Heart of Darkness by Joseph Conrad vs. Things Fall Apart...

Heart of Darkness by Joseph Conrad and Things Fall Apart by Chinua Achebe are two novellas written to make a statement about the struggles of early societies. Both stories stir up moments of hope, anger, disappointment, despair, and enlightenment in an attempt to inform the reader of the injustices and societal differences during the 1800’s. Heart of Darkness tells the story from a European Colonist perspective while Things Fall Apart illustrates the outlook of the African tribe member being colonized. Throughout this piece I will investigate these unique texts in hopes of revealing the symbolism behind the trying stories. I will compare and contrast the narratives and decipher the outlooks so that the reader can learn to appreciate and†¦show more content†¦Some clan members, however, do rebel and burn some of the preachers’ shelters. This results in a big meeting, both European and African. At the gathering the tribe members are told to decease from any futur e acts of destruction or rebellion. Expecting his fellow people to support him, Okonkwo kills their leader with his machete. However, when the crowd allows the other Europeans to escape, Okonkwo realizes that his clan is not willing to go to war. Soon after the murder, Okonkwo prideful character, and inability to accept defeat, results in his suicide. Heart of Darkness and Things Fall Apart exemplify two different perspectives of African Literature. In Heart of Darkness, Joseph Conrad shows the African Culture through the eyes of the ‘white man’ or colonizing Europeans. In this story the native Africans are depicted as vicious savages. â€Å"In response to Conrads stereotypical depiction of Africans, Chinua Achebe wrote Things Fall Apart through the point of view of the natives to show Africans, not as primitives, but as members of a thriving society. Things Fall Apart follows Okonkwos life as he strives for prestige in his community. When European missionaries come to Umuofia, Okonkwos clan, Okonkwo tries to protect the culture that the missionaries would destroy in the name of civilizing the natives. However his rigid mentality and violent behavior has the opposite of its intended effect, perpetuating the stereotype of the wild African in the eyes of theShow MoreRelatedHeart Of Darkness, By Joseph Conrad Essay2290 Words   |  10 PagesThe author of Heart of Darkness, Joseph Conrad, and the author of Things Fall Apart, Chinua Achebe, both present two stories written in completely different perspectives on the way whites and African’s view each other. These two men also lived in completely different time eras than each other, along with opposite life styles which affected their view on their writings, for Joseph Conrad lived in the late 1800’s, born in Ukraine, and Chinua Achebe in the early 1900’s, born in Nigeria. Man’s fallenRead MoreThings Fall Apart vs. Heart of Darkness Essay1617 Words   |  7 PagesAfrican Colonization through Literature: Things Fall Apart Vs. Heart of Darkness History is an extraordinary mix of truth and fiction. The dichotomy that is bred from different historic al perspectives opens the eyes of those who study history to the semi-fabricated nature of much of humanities past. For most of recorded history, events have been recorded and retold through the eyes of the victors. Only recently have people had the opportunity to view both sides of issues. The Western practiceRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 Pagesglobalization, both of which can be seen as hallmarks of the opening decades of the twentieth century. This intermingling of the forces and processes that were arguably essential components 2 †¢ INTRODUCTION of two epochs we routinely set apart as centuries suggests the need for flexibility in demarcating phases of world history, and for determining beginnings and endings that accord with major shifts in political and socioeconomic circumstances and dynamics rather than standard but arbitrary

Western Expansion 1860-1890

Western Expansion 1860-1890 The narrative of America has always been associated with Western Expansion using bounds and leaps starting from the East Coast until the Pacific. The acquisition of Alaska and Hawaii, though not included in the historical literature, signified the expansion of Americans westward maintaining the ideology of the Manifest Destiny. The Western expansion during the 19th century was aided by various factors such as purchases, treaties, and wars with the native. This essay develops the chronological events associated with the Western expansion that took place between 1860 and 1890. According to Kinnahan (407), the 19th century in America was marked by the continuous and tremendous expansion of agriculture and industry as well as settlement throughout the continent. The country’s population more than doubled by the 1890 census. Most of the financial progress was concentrated in the plains, Midwest, and Northwest states. Particularly, the northwest became the industrial periphery of the nation controlling more than 85 percent of the United States’ processing and manufacturing of raw materials in the West and Midwest. The South thrived as an agricultural state with minimal industrial activities. For many years prior to the Civil War, the Northern states were forced to conform to the wayward policies instituted by the South. The South held most of the Senate but as soon as their power began to dwindle, their unscrupulous laws were reformed. Some of the policies that allowed national and state development include the Homestead and the Morrill Land Grant Act. The Senate also decided to fund three continental railroads in accordance with the Transcontinental Railroad regulation. The Civil War proceeded to devastate the Southern states. Most of the fighting took place in the South destroying the essential infrastructure in the cities (Kinnahan, 410). The confederate currency and bonds became useless depriving the South of a considerable portion of their money. The emancipation of the bonded men and women also took away the South’s human resource and capital introducing the need to formulate a new labor system. The South did not have adequate funds to facilitate the reconstruction of its states. The sharecrop framework that took the place of slavery had minimal incentives for creativity and innovation. The Southern cities thus remained financially poor and experienced slow population growth (Kinnahan, 411). The South did not attract many individuals particularly the immigrants because of the lack of opportunities. Also, because of the low population growth, there were no incentives expand industrial growth and infrastructure. Hence, the South did not obtain rapid expansion like the former confederate states. The Southern cities continued to rely on agriculture with the exception of the establishment of the steel and iron factory in Birmingham. The Northern States controlled congress after the Civil War all through to the 20th century resulting in higher tariffs and rates that promote industrial growth and agriculture (Kinnahan, 417). The Midwest and North cities’ population grew at a faster rate than the South. However, the states in the United States remained interconnected by the road and railway systems. Most of the economic growth in the region arose due to innovation and natural resources. The number of business patents recorded by the Patent Office increased from 1815 until 1897. America also contained large reserves of copper, iron ore, coal as well as water energy, timber, metals, petroleum, and tracts of fertile land for farming. All the required raw materials were abundant in the United States propelling industrial progress (Kinnahan, 417). With an expanding economy came the need for more workers. Many immigrants moved to America to fill in the vacancies in the factories and other viable job opportunities. In the years between 1860 and 1890, a modern industrial economy sprouted in the United States. The country rose as one of the major economies in the globe. Its stable political structure, vast natural resources, and growth rate positioned it appropriately for continuous development. The rise of the modern economy affected the native tribes that lived in the West. The US government launched projects of industrialization and modernization that affected the native Indian communities (Reedy-Maschner and Maschner, 710). The land policies instituted by the leaders disrupted the non-Indians and Indians. They faced irreversible environmental deterioration and the deprivation of natural resources. The natives resorted to violent reactions, protests, sharecropper rebellions, and land invasions to counteract the territorial aggression. Furthermore, the natives were dehumanized using stereotypes and disparagement to conform to the socialization patterns and the dominant culture in the United States. Slowly, the land they once owned became national land sold to the highest bidder and the native communities were assimilated into the Western culture (Reedy-Maschner and Maschner, 721). Much of the land claimed by settlers in the Western region belonged Native American communities that had utilized it for centuries. The indigenous people were not only forced out of their land, but they also lost their traditions. Between 1868 and 1877, over 200 battles were fought between the Indians and the US Army in a bid to preserve their land. By the end of the 18th century, the American farmers were enriching themselves and feeding the planet. The ethos enacted by the European ancestry justified the motives of the US leadership to confiscate the Indian terrorist for economic development (Reedy-Maschner and Maschner, 740). True to that, the United States experienced tremendous progress at the expense of the loss of land and culture of the Native Americans. The traditional analogy of the Wild West captures the alienation of the Native Americans and the events that took place.

Pediatric Recommended Core Measures Health And Social Care Essay Free Essays

string(193) " A Eligible Hospitals and CAHs Complete 15 out of 15 Complete 16 out of 29 aˆ\?Choose at least 1 step in 3 NQS spheres A For 2014, CMS is non necessitating the entry of a nucleus set of CQMs\." After run intoing Stage 1 for the two old ages, Fletcher Allen Partners will necessitate to run into meaningful usage Phase 2 standards get downing in 2014 ( Figure 1 ) . With this following phase, EHRs will farther salvage Fletcher Allen Partners money, save clip for physicians and infirmaries, and salvage lives.The Stage 2 standards includes new aims to better patient attention through better clinical determination support, attention coordination and patient battle ( cms. We will write a custom essay sample on Pediatric Recommended Core Measures Health And Social Care Essay or any similar topic only for you Order Now com ) . The phase 2 ends would spread out the Phase 1 standards and concentrate on the meaningful usage of electronic wellness records ( EHRs ) to back up the purposes and precedences of the National Quality Strategy ( NQS ) . The Phase 2 standards encourages the usage of wellness IT for uninterrupted attention and information quality betterment. The proposed Phase 2 meaningful usage demands include strict outlooks for wellness information exchange and include: more demanding demands for eprescribing ; integrating structured laboratory consequences ; and the outlook that suppliers will electronically convey patient attention sum-ups with each other and with the patient to back up passages in attention. Phase 2 focal points on existent usage instances of electronic information exchange and requires that a supplier direct a sum-up of attention record for more than 50 % of passages of attention and referrals. The regulation besides requires that a supplier electronically transmit a sum-up of attention for more than 10 % of passages of attention and referrals. Increasingly robust outlooks for wellness information exchange in Stage 2 and Stage 3 would back up the end that information follows the patient ( Federal Register, 2012 ) . To let suppliers clip to follow 2014 certified EHR engineering and fix for Stage 2, all participants will hold a three-month coverage period in 2014. Figure 1: Phases of Meaningful Use Beginning: NeHC University ( 2012 ) REQUIREMENTS FOR STAGE 2 IMPLEMENTATION Core Aims and Menu Aims Fletcher Allen Partners must run into certain demands for a successful Phase 2 execution. The figure of Stage 1 and Stage 2 entire aims remains the same, EPs are must run into the the step of 20 entire aims and CAHs must run into the step of 19 entire aims. However, the combination of aims has changed. Under Phase 2, eligible professionals ( EPs ) must run into the step or measure up for an exclusion to 17 nucleus aims and 3 of 6 bill of fare aims and eligible infirmaries ( EHs ) and CAHs must run into the step or measure up for an exclusion to 16 nucleus aims and 3 of 6 bill of fare aims ( Figure 2 ) . This is a alteration from EP ‘s holding to run into 15 nucleus aims and EHs holding 14 nucleus aims and 5 bill of fare aims severally. About all of the Stage 1 nucleus and bill of fare aims are retained for Stage 2. Figure 2: Changes from Phase 1 to Stage 2 Phase 1 Phase 2 Eligible Professionals 15 nucleus aims 17 nucleus aims 5 of 10 bill of fare aims 3 of 6 bill of fare aims 20 entire aims 20 entire aims Eligible Hospitals A ; CAHs 14 nucleus aims 16 nucleus aims 5 of 10 bill of fare aims 3 of 6 bill of fare aims 19 entire aims 19 entire aims Clinical Quality Measures needed to be captured by FAP In add-on to run intoing the nucleus and bill of fare aims, eligible professionals, eligible infirmaries and CAHs are besides required to describe clinical quality measures.The clinical quality steps ( CQMs ) are tools used to mensurate and track the quality of health care services by eligible professionals ( EPs ) , eligible infirmaries ( EHs ) and critical entree infirmaries ( CAHs ) within the health care system. The CQMs step many facets of patient attention to include wellness results, clinical procedures, patient safety, efficient usage of healthcare resources, attention coordination, patient battles, population and public wellness, and clinical guidelines.The measuring and coverage of the CQMs guarantee that Fletcher Allen Partners deliver efficient, patient-centered, and safe quality care.A Eligible professionals must describe on 6 entire clinical quality steps: 3 required nucleus steps ( or 3 surrogate nucleus steps ) and 3 extra steps ( selected from a set of 38 clinical qu ality steps ) . Eligible infirmaries and CAHs must describe on all 15 of their clinical quality steps ( CQMS, cms.gov ) . Centers for Medicare A ; Medicaid Services ( CMS ) selected the recommended nucleus set of CQMs for EPs based on analysis of several factors: Conditionss that contribute to the morbidity and mortality of the most Medicare and Medicaid donees Conditionss that represent national public wellness precedences Conditionss that are common to wellness disparities Conditionss that disproportionately drive health care costs and could better with better quality measuring Measures that would enable CMS, States, and the supplier community to mensurate quality of attention in new dimensions, with a stronger focal point on penurious measuring Measures that include patient and/or health professional battle Get downing in 2014, all Medicare-eligible suppliers in their 2nd twelvemonth and beyond of showing meaningful usage must electronically describe their CQM information to CMS. Medicaid suppliers will electronically describe their CQM information to their province. As Figure 3 shows, EPs must describe on 9 of the 64 approved CQMs. Selected CQMs must cover at least 3 of the National Quality Strategy domains Eligible Hospitals and CAHs must describe on 16 of 29 approved CQMs Selected CQMs must cover at least 3 of the National Quality Strategy domains. Get downing in 2014, all Medicare-eligible suppliers beyond their first twelvemonth of showing meaningful usage must electronically describe their CQM information to CMS informations to CMS. Figure 3: Clinical Quality Measures ( CQMs ) Supplier Prior to 2014 2014 and Beyond* EPs Complete 6 out of 44 Complete 9 out of 64 aˆ?3 nucleus or 3 elevation. nucleus Choose at least 1 step in 3 NQS spheres aˆ?3 bill of fare Recommended nucleus CQMs include: A aˆ?9 CQMs for the grownup population aˆ?9 CQMs for the paediatric population aˆ?Prioritize NQS spheres A Eligible Hospitals and CAHs Complete 15 out of 15 Complete 16 out of 29 aˆ?Choose at least 1 step in 3 NQS spheres A For 2014, CMS is non necessitating the entry of a nucleus set of CQMs. A Alternatively we identify two recommended nucleus sets of CQMs, one for grownups and one for kids. A We encourage eligible professionals to describe from the recommended nucleus set to the extent those CQMs are applicable to your range of pattern and patient population. Figure 4 shows the recommended nucleus steps: Figure 4: Recommended Core Measures Adult Recommended Core Measures Pediatric Recommended Core Measures Controling High Blood Pressure Appropriate Testing for Children with Pharyngitis Use of High-Risk Medications in the Aged Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Preventive Care and Screening: A Tobacco Use: A Screening and Cessation Intervention Chlamydia Screening for Women Use of Imaging Studies for Low Back Pain Use of Appropriate Medications for Asthma Preventive Care and Screening: A Screening for Clinical Depression and Follow-Up Plan Childhood Immunization Status Documentation of Current Medications in the Medical Record Appropriate Treatment for Children with Upper Respiratory Infection ( URI ) Preventive Care and Screening: A Body Mass Index ( BMI ) Screening and Follow-Up Attention deficit disorder: A Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder ( ADHD ) Medicine Closing the referral cringle: reception of specialist study Preventive Care and Screening: A Screening for Clinical Depression and Follow-Up PlanA A Childs who have dental decay or pits Patient Care Improvements Patient entree to their wellness information is an of import facet of patient attention and battle, and the capablenesss of CEHRT in 2014 and beyond will enable suppliers to do this information available online in a manner that does non enforce a important load on suppliers. Patient engagement – battle is an of import focal point of Stage 2. There are 26 Requirements for Patient Action: More than 5 % of patients must direct secure messages to their EP. More than 5 % of patients must entree their wellness information online. Loss of future gross through authorities inducements Changes to Medicare EHR Incentive Programs The Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals, eligible infirmaries and critical entree infirmaries ( CAHs ) as they adopt, implement, upgrade or show meaningful usage of certified EHR engineering. Eligible professionals can have up to $ 44,000 through the Medicare EHR Incentive Program and up to $ 63,750 through the Medicaid EHR Incentive Program. The Medicare and Medicaid EHR Incentive Programs provide fiscal inducements for the â€Å" meaningful usage † of certified EHR engineering to better patient attention. To have an EHR incentive payment, suppliers have to demo that they are â€Å" meaningfully utilizing † their EHRs by run intoing thresholds for a figure of aims. CMS has established the aims for â€Å" meaningful usage † that eligible professionals, eligible infirmaries, and critical entree infirmaries ( CAHs ) must run into in order to have an incentive payment. A The Medicare and Medicaid EHR Ince ntive Programs are staged in three stairss with increasing demands for engagement. All suppliers begin take parting by run intoing the Phase 1 demands for a 90-day period in their first twelvemonth of meaningful usage and a full twelvemonth in their 2nd twelvemonth of meaningful usage. After run intoing the Phase 1 demands, suppliers will so hold to run into Stage 2 demands for two full old ages. Eligible professionals participate in the plan on the calendar old ages, while eligible infirmaries and CAHs take part harmonizing to the federal financial twelvemonth beginnning on October 1st. ( EHR Incentive Program, cms.gov ) In order to successfully take part in the plan, EPs, EHs, and CAHs are required to subject CQMs to in order to have an incentive payment in the EHR Incentive Program.Beginning in 2014, the coverage of clinical quality steps ( CQMs ) will alter for all suppliers. EHR engineering that has been certified to the 2014 Edition criterions and enfranchisement standards will hold been tested for enhanced CQM-related capabilities.ELECTRONIC Coverage: In order to let participants to successfully describe CQMs electronically for 2014, CMS is supplying a set of electronic specifications for clinical quality steps ( eCQMs ) for eligible professionals and eligible infirmaries for usage in the EHR Incentive plan for electronic coverage. A These electronic specifications contain multiple parts which allow certified EHR engineering systems to be plan to accurately capture, calculate, and describe clinical quality steps electronically for the 2014 CQMs. A Each eCQM can be described in 3 different ways depending on the intended usage: HTML A – A This is a human clear format so that the user can understand both how the elements are defined and the implicit in logic used to cipher the step. XML – This is a computing machine clear format which enables the machine-controlled creative activity of questions against an EHR or other operational informations shop for quality coverage. Value Sets – Value sets are the specific codifications used by developers to plan the system to accurately capture patient informations in the EHR system. A A To have the maximal EHR inducement payment, Medicare eligible professionals must get down engagement by 2012. Eligible professionals who demonstrate meaningful usage of certified EHR engineering can have up to $ 44,000 over 5 uninterrupted old ages under the Medicare EHR Incentive Program Incentive payments for eligible professionals are higher under the Medicaid EHR Incentive Payments- up to $ 63,750 over 6 old ages under the Medicaid EHR inducement plan Get downing in 2015, Medicare eligible professionals who do non successfully show meaningful usage will be capable to a payment accommodation. The payment decrease starts at 1 % and increases each twelvemonth that a Medicare eligible professional does non show meaningful usage, to a upper limit of 5 % . The eligibility for the EHR inducement plan is determined by the HITECH Act. The lone eligibility alterations under Phase 2 are under the Medicaid EHR incentive plan. The Phase 2 eligibility. Meaningful usage way for Medicare eligible doctors ( EPs ) : Meaningful usage way for Medicare infirmaries: *Payments will diminish for infirmaries that start having payments in 2014 and subsequently. The alterations from Phase 1 to Stage 2 are as follow: Reporting Period Reduced to Three Months – to let suppliers clip to follow 2014 certified EHR engineering and fix for Stage 2, all participants will hold a three-month coverage period in 2014. â€Å" Phase 2 ends, consistent with other commissariats of Medicare and Medicaid jurisprudence, would spread out upon the Phase 1 standards with a focal point on guaranting that the meaningful usage of EHRs supports the purposes and precedences of the National Quality Strategy. Specifically, Stage 2 meaningful usage standards would promote the usage of wellness IT for uninterrupted quality betterment at the point of attention and the exchange of information in the most structured format possible. Our proposed Phase 2 meaningful usage demands included strict outlooks for wellness information exchange including: more demanding demands for eprescribing ; integrating structured laboratory consequences ; and the outlook that suppliers will electronically convey patient attention sum-ups with each other and with the patient to back up passages in attention. Increasingly robust outlooks for wellness information exchange in Stage 2 and Stage 3 would back up the end that information follows the patient. † Hospitals- FY14 ) Providers-Jan 2014 How to cite Pediatric Recommended Core Measures Health And Social Care Essay, Essay examples

Women Empowerment free essay sample

Women Empowerment Women are no less than men in India in any sector. Women are not what they really were. Some decades ago, women were limited to the kitchen. Today, Indian women have made their strong presence in each every field. Women have ultimately come out of their sareeand ‘parda’ image and really demonstrating their talent. Let’s take the example of our office only. If you will rush to our office you will found many elegant women doing great job.Moreover who is reading this write up; she herself is an example of women empowerment. Women are no less than to the men, be it in business, politics, entertainment, sports or whatever. Let’s talk about some bold women; it’s a woman who is leading Indian National Congress as its president, Smt Sonia Gandhi who has got the supreme leadership qualities. Smt. Mamta Banerjee, Mayawati, pratibha patil, Meera kumar is some of the most influential name in the Indian Politics. Now, it is time to forget that men are the only holders of power. In India, women are still facing deferent obstacles in male-dominated cultures.The things are related to womens status and their future. I believe that Indian women are slowly getting empowerment In the sectors like education, politics, the work force and even more power within their own households. The worth of civilization can be arbitrated by the place given to women in the society. We have come across a more image of gender differences. Each year, we notice that the headline as Girls outshine boys in CBS, ICES and State Board results as well. It arrests us showing that girls are now more confident of getting better-paid professional jobs than their drooping male counterparts.This achievement of girls is an absolute reversal of what would have been expected a generation ago. This is likely to guide to higher-income jobs. When a woman can plan her family, she can plan the rest of her life. When she Is healthy, she can be more productive. And when her reproductive rights -? Including the right to decide the number, timing and spacing of her children, and to make decisions grading reproduction free of discrimination, coercion and violence -? are promoted and protected, she has freedom to participate more fully and equally In society. Gender equality implies a society In which women and men enjoy the same opportunities, outcomes, rights and duties in all spheres of life But, an upsetting place still remains for Indian women is the negative sexual attention that women Women. Nearly 10 million baby girls have been killed in the last twenty years alone. Clearly, safety is an obsolete word in todays India. It is the duty of law enforcement agencies to prevent crimes against women but they fail to solve this scourge alone.People must come forward to help in rooting out such social evils. Law enforcing agencies cannot work alone. When the people are dynamic in their drive against crimes, the police cannot remain a mute spectator though they are supposed to be the protectors of citizens. Youth should be motivated to be socially responsible and protect women. This is the need of the hour. Everyone must think of changing society. If we all stay by the rules, women in our cities will assuredly be safer. I do hind that women should also be in place of man in todays society.