Foreshadowing in Anna Karenina :: Tolstoy Anna Karenina Essays

Foreshadowing in Anna Karenina      Ã‚  Ã‚  Ã‚  Ã‚   Throughout life there are situations which arise that seem to have been hinted earlier. You might not have noticed the hint when it first appeared, but suddenly at one point it finally dawns on you. The same goes for the literary aspect of foreshadowing. The novel Anna Karenina by Leo Tolstoy has many instances where the situations are similar to the one described above. The following paragraphs will present the foreshadowing that is included in this novel.      Ã‚  Ã‚  Ã‚  Ã‚   When Anna Karenina is met by her brother Oblonsky at the train station, a scene arises that clues into a valuable part of the story. She had just met Vronsky and as Anna and Oblonsky   were leaving, a train personnel was hit by the train. Anna burst into tears and exclaims that it is a bad omen. Her brother calms her down but it is clearly evident that this part of the story gives an inclination to the mess Anna ends up being entangled in.      Ã‚  Ã‚  Ã‚  Ã‚   Late one evening, the doorbell rings and Oblonsky goes and greets the visitor. As Anna is walking to her bedroom, she glances over to see who had called at such a late hour. She immediately recognizes it to be Vronsky and she feels 'a strange feeling of pleasure mixed with a feeling of vague apprehension suddenly stirred in her heart.'( page 90)This tells of what may be the conflict in the plot.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The day after the great ball Anna announces that she must leave. Dolly expresses her gratitude toward everything Anna has done to help her in her time of crisis. She tells Anna that she does not know of a person with a greater heart. Anna tells her that Kitty was depressed because Vronsky spent the evening with her. She exclaims that it wasn't her fault. Dolly remarks that Anna sounds exactly like Stiva. Anna appears to be offended and says that she is nothing like Stiva. In the end she ends acting similar to Stiva.      Ã‚  Ã‚  Ã‚  Ã‚   Kitty was quite depressed and Dolly knew what was troubling her. She went to visit Kitty and told her that she was going through what all women go through at one point in their life.

Capital Justification Purchase Essay

This assignment requires justification to the vice president for approval to purchase a major piece of equipment for use in the radiology department of the hospital. My main objective is to provide valuable information to justify the cost as well as provide critical data that substantiates the ROI. Additionally, the report will have detailed information outlining the benefits that will assist in the decision making process and address all concerns and questions relating to the purchase. Lastly, the report will include how beneficial and profitable the technology will be for the hospital. The radiology department is in need of a MRI machine to better provide safer and reliable results for detecting breast cancer. I have done extensive research on the several different types of technological devices and believe that I have come up with the best model. In considering the Siemens’s MAGNETOM Espree-Pink the following six major categories to follow were taken into account to help su bstantiate the purchase:† 1) available alternative; available resources; cost data; benefit data; prior performance, and risk projection.† (Cleverely, et al, 2011, pg. 426). Based upon the research conducted, I believe that this model will improve the quality of patient care, help streamline breast exams and detect the disease with greater confidence. Research shows that MRI’s can be helpful in breast care, especially in high-risk women. The MAGNETOM Espree –Pink offers a unique design and has demonstrated that no other system comes close to offering patient comfort. This state of the art equipment will take us into the future with the latest technological advances. MAGNETOM Espree-Pink combines an open-bore design with the Sentinelle breast coil for Siemens which offers exceptional breast imagining and biopsy capabilities. And, the future is built in, for instance should our needs change over time, we have the option to upgrade the system to a MAGNETOM Espree whole-body scanner –with all the latest advanced applications and renowned technology. This will allow us the capabilities of having the ability to detect cancer in  other ar eas of the body. MAGNETOM Espree-Pink offers the following: Pink Comfort, Pink Workflow and Pink Applications. Pink Comfort can greatly reduce errors due to patient movement, resulting in better image quality. â€Å"The open-bore design offers an exclusive 70 cm inner diameter, providing exceptional comfort. It enables patients to feel more at ease, particularly claustrophobic or obese patients. Pink Workflow provides a dedicated multimodality Workplace that offers standard MRI evaluation, it enhances breast reading and reporting, and it is coupled with syngo BreVis, a computer-aided tool for real-time breast analysis. It is easy-to-use, fast, and reliable. Pink Applications allows for faster imaging, excellent clinical detail, shorter exams – all part of the dedicated solution for breast care. With its optimized applications, MAGNETOM Espree-Pink enables you to see more, by improving accuracy and showing more details. These applications enable truly comprehensive breast care, helping to improve diagnostic confidence as well as patient care.† (www.siemens.com/espree-pink) Financial Considerations In the acquiring of the MAGNETOM Espree-Pink there are some financial aspects to be considered. The manufacture’s price of the equipment is listed at $1.5 million and listed are a couple of options that could provide for this capital expenditure. We would like to look at available alternatives to acquiring this equipment: purchasing or leasing. The cost benefits of leasing include the ability to lease for a short period of time with less expense and the ability to upgrade the equipment as technology changes. For example, with a five-year lease of $150,000 per year, we will pay $750,000 over the life of lease. The immediate rate of return may be greater which may reduce the expense of the equipment. For example: The assumption is that the charge per usage is $2000 and numbers are based on number of patients seen per year.# of Patients Cost of Equipment Lease per year Operations Cost Per Incidence Total Expense Profit 750 $150,000 $500 $525,000 $975,000 1000 $150,000 $500 $650,000 $1.35 million 1250 $150,000 $500 $775,000 $1.725 million The cost benefit of purchasing the equipment is that it would be owned outright by the hospital. The ROI may be seen within the first three years. This can be done by purchasing directly or by financing the purchase. We now have to consider the fixed cost of the purchase price per year and its depreciation and interest. Our operation cost per incidence will now remain the same as leasing the equipment. Our number of patients is assumed to be the same as our option for leasing along with our procedure charge of $2000. # of Patients Cost of Equipment Purchase Operations Cost Per Incidence Total Expense Profit 750 $315,000 $500 $690,000 $810,000 1000 $315,000 $500 $815,000 $1.185 million 1250 $315,000 $500 $940,000 $1.560 million In conclusion, the technological advances of MAGNETOM Espree-Pink can provide numerous benefit to the radiology department by enhancing the speed and accuracy of diagnoses, facilitating earlier and more accurate treatment predicating breast cancer and generating additional revenue. The initial cost of purchasing or leasing will be a great expense to the hospital, but the ROI will outweigh the initial cost over a five year period. I believe that the MAGNETOM Espree-Pink will meet the critical needs of the hospital and our community in which we serve. References Cleverley, William, O., Cleverley, James, O., & Song, Paula, H. (2011). Essentials of health care finance – 7th ed. MAGNETOM Espree-Pink (http://usa.healthcare.siemens.com/magnetic-resonance-imaging/0- 35-to-1-5tmri-scanner/magnetom-espree-pink)

Community and Race Essay - 1415 Words

Community and Race this essay has problems with format Community and race are directly related to each other. Since community is a large society composed of a number of people with different backgrounds, people are categorized into several groups according to their ethnicity. Moreover, each of the particular ethnic groups is considered a subculture group. Although the subculture groups follow the same laws and rules of the community, they share a distinctive set of cultural beliefs and behaviors that differ in some significant way from the larger society. (Kendall 1998:61) The unlike beliefs can lead to conflicts and arguments between different race groups. Likewise, racism is also found in a†¦show more content†¦Further, Bangladeshis men are having a hard time finding jobs from the market; they can never find a job without references or introductions by other friends and relatives. Bangladeshi people often suffer from racism and ignorance from the local white society. Sometimes the white people group even violently attacks them which makes the Bangladeshi people afraid of going out after nine o’clock at night, because most attacks happen late at night. (Kabeer 1995:43) Therefore, Bangladeshi people are concentrated in settlements in the East End of London, because most of the Bangladeshi people chose to live in council housing in ‘safe’ neighborhoods rather than owner-occupied housing elsewhere, because of fear of racial harassment in white owner-occupied areas. The Bangladeshi people group themselves into a specific area in order to avoid being victims hurt by other white people. Therefore, the white’s racism destroys the Bangladeshi peoples’ sense of community. In addition, in the Englund’s article An Indian Remembers, Mary and all other native students are forced to attend the Catholic boarding school in order to receive education. 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