Anatomy and Physiology of Body Systems

Intermediate Apprenticeship in Health (Emergency Care Assistance) Edexcel L2 Diploma in Emergency Care Assistance (QCF) Unit 11 Anatomy and Physiology of Body Systems A/602/5038 Candidate Name: _Ashley Orwin____________________ Candidate Employer: ___________________ Unit Overview: This unit will give learners a basic understanding of how the body is organised – from cells up to systems. Learners will also gain an understanding of the components and functions of the main systems of the body, leading to further understanding of how illness or injury affects the normal functions of an organ or system. How you will be assessed for unit 12:This unit consists of one knowledge outcome which will be assessed via a workbook. Outcomes| Assessment| Criteria| 1. Know how body Systems are organised| Knowledge Workbook| 1. 1 Label the structure of a typical cell1. 2 Outline the definition of tissue1. 3 Outline the definition of an organ1. 4 Outline the definition of a body system1. 5 Defin e directional terms used in medicine1. 6 Label major organs within the body cavities| 2. Know the Functions of the Respiratory System| Knowledge Workbook| 2. 1 Describe the function of the respiratory system2. 2 Label the components of the respiratory tract2. Describe the structure of the lungs2. 4 Outline the process of respiration2. 5 Describe the initial management of asthma| 3. Know the function of the Cardiovascular System| Knowledge Workbook| 3. 1 Outline the role of thecardiovascular system3. 2 Label the structure of the heart3. 3 State the electrical conductionsystem of the heart3. 4 Describe the purpose of differenttypes of blood vessels3. 5Describe the properties of blood| 4. Know how the nervous system supports body functions| Knowledge Workbook| 4. 1 Outline the role of the nervoussystem4. 2 Identify the components of thenervous system| 5.Know how the skeletal system functions | Knowledge Workbook | 5. 1 Outline the role of the skeletalsystem5. 2 Label the bones of the s keleton5. 3 Describe the different types of skeletal joints5. 4 Outline the relationship between the muscular system and theskeleton| In order to pass this unit you must complete this workbook to a satisfactory standard. Should you have any difficulties with this workbook your clinical tutors will be happy to support you 1. Know how the body systems are organised. 1. 1: Label the structure of a typical cell Using the following diagram label the key component of the cell.Nucleolus Nucleolus Smooth endoplasmic reticulum Smooth endoplasmic reticulum Nucleus Nucleus Centriole Centriole Cytoplasm Cytoplasm Cell membrane Cell membrane Mitochondria Mitochondria Rough endoplasmic reticulum Rough endoplasmic reticulum Golgi complex Golgi complex 2. 2 Outline the definition of a tissue You need to describe the following types of tissue in your answer, epithelial, connective, nervous and muscle specifying how muscle is sub divided into both voluntary and involuntary giving appropriate examples . A collection of similar cells and the intercellular substances surrounding them.There are four basic kinds of tissue in the body: epithelium, connective tissues including adipose tissue, blood, bone, and cartilage, muscle tissue; and nerve tissue. Epithelial: Covers the whole surface of the body. It is made up of cells closely packed and ranged in one or more layers. This tissue is specialised to form the covering or lining of all internal or external body surfaces. Connective: Connective tissue serves a connecting function; it supports and binds other tissue. Nervous: nervous tissue is responsible for sensing stimuli and transmitting signals to and from different parts of an organism.Neurons are the basic unit of nervous tissue. Muscle tissue: has ability to relax and contrast and so brings about movement and mechanical work in various parts of the body. (Skeletal, smooth and cardiac) 1. 3 Outline the definition of an organ. An organ is a number of specialised tissues and cells t hat are formed together to form an organ which has a specific function within the body. E. g. the heart, use for carrying blood around the body. An organ is a number of specialised tissues and cells that are formed together to form an organ which has a specific function within the body.E. g. the heart, use for carrying blood around the body. You need to consider the following in your answer, namely how specialized tissues have both specialist functions or form a particular structure such as the heart or lungs. 1. 4 Outline the definition of a body system. The body has many different organs all with their own specific jobs and are made up of different parts for example the respiratory system has the nose, trachea, diaphragm, bronchus, bronchioles, lungs and mouth which are all use to breath.A group of organs working together to perform a particular function The body has many different organs all with their own specific jobs and are made up of different parts for example the respirato ry system has the nose, trachea, diaphragm, bronchus, bronchioles, lungs and mouth which are all use to breath. A group of organs working together to perform a particular function You need to include in your answer that the body is comprised of a number of systems that contain specific organs that have specialized functions, for example the lungs in the respiratory system. . 5 Define Directional terms used in medicine Your answer must provide a clear definition of the following terms and how these are utilised to describe the human body and positioning of both injuries and/or organs. 1. Superior — Toward or at the upper part of the structure 2. Inferior– Toward or at the lower part of the structure 3. Lateral – Away from the midline of the body / on the outer side 4. Medial – Toward or at the midline of the body / on the inner side 5. Posterior – Toward back of the body 6. Anterior – Toward or at the front of the body . Proximal – Clo ser to the point of attachment of a limb to the body trunk 8. Distal – Further from the point of attachment of limb 9. External –Structure closer to internal organs 10. Internal – structure further from the internal organs 11. Superior — Toward or at the upper part of the structure 12. Inferior– Toward or at the lower part of the structure 13. Lateral – Away from the midline of the body / on the outer side 14. Medial – Toward or at the midline of the body / on the inner side 15. Posterior – Toward back of the body 16.Anterior – Toward or at the front of the body 17. Proximal – Closer to the point of attachment of a limb to the body trunk 18. Distal – Further from the point of attachment of limb 19. External –Structure closer to internal organs 20. Internal – structure further from the internal organs 1. 6 Label major organs within body cavities Complete the diagram clearly labelling the organs and major structures. Aorta Aorta Tarynx Tarynx Trachea Trachea Heart Heart Superior vena cava Superior vena cava Oesophagus Oesophagus Lung Lung Diaphragm Diaphragm Aorta AortaLiver Liver Inferior vena cava Inferior vena cava Spleen Spleen Gall bladder Gall bladder Stomach Stomach Pancreas Pancreas Kidney Kidney Ureter Ureter Small intestine Small intestine Appendix Appendix Large intestine Large intestine Bladder Bladder Rectum Rectum Urethra Urethra Student notes and Supplementary Work sheets. Directional Medical Terms As an Ambulance Care Assistant you should be able to use directional medical terms. The first important thing in learning about anatomy and physiology is to know the anatomical position and body landmarks.To accurately describe body parts and position, initial reference point and directional terms should be used in a medical setting. The correct anatomical position is standing up (erect) with the feet parallel and the arms hanging at the sides with the palms facin g forward and the thumbs pointing away from the body. To precisely point out the chief complaint of a patient, the ECA or Paramedic uses anatomical terms representing a certain body part. For example, a patient walks in the emergency room with a laceration on the posterior portion of the left lower leg.To clearly state the area of injury the Paramedic uses the term â€Å"sural† which means the posterior surface of the lower leg rather than writing â€Å"back area of the lower leg†. Knowing these terms not only give the ECA or Paramedic a more accurate formulation of chief complaints but it also saves time of a good deal of description. To clearly explain exactly the relation of a body structure to each other, directional terms are used. For example to describe the relationship or location of the heart to the arms, we can say â€Å"the heart is located in between the arms†.Using anatomical terminology, this is expressed as â€Å"the heart is medial to the arms. † Hence, it is a more clear and precise statement Common Anatomical Terms (for reference purposes only) ABDOMINAL| ACROMIAL| ANTECUBITAL| AXILLARY| BRACHIAL| BUCCAL| CARPAL| CERVICAL| COXAL| CRURAL| DIGITAL| FEMORAL| FIBULAR| INGUINAL| NASAL| ORAL| ORBITAL| PATELLAR| PELVIC| STERNAL| PUBIC| TARSAL| THORACIC| UMBILLICAL| CALCANEAL| CEPHALIC| DELTOID| FEMORAL| GLUTEAL| LUMBAR| OCCIPITAL| OLECRANAL| POPLITEAL| SCAPUALR| SURAL| VERTEBRAL| PLANTAR| | | |Common Anatomical Terms (for reference purposes only) ABDOMINAL| ACROMIAL| ANTECUBITAL| AXILLARY| BRACHIAL| BUCCAL| CARPAL| CERVICAL| COXAL| CRURAL| DIGITAL| FEMORAL| FIBULAR| INGUINAL| NASAL| ORAL| ORBITAL| PATELLAR| PELVIC| STERNAL| PUBIC| TARSAL| THORACIC| UMBILLICAL| CALCANEAL| CEPHALIC| DELTOID| FEMORAL| GLUTEAL| LUMBAR| OCCIPITAL| OLECRANAL| POPLITEAL| SCAPUALR| SURAL| VERTEBRAL| PLANTAR| | | | The terms commonly used in practice are superior, inferior, lateral, medial, posterior, anterior, sural, proximal, distal, external an d internal.Using these terminologies show on the diagram below and identify the position of the directional medical terms. These terms will commonly be used in practice not only to describe injuries but to provide an appropriate handover to other healthcare professionals. Supplementary Reading The Tissues Tissue is a group of cells that have a similar shape and function. Different types of tissues can be found in different organs. In humans, there are four basic types of tissue:   epithelial, connective, muscular, and nervous tissue. There may be various sub-tissues within each of the primary tissues.Epithelial tissue covers the body surface and forms the lining for most internal cavities. The major function of epithelial tissue includes protection, secretion, absorption, and filtration. The skin is an organ made up of epithelial tissue which protects the body from dirt, dust, bacteria and other microbes that may be harmful. Cells of the epithelial tissue have different shapes as shown on the student's worksheet. Cells can be thin, flat to cubic to elongated. Connective tissue is the most abundant and the most widely distributed of the tissues.Connective tissues perform a variety of functions including support and protection. The following tissues are found in the human body, ordinary loose connective tissue, fat tissue, dense fibrous tissue, cartilage, bone, blood, and lymph, which are all considered connective tissue. There are three types of muscle tissue: skeletal, smooth, and cardiac. Skeletal muscle is a voluntary type of muscle tissue that is used in the contraction of skeletal parts. Smooth muscle is found in the walls of internal organs and blood vessels. It is an involuntary type.The cardiac muscle is found only in the walls of the heart and is involuntary in nature. Nerve tissue is composed of specialized cells which not only receive stimuli but also conduct impulses to and from all parts of the body. Nerve cells or neurons are long and string-lik e. In tissues the simplest combination is called a membrane, or a sheet of tissues which cover or line the body surface or divide organs into parts. Examples include the mucous membrane which lines body cavities. Tissues combine to form organs. An organ is a part of the body which performs a definite function.The final units of organization in the body are called systems. A system is a group of organs each of which contributes its share to the function of the body as a whole 2. Know how the respiratory system functions 2. 1 Describe the function of the respiratory system. You need to consider the following topics in your answer, namely the extraction of Oxygen from the atmosphere and the excretion of carbon dioxide. You also need to describe how the respiratory system maintains the acid base balance of the blood and how lungs are ventilated i. e. he process by which air enters the lungs. It may be useful to read the following text, Section 8- The Respiratory system, Ambulance Servic e Basic Training Manual. Nancy Caroline (2007) Emergency Care in the Streets, chapters 11. 3-11. 16 inclusive Watch the following presentation before attempting this question, http://www. nlm. nih. gov/medlineplus/ency/anatomyvideos/000018. htm The respiratory system, in close conjunction with the circulation system is responsible for supplying body cells with essential oxygen and removing potentially harmful carbon dioxide from the body.The mouth and nose channel air from outside the body through a system of tubes of diminishing size that eventually reach the two lungs on either side of the heart within the chest cavity. The respiratory system, in close conjunction with the circulation system is responsible for supplying body cells with essential oxygen and removing potentially harmful carbon dioxide from the body. The mouth and nose channel air from outside the body through a system of tubes of diminishing size that eventually reach the two lungs on either side of the heart within the chest cavity. 2. 2 Label the components of the respiratory tract.Complete the diagram below. Diaphragm Diaphragm Right lung Right lung Trachea Trachea Alveolus Alveolus Bronchus Bronchus Mouth Mouth Bronchioles Bronchioles Nasal cavity Nasal cavity 2. 3 Describe the structure of the lungs You need to consider the following in our answer, namely the structure of the lungs, there position within the thoracic cavity, the shape and membranes that cover them. If needed you can utilise a diagram to facilitate your explanation. The two sponges- like lungs fill most of the chest cavity and are protected by the flexible ribcage. Together they form one of the body largest organs.Their essential function is gas exchange taking vital oxygen from the air and expelling waste carbon dioxide to the air. Air enters the lungs from the trachea, which branches at its base into main airways, the primary bronchi. Each primary bronchus enters its lungs at a site called the hilum, which is also where the main blood vessels pass in and out of the lungs. The primary bronchus divides into secondary bronchi, all the time decreasing in diameter. Many subsequent divisions from the narrowest airways; the terminal and then respiratory bronchioles, which distribute air to the alveoli.This intricate network of air passages resembles an inverted tree, with the trachea as the trunk, and is known as the bronchial tree. They are corresponding trees from the pulmonary arteries and arterioles bringing low-oxygen blood from the hearts right side and pulmonary venules and veins, returning high oxygen blood to the heart left side. The two sponges- like lungs fill most of the chest cavity and are protected by the flexible ribcage. Together they form one of the body largest organs. Their essential function is gas exchange taking vital oxygen from the air and expelling waste carbon dioxide to the air.Air enters the lungs from the trachea, which branches at its base into main airways, the primary bron chi. Each primary bronchus enters its lungs at a site called the hilum, which is also where the main blood vessels pass in and out of the lungs. The primary bronchus divides into secondary bronchi, all the time decreasing in diameter. Many subsequent divisions from the narrowest airways; the terminal and then respiratory bronchioles, which distribute air to the alveoli. This intricate network of air passages resembles an inverted tree, with the trachea as the trunk, and is known as the bronchial tree.They are corresponding trees from the pulmonary arteries and arterioles bringing low-oxygen blood from the hearts right side and pulmonary venules and veins, returning high oxygen blood to the heart left side. 2. 4 Outline the process of respiration Your answer needs to include the process of both internal and external respiration and diffusion of gases through a semi permeable membrane. You do not need to consider partial pressures and diffusion gradients in order to answer this questi on. ECTIS (2007) chapter 11. 12 provides a valuable insight into the mechanics of respiration.External inspiration is the process of extracting air particles from the atmosphere so that lungs and the main organs are the body expel carbon dioxide, a by – product which is removed by the lungs. Internal inspiration is where the blood and cells carry oxygen around the body to different organs. CO2 the waste product is absorbed through the blood and sent back to the lungs and expired back into the atmosphere. Reference – Ambulance service basic training manual 2003 (updated January 2010) External inspiration is the process of extracting air particles from the atmosphere so that lungs and the main organs are the body expel carbon ioxide, a by – product which is removed by the lungs. Internal inspiration is where the blood and cells carry oxygen around the body to different organs. CO2 the waste product is absorbed through the blood and sent back to the lungs and expir ed back into the atmosphere. Reference – Ambulance service basic training manual 2003 (updated January 2010) 2. 5 Describe the initial management of asthma Your answer needs to focus on current best practice clinical guidelines JRCALC 2006, Nice. As an ECA you are not permitted to administer any medication such as adrenaline, Salbutalmol or Ipatropium Bromide only Oxygen therapy.Consider management of a simple exacerbation and also life threatening asthma. Ensure you structure your answer in the D,R,C,A,B,C,D,E format. 1. Check for dangers that could injure you or the causalities and people around you. 2. Check response levers by speaking to the person and tapping their shoulder if they are unconscious 3. Ring 999 for support 4. Check that causalities airway is clear and look for obstructions. Check the spo2 levels using a pulse oximeter , checking oxygen sats are 94% or above.If they are below you will need to administer oxygen at 15lpm via an adult non re breather until bac kup arrive ready to administer salbutamol via a nebuliser mask at 8lpm until they symptom subside or transported to hospital for treatment. 5. Check for dangers that could injure you or the causalities and people around you. 6. Check response levers by speaking to the person and tapping their shoulder if they are unconscious 7. Ring 999 for support 8. Check that causalities airway is clear and look for obstructions. Check the spo2 levels using a pulse oximeter , checking oxygen sats are 94% or above.If they are below you will need to administer oxygen at 15lpm via an adult non re breather until backup arrive ready to administer salbutamol via a nebuliser mask at 8lpm until they symptom subside or transported to hospital for treatment. Supplementary Worksheets and Reading Introduction Primary function of respiratory system is transport of O2 and CO2. This requires the four processes collectively known as respiration: Fill out the blanks Pulmonary ventilation is the movement of †¦oxygen†¦Ã¢â‚¬ ¦ Into and out of the lungs (breathing). This involves gas pressures and †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦muscle†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ contractions. 1.External†¦ Respiration†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ is the exchange of O2 (loading) and CO2 2. (Unloading) between blood and alveoli (air sacs). 3. Transport of respiratory gases between †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦blood†¦Ã¢â‚¬ ¦ and tissues. 4. Internal†¦Ã¢â‚¬ ¦ Respiration†¦Ã¢â‚¬ ¦is gas exchange between blood and tissue cells. The respiratory system is situated in the thorax, and is responsible for gaseous exchange between the circulatory system and the outside world. Air is taken in via the upper airways (the nasal cavity, pharynx and larynx) through the lower airways (trachea, primary bronchi and bronchial tree) and into the small bronchioles and alveoli within the lung tissue.The lungs are divided into lobes; the left lung is composed of the upper lobe, the lower lobe and the lingula (a small remnant ne xt to the apex of the heart), the right lung is composed of the upper, the middle and the lower lobes. To take a breath in, the external intercostal muscles contract, moving the ribcage up and out. The diaphragm moves down at the same time, creating negative pressure within the thorax. The lungs are held to the thoracic wall by the pleural membranes, and so expand outwards as well. This creates negative pressure within the lungs, and so air rushes in through the upper and lower airways.Expiration is mainly due to the natural elasticity of the lungs, which tend to collapse if they are not held against the thoracic wall. This is the mechanism behind lung collapse if there is air in the pleural space (pneumothorax) Each branch of the bronchial tree eventually sub-divides to form very narrow terminal bronchioles, which terminate in the alveoli. There are many millions of alveloi in each lung, and these are the areas responsible for gaseous exchange, presenting a massive surface area for exchange to occur over.Each alveolus is very closely associated with a network of capillaries containing deoxygenated blood from the pulmonary artery. The capillary and alveolar walls are very thin, allowing rapid exchange of gases by passive diffusion along concentration gradients. CO2 moves into the alveolus as the concentration is much lower in the alveolus than in the blood, and O2 moves out of the alveolus as the continuous flow of blood through the capillaries prevents saturation of the blood with O2 and allows maximal transfer across the membrane. The Earth's atmosphere is made up of only five gases: nitrogen, oxygen, water vapour, argon, and carbon dioxide.Several other compounds also are present. Complete the table below which details the composition of inspired air. Percentage Present Inspired Air| | 100%| Oxygen| | 20%| Nitrogen| | 79%| Carbon Dioxide| | 0. 04%| Water Vapour| | variable%| Inert Gases| | 0. 15%| Complete the table below providing a brief description of ea ch structure. Structure| description| Nose| The nose is mainly made up of cartilage bones and fibrous tissues. | | Pharynx| Pharynx is a cone shaped passageway leading from the oral and nasal cavities in the head to the oesophagus and larynx. | Larynx| Is part of the respiratory system and is located between the pharynx and the trachea. We use it to talk and swallow. | | Trachea| Trachea is a tube like a portion respiratory tract that connects the larynx with the bronchus and bronchioles lungs. This is also known as the windpipe. | | Bronchi| Bronchi are the main part of the lung that goes through to the bronchioles. | | Bronchioles| The tiny branch of air tubes within the lungs that are a continuation of bronchus. They join the bronchi to the alveoli| | Lungs| Lungs are involved with inspiration of oxygen and expiration of CO2, which is a part of breathing. | Alveoli| Part within the lungs where gas and blood exchange occurs. Tiny air sacs with a large surface area and surrounded b y dense network of capillaries| | Pleura| Liquid that lubricates the lungs and keeps them working correctly. Offer some protection against impact| | The rate of breathing differs significantly when presented with a variety of illnesses and/or trauma. To adequately assess a patients respiratory function you must be able to recognise whether a patients respiration rate is bradypnoeic, tachypnoeic or within normal parameters.Complete the table below to demonstrate this. Respiratory Rates | Bradypneoic| Normal| Tachypnoeic| Neonate| 40| Child| 30| Adult| 30| Asthma: Signs, Symptoms and Management. Asthma is a condition that affects the airways – the small tubes that carry air in and out of the lungs. When a person with asthma comes into contact with something that irritates their airways (an asthma trigger), the muscles round the walls of the airways tighten so that the airways become narrower and the lining of the airways becomes inflamed and starts to swell. Sometimes, sticky m ucus or phlegm builds up, which can further narrow the airways. These reactions cause the airways to become narrower and irritated – making it difficult to breath and leading to symptoms of asthma. Asthma is a long-term condition  that can cause a cough, wheezing and breathlessness. The severity of the symptoms varies from person to person. Asthma can be controlled well in most people most of the time. In the UK, 5. million people are currently receiving treatment for asthma. That  is  1 in every 12 adults and 1 in every 11 children. Asthma in adults is more common in women than men. If you are diagnosed with asthma as a child, the  symptoms may disappear during your teenage years. However, asthma can return in adulthood. If childhood symptoms of asthma are moderate to severe, it is more likely that the condition will persist or return later in life. However, asthma does not only start in  young people and can develop at any age. The cause of asthma is not fully und erstood, but it is known that asthma often runs in families.You are more likely to have asthma if one or both of your parents  has the condition. What is asthma? Asthma is caused by inflammation of the airways. These are  the small tubes, called bronchi,  which carry air in and out of the lungs. If you have asthma, the bronchi  will be  inflamed and  more sensitive than normal. When you come into contact with something that irritates your lungs, known as a trigger, your airways become narrow, the muscles around them tighten and there is an increase in the production of sticky mucus (phlegm). This makes it difficult to breathe and causes wheezing and coughing.It  may also  make your chest feel tight. A severe onset of symptoms is known as an asthma attack or an ‘acute asthma exacerbation'. Asthma attacks may require hospital treatment and can sometimes be life-threatening, although this is rare. For some people with chronic (long-lasting) asthma, long-term infla mmation of the airways may lead to more permanent narrowing. Common triggers A trigger is  anything that irritates the airways and brings on the symptoms of asthma. These differ from person to person and people with asthma may have several triggers.Common triggers include house dust mites, animal fur, pollen, tobacco smoke, exercise, cold air and chest infections. Other types of asthma There are  other types of asthma that can be made worse by certain activities: * Work-aggravated asthma is pre-existing asthma that is made worse by dust and fumes at work. * Occupational asthma is caused by exposure to specific substances at work. For example, some nurses develop occupational asthma after exposure to latex, and some workers in the food-processing industry develop occupational asthma as a response of exposure to flour. OutlookWhile there is no cure for asthma, symptoms can come and go throughout your life. A number of treatments can help control the condition very effectively. Tre atment is based on two important goals: * relief of symptoms * preventing future symptoms and attacks from developing Successful prevention can be achieved through a combination of medicines, lifestyle advice and identifying and then avoiding potential asthma triggers Know how the cardiovascular system functions. 3. 1 Outline the role of the cardiovascular system. You need to provide a summary of the cardiovascular system its organs and their function.Watch the presentation to enable you to answer this question correctly. http://www. nlm. nih. gov/medlineplus/ency/anatomyvideos/000023. htm The functions of the cardiovascular system are to transport nutrient, oxygen, water and remove waste products from the cardiovascular system. The other function is to pump oxygenated blood around the body. 1. Deoxygenated blood enters the heart full of CO2. 2. It gets pushed through the heart through electrical impulses into the lungs. 3. It gets rid of CO2 and replaces oxygen. 4. Blood flows arou nd the body giving vital organs oxygen and taken away waste products. 5.Deoxygenated blood goes back into the heart. The functions of the cardiovascular system are to transport nutrient, oxygen, water and remove waste products from the cardiovascular system. The other function is to pump oxygenated blood around the body. 6. Deoxygenated blood enters the heart full of CO2. 7. It gets pushed through the heart through electrical impulses into the lungs. 8. It gets rid of CO2 and replaces oxygen. 9. Blood flows around the body giving vital organs oxygen and taken away waste products. 10. Deoxygenated blood goes back into the heart. 3. 2 Label the structure of the heart Complete both diagrams below.It may be useful to read section 9 of the Ambulance Service basic training manual. Left Atrium Left Atrium Pulmonary artery Pulmonary artery Pulmonary veins Pulmonary veins Inferior vena cava Inferior vena cava Right ventricle Right ventricle Septum Septum Left ventricle Left ventricle Arteria l valve Arterial valve Bicuspid valve Bicuspid valve Tricuspid valve Tricuspid valve Right atrium Right atrium Pulmonary valve Pulmonary valve Branch of pulmonary vein Branch of pulmonary vein Aortic Trunk Aortic Trunk Pulmonary artery Pulmonary artery Aortic branches Aortic branches Superior vena cava Superior vena cava . 2 Label the diagram. Aortic Trunk Aortic Trunk Pulmonary artery Pulmonary artery Right atrium Right atrium Left ventricle Left ventricle Great cardiac vein Great cardiac vein Bradiocephalic artery Bradiocephalic artery 3. 3 State the electrical conduction system of the heart. Your answer needs to include a description and functioning of the SA node, AV node, Bundle of His, Purkinje Fibres and L&R Bundle Branches. It might be useful to incorporate a diagram of the normal sinus rhythm to illustrate your answer. Watch the following presentation to reinforce your understanding of this chain of events. ttp://www. nlm. nih. gov/medlineplus/ency/anatomyvideos/000021. htm 1. The brain sends electrical impulses to the heart telling it to beat. 2. The S-A node (sinoatrial node) receives the message and sends it along the atria telling it to contract and push blood forward. 3. The A-V node (atrioventricular node) holds the current for 60 -80 milliseconds to allow blood to gather. 4. The A-V bundle takes the signal and passes it down the branches. 5. The purkinje fibres receive the signal. 6. The contractions happen as the fibres contract. 7. The brain sends electrical impulses to the heart telling it to beat. . The S-A node (sinoatrial node) receives the message and sends it along the atria telling it to contract and push blood forward. 9. The A-V node (atrioventricular node) holds the current for 60 -80 milliseconds to allow blood to gather. 10. The A-V bundle takes the signal and passes it down the branches. 11. The purkinje fibres receive the signal. 12. The contractions happen as the fibres contract. 3. 4 Describe the purpose of different types of blood vessels. Your answer must include a description of the arteries , veins, arterioles, venules and capillaries along with their function.You may wish to include a diagram in your answer. Blood is transported around the body in a network of different blood vessels that come in different sizes. Arteries are the biggest of the blood vessels carrying blood away from the heart towards the vital organs and tissues but the only one that doesn’t is the pulmonary artery. Arterioles branch out from the main arteries and carry oxygenated blood to the capillaries and they are a lot smaller and thinner than arteries. Capillaries are smaller of the vessels and lead to the tissues where they deposit oxygen and minerals and extract carbon dioxide which is a waste product.Veins carry deoxygenates blood back to the body ready to go round the system again. Venules carry deoxygenated blood away from the capillaries and branchy together to make veins. Blood is transported around the body in a network of different blood vessels that come in different sizes. Arteries are the biggest of the blood vessels carrying blood away from the heart towards the vital organs and tissues but the only one that doesn’t is the pulmonary artery. Arterioles branch out from the main arteries and carry oxygenated blood to the capillaries and they are a lot smaller and thinner than arteries.Capillaries are smaller of the vessels and lead to the tissues where they deposit oxygen and minerals and extract carbon dioxide which is a waste product. Veins carry deoxygenates blood back to the body ready to go round the system again. Venules carry deoxygenated blood away from the capillaries and branchy together to make veins. 3. 5 Describe the properties of blood. Blood is essential to life; your answer must describe in detail the major components of blood and their functions in maintaining homeostasis. Don’t forget that blood contains more than solids.They key components you must discus s are red blood cells, white blood cells, platelets and plasma. Begin by describing their shape and size along with their function. Bloody is a specialized body fluid, it has four main components, red blood cells, white blood cells, plasma and platelets. Blood has many different functions including: * Transporting oxygen and nutrients to lungs and tissues * Forming blood clots to prevent excess blood loss * Carrying cell and antibodies that fight infection * Bring waste products to kidneys and liver, which filter and clean blood * Regulation body temperatureRed blood cells account for 40-45 % of blood volume; they are a biconcave disk shape with a flattened centre. RBC contain a special protein called haemoglobin which helps carry oxygen from the lungs to rest of the body and return carbon dioxide from body to lungs to be exhaled. White blood cells protect body from infections. They are much fewer in number than RBC’s, accounting for only 1% of blood. Most common is neutrophi l (immediate response) accounts for 55-75% of total white blood cells. Each neutrophil lives less than a day.There are other types; lymphocyte which there is a T and a B lymphocyte. T attack various infected cells and tumours, B makes antibodies, which are proteins that target bacteria viruses and other foreign materials. Plasma is a liquid component of blood it is a mix of water, sugar, fat, protein and salt, plasma job is to transport blood cells throughout the body along with nutrients, waste product, antibodies, clotting, and proteins, chemical Messages such as hormones and proteins that help maintain body’s fluid balance.Platelets clot the blood together at the site of an injury and also contain white blood cells to stop infection entering the wound which is why the scab forms. Bloody is a specialized body fluid, it has four main components, red blood cells, white blood cells, plasma and platelets. Blood has many different functions including: * Transporting oxygen and n utrients to lungs and tissues * Forming blood clots to prevent excess blood loss * Carrying cell and antibodies that fight infection * Bring waste products to kidneys and liver, which filter and clean blood * Regulation body temperatureRed blood cells account for 40-45 % of blood volume; they are a biconcave disk shape with a flattened centre. RBC contain a special protein called haemoglobin which helps carry oxygen from the lungs to rest of the body and return carbon dioxide from body to lungs to be exhaled. White blood cells protect body from infections. They are much fewer in number than RBC’s, accounting for only 1% of blood. Most common is neutrophil (immediate response) accounts for 55-75% of total white blood cells. Each neutrophil lives less than a day.There are other types; lymphocyte which there is a T and a B lymphocyte. T attack various infected cells and tumours, B makes antibodies, which are proteins that target bacteria viruses and other foreign materials. Plas ma is a liquid component of blood it is a mix of water, sugar, fat, protein and salt, plasma job is to transport blood cells throughout the body along with nutrients, waste product, antibodies, clotting, and proteins, chemical Messages such as hormones and proteins that help maintain body’s fluid balance.Platelets clot the blood together at the site of an injury and also contain white blood cells to stop infection entering the wound which is why the scab forms. 4 Know how the nervous system supports body functions. 4. 1 Outline the role of the nervous system. Your answer should consider how the nervous system receives external and internal stimuli and conveys impulses not only to the brain, spinal cord and organs but also away from these, eliciting specific responses and in turn maintaining homeostasis. You may use diagrams and continue on a separate sheet if needed.The main function of the central nervous system is to send electrical impulse to the brain through the spinal c ord and sends it back to the peripheral nervous system which causes to react and feel pain when hurt or unwell. Somatic nerves have control over movement of joints whether you can move arms or legs. Autonomic nerves control the body’s natural reactions such as breathing, you don’t need to control them they happen naturally. Sympathetic nerves control things such as accelerating your heat rhythm and breathing rate.Homeostasis is the body controlling the body’s natural state and responding to change within your natural state. The stimulus receives the message telling the brain the body has a change in natural response and relays a signal to receptors which is the site where it processes the information and relays the message to the control centre which makes the decision on how to deal with the situation and return affected are back to normal state. STIMULUS RECEPTOR C N RESPONSE EFFECTORS SThe main function of the central nervous system is to send electrical impu lse to the brain through the spinal cord and sends it back to the peripheral nervous system which causes to react and feel pain when hurt or unwell. Somatic nerves have control over movement of joints whether you can move arms or legs. Autonomic nerves control the body’s natural reactions such as breathing, you don’t need to control them they happen naturally. Sympathetic nerves control things such as accelerating your heat rhythm and breathing rate. Homeostasis is the body controlling the body’s natural state and responding to change within your natural state.The stimulus receives the message telling the brain the body has a change in natural response and relays a signal to receptors which is the site where it processes the information and relays the message to the control centre which makes the decision on how to deal with the situation and return affected are back to normal state. STIMULUS RECEPTOR C N RESPONSE EFFECTORS S 4. 2 Identify the components of the nervous system. Peripheral nerve Peripheral nerve Spinal cord Spinal cord Brain Brain 4. 2 Identify the components of the nervous system.Please label the diagrams. Parietal lobe Parietal lobe Frontal lobe Frontal lobe Occipital lobe Occipital lobe Cerebellum Cerebellum Temporal lobe Temporal lobe Spinal cord Spinal cord 5 Know how the skeletal system functions. 5. 1 Outline the role of the skeletal system. You should consider the skeletal system has several functions that include not only protection, movement and support but also blood cell production. Your answer should provide a brief explanation on how the skeletal system performs the aforementioned functions. The functions of the skeletal system are to support the main framework of the human body.It allows attachments of different tendons and muscles which form joints around the body which allow us to move arms and legs. The system also stores vital nutrients such as calcium which is stored within the bone marrow. The skeletal s ystem also plays a vital role in protecting main organs around the body e. g. heart and lung found inside the thoracic cavity. With the organs been protected this allows the body to functions correctly without becoming injured. The functions of the skeletal system are to support the main framework of the human body.It allows attachments of different tendons and muscles which form joints around the body which allow us to move arms and legs. The system also stores vital nutrients such as calcium which is stored within the bone marrow. The skeletal system also plays a vital role in protecting main organs around the body e. g. heart and lung found inside the thoracic cavity. With the organs been protected this allows the body to functions correctly without becoming injured. 5. 2 Label the bones of the skeleton Label the diagrams below Skull Skull Sternum Sternum Patella Patella Sacrum Sacrum Ulna Ulna Radius Radius Humerus Humerus Ribs RibsMetatarsals Metatarsals Tibia Tibia Fibula Fibu la Femur Femur Radius Radius Ulna Ulna Scapular Scapular Clavicle Clavicle 5. 3 Describe the different types of skeletal joints. Your answer must provide a full description of the different types of joints in the human body. It would be useful to identify where these joints are and if needed provide a diagram. Fibrous joints are fixed or unmovable, staying same place and never move shape or size. Cartilaginous joints can move partly but cannot fully move within the body. E. g. rib cage, spinal column. Saddle joints, only allow flexing and extending of different limbs but cannot be rotated.The thumb is the only bone with a saddle joint. Hinge joint, elbow, fingers, knees. Movement only occurs in one direction, usually forward. The knee is an exception it allows the foot and lower leg to move side to side. Gilding joints allow two or more joints to move against each other without any grinding or friction. Pivot joints allow up to 360 degree Movement in certain joints for example the w rist is very flexible and has full rotation. Ball joints are a ball and socket joint and they provide movement and rotation such as your hips and shoulders. Fibrous joints are fixed or unmovable, staying same place and never move shape or size.Cartilaginous joints can move partly but cannot fully move within the body. E. g. rib cage, spinal column. Saddle joints, only allow flexing and extending of different limbs but cannot be rotated. The thumb is the only bone with a saddle joint. Hinge joint, elbow, fingers, knees. Movement only occurs in one direction, usually forward. The knee is an exception it allows the foot and lower leg to move side to side. Gilding joints allow two or more joints to move against each other without any grinding or friction. Pivot joints allow up to 360 degree Movement in certain joints for example the wrist is very flexible and has full rotation.Ball joints are a ball and socket joint and they provide movement and rotation such as your hips and shoulders. 5. 4 Outline the relationship between the muscular system and the skeleton Your answer must include the functions of ligaments, tendons and muscles in relation to bones and joints: e. g. ligaments, attach one bone to another at the site of a joint; tendons continuous with the sheath covering each muscle and attached to the outer surface of a bone, another muscle or the skin, muscles, generate force to produce movement.The muscular skeletal system is made up of all bones in the body and the joints and muscles that surround them; this allows movement of different muscles and protection of our vital organs inside our human body. The muscular skeletal system is made up of all bones in the body and the joints and muscles that surround them; this allows movement of different muscles and protection of our vital organs inside our human body. Supplementary resources and reading All the web links are interactive resources that you can utilise to reinforce and consolidate your understanding o f the anatomy and physiology of the human body.These are interesting and informative interactive modules that you should enjoy completing. These are not compulsory however it will help you in your continued study towards becoming an Emergency Care Assistant and further in your career as a pre hospital professional. It would be helpful once you have completed these interactive modules to provide a screen print of the last page confirming you have completed the module, placing this in your portfolio under unit 11 anatomy and physiology. Using the web link below complete the online learning module that investigates the pulmonary and systemic circulation 1. http://www. wisc-online. om/Objects/ViewObject. aspx? ID=AP12704 Use the link below to reinforce your understanding of the anatomy of the respiratory system 2. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=OTA1004 The following link investigates the mechanism of breathing and the process of external and internal respirati on 3. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP15104 Use the link below to consolidate your understanding of the cardiovascular system 4. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=OTA1304 This link enables you to further investigate blood and the cells found within it. 5. http://www. isc-online. com/Objects/ViewObject. aspx? ID=CLT103 6. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP14604 7. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP14704 This link is a crossword puzzle that asks you to identify common cardiovascular diseases, be warned it is quite difficult. 8. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=GEN2405 The nervous system is of paramount importance to maintain homeostasis, use these links to investigate the nervous system further. The links will enable you to have a full understanding of the brain, the sympathetic nervous system and nerve fibres. 9. ttp://www. wisc-online. com/Objects/ViewObje ct. aspx? ID=AP14404 10. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP2704 11. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=OTA502 12. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=COS1903 This link follows on from the nervous system and gives a brief insight into brain injury 13. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=OTA1104 The skeletal system enables the human form to remain upright, use this link to name the bones contained within the skeleton and the skull 14. http://www. wisc-online. com/Objects/ViewObject. spx? ID=MEA304 15. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP12904 16. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=COS1503 This final resource is produced by the BBC, again very interactive and sallows you to demonstrate your knowledge of a variety of body systems. 17. http://www. bbc. co. uk/science/humanbody/body/interactives/3djigsaw_02/index. shtml As part of your role as a ECA y ou will be required to measure a patients’ blood pressure, utilise the interactive tutorial to familiarise yourself with blood pressure, its measurement and consequence of abnormality 18. http://www. nlm. ih. gov/medlineplus/tutorials/hypertension/htm/_no_50_no_0. htm 19. http://www. nlm. nih. gov/medlineplus/tutorials/hypertension/htm/index. htm (allows you to download notes to the presentation) 20. http://www. nlm. nih. gov/medlineplus/ency/anatomyvideos/000013. htm This resource contains hundreds on interactive tutorials on a variety of diseases, this is a valuable research tool for you to use at your leisure 21. http://www. nlm. nih. gov/medlineplus/tutorials. html Interactive Module Links Tracking Sheet Watched| Y/N| Comment| 1. http://www. wisc online. com/Objects/ViewObject. aspx? ID=AP12704 2. http://www. isc-online. com/Objects/ViewObject. aspx? ID=OTA1004 3. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP15104 4. http://www. wisc-online. com/Objects/Vie wObject. aspx? ID=OTA1304 5. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=CLT103 6. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP14604 7. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP14704 8. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=GEN2405 9. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP14404 10. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP2704 11. ttp://www. wisc-online. com/Objects/ViewObject. aspx? ID=OTA502 12. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=COS1903 13. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=OTA1104 14. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=MEA304 15. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=AP12904 16. http://www. wisc-online. com/Objects/ViewObject. aspx? ID=COS1503 17. http://www. bbc. co. uk/science/humanbody/body/interactives/3djigsaw_02/index. shtml 18. http://www. nlm. nih. gov/medlineplus/tutorials/ hypertension/htm/_no_50_no_0. htm 19. http://www. nlm. ih. gov/medlineplus/tutorials/hypertension/htm/index. htm (allows you to download notes to the presentation) 20. http://www. nlm. nih. gov/medlineplus/ency/anatomyvideos/000013. htm 21. http://www. nlm. nih. gov/medlineplus/tutorials. html| | | Criteria| Achieved(? )| AssessorsComments| Internal Verifiers Comments| 1. 1 Label the structure of a typical cell| | | | 1. 2 Outline the definition of tissue| | | | 1. 3 Outline the definition of an organ| | | | 1. 4 Outline the definition of a body system| | | | 1. 5 Define directional terms used in medicine| | | | 1. 6 Label major organs within the body cavities| | | | . 1 Describe the function of the respiratory system| | | | 2. 2 Label the components of the respiratory tract| | | | 2. 3 Describe the structure of the lungs| | | | 2. 4 Outline the process of respiration| | | | 2. 5 Describe the initial management of asthma| | | | 3. 1 Outline the role of thecardiovascular system| | | | 3. 2 Label the structure of the heart| | | | 3. 3 State the electrical conduction system of the heart| | | | 3. 4 Describe the purpose of different types of blood vessels| | | | 3. 5Describe the properties of blood| | | | 4. 1 Outline the role of the nervous system| | | | 4. Identify the components of the nervous system| | | | 5. 1 Outline the role of the skeletal system| | | | 5. 2 Label the bones of the skeleton| | | | 5. 3 Describe the different types of skeletal joints| | | | 5. 4 Outline the relationship between the muscular system and the skeleton| | | | | General Comments| Areas for Improvement| Assessor Signature: Date:| Learner Signature Date:| Internal Verifier Signature: Date:|

Hospital Emergency Room Overload Essay

As the name implies, the purpose of hospital emergency rooms is to provide quick and expert medical treatment for urgent and life threatening medical problems. The truth of the matter is that patients seek the ER for a variety of illnesses and injuries. They can range from catastrophic to as minor as a young child running his/her first fever. The downfall to this is that those patients who are truly not suffering from life threatening situations are taking away from those that are. Overcrowding results in longer waiting times to see a physician. Overcrowding also may contribute to decreased protection of a person’s privacy and confidentiality and impaired patient evaluation and treatment. According to an article written by Julie Rovner, she states that, â€Å"97% of ER doctors also said they treat patients daily who have private insurance and primary care doctors, but whose primary care doctors sent them to the emergency room for care due to the patient needing care when the doctor’s office was closed† (Rovner, 2011). Overcrowding has also been linked to more deaths in the emergency room than in the past. One reason is hospitals having to close their doors and rerouting ambulances to other hospitals because their ER is full. Nevertheless, there may be solutions to this ever growing problem. Hospitals can take cost-saving measures to help alleviate the overcrowding issue. They can move stable and non-emergency care patients to less expensive settings such as an observation area or walk-in center staffed by nurses. Creating more after hours urgent care centers where patients can be seen for non-urgent or life or death situations. Providing appropriate clinic facilities and care for patients without insurance. Providing physicians with incentives for accepting Medicare and Medicaid new patients will also alleviate the overcrowding issue. Even though any of these measures could help with overcrowding, and with the Affordable Health Care Act being deemed constitutional, providers don’t see overcrowding in the ER slowing down. Due to the constraints of the U.S. health care system, ER care for patientswith non-urgent conditions will continue and probably increase with the onset of the new health care reform. ACEP President David Seaberg said in a statement in July 2012 that, â€Å"Increasing the number of patients on Medicaid without an equivalent increase in the number of physicians willing to take that insurance will surely increase the flood of patients into our nation’s ERs. Coverage does not equal access† (Cheung-Larivee, 2012). In conclusion, a number of different solutions need to be considered and applied. Solving the ER problem is going to involve healthcare workers, business leaders, politicians and the public. References Cheung-Larivee, K. (2012, July 6). Health Reform Ruling won’t Solve Emergency Room Overcrowding. Retrieved September 15, 2013, from Fierce Health Care: http://www.fiercehealthcare.com/story/health-reform-ruling-wont-solve-emergency-room-overcrowding/2012-07-06 Rovner, J. (2011, April 28). ER Doctors Say Health Law Will Make ER Crowding Worse. Retrieved September 14, 2013, from Health News from NPR: http://www.npr.org/blogs/health/2011/04/28/135800784/emergency-room-doctors-say-health-law-will-make-er-crowding-worse

Procurement process in small or Micro Enterprises. Essay

1. Introduction This assignment entails the information of procurement processes and the comparison of three different organizations that we have chosen – the Minimart, Online shop and Pet item industries. Although they are all micro organisations and retailers in the supply chain, they encompass individual requirements and selection criteria of their procurement processes. In this assignment, we will identify what are the similarities and differences in their Procurement-to-Pay process, their ‘What if† risk factors and the mitigation approach in overcoming the risks. 2. BRIEF DESCRIPTION OF ORGANISATIONS The three micro organisations selected are namely the Mini-mart, Online Apparel Shop and the Pet Shop. Firstly, the mini-mart act as a â€Å"convenient store† located around housing estates. It takes advantage of the proximity and locality and targets the morning rush hour crowd such as the students and working adults. The mini-mart offers products like canned food, drinks,  tidbits, newspapers, ready-to-go foods like packed rice, finger food and desserts. As the mini-mart deals with highly perishable goods, the procurement procedure will be special to the industry, as they have limited shelf lives. Next, a recent trend in the fashion industry is the online shop. The online shop sells apparels and accessories that the owner source from around the world leeching on bulk discounts. The online shop targets female consumers that enjoy the convenience of online shopping. Lastly, the pet shop sells pets and their related items such as cages, food and treats, grooming kits and toys. The main consumers will be the people who are looking for pets and existing pet owners who will need to purchase the pet’s necessities frequently. 3. POSITION OF ORGANISATIONS AND TWO MAJOR PRODUCTS IDENTIFIED All three organisations act as retailers where consumers purchase products from them directly. They directly import the products themselves from overseas or purchase from local wholesalers who import them in bulk. The focus for these three micro organisations chosen in their procurement process will be on the strategies that they make due to the limited space operating in Singapore. In addition, the mini-mart and pet shop have limited shelf life for some of the products that they carry. The two major products we identified for minimart are the newspapers and the ready-packed food. As mentioned, the consumers are mainly working adults and students that patronize during rush hour. Items like local newspapers and ready-packed food are in high demand. The shelf life of these products are short, thus once unsold will deem the newspaper obsolete and food stale. Next, the two major products for the online shop are clothing and accessories. The online shop needs to bring in new apparels constantly. They need to catch up with the growing demands and changing taste of the customers. A factor that contributes to these is the seasonal fashion that changes every time. Thus, seasonal demand should be included into forecasting for inventories as this would keep the company competitive. Finally, pet item consumers would mainly look forward to daily requirement such as pet canned foods and grooming products. They are two major products that petshop need to constantly keep them in sufficient amount of inventory required when they affect the sale rates. As mentioned earlier, they are imported overseas. 4. PROCURE TO PAY PROCESS COMPARISON Appendix A The three organisations that we have chose have all followed this Procure to Pay process, however they have their differences in determining these processes. For forecasting, the online shop and the pet shop has less frequent level of forecasting their requirements due to its irregularity sales of goods which depends on seasonal demand. However, the mini-mart actually requires daily forecasting and is more volatile in their forecast. The shopkeeper take into considerations like public and school holidays before he actually consider how much to procure for the day worth of food and newspapers to sell. For example, during weekends in the morning, crowds tend to be lesser and thus, lower in demand. For the clarification/requisition and supplier selection process, the online shop had done their clarifications virtually through online e-mails and phone calls as most of their suppliers are all overseas. The mini-mart and the pet shop actually do face-to-face meet up with suppliers to look at the real products, whether they can match their requirements before confirming the order and delivery. The approval and contract process is quite similar for both the mini-mart and the pet shop as it is done locally. After identifying a supplier, they will send purchase order according to demand. The online shop process is slightly different as the suppliers are mainly from overseas. Once the proprietor has identified their supplier, she will travel to the country to visit the supplier to determine the product’s quality, and to establish a rapport with the supplier before giving the approval. After discussing with these three organisations, we have discovered that price is one of the key factors on how these three organisations measures the performance of their suppliers. They will not want to see a sudden increase of their cost of products. However, there is a difference in their selection criteria. The mini-mart factors in the timeliness of goods, the petshop factors in the brand of products that consumers prefer, and the online shop focuses in the design, quality and bulk purchase discounts. 5. SUPPLIER IDENTIFICATION AND SELECTION The similarity in requirement for selecting suppliers is the timely delivery. All three organisations, especially the mini-mart requires punctual delivery of newspapers and ready-packed food daily. They rely on the supplier’s punctuality to stock up right inventories to make items available at the right time and place for consumers. With the Fedex Strategic sourcing process (Annex B), we are able to show their differences in identification and selection of suppliers. Minimart Online shop Pet Shop Profile the Sourcing Group – Requires volatile changes of good supplies depending on the daily requirement. Thus, while setting the profile, the owner will prioritise familiarity and reliability with the supplier. – Requires volume discount. – Timely delivery affects forecast for seasonal demands and thus, will affect their sales. – Requires volumes discounts for pets related item. – Requires credibility and reputation of the supplier. Select Sourcing Strategy – Has no bargaining power over the products from the current suppliers. – Have little alternatives over suppliers as suppliers are niche and limited. – Has bargaining power when ordering goods in bulk. – An alternative way when current supplier is unable to meet the needs, online shop owners in Singapore can go for overseas hunts to look for direct suppliers instead of normal wholesalers in Singapore. For example, Bangkok is one of neighbouring countries who is the direct supplier for apparels sold locally. – Has bargaining power due to bulk purchase ability and due to the large supplier base, it is easy to find alternative sources that can provide similar/better services. Generate Supplier Portfolio – Has only one source for getting the newspapers due to the limited publisher in Singapore. – However, for the food supplies, the owner will look into  the value added services such as packaging of the food items. This helps to save the time of re-packaging and selling to the customers. – Every piece of apparel is packed neatly in packaging and owners do not have to re-package themselves again. They are also delivered to owner’s doorstep from overseas. This adds value to the supplier’s service. – Selects and identify suppliers with no value added capabilities. However, main selection criteria are bulk discount and price. Select implementation path – Very little adjustment to be done on the sourcing due to the basic business model. – Many online shops sells similar items so they look for suppliers who can provide self-manufacture services and also bulk discounts. For example, suppliers follow designs as given from online shop’s purchase order. – Increase bulk discount criteria to shrink the list qualified supplier. Major product like canned foods can be stored longer, thus, storage will not pose as a problem. Negotiate and select suppliers – Due to the only existing publisher in Singapore, negotiating power is very limited. However, for the food supplies, reduction of price and efficiency is viable with increase in order quantity. – Base on shortlisted suppliers, they will look into the one who can compromise the most and satisfy their requirements. – With the sourcing strategy established, they will try to bargain for more bulk discount with the suppliers. Operationalize supplier integration – Link their suppliers as a part of their operating process as timeliness is an issue for sales of goods for the mini-mart. – Long-term collaboration ensures quality and efficiency when there is mutual trust. – Will establish relationship with the supplier and also promise loyalty if the supplier maintains their quality service and discounts. However, they do not link the suppliers to their key processes. Benchmark the supply market – Mini-marts tend to prioritise in bulk discounts and timely delivery in selection of suppliers. – By comparing selected suppliers, they will narrow  down the suppliers who can provide the most efficient services and bulk discounts. – Does market comparison with other pet shops and also suppliers. They look out for cheaper suppliers and latest pet products. 6. STRESS TESTING AND RISKS MITIGATION APPROACHES 6.1 Four categories of risks identified in each organization A) Minimart Supplier-Related Customer-Related Risk Mitigation Approach Disruptions – Supplier who delivers ready-to-go food abruptly stops their supply. – Excess inventory due to forecast error, seasonal demand, wastage in food. – Lose potential consumers who prefer food produce by original supplier. – Sudden increase or decrease in demand. – Acquire alternate source of supplier. – Proper forecast to keep the right inventory level required. Delays – Traffic jam delays the delivery of morning orders. – Supplier delivers to wrong address. – Miss and disappoints the morning crowds. – Delay in displaying all the ready-food to sell. – Increase responsiveness of Supplier. – Look for wholesaler who can supply last minute. Procurement – Supplier is forced to increase the price of raw materials. – Increase in Transport costs. – Force to increase price due the spike of cost of goods or transport cost. – Having a redundant pool of suppliers to benchmark. Systems – Supplier’s order tracking system breaks down. -Suppliers food processing machine breakdown – Telephone line break down and customers cannot order via phone. – Increase flexibility in other means of contact. For example, e-mails, mobile phones, telecommunicating for urgent orders. – Alternate source of supplier. For the Minimart, we have identified two key mitigation strategies to acquire alternate/redundant source of suppliers and increase responsiveness. Acquiring redundant suppliers helps to reduce disruptions, procurement and inventory risk. However, as we discuss further, the mini-mart might face the risk that alternate supplier capacity might not be sufficient to meet their needs. This will in turn, pose as a risk to their inventory. To reduce the risk of delay, we have proposed to increase the responsiveness of the supplier due to short life cycle of food products. It also helps to reduce both forecast and inventory risk. B) Online shops Supplier-Related Customer- Related Risk Mitigation Approach Disruptions – Natural disasters like haze, tsunami happen and cause shipment delay. – Sudden shortage production of cotton fabric and raw material for making apparels. – Excess inventory due to wrong stock count. – Demand increases. – Increase in prices when demand is high and low in productivity. – Have alternate redundant source of suppliers to rely on. – Increasing inventory level. – Better forecast inventory due to seasonal demands. Delays – Stock delays that resulted from shortage of important raw material e.g. fabric etc. – Distribution takes longer when delay from shipping companies. – Customer order fulfillment gets delayed – Stocking up more predictable and lower cost product. – Look for direct alternate suppliers overseas, shortens waiting time for shipping and save cost. Procurement – Increase in production costs from supplier due to shortage in raw materials or labors. – Shipping costs increases that was incurred from transportation companies. – Need to increase selling price while unable to reduce waiting time required, or even higher waiting forecast. – Customer orders gets mixed up and resulted in poor customer service. – Acquire redundant suppliers for benchmark. – Increasing responsiveness approach to meet customer demand. Systems – System breakdown at overseas supplier side. – Online shopping website breakdown locally and technical repair takes some time – Website gets infected and not able to receive customers order. – Increase inventory level to mitigate supplier system risk. – Increase in flexibility of point of contact. For Online shop, the main focus was to get supplies ready when needed. Having alternate suppliers is necessary when there is delay or failure in the potential supplier. Accurate forecast is important when consumer demand is different every season. Leftover items from excess inventory could have difficulty in meeting buyers and cause wastage. C) Pet Shop Supplier-Related Customer- Related Risk Mitigation Approach Disruptions – Local supplier has stopped supplying a hot selling product. – Health production examined a major pet canned food product contains chemical that is not suitable for consumption. – Consumers forced to go for other alternative supplies. – Retailers forced to absorb losses for existing inventories. – Increase in inventory. – Have redundant suppliers. Delays – Supplier delay delivery of promotional item by a day. – Supplier deliver wrong type of items and causes re-delivery delays. – Inadequate supplies to meet expected demand. – Severe shortage on particular items affected. – Increase in inventory level. Procurement – Supplier refuses the bulk discount of a certain product due to drop in purchasing volume. – Supplier increase in price when production cannot catch up with demand. – Forced to increase price due to lesser sales of a product. – Consumer still enjoys usual selling rates due to competitiveness at retailer side. – Having redundant supplier so that they can benchmark their suppliers to get the best competitive price. Systems – E-order system broke down. – Overseas supplier lose track of all orders due to system breakdown – Online web page is down and customers are not able to get information and order online. – Increase flexibility in having other source of communication like telephone or backup copy of customer’s orders. As for the pet shop, we concluded that to gain competitiveness in pricing, they require the suppliers to issue bulk discount. Thus, they will have a few redundant suppliers to allow them to manipulate the prices between the suppliers, giving them a lower price. In doing so, it also mitigates on problems like disruption and delays as if any of the suppliers will fail on such a secondary will take the job mitigating these issues. We must understand that when they engage any supplier, they will stock in more than enough stock setting buffer and leeching on the bulk discount. 6.2 Risks Mitigation For the above different categories of risk, there are a few similar mitigation strategies for each risk for the three organizations studied. For the risk of disruption, the key strategy for the organizations is to acquire alternative/redundant suppliers. This strategy will help to mitigate the risk of sudden stoppage of supplies. Also, it helps to reduce the procurement and delay risk. However, we have also concluded that as these organisations are retailers, which are subjected to the supplier capacity to  provide the inventory needed. As such, if disruption from supplier were to happen, the organisations might face inventory risk. Coming to risk of delay, the pet shop and online shop are able to eliminate this risk by increasing inventory level as canned food and clothes can be stored. This will also help to lower disruptions and procurement risks to the organisation. However, for the mini-mart, the approach is different due to the short life cycle of food products and the timely delivery requirement due to daily demand. As such, it requires an increase in the responsiveness of the suppliers to ensure quality of products. For risk of procurement, we are able to conclude that all three organisations require having redundant suppliers. Mostly, for these organisations faces risk in an increase of the cost of goods and transportation cost. As such, they require different suppliers so that they are able to benchmark their suppliers against others to get an overall competitive edge in cost saving. Lastly, for the risk of system, the organisations are facing mostly on issues like purchasing system breakdown or the organization system failure. Thus, they need to increase their flexibility in having other source of communication like telephone, mobile phones or backup copy of their own orders. 7. CONCLUSION In conclusion, the above analysis on the three organisations helps us better understand the procurement process and the importance of considering such processes when it comes to reducing costs, risks and selection of suppliers. It is also concluded that all the three organisations rely in a way or another procurement strategies to ensure normal business function in serving targeted consumer demands, making them available in the right time, right place and location. In addition, the suppliers and the three organisation’s relationship in the existing market play an important role in terms that affects the delivery to end consumers. Also, we have concluded that for micro organisations, the three most important mitigation strategies is in having redundant suppliers, and keeping and forecasting the right inventory level and having flexibility in their organisations. This will help in the organisations smooth operating process. 8. Reference 1. Chopra, S., Shodhi, M.S. (2004). Managing Risks to avoid Supply-Chain Breakdown MIT Sloan Management Review, 46, 1. 2. Monczka, R., Trent, R., and Handfield, R. (2005). Purchasing and Supply Chain Management, Thomson-South-Western, Third/Fourth Edition 3. Interview: Junction 168 Minimart – Mr. Tan, C.T. (2013) – Understanding the Organisation and its Procurement processes. 4. Interview: Kwong Fatt Pet Centre – Mr. Wong, K.F. (2013) – Understanding the Organisation and its Procurement processes.

Human Resource Management Essay Example | Topics and Well Written Essays - 2250 words - 7

Human Resource Management - Essay Example It has various building blocks including leadership, independence, honour, integrity, spirit and enthusiasm, service to the public good, and balanced commercialism. Therefore, HR professionalism is a process by which professionals in the human resource field aims to acquire a recognition given to established professionals through adopting or emulating the general qualities of an established professionalism (Losey, Meisinge & Ulrich, 2007). Professionals in HR acquire professional approach and attitude through various ways, but socialization plays an integral part in the adoption of professionalism by HR professionals. Human resource professionals can seek to adopt the behaviours stipulated in the professional map to attain professionalism. Wilson & Wilson (2012)Â  postulates that there are specific standards that should be met and adopted by HR professionals in order to work professionally in the human resource profession as explained in the CIPD profession map. These standards that should be met by the professionals in the human resource field in order to work professionally are that they should be decisive thinker, skilled influencer, collaborative, courage to challenge, personally credible, curious, and role model. The successful adoption of these qualities in the execution of the HR functions would ensure that the managers and employees in the HR department remain professionals and abides by the set standards. The CIPD professional map ensures that HR professionals use the standards and qualities set-out to work professionally and to ensure that they perform their duties efficiently. For example, such qualities helps them to build strong employees relation, organization design, enhance learning and development, employee engagement, improve service delivery and information, enhance resourcing and talent planning, and

Why Natural Farming is better than Genetically Modified Organism (GMO) Research Paper

Why Natural Farming is better than Genetically Modified Organism (GMO) - Research Paper Example It was an excellent narration to illustrate the various sources of our food that can be had either from industrialized farms which utilizes GMO, to large scale organic farming to hunting (2006). In the same vein, the movie Food Inc by Robert Kenner Food Inc. demonstrates how industrial food makers through the massive use of GMO corn have altered our eating habits. Both the book and movie illustrated that industrial farm factory does not reveal the true cost of our food. While it may initially priced to be cheaper, the true cost is concealed in terms of undermining our health and the environment. This was more vividly illustrated in the movie Food Inc. where corn are also being fed to cows which is now fast becoming as part of our staple food causing us obesity and other health issues. The lethal contamination of E.coli that was induced by cows being in their manure during production was also illustrated with a kid dying just few days after consuming a contaminated burger. In effect, both Pollan’s book The Omnivore’s dilemma: a natural history of four meals and Robert Kenner’s movie Food Inc. illustrated that the source of our food is becoming a factory and is no longer grown the way it used to be. Worst, industrial farm factory and the use of GMOs are even packaged to be a better food source than organic farming (2008). Perhaps it was to illustrate the importance of organic farming over factory farming that uses genetically modified corn that Pollan showed his fascination on a farm where different species can be raised together in a theme of symbiosis (Pollan 126). The grower called himself a â€Å"grass farmer† to demonstrate that grass is the foundation of the intricate food chain. II. The rise of the Genetically Modified Organism agricultural products The debate over organic farming and Genetically Modified Organism (GMO) crop farming is still as intense when GMOs first caught the public attention. Each mode of farming the crop ar e pushing its advantage over the other as a better source of food with GMO gaining wider acceptance because of its putative efficiency in producing the crops. Genetically Modified Organism came to public attention in September of 2000 when the business section of the New York Times ran a frontpage story about an issue in the food supply. A new genetically engineered corn that contains a protein Cry9C which was supposed to be used as an animal feed was found in a nationally sold tacos (Kelso and Takahashi I). Despite of the issue, genetically modified crops have gained wide acceptance in the United States that it now contains more than 40% of soybeans, cotton and corn that is sold in supermarkets (Sakko). Crops have been modified to grow efficiently requiring fewer herbicides with some crops designed to be resistant to insects and pests. There were also crops whose genomes were altered to produce certain vitamins such as the Golden rice which has been said to contain Vitamin A. Genet ic alteration is not only limited to crops but is also used in trees and other animals (Sakko). III. The debate: why natural farming is better than Genetically Modified Organism? The most common reason used by the proponents of Genetically Modified Organism factory farming is that they are cheaper to produce and is a practical option to provide food to people worldwide (Royal Society of Chemistry). They are also said to be efficient because crops can be improved through genetic engineering to become more resistant to pests with an enhanced nutrient value at a lower production cost. Proponents of GMO’s are also highlighting the advantage of genetically improved crops to be more profitable because they can be grown faster. Proponents of organic farming on the other raised the advantages of organically raised foods over genetically

Death penalty Research Paper Example | Topics and Well Written Essays - 750 words - 2

Death penalty - Research Paper Example While some people support the death penalty, others strongly condemn it. Some of the arguments in its favor are discussed below. This refers to a logical state-sponsored rejoinder to criminality, which is warranted given that once a crime happens; the victim is the state (Robinson, 2009). Cavadino & Dignan (2007) explain that retribution chastises the criminal in terms of â€Å"just deserts†. It focuses on the past events rather than on the future, and presumes that the penalty should fit the crime – â€Å"a tooth for a tooth†, so to say. Normally, criminals who face execution are those who cause serious harm to the society. A murderer for instance is executed with the validation that â€Å"two offences make a right†. Seemingly, the retributive argument is the strongest – when harmed, the government has a right to seek out justice with the intent of re-balancing the justice scales that the lawbreaker skewed to his or her benefit when he or she committed the crime (Robinson, 2009). According to Scott (2008), incapacitation is a philosophical justification of punishment that dictates that an offender’s physical capacity to commit a crime be removed (199). Those who hold this argument hold the view that death penalty takes away a criminal’s freedom in such a way that he or she is not able to perpetrate another offense – he/she permanently ceases being a menace to the society (Robinson, 2009).   Those who hold this view argue that once an individual initiates force against another guiltless individual, he or she has in reality declared that he or she does not conform to the principle of person’s rights. That criminal is not prepared to live among men as a reasoning individual – he or she only wants to live as a predator, to the obliteration as well as disadvantage of other beings around him or her. They also argue that rights result from a person’s nature of living as a rational being and if a person decides to live unreasonably, he or she is

A Comprehensive Classroom Management Plan Essay Example | Topics and Well Written Essays - 750 words

A Comprehensive Classroom Management Plan - Essay Example In addition, the psychosocial transition model would also be effective approaches to helping students discern both their internal and external environments more carefully (Jones & Jones, 2010). The method of applying consequences can prove to be fair and consistent if only all the students are well aware of the consequences imposed for different types of misbehavior. In addition, I will demonstrate fairness in applying consequences by ensuring that each student faces the consequences of his or her actions without exceptions. Excluding some students from facing the consequences imposed introduces a measure of bias. Therefore, all the standards in applying consequences should be applicable to each student depending on his or her actions (Sayeski & Brown, 2014). When working with individual students in an effort to correct misbehavior, the first step I should take involves approaching the specific student and relating the specific misbehavior in a firm manner. I should also emphasize on the high expectations of proper behavior. In addition, I will stress on why it is wrong to indulge in bad behaviors. After clarifying the misbehavior, I would then impose a consequence. On the other hand, handling cultural differences in a classroom setting requires a proactive approach. As a teacher, I should introduce all my students to cultural diversity and help them appreciate diversity. I plan to help my students recognize and celebrate cultural diversity. In the case of learning ability differences, I plan to understand the potential so f each student and give more attention to those with learning challenges. When students with learning challenges receive the relevant support from the instructor, they are more likely to improve (Jones & Jones, 2010). When solving problems in the classroom, I will rely on the standard procedure that involves identifying the problem and gathering information about the

Investments in Computer Integrated Manufacturing Technology Essay

Investments in Computer Integrated Manufacturing Technology - Essay Example By thoroughly realizing and examining these questions that need to be addressed, then we will be able to come to a much more informed and understanding viewpoint on this subject matter at hand, and as well we will be able to thus come up with new and innovative strategies in regards to what methods and means should be taken in order to put a more positive spin on this matter overall. This is what will be dissertated in the following. There are truly many different benefits when we speak of the term CIM (computer-integrated manufacturing) issues, and what CIM really is needs to be properly understood before any further measures can be taken in this regards. In all actuality, CIM is "a manufacturing philosophy in which the functions for the organization, from product definition to the disposition of the final product, are achieved using computer, communication, and information technologies" (Wikipedia, 2007). There are basically three different components that are considered and known as being essential in regards to the implementation of flexible design and manufacturing in this regards, and this includes that of the following three components: the means for data storage, retrieval, manipulation and presentation; the mechanisms by which to sense state and modify substance; and lastly, the methodologies by which to unite them. The CIM phase is the phase which is "used to describe the complete automation of a manufacturing plant, with all processes functioning under computer control and digital information tying them together" (Rockford Consulting Group, 1999). Basically then the CIM phase is without a doubt one of the most crucial, and there are quite obviously many different benefits that are gained from CIM overall. Why Might DCF Methods not Take These Benefits Into Consideration When Evaluating CIM Investments There are actually again quite a few answers when it comes to the reasoning as to why DCF methods may not take the benefits that are concluded as being from CIM processes into consideration when they are evaluating CIM investments; first we must understand what the DCF really is, in order to understand better. The DCF (discounted cash flow) is a means in this regards which uses certain methods of analysis which have both in the past and recently come under certain criticism. It really began in the 1980s when the use of these DCF methods began coming under this criticism, and in particular they were found to be especially deficient when they were being used to evaluate investments in CIM technologies, as many critics claimed and pressed to argue the fact that these DCF methods of analys

International Financial Institutions Essay Example | Topics and Well Written Essays - 2000 words

International Financial Institutions - Essay Example It depends on the government of the recipient countries as to the utilization of aid funds and grants. Foreign assistance in the form of aid plays vital role in development of an underdeveloped country to the extent that they are utilized properly. Government institutions have also a significant role in the utilizing this amount. Good government policies not only help country in its development but also help in utilizing the donors' money properly. Existing research [e.g. Burnside and Dollar (1997), Mosley, Hudson and Verschoor (2004), Dalgaard, Hansen, and Tarp (2004), Burnside and Dollar (2000) etc.] suggests that academicians and scholars stress greatly on the importance of recipient country's policies in the effectiveness of aid. These authors regard aid as highly effective in poverty reduction and economic development only if the recipient country's policies are growth and development oriented. This suggests that although aid can contribute a lot towards economic development and prosperity, the result could be entirely opposite. Burnside and Dollar (1997) strongly opine that foreign aid leads to growth in poor countries with 'sound economic policies' (p4). The authors identify certain good policies that lead to long-term growth in recipient countries including "open trade regimes, fiscal discipline and avoidance of high inflation" (p5). They take example of Botswana and Indonesia as countries that performed well after receiving foreign aid whereas the countries like Tanzania and Zambia could not perform well. They studied the provision of bilateral aid in the period of Cold War and found that foreign aid provided to countries with poor economic policies such as Tanzania or Zambia was thoroughly wasted whereas it could lead to growth and development in countries with good economic policies. They argue that, "in a sound policy environment, aid attracts private investment, whereas in a poor policy environment, it displaces private investment." (p5). Hence, if the recipient country's economic policies are good or growth oriented, infusion of foreign aid can accelerate the process of economic development. For instance, if the existing policies of a recipient country accentuate open trade environment and encourage private investment, aid can be effective in removing the financial hurdles in the way of industrialization. The element of good and bad government policy is highly evident in the literature. The concept of good economic policy highlights the importance of aid allocation to the areas where it can be the most effective in bringing the desired results. Mosley, Hudson and Verschoor expound that "the marginal aid dollar should flow to where its effectiveness is highest, under the joint influence of existing policies and levels of poverty, not necessarily to where it is high" (2004, F218). Hence, the policies of recipient government which are relevant to the process of aid allocation truly determine the extent to which aid becomes effective in poverty reduction and economic growth or is simply wasted on less important issues. For example, if the goal of aid provision Dalgaard, Hansen, and Tarp "sufficiently poor economic management,

Image of death Essay Example for Free

Image of death Essay As she attempted suicide, â€Å"I am not his yet.† She is possibly tempting death as the quote â€Å"..how badly I photograph†, suggests death may have been stalking her and Plath is possibly taunting him back as he insults her, or it may also be that Plat is not ready for her death photograph yet. Plath shocks the reader by talking about children in coffins in such a matter of fact manner, â€Å"He tells me how sweet the babies look in their hospital icebox†, paradox, as the beautiful and ‘sweet’ children are linked to death, â€Å"Ionian death gowns†, again Plath contradicts the beauty of the gowns with the horrifying image of death. Plath uses simple but very harsh descriptions to portray death amongst children, â€Å"two little feet† very graphic in a simplistic way. Plath explains death is in two forms, a traditional view of death and the other one a more modern view of death. She portrays the death as very laid back, â€Å"He does not smile or smoke† as before cool people, celebrities and models smoked, so people followed them but death does not as he’s not trying to be popular. The â€Å"other† death Plath describes with â€Å"hair long and plausive† and also suggest that this death does smoke â€Å"the other does that† giving this death a more positive feel, making him more modern and more appealing. An act of masturbation, seen as a powerful act as it’s done alone â€Å"Masturbating a glitter† almost as if Plath is saying that death thinks he’s special as he’s masturbating a glitter, â€Å"he wants to be loved† paradox, as you can’t love death. Plath suggests the idea of rigourmortus although it’s ironic as she’s still alive â€Å"I do not stir†, or it may be Plath suggesting that she’s dead on the inside, and that her emotions may have gone stiff. In contrast to Plath’s poem â€Å"Death and Co.†, Hughes poem â€Å"Examination at the Womb-Door† emphasises on death owning existence as even as soon as you are born you face death but death still being inferior to God, as the examiner being God the questions throughout the poem are very authoritive, suggesting that Hughes may think that God has authority over death. The title could possibly be Hughes signifying the point of crossing into the physical world. It seems as if sees death as the starting point: Man has been living, just to get experience to pass an exam before God, also giving a very ominous feel to death, the ultimate fear of all mankind and a sacrilegious tone to the poem. It maybe that Hughes sees the soul as immortal as when the crow is asked â€Å"But who is stronger than death?† the crow replies â€Å" Me, evidently† as the crow is immortal due to the rebirth cycle, so despite the body’s death, the soul remains, therefore the crow is in fact stronger than death. Hughes uses negative adjectives and pronouns throughout the poem possibly to remark the deficiency of the human body against death.

Puritanism Versus Deism Analysis

Puritanism Versus Deism Analysis The seventeenth century colonists all respected the Bible. Both Puritans and Deists believed in God. However, the way in which they perceived God in their own lives differed. While Puritans believed God to be all encompassing taking the inevitably evilness of human nature and saving them through his grace; the Deist belief deems that humans are inherently good and the decisions they make ultimately effect their own fate. As shown in the writings of John Winthrop, Michael Wigglesworth, John Dane and Mary Rowlandson, Puritans believed in predestination and that God played an active role in their lives; whereas, Deist Benjamin Franklin believed that God played an inactive role in their daily lives and their fate was consequently left up to their own decisions. Contradictory to the Deist belief, Puritans believe that God has already chosen a path for them through predestination and they have no ability to alter this path. As Wigglesworth discusses Gods grace for those he chooses to save he quotes a New England minister, Thomas Shepard, who believed your best duties are tainted, poisoned, and mingled with some sin, and therefore are most odious in the eyes of a holy God. Your good duties can not save you, yet your bad works will damn you (Wigglesworth, 4). Wigglesworth, following Puritan ideals, believed that good deeds cannot get anyone into heaven (Wigglesworth, 4). Although God had predetermined the people who would go to Heaven and who would go to Hell, it was impossible to know whether one was actually damned to Hell or not. This triggered the question of whether or not to do good things if one was already damned to Hell. As a Puritan ideal, everyone was to live life by doing as much good as possible. While Deists determined their own f ate and could change it based upon decisions they made, Puritans accepted the fact that people were either chosen to be saved and go to Heaven or damned to Hell. In Puritanism saved mothers, fathers, husbands and siblings will be satisfied with the damnation of their relations (Wigglesworth, 4). The Puritans were content in the fact that their God had chosen a path for them that they were not able to alter and accepted that even some of their family members will be damned to Hell. An obvious difference between Puritan and Deist beliefs is the purpose that God takes in ones life. The Puritans believe in an all encompassing God. All good and bad things are acts of God and are not of a persons doing. In this belief both good and bad things are seen in a positive way; times of hardship are just as rewarding as times of benevolence. The majority of Mary Rowlandsons early life was lived in prosperity, everything in perfect harmony while others lived through many trials and afflictions, in sickness, weakness, poverty, losses, crosses, and cares of the World (Rowlandson, 8). During these times of bliss she sometimes wished that she would have her own trials and tribulations so that she would know God was thinking of her. Then, as she had wished for, Mary Rowlandson went through times of hardship. When she was captured and imprisoned for years by the Indians, she thought of these times as beneficial to her. These struggles proved Rowlandson to believe when God calls a person to any thing, and through never so many difficulties, he is fully able to carry them through, and make them see and say they have been gainers thereby (Rowlandson, 8). Instead of dreading times of adversity, Rowlandson saw them as a sense of caring. God cared enough to test her, using her times of struggling to bring her closer to him. In recollection of being captured by the Indians and her imprisonment, Rowlandson says, it is good for me that I have been afflicted (Rowlandson, 8). Without this vital event, she may have never begun to truly rely on God as she did throughout these times. The Puritans believed that good and bad events in their lives were taken by the providence of God or as his punishment (Dane, 9). Dane thinks of the intervention God takes in his life and speaks of how there were many wonderful, unspeakable, unsearchable mercies of a God that taketh care of us when we take no care of ourselves (Dane, 8). Dane viewed the event where he was stung by a wasp as p unishment from God because he did not regularly attend church on Sundays. Puritan belief is that everything is an act of God, meaning our actions are solely based on Gods decisions, not of our own ability to choose what is believed to be the best choice. If God chooses to save someone, he will save them because humans have no ability to save themselves. The Deist Franklins opinion of Gods role in ones life is quite contradictory of that of the Puritans. Deism beliefs are that of Gods inactive role with man. According to Franklin, God is the creator of man but he does not interfere with everyday decisions of humans. God grants man free will and the ability to change ones fate based upon his or her decisions. Deist Franklin believed that one works towards moral perfection through virtuous acts. Consequently, he came up with thirteen virtues that at that time occurrd to [him] as necessary or desirable to achieve moral perfection (Franklin, 12). Where Puritans looked to the Bible as a work of God with specific examples of events that God created in different peoples lives, the Deists believed the Bible to be mostly fables, a collection of stories created to teach lessons and help others achieve this moral excellence (Franklin, 6). To them the Bible was used as a guideline of ideals that are morally acceptable and how the choices one mad e affected the outcome of his or her situation. Franklin attributed any bad or good event in his life to his own doing. He gauged his closeness to God based upon his degree of success. He believed that he had become successful because he had kept his lifestyle close to that of the thirteen virtues. In Deist beliefs, God was not thought of as one who made the ultimate decisions for a person but more so led people in the direction in which was honorably acceptable. Deists believe that humans had the ability to change their own fate. They have free will to make their own decisions and every action and good and bad situation was of their own doing. The process of achieving moral perfection is represented through the idea of self-improvement. People have the ability to choose to better oneself by attempting to imitate that of God. Franklin stated that in an effort to better oneself one should always be employd in something useful [and] cut off all unnecessary actions (Franklin, 13). With the creation of Franklins thirteen virtues(temperance, silence, order, resolution, frugality, industry, sincerity, justice, moderation, cleanliness, tranquility, chastity and humility), Franklin had created his own path and as long as he strove to achieve these virtues, good would happen to him. Franklin, as well as most Deists, believed that one is taught right and wrong and then they are to make decisions based upon these ideals to ultimately decide his or her o wn fate. When Franklin speaks of his attempt at moral perfection he says that I knewà ¢Ã¢â€š ¬Ã‚ ¦ what was right and wrong, I did not see why I might not always do the one and avoid the other (Franklin, 12). In Deist Franklins belief of self-improvement it is unacceptable for one to be lethargic; when one is unproductive he or she is not at his or her best. The lack of motivation or desire to be improving oneself decreases their chances of going to Heaven. Rowlandson, Dane, Winthrop, Wigglesworth and Franklin use their first hand experiences to explain the Puritan and Deist beliefs of the 17th century. While the Puritans believed in predestination and every event that occurred in ones life was simply an act of God, the Deists believed in the ability for one to make his or her own decisions and decide his or her fate. God was involved in the everyday life of Puritans; whereas, in Deism God is the creator not and prevalent in the everyday actions of man; he teaches right from wrong but leaves the ultimate decision of ones actions up too him or herself.