Monday, August 24, 2020

Aapl Valuation Fcff Essay

Our cutting edge economy depends upon the innovation area to improve quality, efficiency, and productivity. Apple’s first PC was created around the 1970’s. From that point forward they have outperform probably the greatest contender Microsoft (MFST). Apple isn't just known for its extraordinary plans, fun, and natural items. Their items have been beneficial and made an immense benefit for the private area. Moreover, there is no halting point for Apple, it will proceed to develop and produce riches. There have been different occasions since Apple opened up to the world that have created exceptional yields because of the instability of the anchoring PC industry. In this manner, I trust Apple is in high development stage, because of the numerous new advancements that have came out and are going to come out, for example, the Iphone 5, new Ipad Mini, and another line of Mac figures due out in 2013. Information: To assess Apple’s stock, I have decided to utilize the Free Cash Flow for the Firm model (FCFF). This model is an estimation of the money related execution of an organization that expresses the money produced from the firm, which is then deducted by the firm’s costs, charges, Net Working Capital, Depreciation, and Capital Expenditures. Generally, this equation is an estimation of the company’s gainfulness after all costs and reinvestments. The information that I have gathered to give a future assessment of Apple’s stock is as expressed. The information started toward the finish of 2011 and is completely communicated as millions. CAPEX was $11,768, Depreciation was $3,991, EBIT was $33,790, NWC was $17,018, absolute liabilities were $39,756, the quantity of offers exceptional were 937. 4, and the parameters given for the High development and Low development were Tax rate as 34%, Treasury bills were 2. %, Market Risk-Premium was 4%, and the high development time frame is for a long time; consequently, from 2012 to 2019 Apple is under high development at 5. 5% and for 2020 apple balances out at 3%. Besides, the limits that were accommodated high development were as expressed. The Debt-Equity proportion was 40%, which is utilized to discover the heaviness of obligation (Wd) and weight of value (We). In co nclusion, the expense of obligation (Kd) given is 4. 75% and the present Beta was established through Scottrade and was . 86. Notwithstanding, for stable development the information contrasted. For example, the Beta, which was 4/5 of the high development Beta, Debt-Equity proportion is 25%, and the expense of obligation (Kd) is 4. 25%. With everything taken into account, the FCFF model will give the natural estimation of the firm and of the stock; in this manner, it will be contrasted with the present market cost of the stock. Results: The projections, alongside the equations utilized, for the assessment of Apple ‘s stock can be found in the Excel worksheet gave. To begin with, I will go over the outcomes for the high development stage. For example utilizing the Debt-Equity proportion, the loads for obligation and value were 28% and 71%. Since the proportion was given and not a rate communicated as weight, Wd+We=1 was utilized to discover the loads. These loads are reasonable in wording that Apple contains an excess of L. T. obligation. From that point the CAPM model was utilized to comprehend for the (Ke), which was 5. 94%. Likewise, the Weighted Average Cost of Capital (WACC) was established utilizing the above requirements. This was 5. 14%, which expresses that Apple doesn't require a high pace of return for future mergers or developments. This additionally gives the premiums that Apple needs to pay for each dollar it accounts. Ultimately, by utilizing one of the significant valuation models, for example, the DCF, the Present Value, which distinguishes the characteristic estimation of the organization, was established for every high development year. Second once Apple settled after year 2019, the forecast of development is 3%, and Beta was anticipated to be . 96. Once more, by utilizing the limits expressed over: the (Ke), weight of value/obligation, and WACC were as follow 6. 34%, 80%, 20%, and 5. 63%. These numbers were fairly like its high development stage; in this manner, meaning Apple is as yet a solid organization once it settles. However, another motivation behind why Apple can give such alluring returns. On the other hand, finding the Terminal Value (Pt) of the organization, which is the estimation of the organization at a future year, anticipated the PV for stable development, for this situation it was 2020. The (Pt) was over $1 billion, once more another motivation behind why Apple makes an extraordinary venture opportunity. Also, by including the entirety of the PV, including the steady development year, the natural estimation of the firm is over $966 million and less the present estimation of obligation, Apple is as yet worth (estimation of value) over $926 million. This value separated the present number of offers remarkable; Apple’s inborn estimation of stock is $988. 80 for every offer. By correlation the present stock value, which is $649. 79 for every offer, the stock worth is underestimated. Moreover, making (AAPL) a remunerating opportunity that must not be underestimated. End With remarkable projections by Apple my suggested technique is basic and includes choices. Reason being is that universal speculations don't give incredible returns in an unpredictable market. Hence, by assessing apple presently thinking about future parameters, exchanging Apple as a choice will give appealing returns. Since Apple developments rate is far more prominent than its P/E proportion, its drawn out pattern will be certain; along these lines, making it an alluring to some degree sure thing. For example, purchase a few schedule spreads at a strike beneath, at, or more the stock cost. In the event that (AAPL) moves between $10-$15 higher at that point sell the most reduced strike spread, and supplant it with a higher one around $4 to $6 more than the one sold. This ought to be opposite if the stock value falls in cost. All things considered, this is an every day exchange technique, yet it can possibly give great returns since the day rate for the brief weeks is more noteworthy than month to month rot rates.

Saturday, August 22, 2020

Inventory :: essays research papers

          Name:                    Job #:                                                         # of     APPLIANCES     ft ³     TOTAL     # of     BEDROOM1/2/3/4/5     ft ³     TOTAL           Air Cond. /Window Lg.     20     0          Bed Waterbed Base     10     0           Air Cond. /Window Sm.     15     0          Bed, Bunk (Set 2)     70     0           Dehumidifier     5     0          Bed, King     70     0           Dishwasher     20     0     1     Bed, Queen     65     65      1     Dryer     11     11          Bed, Rollaway     20     0           Freezer, 10' or less     30     0          Bed, Single/Hollywood      40     0           Freezer, 11' to 15'     45     0     2     Bed, Std/Dbl./Full     60     120           Freezer, 16' or more     60     0          Book Box     6     0           Range, 20" Wide     10     0          Chair, Boudoir     10     0           Range, 30" Wide     15     0     2     Chair, Straight     5     10           Range, 36" Wide     30     0          Chaise Lounge     25     0           Refrig. 11 ftâ ³ or more     60     0     3     Chest of Drawers     25     75           Refrig. 7 to 10 ft ³     45     0          Chest, Armoire     30     0      2     Refrig. 6 ftâ ³ or less     30     60          Chest, Batchelor     12     0      1     ShopVac     5     5          Chest, Cedar     15     0           Stackable Washer/Dryer     35     0          Day Bed/Captains Bed      50     0      1     Vacuum Cleaner     5     5          Dresser, Double     40     0      1     Washing Machine     25     25          Dresser, Single     30     0      # of     DINING     ft ³               Dresser, Triple     50     0           Baker's Rack     15     0          Dresser, Vanity     20     0           Bench, Harvest     10     0          Dresser/Vanity Bch     3     0      1     Buffet (Base)     30     30          Floor Lamp     3     0           Cabinet Corner     20     0     1     Futon     25     25      7     Dining Chair     5     35     3     Lamp     3     9      1     Dining Table     30     30          Mirror     6     0           Hutch (Top)     20     0     2     Night Table     5     10      2     Lamp     3     6     4     Picture     3     12      0     Mirror     6     0          Student Desk     15     0      0     Picture     3     0     3     Trunk     5     15           Tea Cart     10     0     1     Wardrobe Closet,LG     40     40      # of     KITCHEN     ft ³          1     Wardrobe Closet,SM     20     20           Baker's Rack     15     0     # of     NURSERY     ft ³                Breakfast Suite, Chairs     5     0          Baby Carriage     4     0      1     Bread

Friday, July 17, 2020

Enjoy These One-Star GOODNIGHT MOON Reviews Critical Linking, September 10, 2019

Enjoy These One-Star GOODNIGHT MOON Reviews Critical Linking, September 10, 2019 Critical Linking, a daily roundup of the most interesting bookish links from around the web is sponsored by Dear Haiti, Love Alaine by Maika and Maritza Moulite. In the one-star reviews of Goodnight Moon, you will notice plenty instances of that same tired complaint every classic seems to get, which is that it’s booooooring, but apparently Goodnight Moon has some other, deeper, issues. The book lacks racial diversity, rhymes moon with moon (unacceptable), teaches children flawed natural order, and of course is symbolic of child abduction, moon worship, freemasonry, and the fracturing of personalities that comes from torture. Turns out people read a lot into children’s books, and also have no earthly idea what mush is, but think it must be something either very boring or very evil. This certainly was a needed laugh. But disabled people have always existed, and in two recent essay anthologies, writers with disabilities prove that it is the reactions, attitudes, and systems of our society which are harmful, far more than anything their own bodies throw at them. NPR took a look at two recent anthologies by writers with disabilities. That tired pop-song notion of love as a battlefield has bothered him for awhile. From a metaphorical standpoint, writes the revered critic Hanif Abdurraqib early in his blockbuster 2017 essay collection They Can’t Kill Us Until They Kill Us, one of the worst things we do is compare love to war. We do this in times of actual war without a thought about what it actually means. Mothers bury their children while a pop musician calls a bedroom a war zone and romance a field of battleâ€"as if there is a graveyard for heartbreak alone.” If you dont already know and follow Hanif Abdurraqib you should. Sign up to Today In Books to receive  daily news and miscellany from the world of books. Thank you for signing up! Keep an eye on your inbox.

Thursday, May 21, 2020

Renewable Energy Possible Implications - 3265 Words

Name Professor Class April 19, 2015 Renewable Energy: possible implications to economic development Within the global economy where we are living today, energy consumption and energy requirements have increased tremendously in large part due to industrial and agricultural activities; this is especially the case within emerging countries as well as developed ones. According to Kazar and Kazar constant advances in technology in combination with the population growth have led to higher levels of consumption which in turn has brought about the problem of energy requirements and increased energy consumption (1). The old ways of relying on energy from fossil fuels is running thin because not only are fossil fuel resources becoming scarce but†¦show more content†¦This link between renewable energy and sustainable development is also shown in the initiatives that are taken by world institutions such as United Nations Development Programme (UNDP), the World Bank and the Organization for Economic Cooperation and Develop ment (OECD). All of these world organizations provide financial support to any project that is aimed to produce any form of renewable energy as well as aimed at improving the quality of life by lowering the consumption of energy that comes from fossil fuels. Recently, the Organization for Economic Cooperation and Development (OECD) has published a report whereby it suggests that renewable energy has an impact on economic growth and furthermore it highlights ways on how to utilize renewable energy to positively affect rural development (OECD). The causal relationship between economic development and energy consumption stems from the first study introduced by Kraft and Kraft in the year of 1978. This particular study that was more based on the US economy ended up with findings that suggested that economic development caused higher energy consumption. However, later on a study conducted by Yu and Choi in the year 1985 expanded upon the study initially undertaken by Kraft and Kraft and came to the conclusion that the causal relationship between economic development and energy consumption derived different results for various countries. Afterwards, various other studies were undertaken to examine whether high use of

Wednesday, May 6, 2020

To Kill A Mockingbird Discrimination Essay - 766 Words

Mansour 1 Batoul Mansour Mrs. C. Disley ENG1Dc 12 December 2017 Behind the discrimination of maycomb Unfair treatment makes discrimination evident. Harper Lee’s novel To Kill a Mockingbird takes place when The Great Depression occurred during the 1930’s in an Alabama small town called â€Å"Maycomb†. To Kill a Mockingbird is written in the perspective of a little girl by the name of Jean Louise Finch (Scout finch) who is a stubborn, impulsive and outspoken little girl who throughout the novel gains maturity, becomes more observant, and understanding through life alongside her father. Harper Lee’s award winning novel is focused around the social, gender, and racial discrimination and, the affect it has on the people of Maycomb. Social†¦show more content†¦Scout is also criticized late on in the novel by Mrs. Dubose. As Scout and Jem were going down town Mrs. Dubose insults Scout by saying â€Å"what are you doing in those overalls you should be in a dress and camisole young lady!† (Lee101). Mrs dubose saying this shows that girls are restricted to a certain clothing style which they must follow. This is discriminatory because she implies that girls should be kept from wearing some things because of her gender. Racial discrimination is the biggest problem in present and modern day society, so it is no surprise that it is the most evident. Racism is like a disease, it spreads, and over the course of the novel racial discrimination effects many people but most obviously Tom robinson. Tom robinson Mansour 3 is a African American man who was wrongly accused of raping a white woman, Mayella Ewell- who happens to be defended by Scout’s father (Atticus Finch). Scout is exposed to the racial discrimination that is obviously deeply rooted in the town, when it is passed down to and displayed by Cecil who says, â€Å"My folks said your daddy was a disgrace†. The aim to make Scout feel bad all because her father is defending a man who belongs to a certain race shows how racial discrimination continues to be passed along to Maycomb residents. Not only are the children showing it, but adults as well. Mrs. Dubose goes as far as telling Scout that her â€Å"father’s no better than the†¦Show MoreRelatedRacial Discrimination in To Kill a Mockingbird Essays636 Words   |  3 PagesTo kill a mockingbird is an extremely powerful book highlighting the horrors of racial discrimination in the â€Å"Deep South† of the United States of America. Discuss. To kill a mockingbird is an extremely powerful book highlighting the horrors of racial discrimination in the â€Å"Deep South† of the United States of America. It focuses on the racial issues concerning a staunch, typically â€Å"white† country town in the â€Å"Deep South.† This essay however deals with the various trials and tribulationsRead MoreTo Kill a Mockingbird: Discrimination Essay873 Words   |  4 PagesDiscrimination is prevalent in the story â€Å"To Kill a Mockingbird†, the most obvious being the excessive amount of racism (Lee). Racism is the easiest to see but there are more forms of discrimination (Lee). Boo Radley is ostracized from the community when truly nobody really knows him (Lee). People discriminate Scout for being a tomboy not a lady (Lee). The last one that no one ever thinks about is how reverse racism is seen when people threaten Atticus for defending Tom Robinson in court (Lee)Read MoreEssay On Discrimination In To Kill A Mockingbird859 Words   |  4 Pagestreated just like everyone else. Society usually affects natural biases. Influenced by society, prejudice is the theme which prevails, drastically affecting people’s lives in To Kill A Mockingbird by Harper Lee and â€Å"Caged Bird† by Maya Angelou. Isolation, or feeling isolated is an effect of prejudice. In Lee’s To Kill A Mockingbird, Arthur Radley is a character who has never been seen outside of his house for years. Thus, rumors and assumptions about Radley stabbing one of his parents and stalking peopleRead MoreEssay On Discrimination In To Kill A Mockingbird815 Words   |  4 PagesThis is no different in Maycomb County, Alabama. In the novel, To Kill a Mockingbird, by Harper Lee, the discrimination of race and class is shown when an African American man named Tom Robinson was unlawfully accused and was declared guilty of raping a white woman. Discrimination has impacted the lives of Tom Robinson, Atticus Finch, and Calpurnia. Tom Robinson is an African American male whose life has been impacted by discrimination when he was declared guilty of raping a white woman. The evidenceRead MoreEssay On Discrimination In To Kill A Mockingbird1092 Words   |  5 PagesDiscrimination, it has been part of human nature for a long time, especially relevant subject in literature such as To Kill a Mockingbird. In Harper Lee’s To Kill a Mockingbird, the main character of Scout Finch was exposed to different types of discrimination as she grows up. Discrimination affected the lives of characters in Harper Lee’s To Kill a Mocking Bird because of society’s prejudicial views of race, gender, and class. Discrimination based on race is a huge part of this story, particularlyRead MoreEssay On Discrimination In To Kill A Mockingbird2101 Words   |  9 PagesDiscrimination can be defined as a â€Å"prejudiced or prejudicial outlook, action, or treatment† (Discrimination. Merriam-Webster.com. Merriam-Webster, n.d. Web. 30 Dec. 2017.). Discrimination and prejudice make justice difficult to achieve, allowing inequality to ensue. In the film To Kill a Mockingbird, directed by Robert Mulligan and in the film A Time to Kill, directed by Joel Schumacher, this issue is obvious. Both films take place in the Southern United States at a time when racism was at itsRead MoreEssay To Kill a Mockingbird: An Analysis of Discrimination893 Words   |  4 PagesTo Kill a Mockingbird: An Analysis of Discrimination The most important theme of the 1960 Pulitzer Prize winning novel To Kill a Mockingbird is author Harper Lee’s tenacious exploration of the moral nature of people. Lee tenaciously explores the moral nature of human beings, especially the struggle in every human soul between discrimination and tolerance. The novel is very effective in not only revealing prejudice, but in examining the nature of prejudice, how it works, and its consequencesRead MoreRacism and Discrimination in to Kill a Mockingbird Essay870 Words   |  4 PagesRacism and Discrimination as the theme in To Kill A Mockingbird To Kill a Mockingbird written by Harper Lee is a Pulitzer Prize winning novel, that offers a view of life through a young girl’s eyes. The novel is focused on two main themes which are racism and discrimination. Racism is probably the biggest theme of the novel. It comes in as an open and subtle manner that is being displayed through speeches and actions. Racism in Maycomb takes mainly the form of having white people against blackRead MoreTo Kill a Mockingbird1286 Words   |  6 PagesTo Kill A Mockingbird Essay Reading broadens our minds and touches our hearts. It creates greater understanding and compassion in the reader through its characters and themes. Write an essay that addresses the ideas expressed in this statement with reference to your class novel. â€Å"You never really understand a person, until you climb into his skin and walk around in it.† With over 30 million copies sold worldwide and claiming title to the prestigious Pulitzer Prize, â€Å"To Kill a Mockingbird† isRead MoreRacial Segregation And The United Arab Emirates1422 Words   |  6 Pagesthe UAE has created a dynamic entrepreneurial environment for international investors. The finan To Kill a Mockingbird, produced in 1962, is an exquisite film adored by many. This classic trial displayed drama and established a childhood innocence from the narration of an adult’s point-of-view, which captivates the viewers’ attention throughout the entire film. To Kill a Mockingbird uses dynamic historical references, narrative structure, and editing to contrast the problem of the racism and

Normal Birth Free Essays

research Do women’s ideas of ‘normal’ birth match those held by professionals? Abstract Aim: To explore the definitions of normal birth held by women who have not given birth, what influences that perspective, and compare it with those of health professionals. Background: Available evidence provides conflicting definitions of normal childbirth. The majority of available evidence encapsulates the views of the health professionals themselves or women who have experienced childbirth. We will write a custom essay sample on Normal Birth or any similar topic only for you Order Now Little evidence exists that reflects the views of women yet to experience childbirth. Method: Six participants were identified via purposive sampling to undertake a small exploratory qualitative study utilizing semi-structured interviews and thematic analysis. Ethical approval was obtained. Results: The definition of normal birth is individual and complex. The absence of complications and use of interventions influenced this definition, which in part agrees with health professionals’ current definitions. Birth was perceived as a scary prospect; a view largely constructed from negative stories from friends and family. Conclusions: The findings suggest that working within the confines of a definition of ‘normal’ childbirth is far from straightforward. It highlights a need to encourage women to view birth more positively. Expanding this research further would explore these issues in more detail, providing more conclusive evidence to support practice. thinking to happen, both parties need to agree on what a ‘normal’ birth actually is. With these thoughts in mind, this research study set out to explore the understanding of normal birth held by women who have yet to experience birth, what influenced that understanding, and how closely their responses matched the range of definitions and ideas held by health professionals. Background Childbirth is multidimensional and requires a definition that covers all aspects (Downe, 2006). However, differences of meaning are in use by various professions, and none of the definitions truly encapsulate all aspects of childbirth or provide a consistent definition (Gould, 2000). For some, childbirth without intervention is normal and optimal; for others, as long as the baby is born vaginally without assistance then this constitutes a normal birth. The term ‘normal childbirth’ has been used for decades as a way of differentiating between birth outcomes often for the purpose of producing statistical data. However, with continual scientific developments and an ever-changing society, the boundaries of what could be termed ‘normal’ have become blurred, particularly where interventions (and different degrees of interventions) are concerned. The World Health Organization (WHO) (1996) defined normal birth as: ‘Spontaneous in onset, low risk at the start of labour and remaining so throughout labour and delivery. The infant is born spontaneously in the vertex position, between 37 and 42 completed weeks of pregnancy. After birth mother and infant are in good condition’. Conversely, however—and only a year later— Beech (1997) argued that: ‘ the expectation that every pregnancy should end in a healthy mother and baby no matter what, has actually encouraged the justification for use of interventions’. British Journal of Midwifery †¢ November 2011 †¢ Vol 19, No 11 A Alison Edwards Senior Lecturer in Midwifery, Birmingham City University Jacky Conduit Lecturer in Nursing and Physiotherapy, University of Birmingham childbearing experience resulting in a healthy mother and baby is optimal. Finding agreement on the best way to achieve this, especially when considering the multifaceted nature of childbirth, is far more complex. Numerous articles and projects have shrouded childbirth in conflicting viewpoints and approaches, leaving even health professionals struggling to agree on a standard definition of normality. Childbirth has increasingly become the focus of reality TV shows, often cleverly edited to portray childbirth in a more ‘entertaining’ way; or to fit a storyline as opposed to reality (Savage, 2006). Alongside this the internet has further provided women with a plethora of new perspectives on childbirth and has possibly influenced their perceptions. With an identified goal to reduce the number of caesarean sections and aim towards birth without intervention (Department of Health (DH), 2007), it could be argued that women should to be able to work alongside health professionals towards achieving this goal of ‘normality’. It could also be suggested that to begin to enable this unity of 720 research The more recent consensus statement by the Maternity Care Working Party (MCWP) (2007), (which includes members of the National Childbirth Trust, ardent promoters of intervention-free birth), reflects some of the changes in their definition whereby some interventions such as augmentation of labour, the use of electronic monitoring and an active third stage, are acceptable. Interestingly, epidurals and episiotomy are excluded from the context of normality in this definition. A study by Downe et al (2001) also raised more questions than answers. Their study raised the issue of ‘commonality’ as a factor in ‘normality’, i. e. whether the rise in the caesarean rate has led to this becoming considered as a ‘normal’ birth. In turn, they concluded that when establishing a percentage rate for normal births, by discounting women who experienced the use of any interventions such as induction and episiotomy, then the percentage of actual ‘normal’ births drops considerably. Downe et al (2001) and Duff (2002) also question the use of terms such as ‘according to rule’ or ‘commonplace’ in definitions, as a caesarean could now be considered commonplace but arguably not ‘normal’. Gould (2000) and Crabtree (2008) concluded that some midwives considered birth to be normal if the woman saw it as normal; further developing the viewpoint that normality is individual to the woman and that every birth experience is unique. Anderson (2003) and McGuinness (2006) questioned the need for a definition at all and speculated about the impact of encouraging mothers to aim for normality, when the midwives themselves are not clear about what it is. However, Anderson’s work is based primarily on the findings of one author and despite a convoluted journey through the literature, merely demonstrates how complex an issue normal childbirth has become. DeClercq et al (2005) reported on a substantial study of new mothers who were asked to describe their birth stories. The majority of the American ethnic minority women interviewed had experienced some degree of medical intervention. Although most felt that interference was not wanted or required, only 10% refused it. Cronin and McCarthy (2003) explored the influences on women’s perceptions and concluded that the greatest influence came from family members. The sample used, however, consisted of predominantly teenage mothers, which may explain the reliance on the family for information. Phenomenological studies by Berg and Dahlberg (1998) and Gibbins and Thomson (2001), evaluated that the women they interviewed all felt that they wanted some control over their birth experiBritish Journal of Midwifery †¢ November 2011 †¢ Vol 19, No 11 nce but there were gaps in their knowledge which were usually filled by family members or information from the media. These studies of women just after birth or during pregnancy further demonstrated that women didn’t really consider some interventions to be a problem. What was clear in many of the studies, however, was that a positive birth experience led to higher satisfaction rates in the overall childbirth experience; conclusions supported b y the comments found in a collection of births stories documented by McHugh (2001). A few quantitative studies were found by Hundley et al (2001) and Sandin-Bojo et al (2008). Despite using alternative methodology, their findings supported the links between positive views of pregnancy, women’s preferences and the outcome, and the potential for inappropriate use of interventions. Having performed an extensive search using Cochrane, CINAHL and MEDLINE alongside primary and secondary references and seminal texts, the majority of available studies were conducted during the antenatal and postnatal period. No evidence was found which studied women’s perspectives before they became pregnant. This study was therefore evolved to consider the aforementioned concepts and resulted in the research question, ‘Normal childbirth’: Do women’s definitions match those of health professionals? Study design The principal aim of the study was to explore the definitions of normal birth held by women who have yet to experience birth, what influences that perspective, and compare their views with those of health professionals. Objectives The main objectives of this study were to: l Gain insight into whether women who have yet to experience childbirth have similar definitions of normality o health professionals l Explore whether there is a need for improved education of women about childbirth l Gain insight into what influences these women’s perceptions of birth. As the main aim of this small explorative study was to explore women’s interpretation of ‘normal birth’, a qualitative approach was selected. A semistructured interview was selected a s the means of collecting data, as this is well suited for the exploration of the perceptions and opinions of respondents especially with complex and sensitive issues. This approach also enables probing and clarification of responses to take place at the time of the interview itself. This in turn enhances the validity of the find721 research ings (Parahoo, 1997). A semi-structured interview is particularly useful as it allow the participants to tell their own stories, in the way they choose, without the constraints of predetermined questions, as in a questionnaire (Rees, 2003). However, interviews can be time consuming, sometimes difficult to organize, and it can take time and practice to become an effective interviewer. description validity’ while maintaining rigour and trustworthiness (Savage, 2006), the interviews were audio-taped. The discs were destroyed on completion of the study, but until then were stored securely. To maintain confidentiality, each participant was provided with a pseudonym from the outset and only the researcher was aware of the participant’s true identity. Prior to the interviews taking place the participants were provided with an information sheet, outlining the research project and were asked to sign a consent form. Relevant demographic details were also collected. Clarification regarding meeting of the inclusion criteria was sought prior to each interview. The intention was for the interviews to last for up to 40 minutes. To aid focus and consistency, while providing room for flexibility, an interview schedule was drawn up using predominantly open-ended questions. A pilot run of the questions to be used was undertaken and any adjustments made before commencement of the study. This data was discarded and these participants were not involved in the study. The final open-ended questions included: l What has influenced the way you view childbirth? l How important would having a normal birth be to you? More probing questions were introduced as the interviews progressed, to develop the exploration of the individual issues raised by the participants. A small ‘Thank you’ gift consisting of a gift voucher was given to each participant of the main study on completion of the interviews. To ensure validity and rigour (Flick, 2009) purposive sampling, an audit trail, interview schedule and tape-recorded interviews were used. Trustworthiness or credibility was maintained through continued contact and discussion of data with the participants to review the interpretation of the findings. Sampling Purposive sampling was used to ensure the participants met the inclusion criteria. Unlike quantitative research, with qualitative studies small samples are accepted as the norm (Higginbottom, 2004). Inclusion criteria The criteria for inclusion in this study were for women to be of childbearing age between 18 and 45 years, not working in the field of health, and with no personal experience of pregnancy or childbirth. There were no restrictions on level of education, ethnicity, religion or culture. Those women who fell outside the age ranges or who had experienced any degree of childbirth including miscarriage would not be eligible to participate. Initial searches began with an email to female staff within the researcher’s workplace, i. e. an institute of higher education. Initially there was limited response to the first request, but further searching led to a total of six women volunteering to participate. Two volunteers, however, did not fulfil the criteria and were therefore not interviewed. The four women fulfilling the inclusion criteria were working as administrative staff and were between the ages of 22 and 29 years. Three were in stable relationships, although not married, and the fourth was currently single. Levels of education ranged from A levels to Bachelor degrees. Three were white British and one participant was white Irish. None of them had any history of or personal experience of childbearing. Time constraints unfortunately inhibited any further searches, which did lead to a limitation on the variety of women volunteering. The final group subsequently demonstrated a similar range of characteristics and demographics which may provide a more narrowed perspective. However, there is scope in future research to broaden the search to include women from other social backgrounds and ethnic groups. Ethical approval Ethical approval was sought from the research panel at the University and consent was obtained from line managers to approach staff and utilize the rooms for the interviews. As the research did not involve patients and was not undertaken within NHS premises, further ethical approval was not required. The ethics panel granted permission to proceed provided the aforementioned actions regarding confidentiality were adhered to. It was made clear to all participants at the outset that they could withdraw from the study at any point and that if any of them were upset at any stage during the interview it would be stopped and British Journal of Midwifery †¢ November 2011 †¢ Vol 19, No 11 Semi-structured interviews In order to put the participants at ease the interviews took place in private, within the participant’s workplace and with a female researcher. To aid transcription of the data and avoid ‘compromising 722 research support offered. In this case none of the women expressed any concerns or demonstrated any signs of distress. Much of the previous literature concentrated on the definition of ‘normality’ being related to whether interventions were used within the labour. Annabel felt that the definition of ‘normality’ had changed over the years but perceived that ‘commonality’ actually made birth normal. This perhaps contradicts Duff’s (2002) theory that terms such as ‘commonplace’ are not useful when defining normality. Annabel and Lucy both believed that if a lot of people used ‘gas and air’ for example, this made it the norm, but as epidurals were used less often they were not considered normal: ‘ †¦ the epidural and not as many women use that—they don’t have that, except when they have complications. (Lucy) These responses to some extent demonstrated a perceived link between the use of more ‘significant’ interventions and a normal or otherwise outcome; thus agreeing with some of the MCWP (2007) definition and much of the current evidence. In an attempt to explore the respondents’ definition of normal birth in more depth, questions were asked ab out the difference between the terms ‘natural’ and ‘normal’. Reassuringly the responses reflected what many health professionals would consider a difference. Annabel initially struggled to decide what the difference was, but then concluded that: ‘Natural would be not having all the drugs and what not †¦ It’s very normal to have drugs and pain relief and all those sorts of things’. Or as Jane said: ‘I think a natural birth would be naturally having a baby without any drugs, doing it like the normal animal way without having some help. ’ The use of pain relief figured highly in all of the transcriptions but there was not a consensus on whether their use deemed a birth ‘normal’ or otherwise. Despite further probing, limited data were obtained on the use of other interventions apart from drugs. Annabel and Victoria did suggest that having a forceps birth could be considered normal to them and indeed all of the participants expected to be in labour for a long time and have stitches, but other possible interventions were not mentioned. This may have been due to an expressed lack of knowledge about childbirth or British Journal of Midwifery †¢ November 2011 †¢ Vol 19, No 11 Analysis Once the interviews had been recorded and transcribed verbatim, a process of thematic analysis was used. Thematic analysis is a method for identifying, analyzing and reporting patterns (themes) within data. It minimally organizes and describes the data set in (rich) detail (Braun and Clarke, 2006). Various techniques are described here but are based on the process of familiarization with the transcribed data and identifying patterns or themes occurring within it. These are then coded line-by-line to aid further analysis. As part of the researcher’s audit trail and to achieve greater validity of the findings, the researcher’s interpretations of the data was discussed with the individual participants and clarity sought where required following the interviews (Flick, 2009). Findings Following analysis, three main themes emerged: birth without complications is normal, individual and important; birth is painful and scary; and the greatest source of knowledge is friends and family. Birth without complications is normal, individual and important When asked how they would define ‘normal’ birth, the women gave mixed and individual responses: ‘so a normal birth wouldn’t need any drugs or wouldn’t need any—what’s that help? †¦ an epidural or anything like that to help you—you’ve had the baby and you’ve had no problems. (Jane) Victoria felt that it was acceptable to have an epidural and still have a normal birth. She supported the suggestion that birth is individual: ‘It’s quite confusing really, because natural is what I’d see as normal but in society today, normal doesn’t mean natural because caesareans are quite normal umm †¦ to me all different types of c hildbirth are seen as normal. Every individual woman like—I know that for every individual woman no pregnancy is exactly the same so it is normal for some women to have a caesarean and some women not to and all different types of birth. 724 research due to the fact that they were not directly asked about it by the researcher in an effort to avoid influencing the responses. What did prove to be a significant concern for these individuals centred on having complicationfree labour rather than an intervention-free one. For example, when Annabel was asked what she would want from her birth experience, she spoke of: ‘†¦ just sort of a generally easy birth without the complications and what not, the long long labour and things like that. Jane spoke along similar lines: ‘I think my idea is that as long as the baby comes out healthy and there’s been no problem then it’s been a normal birth’. She continued further later in the interview when asked how important normal birth was: ‘I think it would be really important because it’s a massive event so you want to have it set up in your mind that that’s the way I want to do it †¦ if interventions have to happen you understand that these things have to come in. Jane stated her friends had been sharing their bad stories because they are ‘dramatic’; she was able to view the stories more objectively: ‘From the stories you hear about it being so painful but as well it being quite a nice experience and that you’ve got a child and you forget about all the pain. ’ Victoria had gained most of her information from the colleagues she worked with and felt that up until that point she knew very little about it; she reported that the stories she had heard ‘made me feel funny about it’. All of the participants were asked to consider the impact the media and television had on their perception of childbirth. Perhaps reassuringly these participants recognized that the way childbirth is portrayed is often far from realistic and all felt that the greatest influences continued to be family and friends. This compares favourably with the work of Savage (2006). Other common threads ran through all of the interviews, including the need for the absence of complications and that it was the norm to give birth in hospital. Both Jane and Victoria briefly mentioned home birth but would not consider it for themselves for fear of something going wrong. commented about their lack of knowledge about childbirth but when asked the source of their information, family and friends featured highly. Unfortunately, most of the stories the participants had heard were negative, further raising their anxieties about experiencing childbirth for themselves: ‘everyone that’s had a baby talks about it, it’s just not something I fancy doing at all—although some of my friends have had like the easiest birth ever, I tend to focus on the not-so-easy births and think ‘oh my god! hat would be me’. ’ (Annabel). Birth is painful and scary Not unexpectedly (although not directly asked about), all of the participants expressed fear of the unknown regarding childbirth, especially the degree of pain they expected to experience and the potential for, as Victoria expressed it, ‘to los e control’. Victoria also expressed a fear of her body and ‘how it works’ and how ‘it’s like a bit degrading’. In fact, none of the participants felt keen to undergo a pregnancy and birth for, as several expressed it, a ‘fear of something going wrong’. On a more positive note, however, the majority saw pain as a necessity and that the outcome of a new baby made it worthwhile, as Jane surmised: ‘It’s meant to be from what I’ve heard one of the most painful things you can do in life but then at the end it’s worth it. ’ Discussion This study had an identified research question with clear objectives, principally to compare women’s views of normal childbirth with prevalent views of health professionals as reported in existing literature. Three distinct themes were identified which reflect some of the evidence available from studies with women who had already experienced childbirth. Berg and Dahlberg (1998), for example evaluated that the women they interviewed all felt that they wanted some control over their birth experience but there were gaps in their knowledge which was filled usually by family members or British Journal of Midwifery †¢ November 2011 †¢ Vol 19, No 11 The greatest source of knowledge is friends and family This line of questioning resulted in the most discussion and volume of data produced. Throughout the interviews all of the participants repeatedly 726 research from reading in the media. Also in 2001, Downe et al explored the concept of the use of interventions, including caesarean section, becoming ‘commonplace’ and therefore the norm. Indeed some of the participants in this study thought along similar lines If direct comparisons are made to definitions provided in the available literature, then to some degree we can conclude that the definitions of women and health professionals match. Some of the interventions listed in the MCWP’s definition matched those expected by the participants. However, formulating a distinction between ‘normal’ and otherwise proved less straightforward. It is apparent that the women recognized childbirth as an individual concept, and that it was important to them to have a normal birth as they perceived it; studies by Gould (2000) and Crabtree (2008) reflect that health professionals widely acknowledge this. Perhaps controversially, it could be argued that the purpose of differentiating between types of birth lies with the generation of statistical data, supporting funding requests or even a professional need to justify one’s actions, rather than helping to achieve what appear to be the women’s aims of a healthy outcome irrespective of method. Without seeking to encourage an increase in operative birth, perhaps removal of a definition of normality which excludes or includes specified interventions may go some way in helping to ease the pressure on women to conform to an ideal. Crabtree (2008) describes how in New Zealand, the use of interventions has markedly altered the definition of normal birth and while midwives make efforts to protect their women by for example, encouraging home visits to women in early labour, birth is becoming increasingly medicalized with interventions being the norm. Clearly, achieving a birth without any interventions and complications is ideal, and midwives are trained to promote ‘normality’. However, the women who participated in this study feared the pain of childbirth and the possibility of any complications, such as a prolonged labour, far more than having any interventions such as an epidural or stitches. This is consistent with the conclusions drawn by Lawrence-Beech and Phipps (2008) that despite years of medicalization and increasing intervention, women’s hopes for a healthy baby and to feel ‘physically and mentally whole’ after the birth have remained consistent. The 2007 report from the MCWP goes some way toward recognizing that a shift may be needed in thinking about the issue of common interventions and ‘normality’. More extensive research is needed to provide further clarification. British Journal of Midwifery †¢ November 2011 †¢ Vol 19, No 11 For these women who had no experience of childbirth, what proved to be a significant concern was having a complication-free labour rather than an intervention-free one. Regarding the influences on women’s perceptions of normality, the majority of data indicated family and friends having the strongest influence. Unfortunately birth was often portrayed negatively which clearly discourages women. This perhaps presents a need to reconsider the approaches health professionals take when educating women about their ability to give birth. Reflection This was the researcher’s first attempt at utilizing this method of data collection and analysis and it is acknowledged that an effective interviewing technique takes time to develop. Initially the interviewing technique was quite stilted and potentially important leads may have been missed. However, by utilizing the interview schedule as an aid, the latter interviews were much more relaxed and a greater degree of exploration of the points raised was enabled. As highlighted by Green and Thorogood (2004), we needed to consider potential ‘issues of bias due to the influence of the researcher, particularly when they are in the powerful position of health professional’. To redress any imbalance of power and empower the participants to speak with ease (Holloway and Wheeler, 2002), the interviews were conducted within the participant’s workplace at a time convenient to them. There is also the possibility that the participants said what they thought the researcher wanted to hear (Rees, 2003). In this instance it was essential for the researcher to maintain a neutral stance during the interview. Only brief responses to 727 ISTOCKPHOTO research Key points Finding agreement on the best way to achieve a healthy birth can be complex l For health professionals to work with women to achieve the goal of ‘normality’ there needs to be agreement as to what a ‘normal’ birth is l In assessing what women thought about ‘normal’ birth, three main themes emerged: birth without complications is normal, individual and important; birth is painful and scary; and the greatest source of knowledge is friends and family l The resul ts demonstrated an overall limited knowledge of childbirth among women, but, as with health professionals there was confusion as to what constitutes normality articipants’ direct questions were provided and leading questions were avoided. It is also inevitable that to some extent the interviewer’s knowledge and experience would influence the process and possibly the interpretation of the data. To minimize this impact the researcher aimed to ‘bracket’ out her own views until the interviews were completed. This involved suspending the researcher’s feelings while accepting that her own values will impact to some degree on the study (Lavender et al, 2004). In this instance, however, the researcher’s knowledge proved beneficial during the interpretation process as it enabled direct comparison between a health professional’s view and that of the participant’s. Conclusions The findings of this small research project have only begun to scratch the surface of the initial enquiry. Much of the research undertaken prior to this was carried out on women who had experienced childbirth, therefore women who had yet to experience childbirth were selected for study. The results demonstrated an overall limited knowledge of childbirth, but, as with health professionals the same confusion over what constitutes normality prevailed. The opportunity for more extensive research presents itself as this was a limited sample size. With a much larger sample clearer conclusions may be generated, providing greater supporting evidence for a rethink over what constiBJM tutes normality in today’s society. Anderson G (2003) A concept analysis of ‘normal birth’. RCM Evidence-based Midwifery 1(2): 48–54 Beech BAL (1997) Normal birth – does it exist? AIMS Journal 9(2): 5–8 Berg M, Dahlberg K (1998) A phenomenological study 728 of women’s experiences of complicated childbirth. Midwifery 14(1): 23–9 Braun V, Clarke V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3: 77–101 Crabtree S (2008) Midwives constructing ‘normal birth’. In: Downe S, ed. (2008) Normal Childbirth: Evidence and Debate. Churchill Livingstone, London Cronin C, McCarthy G (2003) First time mothers – identifying their needs, perception and experiences. J Clin Nurs 12(2): 260–7 DeClercq E, Sakala C, Corry MP, Applebaum S (2005) Listening to mothers II: Report of the Second National US Survey of Women’s Childbearing Experiences. J Perinat Educ 16(4): 9 Department of Health (2007) Maternity Matters: Choice, Access and Continuity of Care in a Safe Service. The Stationery Office, London Downe S (2006) Engaging with the concept of unique normality in childbirth. BJM 1(6): 352–6 Downe S, McCormick C, Lawrence Beech B (2001) Labour interventions associated with normal birth. BJM 9(10): 602–6 Duff E (2002) Normal birth: ‘commonplace’, ‘according to rule’ or ‘well adjusted’? MIDIRS Midwifery Digest 12(3): 313–4 Flick U (2009) An Introduction to Qualitative Research. 4th edn. Sage Publications Ltd, London Gibbins J, Thomson AM (2001) Women’s expectations and experiences of childbirth. Midwifery 17(4): 302–13 Gould D (2000) Normal labour: a concept analysis. J Adv Nurs 31(2): 418–27 Green J, Thorogood N (2004) Qualitative Methods for Health Research. Sage Publications Ltd, London Higginbottom G (2004) Sampling issues in qualitative research. Nurse Res 12(1): 7–19 Holloway I, Wheeler S (2002) Qualitative Research in Nursing. 2dn edn. Blackwell Publishing, Oxford Hundley V, Ryan M, Graham W (2001) Assessing women’s preferences for intrapartum care. Birth 28(4): 254–63 Lavender T, Edwards G, Alfirevic Z (2004) Demystifying Qualitative Research in Pregnancy and Childbirth. Quay Books, Wiltshire Lawrence -Beech BA, Phipps B (2008) Normal birth: women’s stories. In: Downe S, ed. Normal Childbirth: Evidence and Debate. Churchill Livingstone, London Maternity Care Working Party (2007) Making normal birth a reality. RCM, RCOG and NCT, London McGuiness F (2006) Defining normal birth would help midwives and mothers. BJM 14(6): 328 McHugh N (2001) Storytelling and its influence in passing birth culture through the generations. Midwifery Matters 89: 15–17 Parahoo K (1997) Nursing Research: Principles, Process and Issues. MacMillan Press Ltd, London Rees C (2003) An Introduction to Research for Midwives. 2nd edn. Books for Midwives Press, Cheshire Sandin-Bojo A, Wilde Larsson B, Hall-Lord M (2008) Women’s perception of intrapartal care in relation to WHO recommendations. J Clin Nurs 17(22): 2993–3003 Savage JS (2006) The lived experience of knowing childbirth. J Perinat Educ 15(3): 10–24 World Health Organization (1996) Care in Normal Birth: A Practical Guide. WHO, Geneva British Journal of Midwifery †¢ November 2011 †¢ Vol 19, No 11 How to cite Normal Birth, Essay examples

Saturday, April 25, 2020

The Green Mile Card Report 2 Essay free essay sample

, Research Paper The Green Mile, March 1999 Stephen King, 1947- ? Drumhead: John Coffey is brought to Cold Mountain accused of colza and slaying. It becomes known that he has a healing touch. Paul Edgecombe, the overseer, has sympathy for Coffey and subsequently finds out that Coffey is so guiltless, but can happen no manner to halt the executing. Coffey proclaimed that he wanted to travel and therefore allowed Paul to accept Coffey s destiny as he must, and travel on with his life. Cardinal Fictional characters: Paul Edgecombe, likely over 100, storyteller, was the caput of E block ( decease row ) at Cold Mountain Penitentiary. Paul faces an internal battle between what his occupation wants him to make and what he sometimes knows is the right thing. Kind and gentle, he recounts this episode of his life from Georgia Pines, his retirement place. John Coffey is a immense, muscular black adult male but is really slow in the mental sense, brought into a state of affairs where decease surrounds him, yet he has the power to mend by his ain touch. We will write a custom essay sample on The Green Mile Card Report 2 Essay or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Other Fictional characters: Dean Stanton, Harry Terwilliger, Brutus Howell, and Percy Wetmore were all guards on E block. Percy was the most important ; he was a banty-rooster kind of cat. He liked to pick battles. He represented the frights of Paul Edgecombe. Though it is non obvious at the beginning, it becomes clearer as Paul ages. Toot-Toot was portrayed as a fool to buoy up the temper of the narrative. His wit is what kept the other guards sane. Hal ( Warden ) Moores was the warden of Cold Mountain Penitentiary. Melinda Moores, Hal s married woman, is portrayed as a ill aged adult female. She is used in the narrative to show the marvelous mending power that John Coffey held. Janice Edgecombe was Paul s married woman. She died in a coach accident, puting up the character of Elaine Connelly, who Paul met at the retirement centre in his ulterior old ages. Eduard Delacroix was a bantam, timid Frenchman sentenced to decease in old sparky s lap. He was the proprietor of the mouse name d Mr. Jingles and he was used through his executing to portray Percy s evil nature and to put up the decease scene for John Coffey. William ( Billy the Kid ) Warton was a sadistic adult male who was sentenced to decease at Cold Mountain besides. He was the lone individual that Percy Wetmore was afraid of. William intimidated Percy merely as Percy intimidated everyone else. It becomes subsequently known that William was the 1 who committed the offense for which Coffey was being executed. Brad Dolan worked at Georgia Pines. He acted merely like Percy one time did and that scared Paul in his aged old ages. Brad was barbarous, heartless, and thrived on the hurting of others. Puting: Cold Mountain Penitentiary, peculiarly E block during the early 1930s. During the depression this was merely about the lone occupation the guards had to take from. Paul writes this narrative from his room in the Georgia Pines Retirement Center. Point of position: When depicting events of E block Paul uses first individual omniscient, while his life in the retirement centre is told in first individual limited. Tone: Sympathy for Paul Edgecombe, unhappiness and compunction for John Coffey. Sarcasm: John Coffey, a therapist, is executed for the slaying of the two misss that he tried to salvage. Paul can t stand Percy Wetmore, yet when he grows old and is populating in the retirement centre he is pestered by Brad Dolan who reminds him of the heartless Percy in his yearss as E block overseer. After old ages of being alone, Paul finds a adult female, Elaine Connelly, who reminds him in every manner of his married woman Janice, who was tragically killed in a bus accident. Subject: Life itself is climbing nightshade. Symbols: Mr. Jingles, Delacroix s mouse, was symbolic of everything good on the Green Mile. He was symbolic of the lone joy that E block held. The mouse brought compassion to all the guards except for Percy Wetmore, who tried to kill the gnawer. The Green Mile symbolized our journey through life, and the electric chair symbolized its terminal. The bugs that came out of Coffey s oral cavity following the healings were symbolic of the illness go forthing. He inhaled the illness or complaint of each individual ( and the mouse ) that he healed into himself. The bugs go forthing his oral cavity signified that the illness was cured, and that he had so helped. Evaluation: Paul so absolutely put into words his ain life, and even more so his load of life. Paul is truly the tragic character of the narrative. Paul is likely over 100 old ages old, and has come to the point where he doesn T want to populate any longer. Where John Coffey was able to decease when he came to the decision that the universe didn T want him, Paul is trapped in a organic structure that seems to fend off about every unwellness due to Coffey s mending Paul s urinary piece of land infection. He has seen everyone close to him decease, worst of all lasting a coach clang that took his darling married woman, while hardly wounding him. The last portion of the journey through Paul s life explains the adversity he has faced, and how he now wishes for decease much like Coffey did. He learns that he has no control over his ain fate no affair how much he wishes that it could be different. Ending the narrative he explains: We each owe a decease, there are no exclusions, I know that, but sometimes, oh God, the Green Mile is so long.