Mary Shelleys Frankenstein Essay Example For Students

Mary Shelleys Frankenstein Essay Slamming thunder and turbulent skies are the scene set for Mary Shelleys Frankenstein, an account of pride, enthusiasm and force. At the point when a passionate researcher attempts to make a superhuman race that will venerate him as god all destruction loosens up when his creation get away. Sadly the manifestations encounters in the outside world are sad and before long pledges to retaliate for his setbacks by pulverizing his maker. What's more, as the beast is a heap of sewed together parts the book is a biblio-beginning implies that the book is a blend of various sorts Romantic, Horror and the recently shaped Gothic. This is one reason for the books suffering prominence, however what are the distinctions from the contemporary crowd of 1818 to the cutting edge 2006 peruser. The book begins toward the end with Victor Frankenstein in pursue of his creation as a main priority for its devastation, he tragically looses it and is washed in to the frosty place where there is the North post. He is found by Robert Walton, a man on the journey for the North-West section. On Waltons transport when Frankenstein recoups he starts to tell Walton of his explanation behind being in the North Pole. Frankensteins primary character is the crazed researcher Victor Frankenstein, a youthful Swiss kid, he experiences childhood in Geneva perusing crafted by antiquated and obsolete chemists, a foundation that serves him sick when he goes to college at Ingolstadt. In the wake of acing all that the educators need to encourage he gets charmed by the mystery of life. Subsequent to finding the mystery he starts chip away at his lord race and the individuals who favor me maker. Sadly when he sees the revoltingness of the beast he runs and later finds the beast gone. Presently with the beast gone he comes back to his home in the wake of becoming aware of the demise of his sibling, not realizing it was by the hand of the beast. Victor changes over the course if the novel from an honest youth entranced by the possibilities of science into a disappointed, blame ridden man resolved to annihilate the products of his egotistical logical undertaking. Victor it might be said is viewed as a shocking character however he doesnt have that basic property, the acknowledgment of his wrongdoings and the affirmation of them. My past lead; nor do I think that its reprehensible . Toward the finish of the novel when Victor kicks the bucket. With the numerous storytellers and, consequently, various points of view the novel leaves the peruser with differentiating translations of Victor-insane lab rat or valiant traveler. This adds to the notoriety of the book as perusers can't identify with Victor and discover him top to bottom and new. The contemporary crowd would have never observed a character like Victor Frankenstein and the assurance difficulty presented by the book-risky information would have never been taken advantage of. In spite of the fact that circumstances are different and the media free for all over as good as ever forms of the great despite everything keep on molding our points of view to the insane lab rat looking for ungainable information in present day times. Similarly as the beast is the core of the story the structure is as well. With the portrayals of Walton to his sister, Victor to Walton , Monster to Victor, Victor to Walton lastly Walton to Monster. The beast lies directly really busy everything. In the wake of getting away from Victors lab the beast heads towards nature, he is and grown-up in size however a youngster as a primary concern. He has no origination of faculties and language. At the point when he finds a consuming fire he is astonished at the glow it transmits exposed environmental factors, however he is befuddled when he places his finger in the fire and damages himself. He can't decide how something that offers such joy could likewise be a thistle. The beast is Victors creation, gathered from old body parts and odd synthetic substances, vivified by a baffling sparkle. Surrendered by his maker and confounded he attempts to mingle just to beaten and pursued due to his height. .u5c8a0f9e720131db74e193060b79c415 , .u5c8a0f9e720131db74e193060b79c415 .postImageUrl , .u5c8a0f9e720131db74e193060b79c415 .focused content territory { min-stature: 80px; position: relative; } .u5c8a0f9e720131db74e193060b79c415 , .u5c8a0f9e720131db74e193060b79c415:hover , .u5c8a0f9e720131db74e193060b79c415:visited , .u5c8a0f9e720131db74e193060b79c415:active { border:0!important; } .u5c8a0f9e720131db74e193060b79c415 .clearfix:after { content: ; show: table; clear: both; } .u5c8a0f9e720131db74e193060b79c415 { show: square; change: foundation shading 250ms; webkit-progress: foundation shading 250ms; width: 100%; obscurity: 1; progress: mistiness 250ms; webkit-change: haziness 250ms; foundation shading: #95A5A6; } .u5c8a0f9e720131db74e193060b79c415:active , .u5c8a0f9e720131db74e193060b79c415:hover { murkiness: 1; progress: darkness 250ms; webkit-change: obscurity 250ms; foundation shading: #2C3E50; } .u5c8a0f9e720131db74e193060b79c415 .focused content region { width: 100%; position: rela tive; } .u5c8a0f9e720131db74e193060b79c415 .ctaText { fringe base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: striking; edge: 0; cushioning: 0; text-design: underline; } .u5c8a0f9e720131db74e193060b79c415 .postTitle { shading: #FFFFFF; text dimension: 16px; text style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u5c8a0f9e720131db74e193060b79c415 .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; outskirt: none; fringe sweep: 3px; box-shadow: none; text dimension: 14px; text style weight: intense; line-tallness: 26px; moz-outskirt span: 3px; text-adjust: focus; text-enhancement: none; text-shadow: none; width: 80px; min-tallness: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/straightforward arrow.png)no-rehash; position: supreme; right: 0; top: 0; } .u5c8a0f9e720131db74e193060b79c415:hover .ctaButton { foundation shading: #34495E!important; } .u5c8a0f9e720131db74e 193060b79c415 .focused content { show: table; stature: 80px; cushioning left: 18px; top: 0; } .u5c8a0f9e720131db74e193060b79c415-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u5c8a0f9e720131db74e193060b79c415:after { content: ; show: square; clear: both; } READ: What could be supposed to be the more profound significance or understood message of An Inspector Calls EssayAfter a few fruitless experiences with people he chooses to take asylum in an old animal dwellingplace. He is glad to find that he can keep an eye on his neighbors through a little opening. There he learns the human language and now can relate feelings to causes. He at that point chooses to move toward an individual from that family, an old visually impaired man who can see past his unusual structure. Tragically he is hindered by the old keeps an eye on nephew and he drive the beast out of the house. Vindictive he praises to de liver retribution on his maker for relinquishing him , and in this way begins his excursion to Geneva. The beast is never brought into the world underhandedness in the book just the manner in which society has rewarded him has transformed him into what he later turns into a merciless executioner. Waltons letters to his sister outline around the principle account. Walton chiefs a North post bound boat and in spite of the fact that the steady desires from his sister to return securely, he says I will execute no gooney bird. Walton matches Victor from numerous points of view, similar to Victor e is an adventurer and pursuing nation of unceasing light-unpossessed information. Victor impact is incredible however he inevitably turns around not at all like Victor. These characters add a ton of creative mind to the book and this moreover adds enormously to the books suffering fame. Three apparently indistinguishable characters yet from numerous points of view extraordinary, they all describe some portion of the book and this gives three unique perspectives on a similar plot. In a manner that echoes the beasts sewed together body parts, the novel is an assortment of sewed together classes. This is no less clear than in section 5. The book is a blend of sorts Horror, Gothic, Romantic, Semi-Autobiographical and sci-fi. Section 5 is the formation of the beast and the Horror, Gothic and Sci-fi topics are clear as Mary Shelly has utilized fitting highlights to every one of these kinds. Inauspicious Night, Rain pattered terribly, Horrid Contrast. Repulsiveness is the dimness and our normal dread of the obscure. Science fiction is the frightful animal from a different universe or ridiculous. Gothic, another classification at that point, drove by Frankenstein. Gothic components are all over the place, they make strain, dread and interest. In section 5, Shelly has utilized Gothic components, for example, the horrid climate, the gleaming flame, the forlorn insane lab rat and the inappropriate reprobate. This adds to the suffering prominence as the social setting of that time was that science was the path forward and individuals started to scrutinize certain strict convictions. The books against science message is clear. It says that unpossessed information isnt in every case great. The subjects in the book are assorted as Frankenstein is a biblio-beginning, an assortment of seamed together parts from different works. Incredibly impacted by Coleridges The Rime of the Ancient Mariner. The sailors story matches Waltons and Victors, they are all at the place that is known for ice and day off. Similarly as the sailor advises his story to the wedding visitor for reclamation, Victor is driven by blame. Both Victor and the sailor cause their own devastation The sailor ought to have thought about the gooney bird, Victor ought to have thought about The beast. Furthermore, as the slaughtering of the gooney bird turned out to be actually and allegorically a weight for the sailor, the beast, similarly, is Victors trouble. They are additionally connected when Walton notices to his sister that he will slaughter no gooney bird. All in all, the suffering prominence of Frankenstein is declaration to an incredible author. Shelley has utilized numerous new components to accomplish this, in transit concocting another classification. Frankenstein is viewed as a front dad of all cutting edge gothic books, appropriately so it has had numerous other options and we have seen the animal in a wide range of lights. The core of its ubiquity exists in the production of the beast and Shelley has utilized a wide range of th

Teddy Roosevelt Essays - Ballot Measures, Direct Democracy

Teddy Roosevelt The dynamic accepted that by applying a more uncorrupt type of majority rule government they could in reality fix the effectively degenerate popular government particularly at the state and city levels. The progressives accepted that whenever given an opportunity most of voters would choose genuine good authorities not at all like those chosen by the degenerate political machine yet to do this they required individuals to cast a ballot. So they gathered various techniques for expanding the cooperation of the normal resident in political choices. The mystery voting booth, by utilizing the technique embraced by the Australians the voter would not be controlled by the ideological group that would influence a voters choice by remaining close to a voting station and scaring the person in question. This strategy was first acknowledged by Massachusetts in 1888 and end up being extremely well known by 1910 all democratic states received this technique. The dynamic legislative leader of Wisco nsin Robert La Follete presented the strategy for direct primaries wherein the lion's share vote would choose the gathering possibility for the state and government workplaces. This strategy was utilized to attempt to limit the intensity of political supervisors to attempt to shield the degenerate authorities from picking up office indeed. The immediate appointment of state congresspersons was additionally an or more for the progressives for a long time the legislators had been chosen by the vote of the state lawmaking body. The degenerate state council would then obviously decide in favor of the degenerate authority for senate. Inevitably the senate started to resemble a club for the rich man. In 1913 the seventeenth amendment required all that all U.S congresspersons be chosen by the famous vote. By calling for Initiative, choice, and review the Progressives permitted by activity to partake during the time spent having a council pass a bill, to permit voters to decide on proposed laws on their polling forms by method of submission, lastly review which permitted voters to expel an unsuitable lawmaker from office by lion's share vote before the finish of their term. Such individuals as New Yorks Charles Evans Hughes, Californias Hiram Johnson, and Wisconsins Robert La Follete put the activity, choice, and review to utilize with the goal that they could win back their administration for the individuals from the enormous organizations, and degenerate supervisors. With the new changes the political machine was forgotten about to rust and Progressives restored popular government by utilizing or making a greater amount of it. Policy driven Issues

Reindeer Writing Paper - Make a Statement With Writing!

Reindeer Writing Paper - Make a Statement With Writing!A reindeer writing paper is a great gift to give someone who loves to write, like most of us. A person who loves to write, will appreciate the fact that you picked up a paper and a pen so that they can practice their craft as well as get some practice in writing.Writing is something that we do as often as it needs to be done, but very few of us do it as much as we need to. For the person who enjoys writing, this should be a good present to give. What is great about it is that you can let them know that you feel that they are better than others and you are not afraid to show it.You can show the way you see a person, that they should write more often. This is something that they will see coming and be able to use in their own life. They will be able to use the same point of view in all areas of their life, and with all areas of their life, it will be beneficial for them.They will be able to use the writing skill that they were give n when they write on this paper, because you are giving them the ability to use it. You are giving them the ability to express themselves by using what they think they are better at. I do not care how bad you think they are at writing, you are going to be amazed how many people will read this paper and relate it to them.It is a short time spent with you and they will appreciate it. You are giving them the ability to express themselves to you and to the world. That is one thing that everyone should love about being around you.Writing is something that is necessary, but it can be something that is too much to do for some people. There are plenty of other people who write everyday, because they feel that they are better at it.When you give them a reindeer writing paper, they will get to relax and feel good about themselves and what they are doing. You can not help but write, and this can be a great gift for the person who loves to write.You will be surprised at how many people will rea d a small paper with some nice writing on it. You will be amazed at how many people will want to ask you questions after they see how you wrote the paper. You can find a way to write a lot of people who want to read your feelings of self-importance.

Basic Principles Of A Chemistry Lab - 1614 Words

Chapter 1 Basic principles Laboratory course is an integral part of chemistry education and accounts for a major percentage of the assessment marks. Chemistry laboratory is a place where the fundamental rules of laboratory techniques which are very important for students at all levels can be learnt. Observations are foreword of experimentation but preconditioned by outline of practical understanding. Design and choice of experimental method may influence the result. The advantage of chemistry laboratory practices will help the students to work precisely and efficiently to get the desired result. This chapter meant to offer an intensive explanation of essential practical procedures and information and help students to master basic†¦show more content†¦Ã¯  ¶ Never mix chemicals unless it is required in the experiment as it may cause accidents. ï  ¶ Slightest amount of any harmful substances ought to be used. ï  ¶ Don’t leave the lighted burner when nothing is being heated. ï  ¶ The hot apparatus should be placed on a glazed tile or wire gauze and not be placed on working table directly. ï  ¶ Hold the test tube far from yourself and the person standing near you, when heating solutions. ï  ¶ Stopper reagent bottles appropriately and keep them on the shelf immediately after use. ï  ¶ Under no circumstances unconsumed reagents should be added back into their storage bottles. ï  ¶ Wash skin quickly with running water if contacted by any chemical. If acids or bases get into your eyes, wash them with water immediately and see a physician as soon as possible. ï  ¶ Always clearout spillages and broken glass wares as it can cause accidents. ï  ¶ Never throw used filter papers, any chemical or broken glass apparatus in the sink or on the floor. Discard all the chemicals as instructed by the instructor and broken glassware in the labelled broken-glass bins. ï  ¶ Clean the glass wares and equipments as well as your work space before leaving the laboratory. ï  ¶ After each laboratory session, hand washing must be done. Laboratory safety equipments Chemistry laboratory is a place where accidents can occur due to harmful chemical substance, fire, explosives, fumes, hot glass wares and sharp objects. ItShow MoreRelatedThe Field Of Veterinary Medicine718 Words   |  3 PagesWhat are different careers in the field of Veterinary medicine? How do these jobs use chemistry? Why is chemistry so important to veterinarians? 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Impact Of Social Media On the Fitness Industry in China - Free Essay Example

Sample details Pages: 4 Words: 1161 Downloads: 9 Date added: 2019/04/15 Category Sports Essay Level High school Tags: Fitness Essay Did you like this example? Abstract Since China recently had a fitness boom, a lot of people start to care more about the health and beauty than before. Fitness is one of factors that fulfill these two needs. Thats why the number of people who work out has been increasing substantially. Don’t waste time! Our writers will create an original "Impact Of Social Media On the Fitness Industry in China" essay for you Create order In relation to this fitness industry in China, one more fascinating trend is using social media. It became a big part of peoples life. With the rapid increase in the number of people who are working out, it naturally has been impacted on social media. In other words, social media also could affect these people and fitness industry. Analyzing this interrelationship between fitness industry and social media in China is the purpose of this thesis. The research was planned from these questions. After social media has become a big part of many peoples life, what has changed in fitness industry? Can social media actually motivate people to exercise? Did it have an effect on making more people start to work out and become more interested in it? To analyze the interrelationship, regression analyses based on SPSS program were conducted. The result found that a lot of social media users are exposed to fitness-related posts on social networking sites, and it has proven that social media can be one of the factors that attracts people to fitness industry and motivates the users to work out. With the improvement of living standards and the change of consumer attitudes, Chinese urban and rural residents pay more attention to health and more and more people start doing physical activities. There were surveys, which 80,000 households in 2007 and 50,000 households in 2014 were participated in, shown that the number of people doing physical activities were increased by 70 million people compared to 2007. In recent past, there has been rising market for the physical exercising in China. Until a decade ago, gymnastics, table tennis and badminton were not only the most popular sports of the country, but also the main sports that the government has promoted. However, today, China is no longer limited to elite sport such as table tennis or badminton. Fitness industry is the new trend that has attracted peoples eyes. IBISWorld says, The fitness industry is set to generate $6.91 billion in 2018, with annualized growth of 10.4% from 2013 to 2018 in China. It is an important indicator to look at the number of fitness clubs in order to understand Chinese fitness industry. It is an obvious fact that the number of fitness center continues to increase. One thing that stands out in this graph is there was a 20.8% increase in 2015 from 2014. Overall, the number of fitness centers has been increased by almost two thousand from 2008 to 2015. In addition, there is another graph which shows the total number of members of fitness clubs in China and year-on-year growth rate. The number of fitness club members in China was 3.38 million in 2008, which was only one-fourteenth part of the U.S. (54 million). However, its growth potential is high considering that China has more than 1.4 billion population and sports population involved in physical exercise is about 400 million. Moreover, the size of the industry would be expected to reach 3 trillion by 2020. The result shows that the number of members in 2015 had almost doubled, compared to 2008. Factors that caused the fitness boom Macroeconomic factors From the point of view of big macroeconomic conditions, one of integral factors is gross domestic product. In past 20 years, China has become one of the fastest growing economies in the world. According to the World Bank, Chinas GDP reached 12.238 trillion in 2017, which signifies China is the second largest country in the world after the U.S. It also refers economic activity in the country has noticeably increased. One more factor that influences in macroeconomic conditions is per capita national income. As seen in the chart above, the per capita national income has been rising more than 20 percent compared to 20 years ago. The per capita national income can be an essential prerequisite for the fitness needs. Because of increasing disposable income and awareness of the importance of their health, more and more people have started to exercise. Furthermore, the expansion of the sports population brought more fitness users and the demand for the gym. The average annual cost of fitness members is about 10,000 yuan and the price of fitness membership for in the first-tier cities is usually over 3,000yuan, which is not low in price for people. Hong Kong Trade Development Council have conducted a survey. 68% of 2000 middle class consumers said they were exercising more than before, and exercising regularly has become a part of their lives. Among the total respondents, 45% people bought professional sporting equipment in 2016 and 20% of those consumers replied they have bought equipment more than before. The remarkable thing is that consumers in 25-36 age groups started to spend more money on fitness membership for workout as regular exercise. Policy Factor Chinese government have started to provide full support to the fitness industry as well. Since 2013, the Chinese government actively implemented policies to nurture the fitness industry, emphasizing quality growth and beauty of life. Through the announcements of government such as Opinion on Promotion of Health Service Industry Development in 2013, Opinions on accelerating development of physical exercise industry and promoting the consumption on the exercise in 2014, 13.5 Sports Development Plans in 2015, and 2016-2020 National Fitness Plan in 2016, Chinese government has been constantly trying to encourage the expansion of local sports facilities and the promotion of health at national level. Statement of the Problem and Purpose of study Chinese people had increased disposable income by rising incomes of middle class. Because Chinas rapid development has enriched the pockets of the people, they are no longer worried about their livelihoods compared to the past. The improvement in standards of living has affected other aspects as well. One of them is generating the fitness boom. People are more willing to spend their part of money on gym membership. In addition, as this fitness boom occurred, another trend which became all the rage for Chinese now is taking photos of their own shaped body and posting them on his or her social media account. Thats why people are exposed to gym photos and videos regardless of their intentions when they are looking at social networking sites. Stephen Rains says, When people received more posts about exercise, it made them more concerned about their weight † more self-conscious † and thats not a good thing, It literally means people can be affected and motivated by the posts of exercising. Today, as two behaviors which are working out in a gym and posting their gym selfies on social networking service have been on rising trends in China, the main objective of this research is to examine the possible correlation between these two behaviors. Besides government policies that have been encouraging people to exercise and improving the quality of life by increasing disposable income, this research will look specifically into how much influence social media platforms have impacted on the fitness industry in China.

Needless Animal Research, Testing, and Experimentation is...

Needless Animal Experimentation is Wrong If penicillin had been tested on guinea pigs, it might never have reached the public. It is lethal to guinea pigs, deactivates the blood system of rabbits and is deadly to cats (Bio-Medical Research). Scientists are pushing for more experiments regardless of the cost to the animals life. One expense is the involvement of killing animals in the pursuit of a pine-scented air freshener(Vergoth,p21). Animals suffering in experimentation labs are in just and cruel to animals. It is wrong to harm an innocent animal of any wrong doing, when the animal doesnt know right from wrong. It is argued that people have an obligation to animals, so that we can protect their welfare. Charles†¦show more content†¦More than five billion dollars of federal tax revenue are spent annually on animal research (Bio-Medical Research). With that money there could be drug rehabilitation programs, nutrition counseling for the disadvantaged, or even improving water and air quality; but instead animals get experimented on. Animals, like the rest of nature, were understood not have any sort of value, except to bring enjoyment to lives. Animal life has some value (Frey, p27). Scientists test products on animals to see if they are safe, or if any side effects may occur. Many different companies use tests on animals, such as: the Draize Test and the LD-50, or Lethal Dose 50 Percent. The Draize Test is used to measure the harmfulness of chemicals found in household products and cosmetics, by observing the damage they cause to the eyes and skin of animals (Product Testing). Albino rabbits are used for the eye irritancy of a solution. The rabbits suffer extreme pain, mutilation and blindness. Often the rabbits eyes are held open with metal clips. The damage to their eyes are irreparable and leave the eyes ulcerated and bleeding. At the end of the test, the animals are killed to see what the internal effects were (Product Testing). The Lethal Dose 50 Test kills half of the test group. This test was developed in the 1920s, and is used to measure the acute toxicity of certain ingredients. This test uses 200 animals or more, and the animals sufferShow MoreRelatedAnimal Testing Should Not Be Banned1721 Words   |  7 Pages † Today, more animals are being used in experiments than ever before: around 100 million in the United States alone† (3). Animal testing is now an international issue, and it is becoming a major story. Currently, animals are often used in medical testing, make-up testing, and other consumer product testing. Animals used in such product testing are often abused and suffer from serious side-effects. Animal testing can be painful for the animals, testing results are usually not even useable forRead MoreAnimal Testing : Is It Right?912 Words   |  4 PagesAnimal Testing: is it Right? Animal testing, also known as animal experimentation, or animal research, is the use of non-human animals in experiments. While most people think animal testing is necessary, others are upset by what they see as needless suffering. Experimentation on animals help scientists increase knowledge about the way the human body works. Animal research can also expand the knowledge of biological, medical, psychological studies, and has led to vaccines against smallpox, measlesRead MoreAnimal Testing As A Tool For Growth Among Many Industries1358 Words   |  6 PagesSince you were born animal testing was used in your everyday products. The Pampers, Band-Aids, and Visine you purchased were all animal tested products. Every year, millions of animals go through painful experiments usually resulting in death. Normally, scientists use animals to determine and refine a variety of drugs, vaccines, cosmetics, and other chemicals. In the past 50 years, the United States used animal testing as a tool for growth among many industries. With 80 million animals painfully killedRead MoreAnimal Testing: The Future of Pharmaceuticals Essay1237 Words   |  5 Pagesthrough animal testing, they have been donned to be unsafe for people and environment. Without animal testing, the general public would still be using these hazardous chemicals. Many humanitarians may be opposed to testing chemicals on animals, but if scientists didn’t test on animals, individuals would have to test the deadly chemicals or live in a world where people don’t know if the chemicals they are using are poisonous and lethal to the human society. 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Proposal for Improving Healthcare Organization

Question - Prepare an evidenced based proposal for a quality improvement to be implemented in your healthcare organisation ? Describe it in two parts - (a) Quality improvement/change proposal (b) Reflaction PART A: INTRODUCTION Evidence based practices are available for a number of health conditions like cardiac disorders, asthma, diabetes or osteoporosis. But it is not necessary that these practices are implemented in care delivery and therefore, variation in these practices is possible. Earlier, the patient safety resided in the fact that the complete analysis of the patient safety issues would result in improvements and new implementations that would promise better health outcomes (Leape LL. 2005). Implementation of evidence based practices is practically very difficult as it requires strategies and the plans to address the complexity of systems of care, leadership of the seniors, individuals as practitioners and eventually changing the health care culture that prevails into an evidence based safety practice environments (Leape LL. 2005). Evidence based practice can be defined as a concept of judicious use of clinical practices along with the clinical expertise and consideration of the patient values as well when the patient related health care decisions are to be made. Research has shown that the best examples of evidence based literature comes from the randomized controlled trials, evidence that is collected from scientific experiments which includes descriptive as well as qualitative research based studies (Titler, M. 2008). In several cases, the evidence based practice is not sufficient to implement the strategies and in such scenarios the non research evidence is selected along with experts opinion and the scientific principles. Evidence based practice is important to establish the base for the International Patient Safety Goals (IPSG), according to which evidence and expert based consensus is required to promote specific improvements in the patient safety and health care measures. There are six major goals, as m entioned in IPSG- identification of the patient correctly, improvement of the effective communication strategies, improving the safety of the high alert medications, ensuring correct site, dosage, procedure and surgery, reduction in the risk of site infections and lastly reduction in the risk of patient harm that can result from falls (Titler, M. 2008). AIM The aim of this research proposal is to analyze the quality of strategies that can be implemented in order to improve the safety of the high alert medications. This paper describes the medicines that fall into the category of high alert medicines and also discussed about the policies or the procedures that have been defined or described to address the identification, labeling, location and proper storage of such medicines. OBJECTIVES Medication error is a term that is used to describe any preventable event that can lead to inappropriate medication use and harm the patient eventually causing fatal outcomes. There are many factors associated with medication errors, like similarity in the names of the medicines, uncommon medicines that are seldom prescribed, common medicines to which the patient is allergic and medicines that require testing for their toxicity and maintenance of their therapeutic levels (Hughes, R. Blegen, M. 2008). High alert medications are those medicines that have the potential of causing maximum harm if used with error. The top five high alert medicines are insulin, opiates/ narcotics, potassium chloride or phosphate concentrate that is injectable, intravenous anticoagulants like heparin and solutions of sodium chloride ( 0.9%) (Hughes, R. Blegen, M. 2008). In order to ensure medication safety, it is important to make and implement strategic plans for prevention of errors. There are several o bjectives that need the focus of the health care department. It is important to improve the methods of detection of errors, their reporting and the use of relevant information when dealing with or involved in the administration of medications. The primary focus will be on the errors that are associated with the medication and the corresponding adverse drug reactions. The very first objective should be to keep the process of focusing and learning about the medication errors ongoing so that the errors can be prevented in future (Kirke C. 2009). Secondly it will be important to enhance the awareness of the staff regarding the conditions that risk the safety of the patient, like easy and accurate identification of serious or hazardous conditions, by the staff members (Kirke C. 2009). The next objective should be to utilize the information on medication errors and their prevention, proactively. Another objective for the health care facilities should be to seek improved patient related ou tcomes. Lastly, the health care providers should reduce the legal liabilities for the patients who are poor, their health outcomes due to adverse drug reactions (Manias et al. 2014). Every objective will be faced with some form of potential barriers and threats like the nurses or the other health care staff might face the fear of reporting errors due to compulsory requirements of that hospital relating to the harm to the professional license of the practitioner. In certain cases even the culture gets the blame and even worse can be the legal restrictions that are imposed on the medication error information (Kirke C. 2009). To avoid these barriers and threats it is important for the hospital authorities to implement the programs of quarterly focused discussion in which the front line staff can discuss about the problems that they face with the use of the medication. Secondly, the hospital authorities and the administration staff should ensure that they conduct training programmes and education training programmes for teaching the members of the medication safety team regarding the principles of error reduction by learning to standardize, restrict access, simplify, limit the use, automate, creation of false safes and improvement of access to information (Cronenwett et al. 2007). The utilization of electronic techniques is increasing gradually in the medical line. Therefore, the strategy of using electronic devices to record the administration of medications, their dosage, time duration, time of administration, patient reaction to the dose, changes in the dose and other relevant observation. In other words, a method should be created to capture or record the pharmacy interventions electronically either by using a palm held system or using the pharmacy computer system for the same. The data that is stored this way can be further used to identify the additional opportunities that can be utilized for improvement of the medication process. RATIONALE Research in the field of medication safety is being conducted on a large scale. The medical practices involve great risk and include such practices that are vulnerable to error and these threats pose fatal risks for the health outcomes of the patients. The errors that occur during the process of administration of medication, arise due to many reasons but these reasons are still unknown (Pretorius et al. 2013). Therefore, it is important for the medical facilities to understand the cause of error and try to implement the strategies that aim in reducing or preventing medication errors. CRITICAL REVIEW Collection of data, when the question is of patient safety, is very important. The factors that contribute to medication errors are poorly understood by the medicine practitioners. The review discussed here is based on the survey of the staff and the physicians in the United States (Kaldjian et al. 2008). This survey explores the reporting of actual, hypothetical errors, the attitude of the staff towards these errors and the demographic factors that are responsible for the same. The study involved responses from 338 participants. Most of the participants agreed that the act of reporting errors significantly improved the quality of care for the future patients. After selection of the potential participants, the survey was conducted. It was self administered, paper based survey that did not require and personal identification information and the authorities assured the participants that their identities would be kept anonymous. The survey questionnaire dealt with the actual experiences of the participants (Kaldjian et al. 2008). The disclosures were queried for two basic mistakes that either resulted in prolonged treatment regime or caused discomfort or resulted in any form of disability or death. In each of the case, the participants were asked whether they reported or did not report the incident. The question included in the questionnaire were based on the knowledge and the attitude that was present among the participants regarding the reporting of the errors and these varying attitudes were based on the taxonomy of the factors that facilitated and impeded disclosure. The survey was designed in such a way that it encompassed the details relating to the responsibilities towards the community, the barriers in the attitudes, uncertainities, helplessness, anxieties and fears. Several demographic variables were also considered like the training level of the hospital staff, sex, speciality, differenciation between medical error and the mistake. The survey was conduct ed by ensuring anonymity of the details of the participants by not asking for their age, graduation year or their race or ethnicity. The survey was tested for validity of face, its clarity and the stability over time and the variation that would arise by surveying 16 participants. Time interval of two weeks was set and two rounds of identical survey was distributed to these participants. Statistical measures like the Spearman correlation of each of the response, was done depending upon the stability of each of the items. Items, for which the Spearman coefficient was less than 0.50, were neglected and not included in the final questionnaire. The reliability of all the questions that were included in the questionnaire, varied from being good to excellent, with Spearman p= 0.6 (Kaldjian et al. 2008). The results obtained through the survey were such that 17.8% of the participants acknowledged the reporting of minor errors that occurred during prolonged treatment or during the case of discomfort (Kaldjian et al. 2008). 3.8% of the participants reported major errors that occurred during the cases of death or in serious cases of disability. Among the other data, 16.9% participants did not acknowledge reporting minor error while 3.8% participants did not acknowledge reporting of major error. However, the likelihood of reporting a hypothetical error was based on the outcome of the error (Kaldjian et al. 2008). 92% of the respondents hinted that they would report a hypothetical harm if it resulted in major harm, while 73% indicated that they would report hypothetical error if it resulted in minor harm. The physicians believed that reporting of the errors would enhance the quality of care being provided to the patients and also improve the treatment methodologies (Kaldjian et al. 2008). But 54.8% of the participants did not know how to report error to their institutions while 40% of the respondents were not able to distinguish between the types of errors that should be reported. The consequences of this study make vital commitments to a constrained experimental writing on doctor reporting of therapeutic slips to enhance tolerant wellbeing. Our information give new data from showing healing facilities about demeanor to reporting, real practices, and the potential impact of demographic components, for example, level of preparing and convictions about absolution (Kaldjian et al. 2008). Especially eminent was the finding that albeit a large portion of our respondents showed they would likely appear for their establishments a speculative lapse bringing about minor or real mischief to a patient, just 17.8% recognized perpetually reporting a genuine minor mistake, and just 3.8% recognized regularly reporting a real significant blunder. Moreover, 16.9% of respondents reco gnized not reporting a real minor lapse and 3.8% recognized not reporting a genuine significant blunder. Taken together, these results propose there may be a crevice in the middle of demeanor and practice among doctors with respect to the reporting of therapeutic lapses. The consequences of this study make vital commitments to a constrained experimental writing on doctor reporting of therapeutic slips to enhance tolerant wellbeing. Our information give new data from showing healing facilities about demeanor to reporting, real practices, and the potential impact of demographic components, for example, level of preparing and convictions about absolution. Especially eminent was the finding that albeit a large portion of our respondents showed they would likely appear for their establishments a speculative lapse bringing about minor or real mischief to a patient, just 17.8% recognized perpetually reporting a genuine minor mistake, and just 3.8% recognized regularly reporting a real sign ificant blunder. Moreover, 16.9% of respondents recognized not reporting a real minor lapse and 3.8% recognized not reporting a genuine significant blunder. Taken together, these results propose there may be a crevice in the middle of demeanor and practice among doctors with respect to the reporting of therapeutic lapses. One of the major concerns of the participants was about the legal liabilities of the error reporting as this was supposed to have a greater impact on the future consequences associated with the reporting of the error. But the major drawback of the study was that it did not consider the case of legal implications post error reporting (Kaldjian et al. 2008). There were many other limitations as well. The primary drawback was the anonymity of the survey. This was because even though the survey was anonymous, the social desirability factor may have led to biased answers that the participants would have thought to be more acceptable socially. Secondly, the hypothetical error vignette was considered in the study such that the outcomes of the severity of the variables served as the dependent variables for the multivariate analysis but the answers that were given to the hypothetical scenarios did not actually predict the real behavior during the actual situation. Thirdly, the participants that were included in the study belonged to the teaching hospitals and mainly represented internal medicine, pediatrics and family medicine. This restricted the scope of the study that was conducted. Although the use of multivariate setting might not have affected the multivariate analysis but the lack of generalization of results can be contemplated (Kaldjian et al. 2008). The consequences of this study recommend that doctors' state of mind about the estimation of mistake reporting may not be matched by real practices. On the off chance that rectify, the potential reasons for this error should be tended to. Human services organizations ought to proceed with endeavors to make learning situations in which slip examinations are esteemed and the individuals who examine their own mistakes are regarded. Foundations ought to likewise guarantee that blunder reporting frameworks are secret, straightforward, and worthwhile. To persuade doctors that reporting mistakes is not a vain activity, organizations ought to promote cases that show the association between slip investigation and framework change. Foundations ought to additionally show doctors how to report mistakes and what slips to report (Kirke C; Irish Medication Safety Network 2009). Without such endeavors to encourage a movement to a society of reporting among doctors, the impact of governmentally secur ed patient security reporting frameworks is liable to be decreased and the reporting predisposition natural in these frameworks will be unrealistic to diminish. Finally, establishments ought to consider approaches to advance patient-focused moral values that may spur doctors to report mistakes amidst countervailing pressures, particularly in showing healing facilities where good examples have key influence in the arrangement of trainees' disposition and practices. Such values are rightly seen as a feature of medicinal professionalism and reflect a pledge not only to great frameworks yet to the benefit of our future patients (Kaldjian et al. 2008). METHODS FOR EVALUATION The medication error that occurs at the time of administration occurs mainly due to omission or commission when administering parenteral drug that might harm the patient (Valentin, et al. 2009). In most of the studies the errors that were addressed belonged to majorly five type or categories: wrong drug, wrong dose, wrong time, wrong route and missed dose of medication. The errors can be further classified into different categories based on their type of administration like intravenous bolus, subcutaneous, intravenous continuous (Valentin, et al. 2009). Secondly, the errors can be classified based on the class of drug like sedation or analgesia, catecholamines or vasopressors, coagulation related, antimicrobial, insulin and others (Valentin, et al. 2009). CONCLUSION Quality of health care is assumed to be the sole foundation of patient safety and therefore, it is important to effectively manage and improve the existing gaps and errors that exist in the care providing facilities. Institute of Medicine (IOM) is one such work group that attempts to define the health quality in terms of standard. These standards are not compulsorily in terms of the possibilities or the clusters of concepts for the indicators. Quality improvement in terms of error prevention mean prevention of major or minor errors by the nurses or the physicians so that the health of the patient is not at stake. All the medication errors that have been classified on different basis need to be avoided in order to ensure proper and un obstructed process of treatment without and negative health outcomes (Mitchell, P. 2008). This improvement can be done by implementing different strategies that will help in identifying the main causes of errors as well as the preventive measures that ca n train the staff and also make the staff aware of the precautions that need to be taken when handling the drug administration process. Over time more robust measure like the accreditation standards and the increase in the requirements of error reporting have led to a stronger business case for the hospitals and have thereby led to increased safety of the patient. Before, we have regularly seen nursing's obligation in patient wellbeing in slender parts of patient consideration, for instance, dodging medicine lapses and anticipating patient falls. While these measurements of security stay vital inside the nursing domain, the broadness and profundity of patient wellbeing and quality change are far more noteworthy. The most basic commitment of nursing to patient wellbeing, in any setting, is the capacity to facilitate and coordinate the different parts of value inside the consideration straightforwardly gave by nursing, and over the consideration conveyed by others in the setting. This integrative capacity is likely a part of the oft-rehashed finding that wealthier staffing (more prominent rate of enrolled attendants to other nursing staff) is connected with less inconveniences and lower mortality (Mitchell, P. 2008). The evaluation, measurement and research on this component of effective health care and patient safety is essential step towards promoting positive health outcomes for the patients because the medication errors play a major role in controlling the recovery and cure of the illness. Due to this, majority of the hospitals have already implemented various strategies to overcome and prevent the medication related errors. Part B : REFLACTION INTRODUCTION The practice of reflection has become very common in the recent years such that it governs the process of nursing and influences the practice and education all around the world. The profession of nursing requires the nurses to be educated and have practice based skill implementation. Reflection has been referred as the transferable skill which is implemented or incorporated into the clinical practice enabling the practitioner and the patients to understand themselves as well as others in a better way. In order to utilize reflection for the benefit, it is essential to ensure that the reflection is purposeful and goal directed. Since reflection is a dynamic process, there have been many frameworks that aim in compiling all the components of a perfect reflection based approach. One such framework is Gibbs (1998) Reflective cycle. The framework of this cycle is based on the experimental learning phenomenon and uses a series of questions as a base or guide to provide a genuine structure f or the practitioner to reflect upon his experience in the clinical set up. The Gibbs reflective cycle focuses upin six major highlights: Description about what happened, feelings about the entire case or scenario, evaluation of the situation of whether it was good or bad, analysis of the complete situation, conclusion about what else could have been done and plan of action and the preparedness for the situation if it arises again. DESCRIPTION The case revolves around an elderly woman who is admitted in intensive care unit. She was admitted with the problem of respiratory failure requiring incubation and demonstrating symptoms that are consistent with sepsis. The lady was being care for at a continuous stretch of 12 hour shift but she faced problems in renal function with increase in the inotrope dependence. Knowing that the CT scan had been done one week prior to the present scenario, and also knowing about no significant findings, the ladys son was told about the poor prognosis of her ailment. Since the patient had to be transferred to the radiology department for other scans and tests, she was sedated, as a result of which there was increase in inotropes as hypertension occurred due to heavy sedation. Throughtout the transfer the patient was unstable with episodes of bradycardia and hypotension. Adrenaline boluses were given and large fluid boluses (gelofusine) were also given. CT scan was abandoned mid way and the resu stication process was carried out. But there was lack of appropriate resustication process and thus, it led to cardiac arrest of the patient and she died. The son was present when the patient died. FEELINGS When these events occurred I had the feeling of guilt and inadequacy. I felt that since the patient was already suffering from multiple health problems, transferring the patient would result in further discomfort and cause potential danger. During the transfer, when the patient started showing signs of bradycardia and hypotension, I was worried and had concerns for preventing cardiac arrest. When I returned to the ICU, I realized that the dignity as well as the concerns of the family of the patient were ignored and not respected in any form. EVALUATION There were both positive as well as negative implications of the experience. On a positive note, the team work of the heath care unit was worth appraisal as they took good care of the patient but on the negative side I feel the ethical issues surrounding the patient, the clinical condition of the patient and the problems being encountered during the patients care should have been discussed more appropriately and the error in the dosage of sedative should have been prevented. ANALYSIS In situations of severe sepsis, there is impairment of tissues and its perfusion along with micro vascular coagulation and all this cumulatively can lead to multiple organ failure, finally leading to death (Robson Newell 2005). In order to prevent multiple organ failure, the patient should receive targeted organ support in form of mechanical ventilation, rfluids, inotropic or vasopressor administration or administration of blood products in order to increase oxygenation and enable maximum perfusion. The use of steroids in the ICU has been under debate and it has been also shown that if steroid are given in low doses, it can reduce the risk of death in some patients who are suffering from the condition of septic shock (Annane 2000). However, the major question that arises here is about the decision of CT scan post the deteriorating condition of the patient. CONCLUSION It can be concluded that the condition of sepsis in the critical care environment is a very complex process to handle and the treatment for this condition is possible only under specialized conditions. There may be many ethical considerations and dilemmas for the staff that caters to a septic patient, but in such cases it is important to consider the condition of the patient in the first place and then prescribe the medications/ drugs or treatment measures. In this case, I felt, that the need for CT scan made the case slip out of our hands. Since the patient was not at all stable during the transfer, it would have been sensible to skip transfer and CT scan and progress with the treatment and prevention plan for cardiac arrest. Although the final decision regarding the choice of treatment resided with the anaesthetist, however, I could have challenged the decision of the anesthetist, thereby advocating the interests of the patient. ACTION PLAN By reflecting on this case study, I have gained understanding of sepsis and the potential threats and the ethical problems which were or can be encountered when caring for the patient. I am now more confident to face challenge the decisions made relating to treatment which do not fit best in the interest of the patient. I have now a greater understanding of the professional responsibility to advocate on patients behalf with the aim of safeguarding against the potential dangers. It is thus, possible for me now to hope for better patient related outcomes and health benefits for future patients. REFERENCES American Hospital Association, 2002, Pathways for medication safety: Leading a strategic planning effort. Annane, D., 2001, Effects of the Combination of Hydrocortisone-Fludro-Cortisone on Mortality in Septic Shock Critical Care Medicine Vol. 28, pp. 46. Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., et al., 2007, Quality and safety education for nurses, Nursing Outlook, Vol. 55, no. 3, pp: 122-131. Hughes, R. Blegen, M, 2008, Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Chapter 37-Medication Administration Safety, Rockville, MD: Agency for Healthcare Research and Quality. Kaldjian, L., Jones, E., Wu, B., Hoffman, V., Levi, B. Rosenthal, G., 2008, Reporting medical errors to improve patient safety, JAMA, Vol. 168, no. 1, pp: 40-46. Kirke C; Irish Medication Safety Network, 2009, Medication safety in hospitals, Ir Med. J., Vol. 102, no. 10, pp: 339-41. Landrigan, C. et al., 2010, Temporal trends in rates of patient harm resulting from medical care, The New England Journal of Medicine, Vol. 363, pp: 2124- 2134. Leape LL., 2005, Advances in patient safety: from research to implementation , Implementation issues. Vol. 3. Rockville, MD: Agency for Healthcare Research and Quality. Manias E, Williams A, Liew D, Rixon S, Braaf S, Finch S., 2014, Effects of patient-, environment- and medication-related factors on high-alert medication incidents, Int J Qual Health Care, Vol. 26, no. 3, pp: 308-20. Mitchell, P., 2008, Chapter 1: Defining patient safety and quality care, Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Agency for healthcare Research and quality (US). Pretorius RW, Gataric G, Swedlund SK, Miller JR., 2013, Reducing the risk of adverse drug events in older adults, Am Fam Physician, Vol. 87, no. 5, pp: 331-6. Robson, W., Newell, J.,2005, Assessing, Treating and Managing Patients With Sepsis Nursing Standard Vol.19, no. 50, pp. 56-64. Soerensen, A., Lisby, M., Nielson, L., Poulsen, B., Mainz, J., 2013, The medication process in a psychiatric hospital: are errors a potential threat to patient safety? Risk Manag Healthc Policy, Vol. 6, pp: 23-31. Titler, M., 2008, Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Chapter 7-The Evidence for Evidence-Based Practice Implementation, Rockville, MD: Agency for Healthcare Research and Quality. Toker, D., Pronovost, P., 2009, Diagnostic errors- the next frontier for patient safety, JAMA, Vol. 301, no. 10, pp: 1060-1062. Valentin, A., Capuzzo, M., Moreno, R. et al., 2009, Errors in administration of parenteral drugs in intensive care units: multinational prospective study, BMJ, Vol. 338, pp: b814. Wachter, R., 2009, Patient Safety At Ten: Unmistakable Progress, Troubling Gaps, Health Aff., Vol. 29, no. 1, pp: 165-173. Varkey, P., Reller, K. Resar, R., 2007, Basics of quality improvement in health care, Mayo Clinic Proceedings, Vol. 82, no. 6, pp: 735-739.