Access to care in managed care program Essay Example | Topics and Well Written Essays - 1250 words

Access to care in managed care program - Essay Example Healthcare provider office practices determine the level of success that the actual healthcare given achieves. In the paper titled Capacity Planning and Management in Hospitals, Green (16) notes that the enormity of the issues behind the pressure from cost benefit analysis presses practices to be a one sided affair. The main issues in organization of healthcare institutions include the introduction of competition in the health industry coupled to the reduction of government subsidies. Practices at the healthcare facilities are therefore not only tending towards complete commercialization but also rising cost that the author feels continually impacts in effective reduction in patient access. Without the best approach that is cognizant of modified management tools to fit in the changing health care sector, practices at the facilities will continue to face hardships in achieving appropriate delivery of healthcare. Alternatively, the types of managed care model in which the providers are involved dictate the manner in which the delivery of healthcare services is conducted. Several models of managed care programs exist with an implication on the fact that the specialized needs of each attract a certain form of operation that would not operate in a different model setting. Health Maintenance Organization (HMO) models include closed panel, staff model, group model, open panel, Independent Practice Association (IPA), network model, and mixed model (TMCI, 2). Each of these models has inherent requirements that uniquely dictate the order of operations and access for health care by individuals. For instance, when dealing with a mental health facility, standard and village settings are differently modeled. The village type has restrictions which may effectively reduce the general access by the public in comparison with the other types of models (TVISA,

Michael Arlen Ode to Thanksgiving Essay Example for Free

Michael Arlen Ode to Thanksgiving Essay Consider the participants, the merrymakers: men and women (also children) who have survived passably well throughout the years, mainly as a result of living at considerable distances from their dear parents and beloved siblings, who on this feast of feasts must apparently forgather (as if beckoned by an aberrant fairy godmother), usually by circuitous routes, through heavy traffic, at a common meeting place, where the very moods, distempers, and obtrusive personal habits that have kept them all happily apart since adulthood are then and there encouraged to slowly ferment beneath the corn husks, and gradually rise with the aid of the terrible wine, and finally burst forth out of control under the stimulus of the cranberry jelly! No, it is a mockery of holiday. For instance: Thank you, O Lord, for what we are about to receive. This is surely not a gala concept. There are no presents, unless one counts Aunt Bertha’s sweet rolls a present, which no one does. There is precious little in the way of costumery: miniature plastic turkeys and those witless Pilgrim hats. There is no sex. Indeed, Thanksgiving is the one day of the year (a fact known to everybody) when all thoughts of sex completely vanish, evaporating from apartments, houses, condominiums, and mobile homes like steam from a bathroom mirror. Consider also the nowhereness of the time of year: the last week or so in November. It is obviously not yet winter: winter, with its death-dealing blizzards and its girls in tiny skirts pirouetting on the ice. On the other hand, it is certainly not much use to anyone as fall: no golden leaves or Oktoberfests, and so forth. Instead, it is a no-man’s land between the seasons. In the cold and sobersides northern half of the country, it is a vaguely unsettling interregnum of long, mournful walks beneath leafless trees: the long, mournful walks following the midday repast with the dread nevitability of pie following turkey, and the leafless trees looming or standing about like eyesores, and the ground either as hard as iron or slightly mushy, and the light snow a lways beginning to fall when one is halfway to the old green gate—flecks of cold, watery stuff plopping between neck and collar, for the reason that, it being not yet winter, one has forgotten or not chosen to bring along a muffler. It is a corollary to the long, mournful Thanksgiving walk that the absence of this muffler is quickly noticed and that four weeks or so later, at Christmastime, instead of the Sony Betamax one had secretly hoped the children might have chipped in to purchase, one receives another muffler: by then the thirty-third. Thirty-three mufflers! Some walk! Of course, things are more fun in the warm and loony southern part of the country . No snow there of any kind. No need of mufflers. Also, no long, mournful walks, because in the warm and loony southern part of the country everybody drives. So everybody drives over to Uncle Jasper’s house to watch the Cougars play the Gators, a not entirely unimportant conflict which will determine whether the Gators get a Bowl bid or must take another postseason exhibition tour of North Korea. But no sooner do the Cougars kick off (an astonishing end-over-end squiggly thing that floats lazily above the arena before plummeting down toward K. C. McCoy and catching him on the helmet) than Auntie Em starts hustling turkey. Soon Cousin May is slamming around the bowls and platters, and Cousin Bernice is oohing and ahing about all the fixin’s, and Uncle Bob is making low, insincere sounds of appreciation: â€Å"Yummy, yummy—Auntie Em, Ill have me some more of these delicious yams! † Delicious yams? Uncle Bob’s eyes roll wildly in his head, Billy Joe Quaglino throws his long bomb in the middle of Grandpa Morris saying grace, Grandpa Morris speaking so low nobody can hear him, which is just as well, since he is reciting what he can remember of his last union contract. And then, just as J. B. Speedy) Snood begins his ninety-two-yard punt return, Auntie Em starts dealing everyone second helpings of her famous stuffing, as if she were pushing a controlled substance, which is well might be, since there are no easily recognizable ingredients visible to the naked eye. Consider for a moment the Thanksgiving me al itself. It has become a sort of refuge for endangered species of starch: cauliflower, turnips, pumpkin, mince (whatever â€Å"mince† is), those blessed yams. Bowls of luridly colored yams, with no taste at all, lying torpid under a lava flow of marshmallow! And then the sacred turkey. One might as well try to construct a holiday repast around a fish—say, a nice piece of haddock. After all, turkey tastes very similar to haddock; same consistency, same quite remarkable absence of flavor. But then, if the Thanksgiving piece de resistance were a nice piece of boiled haddock instead of turkey, there wouldnt be all that fun for Dad when Mom hands him the sterling-silver , bone-handled carving set (a wedding present from her parents and not sharpened since) and then everyone sits around pretending not to watch while he saws and tears away at the bird as if he were trying to burrow his way into or out of some grotesque, fowllike prison. What of the good side to Thanksgiving, you ask. There is always a good side to everything. Not to Thanksgiving. There is only a bad side and then a worse side. For instance, Grandmother’s best linen tablecloth is a bad side: the fact that it is produced each year, in the manner of a red flag being produced before a bull, and then is always spilled upon by whichever child is doing poorest at school that term and so is in need of greatest reassurance. Thus, â€Å"Oh, my God, Veronica, you just spilled grape juice [or plum wine or tar] on Grandmother’s best linen tablecloth! † But now comes worse. For at this point Cousin Bill, the one who lost all Cousin Edwina’s money on the car dealership three years ago and has apparently been drinking steadily since Halloween, bizarrely chooses to say: â€Å"Seems to me those old glasses are always falling over. † To which Auntie Meg is heard to add: â€Å"Somehow I don’t remember receivin’ any of those old glasses. † To which Uncle Fred replies: â€Å"That’s because you and George decided to go on vacation to Hawaii the summer Grandpa Sam was dying. † Now Grandmother is sobbing, though not so uncontrollably that she can refrain from murmuring: â€Å"I think that volcano painting I threw away by mistake got sent me from Hawaii, heaven knows why. But the gods are merciful, even the Pilgrim-hatted god of corn husks and soggy stuffing, and there is an end to everything, even to Thanksgiving. Indeed, there is a grandeur to the feelings of finality and doom which usually settle on a house after the Thanksgiving celebration is over, for with the completion of Thanksgiving Day the year itself has been properly terminated: shot through the cranium with a high-velocity candied yam. At this calendrical nadir, all energy on the planet has gone, all fun has fled, all the terrible wine has been drunk. But then, overnight, life once again begins to stir, emerging, even by the next morning, in the form of Japanese window displays and Taiwanese Christmas lighting, from the primeval ooze of the nation’s department stores. Thus, a new year dawns, bringing with it immediate and cheering possibilities of extended consumer debt, office-party flirtations, good—or, at least, mediocre—wine, and visions of Supersaver excursion fares to Montego Bay. It is worth noting, perhaps, that this true new years always starts with the same mute, powerful mythic ceremony: the surreptitious tossing out, in the early morning, of all those horrid aluminum-foil packages of yams and cauliflowers nd stuffing and red, gummy cranberry substance which have been squeezed into the refrigerator as if a reenactment of the siege of Paris were shortly expected. Soon afterward, the phoenix of Christmas can be observed as it slowly rises, beating its drumsticks, once again goggle-eyed with hope and unrealistic expectations.

Disability and Ageing Theories Comparison

Disability and Ageing Theories Comparison Task One : Comparing a range of definitions as they apply to Disability and Aging 1.1 Disability according to WHO According to the World Health Organization, â€Å" Disabilities is a term that covers impairments, restrictions in participations and limitations in ones activity. An impairment is seen as a problem in body function and it’s structure; a limitation in activity is a difficulty an individual may encounter when performing an action or task; while the restriction in participation is a problem in an individuals life situation.† As stated on this source, disability is seen as not just a health problem but a complex phenomenon that shows the interaction between features of a persons body and features of society that they live in. It is said that people with disabilities has the same health needs as of those as non-disabled people, like for example disabled people also need immunizations, cancer screenings and treatments for other medical conditions, illnesses or diseases that they might have. b) Disability according to SSC State Services Commission of NZ The New Zealand Disability Strategy describes disability as, â€Å"Individuals do not have disability instead what individuals have are impairments. And these impairments may be physical,sensory,psychiatric,neurlogical, intelletual or other impairments. When people creates barriers the disability process happens because they take no account of people living with impairments in ther world.† According to this, disability is only a perceived idea , of how non-impaired people view people with impairments. And if people would change their view of impaired individuals then people that has disability would just be people that has impairments and they will be able to function in society if we give them an environment they can work around with. c) Disability according Government of Western Australia / Disabilities Services Commission According to the Disabilities Services Commission of Western Australia , â€Å" A disability is a condition that continues on to restrict activities in the everyday life. They define disability as: Being attributed to an intellectual,psychiatric,cognitive,neurolgical,sensory or physical impairment Permanent or may likely be permanent Chronic or acute Reduced capacity of an individual to cmmunicate, interact socially, learn, move and wil need continouos support.† As stated on this source , disability is an impairment that will restrict a persons movement and functioning that is caused by a multitude of physiological and external factors. It is said that most restrictions that people with disability may encounter can be overcome by using appropriate tools and utilizing services specifically designed for their impairments. In your own words compare those definitions and identify the similarities and differences between them According to the sources I have used, they define disability as being attributed to a multitude of impairments such as an intellectual, psychiatric, cognitive, neurological, sensory or physical impairment or a combination of those impairments that makes them unable to perform certain tasks effectively or none at all. It is stated that a person with a disability has the reduced ability to communicate , interact , learn and move and will be needing assistance in their daily lives. But the sources also gave different views and definitions on how they view disability. One of those differences is that according to the State Services Commission of New Zealand, a disability is a process and not a condition, therefore a person is disabled only because of the perception of society and their attitudes towards people that have impairments. Society does provide them an environment in which they can become productive and function with the abilities they possess, instead society views them as people that cannot contribute and has no useful abilities. Another difference is that according to WHO disability is categorized under two terms, which are impairment and limitations. Impairment is seen as a problem in the way the body, parts of the body or a specific part of the body fail to function, while limitation is seen as difficulty in performing certain tasks or actions. The Disabilities Services Commission of the Government of Western Australia see disability as being chronic or a condition that has endured and will endure for a long time and acute which means an abrupt onset or occurrence of an impairment. They view disability as being one of permanent or temporary nature. 1.2 Comparing 3 (three) definitions of aging Aging according to US Department of Health and Human Services, National Institute on Aging According to the National Institute on Aging of the US Department of Health and Human Services aging is defined as , â€Å" Aging is a reflection of all the changes that occur all throughout our lives. As we grow, develop and mature. For young people aging wil be exciting because they will have late bedtimes and longer curfew hours. And during middle age there might be a grey hair or two. For a marathon runner he will not be able to run as fast like when he was 20 now that he is 60. There are varying factors that will affect aging.† As defined in this source, aging is a reflection of all the changes that happens through the course of our entire life. The growth, development and maturity which thus entails that aging in a broad sense is a change in our biology, our psychology, our environment and our cognitive abilities. b) Aging according to senescence.info , author Joao Pedro de Magalhaes, PHD According to the author on senescence.info , â€Å" Aging can be just a passing of time and seen a just a normal biological process of getting older. Some people call this senescence. And some have defined it as a progress in which humans will inevitably die. Aging is viewed as a complex process that is composed of three features: 1) Increase in likelihood of death as we age; 2) changes within the body that will lead to deterioration of internatl functions and 3) the increased risk of catching infections and diseases as people age. It is a progressive decline in bodily functions, and it is an intricate process of life.† As defined on this source, aging is described as leading to the process of death or mortality due to the biological process of growing older, as the body loses the ability to function with efficiency and it becomes vulnerable to environmental factors including illnesses and diseases. c) Aging according to Age and Aging Journal , Auckland Library , Digital Library According to the journal , â€Å" Aging is the result of a complex interaction of the genetic make up and the environment we live in. As people age it is but normal to suffer certain diseases and illnesses so we cannot discount it as a factor in the aging process. Aging may also be explained as the body’s response to stress that can lead to physical and chemical damage, infections and trauma. Aging can also be attributed as a by product of action in the genes or the natural selection process that deteriorates as we age.† According to this source , aging is defined as the chemical processes that occur within the cellular level of our bodies and the various factors of genes, gene mutations and the different phenotypes which affect how our bodies change in accordance with the cellular changes that occur during the Aging process. In your own words compare those definitions and identify the similarities and differences between them According to the sources I have used, they define Aging as a complex process affected by varying physiological, biological, environmental and social factors that contribute on how Aging progresses. They state that Aging is not only about the external characteristics of our physicality, like the changing color of our hair or the wrinkling of our skin, but a more in depth analysis reveals that a lot of factors that we encounter in our lives affect the Aging process. Some differences on how the sources define Aging can be seen with how the National Institute of Aging view it in a more positive way. They state that Aging is attributed to how a person grows, develops and matures through the course of life. Therefore, they view Aging as a state of mind , an accumulation of knowledge and experiences as one goes through life. However according to Joao Pedro de Magalhaes, PHD on senescence.info Aging is more on the most basic and primal note. According to his research, Aging is a gradual and progressive decline in how well our body functions over time, our bodys susceptibility to illnesses and diseases as we grow older because our immune system will weaken as we age and that Aging is an inevitable path leading towards death. The Age and Aging Journal defines Aging on a cellular level. Stating that as part of Aging process diseases and illnesses contribute on how we age. And the level of Aging is widely affected by our genes, how genes mutate and phenotypes which affect how our body will change according to the cellular changes inside us during the Aging process. 1.3 Comparing theories of disability and aging Disability Theory The Medical Model The Medical Model defines disability as being caused by an illness or medical condition. It is said that disability is directly caused by trauma, disease, or other health conditions and people that have disabilities need sustained medical care provided by professionals. The Medical Model promotes the view that a disabled person is someone who is dependent on others and needs care to be provided to them. Aging Theory Psychosocial Theory Psychosocial theories of Aging states that Aging is correlated to human development such as an individuals change in cognitive functions, behaviours, roles, relationships and coping ability and social changes. This theory does not describe how older people could be treated or what the social changes are but they describe what Aging implies and factors important to the care of older people can be derived from this factors. Age is the period in time in which a person has been living Gender refers to the roles, behaviours, activities and attributes that society deem appropriate for a man and a woman Class is an individual or groups position within hierarchal social structure. It is associated with socio-economic status including variables such as occupation, education, income, wealth and place or residence. 4. Ethnicity refers to a persons language, culture, history, socio-economic and political factors, geographic origin of ancestry, nationality and beliefs and traditional practices. 1. AGE Age in relation to the Medical Model in Disability Age is the period in time in which a person has been living, and according to the Medical Model a disability is caused by trauma, disease or other health conditions. The implication of age in relation to the Medical Model is that, as a person grow older or age our bodys immune system becomes weaker as do our bones and muscles, this makes older persons susceptible to infections and diseases therefore causing disability. For example a 20 year old persons lung is much more stronger than an 85 year old, therefore if both of them are exposed to pneumonia there is a high probability that the 85 year old person will die and the 20 year old will just need some medications and he will be alright. Age in relation to Psychosocial Theory in Aging Age is the period in time in which a person has been living, and according to the Psychosocial Theory of Aging , it is said that Aging is correlated to the human development including the change in cognitive functions, behaviours, roles, relationships and coping ability and social changes. The implication of age in relation to the Psychosocial Theory of Aging is that as a person grows older so does his/her abilities and knowledge, collection of memories and emotions that shape a persons personality and how he/she views life, life experiences and the social circle they move around in contribute to how a person ages. GENDER Gender in relation to the Medical Model in Disability Gender refers to the socially constructed roles, behaviours, activities and attributes that a given society considers appropriate for men and women, and according to the Medical Model a disability is caused by trauma, disease or other health conditions. The implication of gender in relation to the Medical Model is that since society dictates what should and should not be done according to gender, the diseases and types of trauma that a male and female will have that will lead to disability will be different for a male and a female. For example in terms of trauma, in Saudi Arabia females are not allowed to drive vehicles and only males are allowed to, therefore there will be a markedly increased number of trauma cases for male leading to disability than females. Gender in relation to the Psychosocial Theory in Aging Gender refers to the socially constructed roles, behaviours, activities and attributes that a given society considers appropriate for men and women, and according to the Psychosocial Theory of Aging , it is said that Aging is correlated to the human development including the change in cognitive functions, behaviours, roles, relationships and coping ability and social changes. The implication of gender in relation to the Psychosocial Theory is that a male and female will have different life experiences, developments in cognitive functioning, behaviours, roles relationships and coping ability and social changes so the way that they will age will be different from each other. One example of this is regarding roles and relationships, coping ability and social changes in a Muslim culture like Saudi Arabia. A male can interact with anyone they want to interact with and there is no restriction regarding this, but females are not allowed to talk to males that are not their husband or immedia te family member. Therefore the females have less exposure to the outside world and their coping abilities in social situations will be poor compared to the males and this will reflect on how they age. CLASS Class in relation to the Medical Model in Disability Class is an individuals affiliation within a social hierarchical structure that is associated with an individuals socio-economic status. and according to the Medical Model a disability is caused by trauma, disease or other health conditions. The implication of class in relation to the Medical Model is that, the type of trauma, disease or other health condition leading to disability that a person may have will depend on where he is in the socio-economic structure. An example of this will be a person of low socio-economic background contracts diabetes. Since he is of low socio-economic status he will be unable to seek medical attention, purchase and take medications, and eat a healthy diet, he can suffer from kidney failure as a complication and therefore be unable to work and this will cause disability. Whereas a person of high socio-economic status can easily access medical care and attend to all his needs and his diabetes would not lead to complications and become a disability if he will follow medical advice. Class in relation to the Psychosocial Theory in Aging Class is an individuals affiliation within a social hierarchical structure that is associated with an individuals socio-economic status, and according to the Psychosocial Theory of Aging , it is said that Aging is correlated to the human development including the change in cognitive functions, behaviours, roles, relationships and coping ability and social changes. The implication of class in relation to the Psychosocial Theory is that, the quality of life of a person , of how he ages and develops through his life will depend on his socio-economic status.For example, a person of high socio-economic status is said to be a person who can age well, because of financial stability he is able to access services that are not available to a person of low socio-economic status. He has the capability and capacity to sustain his cognitive improvements and sustain all levels of development throughout his life. His life experiences will be enriched and he can achieve quality Aging. ETHNICITY Ethnicity in relation to the Medical Model in Disability Ethnicity refers to a persons language, culture, history, socio-economic and political factors, geographic origin of ancestry, nationality and beliefs and traditional practices, and according to the Medical Model a disability is caused by trauma, disease or other health conditions. The implication of ethnicity on the Medical Model is that the type of disease or trauma a person may have will depend on his ethnical background. There are certain diseases that will lead to disability that affects only a certain ethnic group due to genetics, diet and cultural practices. For example people of African origin has prevalent cases of sickle anemia, instead of a round red blood cell , the red bloods are shaped like a crescent moon, which causes them to lump together and block blood vessels which causes severe pain to the person affected. The pain they experience usually lasts for hours or some even for days. Ethnicity in relation to the Psychosocial Theory in Aging Ethnicity refers to a persons language, culture, history, socio-economic and political factors, geographic origin of ancestry, nationality and beliefs and traditional practices, and according to the Psychosocial Theory of Aging , it is said that Aging is correlated to the human development including the change in cognitive functions, behaviours, roles, relationships and coping ability and social changes. The implication of ethnicity in relation to aging is that how a person ages is affected by a persons ethnical background. Because people from different parts of the world have practices that are unique to them, this will affect their development and their aging process. How they live their day to day lives and how they deal with the daily experiences will vary according to their culture. References WHO. (2014). Disabilities. Retrieved from http://www.who.int/topics/disabilities/en/ State Services Commission of NZ. (2014). Chapter One: Defining disability. Retrieved from http://www.ssc.govt.nz/node/1671 Disabilities Services Commission , Government of Western Australia. (2014). What is Disability. Retrieved from http://www.disability.wa.gov.au/understanding-disability1/understanding-disability/what-is-disability/ National Institute on Aging, US Department of Health and Human Services. (2011). Biology of Aging, What is Aging?. Retrieved from http://www.nia.nih.gov/health/publication/aging-under-microscope/what-aging De Magalhaes, J.P. (2013) What is Aging. Retrieved from http://www.senescence.info/aging_definition.html#Demographic_Measurements_of_Aging Dyer, Christopher A.E., and Alan J. Sinclair. (1998). The premature ageing syndromes: insights into the ageing process. Age and Ageing 27.1 (1998): 73+. GALE|A21113303 . Student Resources in Context. Retrieved from http://0-ic.galegroup.com.www.elgar.govt.nz/ic/suic/AcademicJournalsDetailsPage/AcademicJournalsDetailsWindow?failOverType=query=prodId=SUICwindowstate=normalcontentModules=mode=viewdisplayGroupName=Journalslimiter=u=auclibcurrPage=disableHighlighting=falsedisplayGroups=sortBy=source=search_within_results=p=SUICaction=ecatId=activityType=scanId=documentId=GALE|A21113303 WHO. (2014). Gender. Retrieved from http://www.who.int/gender/whatisgender/en/ Jaqueline Villaflores

Comparing the Immature Males of the Iliad and Lysistrata Essay

The Immature Males of the Iliad and Lysistrata    Both Homer's Iliad and Aristophanes' Lysistrata explore the nature and character of men. In their respective portrayals of male characters, both works reveal a fundamental flaw in that nature. This underlying flaw, immaturity, results in a variety of childish behaviors that are not only inappropriate but potentially quite dangerous and destructive. Reliance on women, inability to exert self-control, and resorting to violence as an easy solution to any problem or perceived threat are typical traits of young boys. Readers of the Iliad and Lysistrata are confronted with grown men consistently exhibiting exactly these behaviors and witness the adverse consequences to society. Throughout the Iliad Achilles operates like a spiteful child empowered with the body and strength of a man. He is stubborn and unreasonable, sullen and resentful when he cannot have his way, and, much like a playground bully, he uses his unusual strength to intimidate anyone who might challenge him. When in book one Achilles loses a battle of wills with Agamemnon and cannot retaliate, he retreats in frustration and self-pity; before long, he is throwing a tantrum. "Mother!" he cries, "You gave me life, . . . so at least Olympian Zeus, thundering up on high, should give me honor--but now he gives me nothing" (I, 416-419). Achilles subsequently relies on his mother, Thetis, several times for her advice and divine assistance. Rather than attempting to be resourceful in the face of frustration, he simply acts helpless and lets Thetis work out his problem for him. "But you, mother, if you have any power at all, protect your son!" the mighty and invincible Achilles implores (I, 467, 468). When his armor is ... ...Robert. "The Iliad". The Norton Anthology of World Masterpieces. Maynard Mack, general editor--6th ed. W.W. Norton and Company, N.Y. 1992. 98-208. Gulick, Charles Burton. Modern Traits in Old Greek Life. New York: Cooper Square. 1963. Henderson, Jeffrey, Aristophanes' Lysistrata, 1987 Holst-Warhaft, G., Dangerous Voices: Women's Laments and Greek Literature, Routledge, 1992. Hooper, Finley. Greek Realities: Life and Thought in Ancient Greece. Detroit: Wayne State University Press. 1978. Keuls, E. C., The Reign of the Phallus: Sexual Politics in Ancient Athens, New York, 1985 (reprint Berkeley, 1993). Miller, J. Hillis. "Narrative". Critical Terms for Literary Study. Lentricchia, Frank and Thomas McLaughlin, eds. University of Chicago Press, Chicago. 1990. 66-79. Tannahill, Reay. Sex in History. London: Scarborough House. 1992.

Comparison of The Arrival of the Beebox and The Love Song of J Alfred Prufrock Essay

In Sylvia Plath’s â€Å"The Arrival of the Bee Box† and T. S. Eliot’s â€Å"The Love Song of J. Alfred Prufrock† both speakers are burdened by great mental anguish caused by their feeling of insignificance and powerlessness in the world. They both fear and accept the prospect of death, while acknowledging life as its opposite. These are the two sides of the human experience. Through an internal monologue, Prufrock explores his feeling of uselessness and displacement in society, while in â€Å"The Arrival of the Bee Box†, the speaker is concerned with their powerlessness over their mind, and impending consequences. Throughout â€Å"The Arrival of the Bee Box†, the speaker is concerned with their powerlessness to the noises in their mind. The speaker tends to contradict or argue with themselves as shown by contrasting tone and opinion. While the speaker knows that â€Å"(the box) is dangerous† they still â€Å"can’t keep away from it†. The speaker wishes to â€Å"be sweet God†, yet denies desiring power by proclaiming that â€Å"I am not a Caesar†. This bi-polar behaviour is also shown by inconsistent rhyming throughout the poem. In the first stanza â€Å"lift† is rhymed with â€Å"midget† and â€Å"it†, yet in other stanzas no rhyming is found at all. Inconsistently throughout the poem, internal rhymes are found – â€Å"square as a chair†, â€Å"din in it†, â€Å"It is dark, dark† – which add to the staccato feel of the poem. The â€Å"din† of the ‘bees’ is emphasised profusely by using consonance and onomatopoeia – â€Å"It is the noise that appals me most of all. The unintelligible syllables† – that highlight the true noise and confusion in the speaker’s mind. The noise of their mind is highlighted by many metaphors that compare the sound to â€Å"furious Latin†, a â€Å"Roman mob†, â€Å"angrily clambering†, â€Å"a box of maniacs† and â€Å"unintelligible syllables†. The tone of the end of the piece seems to ask for help as the speaker asks many questions such as â€Å"how hungry they are?†, â€Å"if they would forget me?†, â€Å"how can I let them out?†, and â€Å"why should they turn on me?†. The speaker expresses a desire to be in control, but accepts that they are insignificant to the power of the noise in their mind. In T. S. Eliot’s â€Å"The Love Song of J. Alfred Prufrock†, Prufrock is concerned with his sense of his insignificance and displacement in society. Eliot makes use of metaphors – â€Å"measured out my life with coffee spoons†, â€Å"When I am pinned and wriggling on the wall† – to show that Prufrock compares life to coffee and feels like an insect on a wall. Contrastingly, Plath uses metaphors to emphasise an exact sound, the noise of the bees in the speaker’s mind. Eliot also uses much more alliteration than Plath in his poem – â€Å"Before the taking of a toast and tea†, â€Å"fix you in a formulated phrase†, â€Å"When I am pinned and wriggling on the wall† – whereas Plath nearly did not use any alliteration at all apart from â€Å"black on black† perhaps since her piece sounds more like a story using conventional words when compared to Eliot. Both Eliot and Plath personify many objects in their pieces. Plath describes the bees as a â€Å"Roman mob† and Eliot compares the yellow fog and smoke to a cat as it â€Å"licks its tongue†, â€Å"leap(s)†, â€Å"rubs its muzzle† and â€Å"curled†¦ and fell asleep†. A unique literary device that Eliot uses is anaphora – â€Å"To have†¦ To have†¦ To roll†¦ To say†¦Ã¢â‚¬  – which in this instance describes all the things that Prufrock could have done, but never did. The central connecting burden that both speakers are plagued with is a powerlessness to their Sword of Damocles; the bees ruling the speaker’s powerless mind and Prufrock’s feeling of alienation and uselessness in the real world.

Case Study: Air Quality Systems Inc.

Quality Systems Inc. Was founded in 1984 and is based out of Richmond, Virginia. Their mission is to increase the customers quality of life by creating, manufacturing, and marketing innovative energy-recovery products. They manufacture ventilation, air-cleaning, and heating equipment for residential and light commercial applications. Sales have been Increasing consistently and were expected to reach $12 million for the year.The 4 key areas ASS specialize in are design, assembly, steel fabrication, and the manufacturing of aluminum heat recovery ventilators. The Hers accounted for 2/3 of the projected $12 million sales. 60% of parts were procured from suppliers and the other 40% were produced In house. Patrick Wallace Is the plant manager and is in charge of quality control. He watches over 2 technicians who are supposed to do quality checks and testing. Issues: 1 .The problem is the foam insulation for a batch of Hers manufactured at the plant is peeling, leading Pat to believe the e quipment would malfunction. 2. Suffolk, a local manufacturer, whom ASS has never had a quality problem with, supplied ASS with he malfunctioning product. 3. Some customers may have already received defective products and all production has to be ceased In order to make sure quality Is on point. What cause the Issues: 1 . A lapse In Judgment on the 2 technicians who are supposed to do the quality checks and tests.The defect should have been noticed on the 1st HER that came through. And definitely should have been noticed before any orders went out. 2. Possibly the growth of business and sales. This could lead Suffolk as well as Ass's quality control team to maybe be overwhelmed. Missing where they had made the mistake. Recommendations: e wise to give Patrick a team of 5 technicians instead of only 2. This would give him the ability to assign each technician a specific job. For ex.Having 1 technician inspect at the beginning of the job, another at the end, one specifically to focus on the HER adhesive, etc. To solve your issue with Suffolk you could approach them with the malfunction you've 1 OFF contract with them. As far as dealing with the orders that have gone out that may malfunction, you would have to do a recall for any product that's been sold. Dating back to when the order from Suffolk that you noticed the malfunction from, came in.