Sunday, April 12, 2020

Cost

Introduction Recently the basis of utilizing antiretroviral treatment for South African citizens suffering from AIDS has been use of highly active antiretroviral treatment (HAART), which consists of two nucleoside formulations along with either a non nucleoside formulation or a protease inhibitor provided concurrently to persons suffering from Aids on a continuing mainstay.Advertising We will write a custom coursework sample on Cost-effectiveness of Highly Active Antiretroviral Therapy in South Africa specifically for you for only $16.05 $11/page Learn More HAART is considered to be more effective to reduce HIV progression and morbidity in relation to other analogues like nucleoside reverse transcriptase inhibitor (NTRI) [1]. However, constantly mounting pressure on clinical service monetary allocations makes it necessary that clinical service technology shows not only wellbeing and effectiveness but in addition cost efficacy. Financial analyses bring ab out details regarding cost effectiveness through contrasting the cost and gains of a single medical service project to the cost and/or advantageous of an agenda that it is at the end targeting to substitute. Although highly active antiretroviral treatment is currently popular therapy for people suffering from AIDS in South Africa, insufficient proof was documented regarding its cost efficacy before its extensive utilization. Furthermore, as it has of late been proposed that the guideline for financial analysis should be dynamic and needs to proceed prior to technologies has become reference healthcare policy [2-5] instead of a single event, the study aims to examine the cost efficacy of HAART in South Africa. Methods Study modeling A Markov modeling comprising 38 twelve-month durations was utilized in simulating the progression regarding HIV scourge and in estimating the cost, effect and cost efficacy [4, 6] of highly active antiretroviral treatment alternative [7]. The design of th e Markov modeling was based on frameworks earlier utilized in approximating the cost efficacy of HAART [8, 9]. Markov states were developed as per the CD4 numbers, which offer evidence upon which cost efficacy of AIDS therapy is modeled. Cost efficacy was examined through dividing the cost variance with the variance that occurs in health results, that is, quality adjusted life year (QALY) or life year (LY) added between the HAART and No-HAART alternatives in producing incremental cost efficacy ratios (ICERs) [5]. Probabilistic simulations (Monte-Carlo) evaluation was developed based on an imaginary sample of 2000 AIDS patients (1000 in HAART cohort and 1000 in No-HAART cohort) who were aged 18 when they entered the Markov modeling, thus enabling investigation on the impacts of indecision regarding the various variables.Advertising Looking for coursework on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The simulations we re carried out numerous times to enable representation of a number of various medical events during evaluations. The reference cost of No-HAART treatment, time of HAART therapy impact and the consumption weightings were stated to be mainly â€Å"possible† values, in combination to lower-and-upper boundaries, instead of one-point approximates, in a quest of describing more practical events [3, 10]. A more potential value was set equivalent to documented average value while lower and upper boundaries were set at 0.95 confidence levels. The Markov modeling comprised 4 health conditions: 200=CD4350 cell/micro liter, 50CD4200 cell/micro litre, AIDS and Death. Patients entered the Markov model at the health condition 200=CD4350 cell/micro liter. After each cycle, patients’ HIV state either remained unchanged, advanced or reversed. Figure 1: Health conditions (see rectangles) and transiting probability (see arrows) comprised in Markov modeling (arrow indicates direction of p ossible transition) Therapy impacts (transiting probability) Overall effect of therapy on HIV progressions were evaluated utilizing examinable data from South Africa. Information on ART naive patients who commenced using HAART and who in addition had 200=CD4350 cell/micro liter formed part of the cohort. For patients getting HAART treatment, HIV progressions were examined utilizing data from 1000 patients who enrolled for ART therapy over the research duration. HAART effect on HIV progressions were examined utilizing details on 1000 patients who commenced full antiretroviral treatment. Follow-ups for such patients were expurgated during their final visit and/or death, and comprised information prior to treatment, as therapy adjustments at this period would have no impact on progression probability. The uncertainty to die was accounted not only for the concerned age-adjusted death degree in the sample but also for the threat of receiving AIDS [5]. For the sake of this study, a patien t in the two cohorts who passed on during treatment duration was deemed to have passed on because of an AIDS based circumstance. However, this can over approximate the death cases linked to HAART, since a larger percentage of death cases are expected to be non-AIDS-based in this cohort [9, 11].Advertising We will write a custom coursework sample on Cost-effectiveness of Highly Active Antiretroviral Therapy in South Africa specifically for you for only $16.05 $11/page Learn More Antiretroviral unresponsive people suffering from AIDS are regarded to be having an enhanced first reaction to therapy in relation to people who have earlier been introduced to antiretroviral [2, 3, 9]. Thus, the model comprised transiting probabilities from one health state to another (see table 1). Because individual follow ups were uncensored when a patient progression along the Markov cycles, the modeling absolutely integrates succeeding therapy malfunction and adjustments du ring treatment. The first and succeeding pair of transiting likelihoods in each therapy was computed by classifying patients as per their initial health status, 12 months and during 24 months after commencing therapy. A patient who passed on during the 12 months was added to the death state while a patient who had opportunistic disease or whose final HIV based condition was over  ½ a year prior to the expected time, were grouped as per their CD4 amount during the event (200=CD4350 cell/micro liter, 50CD4200 cell/micro litre). The CD4 counts during each period were approximated utilizing linear regression between the prevailing counts and counts after the specified time period. In case no CD4 values were found after this period, the CD4 counts were approximated to be the number prior to this period, as long as the value was determined during the first quarter of that period [12]. Finally, since the period of the impact of HAART is greatly not known, in the basic evaluation it was p resumed that extra medical effects of HAART were assumed to be for 60 months with a least and optimum period of 24 and 96 months, in that order. However, the extra cost of HAART in relation to No-HAART treatment was presumed to be separate from medical impact and to prolong up to either the modeling stopped or a person passed on, whichever came early, so as to create conventional estimates of cost efficacy [13, 14]. Table 1: Yearly transiting probability based on a group of persons suffering from AIDS who were listed for therapy in South Africa To state From state 200=CD4350 50CD4200 AIDS Death 200=CD4350 # 0.21 (0.18-0.24) # 0.20 (0.15-0.35) 50CD4200 # # 0.45 (0.35-0.55) 0.25 (0.15-0.35) AIDS # # 0.40 (0.3-0.5) NB: all people entered the Markov model at the health condition CD4†¹ 200. # Indicates residual probabilities. All row probabilities add up to one. Also values exclude yearly age-adjusted likelihood of passing on. Transition probability Changeover prob ability based on Markov modeling is needed in specifying all necessary transitions of Markov conditions (see arrows in fig.1). For the HAART modeling, movement probability as well as 0.95 confidence interval (CI) is approximated based on Kaplan result maximum approximations of survival representing 1000 participants under antiretroviral for the initial 4 years of the study [7, 8].Advertising Looking for coursework on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Changeover probability for the No-HAART modeling was gotten from a domestic ordinary history group encompassing 1000 ART unresponsive participants. The probability of transiting from 200=CD4350 to 50CD4200 is 0.21, probability of transiting from 50CD4200 to AIDS is 0.45, probability of transiting from AIDS to death is 0.4, probability of transiting from 200 =CD4350 to Death is 0.2, and that of transiting from 50 CD4200 to Death is 0.25. Treatment cost The cost to treat people suffering from HIV with HAART treatment depended on approximates gotten from the South African Potential Evaluating System-AIDS Health Financial research [14]. The research approximated the HIV treatment requirements that were needed by more than 13 000 people suffering from AIDS in 9 hospitals in South Africa, comprising the resources attached to related diseases. Resource approximates were the associated with basic individual costs gotten from an earlier research [12]. This cost was in addition combined with approximates of the social service cost linked to various phases of HIV [15], implying that such an evaluation was carried out based on South African public monetary view. The costs to treat people using HAART were approximated as the cumulative costs to treat people with HAART plus the costs to treat HIV related complications. Discounted per case life-time cost were 2,232,614 for No-HAART against 8,131,018 for HAART. The discounted incremental cost (ICER) per QALY added was 10,533. The ICER value was less than per life year added and fairly greater after discounting costs at 3%. No additional cost was added to this assessment. In the basic evaluation, cost was discounted at 3% in a year but medication impact remained undiscounted, as per the current South African policies, apart from the sensitivity assessment [6, 7]. All documented expenditures were based on 2008 data [12]. Table 2: Total costs of HAART treatment in 2008 (US dollars) and utility weightings based on HIV condition [ 12]. 200=CD4350 50CD4200 AIDS Death Cost 500 750 1500 0 SE 100 150 300 – Utility 0.85 0.70 0.50 0 95% CI 0.80-0.90 0.65-0.75 0.45-0.55 0 CI = Confidence Interval SE = Standard error Quality of life Currently, only a few utility weightings are available to people suffering from AIDS. The most appropriate information was generated from a cohort comprising 249 Canadians suffering from HIV utilizing the health utility indexes mark II [12]. However, except for the fact that such information was generated for Canadian individuals, it was only evaluated utilizing multivariate modeling, implying that absence of variations in documented weightings between these two cohorts could be described using elements like before therapy background, period of the last HIV associated situation, threat class or opportunistic diseases. The Mark II comprises of a health condition categorization method and a corresponding pair of utility weightings [12, 13]. The categorization method has seven measures, consisting of mobility, pain and healthcare. The utility weighting was computed through requesting 1000 Canadians to respond to a visual-analogue scale and through scoring the responses using standardized gable value. Sensitivity evaluation Basically, the greatness of the ICERs measured against their compound variables, and therefore the certainty level that may be associated with the basic cost efficacy approximate, can be examined utilizing sensitivity evaluation [4, 15]. In this study, 1-way sensitivity evaluations were carried out on different elements, comprising the extra costs associated with HAART in order to emphasize their significance to determine cost efficacy. This was attained through varying the number associated with one element (for example cost of HAART) while leaving all other numbers in the modeling process constant, and through analyzing the succeeding variation in ICER value. Elasticity, which measures the effect of adjusting various paramet ers on the ICERs, was in addition computed for some elements like the ICER’s % change against a % change in the variable. Overall, a higher elasticity means an enhanced importance of the variable to determine cost efficacy. Negative elasticity is linked to a decrease in the ICER, that is, an increase in cost efficacy, while positive elasticity indicates that the ICER value increased, implying a reduction in cost efficacy. Analysis/Results In this study evaluation, the cumulative cost, life years and QALYs for people who did not use HAART for 38 years was 2232614, 90 and 1964, in that order (see table 3), and for people treated with HAART, the cost, life years and QALYs linked to therapy was 8131018, 115 and 2524 respectively, implying that the cost for treating individuals and impacts were boosted by approximately 36.3 per cent and 22.1 per cent, in that order, generating an ICER value of 238543 for one year added. Approximately 24 % of the cost of highly active antiretrovira l treatment was due to the costs to provide HIV drugs. Adjusting life years in the health conditions resulted to an ICER value of 10533 in each QALY added (Table 3). Also the cost per case amounted to $138 for participants under HAART and $250 for patients not under HAART. The mean cost of each patient case amounted to $267. 71% of patients led to a mean weighted cost amounting to $162 per case. The cost of each patient treated amounted to $622. The percentage for each case cost associated with treatment varied between 4-34% for patients under HAART. The total yearly cost for HAART including cost of drugs amounted to $438 in a year whereas the highly active antiretroviral therapy cost totaled to $162 in a year. Second phase was twice the cost of first phase, amounting to $952 in a year. The cost of checking CD4 and drug costs amounted to approximately $25 in each quarter. The cost in each Markov state has been computed through multiplying health service use and per case costs. HAART cost was greatest for patients bearing 50CD4200 during the initial 12 weeks under HAART, amounting to $548 not including cost for dead patients. Cost remained steady, but shifted to more than $340 in every year period after which second-phase medication was included. No-HAART cost in the 50CD4200 and 200=CD4350 classes amounted to $250 (undiscounted) and to $223 with discounts using an overall discount factor of 22. Table 3: Cost, impact and cost efficacy of HAART in relation to No-HAART Life years QALYs Costs Incremental cost/LY Incremental cost/QALY No-HAART 90 1964 2232614 HAART 115 2524 8131018 238543 10533 Difference 25 560 5898404 Incremental value cannot directly match because of the error of rounding off Sensitivity evaluation The outcomes indicated that the ICER values were slightly elastic to a one percent increase of the per year probabilities of HIV advancement and fairly elastic upon increasing the cost of HAART (with a sensitivity of 0.68). However, additional evaluation indicated that the ICER values were highly elastic to increasing rate of discounted cost (with a sensitivity of -7.1) and also sensitive to a discount of treating impacts per year at 1% (with a sensitivity of 10.7). The ICERs were in addition highly elastic to the presumption about the time and costs provided that HAART prolonged in having an incremental impact, the ICERs declined to about 238543 in each life year added. Furthermore, when the probable time-periods of the effectiveness of HAART were extended to six years from five, the ICERs declined to about 229070 in each life year added. Discussion This study aims at approximating the cost efficacy of complete AIDS healthcare comprising HAART based on principal costs, use, Life years and life adjusted quality years data derived from an extensive group in an industrializing nation setup. This research has initiated some improvements to reference Markov model concepts that have been use in industrialized natio n HAART cost efficacy analyses such as the development of subway nations in capturing the quickly reducing use and mortality within the initial months of HAART treatment, and the availability of a Markov modeling state that reflects the stringent concept of HAART provision in South African general HAART policies. The Markov model has in addition initiated the idea to capture the main cost-determiner of healthcare via transition cost, which is gained as a patient transits to death from Markov states. Probabilistic sensitivity analyses have acquired statistics indecision with 95/100 confidence interval regarding life-time cost, results and ICER. To conclude, the outcomes generated in this study indicate that HAART is a fairly cost efficient technique to treat people suffering from HIV in relation to No-HAART. However, decreasing the costs associated with HAART would considerably enhance cost efficacy and permanent information regarding the comparable efficacy of HAART is needed so as to completely validate the outcomes of this study. References Drummond M, Sculpher J, Stoddart G. Methods for Economic Evaluation of Health Care Programs. 3rd ed. Oxford: Oxford University Press; 2005. Drummond M, McGuire A. Economic Evaluation in Health Care – Merging theory with practice. Oxford: Oxford University Press; 2001. Miners A, Sabin C, Trueman P, et al. Assessing the cost-effectiveness of HAART for adults with HIV in England. HIV Medicine. 2001; 40(2): 52-58. Briggs A, Sculpher M. An Introduction to Markov Modelling for Economic Evaluation. Pharmacoeconomics. 1998; 13(4):397-409. Bozzette S, Joyce G, McCaffrey F, Leibowitz A, Morton S, et al. Expenditures for the care of HIV-infected patients in the era of highly active antiretroviral therapy. N Engl J Med. 2001; 344: 817–823. Gold R, Siegel E, Russell L, Weinstein C. Cost-Effectiveness in Health and Medicine. New York: Oxford University Press; 1996. Fox-Rushby J, Cairns J. Economic Evaluation. Oxford: Oxf ord University Press; 2005. Stoll M, Class C, Scuttle E, Graf M, Schmidt R. Direct costs for the treatment of HIV-infection in a German cohort after introduction of HAART. European J Med Res. 2002; 7: 463–471. Torres R, Barr M. Impact of combination therapy for HIV infection on inpatient census. N Engl J Med. 1997; 336: 1531–1532. Donaldson C, Mugford M, Vale L. Evidence-based Health Economics: From effectiveness to efficiency in systematic review BMJ Books, London; 2002. Freedberg K, Losina E, Weinstein M, Paltiel A, Cohen J, et al. The cost effectiveness of combination antiretroviral therapy for HIV disease. N Engl J Med. 2001; 344: 824–831. Sendi P, Bucher C, Harr T, Craig B, Schwietert M, et al. Cost-effectiveness of highly antiretroviral therapy in HIV-infected patients: SWISS HIV Cohort Study. 2009; 13: 1115–1122. Badri M, Maartens G, Mandalia S, Bekker L, Penrod J, et al. Cost-Effectiveness of Highly Active Antiretroviral Therapy in South Africa. P LoS Med. 2006; 3(1). Beck E, Kennelly J, McKevitt C, Whitaker L, Wadsworth J, et al. Changing use of hospital services and costs at a London AIDS referral centre. AIDS. 1994; 8: 367–377. Beck E, Mandalia S, Williams I, Power A, Newson R, et al. For the NPMS Steering Group Decreased morbidity and use of hospital services in English HIV infected individuals with increased uptake of anti-retroviral therapy 1996–1997. AIDS. 1999; 13: 2157–2164. This coursework on Cost-effectiveness of Highly Active Antiretroviral Therapy in South Africa was written and submitted by user Krish Sullivan to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here. Cost

Tuesday, March 10, 2020

NIKE market analysis Essays

NIKE market analysis Essays NIKE market analysis Essay NIKE market analysis Essay NIKKEI is an America company which is headquartered in the Portland metropolitan area. NIKKEI original know as Blue Ribbon Sport (BRB), it was found by University of Oregon in January 1 964 as a distributed and officially became Nikkei in 1978. NIKKEI produces a wide range of sport equipment- specially footwear products. Their first products is track running shoes. They sell an assortment of product to activities as football, running Nikkei also well know and popular in youth cultural and hip hop cultural for their supplying Of urban fashion clothing. In December 201 3, the profit of Nikkei shoes increase to 13 percent, proportional to $10. 4 billion. Nikkei has contract with more than 700 shops in around the world and 45 country outside the United State. Internal source of marketing information Four sources of internal marketing data: 1. Leaderships effectiveness(Phil Knight) Relevance: High: Phil Knight, known as the CEO of Nikkei shoes, has a great identity association. He always want Nikkei to win, his sacrifice, genuine love, and endless passion towards this brand is effectiveness on his employee, workers. Timeline and currency/accuracy: High. Phil Knight is an open mind person. He always update his new ideas and isnt conservative. 2. Feedback from customer via opinion surveys: Relevance: High. Nikkei provides to customers what information they need. Therefore, the customers satisfied with that. Timeline: High. Nikkei can collect customers comment and feedback quickly and easily. Accuracy/currency: Medium. The currency can be right but the accuracy isnt really right because of they may just have an answer quickly but not really care about its right or wrong. Reliability: Medium. The qualitative is answered to find the problems. The answer would be common and not really useful because Of perfunctory answers. 3. Accounting and Income Statement Relevance: High. It makes decision for the recently sales activities. Help to make marketing plan Timeline: High. Up to date information, monthly report and yearly income statement Currency/accuracy: High. Using numerical to prove its accurate Cost-effectiveness: High. Easy to provides and prove the information data. Reliability. High. Sing report, data, and number. 4. Distributors Relevance: High. The main places provide products and perform the sales activities. Timeline: High. Keeping update the new styles Cost-effectiveness: Medium. High commission. External sources of marketing information Four sources of marketing information: 1. Market intelligence reports: Relevance and timeline: High. Have enough conditions to make a market intelligence report. Currency/accuracy: High. The report are currency. Data and numerical are used to prove its accurate Cost-effectiveness: high. Cheap to write a market intelligence report Reliability: High. It has showed the data and enough information for a market intelligence report. 2. Competitors activities: Relevance: High. The change in quality, price Of competitors product is directly effect on our company. Currency/accuracy: Medium. The current information doesnt show that, it just can be hear when the competitors had changed. Cost-effectiveness: High. It make a change in cost of sale and erectly effect on the company. 3. Economics changes Relevance: Medium. The change in economic is effect to Nines organization but the demand of sport is still going on. 4. Legal/Political: Relevance: High. All the rule and ethical have to follow the local legal/political. Currency/accuracy: It has to follow all the time. Internal Influence Nikkei has a brand prestige especially among athletes and sport person. This company which later became a brand was started by Bill Borrower and Phil Knight as they were able to make out that there was a problem in the sports and athletes appearance. Since it was not that early to say for them bringing wow fingers together, they manufactured/created their goods on the basis of some special criteria. And as co-founder Bill Borrower once said, If you have a body, you are an athlete. Jumping on to the current situation/market, Nikkei is one of the finest brand which manufactures sports goods. Nikkei is the largest seller of athletic footwear and apparel in the world. It employs more than 33,000 people, internationally. Nikkei sells products in more than 180 countries around the world; it reported revenues of $19. 2 billion for the fiscal year ending May 31, 2009. Nikkei designs and sells products in three main product lines; footwear, apparel and equipment. The products are manufactured in approximately 600 contracted factories in 46 countries around the globe. Nines mission statement is to bring the inspiration and innovation for every athlete in this world. Apparently, Nikkei has become worlds leading innovator in athletic footwear, apparel, equipment and accessories. Internal influences for Nikkei are pointed and described below: 1. Product: Nikkei has a large diversity in sportswear and products. Their targeted mass is sport and athlete people. They are pretty much focused on their quality of goods what they manufacture. Nikkei deals With the issues and concerns regarding their products by obeying its customer centric strategy. They have a quite descent return and exchange policies. 2. Management: The management of the Nikkei brand is really customer focused. Nikkei has more than 30,000 employees in 170 countries. With leadership positions in established markets like the U. S. And the Western Europe and in the emerging markets like China and Brazil, the management believes that they have tremendous and unique area to grow. They often give recognition to its employees for outstanding work. 3. Location: As mentioned above Nikkei is present in more than 1 70 countries. They believe in disrupting the distances between them and the customers. Apparently, Nikkei is emerging as one of the stupendous sportswear in the Asian market too. Since they are providing really an effective service, soon they would be becoming the top company of sportswear. External Influence External influence for Nikkei are pointed and described below: 1. Economical: In the world, the economy experience economics cycles. These cycles include booms and busts because economy experience higher level of the employment. They may be so confident in their sales that they may increase the price of the items to gets more profits. . Competitors: As we know in the modern era, competitions levels are increasing day by day. These competitive situations consumers because with competitions in a market there will be a greater range of goods for consumers. Its goods for the customers because they get more variety of the choice they want goods or service. 3. Governments: As we know these are three levels of the government which are federal, state and local. 4. Federal government deals mainly important part such as tax, they can see taxes are being paid and also checks to the business are running in according to the customs regulations. . States government deal with lower case issues such as workers rights and responsibilities such as oral history society requirements and making sure business are according by the state laws. 6. Social influence: social influence is playing vital role in our business. For examples: time goes on peoples taste in the fashion and trends will change. In the others hand business makes more profit because they lunched new fashions and trends. Promoting ethic and social responsible Ethical Marketer Behavior To promote the ethical marketing behavior in our Nikkei shoe company we enact a rewards system. For example- when an employee acts or do work ethically even at a personal cost then we give him/her a reward. In return it will help us because through this we motivate the employees and through motivation they give their best to their work for getting reward. Secondly, it also helps in increasing employment sector, more and more employees want to work in our organization. Socially marketing behavior Every organization have responsibility toward society, and our organization also have like our organization do the production of shoes and for its production there is need of machines to make the cotton or stuff for shoe which may affect environment, as we have responsibility toward society so we ignore the machines and get more and more work by employees. It will help in our organization to get good reputation in society by providing more employment and by having environment friendly relation, and because of this the customers get attracted and our sales of shoes increase. Consumer Behavior First of all we should know the meaning of consumer behavior-it is the study of individual or organization and the processes they use to secure or satisfy the needs and these have the impact on consumer and society. Every consumer want to satisfy his/her desire. As we know that today everyone want to show themselves by wearing branded and good quality of clothes, shoes etc. Our organization attract the customers by the quality and by the marketing schemes. Consumers help the firm to improve the marketing strategies. The use of social responsibility initiatives to influence consumers has become common. The growing body of marketing manipulates the consumers perceptions of motivation and social initiatives. The marketing scheme influence a lot to buyer, our marketing scheme is that we give account, provide good customer service, and have the online site to buy our product. The prices of our Nikkei shoes are affordable, anyone can afford to buy this.

Sunday, February 23, 2020

Strategic Knowledge Management Essay Example | Topics and Well Written Essays - 3000 words

Strategic Knowledge Management - Essay Example s units, and work groups has been perceived to be the best strategies for capturing and spreading ideas and know-how within and without the organization. In lieu of this, and the unabated complexity and knowledge multiplicity of many organizations, Checkland’s (1999) assertion that â€Å"We see in the world many examples of sets of human activities related to each other so that they can be viewed as a whole† can be perceived to be factual and expressive of the inherent facts in many organizations despite the trivial reasons that some give for its disqualification. This paper will candidly and comprehensively analyze Checkland’s statement through an extensive review of literatures and drawing on concepts from soft systems thinking, intellectual capital, and communities of practice as well as knowledge management. Peter Checkland developed the SSM (Soft systems methodology) in 1981. The motive behind the development was to develop a strategy for evaluating intricate problem situations and ascertaining satisfactory improvements that suit such situations. According to Jennings and Wattam (1998), SSM helps in attaining improvement to the system through a multistage progression of information collection, explanation, examination, and discussion (p. 36). For instance, an organization experiencing a high labor turnover has to resolve the situation before it detriments the attainment of organizational objectives. From an SSM perspective, the realization that the organization is facing high labor turnover is in reality an outcome of a careful observation of the situation. Intricate details regarding the problem will be collected from various personnel including the HR managers and various departmental heads and recorded by the team of expertise contracted to analyze the situation which will ordinaril y involve more other members from the organization (Ali & Akdemir, 2001, p. 336). Employees will offer their opinions and attitudes regarding the situation. The qualitative

Friday, February 7, 2020

Discrimination Law Essay Example | Topics and Well Written Essays - 2500 words

Discrimination Law - Essay Example Sex inequality issues in the United Kingdom By assigning the recognition of â€Å"protected characteristic† to sex as a criterion for maintaining equality in the United Kingdom, the Equality Act 2010 complicates issues in several ways. The history of inequality with regard to sex in the UK has spanned decades, and still evolving. It is such a complex matter that could not be easily rectified through the mere reform of the UK discrimination law. The following examples demonstrate why sex inequality is such an endemic crime in the United Kingdom. Though progress has been recorded recently in every facet of UK public life, however, the society is still largely dominated by males (Coveney et al., 1984). There are reports of gender inequality in education all across the UK (Riddell and Salisbury, 1999). 2 Male dominance has become ingrained into the UK society that it seems it is just the natural thing to do. It is a known fact that discriminating against women in terms of educatio n (as it was done many years before) has a far-reaching impact on the womenfolk. First, it makes women to be unequal with men in knowledge acquisition and subsequently turns them into unqualified people. This trend had made it impossible to find women who were as qualified as men to take up challenging positions in both private and public offices. Although things have changed drastically in this modern dispensation, but there are still disheartening reports that sex discrimination is still a viable problem in UK labour practices (Perlman and Pike, 1994). Employers look down on women and consider men for jobs based on different reasons. It is believed that most women do not maintain continuity in their jobs because of other responsibilities that include marriage, children-bearing and other domestic concerns; men, on the other hand, are regarded as strong and more professionally minded. Using these reasons to discriminate against women is not appropriate, but employers are mainly conc erned about the success of their businesses. If they are eventually employed, women still face serious issues of discrimination in their workplaces. There are indications that some UK companies offer better pensions and insurance benefits for their male workers than those given to their female employees (Perlman and Pike, 1994). Similarly, wages for male and female workers are not the same, even though they do the same amount of job at their respective workplaces. This 3 preferential treatment of male workers over female workers stems from the fact that United Kingdom’s industries were founded with a focus on males as the viable workforce (Mosley et al., 2002). And this perception has not changed much in this modern day as employers still dismissed female workers because of flimsy excuses like dating a fellow worker or getting pregnant during the peak work period (FL Memo Ltd., 2005). An interesting case to illustrate the tediousness of the male versus female tension in UK la bour markets is Webb v EMO Air Cargo (UK) Ltd, where Ms Webb was seeking claims for unfair dismissal based on her pregnancy. Those she was chastised for using the argument that if male workers could be allowed to treat themselves when they fell sick, why shouldn’t a pregnant woman be allowed to go for child-rearing; her employer (Air Cargo (UK) Ltd was criticised for firing her based on pregnancy, an action that was illegal and contravened the United Kingdom labour law (Collins et al., 2005). This

Wednesday, January 29, 2020

Why are standards so important for NICs, connectors, and media Essay Example for Free

Why are standards so important for NICs, connectors, and media Essay Use your textbook and Internet research to justify your answer. Standards are put in place to make everything work together error free. Because Stability, Consistency, Minimization of packet errors. 4.1.2 The voltage for registering a bit of 1 on Ethernet can be as low as 2.5 volts or even 1 volt. Why is this so low when the capacity for transmitting electricity on the copper wire is so high? Use your textbook and Internet research to support your answer. Because the voltage used to transmit data needs only be high enough for the receiver to detect it. Making the voltage higher would make the receiver electronics more difficult. 4.1.3 The voltage for registering a bit of 1 on Ethernet can be as low as 2.5 volts or even 1 volt. Why is this so low when the capacity for transmitting electricity on the copper wire is so high? Use your textbook and Internet research to support your answer. Hospitals, security systems, PA recording studios. The drawback of STP cables is that they will increase the total cost of an installation. STP cables are more expensive due to the shielding, which is an additional material that goes into every meter of the cable. The shielding also makes the cable heavier and stiffer. Thus, it is more difficult to handle. 4.1.4 Complete the entries in Table 4- 1. Use your textbook and Internet research to compose your answer. The common connector for interfacing UTP wires to a computer for networking is the Registered Jack 45 ( RJ- 45) interface. This uses eight copper wires ( four twisted pairs) to complete the connection between interfaces. The pinout for these wires defines the order in which the individual wires connect to the network interface card and how the wires transition from one end of the cable to the other. A straight cable is used to connect a device to a network hub or switch. This type of cable does not change the wiring order from one end to the other. You can see an example of  this in Figure 4- 1. Cat 310MbpsToken/10 base T Cat 416MbpsToken Cat 5100MbpsEthernet/Token Cat 61000MbpsGigabit Ethernet Cat 6a1GbpsGigabit Ethernet 4.1.5 Another computer. Using Figure 4- 1 and Table 4- 2 as an example, create the diagram and color coding for a crossover cable. Use your textbook and Internet research to compose your answer. Hint: The crossover cable is more complex than simply reversing the entire set of wires. You are wiring the input pins to the output pins and vice versa. 4.1.6 Briefly describe the layered construction of a coaxial cable from the inner core to the outer insulation. Use your textbook and Internet research to compose your answer. Coaxial cable consists of a core of copper wire surrounded by insulation, a braided metal shielding, and an outer cover. 4.1.7 Based solely on the distance limitation of UTP cable, what should you guarantee about any network you plan for UTP cable? Use your textbook and Internet research to justify your answer. 100 meters a signal repeater 4.1.8 What type of cable is necessary for each connection in Figure 4- 2: straight or crossover? You can assume that S1 and S2 do not have the ability to resolve crossovers ( called Auto- MDIX). Use your textbook and Internet research to compose your answer. They both need straight UTP 4.1.9 If all the connections in the network from Figure 4- 2 use UTP cable, will they all be able to communicate correctly? If not, which links will not function and what should be done to resolve the issue? Use your textbook and  Internet research to justify your answer. 4.1.10 Briefly describe the purpose of each of the following network testing devices: Multimeter- an electronic measuring instrument that combines several measurement functions in one unit. Tone generator-electronic audio acoustics and equipment testing and setup, or informational signals, commonly associated with a telephone system Pair scanner- used to locate problems in a LAN system Time domain reflectometer is an electronic instrument used to characterize and locate faults in metallic cablesa.

Monday, January 20, 2020

A Singular Self-Identity Essay -- Multiple Personalities Essays

Self-identity is singular. The belief in this existence of one’s self, presupposes all our experiences of consciousness. We all hold that this identity is ours alone. I speak of my experiences as experienced by me. I would seem to be talking nonsense , if I referred to myself in the plural or spoke of how the multiplicity of ‘me’s’ experienced an event. Although most will submit to the existence of levels of consciousness, we categorize those people who exhibit distinct personalities as non-ordinary. All popular theories of self-identity set about the task of proving a singular self. I will attempt to analyze the currently held theories of self-identity, and consider cases where the singular self-identity of normal individuals is called into questi on. Psychologists seeking to clarify this discussion have researched phenomena concerning the nature of self-identity, and it’s relation with consciousness. Philosophers can attempt to investigate the fund amental assumptions underlying these studies, an d examine their ramifications upon our dogmas of self-identity. To formulate a concept of our idea of self we must consider the uniqueness of our experience, and account for memories of prior experiences. Self-identity is my ownership of a personal, distinct unity of consciousness that is consistent through time. Unity of consciousness is the personal, private, owned, and discrete continuing experience of the self. For example, I believe that I am. I believe that I am, neither in part nor in whole, someone other than whom I perceive that I am, and that this â€Å"I† was the same unity yesterday as today. I also infer that I will be (if I wake from sleep) tomorrow the continuation of the same self. This self that we assume, does not ex... .... Los Altos, CA.: Kaufman, 1983.. Laurence, Jean-Roch, Perry, Campbell & Kihlstron, John. â€Å"‘Hidden Observer’ Phenomena in Hypnosis: An Experimental Creation?† Journal of Personality and Social Psychology. 44.1 (1993): 163-169.. Sacks, Oliver. The Man Who Mistook His Wife for a Hat: and Other Clinical Tales. New York: Harper Perenial, 1985.. Spanos, Nicholas P. â€Å"The Hidden Observer as an Experimental Creation† Journal of Personality and Social Psychology. 44.1 (1983): 170-176.. Watkins, John G. & Watkins, Helen H. â€Å"†Hypnosis, Multiple Personality, and Ego States† Handbook of States of Consciousness. Eds. Benjamin B Wolman & Montague Ullman. New York: Van Nostrand, 1986.. Wilkes, Kathleen V. â€Å"Fugues, Hypnosis, and Multiple Personalities† Self & Identity: Contemporary Philosophical Issues. Eds. Kolak, Daniel & Martin, Raymond. New York: MacMillan, 1991..

Sunday, January 12, 2020

Spirit Bound Chapter Five

I DECIDED IT'D BE BEST if Lissa and I stayed up late when we returned to her room, poring over the documents. She was a jumble of feelings when I told her about my encounter with Mikhail–which I hadn't mentioned to Mia. Lissa's initial reaction was surprise, but there were other things too. Fear over the trouble I could have gotten into. A bit of warm romanticism over what both Mikhail and I were willing to do for those we loved. Wonder if she would do the same if Christian were in that situation. She decided instantly that she would; her love for him was still that strong. Then she told herself that she actually didn't care about him anymore, which I would have found annoying if I wasn't so distracted. â€Å"What's wrong?† she asked. I'd sighed aloud in dismay without realizing it while I read her thoughts. Not wanting her to know I'd been perusing her mind, I pointed at the papers spread out on her bed. â€Å"Just trying to make sense of this.† Not entirely that far off from the truth. The prison's layout was complex. The cells occupied two floors and were tiny–only one prisoner per cell. The papers didn't explain why, but the reason was obvious. It went along with what Abe had said about keeping criminals from turning Strigoi. If I'd been locked away in prison for years, I could understand the temptation of cracking and killing my roommate to become Strigoi and escape. The cells were also kept housed in the very center of the building, surrounded by guards, offices, â€Å"exercise rooms,† a kitchen, and a feeders' room. The documents explained guard rotations, as well as prisoner feeding schedules. They were apparently escorted to the feeders one at a time, heavily guarded, and only allowed very short spurts of blood. Again, everything kept the prisoners weak and prevented them from turning Strigoi. It was all good information, but I had no reason to believe any of it was up-to-date, since the file was five years old. It was also likely the prison had all sorts of new surveillance equipment in place. Probably the only things we could count on being the same were the prison's location and the building's layout. â€Å"How good are you feeling about your charm-making skills?† I asked Lissa. Although she hadn't been able to put as much spirit healing into my ring as a woman I knew named Oksana could, I had noticed my darkness-induced temper soothed a little. Lissa'd made a ring for Adrian too, though I couldn't say for sure if it was what was helping him control his vices lately–vices he usually indulged in to control spirit. She shrugged and rolled over onto her back. Exhaustion filled her, but she was trying to stay awake for my sake. â€Å"Getting better. Wish I could meet Oksana.† â€Å"Maybe someday,† I said vaguely. I didn't think Oksana would ever leave Siberia. She'd run off with her guardian and wanted to keep a low profile. Besides, I didn't want Lissa over there anytime soon after my ordeals. â€Å"Have you been able to put in anything besides healing?† A moment later, I answered my own question. â€Å"Oh, right. The spoon.† Lissa grimaced, but it turned into a yawn. â€Å"I don't think it worked so well.† â€Å"Hmm.† â€Å"Hmm?† I glanced back at the blueprints. â€Å"I'm thinking if you could make a few more compulsion charms, it would go a long way to help with this. We need to make people see what we want them to see.† Surely if Victor–whose powers of compulsion were nowhere near hers–had managed a lust charm, she could do what I needed. She just needed more practice. She understood the basic principles but had trouble making her desired effects last. The only problem was that in asking her to do this, I was making her use more spirit. Even if the side effects didn't show up right away, they would likely come back to haunt her in the future. She glanced at me curiously, but when I saw her yawn again, I told her not to worry about it. I'd explain tomorrow. She offered no argument, and after a quick hug, we each retired to our own beds. We weren't going to get much sleep, but we had to get what we could. Tomorrow was a big day. I'd worn a variation of the guardians' formal black-and-white outfit when I went to Victor's trial. In normal bodyguard situations, we wore ordinary clothes. But for fancy events, they wanted us looking crisp and professional. The morning after our daring break-in, I got my first true taste of guardian fashion. I'd worn hand-me-down clothes at Victor's trial but now had an official guardian outfit, tailored exactly to my measurements: straight-legged black slacks, a white button-up blouse, and a black dress jacket that fit me perfectly. It certainly wasn't meant to be sexy, but the way it hugged my stomach and hips did good things for my body. I felt satisfied with my reflection in the mirror, and after several minutes of thought, I pulled my hair into a neatly braided bun that showed off my molnija marks. The skin was still irritated, but at least the bandage was gone. I looked very†¦ professional. I was actually kind of reminded of Sydney. She was an Alchemist–a human who worked with Moroi and dhampirs to hide the existence of vampires from the world. With her proper sense of fashion, she always looked ready for a business meeting. I kept wanting to send her a briefcase for Christmas. If ever there was a time for me to show off, today was the day. After the trials and graduation, this was the next biggest step in becoming a guardian. It was a luncheon that all new grads attended. Moroi eligible for new guardians would also attend, hoping to scope out the candidates. Our scores from school and the trials would have been made public knowledge by now, and this was a chance for Moroi to meet us and put in bids for who they wanted to guard them. Naturally, most guests would be royal, but a few other important Moroi would also qualify. I really had no interest in showing off and hooking a posh family. Lissa was the only one I wanted to guard. Still, I had to make a good impression. I needed to make it clear that I was the one who should be with her. She and I walked over to the royal ballroom together. It was the only place large enough to hold us all, since more than just St. Vladimir's grads were in attendance. All the American schools had sent their new recruits, and for a moment, I found the sea of black and white dizzying. Bits of color–royals dressed up in their finest clothing–livened the palette up a little. Around us, soft watercolor murals made the walls seem to glow. Lissa hadn't worn a ball gown or anything, but she looked very elegant in a formfitting teal dress made of raw silk. The royals mingled with the social ease they'd been raised with, but my classmates moved about uneasily. No one seemed to mind. It wasn't our job to seek out others; we would be approached. The grads all wore name tags–engraved metal ones. There were no HELLO, MY NAME IS†¦ stickers here. The tags made us identifiable so that the royals could come and do their interrogations. I didn't expect anyone except my friends to talk to me, so Lissa and I headed straight for the buffet and then occupied a quiet corner to munch on our canapes and caviar. Well, Lissa ate caviar. It reminded me too much of Russia. Adrian, of course, sought us out first. I gave him a crooked grin. â€Å"What are you doing here? I know you aren't eligible for a guardian.† With no concrete plans for his future, it was assumed Adrian would simply live at Court. As such, he'd need no outside protection–though he'd certainly qualify if he chose to strike out into the world. â€Å"True, but I could hardly miss a party,† he said. He held a glass of champagne in his hand, and I wondered if the effects of the ring Lissa had given him were wearing off. Of course, the occasional drink really wasn't the end of the world, and the dating proposal's language had been loose in that area. It was mostly the smoking I wanted him to stay away from. â€Å"Have you been approached by a dozen hopeful people?† I shook my head. â€Å"Who wants reckless Rose Hathaway? The one who drops out without warning to do her own thing?† â€Å"Plenty,† he said. â€Å"I sure do. You kicked ass in the battle, and remember–everyone thinks you went off on some Strigoi-killing spree. Some might think it's worth your crazy personality.† â€Å"He's right,† a voice suddenly said. I looked up and saw Tasha Ozera standing near us, a small smile on her scarred face. In spite of the disfigurement, I thought she looked beautiful today–more royal than I'd ever seen her. Her long black hair gleamed, and she wore a navy skirt and lacy tank top. She even had on high heels and jewelry–something I was certain I'd never seen her wearing. I was happy to see her; I hadn't known she'd come to Court. An odd thought occurred to me. â€Å"Have they finally let you have a guardian?† The royals had a lot of quiet, polite ways of shunning those who were in disgrace. In the Ozeras' case, their guardian allotment had been cut in half as kind of a punishment for what Christian's parents had done. It was totally unfair. The Ozeras deserved the same rights as any other royal family. She nodded. â€Å"I think they're hoping it'll shut me up about Moroi fighting with dhampirs. Kind of a bribe.† â€Å"One you won't fall for, I'm sure.† â€Å"Nope. If anything, it'll just give me someone to practice with.† Her smile faded, and she cast uncertain looks among us. â€Å"I hope you won't be offended†¦ but I put in a request for you, Rose.† Lissa and I exchanged startled glances. â€Å"Oh.† I didn't know what else to say. â€Å"I hope they'll give you to Lissa,† Tasha added hastily, clearly uncomfortable. â€Å"But the queen seems pretty dead-set on her own choices. If that's the case†¦Ã¢â‚¬  â€Å"It's okay,† I said. â€Å"If I can't be with Lissa, then I really would rather be with you.† It was the truth. I wanted Lissa more than anyone else in the world, but if they kept us apart, then I'd absolutely prefer Tasha to some snobby royal. Of course, I was pretty sure my odds of getting assigned to her were as bad as those of getting assigned to Lissa. Those who were angry at me for running off would go out of their way to put me in the most unpleasant situation possible. And even if she was being granted a guardian, I had a feeling Tasha's preferences wouldn't be high priority either. My future was still a big question mark. â€Å"Hey,† exclaimed Adrian, offended that I hadn't named him as my second choice. I shook my head at him. â€Å"You know they'd assign me to a woman anyway. Besides, you've got to do something with your life to earn a guardian.† I meant it jokingly, but a small frown made me think I might have actually hurt his feelings. Tasha, meanwhile, looked relieved. â€Å"I'm glad you don't mind. In the meantime, I'll do what I can to help you two.† She rolled her eyes. â€Å"Not that my opinion counts for much.† Sharing my misgivings about getting assigned to Tasha seemed pointless. Instead, I started to thank her for the offer, but we were then joined by yet another visitor: Daniella Ivashkov. â€Å"Adrian,† she chastised gently, a small smile on her face, â€Å"you can't keep Rose and Vasilisa all to yourself.† She turned to Lissa and me. â€Å"The queen would like to see you both.† Lovely. We both stood up, but Adrian remained sitting, having no desire to visit his aunt. Tasha apparently didn't either. Seeing her, Daniella gave a curt, polite nod. â€Å"Lady Ozera.† She then walked away, assuming we'd follow. I found it ironic that Daniella seemed willing to accept me but still held that typical aloof Ozera-prejudice. I guess her niceness only went so far. Tasha, however, had long since grown immune to that sort of treatment. â€Å"Have fun,† she said. She looked over at Adrian. â€Å"More champagne?† â€Å"Lady Ozera,† he said grandly, â€Å"you and I are two minds with a single thought.† I hesitated before following Lissa to Tatiana. I'd taken in Tasha's grand appearance but only now really paid attention to something. â€Å"Is all your jewelry silver?† I asked. She absentmindedly touched the opal necklace around her neck. Her fingers were adorned with three rings. â€Å"Yes,† she said, confused. â€Å"Why?† â€Å"This is going to sound really weird†¦ well, maybe not compared to my normal weirdness. But could we, um, borrow all of those?† Lissa shot me a look and immediately guessed my motives. We needed more charms and were short on silver. Tasha arched an eyebrow, but like so many of my friends, she had a remarkable ability to roll with weird ideas. â€Å"Sure,† she said. â€Å"But can I give them to you later? I don't really want to strip my jewelry in the middle of this party.† â€Å"No problem.† â€Å"I'll have them sent to your room.† With that settled, Lissa and I walked over to where Tatiana was surrounded by admirers and those wanting to suck up. Daniella had to be mistaken in saying Tatiana wanted to see both of us. The memory of her yelling at me over Adrian still burned in my head, and dinner at the Ivashkovs' hadn't fooled me into thinking the queen and I were suddenly best friends. Yet, astonishingly, when she caught sight of Lissa and me, she was all smiles. â€Å"Vasilisa. And Rosemarie.† She beckoned us closer, and the group parted. I approached with Lissa, my steps tentative. Was I going to get yelled at in front of all these people? Apparently not. There were always new royals to meet, and Tatiana first introduced Lissa to all of them. Everyone was curious about the Dragomir princess. I was introduced as well, though the queen didn't go out of her way to sing my praises as she did Lissa's. Still, being acknowledged at all was incredible. â€Å"Vasilisa,† said Tatiana, once the formalities were finished, â€Å"I was thinking you should visit Lehigh soon. Arrangements are being made for you to go in, oh, maybe a week and a half. We thought it would be a nice treat for your birthday. Serena and Grant will accompany you, naturally, and I'll send a few others.† Serena and Grant were the guardians who had replaced Dimitri and me as Lissa's future protection. Of course they'd be going with her. Then, Tatiana said the most startling thing of all. â€Å"And you can go too, if you'd like, Rose. Vasilisa could hardly celebrate without you.† Lissa lit up. Lehigh University. The lure that had made her accept a life at Court. Lissa yearned for as much knowledge as she could get, and the queen had given her a chance at it. The prospect of a visit totally filled her with eagerness and excitement–especially if she could celebrate her eighteenth birthday there with me. It was enough to distract her from Victor and Christian, which was saying something. â€Å"Thank you, Your Majesty. That'd be great.† There was a strong possibility, I knew, that we might not be around for this scheduled visit–not if my plan for Victor worked. But I didn't want to ruin Lissa's happiness–and I could hardly mention it in this royal crowd. I was also kind of stunned that I'd been invited at all. After issuing the invite, the queen said nothing else to me and continued speaking with the others around her. Yet, she'd been pleasant–for her, at least–while addressing me, just as she had at the Ivashkov home. Not best-friend nice but certainly not raving-bitch insane, either. Maybe Daniella had been right. More pleasantries followed as everyone chatted and tried to impress the queen, and it soon became clear that I was no longer needed. Glancing around the room, I found someone I needed to talk to and meekly separated myself from the group, knowing Lissa could fend for herself. â€Å"Eddie,† I called, reaching the other side of the ballroom. â€Å"Alone at last.† Eddie Castile, a longtime friend of mine, grinned when he saw me. He too was a dhampir, tall with a long, narrow face that still had a cute, boyish look to it. He had tamed his dark, sandy-blond hair for a change. Lissa had once hoped Eddie and I would date, but he and I were strictly just friends. His best friend had been Mason, a sweet guy who'd been crazy about me and who had been murdered by Strigoi. After his death, Eddie and I had adopted protective attitudes toward each other. He'd later been kidnapped during the attack at St. Vladimir's, and his experiences had made him a serious and determined guardian–sometimes a little too serious. I wanted him to have more fun and was delighted to see the happy glint in his hazel eyes now. â€Å"I think every royal in the room's been trying to bribe you,† I teased. It wasn't entirely a joke. I'd been keeping an eye on him throughout the party, and there'd always been someone with him. His record was stellar. Surviving the awful events in his life might have scarred him, but they reflected well on his skills. He had great grades and ratings from the trial. Most importantly, he didn't have my reckless reputation. He was a good catch. â€Å"Kind of seems that way.† He laughed. â€Å"I didn't really expect it.† â€Å"You're so modest. You're the hottest thing in this room.† â€Å"Not compared to you.† â€Å"Yeah. As shown by the people lining up to talk to me. Tasha Ozera's the only one who wants me as far as I know. And Lissa, of course.† Lines of thought creased Eddie's face. â€Å"Could be worse.† â€Å"It will be worse. No way will I get either of them.† We fell silent, and a sudden anxiety filled me. I'd come to ask a favor of Eddie, and it no longer seemed like a good idea. Eddie was on the verge of a shining career. He was a loyal friend, and I'd been certain he'd help with what I needed†¦ but I suddenly didn't think I could ask. Like Mia, however, Eddie was observant. â€Å"What's wrong, Rose?† His voice was concerned–that protective nature kicking in. I shook my head. I couldn't do it. â€Å"Nothing.† â€Å"Rose,† he said warningly. I looked away, unable to meet his eyes. â€Å"It's not important. Really.† I'd find another way, someone else. To my surprise, he reached out to touch my chin and tip my head back up. His gaze caught mine, allowing no escape. â€Å"What do you need?† I stared at him for a long time. I was so selfish, risking the lives and reputations of friends I cared about. If Christian and Lissa weren't on the outs, I'd be asking him, too. But Eddie was all that was left to me. â€Å"I need something†¦ something that's pretty extreme.† His face was still serious, but his lips tugged into a wry smile. â€Å"Everything you do is extreme, Rose.† â€Å"Not like this. This is†¦ well, it's something that could ruin everything for you. Get you in big trouble. I can't do that to you.† That half smile vanished. â€Å"It doesn't matter,† he said fiercely. â€Å"If you need me, I'll do it. No matter what it is.† â€Å"You don't know what it is.† â€Å"I trust you.† â€Å"It's kind of illegal. Treasonous, even.† That took him aback for a moment, but he stayed resolute. â€Å"Whatever you need. I don't care. I've got your back.† I'd saved Eddie's life twice, and I knew he meant what he said. He felt indebted to me. He would go wherever I asked, not out of romantic love, but out of friendship and loyalty. â€Å"It's illegal,† I repeated. â€Å"You'd have to sneak out of Court†¦ tonight. And I don't know when we'd be back.† It was entirely possible that we wouldn't come back. If we had a run-in with prison guards†¦ well, they might take lethal measures to do their duty. It was what all of us had trained for. But I couldn't pull this breakout off with Lissa's compulsion alone. I needed another fighter at my back. â€Å"Just tell me when.† And that was all there was to it. I didn't tell him the full extent of our plan, but I gave him that night's rendezvous location and told him what he would need to bring. He never questioned me. He said he'd be there. New royals came to talk to him just then, and I left him, knowing he'd show up later. It was hard, but I pushed aside my guilt over possibly endangering his future. Eddie arrived, just as he'd promised, when my plan unfolded later that night. Lissa did too. Again, night meant â€Å"broad daylight.† I felt that same anxiety I did when we'd sneaked around with Mia. Light exposed everything, but then, most people were asleep. Lissa, Eddie, and I still moved through the Court's grounds as covertly as we could, meeting Mikhail in a section of the compound that held all sorts of garaged vehicles. The garages were big metal, industrial-looking buildings set on the fringes of Court, and no one else was out. We slipped into the garage he'd indicated last night, and I was relieved to find no one else there. He surveyed the three of us, looking surprised at my â€Å"strike team,† but he offered no questions and made no further attempts to join us. More guilt surged up within me. Here was someone else who was risking his future for me. â€Å"Gonna be a tight fit,† he mused. I forced a smile. â€Å"We're all friends here.† Mikhail didn't laugh at my joke but instead popped the trunk of a black Dodge Charger. He wasn't kidding about the tight fit. It was a newer one, which was kind of a shame. An older model would have been bigger, but guardians only kept top-of-the-line stuff around. â€Å"Once we're far enough away, I'll pull over and let you out,† he said. â€Å"We'll be fine,† I assured him. â€Å"Let's do this.† Lissa, Eddie, and I crawled into the trunk. â€Å"Oh God,† muttered Lissa. â€Å"I hope no one's claustrophobic.† It was like a bad game of Twister. The trunk was large enough for some luggage but not intended for three people. We were squeezed together, and personal space was nonexistent. We were all up close and personal. Satisfied we were all snug, Mikhail closed the trunk and darkness engulfed us. The engine started a minute later, and I felt the car move. â€Å"How long until you think we stop?† asked Lissa. â€Å"Or die from carbon monoxide poisoning?† â€Å"We haven't even left the Court yet,† I noted. She sighed. The car drove off, and not too long afterward, we came to a stop. Mikhail must have reached the gates and been chatting with the guards. He'd told me earlier that he'd come up with some excuse or other to run an errand, and we had no reason to believe the guards would question him or search the car. The Court wasn't worried about people sneaking out, like our school had been. The biggest concern here was people getting inside. A minute passed, and I uneasily wondered if there was a problem. Then the car moved again, and all three of us exhaled in relief. We picked up speed, and after what I suspected was a mile or so, the car veered sideways and came to a stop. The trunk popped open, and we spilled out of it. I'd never been so grateful for fresh air. I got in the passenger seat beside Mikhail, and Lissa and Eddie took the back. Once we were settled, Mikhail continued driving without another word. I allowed myself a few more moments of guilt over the people I'd involved but then let it go. It was too late to worry now. I also let go of my guilt about Adrian. He would have been a good ally, but I could hardly ask for his help in this. And with that, I settled back and turned my thoughts to the job before us. It would take us about an hour to get to the airport, and from there, the three of us were off to Alaska.