers confident action also indicates that he is not that much concerned about critiques and media pressure. Indeed this case was not discussed in the media that much, so that his health and later on corruption scandals overshadowed this case. In the Second case: Christos Zachopoulos, the former secretary general of the Greek Culture Ministry and chairman of the Central Archaeological Council, jumped off the balcony of his fourth-floor home here [December 20, 2007]after allegations that he was being blackmailed by his former office assistant, with whom he had had an affair. Mr. Zachopoulos, 54, survived the fall. (New York Times December 20, 2007) This scandals also mentioned as The juiciest sex scandal in modern Greek memory (Times Online January 9, 2008) Comparatively with the first case in the second case General Secretary of the Greek culture get more attention from the media. Perhaps, the thing that forced General Secretary to resign and attempt for the suicide was not only related publication of his love affair in the media, but also his being accused for corruption. An Athens prosecutor [was] also examining at least 10 of an estimated 200 cases in which Mr. Zachopoulos, in his capacity as the head of the Central Archaeological Council, decreed that places could be removed from the list of protected archaeological sites. (New York Times, January 19, 2008). Having only two politician private life scandal in Greece also doesnt means that Greek people are not interested in politics. Politics is still one of the most famous topics in Greek Coffee Shops. But its also known that population get information what media gives. Although there was freedom of speech in media, since the beginning of the 1980s ruling parties always had impact on TVs, so that most the TVs and big newspapers either belonged to the government or survived with the subsidies from the government. Even today from time to time Greek governments subsidize media. Perhaps it is not coincidence that there is not that much critique in media against government and high ranked officials except the cases which officials exposed them or the cases which is already related with some ethical issues. Comparison Even if this two countries seems very similar in some points there differences in public attention to their life. However political scandals take place only in liberal democracies because only there is the separation of public from private spheres fundamental to the political system (Markovitsa nd Silverstei in Betty a. Dobratz and Whitfield, Stephanie 1992, 168). Perhaps the level of the liberalization and Greeks being under dictatorship was also one of the factors that affect level of scandals. Platos Republic abolishes the foundation of any private life for the guardians who the ideal state-eliminating the family and private property in order to create unity in the state. Socrates considers the objection that guardians will not be happy if they have to give up pleasures of the private life. Such happiness he replies is senseless and childish; the guardians, after all, will enjoy a better and more honorable life than other citizens. Anyhow, the aim should be to make whole society good, not to make one section of it happy, he also argues that even if guardians will have to give up their private lives, they will still enjoy a better honorable life.'(Platos Republic in Thompson 1987, 124). If we compare USA and Greece with Plato and Socrates philosophy, Platos model private and public life is very suitable USA approach of privacy so that politicians seems to be ok giving up their privacy in order to enjoy a better honorable life. However Greece politicians still can manage to keep their private lives from public. The main difference in the cases of two countries is that USA population will get more However media also played significant role in publicizing the cases. Free and commercialized USA media seems is more likely to meet entertain popular demand of population that the media and press which is subsidized by government. Conclusion Its obvious that there are still will be a lot of debates about public and private lives. As much country will get liberalized, achieve free media, References: Frederics Schauer 2000, Can Public Figures have private lives? Social Philosophy and Policy, 17:299-306 Dennis F. Tomphson 1987, Political Etics and Public Office. Cabridge Mass.: Harvard University Press Georgia Chondroleou 2004, Public Images and Private Lives: the Greek Experience Parliamentary Affairs Vol. 57 No. 1, 53-66 Heather Savigny 2004, The Media and the Personal Lives of Politicians in the Unites States, Parliamentary Affairs Vol. 57 No. 1, 223-235 Betty A. Dobratz and Whitfield, Stephanie Sep., 1992, Does Scandal Influence Voters Party Preference? The Case of Greece during the Papandreou Era European Sociological Review, Vol. 8, No. 2, 167-180 privacy. Dictionary.com. Merriam-Websters Dictionary of Law. Merriam-Webster, Inc. http://dictionary.reference.com/browse/privacy (accessed: December 11, 2009). http://dictionary.reference.com/browse/privacy (accessed: December 05, 2009) http://www.naturalchild.org/alice_miller/adolf_hitler.html, last accessed December 10, 2009 http://www.nytimes.com/ http://timesonline.co.uk (accessed December 10, 2009)

Sterile versus non-sterile gloves

Sterile versus non-sterile gloves Sterile technique is generally used for laceration repair despite a lack of scientific evidence that this is necessary (Wilson, 2003). This study addresses whether there is a difference in the infection rate of lacerations randomised to receive repair using sterile versus nonsterile gloves. This will help to increase knowledge on the evidence of infection rates when nonsterile gloves are used. If it can be proven that the use of nonsterile gloves for laceration repair poses no risk, this could save time and have considerable financial savings. This may change clinical practise in the future. Research Question: Sterile versus non-sterile gloves: A safe alternative in the management of acute simple wounds in the pre-hospital environment? Sterile technique (including the use of sterile gloves) for acute simple wound or laceration management is traditional and the practise continues to be recommended (Wilson, 2003). However, there are few studies and little evidence to support this practise. Using clean nonsterile gloves rather than individually packaged sterile gloves for uncomplicated wound repair in the community may result in cost and time savings. Study objective: This proposal is for a prospective randomised controlled trial designed to determine whether there is a difference in the rate of infection, after suture repair of uncomplicated wounds and lacerations, using clean nonsterile gloves versus sterile gloves in a community setting. Justification: The research question separates this proposed study from in-hospital studies, and addresses the small data set available specific to community and pre-hospital environments (Perelman et al, 2004; Worral, 1987; Bodiwala George). Results will add to the body of evidence, broaden the knowledge base for the healthcare community and further the cause of science (Medical Research Council, 2010). This trial aims to provide quality data for publication, enabling informed re-use by others and thereby reducing the risk of data creation duplicity. Background: The Department of Health (DoH) (2005) paper Taking healthcare to the patient states that at least one million of the people taken to AE every year could be treated at the scene, in their homes or in the community. With the advent of the Emergency Care Practitioner (ECP) role, many simple wounds / lacerations are suitable for treatment and closure in the pre-hospital setting. During the year 2008 09, the National Health Service (NHS) reports that there were 663,475 Accident and Emergency attendances in England for lacerations, accounting for 8.5% of total attendances (NHS, 2010). Figures for the Ambulance service this trial will be run at show that over a six month period from April to September 2010, their ECPs attended 1555 calls for laceration / haemorrhage, 72.5% (n= 1127) of which were dealt with at the scene, negating a visit to an Accident and Emergency department. These wounds were cleansed, treated and closed where necessary using a variety of techniques from tissue adhesiv e to paper stitches or sutures. As sterile gloves are not available, the practitioner carrying out treatment of these wounds would have been using clean, non sterile gloves. This is in stark contrast to wound closure in the Accident and Emergency department where the use of sterile gloves is universal (NHS Clinical Knowledge Summaries, 2010). The question asked by this study is whether there is a difference in the rates of infection between wounds treated by practitioners wearing sterile versus non sterile gloves in the community. To answer this it is necessary to investigate what contributing factors to wound infection there are, how they are best managed and what, if any, difference gloves make to the control of infection. Pratt et al (2007) advise that best practice (in the absence of strong evidence) must be guided by expert opinion and national and international guidance; all of which should be integrated into local practice guidelines. In the case for use of sterile versus nonsterile gloves, there has been insufficient research to provide reliable evidence, therefore clinical tradition is followed and sterile gloves are the preferred choice. This dogmatic adherence to tradition is underlined by Flores (2008) who states Although ritualistic practice needs to be questioned, with the rising incidence of multi-resistant infections, it seems prudent to err on the side of caution when in doubt. Obviously then, it is important to remove the doubt by rigorous research into the area for concern, thereby adding quality data to the body of evidence and knowledge, and allowing this to steer best practise, however this is out of the scope of this study. Literature Review. A search of Cochrane Library gave 135 results, 1 of which directly answered the question (Perelman et al, 2004 see appendix one). A search of three other databases British Nursing Index (BNI), The U.S. National Library of Medicine premier life sciences database (PubMed) and Cumulative index to nursing and health literature Nursing allied health (CINAHL) revealed the same plus 2 others: Bodiwala George (1982) and Worral (1987) using the search term Infection OR Cross Infection OR Disease Transmission OR Infection Control AND Glove* OR Protective Device* OR Surgical Glove* OR Sterile Glove* OR Non Sterile Glove* AND Acute Traumatic Wound* OR Wound*.  LIMIT set to Human AND English. This shows there is little tangible research into the hypothesis suggested in this proposal. The prospective Randomized Control Trial (RCT) by Perelman et al (2004) in Canadian Emergency Departments compared sterile versus nonà ¢Ã¢â€š ¬Ã‚ sterile gloves (both latexà ¢Ã¢â€š ¬Ã‚ free) in sutured repair of lacerations. The study enrolled 816 patients (age à ¢Ã¢â‚¬ °Ã‚ ¥ 1) with blinding of patients and outcome assessors. Infection rates by 23 days were 4.3% in the nonà ¢Ã¢â€š ¬Ã‚ sterile group and 6% in the sterile group (no statistical difference), however credence was given to the possibility of skewing results due to the Hawthorne effect (Bowling, 2009) (As blinding the clinician in this type of study is impossible, it is possible that physicians using nonsterile gloves are simply more careful). This is the only RCT study of sterile versus nonsterile gloves. It is of high quality with a reasonable sample size, let down only by the non-standardised partially blind follow up. There are two older studies with significant limitations (comparing no gloves to sterile gloves) and questionable randomisation. Bodiwala George (1982) showed through their study of 408 patients that the difference in infection rates between gloved and ungloved suturing was not statistically significant. Worral (1987) found that infection rates were higher in the sterile gloved group, although the study group was small (n=50). Both these studies lend support to the idea that sterile gloves offer little in the way of reducing infection rates in the repair of simple lacerations, however suturing without any gloves is inappropriate and unsafe for practitioner and patient. Allan (2009) supports the findings of these earlier studies and concludes that present evidence indicates simple lacerations can be repaired with clean nonsterile gloves without an increased risk of infection. Acute traumatic wounds, in comparison to surgical incisions, are by their very nature already exposed to infective agents and the time delay between injury and treatment is longer (Forsch, 2008). Meticulous cleansing and where necessary, debridement is essential in reducing infection rates (Durham Hines, 2001). Moscati et al (1998) found that irrigation of acute traumatic wounds to remove grit, foreign bodies, dressing residue, excess exudates and other potential contaminants to be vitally important in preventing later complications of infection and tattooing. Generally it is agreed that wound cleansing by irrigation is preferable to swabbing or wiping (Dealey, 2005). Trott (2005) supports the old maxim The solution to pollution is dilution, stating that the most effective method for reducing bacterial load on wound surfaces and for removing debris and contaminants from within a laceration is through irrigation. This begs the question: if in the acute traumatic laceration a high bac terial load is already present, of what benefit are sterile gloves in their treatment and closure? Theoretical framework: This is a positivist paradigm (Parahoo, 2006), collecting scientific quantitative data. The research question is based on the empirical data from previous similar trials. It is acknowledged that empirical data is vulnerable to interpretation (Rubin Rubin, 2005) and this trial seeks to limit this by means of closed questions in the data gathering tool. The proposed study hypothesises that the use of clean nonsterile gloves when suturing acute simple lacerations in a community setting has little or no effect on post procedure wound infections. To refine the research question, guidance was taken from Lewith Little (2009) to ensure it is focused, is feasible and explicit. It is also a Statement of expectation relative to the variables investigated (Polit Beck, 2004). Research Methodology: This research will be a randomised controlled trial (RCT). This is chosen as there is a direct comparison between two variables; an RCT providing robust data. The RCT is the most appropriate method of study design, especially in the setting of wound repair, as suggestibility and patient expectations are potentially significant sources of bias (Jadad Cepeda, 2000). Although double blinding is impossible in this trial, the assessing clinician (data gatherer) will be blinded as to what gloves were used. However a weakness is acknowledged in that the patient may inform the assessing clinician and by so doing inject a risk of bias. To reduce the effect of other variables, ECP practise and equipment is standardised (Health Professions Council, 2010). All wound closure by the ECPs will comply with the most recent evidence based practise (NHS Clinical Knowledge Summaries, 2010). All cleaning materials, local anaesthetics and equipment are identical county wide, ensuring equality. Only mono-filament suture material will be used (no silks). Acknowledgement is given to the following variables over which this trial has no control: Individual client hygiene, poor compliance with wound care advice, further trauma to wound site post repair. The trial will be run over a six month period and utilise cluster randomisation by geographical area. For three months, sterile gloves will be used by ECPs in the west of the county whilst the east ECPs will use clean nonsterile gloves. At the three month point this will be reversed with west ECPs using clean nonsterile gloves and east ECPs using sterile gloves. Data will be collected by RW at the end of each week. Sampling: Randomised from the population area (east / west). Randomisation is automatic due to the nature of calls; assistance only being sought when needed by the public, therefore the study has no control over and cannot affect bias of patient, place, time etc. Only those calls attended by ECPs and deemed suitable for suture closure will be included. Limits: Inclusion: Patients over 18 years of age, who have sustained an acute, simple traumatic laceration which is less than six hours old requiring primary closure with simple, interrupted sutures. Exclusion: Patients with the following Very dirty / Tetanus prone wounds, immunocompromised, immunosuppressed, concomitant antibiotic use, deep wounds requiring layered suturing to eliminate dead space, puncture wounds, bite wounds (animal or human), any wound where there is suspicion of retained foreign body or damage to underlying structures, diabetes, wounds over 6 hours old. Data Collection: Data will be collected via post in the form of two clinician completed multi choice questionnaires at 3 days and at removal of sutures (ROS). The first interval gives a reasonable healing time for wound review and early identification of infection if present (patient safety). The second time interval was chosen as patients will need to re-present for this procedure and it gives reasonable opportunity for infection, dehiscence or other problems if present, to be apparent and acted upon as necessary. RW will be the dedicated researcher for collection of questionnaires, data analysis and telephone follow-up, (thus reducing response loss and attrition of data) at no cost to the trial. Patients will be supplied with 2 copies of the questionnaire as part of their discharge advice pack to facilitate continuity should they re-present at an earlier time for any reason, or at another facility. If the forms are not returned, telephone follow up will be done. As the patient should attend for wound review regardless of this research, completion of the questionnaire will cause minimal impact on clinician time, with little interference to departmental workloads. Questionnaires are designed to be simple and rapid to complete. All questionnaires will be supplied with a self-adhesive stamped self addressed envelope for ease of return. It is recognised that a limitation of this study is non return of questionnaires for whatever reason; this will be factored into the final statistical analysis. As it is impossible to blind the clinician as to whether the gloves are sterile or nonsterile in this trial, their input into it will be limited to indicating on the ECP form (See appendix 2) which group the patient fits into; A for sterile glove use, B for clean nonsterile. Randomisation and selection bias through allocation is avoided by the unpredictable nature of the emergency and unplanned workload covered by the clinicians (ECPs). This should help increase validity of findings (Bowling, 2009). As the division of the Ambulance service utilised for this trial is already divided into east and west areas, this will be used to control the intervention by allocation of sterile or nonsterile gloves. Initially, the west ECPs will use only sterile gloves for suturing wounds, with the east ECPs using clean nonsterile gloves. At the half way point in the trial, the researcher will reverse this. This allocation of gloves gives a reasonable control group from both sides of the county and acknowledges differences in individual ECP procedure, geography, demographics etc. Ethics: The four point biomedical ethics framework suggested by Beauchamp Childress (2001) has been considered in the design of this trial. This trial recognises autonomy for both patient and practitioner by seeking informed consent from participants. It promotes beneficence through its attempt to treat patients expeditiously, to high standards, without prejudice; and non-maleficence by reassuring participants that their data with be kept confidential. Justice is assured by equality of treatment for each participant. Ethical approval for the research will need to be sought from both the Ambulance service Clinical Review Group and University Ethics Committees prior to starting the research process. The researcher will be responsible for ensuring that the participants welfare is maintained. Consent will be sought by the attending ECP. Kimmel (2007) acknowledges that participants should come to no harm psychologically, physically or socially. By strict adherence to wound care guidelines (cleansing, dressing etc) in the acute assessment and treatment phase, and due regard for the patient during follow-up, this should be addressed. Consent: Prior to the study, education of ECPs through a micro-teach session (a 5 minute presentation) and poster campaign for those who cannot attend will be carried out. The ECPs will be asked if they will partake in the trial; there will be no expectation on them to do so and their inclusion will be purely voluntary. Informed consent will be sought from all patients although acknowledgement is given to the fact that the patient will be presenting in a post injury phase; they may be distressed, in pain and anxious. All patients participating in the trial will have a clear explanation given to them prior to discharge to ensure they fully understand their role and right to leave the trial at any point. Confidentiality: All data for publication, dissemination or public review will be purely statistical and numerical, having no personal details of the participants; there will be no breach of confidentiality. Participant safety: All prior research has concluded that there is statistically no difference in rate of infection when comparing glove use, adding support to the argument that there is little risk to the patient (Bodiwala, Worral, and Perelman). All gloves used will be latex free, reducing any risks of latex allergy / sensitivity to patient and clinician alike. All participants will have the opportunity to withdraw at any phase of the trial. Data Analysis and discussion: Data will be presented in a 22 contingency table (See appendix 4). As the research question is looking for a possible relationship between two variables, a bivariate statistical analysis will be used (See appendix 4). Specialist advice will be sought for the analysis of the statistical data. It is hoped that response rates will be very high as the respondent will be a medical professional (not the patient), the questionnaire is very short and straightforward, and is supplied with a self adhesive, stamped self addressed envelope. This scenario is similar to Perelamans experiment which achieved a 98% response. The patient, by the very nature of their injury, will need to attend for follow up / ROS. Calnan et al (2005) suggest a response rate of approximately 56% when reliant on the patient. Timeline: Year 2011 Initiate experiment 1st April Data collection Continuous and ongoing (RW) Complete fieldwork by 1st September Complete analysis by 1st October Give presentation on 8th October Complete final report by 1st November Conclusion: Sterile technique is generally used for laceration repair despite a lack of scientific evidence that this is necessary (Wilson, 2003). This study addresses whether there is a difference in the infection rate of lacerations randomised to receive repair using sterile versus nonsterile gloves. This will help to increase knowledge on the evidence of infection rates when nonsterile gloves are used. It is apparent that could it be proven that there is little evidence to support the continued use of sterile gloves; this could reflect a significant cost saving for the NHS (see appendix 5). This may change clinical practise in the future. References / Bibliography: Allan, M.G. (2009) Lacerations: Sterile Gloves Water? Tools for Practice. June 1, 2009. Beauchamp, T.L. Childress, J.F. ( 2001) Principles of Biomedical Ethics. New York: Oxford University Press. Bodiwala, G.G., George, T.K. (1982) Surgical Gloves During Wound Repair In The Accident And Emergency Department. The Lancet: July 10, 1982. pp 91-92. Bowling, A. (2009) Research Methods in Health (3rd ed), Maidenhead: Open University Press. Calnan, M., Wainwright, D., ONeill, C., Winterbottom, A. Watkins, A. (2005) Lay evaluation of health care: the case of upper limb pain. Health Expectations. 8(2):149-160. Dealey, C. (2005) The Care of Wounds (3rd ed). Oxford: Blackwell. Department of Health (2005) Taking Healthcare to the Patient: Transforming NHS Ambulance Services [online] Available at http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4114269 Accessed 24/10/10. Durham C. Hines, S.E. (2001) Laceration assessment and management. Patient Care for the Nurse Practitioner. Jun; 4 (6): 17-20, 23. Flores, A. (2008) Sterile versus non-sterile glove use and aseptic technique. Nursing Standard. 23 (6) 35-39. Forsch,  R..  (2008). Essentials of Skin Laceration Repair.  American Family Physician.  78(8),  945-51.   Grava-Gubins, I., Scott, S. (2008) Effects of various methodologic strategies: survey response rates among Canadian physicians and physicians-in-training. Canadian Family Physician. Oct;54(10):1424-30. Hampton, S. (2003) Nurses inappropriate use of gloves in caring for patients. British Journal of Nursing 12(17):1024-7. Health Professions Council (2010) Standards of Proficiency. [Online] Available at http://www.hpc-uk.org/assets/documents/1000051CStandards_of_Proficiency_Paramedics.pdf Accessed 13/11/10 Jadad, A.R., Cepeda, M. (2000) Ten challenges at the intersection of clinical research, evidence-based medicine and pain relief. Annals of Emergency Medicine 2000;36:247-52. Kimmel A.J. (2007) Ethical Issues in Behavioural Research: Basic and applied Perspectives (2nd ed). Oxford: Blackwell. Lewith, G. Little, P. (2009) Randomised Controlled Trials in Saks, M. Allsop, J. (2009) Researching Health: Qualitative, Quanatitative and Mixed Methods. London: Sage. p 225. Medical Research Council (2010) Data Sharing Initiative: Aims. [Online] Available at www.mrc.ac.uk Accessed 09/11/10. Moscati, R.M., Reardon, R.F., Lerner, E.B., Mayrose, J. (1998) Wound irrigation with tap water. American Academy of Emergency Medicine. 1998; 5(11): 1076-80. National Health Service: Accident and Emergency Attendances in England (Experimental Statistics) 2008-09. Hospital Episode Statistics [online] Available at http://www.ic.nhs.uk/webfiles/publications/AandE/AandE0809/AE_Attendances_in_England%20_experimental_statistics_%202008_09_v2.pdf Accessed 24/10/10. National Health Service (2010) Clinical Knowledge Summaries: Lacerations Management. [Online] Available at http://www.cks.nhs.uk/lacerations/management Accessed 11/11/10. Parahoo, K. (2006) Nursing Research: Principles, Process and Issues. (2nd ed.) London: Palgrave-Macmillan. Perelman, V., Francis, G.J., Rutledge, T., Foote, J., Martino, F., Dranitsaris, G. (2004) Sterile versus Nonsterile Gloves for Repair of Uncomplicated Lacerations on the Emergency Department: A Randomized Controlled Trial. Annals of Emergency Medicine. 2004; 43(3): 362-370. Polit, D.F. Beck, C.T. (2004) Nursing research: Principles and methods. (7th ed.). Philadelphia: Lippincott, Williams Wilkins. Pratt, R.J., Pellowe, C.M., Wilson, J.A., Loveday, H.P., Harper, P.J., Jones, S.R.L.J., McDougall, C., Wilcox, M.H. (2007) epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. Journal of Hospital Infections 65(Supplement): S1S64. Royal Mail [Online] available at http://www.royalmail.com Accessed 11/11/10. Rubin, H. Rubin, I. (2005) Qualitative Interviewing: The Art of Hearing Data (2nd ed.) London: Sage. Trott, A.T.(2005) Wounds and Lacerations: Emergency Care and Closure (3rd ed.) USA: Mosby. Wilson, J. (2003) Infection Control in Clinical Practice. (2nd edn.) London: Balliere-Tindall. Worral, G.J. (1987) Repairing Skin Lacerations: Does Sterile Technique Matter? Canadian Family Physician 1987; 33:1185-1187. Appendix 1 Relevant Paper Author, date and country Patient group Study type (level of evidence) Outcomes Key results Study Weaknesses Perelman et al 2004 Canada 816 patients over the age of 1yr old with simple lacerations prospective randomised controlled trial Infection post repair Infection rate for sterile vs non-sterile gloves was 6.1% and 4.4% respectively with no significant statistical difference partially blind follow up looking for signs of infection was not standardised Appendix 2 ECP information form Questionnaire 1 ECP No: Group A / B Incident No. Name: Age M / F Contact Tel. No: Site of laceration: Number and size of sutures: Appendix 3 Follow up Questionnaire Name: Age M / F Contact Tel. No: Is there any erythema extending à ¢Ã¢â‚¬ °Ã‚ ¥ 1cm from the wound? Y / N Is the wound hot to touch? Y / N Is the wound inflamed or swollen? Y / N Is there any purulent discharge? Y / N Does the patient report any increase in pain? Y / N If yes to any/all of above, is the patient systemically well? If no, refer immediately.

Homeless Children in America :: essays research papers

Children have never been on out nation’s streets in significant numbers. According to the National Coalition for the Homeless, 1.2 million children are homeless on any given night. homelessness makes children sick, wounds young children, & homeless children often struggle in school. Homeless children are in fair or poor health twice as often as other children. They have higher rates of low birth weighted need special care right after birth for times as often as other children. Also have very high rates of acute illness, with half suffering from two or more symtoms during a single month. Such as ear infections, and stomach problems. Are more likely to suffer from speech and stammering problems, as well more likely to be asthmatic. They also go hungry at more then twice the rate of other children. Each and every day, homeless children are confronted with stressful, often traumatic events. They worry they will have no place to live, have no place to sleep or worry that something bad will happen to their family. Mostly all homeless children move up to three times in a single year. Almost 25% of children have witnessed acts of violence within their family. Homeless children between the ages of 6 and 17years struggle with very high rates of mental health. Homeless babies show significantly slower development than other children . These children are particularly at a hirer risk for viewing placed in foster care. Despite state and federal efforts to provide homeless children with improved access to public school, at least one-fifth of homeless children don’t attend school. This is because they either have no transportation from the shelters to school or lack of school and medical records makes registration harder. Daily demands of finding food and shelter push childrens educational needs aside. If they are able to get to school most face delayed development and have more educational problems then other children.

Snowboarding Physics :: Snowboard Sport

Snowboard Composition The typical snowboard is designed to face the toughest conditions in any climate, even though it's use is mainly during the winter. In general, a snowboard is composed of several layers to attain a durable, yet light structure. Making the surfaces of a snowboard with a minimal friction coefficient is essential in the snowboard manufacturing industry. Like its various, eye-catching graphic designs, each and every snowboard has a unique layer structure. The two most basic yet important layers of a snowboard are the core (4) and the P-Tex/base layer (10). The core is usually made of birch wood; it is ideal for its lightweight, rigid, and flexible characteristics. Advances in core technology in recent years allowed the snowboard to become more maneuverable and portable. Hollow aluminum cells with walls in the shape of honeycombs are a breakthrough in snowboard core construction. With this type of core layer the snowboard retains its rigidity, but reduces its weight drastically. Another alternative to the wood core is a foam injected core. Foam can be injected electronically - to any cell size, thus allowing variability in rigidity. The P-Tex layer is named after the company that patented the material used for the layer. It is a special type of polyethylene plastic that allows the board to have a minimal friction coefficient when sliding down snow-covered ground, creating a "slippery" feeling. This plastic was designed to absorb wax for conditioning and extended life. A steel ring (7) serves two purposes: it protects the sides of the snowboard and puts maximum force into the snow for optimum maneuverability. The graphic layer (2) is a printed layer of fiberglass giving the snowboard an appealing design. There are literally millions of different snowboards with a unique graphic on them, but snowboard consumers may have a custom image printed on their snowboard. Multiple layers of fiberglass are usually glued on the immediate sides of the core for increased durability. A protective coating lines the top of the snowboard to protect scuffing and minor scratching on the graphics layer Different types of layers are arrangements in each type of core. Type A shows a foam core, with a large rubber sidewall (6). Type B represents the common wood core layer layout with additional protective layering. Type C shows that the aluminum honeycomb core is similar to the wood core structure, since nearly the same kinds of material are used. Snowboarding Physics :: Snowboard Sport Snowboard Composition The typical snowboard is designed to face the toughest conditions in any climate, even though it's use is mainly during the winter. In general, a snowboard is composed of several layers to attain a durable, yet light structure. Making the surfaces of a snowboard with a minimal friction coefficient is essential in the snowboard manufacturing industry. Like its various, eye-catching graphic designs, each and every snowboard has a unique layer structure. The two most basic yet important layers of a snowboard are the core (4) and the P-Tex/base layer (10). The core is usually made of birch wood; it is ideal for its lightweight, rigid, and flexible characteristics. Advances in core technology in recent years allowed the snowboard to become more maneuverable and portable. Hollow aluminum cells with walls in the shape of honeycombs are a breakthrough in snowboard core construction. With this type of core layer the snowboard retains its rigidity, but reduces its weight drastically. Another alternative to the wood core is a foam injected core. Foam can be injected electronically - to any cell size, thus allowing variability in rigidity. The P-Tex layer is named after the company that patented the material used for the layer. It is a special type of polyethylene plastic that allows the board to have a minimal friction coefficient when sliding down snow-covered ground, creating a "slippery" feeling. This plastic was designed to absorb wax for conditioning and extended life. A steel ring (7) serves two purposes: it protects the sides of the snowboard and puts maximum force into the snow for optimum maneuverability. The graphic layer (2) is a printed layer of fiberglass giving the snowboard an appealing design. There are literally millions of different snowboards with a unique graphic on them, but snowboard consumers may have a custom image printed on their snowboard. Multiple layers of fiberglass are usually glued on the immediate sides of the core for increased durability. A protective coating lines the top of the snowboard to protect scuffing and minor scratching on the graphics layer Different types of layers are arrangements in each type of core. Type A shows a foam core, with a large rubber sidewall (6). Type B represents the common wood core layer layout with additional protective layering. Type C shows that the aluminum honeycomb core is similar to the wood core structure, since nearly the same kinds of material are used.

Jean Piaget Essay

Jean Piaget is often quoted to have pioneered research in cognitive development (Hayes, 1998). The constructivist theory is a subset of the cognitivist theories. It is based on the learner –centred theories that emphases on the need to provide learners with responsibility for directing their own learning experiences. Schemata, assimilation and accommodation are some of the primary concepts in understanding the Constructivist theory of cognitive development. The other central features apart from three principles are the notions of equilibration and disequilibrium. This essay will briefly define the principles of schemata, assimilation and accommodation. It will also explain the importance of equilibration and disequilibrium in cognitive development. Schemata according to Dembo (1991) are cognitive structures that are formed through the obstruction of one’s earlier experience. It is stated that children are born with very f few innate schemata and that they keep on creating new ones as they interact with the environment. Hayes (1998) adds that schemata should be understood as â€Å"a theoretical construct which is generally understood as the being an internalized representation of the world, or at least some part of the world. † p. 473. Schemata therefore relate to specific bit of activity, and summarises the stored knowledge and experiences related to such an activity. All human thinking is centred on schemata that develop throughout an individual’s life through the process of adaptation. Adaptation involves organisms responding to the changes in their respective surroundings and situations. In essence, adaptation is achieved through assimilation and accommodation. The principle of assimilation refers to a process of making sense of the experiences and perceptions by fitting them into previously established cognitive structures. In other words, what is perceived by a person is altered so that it fits present cognitive schemata (Gage, 1998). Assimilation is said to have occurred when a person perceives a new event or object in terms of an n existing schemas. That is to say, person applies any mental structure that is available to assimilate a new object or event and actively seek to utilize this newly acquired mental structure. On the other hand, the theory of accommodation simply refers to the process of changing internal schemata to provide consistency with external reality. It happens when existing schemas are modified or new ones are created to account for a new experience. According to Borick and Tombari (1995) if a person succeeds in changing the existing schemata in order to understand a new event, object, information or experience is said to have undergone the process of accommodation. From it can therefore be inferred that accommodation influences assimilation in a certain way and vice versa. As a reality is assimilated, structures are accommodated. Cognitive development is a lifelong process that involves the creation and/or the development of schemata through the operation of principles explained above. The term that explains the operation of assimilation and accommodation, which can occur concurrently is called the process of Equilibration. Equilibration is defined as â€Å"the biological drive to produce an optimal state of equilibrium between people’s cognitive structures and their environment† (Duncan, 1995 as cited on http://www. coe. uga. edu/epiltt/pigeat. htm ) . It is an attempt to bring about a state of equilibrium between the other three factors and is very vital for cognitive development. It involves assimilation and accommodation (Russell, Jarvis &Gorman, 2004). This process is very significant because it is through equilibration that people develop their cognitive structures. This occurs as people conduct themselves in logical internal mental structures that allow them to make sense of the various phenomena in their surrounding environment. When the external reality does not match with the logical internal schemas or say when disequilibrium occurs, equilibration is there to come forth so as an effort to bring balance between assimilation and accommodation. In this way, organisms develop sophisticated schemas. McLeod (2009) as cited on http://www. simplypsychology. org/piaget. html points out disequilibrium connotes an unpleasant state when new information cannot be fitted in the existing schemata. O’Donnel (2006) states that the theory of equilibration is important to the learning process. It suggests the need to stimulate conceptual change in someone by challenging students existing concepts in an effort to create cognitive disequilibrium. Students in turn strive to restore equilibrium there by acquiring new knowledge and skills for understanding the world or subject matter in a lesson. Teachers should be able to engage students into unfamiliar areas in order to for them to learn. It suggests that students do not require studying things that they already know but that they can also accommodate new information (Dembo, 1991). However teacher need not to let learners over assimilate because it turns out boring. They should also not over accommodate students beyond their cognitive growth. In this ca se, it can be understood that equilibration is vital to the development of a child’s cognition as well as to the teaching and learning process. Furthermore, the notion of equilibration is important because it indicates that learners are active thinkers who can understand the world on their own. Therefore teacher need to involve students in the learning processes and only act as facilitators in constructing knowledge. The understanding of the constructivist theory with the understanding of how equilibration works has led to emergence of teaching methods such as discovery methods. Teachers can create deliberate disequilibrium in students by asking questions about some illogical statements made by the Lerner. As the learner reconciles his or her disequilibrium, their cognitive capacity develops. In conclusion, this paper has defined schemata as cognitive or mental structures that relate s to specific bit of an activity such as schemata for an object like a tree or more abstract notion like democracy. Jean Piaget contended that all thinking is centred on schemata (Hayes, 1998) and the number of a person schema continues to be constructed throughout a person’s life through the principles of assimilation and accommodation. It has also been noted that the operation 0f these two principles constitutes the notion of equilibration. Equilibration is very important because it is the impetus for cognitive development that makes individuals acquires higher order thinking skills to adapt to the ever changing surrounding. It is through equilibration that people explore the environment and make mental representation of reality. This is so because equilibration improves the sophistication of schemas to create a mental representation of reality.

Econ-545 Week 6 Quiz

1. misgiving (TCO F) The size of the comprehend force in a provideship is 1,000, and 850 of these folks atomic number 18 gainfully employed. In this comm unit of measurement of measurementy, 50 the great unwashed over the age of 16 do non have a cheat and are not looking for work. In addition, 80 people in the community are under the age of 16. The unemployment run is ______. disciple answer Unemployment deem= inert/labor force* degree Celsius cl/ gee*100=15% 1000-850=cl ( add together of people unemployed) whence shared out by total labor force divided by 100 instructor write up The unemployment rate is calculated by dividing the number of unemployed by the labor force.The labor force is calculated by subtracting leash things from the population ( under 16, of institutionalized adults, and not looking for work). In this example,you are accustomed the size of the labor force (1,000), and you are too told that 850 are employed. Therefore, 150 are unempl oyed, and theunemployment rate is simply 150/1,000 or 15%. Points legitimate 15 of 15 Comments 2. scruple (TCO F) tellnominal gross domestic productin 2005 was $15 trillion, and in 2006 it was $16 trillion. The general outlay index in 2005 was 100, and in 2006 it was 103.Between 2005 and 2006, current gross domestic product travel by what percent? scholar resultant role token(a) gross domestic product and REAL gross domestic product moldiness be equal in the purse social class. 2005 15tr, price index = 100 since nominal and real gross domestic product mustiness be equal in the base twelvemonth 15tr/1. 03=16. 56tr(16. 56-16. 00)/16. 00=4% or 3. 5% Instructor business relationship You need to arouse use of the puffiness formula for the gross domestic product deflator here and compare results betwixt the political machinedinal twelvemonths. For 2005 100 = $15 T / real GDP x 100 So, strong GDP must equal $15 T. You could also recognize that solid GDP a nd nominal GDP are the uniform in the base year.For 2006 103 = $16 T / sure GDP x 100 1. 03 = $16 T / actually GDP truly GDP = $16 T / 1. 03 So, Real GDP must equal $15. 534 T. The percentage increase in Real GDP will then(prenominal) be (15. 534 15) / 15 x 100 = (0. 534 / 15) x 100 = 3. 56%Therefore Real GDP increases by 3. 56% amongst 2005 and 2006. Points reliable 19 of 20 Comments 3. Question (TCO F) The consumer price index was 198. 3 in January of 2006, and it was 202. 4 in January of 2007. Therefore, the rate of fanfare in 2006 was about ______. pupil exercise 202. -198. 3=4. 1 4. 1/198. 3=. 02067 or 2. 07% Instructor accounting The rate of inflation is the rate of change of the inflation indicator, or much(prenominal) specifically (New scathe Index Old determine Index) / (Old Price Index) x 100 In this outcome this equals, (202. 4 198. 3) / 198. 3 x 100 = (4. 1 / 198. 3) x 100 = 2. 07% or almost 2%. Points Received 15 of 15 Comments 4. Question (TCO E) (10 points) As the U. S. dollar considers in value relative to the Nipp adeptse Yen, what happens to the price of U. S. goods in japan?What happens to the price of Japanese goods in the U. S.? (10 points) Why would a demesne (for example china) choose to keep their cash relatively personal identification numberged to the U. S. dollar? If the U. S. dollar were to appreciate considerably against most currencies, what would be the establish on Chinese exports to countries separate than the U. S.? Student make the price of goods in Japan start red ink up. the price Japanese goods in US start going down. China keeps its currency pegged in identify to sell their goods for a cheaper price in the US and to make the US grocery store dependent on their product. If dollar appreciate it will drag Chinas currency with it,in other words reducing China export. Instructor Explanation When a countrys currency appreciates, it give ways to a greater ext ent priceless versus the other currency were comparing against. So, in this shell, it would take fewer dollarsto purchase the same amount of Japanese Yen, U. S. goods bend more expensive to Japanese buyers, and Japanese goods become cheaper to U. S. buyers. A country such as China might choose to peg their currency to the U. S. dollar to keep prices enduring for a key transaction partner like the U.S. If the U. S. dollar would appreciate considerably against mostcurrencies, this would not affect China change over with the U. S. , butChinese goods would become more expensive to their other affair partners, and could cause Chinese exports to these other markets to decrease. Points Received 17 of 20 Comments 5. Question (TCO E) Suppose the Indian rupee price of oneBritish pound is 54. 392 rupees for each pound. A hotel board in capital of the United Kingdom cost 120 pounds, while a sympathetic hotel room in New Delhi be 6,500 Indian rupees.In which city is the hot el room cheaper, and by how much? Student Answer capital of the United Kingdom hotel room 120 pound or 6527 rupee (120*54. 392) India hotel room 119. 50 pounds (6500/54. 392) or 6500 rupee the hotel room is cheaper in India for . 50 cent in pound or 27 rupees Instructor Explanation Since the re-sentencing rate is 1pound = 54. 392 Indian rupees, we can convert the price of the hotel room in London to Indian rupees and then be equal to compare. 120 pounds = rupees(120 x 54. 392) = 6,527 rupees.Since the hotel room in New Delhicost 6,500 rupees, it must be that the hotel room be 27 rupeesmore in London than in New Delhi. Points Received 15 of 15 Comments 6. Question (TCO E) Answer the nigh question on the basis of the spare-time activity pay mutilate possibilities data for Egypt and Greece Egypt achievement possibilities ABCDE Shirts 0 36 912 blow 2418 12 60 Greece production possibilitiesABCDE Shirts4030 2010 0 Pants 0 40 80 120clx Refer to the above data . What would be possible basis of manage betwixt Egypt and Greece? Student Answer terms of backup between 2 countries lie somewhere between the opportunity costs in the 2 countries. in this case Egypt 1 clothe= 2 pants and in Greece case 1 shirt=4 pants, so the only executable term of trade between the 2 countries would be everywhere in between these limits anything between 2 and 4 shirts and pants would work. t any terms of trade high or lower than 2 or 4 pants per shirt , one of the countries would be able to do better than the terms of trade simply by trading off resources in their own country. Instructor Explanation Feasible terms of trade between 2 countries lie somewhere between the opportunity costs in the 2 countries. In this case, in Egypt 1 Shirt = 2 Pants, and in Greece 1 Shirt = 4 Pants. So,the only feasible terms of trade between the 2 countries would be anywhere in between these limits anything between 2 and 4 Pants per Shirts would work.At any terms o f trade higher or lower than2 to 4 Pants per Shirts, one of the countries would be able to do better than the terms of trade simply by trading off resources in their own country. Points Received 20 of 20 Comments 7. Question (TCO F) The democracy of Republic produces two goods/services, fish (F) and chips (C). In 2006, the 1000 units of F produced swop for $8 per unit and the 5000 units of C produced sold for $1 per unit. In 2007, the 1500 units of F produced sold for $10 per unit, and the 6,000 units of C produced sold for $2 per unit.Calculate Real GDP for 2007, assuming that 2006 is the base year. Student Answer base year 2006 1,000 units of fish at 8/unit =8,000 5,000 units of chips at 1/unit =5,000 GDP=13,000 2007 1,500 units of fish at 10/unit-15,000 6,000 units of chips at 2/ units at 2/unit =12000 GDP =27,000 Real GDP with 2006 as the base year 1500 units of fish at 8/unit =12,000 6,000 unit chips at 1/unit = 6,000 Real GDP =18,000 18,000-13,000/18,000 GD P grew by 28% Instructor Explanation For 2006, Nomimal GDP= ($8 x 1000) + ($1 x 5000) = $13,000.Real GDP for 2006 would be the same ($13,000). For 2007, Nominal GDP = ($10 x 1500) + ($2 x 6000) = $27,000. Real GDP for 2007 would be ($8 x 1500) + ($1 x 6000) = $18,000. That is, when calculating real GDP for a granted year you use the production numbers for that year and the prices from the baseyear. Points Received 12 of 15 Comments 8. Question (TCO F) sphere Aproduces two goods,elephantsandsaddles. In the year2006, the10 units of elephants produced sold for $2,000 per unit and the25 units ofsaddles produced sold for $200 per unit.In 2007, the20 units ofelephants produced sold for $3,000 per unit, and the 50 units ofsaddles produced sold for $ three hundred per unit. Real GDP for 2007, assuming that2006 is the base year, is ______. Student Answer base year 2006 10 units at 2000 per unit =20,000 25 saddles at 200=5000 GDP=25,000 2007 20 units at 3,000 per unit =6,00 0 50 saddles at 300=15000 GDP=21,000 real GDP with 2006 as the base year 20 units of elephants at 3000 = 60000 for 50 units of saddles at 25 =1250 real GDP 61250 61250-21000/61250 real GDP grew by 65%. Instructor Explanation Real GDP is calculated for a given year by using the quantities produced in that year and substituting the base year prices. In this example we get 20 ($2,000) +50 ($200) = $40,000 + $10,000 = $50,000. Points Received 12 of 15 Comments 9. Question (TCO E) A Honda Accord sells for $28,000 in the United States and for SF35,520 in Switzerland. Given an exchange rate of SF1. 5 = $1, how do the car prices of both countries compare? Student Answer with an exchange rate of SF1. 25=$1 28,000*1. 25=35,000 SF price is 35,520 the car sells for SF520 more in Switzerland that it does in the US. Instructor Explanation At an exchange rate of $1 = SF1. 25 $28,000 would equal (1. 25 x 28,000) Swiss Francs = SF35,000, meaning that the car sells for SF520 more in Switzerland than it does in the U. S. Points 15 of 15