Anaemia During Pregnancy: Case Study

Anaemia During Pregnancy: Case Study ANAEMIA DURING PREGNANCY The wonder and joy ofpregnancyis matched by the bodys ability to adapt to looking after the growing baby. In addition to the mothers physiologic needs, there is the additional need to provide the building blocks for optimal growth of the baby. All this construction requires energy and oxygen as the fuel that helps drive the engine. Oxygen in the air that we breathe is delivered to the cells of the body by haemoglobin, a protein molecule found in red blood cells. When the blood lacks level of healthy red blood cells or haemoglobin it leads to a condition called anaemia. The main part of red blood cells is haemoglobin that binds to oxygen. If red blood cells is too few or the haemoglobin is abnormal or low , the cells in the body will not get enough oxygen. The body goes through significant changes when a woman is pregnant. Anaemia is a common disorder in pregnancy, which affect 20 to 60% of the pregnant women. About 20 to 30% of blood increases in the body, which increases the supply of iron and vitamins which are required in the production of haemoglobin. Most of the mothers lack adequate amount of iron during the second and third trimester of pregnancy. A mild anaemia is normal during pregnancy due to increase in the blood volume, but however a severe anaemia can put the baby at high risk of iron deficiency later in infancy. There are different types of anaemia that can develop during pregnancy such as fotal-deficiency anaemia vitamin B12, deficiency anaemia and iron deficiency anaemia. According to Cashion Alden, Perry (2009) In pregnancy, ladies need extra folate to make the red blood cells to transport oxygen to tissues throughout the body. Folate deficiency can directly contribute to certain types of birth defects. Folate-deficiency anaemia, folate which is also called folic acid, is a type of vitamin which is needed for the body to produce new cells, including healthy red blood cells. Iron-deficiency anaemia is when the body does not have enough iron to produce adequate amounts of haemoglobin, and is the most common cause of anaemia in pregnancy. To form healthy red blood cells the body needs vitamin B12 from her diet, the body would not be able to produce enough healthy red blood cells. Ladies who do not eat meat, poultry, dairy products, and eggs have a risk of vitamin B12 deficiency, which can lead to birth defects. Severe or anaemia which is untreated can lead to preterm or low-birth-weight baby, postpartum depression, baby with a serious birth defect of spine or brain, prenatal mortality or maternal death. . Some of the symptoms of anaemia during pregnancy are pale skin, lips and nail, feeling tired or weak, dizziness, shortness of breath, and rapid heartbeat. Antenatal care refers to care given to a pregnant woman from the time of conception is confirmed until the beginning of labor. Risk factors for anaemia in pregnancy can be woman pregnant with more than one child, two pregnancies close together, vomiting a lot because of morning sickness, teenager who is pregnant, not eating enough foods that are rich in iron and heavy periods before became pregnant In nursing process Assessment is the first stage in which nurse carries out a complete and holistic nursing assessment. Normal ward routine of nursing care procedures in antenatal unit at booking and important nursing focus areas is followed. Antenatal booking appointment, which provides the midwife with the valuable background information. The subjective and objective data is collected. The purpose of the visit is to bring together the woman to the maternity service. The information is shared between the mother and the midwife in- order to discuss, plan and implement care for duration of the pregnancy, the birth and postnatal period. During my attachment in antenatal clinic a mother came in for antenatal booking. Collecting her personal history, she is Mrs X, Indian married female. Her date of birth is 22th January, and is now 23 years old. , she is a high school graduate, is able to read and write and follow instructions, able to maintain eye to eye contact and is married to a 25 years old taxi driver named Mr Y. She is staying with her husband, his parents, two brother’s and a sister. They live in a wooden house near the copra mill. The mother is from Waibula but lives with relatives in Namara. Her emergency contacts were of her husband xxxxxxx and cousin sister xxxxxxx. Her family history, Mrs X mother is diabetic and her sister had twins. Mothers medical history was occasionally complains of migraine, and heavy menstrual bleeding. The husband and his elder brother are driving taxi and also they do a casual job in the timber mill. Mrs last normal menstrual period was on 25th of September 2012, her expec ted date of delivery is on the 7th of January 2013. She missed her period for two months. There was no gynaecological history present. Starting with her examinations, the height is 6 feet and 4 inches (1.65m) and is 66 kilograms. The urine test was normal, blood pressure was 80/40mmHg, temperature of 37.5 °C,pulse rate: 114 bpm, respiratory rate: 28 bpm skin: (+) pallor, (-) jaundice, (-) cyanosis, head:, EENT: pale palpebral conjunctiva, negative cervical lymp adenpathy chest, lungs: symmetrical chest expansion, (-) retractions heart: adynamic precordium, tachycardia, (-) thrills, (-) murmur abdomen: globular, soft, normal and active bowel sounds, non-tender extremities: pale nail beds, cold upper and lower extremities (-) cyanosis, weak peripheral pulsesneurological: No found neurological deficits rectal exam: No haemorrhoids, no fissures, no masses, palpated, no tenderness, intact rectal vault, good sphincter tone. In the blood test, the full blood count was done and was low an d proven to be anaemic. In order to ensure that the outcome of the pregnancy is the best for mother and baby, a routine is undertaken which is embraced by the term â€Å" antenatal care†. Fraser and Copper (2009) stated â€Å" the aims of antenatal care is to monitor the progress of pregnancy to .maternal and fetal health, developing a partnership with the woman, providing a holistic approach to the woman’s care that meets her individual needs, promoting an awareness of her public health issues for the woman and her family, exchanging information with the woman and her family, enabling them to make informed choices about pregnancy and birth, being an advocate for the woman and her family during her pregnancy, supporting her right to choose care appropriate for her own needs and those of her family, recognizing complications of pregnancy and appropriately referring woman to the obstetric team or relevant health professionals or other organizations, facilitating the wom an and her family in preparing to meet the demands of birth, making a birth plan, facilitating the woman to make an informed choice about methods of feeding and giving appropriate and sensitive advice to support her decision and offering parenthood education within a planned programme or an individual basis†.(P.g 265). During booking the mothers blood was sent in the laboratory for tests. The haemoglobin level 12g/dL or if it is the haematocrit less than 30% in a pregnant woman. Then it proves that the woman is anaemic. Mrs X haemoglobin level was 8.7g/dL and hemocrit was 25% , so it proved that she is anaemic. It is the risk to the mother and the fetus., So the nursing problem was diagnosed to Mrs X that she was suffering from Iron Deficiency Anaemia. Fraser et al. (2009) stated â€Å" iron deficiency anaemia is the most common hematologic disorder in pregnancy, it affects approximately 15% to 25% of pregnant woman, depending on the ethnic and socioeconomic groups being studied†.(P.g 872). After the diagnosis of iron deficiency anaemia Mrs X was referred to the doctor. The body produces more blood to support the growth of the body. The existence of a hematologic abnormally increases the pregnant women’s risk for developing more complication such as infection or preterm delivery If the mother not getting enough iron or certain other nutrients, the body might not be able to produce the amount of red blood cells it needs to make this additional blood. Taylor, Lillies, Lemone Lynn (2011) stated â€Å" carbohydrates, protein and fats are potential sources of energy for the body†.(P.g 1158). Mrs X presented with symptoms of pale skin, lips and nails, feeling tired or weak, dizziness, shortness of breath, rapid heart rate and trouble concentrating. It is very important to assess the wellbeing of the fetus. This was done by checking the fetal movement and listening to the fetal heart sound using a fetal cardio graph machine. The bloods were performed to see the changes that may indicate worsening of anaemia. The nurses has its own independent role scope of practice to ensure that the mother and fetus are healthy. The nurses role in managing the pregnant woman in this case of Mrs X are as follows. Nurses can be councillor, collaborator and advocator. The role of the nurse at first step will be taking or monitoring vital signs of the mother and thefetal heart rate. To assess the fetal heart rate, fetal heart sound and fetal kick count was monitored. Urine check is another important role of nurse in monitoring an anaemic mother. The mother will be asked to bring along a urine sample for glucose and protein level. In early pregnancy if protein level will be high it can be sign of problems including urinary tract infection, a kidney disorder , high blood pressure or diabetes. If in later pregnancy protein of high level is found is sign of pre-eclampsia. Taking of height and weight measurements is another role of a nurse, also to work out body mass index. Potter, Perry, Stockert Hill (2013) st ated â€Å" body mass index (BMI) measures weight corrected for height and serves as an alternative to traditional height-weight relationships†.(P.g 56). Since the nurse knows the diagnosis of Mrs Mrs Xshe can advise on what kind of foods to consume .She was advised to take foods that are rich in iron examples are red meat, egg yolks, dark leafy vegetables, dried fruit, iron-enriched cereals, grains, chicken giblets, beans, lentils, and liver. Establishment of quiet and peaceful environment to promote rest. During her hospitalization Mrs X was served with full diet. The nurse also taught to the woman on correct positioning while resting.The nurses also did health education with the husband on health. Nurses need to follow the physicians orders in giving the prescribed medications on time.They also advised on personal hygiene. In antenatal care the nurse needs to collaborate with other health care professionals, such as dietician, the obstetric, doctor, haematologists and physiotherapist. To enablepeople to make informed and practical choices about food and lifestyle in health and disease, the role of a dietician comes in, dietetics is the interpretation and communication of nutrition science. The role of a dietician was to prepare a food guideline for Mrs X. Obstetric team works with patients who are wanting to become to become pregnant, is pregnant or have recently delivered. The obstetricnurse have plenty roles in managing an anaemic mother. Mrs Narayan was admitted, reviewed, history taken, vaginal examination, fetal heart tones, and duration and intensity of contractions was done by an obstetric nurse. Paediatrician doctoradvised on healthy and successful delivery of Mrs Narayan, also advised on diet and medication compliance. Paediatrician doctor also took blood and urine test. The roleof midwife is to provide pregnancy care to woman during pregnancy and during birth. The midwife took Mrs X medical history and explained in detail the limitations and risks associated with pregnancy while being anaemic. The midwifealso checked urine for protein and heart beats for the developing baby. Health education was also provided by the midwife. The doctor was also responsible to prescribe medications, examination and to consider delivery if the condition of mother gets worse and fetus gets distressed. The physiotherapist taught Mrs X on exercise that was helpful to her. There are rationales behind the nurses independent roles in ensuring the well-being of the mother and the fetus. As stated earlier monitoring of vital signs, it is very important because to see if Mrs X condition is stable or not. Also same for the fetal heart rate and fetal sounds to see if everything is normal or not. Monitoring fetal heart rate and fetal sound to ensure that the fetus is not distressed. Urine checkis also important factor, it is done by the nurses to see if the glucose and protein level is normal or requires attention. Taking of height and weight is also important to see if mother is healthy and gaining weight since she is pregnant.Also to calculate the body mass index of the mother. The nurse providing health education on her diet, encouraging her to take iron rich foods to prevent or stop Mrs X from getting anaemic. The nurse administers medication as prescribed by the doctors to make Mrs X to improve on her health.Personal hygiene is really important because th e way mother keeps her self affects or reflects the fetus as well. There are rationales behind the professionals collaborative roles in establishing or giving quality care to the pregnant mother. Taking of history from the mother is to know whether she had any past medical problems, such as gynaecological issues or any surgeries that can hinder her present pregnancy. Doctors or paediatricians take samples of blood to see if mother is seriously anaemic or requires attention, or to see if there could be any complications.The rationale of doctors doing vaginal examination is to see cervical dilation or any complications which can arise. Counselling by the doctors of having proper diet or dieticians, to improve the condition of the mother and avoiding complications. Obstetric team was to ensure that if emergency develops there could be urgent need to conduct delivery in caesarean section, because they have knowledge on when and how to conduct delivery in emergency situation. Doctors presenting medication to increase iron level in the blood. Physiotherap ist needed to educate mother on exercise to help her in delivery. During the end of the antenatal clinic, the strengths and weakness of Mrs X was found and identified, it was recorded in evaluation. Mrs X was adjusted to what the plan was ruled out for her. Her strengths were that she followed her diet to what the dieticians planned for her. The health education was really effective to her and her husband supported on her diet and growing fetus. The family support was also there and she was in happy environment, free of fear and anxiety. Mrs X also took her tablets on time and gained weight. Another blood test was done and was found out that her haemoglobin level was normal. The benefitsof maternal iron supplementation on these outcomes are unclear, even for woman who develop anaemia during pregnancy. There is vivid evidence that maternal iron deficiencyanaemia increases the risk of preterm delivery and low birth weight. Iron supplementsimprove the iron status of the mother during pregnancy and during the postpartum period, even in woman who enter pregnancy with reasonable iron stores. Through my point of view, the mass of evidence supports the practice of routine iron supplementation during pregnancy, even though iron is most common and important for woman who have anaemia. ( Approx: 2443 words.) Reference Potter, P, A., Perry, A, G., Stockert, P, A., Hill, A, M. (2013). Fundamentals Of Nursing (8th ed.). United States Of America: Mosby. Fraser, D, M., Copper, M, A. (2009). Myles: Textbook for midwives (15th ed.). Edinburgh: Churchill Livingstone. Lowdermilk, D, L., Perry, S, E., Cashion, K., Alden, K, R. (2012). Maternity Women’s Health Care ( 10th ed.). United States Of America: Mosby. Taylor, C, R., Lillis, C., Lemone, P., Lynn, P. (2011). Fundammentals Of Nursing: The art and science of nursing care (7th ed.). Philadelphia: Lippincott. Reeder, S, J., Martin, L, L., Martin, L, L. (1997). Maternity Nursing: Family, newborns, and women’s health care (18th ed.). Philadelphia: Lippincott. 1

Facilities Management Outsourcing In The UK Information Technology Essay

Facilities Management Outsourcing In The UK Information Technology Essay Chapter One served as an introduction to the dissertation, forming the motivation for the research project on the facility management outsourcing in the UK, together with a brief discussion on factors embodied in the study. Factors such as the problem, literature review; research methodology and limitations of the study are discussed. This is the appropriate theoretical paradigm of the study, the main focus of which is to specify the facility management outsoaring trend in the UK, together with related concepts. In the next paragraphs, As per research literature author discusses the definition of outsourcing, to understand the meaning of outsourcing from different views of various authors, and thus lead to conclusions of what outsourcing means. Outsourcing is the long-term results-orientated relationship with an external service provider for activities traditionally performed within the company. Burn et al., (2002) say Outsourcing usually applies to a complete business process and implies a degree of managerial control and risk on the part of the provider. Aaratunga et al.(2008) is in the favour of FM, according to him FM helps organizations as well as employees as a whole to get the full benefit by the integration of property and user related functions. It provides dynamic facilities policies which help in the generation of corporate values. It reduces the problems of space allocation and charging. In improving the environmental condition it can be a great help. Direct and contract employment can also be improved by the introduction of FM. Facility management  is an  interdisciplinary  field primarily devoted to the maintenance and care of commercial or institutional buildings, such as  hotels,  resorts,  schools,  office complexes,  sports arenas  or  convention centres. Duties may include the care of  air conditioning,  electric,power,  plumbing  and  lighting  systems;  cleaning;  decoration;  grounds keeping  and  security. Some or all of these duties can be assisted by computer programs. These duties can be thought of as non-core or support services, because they are not the primary business (taken in the broadest sense of the word) of the owner organization (Alexander, Keith, 1996). According to Barrett (1995) there are three approaches for opting the whole of FM services or part of it namely; out-sourced, in-house or a hybrid of both. The firm can choose any of the approach in order to get the FM services. The approach taken by the firm depends on the concerns or priorities already decided by the firm. In case of support providers some organizations goes for the totally in-house option, while some are in the favour of certain main services which are possible, the third type of organization is the one who uses the combination of both. Many companies have realized that in order to add value to its customers, they must single-mindedly concentrate on their core competencies and leave the running of vital, but yet time consuming and labor intensive peripheral activities to other more qualified operators confirms Sherratt (2000). 2.2. What is outsourcing Outsourcing means to have a contract with another company or person to do a particular function. Now a day almost every organization outsources some of its departments in some way. Usually, that function is being outsourced which is considered non-core to the business. Outsourcing takes many forms. Organizations still hire service providers to handle distinct business processes (Sourcingmag, 2009). Source: MacroTechs business process outsourcing model A term often used in the context of outsourcing is vertical integration. Vertical integration refers to the level of ownership of activities either backward into the supply chain or forward towards the customers or end-user of the product and service. Vertical integration is similar to the outsourcing concept in that it is concerned with the decision on whether to perform an activity internally or source it from an external supplier. Another term that is often used in manufacturing context is make-or-buy. It is arguable at make or buy is most appropriate term in context of outsourcing as it implies that there should be an evaluation of the suitability of either internal or external supply whereas the term outsourcing implies that the decision to use an external supplier has already been made without any consideration whether is it appropriate for the organization. Its necessary for the successful application of outsourcing to analyze whether it is necessary for the organization and h ow the outsourcing process should be managed (McIvor, Ronan, 2005). 2.2.1 Reasons behind outsourcing In todays business evolution, companies seek to remain strong or gain strength in an ecommerce-enabled marketplace. Likewise the factors driving outsourcing have evolved from a focus on solving financial problems to IT or certain business processes which contribute to the competitive success of an organization through enhanced capability, improved flexibility, increased efficiency or enhanced speed to market. Outsourcing has evolved from a survival tactic to a strategic competitive tool touted by even the most respected management consultants says Van Bon (2002:249). The areas which have not run on traditional lines can be introduced by the new ideas, technologies and new findings with the help of outsourcing which has a great positional in bringing the businesslike approach. It can help in upgrading the system or skills of the workers. It has a potential in bringing the reduced cost technologies by specializations and large scale economies. Outsourcing can help in upgrading the assets (Beitz,1998). Accoring to Heath (2010) outsourcing facilities management enables an organization to focus on its core business functions. Organization can gain many value-driven and many less visible benefits including:- Flexibility Increase and decrease staffing levels as needed, without having to interview, hire, or train a new employee or be forced to lay off employees when business slows. Productivity Because you are tapping into a pool of well-trained professionals who have access to the best processes, you immediately increase your productivity. Expert Assistance Rely on experts in facilities management to ensure that your company is operating efficiently and cost effectively. Better Service By having the right personnel available to handle your facility management issues, your customers will benefit as well. The cost-savings alone can make outsourcing management an attractive idea; instead of paying salary, bonuses, benefits, and taxes, as well as the administrative costs associated with those items, organization willl simply pay a flat rate that makes it easy to budget and plan. 2.2.2 Outsourcing relationship management process (the modern outsourcing model) In the new era of outsourcing, the customer regards the vendor as a long-term asset that is a source of ongoing value to the company. An asset, time and resources are dedicated to the management of a relationship, thereby maximizing its value. The customers resources are held accountable for extracting value from the outsourcing relationship. This is a more strategic approach. Good relationship management requires thought, planning, coordination and dedication of resources to be successful. Management cannot overlook the importance of this structure and its supporting processes. Good relationship management can be used to fix many ills inherent in a sourcing transaction. While this area of expertise is relatively immature, it is nonetheless important if the promise of outsourcing is to be realized concludes Van Bon (2002). Often a person called the client contract manager of an outsourcing deal is left to determine what was just negotiated after the outsourcing contract is signed. Van Bon (2002: 258) has shown that in a lot of situations this is a recipe for disaster, when it comes to realizing the benefits of outsourcing. Fortunately in todays world, organizations realize the importance of processes and a sound governance model by the time the deal is finalized. The big questions to be asked is how does one go about building into the process and how does one operate the process after an outsourcing deal is done? When an outsourcing deal has taken place, interdependency exists between the two companies. Both the vendor and the customer therefore change, as the one affects the other. Therefore both parties must understand the cost drivers of the two infrastructures and coordinate changes so as not to introduce additional costs into the process. Both the customer and the vendor must behave as an integrated supply chain rather than as win or lose adversaries. MTW (2010) found in this research that the FM market has become increasingly characterized by closer relationships between suppliers and contractors, as greater efficiencies and lower procurement costs are sought. During 2009, several FM companies established programs specifically designed to improve supplier relationships to ensure that material and equipment suppliers were aligned with customer relationship principles and accountable for their own supply chains. 2.3. Types of outsourcing For the purpose of this study and based on the area of study on which the author is focusing, there are two types of outsourcing models identified by Greaver, F. Maurice (1999):- Total outsourcing: In this type of outsourcing, organizations outsource all of their activities. It is easiest way to in the easiest way to get good results with less effort. Service provide so same things but they produce better results, mostly organization choose it as it saves money. Selective outsourcing: Some times organization does not want to outsource all the activities of an individual, function or process. In Facility Management industry if an organization wants to outsource its whole building control but keeps automated entry exit control in their own system to make sure who come in and leaves the building and when. Most successful experiences were associated with a reasoned, incremental and selective approach to outsourcing which is increasingly reflected in the structure of the market confirms Willcocks and Fitzgerald (1994). Table 2.1 Types of Outsourcing and the risks associated with them. In-house Commitment Selective Outsourcing Total Outsourcing Total Attitude Core Strategic Asset Mixed Portfolio Non-Core Necessary Cost World Class Provision Providers IT Employees Loyal to Business the Horses for Courses Vendor Strategic Partner Emphasis Value focus Value for Money Money Added Value? Dangers High Cost Insular Unresponsive Management Overhead Exploitation by Suppliers Unbalanced Risk/Reward Innovation Source: Alexander (1996) This table 2.1 shows that all arrangements have inherent risks associated with them, in addition to the above types of outsourcing, Other types of outsourcing services as defined by Glomark-Governan (2006) include Business Process Outsourcing (BPO) which involves the transfer of management and execution of one or more complete business processes or entire business functions to an external service provider. Research done by Currie and Willcocks (1997:180) concludes that most companies chose selective outsourcing. In the United States only 8% has gone total outsourcing and in the United Kingdom only 2%. This figure as low since total outsourcing is very risky. Data collected on total outsourcing indicates a 35% failure rate. With total outsourcing, vendors build in a high switching cost. Total outsourcing should be done on a joint risk-reward basis and never on a fee-for service (time and material) contract. It is recommended that re-negotiation stages be included in the original contract of big deals. 2.4 Advantages of outsourcing Turban et al. (2002) describes following advantages of outsourcing FINANCIAL Avoid heavy capital investment, thereby releasing funds for other uses Improve cash flow and cost accountability Realize cost benefits from economies of scale, and from sharing computer housing, hardware, software and personnel Release extensive office space TECHNICAL Be free to chose software due to a wider range of hardware Achieve technological improvements more easily Have greater access to technical skills MANAGEMENT Concentrate on developing and running core business activity Eliminate need to recruit and retain competent FM staff HUMAN RESOURCES Draw on specialist skills, available from a pool of expertise, when needed Enrich career development opportunities for staff QUALITY Clearly define service levels Improve performance accountability Earn quality accreditation FLEXIBILITY Respond quickly to business demands 2.5 Disadvantages of outsourcing In spite of the numerous advantages mentioned above, there can also be less desirable consequences. Most concerns are explored further (Bucki, James. 2010). Availability: The external provider is not always available full time and may be committed to other clients. Confidentiality: The vendor will probably need to keep some of the customers records off-site while simultaneously working with competitors. Cost: The customer may perceive that unit costs for the external provider are high. Termination costs of an agreement can also be very high. Perceived lack of accountability and commitment: There is a possibility that a customer can end up with a provider that does not share the risks of the client and is committed to the agreement. 2.6 Outsourcing decision making Research done by Caruso (1996) found that the decision to outsource non-core competencies takes place at corporate level in 50% of the cases. A third takes place at the divisional level and 15% at operational level. Normally other departments such as finance, Marketing and Human Resources are also involved in the decision. These departments play a significant role in the selection process. The final decision on which vendor to use is done at corporate level. Glomark-Governans (2006) also found that the finance department is involved with the cost calculations and the Human Resources department concentrates on the smooth transition of employees. The Human Resources department is also responsible for monitoring employee moral throughout the company before, during and after the outsourcing transition has taken place. The Marketing department would then explain the new strategic relationship of the company with the vendor customer and concentrate on the benefits the customer will reap from the outsourcing arrangement. Vendors should be selected based on their total capabilities, not just price or a single aspect of what they can do. References and reputation are only two of the criteria that should be used when making the final decision on which vendor to contract. A reasonable price should be negotiated and performance measures put in place. When selecting a vendor, close attention should be paid to how candidates measure up in the areas of financial strength, business experience, business development, support services and business arrangements. Willcocks et al., (1997) also found that assessing outsourcing intangible benefits also requires a careful investigation of links between the technical, the operational, and the economic effects of the benefit. The result provides a sound framework for identifying the measurable variable needed for the economic quantification. As a simple example: Technical benefit an on-line sales force Web service enables sales professionals in a company to produce reports with key content designed for executives in their accounts. Operational benefit with the new reports available, the sales representatives can increase the number of meetings with senior managers in their accounts Economic benefit an increase in meetings with senior managers will increase the close rate. The close rate (number of orders closed as a percent of proposals presented) is the measured variable that can be used to define the benefit formula (means of economic quantification). 2.7 Facilities management outsourcing Since cresting as a trend in the mid-to-late 80s, the outsourcing of facilities management has now simply become a way of doing business. In the last decade, many facilities managers have exchanged the traditional carts and hard hats for seats in boardrooms with titles like VP of capital assets or VP of real estate. At meetings, they build strong cases for maintaining existing facilities; persuading their brethren that buildings which hold their value are as important to the core mission of their organization as developing a new product or pouring millions into new research (Helene, McEntee, 2000). Facilities management has changed significantly since the early 1990s. In the early days, such tasks were decentralized. Store or district managers made service vendor selections and managed repair decisions. Often, those providing services were relatives or friends. The corporate headquarters usually had no view into facilities issues at the store level (Barrett, P.,  Baldry, D., 2003). By the mid 1990s, centralization became the norm. Major tasks, such as procurement and new construction, became centralized at the home office to achieve buying power. Centralization also found its way to facilities management. Facility maintenance departments began to grow, adding headcount to manage the needs of multiple locations while offloading tasks from onsite managers (Barrett, P. Baldry, D., 2003). By the late 1990s, web-based management solutions emerged, known as computerized maintenance management systems (CMMSs). The promise of a CMMS was the connection of all interested parties, including the store manager, facilities manager and service vendors. Unfortunately, service providers often did not have computers and the malls were not connected to the Internet, leading to system inefficiencies (Nakayama, M. Sutcliffe, N. 2005). By about 2002, affordable Internet access and the proliferation of broadband connections led to the emergence of powerful new facility management solutions. Leveraging portals and email, facilities management was embracing modern technology to improve communications and accountability (Nakayama, M. Sutcliffe, N. 2005). Blumberg (1998) presents new viewpoint to explain the FM outsourcing in terms of its positional benefits. FM outsourcing provides the organization many benefits. It helps in reducing the cost of the organization that opt it as the service provider company provides high quality services with the comparatively low cost. It is useful in improving the operating efficiency as the workload is shared. The net effect will be on the returns, they will increase and In contrast to Bloomberg (1998) and Kotabe (1992), if organization outsource its FM sector it will lead to the loss of overall market performance. He says that innovation will be neglected in case of reliance on outsourcing. When outsourcer does not want to be innovative he outsources its FM as it is much easier in contrast to indulge in innovations. The end result is the decline in the technological advancements which is the base in the innovations in the product and process. According to Nutt (1999) FM is improving the overall efficiency of the organization. It is a huge deportment in establishing values for all the facilities seekers. Corporations, individual employees, clients, operating units are the chief facilities seekers. FM is growing day by day and because of its increasing demand this market has created a much more competitive marketplace. Different types of FM companies has been established to fulfil its increasing demand such as FM contractors, professional FM institutions, FM suppliers, FM consultants and in-house FM teams. 2.8 Developing a facilities management structure Atkin, B. Brooks, A (2009) states that for the efficient and effectively management of facilities, stout strategies must be developed in the framework of organizations strategic business plan and accommodation strategy. These strategy should include development of strategic objectives and a business plan for the FM function. The process of developing a Fm strategy is demonstrated in Figure 2.2, which shows three main stages with their elements. These three stages are:- Strategic analysis Developing solutions Strategy implementation Figure 2.2 Source: Atkin, B. Brooks, A (2009) There is no single formulation of facilities management that will fit all situations. Nonetheless, the concept of the informed client function is common to all situations. Most buildings represent substantial investments for organisations and usually have to accommodate and support a range of activities in the organisations core business, for which an appropriate environment must be created in buildings that may not have been designed for the purposes for which they are now used. Yet, no matter how well focused on organisation might be on its core business, it cannot lose sight of the supporting services the non-core business. The relationship between two is shown in the figure 2.3. Organisations may have already considered the distinction between their core business and non-core business (such as security, payroll or cleaning) as part of the drive to deliver customer satisfaction and achieve best value (Atkins, Brian Brooks, Adrian, 2009). Figure 2.3Source: Atkins, Brian Brooks, Adrian (2009). 2.9 Facilities management Information Technology History of computer-aided facilities management (CAFM) dates back to the early 1960s when space forecasting and inventory applications were first run on expensive mainframe computers by people writing their own programming codes. With the passage of time architectural planning and construction project management were added to the suite of applications running on the systems shown in figure 2.4. The number of people writing their own code based on office automation software increased dramatically with the advent of smaller computers. Islands of automation introduced in the market during 1970s and 1980s, CAFM began to be used for other applications such as furniture inventory, lease management, aqsset management, and building cost accounting CMMS application such as maintenance management, cable management and security began during late 1980s and 1990s during the end of 1980s internet was introduced and it was revolution in the automated system. Many firms created their own softwares t hose fits in their organization (National research council, 2001). Figure 2.4 Space Asset CMMS (Computerized Maintenance Inventory Management Management System) 1960sà ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦1970sà ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦1980sà ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦.1990sà ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦.à ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦..2000s Mainframe > PC Islands > CAFM > Internet Source: National research council (2001) Today facilities managers use several software tools. Each of these tools processes and stores only specific information. Only FM specific tools are included in the following list, general tools like email, workflow, word processing belong to underlying IT base support (Redlein, Alexander, 2004). Computer Aided Facility Management Systems (CAFM) Geographic Information Systems (GIS) Enterprise Resource Planning Systems (ERP) Building automated Systems (BA including security systems) Management Information system (MIS) (Business Data Warehouse Systems) As mentioned above, all of the tools are engaged in the day to day objective process. Even in one field one toll alone cannot handle or support all the needed processes. The following table 2.1 shows how the main basic processes of FM can be supported by the software systems (James, R. Watson, R., 2009):- Table 2.1 Main processes and IT support Support of CAFM ERP BA Maintenance Drawing, equipment location Maintenance contracts, cost accounting, billing Technical data, status of equipment Space Management Drawing, current user Cost accounting, transparency Technical data Tenant management Current user Tenancy agreement, rental fee Technical resources Sales / Marketing Visualization, adaptation to customers needs Information systems, calculation Available technical resources Source: National institute of building sciences Computer-aided facilities management system (CAFM) There are many Computer Aided Facility Management (CAFM) tools available today. They have become an essential tool for increasing and maintaining the efficient use of space in your buildings. As a planning tool, CAFM can help by creating trial layouts and comparing space efficiencies. CAFM helps track and control the use of assets like furniture and equipment. CAFM can help allocate asset costs to operating units and track employee movements. Many CAFM applications have options to aid in scheduling the use of shared space or maintenance routines like landscaping or snow removal. CAFM also enhances the effectiveness of facility safety and security. Following benefits could be achieved by implementing CAFM system (Teicholz, Eric, 1995) Increased Efficiency of Asset Utilization Automates space charge-backs based on your billing and reporting requirements Link architectural drawings with facilities and infrastructure data, ensuring information is always accurate Allocates space usage and reports charge-backs with accuracy to avoid external or inter-departmental billing disputes. Enterprise Resource Planning system (ERP) ERP is back office software which focuses on the key business functions of manufacturing, supply chain management,  CRM, financial management and  Project Management. A well implemented ERP solution will improve the efficiency of the enterprise, reduce money tied up in stock/work in progress, and run a Just in Time inventory system (BBC, 2005). Building automated system (BA) Building automation  describes the functionality provided by the control system of a building. A building automation system (BAS) is an example of a  distributed control system. The control system is a computerized, intelligent  network  of electronic devices, designed to monitor and control the mechanical and lighting systems in a building (Redlein, Alexander, 2004). BAS core functionality keeps the building climate within a specified range, provides lighting based on an occupancy schedule, and monitors system performance and device failures and provides email and/or text notifications to building engineering staff. The BAS functionality reduces building energy and maintenance costs when compared to a non-controlled building. A building controlled by a BAS is often referred to as an intelligent building system (Daintree Networks, 2009). As it mentioned in the section 2.7 that in around 2002, affordable Internet access and the proliferation of broadband connections led to the emergence of powerful new facility management solutions. Leveraging portals and email, facilities management was embracing modern technology to improve communications and accountability (Nakayama, M. Sutcliffe, N. 2005). 2.10 The evolution of outsourcing in the FM market Companies have become more efficient at reducing costs, and this is sometimes difficult to do effectively through in-house facilities managers. They are often constrained by internal political pressures and vested interests, and often they lack the expertise to manage change. Change within a company is a major challenge to any chief executive. By outsourcing to professionals, the outsourcing company becomes the change agent and a company is able to re-engineer and reposition itself more quickly and efficiently says Jackson (1997). Figure 2.1 Trend in FM outsourcing Source: Holzhhauzen 1999:9 From traditional in-house facilities management, the trend moved towards contracting certain non-core competencies. It then developed into outsourcing non-core competencies to a number of outsourcing firms. The trend is now developing further to full facilities management, which takes the risk away form the customer and places it on the shoulders of a single vendor (Holzhhauzen 1999). Since the early 1990s FM has shows the tremendous growth, as different sectors and organizations are interested in control of operational efficiencies and cost. Now a day there is a trend in private companies to focus on the core competencies. So these companies are interested in adopting the outsourcing in order to increase the efficiency as well as output of a company (AMA Research, 2009). FM sector has shows tremendous success over the last 25 years. Many professional bodies are supporting the growing number of FM practitioners all over the world to establish this market as a worldwide brand. It has been controlled by the global network of FM educational providers who worked jointly with the professionals related to this field, they also have collaboration with the academic community which provides them with the unique and challenging ideas to develop this market. According to writer there is variety in the practice of FM but the main idea of its establishment remains the same which helps in maintaining its distinctiveness (Grimshaw, 2001). The back casting exercise provided an opportunity of reflecting on the short history of Facilities Management, charting its development and evolution. At the European Facilities Management Conference in Manchester (EFMC08) the vision of a new wave of Facilities Management was proposed in response to the context of post-industrial cities. A leading role for FM in urban sustainability was envisaged, with an emphasis on innovation and creativity, community based planning and open sourcing (EFMC, 2008). 1970s 1G Managed services, outsourcing Operational total facilities management, CAFM 1980s 2G Quality management, management agency Tactical benchmarking, FM processes, FIMS 1990s 3G Partnering, re-engineering processes, Strategic knowledge management, product innovation, sustainable facilities management 2000s 4G Business processes, open innovation, usability, Transformational service excellence, transformational outsourcing, As Facilities Management enters a fifth decade and, perhaps a fifth generation in the development of Facilities Management, what will the next generation be like? (EFMC, 2008). 2.10.1 Facilities management outsourcing trend in the world Europe is now the worlds biggest market for outsourcing. In 2004, Europe accounted for 49%

Chicano Studies: Ignacio M. Garcia and Guadalupe San Miguel :: essays research papers

The first article I have chosen is, â€Å"Juncture in the road: Chicano Studies Since: â€Å"El plan de Santa Barbara† by Ignacio M. Garcia. I have chosen this particular article for various reasons. One is because reading the first few paragraphs of the article stirred up many emotions within me. I found myself growing angry and once, again, repulsed by the United States discrimination system. The more knowledge I obtain on the United States, on its past and how it develops today, I can finally say that I resent everything it stands for and embarrassed being part of it. I would rather say that I am a country of one†¦myself. The second reason for choosing this article, was because it was an easy read for me as well as the topic being discussed was intriguing. The first paragraph gives the readers and idea of the growing interest on Chicano Studies. It’s has developed over the course of twenty-six years and obtaining more non-chicano intellectuals that have absolutely no connection thus having no clue if studying the history of Chicanos. Part of the reason for everyone’s sudden interest in Chicano Studies is to integrate it into a larger ethnic study programs. The downfall of integrating the studies is that it places limitations on other courses that intervene with the major academic departments. The new development of Chicano Studies is really an excuse to teach genuine studies and to allow teachers to implement connected programs to receive a permanent status within their careers. Another part of keeping Chicano Studies in succession is to deliberately undermine its true meaning as well as keep it understaffed and under financed. This situation diminishes the programs ability to do community service for further future devel opments. This is critical for the readers to know the show the bias, injustice, and premeditated ignorance of the United States educational system. It also demonstrates that Chicano Studies is not important regardless of the Hispanic population in this supposed â€Å"free† country. It seems as if the Chicano Studies was made only to fail by keeping it under funded and understaffed. By doing so, it has an affect on keeping away good scholars to maintain the historical development of Hispanics in the United States as well as its own history. When the Chicano programs do get a minimal break such as receiving enough funding, gain departmental status, and have courses be part of the general education requirements, there would some body in the shadows sneering at the progress.

Macbeth Relationship Analysis Essay -- essays research papers

MACBETH RELATIONSHIP ANALYSIS I found the relationship between Macbeth and Lady Macbeth very interesting in the play. In Act I they are completely devoted to each other. Love, respect and trust are the contents of their relationship. The trust in the relationship is revealed right at the beginning when Macbeth sends his wife a letter telling her about the witches and the predictions “This have I thought good to deliver to thee, my dearest partner of greatness, that thee mightst not lose the dues of rejoicing by being ignorant of what greatness is promised thee.'; (I, v, 10-13). The affection between the two is clearly shown when Macbeth salutes his wife with “My dearest love'; (I, v, 58) and also on the letter where he says “…my dearest partner of greatness…'; (I, v, 11). The respect comes when Macbeth listens to his wife, which talks about the murder. He respects her opinion and gives her a polite answer “We will speak further.'; (I, v, 71). In Act I, ii we see that King Duncan considers Macbeth a brave soldier and good man “O valiant cousin, worthy gentleman!'; (King Duncan, I, ii, 24). This can be considered a weakness or, perhaps, strength in the relationship, it depends on the point of view. It is a weakness if we analyze Macbeth’s side. He is “…too full o’ the milk of human kindness…that wouldst thou holily; wouldst not play false…'; (I, v, 16 & 21). It is strength if we analyze Lady Macbeth’s side. She has a very strong nature and knows Macbeth’s weak points, therefore manipulating and controlling the relationship. She uses of a great argument in Act I, vii accusing Macbeth for not having the courage to do what he wants “Wouldst thou have that which steem’ st the ornament of life, and live a coward in thine own steem, letting “I dare not'; wait upon “I would';, like the poor cat i’ th’ adage?'; (I, vii, 43-46). Her feelings are so strong that Macbeth gives in completely. She is very ambitious, not only for herself but also for Macbeth “Glamis thou art, and Cawdor, and shalt be what thou art promised.'; (I, v, 15-16). She has such a determination to get for Macbeth what he wants “Only look up clear. To alter favor ev... ...V, v, 17-18). Macbeth fights and dies bravely, for it was his nemesis have his head shopped off by a man not born of woman “Behold where stands th’ usurper’s cursed head. The time is free';(Macduff, V, viii, 54-55). Their characteristics showed how they completed each other, so the relationship was stable. For Macbeth was weak and needed a woman with great determination and strength, such as Lady Macbeth, to support him and make him goes forward on his plans. We also can see how the relationship fell apart according to the sequence of events, which lead them to “switch positions';, he became strong and she became weak, and how they died for the bad they’ve done. “What’s more to do which would be planted newly with the time, as calling home our exiled friends abroad that fled the snares of watchful tyranny, producing forth the cruel ministers of this dead butcher and his fiendlike queen—who, as ‘tis thought, by self and violent hands took off her life—this, and what needful else that calls upon us, by the grace of Grace we will perform in measure, time and place.'; (Malcolm, 65-74)

Amathophobia :: Eliot Wasteland Maddy Future Present Past Essays

Amathophobia Death is the great equalizer. We all have unique experiences in life, but we each succumb to the same final fate. Rich or poor, strong or weak, exalted or scorned; everyone is humbled when faced with his own mortality. Death does not play favorites, and Death will find everyone. Though often frightening, some argue that the thought of death also heightens appreciation of life. British novelist EM Forster wrote, "Death destroys a man, the idea of Death saves him." Indeed, knowing that time on earth is limited can motivate people to take risks. The term "carpe diem" implies that life is short, and every moment must be captured before it expires. The urgency of this phrase stems from the common fear of leaving things unfinished or unattempted. Fear is a powerful motivator, and death is the ultimate fear. Death is the primary theme in TS Eliot’s The Wasteland. Written just four years after the conclusion of World War I, The Wasteland mirrors the despair felt by much of the post-war generation. The poem begins with a section titled "Burial of the Dead." In this section Eliot deems April "the cruelest month, breeding lilacs out of the dead land, mixing memory and desire, stirring dull roots with spring rain." With these lines, Eliot suggests that springtime’s regeneration of life only causes people to remember what was lost in the past. Eliot again addresses death in the very next stanza: What are the roots that clutch, what branches grow Out of this stony rubbish? Son of man, You cannot say, or guess, for you know only A heap of broken images, where the sun beats, And the dead tree gives no shelter, the cricket no relief, And the dry stone no sound of water. Only There is shadow under this red rock, (Come in under the shadow of this red rock), And I will show you something different from either Your shadow at morning striding behind you Or your shadow at evening rising to meet you; I will show you fear in a handful of dust. This stanza is teeming with biblical allusions. The speaker is talking to Jesus, "the Son of man," about a "dead tree [that] gives no shelter," thereby hinting that Christ’s death on the cross (or "dead tree") yields little comfort. Eliot also mentions a "dry stone" with "no sound of water." In John 4:7-26, Jesus tells a Samaritan woman that whomever drinks the living water he provides will never thirst again.

Data Flow Diagram

mywbut. com Data Flow Diagrams (DFDs) 1 mywbut. com Specific Instructional Objectives At the end of this lesson the student will be able to: †¢ †¢ †¢ Identify the activities carried out during the structured analysis phase. Explain what a DFD is. Explain why constructing DFDs are important in arriving at a good software design. †¢ Explain what a data dictionary is. †¢ Explain the importance of data dictionary. †¢ Identify whether a DFD is balanced. Structured Analysis Structured analysis is used to carry out the top-down decomposition of a set of high-level functions depicted in the problem description and to represent them graphically.During structured analysis, functional decomposition of the system is achieved. That is, each function that the system performs is analyzed and hierarchically decomposed into more detailed functions. Structured analysis technique is based on the following essential underlying principles: †¢ †¢ †¢ Top-down de composition approach. Divide and conquer principle. Each function is decomposed independently. Graphical representation of the analysis results using Data Flow Diagrams (DFDs). Data Flow Diagram (DFD)The DFD (also known as a bubble chart) is a hierarchical graphical model of a system that shows the different processing activities or functions that the system performs and the data interchange among these functions. Each function is considered as a processing station (or process) that consumes some input data and produces some output data. The system is represented in terms of the input data to the system, various processing carried out on these data, and the output data generated by the system. A DFD model uses a very limited number of primitive symbols [as shown in fig. 5. 1(a)] to epresent the functions performed by a system and the data flow among these functions. 2 mywbut. com External Entity Process Output Data Flow (a) Data Store number readnumber validatenumber data-item valid number (b) data-item readnumber validatenumber validnumber number (c) Fig. 5. 1 (a) Symbols used for designing DFDs (b), (c) Synchronous and asynchronous data flow Here, two examples of data flow that describe input and validation of data are considered. In Fig. 5. 1(b), the two processes are directly connected by a data flow. This means that the ‘validate-number’ process can start only after the ‘readnumber’ process had supplied data to it.However in Fig 5. 1(c), the two processes are connected through a data store. Hence, the operations of the two bubbles are independent. The first one is termed ‘synchronous’ and the second one ‘asynchronous’. Importance of DFDs in a good software design The main reason why the DFD technique is so popular is probably because of the fact that DFD is a very simple formalism – it is simple to understand and use. Starting with a set of high-level functions that a system performs, a DFD model 3 mywbut. com hierarchically represents various sub-functions. In fact, any hierarchical model is simple to understand.Human mind is such that it can easily understand any hierarchical model of a system – because in a hierarchical model, starting with a very simple and abstract model of a system, different details of the system are slowly introduced through different hierarchies. The data flow diagramming technique also follows a very simple set of intuitive concepts and rules. DFD is an elegant modeling technique that turns out to be useful not only to represent the results of structured analysis of a software problem, but also for several other applications such as showing the flow of documents or items in an organization.Data dictionary A data dictionary lists all data items appearing in the DFD model of a system. The data items listed include all data flows and the contents of all data stores appearing on the DFDs in the DFD model of a system. A data dictionary lists the p urpose of all data items and the definition of all composite data items in terms of their component data items. For example, a data dictionary entry may represent that the data grossPay consists of the components regularPay and overtimePay. grossPay = regularPay + overtimePay For the smallest units of data items, the data dictionary lists their name and their type.Composite data items can be defined in terms of primitive data items using the following data definition operators: +: denotes composition of two data items, e. g. a+b represents data a and b. [,,]: represents selection, i. e. any one of the data items listed in the brackets can occur. For example, [a,b] represents either a occurs or b occurs. (): the contents inside the bracket represent optional data which may or may not appear. e. g. a+(b) represents either a occurs or a+b occurs. represents iterative data definition, e. g. {name}5 represents five name data. name}* represents zero or more instances of name data. represe nts equivalence, e. g. a=b+c means that a represents b and c. {}: =: /* */: Anything appearing within /* and */ is considered as a comment. 4 mywbut. com Example 1: Tic-Tac-Toe Computer Game Tic-tac-toe is a computer game in which a human player and the computer make alternative moves on a 3? 3 square. A move consists of marking previously unmarked square. The player who first places three consecutive marks along a straight line on the square (i. e. along a row, column, or diagonal) wins the game.As soon as either the human player or the computer wins, a message congratulating the winner should be displayed. If neither player manages to get three consecutive marks along a straight line, but all the squares on the board are filled up, then the game is drawn. The computer always tries to win a game. display Tic-Tac-Toe Software 0 move Human Player (a) displayboard 0. 1 validatemove 0. 2 game move board result checkwinner 0. 4 playmove 0. 3 (b) Fig 5. 2 (a), (b) Level 0 and Level 1 DFD for Tic-Tac-Toe game described in Example 1 5 mywbut. comIt may be recalled that the DFD model of a system typically consists of several DFDs: level 0, level 1, etc. However, a single data dictionary should capture all the data appearing in all the DFDs constituting the model. Figure 5. 2 represents the level 0 and level 1 DFDs for the tic-tactoe game. The data dictionary for the model is given below. Data dictionary for the DFD model in Example 1 move: display: game: board: result: integer /*number between 1 and 9 */ game+result board {integer}9 [â€Å"computer won†, â€Å"human won† â€Å"draw†] Importance of data dictionaryA data dictionary plays a very important role in any software development process because of the following reasons: †¢ A data dictionary provides a standard terminology for all relevant data for use by the engineers working in a project. A consistent vocabulary for data items is very important, since in large projects different engine ers of the project have a tendency to use different terms to refer to the same data, which unnecessary causes confusion. The data dictionary provides the analyst with a means to determine the definition of different data structures in terms of their component elements. Balancing a DFD The data that flow into or out of a bubble must match the data flow at the next level of DFD. This is known as balancing a DFD. The concept of balancing a DFD has been illustrated in fig. 5. 3. In the level 1 of the DFD, data items d1 and d3 flow out of the bubble 0. 1 and the data item d2 flows into the bubble 0. 1. In the next level, bubble 0. 1 is decomposed. The decomposition is balanced, as d1 and d3 flow out of the level 2 diagram and d2 flows in. 6 mywbut. com (a) Level 1 DFD (b) Level 2 DFD Fig. 5. 3: An example showing balanced decomposition 7

Review & Critical Thinking: Music of the World Essay

1. What are the Hurrian songs? Why are they important? The Hurrian songs are a set of fragmentary relics as well as a nearly complete example of notated music from around 1400 BCE. They are important because it was the first piece of evidence that there was written musical pieces and these songs were played during important life events such that as marriages and royal family births. 2. What is the Natya Shastra? Why is it important? The Natya Shastra is a written discourse on the performing arts, including music, dance, stage performances, and that alike. The importance of music to ancient India is best seen through Natya Shastra. It was also important because it gave quite detailed information on the types of instruments that were used at the time and forms of music that was popular. 3. Who were troubadours? What was their music like? Troubadours were traveling poet-musicians who traveled from place to place, singing and performing for the upper class. Their music was generally monophonic and accompanied themselves with an instrument like the lyre or drums. 4. What are the modes in Western music? Describe at least one mode in Western music. There are seven different modes: Dorian, Ionian, Phrygian, Lydian, Mixolydian, Aeolian, and Locrian. Dorian mode in C begins and ends on D. 5. What is polyphonic music? How does it differ from monophonic music? Polyphonic music uses two or more independent melodies; whereas monophonic music has only one independent melody. Critical Thinking Questions 1. Why did early humans develop music? What are some of the ways that they were thought to create music? Some scholars believe that music developed from natural sounds and rhythms and humans mimicked these sounds, as they are known to mimic the noises they hear. Therefore early music was likely simple sounds repeated for enjoyment and to create reactions from animals during hunting. Some of the ways they were thought to create music was through their own voices and created instruments. 2. Why is the study of  prehistoric and ancient music important? What can we learn from it? The study of prehistoric and ancient music is important because it gives us insight and understanding of where we evolved from and how we advanced in music up until this very day, and we wouldn’t know just how well we advanced if we did not study prehistoric and ancient music. From this we can learn how the musical instruments in both time periods were used and what use they may have had. 3. What roles did music play in the life of prehistoric and ancient people? Are the roles similar to or different from the roles that it plays today? In the past music was not as big of a deal as it is today. Some individuals may have used music for entertainment but the main use of music in prehistoric and ancient times was for religious reasons such that of ceremonies. The roles are different in that we use music for a multitude of reasons, whether it be to wake us up for school or aid us in sleeping; or even when we need something to cheer us up after a long and hard day or maybe something to calm us down after a heated argument. We use music today for our enjoyment as well as for our emotions. 4. What were the effects of musical notation on music, society, and composers? Music notation allows for multiple people to be able to learn to play an instrument without hearing it as well as having written documents of composers long after they have passed. It also allows a composer to create music without always having to remember it at the top of their head. 5. Describe medieval music’s relationship with the Catholic Church. How was the music influenced by the Church? The Catholic Church influenced medieval music during the Middle Ages through chanting and performances by monks but soon developed melodic sounds which were harmonized together. The Catholic Church did not use musical instruments and those who attended their performances liked the noise that was being produced by the church.