The effectiveness and roles of CAMHS Emergency/Paediatric Liaison Teams in general hospital/Paediatric settings: A Systematic Literature Review

our site – CUSTOM ESSAY WRITING – DISSERTATION EXAMPLES Abstract CAMHS Emergency/Paediatric Liaison plays a vital role in the mental and physical health of children and adults, and has numerous benefits, both for the practitioners and for the patients. This report presents a systematic review of literature on the effectiveness and roles of CAMHS emergency/paediatric liaison teams in general hospital/paediatric settings. The main source of literature that were used in this study comprised of journal articles obtained from different scientific databases such as PubMed and Emerald. Whilst the role of CAMHS emergency/Paediatric liaison teams in healthcare are acknowledged in this research, it has been established that their effectiveness is hampered by their current limited capacity. Introduction In healthcare, interdisciplinary or multidisciplinary teams play a key role in provision of overall services to different groups of interest. Such teams comprise of healthcare professionals and workers specialised in different disciplines, each providing different services that contribute to the overall well-being of the patient(s) (Ke et al., 2013). An example of such teams is the collaboration between professionals in child and adolescent mental health services (CAMHS) and paediatrics, who work in liaison to provide mental and physical health interventions for children in different healthcare settings (Lamb & Murphy, 2013). The link between mental and physical health problems among children have been recognized for a long time, and one way in which this can be addressed is through the integration of child psychiatric and paediatric services (Herrenkohl et al., 2013). Child psychiatrists who work in paediatric liaison settings argue that there are several cases of children whose parents/guardians incur high service costs in treating physical symptoms that turn out to have underlying psychiatric issues (Costello et al., 2014). Such conditions include Somatoform disorders, which are exhibited through physical symptoms(Perez et al., 2015). These high costs can be effectively through hospital paediatric liaison mental health services because it facilitates evidence-informed diagnoses and treatment from both physical and psychiatric practitioners. Other benefits include proper interventions for physical and psychiatric health issues among children(Costello et al., 2014). However, evidence from researches such as Foster (2009) indicated that in the United Kingdom, such liaisons are few and as well, have a high vulnerability to service cuts. As this literature review explores of the effectiveness and roles of CAMHS emergency/paediatric liaison teams in general hospital/paediatric settings, it critically evaluates its possible positive and negative implications in child care. It is based on this reviews that recommendations for practice can be provided to ensure that such multidisciplinary teams solve the problems that may be currently being faced as a result of the shortage of paediatric liaison mental health services (PL CAMHS). The objectives that are to be addressed in this review of literature are as listed below: To examine how CAMHS Emergency/Paediatric Liaison Teams in general hospital/Paediatric settings work. To establish the effectiveness of CAMHS Emergency/Paediatric Liaison Teams in general hospital/Paediatric settings. Methodology During this research, a secondary study approach, through a systematic literature review, was used. This research approach involved the utilization of data from sources that have already been published on the subject being studied. The selection of this research approach was because a lot of information can be obtained from a wide variety of sources within a short time (Lilford, et al., 2017). This is as compared to primary research where respondents would have to be selected, and data collection approached administered to them, which is both time consuming and costly. With regards to the inclusion and exclusion criterion, priority was given to article that have been published in reputable journal databases such as Pubmed, Wiley Online Library, Biomed and Emerald. This was instrumental in ensuring the authenticity of both the sources and the information contained in them because journal articles published on these databases undergo a rigorous process of review. When searching for data sources on the internet, keywords were used in order to return the articles, books or reports that had the most relevance for the research. Some of the key words that were used included ‘paediatrics, ‘child mental health’, ‘CAMHS Emergency/Paediatric Liaison’ and ‘multidisciplinary teams in healthcare’. Another criterion used for selection was the time of publication. The sources used were only to be those published within the past 10 years. Selection of recent data sources is ideal because it provides information that is still relevant and valid. Given that the UK health sector undergoes constant changes in order to make it more effective and efficient, reliance on older sources might provide an inaccurate description of the current situation with regards to CAMHS Emergency/Paediatric Liaison. On application of these search, inclusion and exclusion criteria in searching for secondary sources, there was an assurance that the information presented in the systematic review was highly relevant. Tables were used in the presentation of results.FindingsIn most cases, caregivers of the patients may be concerned, and wish to access some advice so as to determine the possible impact of an illness to a child and also explore some of the possible ways of getting to communicate about the illnes ses (Herbert et al., 2016). Referrals in most cases get to typically involve those situations where there are some additional psychological issues. The liaison service has a great advantage as it is multidisciplinary and it provides so many interventions that could include; psychiatric nursing, family work, and some psychological therapies. Teaching, consultation, supervision and training is provided for the therapists and also the staff that is working hard towards the provision of the required services. Young people and child mental health is sub-specialty of both paediatrics and also mental health. The disparity that exists between the fields leads to some delay in the development of young people and child mental health services (Wilson, Metcalfe & McLeod, 2015). Berelowitz, and Hugo (2015) claim that liaison between the mental health and general services can be quite challenging and it is often unmanaged and unplanned. The need for a robust liaison model is recognized, however collaborative working especially between the professionals is rarely evident. A framework that is multidisciplinary is the most effective working model for liaison. There needs to be a lot of commitment in the psychiatric, paediatric and also psychological disciplines as they are very essential to its overall success. More children and also adolescents are presenting the A & E departments with harm that they cause on themselves, they are admitted with other conditions that include, psychosis, psychosomatic problems and also some eating disorders (Griffith &Glasby, 2015). It has generally led to an increase in the number that is accommodated on the adolescent units and the pediatric wards. Provision of the inpatient CAMHS is yet to catch up with an increase in the recognition of the increased need. The mental health needs of the children and adolescents have received a high priority especially in those health policies that have been formulated recently. The nurses have a role to ensure that they provides collaborative and also evidence based mental healthcare for the children and adolescents as well irrespective of their clinical environment (Wilson, Metcalfe & McLeod, 2015). CAMHS nursing role is very specific and adds a lot of dimension in most cases to the care that the children and also adolescents that have the mental health issues need. It is inclusive of those other disciplines that lack time, resources and also skills so as to deliver effectively. Liaison nursing has its major focus on the relationship that exists between the patients and also the nurses rather than the treatment and also diagnosis of various diseases (Cleaver, 2014). Nurses that are available in CAMHS liaison have the duty of providing, consultation, clinical care, education, supervision, nursing and also ensure that they undertake research(Ke et al., 2013). They ensure that they provide both support and also nursing advice to the colleagues that are in the paediatric setting and they all the time as they have a responsibility of ensuring that the wellbeing and also safety of the clients is provided fully. Recognition of the fact that nurses are providing care in an environment t hat is less than perfect is very important to the building of partnerships that are effective. It also leads to the acknowledgement of the challenges of caring for those adolescents that are troubled in the emergency departments or even the paediatric ward (Herbert et al., 2016). Glazebrook, Townsend and Sayal (2015) found out that the response given to the children and adolescent mental health needs requires some serious consideration of the variety of services that are provided at different levels. They are the early intervention programs, the ones of mental health promotion, the primary and also community mental health care services, and specialist services on mental health for those conditions that are more serious. A lot of evidence has been documented to clearly demonstrate that the behavioural difficulties and also early implementation of the programs that are meant to support the families can lead to better outcomes in the health of the children and also adolescents that are at risk of developing chronic mental health problems (Griffith & Glasby, 2015). CAMHS programs have been very crucial in addressing the risks that are faced and also providing some protective factors early in life need (Glazebrook, Townsend & Sayal, 2015).Wilson, Metcalfe, and McLeod (2015) add that for those children and also adolescents that are at more risk, this includes those ones that come from families that have a lower income, low levels of education, and also all those ones that live in those areas that are disadvantaged. The schools also have a role of ensuring that they focus on promoting positive mental health. An approach that is based on the school encompasses the whole learning environment of the learner and this includes the physical environment, curriculum, and also the links that exist between the community and the parents as well (Cleaver, 2014). There are some capacity building and also personal elements of mental development that lead to the general improvement of the children and also provide more opportunities that promote their wellbeing. Prevention of bullying is a key element that leads to the promotion of health, so there is need to develop some policies that deter such vices from existing in the learning environments(Costello et al., 2014). Adolescent is a very crucial stage in the psychological development of a child. The children require a lot of understanding of the life challenges that they face so that they can develop skills so as to cope with those emotions that are considered to be difficult (Cleaver, 2014). The adolescence stage is a time that a higher risk of poor mental health that may result in depression, anxiety, depression, psychosis, substance misuse and even some eating disorders. There is also an increasing risk of suicidal behaviour and even deliberate self-harm. CAMHS is very crucial in providing the children and also adolescents the services that they need (Glazebrook, Townsend & Sayal, 2015). Discussion The increasing number of both children and also young people who have mental problems and receive care in the paediatric settings presents a huge challenge to the nurses. Some of them do not have any mental nursing experiences or even qualifications (Herbert et al., 2016). Cleaver (2014) claims that on call nursing support is something that most of the nurses feel is the most beneficial, aspect of the services of liaison teaching and also individual support with the young person is very important. There is need to ensure that a project is initiated that will lead to improvement of liaison in the general paediatric wards and the child and also adolescent mental health services. There is a gap that exists in addressing the need of the many children and young adults that have physical illnesses and also some mental health needs. CAMHS paediatric liaison service tends to focus on the mind and also body interface. The service offers consultation to so many referrers. They provide a lot of help to the children and also adolescents that have mental health problems. Interventions that they offer are of help not only to the affected group, but also to their families as well (Cleaver, 2014). Herbert et al. (2016) assert that they also target the psychological barriers that exist to physical care, the psychological management of the physical symptoms among many other issues. It has over the years provided consultation and also advice to adult services especially in the hospital for those patients that need some care due to their mental state. Even though the objectives of the research were met, there are several limitations that were encountered in this research that may have limited the effectiveness with which the research objectives could have been met. One of these was the challenge in the selection of article to include in the report, out of hundreds that were found online. In addition to this, the fact that many databases had to be accessed, some of this requiring paid access, also contributed to the limitations of the study. Whilst the secondary research approach has its strengths, there are some associated limitations. The strengths include the fact that the need for ethical clearance before carrying out the research is less emphasised (Mallett et al., 2012). This is as compared to primary research where research ethics have to be adhered to in order to avoid exposing research subjects to any form of harm. A limitation, on the other hand, is in the fact that the information collected is not first hand and thus, makes it difficult to ascertain that indeed, that is the exact issue or challenge being faced in CAMHS Emergency/Paediatric Liaison situations in the United Kingdom. In conclusion, the findings from the different sources that were included in this systematic review highlight the importance of CAMHS-PL liaisons in general hospitals. Children and adolescents who may have psychiatric issues that are manifested through physical symptoms have an assurance of getting the necessary intervention and relief by seeking these services. Another advantage is that the overall costs incurred in treatment are less than when physical and mental healthcare are disconnected(Costello et al., 2014). Some of the issues that can be effectively addressed by CAMHS/Paediatric liaisons include tobacco use among adolescents that may lead to mental issues, insecure attachments that contribute towards self-harm, acute mental distress and ICD-10 psychiatric disorders, among others. This justifies the need for more multidisciplinary teams in child and adolescent physical and psychiatric care. References Berelowitz, M., & Hugo, P. (2015). Management of the Really Sick Child or Adolescent with Anorexia Nervosa in Hospital: The Role of Child and Adolescent Mental Health Services. In Critical Care for Anorexia Nervosa (pp. 11-40). Springer International Publishing. Cleaver, K. (2014). Attitudes of emergency care staff towards young people who self-harm: a scoping review. International emergency nursing, 22(1), 52-61. Costello, E. J., He, J. P., Sampson, N. A., Kessler, R. C., & Merikangas, K. R. (2014). Services for adolescents with psychiatric disorders: 12-month data from the National Comorbidity Survey–Adolescent. Psychiatric Services, 65 (3), 359-366. Foster, C. (2009). Adolescents in Acute Mental Distress on Inpatient Pediatric Settings: Reflections From a Pediatric Liaison Practitioner. Journal of Child and Adolescent Psychiatric Nursing, 22 (1), 16–22. Garralda, M., & Slaveska-Hollis, K. (2016). What is special about a Paediatric Liaison Child and Adolescent Mental Health serviceChild and Adolescent Mental Health, 21 (2), 96–101 . Glazebrook, K., Townsend, E., & Sayal, K. (2015). The Role of Attachment Style in Predicting Repetition of Adolescent Self?Harm: A Longitudinal Study. Suicide and life-threatening behavior, 45(6), 664-678. Griffith, L., &Glasby, J. (2015). â€Å"When we say ‘urgent’it means now†¦Ã¢â‚¬  Health and social care leaders’ perceptions of each other’s roles and ways of working. Journal of Integrated Care, 23(3), 143-152. Herbert, A., Christian, C. I. S., & RA, C. (2016). CAMHS/AMHS Transition Policy, Islington. Policy. Herrenkohl, T. I., Hong, S., Klika, J. B., Herrenkohl, R. C., & Russo, M. J. (2013). Developmental impacts of child abuse and neglect related to adult mental health, substance use, and physical health. Journal of family violence, 28 (2), 191-199. Ke, K. M., Blazeby, J. M., Strong, S., Carroll, F. E., Ness, A. R., & Hollingworth, W. (2013). Are multidisciplinary teams in secondary care cost-effectiveA systematic review of the literature. Cost Effectiveness and Resource Allocation, 11 (1), 7. Kulkarni, M., Huddlestone, L., Taylor, A., Sayal, K., & Ratschen, E. (2014). A cross-sectional survey of mental health clinicians’ knowledge, attitudes, and practice relating to tobacco dependence among young people with mental disorders. BMC Health Services Research, 14 (1), 618. Lamb, C., & Murphy, M. (2013). The divide between child and adult mental health services: points for debate. The British Journal of Psychiatry, 202 (54), s41-s44. Perez, D. L., Barsky, A. J., Vago, D. R., Baslet, G., & Silbersweig, D. A. (2015). A neural circuit framework for somatosensory amplification in somatoform disorders. The Journal of neuropsychiatry and clinical neurosciences, 27 (1), e40-e50. Wilson, S., Metcalfe, J., & McLeod, S. (2015). Comparing Choice and Partnership Approach assumptions to Child and Adolescent Mental Health Services in NHS Greater Glasgow and Clyde. International journal of health care quality assurance, 28(8), 812-825. Wilson, S., Metcalfe, J., & McLeod, S. (2015). Comparing Choice and Partnership Approach assumptions to Child and Adolescent Mental Health Services in NHS Greater Glasgow and Clyde. International Journal of Health Care Quality Assurance, 28 (8), 812 – 825.

First world war poetry Essay

First world war poetry 39†² faris-slm Web definitions A war poet iS a poet written at that time and on the subject of war. This term, at the beginning applied especially to those in military service during World War I. then, documented as early as IS4B in reference to German revolutionary poet, Georg Herwegh The main figures in the first world war Siegfried Sassoon (1886-1967)-1 Siegfried Sassoon was perhaps the most innocent of the war poets. John Hildebdle has called Sassoon the â€Å"accidental hero. Born Into a wealthy Jewish family In 1886, Sassoon lived the pastoral life of a young squire: fox-hunting, playing cricket, golfing nd writing romantic verses. Being an Innocent, Sassoon’s reaction to the realities of the war were all the more bitter and vlolent both his reaction Trough his poetry and his reaction on the battlefield (after the death ot fellow officer David Thomas and has brother Hamo at Gallipoli). Sassoon sadness, he believed that the Germans were entire ly to blame. Sassoon showed innocence by gong public to protest against the war. Luckily. his friend and fellow poet Robert Graves convinced the review board that Sassoon was suffering from shell-shock and he was sent instead to the military ospital at Craig Lockhart where he met and influenced Wilfred Owen. Sassoon is a key figure in the study of the poetry of the Great War: he brought with him to the war the ideal pastoral background. he began by writing war poetry reminiscent of Rupert Brooke. he wrote with such war poets as Robert Graves and Edmund Blunden. e spoke out publicly against the war. he spent thirty years reflecting on the war through his memoirs, and at last he found peace in his religious faith. Some critics found his later poetry lacking in comparison to his war poems. How to Die† ‘ Dark clouds are smouldering into red While down the Craters morning burns The dying soldier shifts his head TO watch the glory that returns He lifts his fingers toward the skies Where hol y brightness breaks in name: Radiance reflected in his eyes, And on his lips a whispered name. You’d think, to hear some people talk, That lads go West with sobs and curses, And sullen faces white as chalk, Hankering for wreaths and tombs and hearses. But they’ve been taught the way to do it Like Christian soldiers: not with haste And shuddering groans: but passing through it With due regard for decent taste. From the age of nineteen Owen wanted to be a poet and immersed himself in poetry, eing especially impressed by Keats and Shelley. He wrote almost no poetry of importance until he saw action in France in 1917. He was deeply attached to his mother to whom most of his 664 letters are addressed. (She saved everyone. ) He was a committed Christian and became lay assistant to the vicar of Dunsden near Reading 1911-1913 – teaching Bible classes and leading prayer meetings as well as visiting parishioners and helping in other ways. He escaped bullets until the last week of the war, but he saw a good deal of front-line action: he was blown up, concussed and suffered shell-shock. At Craig Lockhart, the psychiatric hospital in Edinburgh, he met Siegfried Sassoon who inspired him to develop his war poetry. He was sent back to the trenches in September, 1918 and in October won the Military Cross. by seizing a German machine-gun and using it to kill a number of Germans. On 4th November he was shot and killed near the village of Ors. The news of his death reached his parents’ home as the Armistice bells were ringing on 11 November. Wilfred Owen is the greatest writer of war poetry in the English language. He wrote out of his intense personal experience as a soldier and wrote with matchless power of the physical, moral and psychological impact of the First World War. All of his great war poems about his reputation rests were written only in a fifteen months. Anthem for Doomed Youth BY WILFRED OWEN What passing-bells for these who die as cattle? Only the monstrous anger of the guns. Only the stuttering rifles’ rapid rattle Can patter out their hasty orisons. No mockeries now for them; no prayers nor bells, Nor any voice of mourning save the choirs,† The shrill, demented choirs of wailing shells; And bugles calling for them from sad shires. What candles may be held to speed them all? Not in the hands of boys, but in their eyes Shall shine the holy glimmers of good-byes. The pallor of girls’ brows shall be their pall; Their flowers the tenderness of patient minds, And each slow dusk a drawing-down of blinds In England For the first time, am essential number of important English poets were soldiers, writing about their experiences of war. A number of them died on the battlefield, most famously Rupert Brooke, Edward Thomas, and Wilfred Owen. Siegfried Sassoon survived but were scarred by their experiences, and this was reflected in their poetry. Wilfred Gibson (1878-1962) -3 Wilfred Wilson Gibson was born in Hexham, England in 1878. Gibson worked for a time as a social worker in London’s East End. He published his first verse in 1902, Mountain Lovers. He had several poems included in various Georgian poetry 1910. After the outbreak of war, Gibson served as a private in the infantry on the Western Front. It was therefore from the perspective of the ordinary soldier that Gibson wrote his war poetry. His active service was brief, but his poetry contradict his lack of experience, â€Å"Breakfast† being a prime example of ironic war verse written during the very early stages of the conflict following the armistice, Gibson continued riting poetry and plays. His work was particularly concerned with the poverty of industrial workers and village workers. Back They ask me where I’ve been, And what I’ve done and seen. But what can I reply Who know it wasn’t l, But someone Just like me, Who went across the sea And with my head and hands Killed men in foreign lands†¦ Though I must bear the blame, Because he bore my name. str Herbert Read (1893-1968) -4 the poet and critic, was born in France, Yorkshire in 1893 His college studies, at Leeds University, were interrupted by the outbreak of the First World War, in which he served with the Yorkshire Regiment in France and Belgium. During his service he was awarded the Distinguished Service Order (DSO) and Military Cross in the same year, 1918. Read wrote two volumes of poetry based upon his war experiences: Songs of Chaos (1915) and Naked Warriors, published in 1919, along with two volumes of autobiography, In Retreat (1925) and Ambush (1930). He became an outspoken pacifist during the Second World War. He continued to publish poetry for the remainder of his life, his final volume, Collected Poems, being published in 1966. As a literary critic he championed the 19th-century English Romantic authors, for example in â€Å"The True Voice of Feeling† Studies in English Romantic Poetry . Ernest Hemingway -5 Ernest Hemingway, the son of Clarence Edmonds Hemingway, a doctor, was was born in Oak Park, Illinois, on 21st July, 1899. His mother, Grace Hall Hemingway, was a music teacher but had always wanted to be an opera singer. According to Carlos Baker, the author of Ernest Hemingway: A Life Story (1969), he began writing stories as a child: â€Å"Ernest loved to dramatize everything, continuing his boyhood habit of aking up stories in which he was invariably the swashbuckling hero†. When the United States entered the First World War in 1917 Hemingway attempted to sign up for the army but was rejected because of a defective eye. He therefore Joined the Red Cross as an ambulance driver. He later wrote: â€Å"One becomes so accustomed to all the dead being men that the sight of a dead woman is quite shocking. I first saw inversion of the usual sex of the dead after the explosion of a munition factory which had been situated in the countryside near Milan. We drove to the scene of the disaster in trucks along poplar-shaded roads. Arriving where the munition plant had been, some of us were put to patrolling about those large stocks of munitions which which had gotten into the grass of an adjacent field, which task being concluded, we were ordered to search the immediate vicinity and surrounding fields for bodies. We found and carried to an improvised mortuary a good number of these and I must admit, frankly, the shock it was to find that those dead were women rather than men†. A Farewell to Arms (1929), Hemingway’s great novel set against the background of the war in Italy, and eclipses the poetry dealing with his war-time experiences.

Mass Media Research Paper Example | Topics and Well Written Essays - 2000 words

Mass Media - Research Paper Example The reach of mass media is so vast that the Internet users who were 40 million in population in 1995 increased their numbers to above 800 million in the year, 2005 (Brym and Lie, 2006, pp.108). From a peripheral view, it can be seen that mass communication, is a one way process but mass media theorists have after deeper introspection, put forward different view points as well, regarding the nature of mass communication. Some theories focus on the top down dissemination of information. Some present mass communication scenario in a totally different light where social conflicts are reinforced and some others stresses the mutuality involved in a mass communication process with the producer and consumer on both ends. Reception of messages, the process of decoding them, giving feedback, and behavioral changes associated with this whole affair have to be taken into consideration while studying mass media. While looking into the various aspects of the social theories and their impact on the mass media as well as on the society as a whole, it can be inferred that only the three major sociology theories (functionalism, conflict, interactionism) in combination can address the complexities involved with the social institution, mass media. ... ion, social control (and) entertainment† which are the pillars on which a particular order of the society can stay firm (Brym and Lie, 2006, p.546). The four basic premises of this theory are that a) social structures and patterns mould or influence human behavior, b) a particular social structure can develop or destroy the total social stability, c) such social structures are built based on shared concepts and values, and d) it is only a matter of regaining equilibrium so that the society remains stable and peaceful (Brym and Lie, 2006, pp.13). This theory has great scope in assessing the impact of mass media in society, which can be considered as a social structure capable of maintaining and destroying social stability. The information or message that is handed over to the consumer through mass media is viewed here as having a unifying function at conceptual levels of the society. An idea is disseminated, it is discussed, and a consensual position created in the society, whic h is an outcome of shared values. Similarly, each and every individual who cater to the information disseminated by mass media, is actually going through a socialization process, which enables him/her to function in a society in an acceptable manner. It is the learning process of accepted social behavior that occurs in the mass media space. Before the emergence of mass media, the young people had to depend solely on their family, community and school for socialization but after mass media came into being, it has become the most important socializing space and tool. This is why it is observed that the youth has an inherent tendency to create and maintain their identities by processing the cultural messages that they get from the media, i.e.; they tend to imitate the outward looks as well as

Frida Kahlo's Artwork Essay Example | Topics and Well Written Essays - 1500 words

Frida Kahlo's Artwork - Essay Example The essay "Frida Kahlo's Artwork" analyzes the artwork of Frida Kahlo. Just as she was regaining her life, though, she was struck by a trolley car and again predicted never to walk again. Again, she defied the odds. Although she was able to overcome the largest of her handicaps, Kahlo suffered with pain from this accident throughout the rest of her life and had to have many surgeries that would confine her to bed or leave her buckled into a ceramic cast. Ever the one to overcome hardships, though, Kahlo turned to art as one of the few things she could do from her bed. Perhaps because of these difficult challenges she was constantly forced to overcome, Kahlo was quite willing to experiment with artistic forms. Her marriage to Diego Rivera, who felt her art was the best in Mexico, facilitated an easy acceptance of her brilliance within international artistic circles, but has only recently come to the attention of the greater general public. Comparing some of her self-portraits, such as â€Å"The Two Fridas† and â€Å"The Broken Column† illustrates some of the ways in which Kahlo broke out of the traditional forms. Frida Kahlo is different from any other painters. As she said, â€Å"I paint myself because I am so often alone and because I am the subject I know best,† by which she means any paintings that she made were part of her life.The imagery and style Kahlo developed through her work betrays a lifelong struggle to find balance, not only on the surface of her paintings, but within her own being as well.

The Major Source of Competition for Best Buy Research Paper - 2

The Major Source of Competition for Best Buy - Research Paper Example Best Buy faces competition from brick and mortar retailers such as Walt-Mart, GameStop, Radio Shack, and other 2nd tier competitors. Walt-Mart is the biggest threat to the company. This company is the largest retailer in the world with revenues of $405 billion. The company has greater buying power than Best Buy which provides with the ability to achieve greater economies of scale. Economies of scale can be defined as the reduction in long-run average and marginal costs arising from an increase in the size of an operating unit (Businessdictionary). Walt-Mart has been focusing more on growing its consumer electrics business. The firm now sales game consoles and games, smartphones, and laptop computers. GameStop also competes directly with Best Buy. The organization is the industry leader in the sale of video games. Its market share in the video game industry surpasses 40%. The firm has over 6,000 stores located across the United States, Canada, Europe, and Australia. The main advantage that GameStop has over Best Buy is the number of locations since Best Buy only has 1,023 stores. A third major competitor of the company is Radio Shark with 4,423 stores and overall revenues of $4 billion. Radio Shark does compete well with Best Buy in audio and video components, but customers prefer Best Buy for larger purchases. There are a variety of 2nd tier stores that also compete against Best Buy including Costco, BJ's, HH Gregg, and Ultimate Electronics. The second major source of competition for Best Buy is online retailers. Online retail sales in the United States are on the rise. In 2013 online retail sales in the United States total $395.3 billion.  

Industrial Music Essay Example | Topics and Well Written Essays - 500 words - 1

Industrial Music - Essay Example Otherwise, their target audience would not be reached and knowledge, as well as existence of new compositions, musical scores, and songs would not even be able to reach the intended listeners. The uses of various media (television, radio, online sites) are traditional media for promotion and commercialization of popular music. Thus, appropriate funds and resources are invested to do this with the objective of generating profits in the end. Yes, one believes that a group, artist, or singers could be too commercial; and at the same time, not commercial enough. There are contemporary singers who could be considered overexposed as listeners tend to hear their songs in all media at almost all possible times. When hearing a particular song is perceived as way too much that audience perceives that their ears are already aching from hearing the same sounds again and again, then, this could be considered an evident proof of being too commercial. On the other hand, there could be very good musical compositions that are not effectively managed and promoted due to factors such as lack of funds, lack of competencies of the managers or promoters, wrong use of media to promote, and reaching only a limited audience. As such, these are examples of a group or singers whose songs and musical compositions are not commercial enough. If the focus is no longer on the music itself (maybe creating promotional products that promote the singer more than the songs), then somehow, there are possibilities of audience losing their interests and appeal; especially if the songs do not reach the quality expected from the music. It could initially be productive for the promoters for having served their commercial interests; but eventually, not being able to sustain a good quality of music would be detrimental to the singer, manager and promoters in the long run. Rock fans may have rebelled against the popularity

Physical Structure of a Neuron (Neuron-to-Neuron Communication) Essay

Physical Structure of a Neuron (Neuron-to-Neuron Communication) - Essay Example Examples of the ten different body systems are the circulatory system, the digestive system, the integumentary (skin), the skeletal, the muscular, the digestive, respiratory, the reproductive, the endocrine and the nervous system. All these systems work together in harmony that makes the human body a complex whole. Vitamins, nutrients and minerals are necessary for all the systems to work perfectly to attain and maintain good health. Regular exercise, proper diet and a healthy lifestyle all contribute and work together to make these systems function properly. Perhaps one of the most complex body system is the nervous system. This is the set of body system that is composed of very highly-specialized cells involved with the receiving and its transmission of information from both internal and external stimuli. In other words, this system is responsible for the receipt and relay of various communications within the human body. It is a complex system composed of the brain, the spinal colu mn and the nerves. The nervous system also includes the special sense organs of the eyes, the ears, nose, taste buds and skin. In effect, the nervous system is the control system of the human body. It is a sort of a command center made up of the central nervous system (brain and spinal column) and the peripheral nervous system (the spinal nerves and the twelve cranial nerves). ... It is also known by other terms like biopsychology, behavioural neuroscience and physiological psychology but the ultimate aim is the same, which is to better understand how a human nervous system and its components explain our behaviours as well as various ailments. In this regard it is very important to study and understand how biological processes affect not only behaviours and emotions but the entire cognitive process as well. For this purpose, it is crucial to explore how a person's actions are greatly influenced by the brain, neurotransmitters and the nervous system. It is therefore necessary to study the complex inter-relationship between anatomy and physiology in the complex human process of biological growth and development. This very fascinating field of study has already yielded some useful insights into how the nervous system affects and influences the entire body and indeed the whole person through a discovery of the role of chemical transmission by neurotransmitters wit hin this system in relay of information from various stimuli (Wickens, 2005, p. 11). It is in this connection that this paper is discussing the basic unit of the nervous system which is the neuron and how the neurons in turn transmit crucial information between them. An understanding of a neuron's physical structure is a necessary adjunct to the process of understanding in the entire chemical transmission process. An example of a neurotransmitter is dopamine; too little of it causes Parkinson's and Alzheimer's but too much of it is associated with psychological disorders like dyslexia and schizophrenia. Physical Structure of a Neuron – the neuron is a single cell which is the basic unit or building block of the entire nervous system.

Spatial City Park and Ride Transport Planning Essay

Spatial City Park and Ride Transport Planning - Essay Example The system is meant to have people park their cars, motorcycles and bicycles at a given place the take a ride in larger vehicle like a bus to complete their journey. The destinations include offices, market places, banks, schools, hospitals, residential areas, entertainment spots, leisure parks, airports, railway stations and city exit highways among others. The transport system must therefore be designed in a way that enables a smooth transition from a personal to a collective mode of transport (Rondanini, 1981, 42). It is important to note that buses used for this purpose are big and clumsy vehicles that need lots of space to turn, park and take off as the services they offer may demand. The main advantage of buses is that they are cheap to move in because they carry a lot of people at a go thus the passengers benefit from economies of scale. Moreover, despite their clumsiness, they are far more versatile than trams and trains which need more room and rails in order to run. They are therefore an integral part of city transport planning (Le Corbusier, 1985, 81). All the same due to their clumsiness, one of the things to avoid in planning is the idea of the Park and Ride buses moving everywhere in the town thus causing snarl ups and a general bad temper among motorists and pedestrians alike. Buses must have specific routes that they use so as to avoid this unpleasant eventuality. However, these routes will prove to be of little use if they do not get the passengers as close to where they wish to go as possible (Le Corbusier, 1985, 81). The London Park and Ride System Plan A close look at the London Plan reveals that all these factors were taken into consideration when the transport system was being designed. Though it is not a building, a road design still has to adhere to the three tenets of architecture identified by the Roman architect Vitruvius being firmitas, utilitas, venustas (durability, utility and beauty) (Rowland & Howe,1999, 2). For the transport system, durability depends on utility in that the roads must continue to serve their purposes without the need to change them. The system also needs to be well made overall for aesthetic value (Rowland & Howe,1999, 2). The London bus plan seen in Fig 1 below was actually set up to ensure that all the major areas were either served directly by bus and other light transit forms such as small goods trucks or the transport was available as close to them as possible. The main transit line cuts right across the city from Notting Hill in the west to Liverpool Street in the east across the river Thames. Links were created along this main line connecting other parts of the city northwards and southwards. The East London transit phase connected the transit lines in the east of the city while the several extensions that were made later connected other areas to the north and south. Tramlinks at The Bus Route System Fig. 1 London Bus Routes (Courtesy of Maps of the World, 2011, Croydon, Purley and Sutton to the south served a similar purpose of connecting the southern areas of t he city (The London Plan, 2011). As seen in Fig 1 above most of the bus routes are concentrated around the center of the city between the Marble Arch and Trafalgar Square. This is because the center of the city is naturally where most of the business and tour activities take place hence a high number of visitors. As stated earlier, the design of these transport system cannot fail to take into consideration the aesthetic value and general heritage of the city. The routes were strategically designed to pas as close as possible to the major landmarks of the city. The landmarks include the Buckingham Palace, Westminster Cathedral, Trafalgar Square, The London Bridge and the three parks of Regent’

Business paper Essay Example | Topics and Well Written Essays - 2000 words

Business paper - Essay Example This might surely help me in fulfilling my career dreams and goals of life. So, career strategies need to be deliberate. The best company that I know is Exxon. The most extraordinary thing about this organization is that, the management follows democratic or participative style and desires every employee to present their ideas and views in the discussion. The strategies of Exxon are extremely clear and defined for the employees. On the other hand, the worst company is Hertz. It operates on rental fleets and the extraordinarily worst thing is that the upper management of the organization is out of touch and so presents unrealistic goals (Ketchen & Short, 2013). The vision of the university is to become one of the top-most colleges in the globe. To do so, it also desires to open numerous branches in varied parts of the world. And the mission of the university is to present high-quality of coaching’s to its students so that they might attain a brighter future in future day. So, it is very easy and simple to understand. As a member of the student body of the university, I find the vision and mission to be extremely interesting and motivating. This is because it always tries to recruit experienced faculties so as to present qualitative teachings to the students. That might prove effective for the students in fulfilling their future dreams. Triple bottom-line elements include three elements: Economic impact, environmental stewardship and social responsibility. The mission statement of Whole Foods (WF) is â€Å"to promote the vivacity and well-being of all the customers by presenting the best quality of wholesome grains and food stuffs†. By doing so, it aims to position itself as an international brand and so the best food retailer in the world. WF believes to present sustainable cultivation, better environment, community citizenship and honesty in all professional relations (Ketchen & Short, 2013). Risk taking- the