Social Media HIPAA Essay Example

Social Media HIPAA Essay Social Media HAIFA Jacqueline Ford Healthcare Compliance Increasing privacy violations is more evident than ever. Usage of Social Media to network between friends, colleagues, and family is at an all-time high. Cellophanes or smartness are used not only to communicate socially, but also professionally. More innovative are cellophanes and portable tablets with high megalith cameras built-in, to instantly share a real-time event(s). For example: a loved one delivering a baby; a witness to an accident; injuries and/or wounds, Just to name a few. This is occurring daily not only with civilians, but healthcare workers; especially those who witness graphic or invasive procedures not normally seen to the average Joe. Unfortunately, some healthcare workers have no medical conscious; and for those who disclose patient information online can find themselves in violation of patient privacy laws like the Health Insurance Portability and Accountability Act, also known as HAIFA. We will write a custom essay sample on Social Media HIPAA specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Social Media HIPAA specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Social Media HIPAA specifically for you FOR ONLY $16.38 $13.9/page Hire Writer If caught, this can result in not only getting disciplined or fired, but being subject to fines of up to $250,000 and even a prison sentence. Another potential active consequence is an investigation and discipline by the professionals state board. But that threat hasnt stopped some medical professionals from posting confidential patient information online without permission. Some recent examples of social networking HAIFA breeches include these violations in Healthcare: A nurse who posted a patients picture and chart on his Faceable page because he thought it was funny and since it was only Faceable, there was no real harm in it A doctor who treated a patient over Twitter Emergency room personnel who posted pictures on the Internet of a man being rated for fatal knife wounds A doctor who asked a patient on a date after seeing her profile on a dating website A Rhode Island doctor was fired from the hospital and reprimanded by the Medical Board after she posted on her Faceable page about a long day at work. She never referred to the patients name but gave out enough details about the injuries to allow others to guess who it was. Although these are extreme examples of social networking gone wrong, even seemingly innocuous behaviors like writing about work on a blob, befriending a patient n a social networking site or taking a photo with a cellophane can lead to HAIFA Phoenix, on December 19, 2007; Dry. Adam Hansen, chief resident of general surgery at Mayo Clinic Hospital, admitted that he took a picture of a patients penis prior to surgery. Strip club owner Sean Dubious has a tattoo on the top of his penis that reads: Hot Rod. Hansen had admitted to Dubious that he took the picture with his cell phone while the patient was unconscious being prepped for gallbladder surgery. One of the primary purposes of the Health Insurance Portability and Accountability Act is to make it an actual federal offense for anybody to release any information about any patient without their written consent. Yet violations of HAIFA are only misdemeanors. Hansen is presently practicing as a Thoracic Surgeon at United Hospital Center in West Virginia. In order to address the growing problem of HAIFA violations by medical professionals, a company that develops mobile solutions is creating technology that will monitor social media sites to find HAIFA violations and evaluate the severity of the privacy breeches, which will help a medical facility take appropriate action. Some medical schools are also doing their part to help solve the problem by giving future doctors tips on how to conduct themselves professionally online, as well as examples of people in the profession who have made serious mistakes on social networking sites. According to a one professional In the current health care environment, we do not need to look any further than our nightly news program or daily paper to understand that health care costs have risen precipitously over the past decade and are on a similar path for the coming years unless we do something drastic to reverse he trend (p. 33). Mr.. Sullivan statement does bring a vital point, what drastic measures can be taken to keep patient privacy, private? With the ease and magnitude of the misuse of our social network technology; only a clear, well-defined and widely disseminated social networking policy that emphasizes compliance responsibilities during both work and non-work hours, and in using both company computer systems and any other devices with access to the Internet, is an employers most effective weapon against liability for employee misuse of social networking sites. From a reflections standpoint, operating social media to enhance your health organization can be accomplished in a compliant way.

How to Conjugate Remettre (to Put Back, Replace)

How to Conjugate Remettre (to Put Back, Replace) The French verb remettre means to put back or to replace. It is an irregular verb. How to Conjugate the Verb Remettre While remettre does not follow the conjugation pattern of a regular verb, it is conjugated the same way as all French verbs ending in -mettre.  The following charts will help you memorize the simple conjugations for remettre. Present Future Imperfect Present participle je remets remettrai remettais remettant tu remets remettras remettais il remet remettra remettait nous remettons remettrons remettions vous remettez remettrez remettiez ils remettent remettront remettaient Subjunctive Conditional Pass simple Imperfect subjunctive je remette remettrais remis remisse tu remettes remettrais remis remisses il remette remettrait remit remt nous remettions remettrions remmes remissions vous remettiez remettriez remtes remissiez ils remettent remettraient remirent remissent Imperative (tu) - remets (nous) - remettons (vous) - remettez How to Use Remettre in the Past Tense The most common way to put something in the past tense in French is to use the passà © composà ©. It is a compound tense requiring an auxiliary verb and a past participle. For remettre, the auxiliary verb is avoir and the past participle is remis. For example: Elle a remis le jus dorange.She replaced the orange juice. Ils ont remis les livres.They put back the books.

Compare & Contrast Edgar Allen Poe's The Tell Tale Heart and The Fall Essay

Compare & Contrast Edgar Allen Poe's The Tell Tale Heart and The Fall of the House of Usher - Essay Example â€Å"†¦found myself, as the shades of the evening drew on, within view of the melancholy House of Usher. I know not how it was - but, with the first glimpse of the building, a sense of insufferable gloom pervaded my spirit. †¦I looked upon the scene before me - upon the mere house, and the simple landscape features of the domain - upon the bleak walls - upon the vacant eye-like windows - upon a few rank sedges - and upon a few white trunks of decayed trees†¦Ã¢â‚¬  (Baym/Poe, 1553) Against this gloomy background we are introduced to the narrator who remains nameless as is the narrator in The Tell-Tale Heart. In typical Gothic fashion The Fall of the House of Usher’s narrator introduces a striking contrast. He is about to enter the gloomy house with a view to bringing some cheer to his friend, Roderick Usher’s melancholic mood. (Byam/Poe, 1553) True to Gothic form Poe has succeeded in introducing us to a subliminal element. This is a subliminal element in that the reader will not hesitate to latch onto as a false sense of security, expecting brightness and a cure to the malady afflicting Roderick Usher. This is a typical technique of Gothic writers. (Punter, 116) The Gothic element of fear is set up in a different way in The Tell-Tale Heart. The narrator first introduces us to fear that has been instilled in him as a result of the physical condition of an old man’s eye which he described as: â€Å"One of his eyes resembled that of a vulture -- a pale blue eye with a film over it. Whenever it fell upon me my blood ran cold, and so by degrees, very gradually, I made up my mind to take the life of the old man, and thus rid myself of the eye for ever.†(Baym/Poe, 1589) Both tales describe madness in a similar nature. Although in The Fall of the House of Usher, madness is viewed as a malady to be cured while in The Tell-Tale Heart madness is viewed with optimism. Usher who is a hypochondriac complains of having an over sensitivity to sight and sound

Spotless Laundry Essay Example | Topics and Well Written Essays - 5000 words

Spotless Laundry - Essay Example This implies that new customers can be created. These new customers would be people previously doing their own laundry or using services of conventional laundry shops. The capital employed would come from personal equity and a very small portion will consist of loans. This is because in the initial stages of operations, it’s almost impossible to get financing from financial intermediaries. Our mission is to provide high quality, fast and reliable laundry and pressing services that would give the customer the value of their time and money. We will strive for the complete satisfaction of our clients and work on building long-lasting relationships with them. The Laundry and Cleaning industry in Dubai, UAE is more prices focused and gives importance to quality and service than was some years back. The current laundry industry in UAE has the potential of about 0.5 billion USD per year1. New projects are coming up in the next two years, i.e. 2010 and 2011, with better technologically advanced equipment. The hotels in Dubai have mostly outsourced their laundry services to small companies specializing in this. Laundry industry costs have risen over the years due to high labor and utilities (water, fuel, power) costs. Hence, efficient machinery is crucial for laundry companies so they can reduce these recurring costs and charge low prices to customers. Based on the descriptors in Annexure 1- Industry Maturity Guide, the Laundry and Cleaning Industry can be analyzed as to which stage in the Industry Maturity Cycle it belongs to. As per our analysis, it falls in between the late growth and very early maturity stage (Annexure 2 –Industry Maturity Cycle). Strengths: The start-up firm’s fast, door-step service with a polite and well mannered ‘way’ of giving the service is what will be the differentiating point for Spotless Laundry. The vans of the

Difference between men and women in the workplace Essay

Difference between men and women in the workplace - Essay Example (Wirth, N.D.). It is thus increasingly found that a handful of women tend to occupy the managerial positions on a global scale in comparison to men. In this context the paper makes an inference into the causes, which has led to the emergence of gender disparity in the managerial positions. One of the key reasons behind the under representation of women at managerial positions of big corporations is the age factor. It is often seen that the women employees competing for managerial positions tend to be quite young which act as an obstacle in letting them occupy senior positions. The male managers quite old and experienced are found to have a steady access to such positions. It is seen in a global context that women tend to occupy a mere 20 percent of the total global workforce. It is also found that the gender gap widens proportionately to the increase in job responsibility. (Wirth, N.D.). In recent times the society has developed itself from the past in letting women gain access to better education and in revision of social customs like early marriages promoting development of the women race. This in turn has made women capable of applying to managerial positions. Yet, women who become married find it much harder to reach the managerial pinnacle in spite of having the required capabilities. The reason behind such a pitfall is their need to address both the family and their career simultaneously. Need to rear their children coupled with other family needs act as an obstacle in the path of progress. (Wirth, N.D.). In other cases, the organizations are constituted in a manner as to provide a male image to the senior positions of the company. To fulfill the above criteria the interview board takes conscious decisions to impart a picture of gender bias while selecting personnel for the senior post. (Broughton & Miller, March, 2009).

Decrease Ventilator Associated Pneumonia

Decrease Ventilator Associated Pneumonia Patients on ventilator support are very prone to respiratory infections. These patients have no means or control over what enters their lungs or what does not. One prevalent infectious process that can occur in these patients is ventilator associated pneumonia (VAP), and affects many patients every year who require ventilator support. Ventilator associated pneumonia is a form of pneumonia, a lung infection, which occurs in mechanically ventilated patients. It develops at least 48 hours or more after the ventilator is utilized (Powers, 2006). Ventilator associated pneumonia is caused by bacterial organisms entering the patients lower respiratory tract usually by aspiration of oral pharyngeal secretions. The bacteria colonize within the lungs causing immune response or infection to occur (Powers, 2006). The development of this infection can lead to a decline in the patients outcome and increased healthcare cost to the patient as well as the health care facility (Mori, 2006). With all t hese problems VAP can produce it is important to the patient as well as healthcare providers to be able to find ways to reduce the development of VAP cases in patients. The purpose of this paper is to determine if routine oral care can decrease the incidence of ventilator associated pneumonia in mechanically ventilated patients. The picot question guiding this paper is what effect does routine oral care have on the incidence of ventilator associated pneumonia rates in mechanically ventilated patients. Background and Significance Ventilator associated pneumonia is a serious infection affecting both the patient, healthcare facility, and staff. It is the second most common healthcare-acquired infection (Koening, 2006). Incidence of VAP is estimated as high as 65% and it occurs in up to 28% of patients who have been on the ventilator 48 hours or longer (Powers, 2006). The mortality rate associated with VAP ranges from 12-50% (Sona et al, 2009). Studies on the mortality rates of VAP also show that patients who develop VAP have a 2.2 to 4.3 times higher risk of death compared to other mechanically ventilated patients who do not have pneumonia (Powers, 2006). A couple affects that VAP has upon the patient and healthcare facility are time of hospitalization and healthcare costs. Ventilator associated pneumonia causes the length of a hospital stay to increase significantly. It can increase the hospitalization time anywhere from four to nineteen days longer (Powers, 2006). This extra hospitalization can cause additional stress for the patient and their health. As the incidence of VAP causes longer hospitalizations to occur, patient and health care facility costs climb also. It is estimated that the average increase in hospital costs is around $57,000 per VAP occurrence (Powers, 2006). There are also increases to the hospital that occur due to increases in supplies used, staff that is utilized, and more medications used. Since VAP has such a negative impact upon patients and healthcare facilities many interventions have been tried to prevent the incidence of VAP. One intervention utilized is keeping the head of the patients bed raised to at least thirty degrees to prevent aspiration of bacteria in secretions. Another is sedation vacations which consists of interrupting the patients sedation medication until patient shows signs of alertness, to assess if patients can be weaned off the ventilator more quickly. Other notable interventions that have been utilized in the past and some in todays practice as well include: suctioning secretions, good aseptic techniques such as hand washing, and oral care (Pruitt Jacobs, 2006). Patients are continually developing VAP and having complications from the infection. If it is found that routine oral care, defined as teeth brushing with the use of an oral antimicrobial within this paper, can reduce the incidence of VAP in mechanically ventilated patients it could decrease length of hospital stay, keep costs due to incidence of VAP down for both patient and healthcare institution, as well as decrease mortality rates in these patients. Clinical Question Ventilator associated pneumonia occurs way too often in the hospital setting. It causes significant stress on the patients already problematic health status. The writer of this paper has observed many nurses who are vigilant in providing oral care to ventilated patients, but has also observed other nurses who forego oral care as if it not important and has no affects upon the patients health. This made the writer question what the actual effectiveness of oral care has upon reducing the incidence of ventilator associated pneumonia in mechanically ventilated patients. This issue is very relevant to nursing because the ultimate goal of a nurse is to help the patient have the best possible outcome. Trying to achieve the best possible outcome for the patient makes infection control is a very high priority for nurses. Patients who have infections are more prone to get other infections and require more nursing care and more time to recover from their illnesses. Although VAP will continue to occur in patients, and oral care is not a cure for ventilator associated pneumonia, there is valuable information included in research studies included within this paper that shows the incidence of VAP can be reduced in mechanically ventilated patients by implementing routine oral care. Empirical Review 1 The purpose of the first study, conducted by Sona et al, 2005 was to determine the effect of a routine oral care protocol upon incidence of ventilator-associated pneumonia. The research design was a quantitative, experiment, quasi-experimental study which utilized a non-equivalent control group before and after the design. The study had no conceptual framework stated by the researchers. Within the study, the variables of significance to the clinical question being looked at were the routine oral care protocol and the ventilator-associated pneumonia rates. The independent variable of new oral care protocol was defined as the mechanical cleansing of the teeth or gums to remove plaque with a tooth brush and the application of an oral antimicrobial. The study went on to further discuss the protocol as brushing the teeth for one to two minutes with a regular toothbrush and then applying .12% chlorahexidine to all oral surfaces every twelve hours. The dependent variable was the ventilator associated pneumonia rates. It was defined as a common hospital acquired infection and is the leading cause of death in ICU patients who are ventilator dependent. Ventilator associated pneumonia rates were measured using the National Nosocomial Infections Surveillance System (NNIS) criteria.The reliability nor the validity of this instrument was addressed within the study. Another variable that was studied was length of stay. This was just measured by the number of days that the patient spent within the ICU after a ventilator associated pneumonia infection occurred (Sona et al., 2009). This study took place at Barnes Jewish Hospital on a 24 bed intensive care unit (Sona et al., 2009). The study focused particularly on patients that were admitted to the surgical intensive care unit (SICU) whom required mechanical ventilation. The subjects consisted of all patients who had mechanical ventilation between June 1, 2003 and May 31, 2005. Subjects were chosen using non-probability convenience sampling. The pre-intervention was implemented for patients that were admitted between June 1, 2003 and May 31, 2005. The size of this sample was 777 patients. The pre-intervention phase consisted of standard care the nurse provided to the patients, no changes were provided during this time; only observation took place. One month before the end of the pre-intervention phase all nursing staff working on the SICU were debriefed and educated on the aims of the study as well as the new routine oral care protocol by two clinical nurse specialists and a nurse educator. This was to help pre vent discrepancies in the intervention. During the post intervention phase of the study which took place between June 2004 until May 2005 the sample size consisted of 871 patients who were all nil per os (NPO) (Sona et al., 2009) On June 1, 2004 the new routine oral care protocol was implemented (Sona et al., 2009). The intervention/protocol consisted of the nurse brushing the teeth of the patient for one to two minutes with a regular toothbrush, rinsing the mouth with water and suctioning it out, and then using 15 mL of .12% chlorahexidine to cleanse the mouth. The intervention was repeated every 12 hours by the registered nursing staff. Compliance of the protocol was estimated to be around 90% and the implementation was carried out for 12 months before results were analyzed(Sona et al., 2009). For this study the level of significance was expressed using p-values. A p value of less than .05 was considered significant (Sona et al., 2009). For the data analysis, two statistical tests were used: The Mantel-Haesnel Chi Squared . After the analysis of data, it was determined that p=.04 showing that the routine oral care protocol did cause a significant reduction in the ventilator-associated pneumonia rates within the subjects studied. The pre-intervention rate for VAP was 5.2 infection per 1000 ventilator days while post-intervention rate for VAP showed 2.4 infections per 1000 ventilator days (Sona et al., 2009). Other statistics for the study showed the patients number of days the patient was on ventilator was decreased(Sona et al., 2009). From the statistical analysis within the study, the researchers derived certain findings and conclusions (Sona et al., 2009). One of the findings was that the post intervention group had trends toward shorter time on the ventilator, as well as length of hospital stay. The main finding within the study found that when the routine oral care protocol was being utilized, the rates of ventilator-associated pneumonia were significantly decreased. The researcher makes it a point to state that although the finding suggests that the implementation of the protocol reduces rate of VAP this cannot be proven (Sona et al., 2009). This study is a nonrandomized controlled trial. The quality of this evidence was convincing and significant. It was a consistent study and it is considered to be of Level II quality. Certain extraneous variables that could have had an effect upon the outcome of the study, as identified by the student, could have been the condition the patient was in before the ICU admission, any pre-existing conditions that could alter health and increase the risk of infection, and the nurses attitude toward performing oral care. Although the study was a strong and consistent one, it did have both strengths and weaknesses. There were no strengths identified by the researchers. However, the student did identify some strengths within this study. One of the first strengths was the education that was given to the nursing staff prior to the implementation of the protocol. This helped the study to be more valid by increasing the continuity of the care and way the nurses performed the protocol. The other strength of the study was the design being a quasi-experimental. This is because quasi-experimental studies usually can be generalized to the population that is being studied. Weaknesses that were addressed within the study by the researchers was that the researchers themselves did not evaluate the teeth brushing portion of the intervention to make sure that the nurses were being consistent in the way they did it, and if the nurses performed it for the correct amount of time (Sona et al., 2009). This resulted in the lack of control over nursing techniques. Another weakness of the study recognized by the researcher was the study did not take into account the change in the patient population over the duration of the study (Sona et al., 2009). Some weaknesses the student identified within this study was that the study was very susceptible to bias because no blinding or masking was used within this study. Everyone knew what was occurring and this could have had the researchers looking as if the intervention helped more than it actually did. Within the study the researcher did not address if the study could be generalized. However, the writer of the paper believes that this study can be generalized. The intervention is a very simple one. Most cultures have no problems with utilizing oral care. Also, most hospitals have intensive care units and/or ventilator dependent patients which were the population within the study. This intervention within the study does not have a lot of risks. The only risks mentioned were possible tooth staining from the antimicrobial and poor taste (Sona et al., 2009). Also, this intervention is very feasible. To implement oral care there is no special training needed, although education should be provided. The oral care routine is a relatively quick intervention that takes no more than 5 minutes to implement, which would allow nurses with busy schedules to still be able to perform the intervention. Also, this intervention is very low cost compared to the cost of ventilator associated pneumonia c ases. Therefore, the cost-benefit ratio would be a great benefit to health-care facilities. This study suggests that oral care can be very effective in decreasing the incidence of ventilator-associated pneumonia rates. Although a very valid study, one study is not enough evidence to implement a new protocol into a nurses practice. One must look for more studies and literature to support the finding in order to attempt to implement it into practice. The next study that was appraised by the writer of this paper seems to support the findings that were found in this study. Empirical Review 2 The next study examined by the writer of this paper was a research study conducted by Mori et al.,2005. The purpose of the study was to determine if oral care of mechanically ventilated patients contributed to the prevention and reduction of the incidence of ventilator associated pneumonia (Mori et al., 2005). The research design utilized for this study was a quantitative, experimental, quasi-experimental which used a non-equivalent before and after approach. Within the study the researcher did not state any theoretical framework to guide the study. The study was not randomized, and used a non-probability convenience sample method (Mori et al., 2005). The research study took place on a medical/surgical intensive care unit in an urban university hospital which was not named by the researcher (Mori et al., 2005). The population of interest was ventilator dependent patients with tracheal intubation. Since subjects were chosen by convenience sampling, they were chosen as they became available on the unit. Inclusion criteria for subjects were that they must have been receiving mechanical ventilation and have tracheal intubation. Exclusion criteria for the study were patients whose conditions contraindicated oral care, patients with severe bleeding tendencies, or patients with iodine allergies. The sample for the oral care group was patients admitted to the intensive care unit between January 1997 and December 2002, and consisted of 1,248 patients. The sample for the non-oral care group, or the control, was patients admitted during January of 1995 until December of 1996; this sample size was 414 subjects (Mori et al., 2005) For this study, the independent variable was the oral care being delivered (Mori et al., 2005). This variable was defined as cleansing of the oral cavity three times a day by nursing employees following the specified new protocol. The protocol was that the nurse would check the patients vital signs and then do oral suctioning, followed by positioning the patients head to the side to prevent asphyxiation and determine the condition of the oral mucosa. After this the nurse would clean the mouth with a 20-fold diluted solution of providone-iodine gargle (antimicrobial). Then the use of a standard toothbrush was used to brush the teeth; the patients mouth was rinsed with water. Directly following the brushing and rinsing, the providone-iodine was utilized again by swabbing the mouth and teeth. Finally, oral suctioning was done one final time. The dependent variable in the study was the incidence of ventilator associated pneumonia. This variable was defined as a hospital-acquired pneumoni a that becomes present after 48 hours of the patient being mechanically ventilated. Ventilator associated pneumonia was suspected if patch infiltrates were present upon the patients chest x-ray and two of the following were present: a temperature of 100.4 degrees Fahrenheit, white blood cell count of 10,000 m3 or higher, or purulent respiratory secretions were observed. A definite diagnosis of ventilator associated pneumonia, which was used for evidence of the incidence in this study, was determined by trancheobronchial secretion cultures showing a result of 1+ or more. Other variables were duration of hospitalization defined as length of stay measured by the number of days and the causative agent of the pneumonia identified by bacterial cultures (Mori et al., 2005). Reliability and Validity of the cultures and radiography used to measure if ventilator associated pneumonia was present and causative agent were not addressed within the study by the researcher, so the validity is unkno wn.

The Silence of the Lambs by Thomas Harris Essay example -- Thomas Harr

The Silence of the Lambs by Thomas Harris The novel The Silence of the Lambs by Thomas Harris is said to fall under the genre of psychological horror. The stories that fall under the genre of horror include a few essential elements: a villain or one seen as evil to create an initial story line. The foil is the next element; a foil is a person who tries to stop the villain from going through with the evil plan or plot. These two elements naturally lead to conflict between the two persons or groups and then from this conflict -- suspense, the last element is added. Suspense is important to keep the reader interested and to keep the story line going. When psychology is added to a story, the definition of horror is changed completely. There are still those few essential elements above but there is also a few more added. The story now has something to do with the mind and how it works, and there is really no definition for that. The mind and it's workings are a mystery to us and that mystery of the mind adds to the suspense and t herefore the idea of psychology and horror are able to go together and become one. This essay will prove that The Silence of the Lambs is indeed a psychological horror according to the five criteria above along with other sources. The first element to a psychological horror is a villain, and the villain is The Silence of the Lambs is Mr. Jame Gumb. He is a white male in his mid thirties, 'most serial killers are white male, unemployed, intelligent and experience financial difficulty.';(Bonata, 3) Gumb is all of these things, he is unemployed but a very skilled seamstress, and using these skills is making himself a second skin out of women who he is able to take control of and render them powerless. He is also very intelligent but is anable to interact with other people and therefore remains unemployed. He experienced financial difficulties until he was the recipient of a large sum of money from an inheritance. 'The unconscious fear of women goads some men with a compulsive urge to c onquer, humiliate, hurt, or render powerless some available sample of womanhood.'; (Menninger, 183) Gumb was deeply disturbed and unable to overcome the death of his mother and he wanted to be like her and resented any woman because he feels that he should have been born a woman instead of the man that he is. He is sewing a skin of women to try to beco... .... The closing of the case did not come without suspense however. Through the entire book there was some sort of suspense weather it concerned Buffalo Bill, the actions of Hannibal Lecter, or the situation that Clarice Starling was in. The last seven chapters are the most suspenseful chapters of the story. They deal with the capture and killing of Jame Gumb, the rescuing of the prisoner that he held hostage and finally the freeing of Clarice Starling from the 'screaming of the lambs';. Clarice starling murders Jame Gumb and his prisoner is set free with a few minor injuries. Clarice Starling finally finds peace within her and is able to enjoy life to the fullest and she owes it all the Dr. Hannibal Lecter. The location of Lecter is left unknown which leave the reader without a final closing further adding to the suspense of the novel. Novels in the genre of psychological horror are said to have the elements listed above. This essay has proven that the elements are indeed in the novel The Silence of the Lambs and therefore the novel is a psychological horror. The elements listed above are found through out the novel and are just a few of the many instances in which they occur. The Silence of the Lambs by Thomas Harris Essay example -- Thomas Harr The Silence of the Lambs by Thomas Harris The novel The Silence of the Lambs by Thomas Harris is said to fall under the genre of psychological horror. The stories that fall under the genre of horror include a few essential elements: a villain or one seen as evil to create an initial story line. The foil is the next element; a foil is a person who tries to stop the villain from going through with the evil plan or plot. These two elements naturally lead to conflict between the two persons or groups and then from this conflict -- suspense, the last element is added. Suspense is important to keep the reader interested and to keep the story line going. When psychology is added to a story, the definition of horror is changed completely. There are still those few essential elements above but there is also a few more added. The story now has something to do with the mind and how it works, and there is really no definition for that. The mind and it's workings are a mystery to us and that mystery of the mind adds to the suspense and t herefore the idea of psychology and horror are able to go together and become one. This essay will prove that The Silence of the Lambs is indeed a psychological horror according to the five criteria above along with other sources. The first element to a psychological horror is a villain, and the villain is The Silence of the Lambs is Mr. Jame Gumb. He is a white male in his mid thirties, 'most serial killers are white male, unemployed, intelligent and experience financial difficulty.';(Bonata, 3) Gumb is all of these things, he is unemployed but a very skilled seamstress, and using these skills is making himself a second skin out of women who he is able to take control of and render them powerless. He is also very intelligent but is anable to interact with other people and therefore remains unemployed. He experienced financial difficulties until he was the recipient of a large sum of money from an inheritance. 'The unconscious fear of women goads some men with a compulsive urge to c onquer, humiliate, hurt, or render powerless some available sample of womanhood.'; (Menninger, 183) Gumb was deeply disturbed and unable to overcome the death of his mother and he wanted to be like her and resented any woman because he feels that he should have been born a woman instead of the man that he is. He is sewing a skin of women to try to beco... .... The closing of the case did not come without suspense however. Through the entire book there was some sort of suspense weather it concerned Buffalo Bill, the actions of Hannibal Lecter, or the situation that Clarice Starling was in. The last seven chapters are the most suspenseful chapters of the story. They deal with the capture and killing of Jame Gumb, the rescuing of the prisoner that he held hostage and finally the freeing of Clarice Starling from the 'screaming of the lambs';. Clarice starling murders Jame Gumb and his prisoner is set free with a few minor injuries. Clarice Starling finally finds peace within her and is able to enjoy life to the fullest and she owes it all the Dr. Hannibal Lecter. The location of Lecter is left unknown which leave the reader without a final closing further adding to the suspense of the novel. Novels in the genre of psychological horror are said to have the elements listed above. This essay has proven that the elements are indeed in the novel The Silence of the Lambs and therefore the novel is a psychological horror. The elements listed above are found through out the novel and are just a few of the many instances in which they occur.

Frq Apush Farmers vs Industrialization Essay

The Gilded Age, a time of industrious growth and a surge of new immigrants. Americans had witnessed the death of rural life dominated by farmers and the birth of an urban and industrial America dominated by bankers, industrialists, and city dwellers. Overproduction led farmers into debt leaving them just an overflow of crops due to the repressed prices. Tariff Policies forced farmers to buy manufactured goods for survival. Farmers lost their status and power due to industrialization. Let’s just say farmers felt betrayed by their government and not letting them have voice. Overproduction was the most vexing problem during this time. The American farmer produced too much for their own good. As levels rise, the use of farm machinery increased it allowed the farmer to grow even more, new farming techniques, and the spread of railroads l made markets full of produce. As more and more crops were in the markets, it made the prices fall for the produce. Farmers were growing more and making less money. Of all the problems a farmer faced, overproduction was the gravest. Not making enough to recoup expenses because of depressed crop values, farmers attempted to compensate by producing more. This made the problem worse. The lack of income drove farmers into ever-deepening debt. Farmers fell victim to a tariff policy of the U.S. during the Gilded Age. It forced them to buy all the manufacture goods they needed for survival on a market protected by tariff legislation at high prices while selling what they produced on an unprotected market at reduced prices because of oversupply and foreign competitors. The government put a tax on the manufactured goods being imported into the U.S. by other manufactures. They hoped to make them more expensive than the American goods. For consumers would buy American goods. During this process it made American rapidly industrialized. Famers felt doubly discriminated against because they felt the tariffs were applied primarily to manufactured goods while their interests were left to fend for themselves. One of the hardest impacts due to industrialization for farmers was that they had to deal with the recognition that rural and agricultural America was given way to an urban and industrialized American. Dominated by the interests of big business, and government. Famers found the major political parties during the time unresponsive to their demands that government deal with their problems. Farmers no longer controlled the social, economic, or political systems. Which was a constant struggle for them to be heard, and did not feel appreciated. Farmers were impacted by industrialization in many ways causing many problems. Making a huge amount of them very unhappy during the Gilded Age.

Descartes Meditations essays

Descartes Meditations essays Descartes meditations are based on the epistemological theory of rationalism: that is if someone truly knows something then they could not possibly be mistaken. He provides solid arguments for what his meditations stand for, and how he obtained a clear and distinct perception of "innate" ideas. In his Meditations he comes to terms with three certainties: the existence of the mind as the thing that thinks, the body as an extension, and God as the Supreme Being. Descartes is interested in the certainty of his existence and the existence of other people and things. Descartes argues that knowledge is acquired through awareness and experience. Using this approach, Descartes moves through doubt to certainty of his existence. He asks himself various questions about the certainty of his existence and solves them through clear thought and logic. Using this method Descartes establishes doubts to be truths, and he establishes that he does indeed exist. In this paper, I will show how Descartes moves through doubt to certainty. I will explain how Descartes uses the cogito, proves the existence of God and what that means to his existence. I will also discuss the general rules of truth that Descartes establishes. In the First Meditation Descartes begins to examine what is certain and what is doubtful. Descartes wants to establish that his knowledge is certain and not doubtful. He states, I had accepted many false opinions as being true, and that what I had based on such insecure principles could only be most doubtful and uncertain; so that I had to undertake seriously once in my life to rid myself of all opinions I had adopted up to then, and to begin, and to begin afresh from the foundations, if I wished to establish something firm and constant in the sciences. By this Descartes means that he wishes to establish a foundation for his knowledge based on certainty instead of doubt. Descartes first looks at the senses. This is important ...

My Identity Inheritance essays

My Identity Inheritance essays I have determined myself to be a star-bellied sneetch. I am a white, heterosexual male. Even though I do not follow a particular religion, I am still considered to be part of a dominant group. Ive grown up in a middle class environment, which has given me opportunities that subordinate group members usually do not receive. Although I am not tall, classically good looking, or in top physical shape, my identity will continue to provide me an edge at a good life. My father, who is of mainly Irish descent, doesnt like talking about his family for personal reasons. For my family tree, I decided to interview my mother instead. She has more knowledge about her mothers side than her fathers, so that is what Ill be writing about today. The Oelholf's immigrated to the United State from Germany near the end of the 19th century. The German family brought their young son, Fred, who is my great great grandfather. Farming was their trade. They settled in the small rural community of Spencerville, Ohio. There they grew corn and soybeans while also raising livestock. The Oelholf family made a good living in agriculture. They got along well with neighbors because of their strong work ethic and Protestant beliefs. Fred took over the farm as his father grew too old to work. He married and raised four children, and to each he left a section of the farm. One of those children, William, is my great grandfather. William worked hard while growing up on the farm. When his number was called, he went overseas and fought in World War I. Luckily, he came home alive. He continued the family business of farming, and thrived. William married Nondis, a woman of English descent, who bore six children. While being a homemaker, Nondis also made arts and crafts which she sold to the community. Nondis and Williams first child was John, or as he was better known, Johnny. I dont have a lot of details about...

Marketing 2 Assignment Example | Topics and Well Written Essays - 500 words - 1

Marketing 2 - Assignment Example g undertaken also they designed teaser campaign for the firm’s rebranding process also a graphic was released which showed the repealing of old and evolution of a new identity on ’01.01.01’ (date of launch)(Rebranding and Repositioning a global brand. 29 legal firms all around the world were coming up with marketing strategies and advertisements which repeatedly captured the rebranding of Andersen Consultancy and the idea that firm was evolving into a bigger and better place. Through this extensive research and massive marketing the firm transferred its brand equity from Andersen to Accenture which itself was derived from two words ‘assent’ and ‘future’, the idea of providing more and broader services than ever before. (Accenture) (Accenture, 2002) A. The shift in the Brand name as mentioned previously was a result of a legal decision which if not handled properly might have resulted in the collapse of a giant of that time. This rebranding was not a result of an innovation or anything. Criteria to evaluate the new brand name revolved around the question, that what innovation was the firm offering after this huge makeover. Business reengineering, Business Integration, Specialist in Technology, More and broader services, Masters in the field and Leaders of Future were the six agenda’s set by the firm at the time of rebranding. In the light of these criteria Accenture is the perfect fit for the company since its name in itself speaks of future and is innovative in nature too. The conversion was no less then reengineering and transforming the firm into a whole new platform, for people to look up to with a guarantee of receiving the best at their footsteps. (Accenture, 2002) A. Accenture used this opportunity of renaming itself to reposition the brand in a whole new dimension. While this process of repositioning was undertaken the company and its legal and marketing advisors kept this fact in mind that the services of consulting being performed by the

The Confession of Saint Patrick Essay Example | Topics and Well Written Essays - 1000 words

The Confession of Saint Patrick - Essay Example He narrates the story of his life from his childhood through to adulthood and right up to the time before his death. This account by St. Patrick gives us an insight into the background of the prevailing times and also lending focus to the legends and the myths that shrouded his personality. This biographical account is edited by Whitely Stokes and was compiled by Beatrix Fà ¤rber and Benjamin Hazard. The language used by the author was Latin. His father was Calpornius, who was a deacon in an era much before celibacy became the rule for priests. He was a Romanized Briton. Patrick’s mother came from an upper-class Gaulish family of Martin of Tours, though Patrick does not pride himself for the fact. As time gradually rolled by, Patrick’s enslavement had a great impact on him and strengthened his faith in the Christian religion. At the very impressionable age of sixteen, he admitted in his ‘Confessions’ that he was captured and brought to Ireland to serve as a slave to a Druidic chieftan named Milchu in Dalriada, at the County Antrim. But at the age of twenty two he escaped from there and once again reunited with his parents at Britain where later he became ‘one of the first Christian clergymen in Ireland, being preceded by men such as Pallidius (c.380-457/61). His first convert was his patron Dichu, who gifted him a huge barn (sabhal) where a church was constructed and the site still retains the name of Sabhal that is pronounced as â€Å"Saul.† In Ireland, Patrick was not the first Christian missionary, because much before him were missionaries like Secundus and Pallidius who continued their active work in the south of the island. But even so, Patrick is given a lot of credence as one of the best missionaries because his teachings had a great impact especially in provinces like Ulster and Connaught where there were no Christians before. He came across as a man who possessed a deep love for God and courageous enough to face