...1 In memory of Skip and Mary Dickinson For Quintin and Griffin And for Louise Dennys, with thanks ‘Most of you, I am sure, remember the tragic circumstances of the death of Geoffrey Clifton at Gilf Kebir, followed later by the disappearance of his wife, Katharine Clifton, which took place during the 1939 desert expedition in search of Zerzura. “I cannot begin this meeting tonight without referring very sympathetically to those tragic occurrences. “The lecture this evening ...” From the minutes of the Geographical Society meeting of November 194-, London I The Villa SHE STANDS UP in the garden where she has been working and looks into the distance. She has sensed a shift in the weather. There is another gust of wind, a buckle of noise in the air, and the tall cypresses sway. She turns and moves uphill towards the house, climbing over a low wall, feeling the first drops of rain on her bare arms. She crosses the loggia and quickly enters the house. In the kitchen she doesn’t pause but goes through it and climbs the stairs which are in darkness and then continues along the long hall, at the end of which is a wedge of light from an open door. She turns into the room which is another garden—this one made up of trees and bowers painted over its walls and ceiling. The man lies on the bed, his body exposed to the breeze, and he turns his head slowly towards her as she enters. Every four days she washes his black body, beginning at the destroyed feet. She wets a washcloth...
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...Mg Rover Collapse Seminar 1: The English Patient and the Chinese takeaway: examining social responsibilities in the MG Rover collapse 1a. Main Stakeholders: - Phoenix Group -Longbridge site owners - Employees (6500, at Longbridge -Around 9-12,000 employees from West Midlands -BMW/shareholders from BMW -financial industry in general -Unions -Local communities -Chinese state owned Shanghai Automotve Industrial Corporation (SAIC) -Chinese company Nanjing Automotive -Deloitte -Creditors -Media -Government -British Tax Payers -Competitors -Suppliers of Longbridge Theory Mitchell's framework of stakeholder salience: ‘Determines the importance of stakeholders and categorizes them on the basis of salience, defined with regard to the attributes Power, Legitimacy and Urgency’ (Grisseri & Seppala, 2010) Stakeholder Power Legitimacy Urgency ‘Phoenix Group’ H H H Employees at Longbridge L H L BMW /Shareholders H H H Deloitte L H L Unions MG Rover customers (dealers) L L L SAIC H H H Nanjing Automative M M M/H British Government M/H H M/H Creditors Competitors of MG Rover Media H H M/H Local Community L L/M L Suppliers of Longbridge L/M L/M L 2. MG Rover's actions in the case in terms of Carrol's Pyramid of CSR (responsibilities and ranking, appropriate or inappropriate in this situation, could it have done more to treat its employees ethically?) Theory Carrol's Pyramid of CSR: ‘Corporate social responsibility includes the economic...
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...Cabin Fever: Patient Zero Since I love watching movies, I decided to find a movie on Netflix that relates to diseases and I found Cabin Fever: Patient Zero. Cabin Zero is about a group of friends taking their soon to be married friend to an island for his bachelor party. When arriving to the island, they realize there was no one on the island but them. They were perfectly fine with that. By being on the island by themselves, gives them time to bond together. Most bachelor parties consist of all men, but this one was three men and a woman. All four of them grew up together. As soon as they have arrived on the island, the groom and his best friend decided to set up the tent and start grilling; while the groom’s brother and his girlfriend decided to go scuba diving. While scuba diving they were having trouble seeing water creatures. The decided to go a little bit deeper. While doing deeper into the sea, all they saw was dead creatures. The fish looked...
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...Essay No.1. Small economies in the increasing globalisation I have chosen Luxembourg as a country with a small economy and a member of BENELUX regional block. My essay consider issues of Luxembourg relations with countries from NAFTA trade block and how Luxembourg can take advantage of technological development in the contexts of market globalisation. Luxembourg’s economy is small, stable and high-income. Luxembourg’s economic success has made it one of the wealthiest countries in the world, with a per capita income that routinely ranks in the world’s top three. Canada is a member of NAFTA and it’s relations with Luxemourg are strong. Canada and Luxembourg have developed a partnership based on shared values and ongoing political dialogue on major international issues. Canada and Luxembourg have signed numerous bilateral agreements and treaties, including an Agreement regarding the Sharing of Forfeited Assets (2001), a Convention on Double Taxation and Tax Evasion (2000), an Audio-visual Co-production Agreement (1996) and a Convention on Social Security (1990). Canada and Luxembourg's long-standing friendship has also resulted in a strong economic and trade partnership. In 2011, Canada's exports to Luxembourg totalled CAD 89 million. During the same period, Canada's imports from Luxembourg reached CAD 115 million. Canada and Luxembourg also enjoy a thriving investment relationship built on natural synergies in our high-performing sectors. Luxembourg's cumulative direct...
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...books because doctors are required to know well about the human body. Also, I have to study English very hard because most of the medical terms are in English. In order to become a doctor, I have to make a constant effort. There are few things for me to work on. First, I have to love and serve for those who are sick. Doctors need to give extra care for their patients because they need to know well about each patient. Second, all doctors have to be diligent. If the doctors are lazy, and do not care to know about the patients, they cannot help them to become healthier. There are many other things for me to work on, but I think these two are the most important things for me to become a good doctor. My dream job is a doctor because I want to help sick people to become healthier. I can also help my parents when they are sick. To become a doctor, I have to read a lot of books because doctors are required to know well about the human body. Also, I have to study English very hard because most of the medical terms are in English. In order to become a doctor, I have to make a constant effort. There are few things for me to work on. First, I have to love and serve for those who are sick. Doctors need to give extra care for their patients because they need to know well about each patient. Second, all doctors have to be diligent. If the doctors are lazy, and do not care to know about the patients, they cannot help them to become healthier. There are many other things for me to work on, but...
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...me to a Cantonese patient and informed me on his inability to speak English. I was not however made aware of the fact that he was unable to understand English as well. As I walked in the room, it was just me and the patient. As per normal procedure, I began by introducing myself and continued with the assessment and vital signs. “How did you sleep last night?” is a question I ask during assessment, however when I asked my patient this question, he seemed to have a puzzled look on his face. As having previously dealt with patients, I understood that it was quite possible he did not want to talk to me, felt annoyed and just wanted to go back to sleep. However, after doing assessments, I concluded...
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...Registered Nurse Language Laura Lynch Nevada State College ABSTRACT This paper discusses the significance of utilizing standard language and writing skills as it relates to multiple tiers of communication required in the nursing profession, as well as the importance of maintaining these elite level communication skills. In addition, this paper also includes a comparison between two minority authors that argue for the importance of their respective Chicana and black, “native tongues “. The pros and cons of their arguments is contrasted against authors’ Allen, Chapman, O’Connor and Francis (2007), whom address the significance of language and writing within the area of professional nursing that upholds the elite verbal and written communication standards practiced in nursing today. The Communications and the Language of Nursing The language spoken in the profession of nursing requires a wide spectrum of core communication skills that provide a verbal bridge of common understanding of illness, healing, wellness or prevention. These skills require the continual change and transformation of the nursing profession’s language. From the perspective of the patient’s bedside and nurse-to-nurse communications, through the nurse to the specialist, the criteria for common core can be acknowledged. Additionally, the personal slang and reflections of self identification shared in Anzaldua and hooks’ essays demonstrates the immediate need for the requirement of a common core language...
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...hospitalizations, and increase tax dollars. The frustration of being misunderstood when trying to communicate is something that everyone has experienced. It is a very helpless and frustrating feeling and when on vacation we have all experienced this communication breakdown. Imagine this same frustration and helplessness when you are unable to receive the correct healthcare or because of a language barrier you were unable to understand the medical professionals and could not follow through with your own treatment. Many of the hospitals in our area feel that by providing an interpreter there will always be clear communication between the staff and patients. This is not so. We deal with many different cultures on a daily basis and are hard to communicate effectively. The words we use can mean something different to patients of other cultures and as nurses we need to remember this ("Cultural barriers to effective communication", 2010). The potential for misunderstandings increases when the languages are different, and translation has to be used to communicate ("Cultural barriers to effective communication", 2010). There have been many times when non health care...
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...Hispanics and Health Disparities Francesca Novelli University of Phoenix Palomar Medical Center is in the heart (Escondido) of North County, San Diego California area. According to Hispanics Now Largest Group in Escondido, Hispanics account for 46% of the population in Escondido, California (Jones & Lee, 2010). These statistics do not differentiate between illegal and legal residents. Therefore the majority of patients at Palomar Medical Center are Hispanic. Even though the majority of our patients are Hispanic this does not equal an easier rode to healthcare recovery for this vulnerable group. The Hispanic population in the Unites States is a major vulnerable class relating to healthcare access and treatment. They are faced daily with health disparities and need time, education, and encouragement for their path to wellness. According to U.S. Census Bureau as of July 2011 there are roughly 52 million Hispanics living in the United States. This makes people of Hispanic origin the nations largest ethnic or race minority. The definition of Hispanic or Latino is “a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish Culture or origin (Hispanic/Latino Heritage Month, 2012). Among Hispanic subgroups Mexicans ranked the largest at 63% in 2010. The percentage of Hispanics who lacked health insurance in the U.S. was 30.7%. By the year 2050 there is an estimation...
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...further discuss ways to decrease barriers to mental health care for this minority group to assist the facility strive for cultural competency. Acosta (2003) noted in his project on a model mental health program for Hispanics that language barriers and lack of health insurance are the two major barriers to receiving mental health care for Latinos. There are no nurses, social workers, physicians, and psychologists at this facility who speak Spanish. However there are several Spanish speaking patients at both the civil side and forensic unit. The facility has to rely on interpreters whose services can only be obtained through a state established help line that can be very difficult to access. Lack of Spanish language resources for a Mexican patient who speaks no English can negatively impact care. Mental health services at this facility can be obtained either through the civil side or the forensic unit. The county psychiatric crisis unit is operational twenty four hours to receive and assess patients for future admission to...
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...This paper will explore the Diane Mathis’ experience with non-English-speaking patients. I will compare and contrast the range of medical language interpretation and describe what is considered the “best practice”. Also, I will describe at least two scenarios in situations in which patients are non-English speaking and qualified language interpretation is not provided. I will highlight the key ethical principles to be considered and the implications for the patient in each alternative. Finally, I will discuss how the scenario relates to my own health profession's code of ethics. As the population of non-English speaking migrants continue to flood United States, the need for increasing medical language interpretation is vital in order to facilitate the communication...
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...concentrates on providing care for patients that has workers compensation and personal injury cases. This office has two psychologists, one who is the main administrator and owner of the clinic, psychological assistants, internist, orthopedist and neurologist. Aside from the doctors there are two types of managers; general and back office. Two medical billers, three collectors, four transcriptionists who work on a part time basis, a front receptionist, and five back office workers who assist with interpreting for non-English speaking patients. About 90% of the patient population is referred for treatment for their injury on the job and 10% are personal injury cases. 75% of the patients are non-English speaking patients. There are a few basic steps on how this clinic is being run. The first step is for the patient to be referred by either their attorney or primary treating physician, in some cases directly from the insurance carrier. Then the patient gets seen by the doctor and the doctor will dictate a report that gets transcribed. Once the report is transcribed, it is given to the billing department to get sent out to all parties involved. After that the file will go to the collections department to try and collect a payment for the services provided. Those payments are what keep the business intact. However, not everything always runs smoothly due to miscommunication between the administrator, managers, employees, and the patients, which cause complications within...
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...American-born parents. The authors advise using professional translating services in hospitals and clinics to reduce communication barriers and improve health care. Flores, Glenn. Language Barriers to Health Care in the United States. The New England Journal of Medicine. Volume 355:229-231 (July 20, 2006), Number 3. http://content.nejm.org/cgi/content/full/355/3/229 This article discusses the grave medical miscommunications and the increased incidence of adverse clinical consequences that occur when untrained, ad hoc interpreters are used in health care settings. Despite the growing number of people who have limited English speaking abilities in the United States, many patients who need medical interpreters have no access to them. The provision of adequate language services results in optimal communication, patient satisfaction, outcomes, resource use, and patient safety. A 2002...
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...lexicon includes a) the type of verb, b) the thematic roles that are assigned to its arguments, c) what is the hierarchy of the arguments (with the associated theta-role), d) whether they assign case to one or more arguments. It is crucial when learning a foreign language to realize that while the meaning of the verb, namely the event type and, as a consequence, the theta-roles assigne by it can be the same in L1 (our native language) and L2 (our foreign language), the hierarchy of the arguments may be very different. Let us make a very well-known example of the Italian – English contrast: (1) a. b. John likes potatoes. A Gianni piacciono le patate. Like and piacere express the same kind of event. It is a psychological state (of pleasure) which has two theta-roles: the EXPERIENCER of the pleasure and the THEME of the pleasure. In both languages the EXPERIENCER is animate and the THEME is not animate. But in English the EXPERIENCER is the subject while in Italian the subject is the THEME. Notice that this does not even imply that the word order is different in the two...
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...These three terms can be tied together to define one’s own personal ethics. Values are learned as a child that parents teach, morals are developed from what is taught, and ethics is how a person behaves when faced with a difficult situation. An individual’s beliefs will continue on throughout life and be incorporated into their everyday lives. Ones personal ethics can be different from the next. What one may see as right, another may view as wrong. Medical professionals have established ethical standards that guide their everyday practice. This paper will discuss the writer’s personal worldview and how these are incorporated into her daily practice as a registered nurse caring for burn patients. Professional Moral Compass According to Webster’s New Millennium Dictionary of English[->0], a moral compass is, "anything which serves to guide a person’s decisions based on morals or virtues" (2012). This writer considers moral compass to be conscience. This is based on what was learned and instilled while growing up. These include integrity, caring, excellence, attitude, and courage. This writer was raised to be honest, sincere, dependable, reliable, considerate and fair to others, to strive for excellence in all aspects of life, to maintain a positive attitude, and to stand up for what is right. These values guide the writer’s personal...
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