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culture of secrecy may have led to patients dying They were accused of burying the truth as Scotland s anti secrecy watchdog, nba jerseys Kevin Dunion, revealed that they withheld more than 50 reports on serious incidents including 20 deaths Last night, Health Moncler Mens down jackets with hat dark green Secretary Nicola Sturgeon moncler puffer coats ordered an immediate investigation into NHS Ayrshire and Arran. Rab said yesterday: "Deaths may have occurred due to this culture of secrecy. The point of these reports and the action plans that are meant to follow them is they re meant to be a learning experience. moncler nyc soho "Imagine your relative was a patient and they committed suicide. If you found there d been a similar incident earlier, and nothing had been learned from it, what would you be doing? "Due to the incompetence at the highest level, the NHS could be sued for millions." Rab also says he suspects that after his request, the health board began "retrospectively" making action plans, as they realised they d been caught out. In February 2011, after years of battling with bosses, Rab, from New Cumnock, Ayrshire, made a Freedom of Information request for all serious incident reports since 2005, and action plans arising from them. Of the incidents, it is understood 20 involved deaths, although the figure has never been confirmed officially. Bosses refused to disclose incident reports because of patient confidentiality. They also claimed not to have action plans for historic incidents and said they were working on plans for more recent ones. Rab believes bosses used delaying tactics "kicking me into the long grass" by refusing his FoI request so they had time to cover their tracks. When Dunion intervened, the health chiefs again insisted the documents didn t exist. But his investigation took a twist in July, when they claimed they d "found" a string of historic action plans on the computer of a staff member who d been on long term leave. NHS Ayrshire and Arran deny any cover up. But Dunion s 48 page report into the health board was damning. He said yesterday: "We discovered that over 50 action plans which we had been assured by the health board no longer existed, or were no longer held, were indeed Moncler cowskin high Men Vancouver Casual shoes held by them. "This case has involved a catalogue of failings perhaps the most serious such case in my time as commissioner. "The failings may point to wider governance issues which have to be addressed. "Mr Wilson s persistence was characterised moncler gamme bleu online by the board as being vexatious, but perhaps instead should have raised concerns that records concerning critical incidents were missing, policies were not being adhered to and public confidence that plans had been drawn up and acted upon could be affected." NHS Ayrshire and Arran moncler red vest said yesterday the problem was with "records management systems" and dated back to before 2009. Chief executive John Burns added: "At the time of their creation, the action plans were passed to the appropriate service for action. We are now carrying out a new piece of work to review how these were implemented Moncler lucie new pop star Women down coat long pink at the moncler clairy jacket time."

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Culture of the United States The culture of the United States is primarily Western, jerseys but is influenced by Native American, African, Asian, Polynesian, and Latin American cultures. A strand of what may be described as American culture started its formation over 10,000 years ago with the migration of Paleo Indians from Asia, as well as from Oceania and Europe, into the region that is today the continental United States. The United States of America has its own unique social and cultural characteristics such as dialect, music, arts, social habits, cuisine, and folklore. The United States of America is an ethnically and racially diverse country as a result of large scale migration from many ethnically and racially different countries throughout its history as well as differing birth and death rates among natives, settlers, and immigrants.[1] Its chief early European influences came from English, Scottish, Welsh and Irish settlers of colonial America during British rule. British culture, due to colonial ties with Britain that spread the English language, legal system and other cultural inheritances, had a formative influence. Other important influences came from other parts of western Europe, especially Germany,[2] France, and Italy.[citation needed] Original elements also play a strong role, such as Jeffersonian democracy.[3] Thomas Jefferson s Notes on the State of Virginia was perhaps the first influential domestic cultural critique by an American and a reactionary piece to the prevailing European consensus that America s domestic originality was degenerate.[3] Prevalent ideas and ideals that evolved domestically, such as national holidays, uniquely American sports, military tradition, and innovations in the arts and entertainment give a strong sense of national pride among the population as a whole.[citation needed] American culture includes both conservative and liberal elements, scientific and religious competitiveness, political structures, risk taking and free expression, materialist and moral elements. individualism, egalitarianism, and faith in freedom and democracy), American culture has a variety of expressions due to its geographical scale and demographic diversity. culture and its highly symbolic nature lead some researchers to categorize American culture as a mythic identity;[4] others see it as American exceptionalism[citation needed]. It also includes elements that evolved from Indigenous Americans, and other ethnic cultures most prominently the culture of African Americans, cultures from Latin America, and Asian American cultures. Many American cultural elements, especially from popular culture, have spread across the globe through modern mass media. The United States has traditionally been thought of as a melting pot, however beginning in the 1960s and continuing on in the present day, the country trends towards cultural diversity, pluralism and the image of a salad bowl instead.[5][6][7] Due to the extent of American culture, there are many integrated but unique social subcultures within the United States. The cultural affiliations an individual in the United States may have commonly depend on social class, political orientation and a multitude of demographic characteristics such as religious background, occupation and ethnic group membership.[1]Semi distinct cultural regions of the United States include New England, the Mid Atlantic states, the Southern United States, the Midwestern United States and the Western United States an area that can be further subdivided, Moncler down Men jackets valeners Zip Hooded green on the basis of the local culture into the Pacific States and the Mountain States. The western coast of the continental United States consisting of California, Oregon, and the state of Washington is also sometimes referred to as the Left Coast, indicating its left leaning political orientation and tendency towards social liberalism. Southern United States are informally called "the Bible Belt" due to socially conservative evangelical Protestantism, which is a significant part of the region s culture and Christian church attendance across the denominations is generally higher there than the nation s average. This region is usually contrasted with the mainline Protestantism and Catholicism of the northeastern United States, the religiously diverse Midwest and Great Lakes, the Mormon Corridor in Utah and southern Idaho, and the relatively secular western United States. with the southern slave society in the antebellum period serving womens moncler jacket as a prime example. Not only social, but also economic tensions Moncler Women down Hooded Parka Belt Green jackets between the Northern and Southern states were so severe that they eventually caused the South to declare itself an independent nation, the Confederate States of America; thus initiating the American Civil War.[9] David Hackett Fischer theorizes that the United States is made up today of four distinct regional cultures.[10] The book s focus is on the folkways of four groups of settlers from the British Isles that emigrated from distinct regions of Britain and Ireland to the British American colonies during the 17th and 18th centuries. Fischer s thesis is that the culture and folkways of each of these groups persisted, albeit with some modification over time, providing the basis for the four modern regional cultures of the United States. According to Fischer, the foundation of American culture was formed MONCLER down Women Hooded Belt Accessories white jackets from four mass migrations from four different regions of the British Isles by four distinct socio religious Moncler Women Vest purple tarn Rabbit hats Zip groups. New England s earliest settlement period occurred between 1629 and 1640 when Puritans, mostly from East Anglia in England, settled there, forming the New England regional culture. The next mass migration was of southern English cavaliers and their Irish and Scottish domestic servants to the Chesapeake Bay region between 1640 and 1675. This facilitated the development of the Southern American culture. Then (between 1675 and 1725), thousands of Irish, English and German Quakers, led by William Penn, settled in the Delaware Valley. from the mid Atlantic states to the Pacific Coast. Finally, Scotch Irish, English and Scottish settlers from the borderlands of Britain and Ireland migrated to Appalachia between 1717 and 1775. Southwest. today is not a country with one General American culture and three or more regional sub cultures. He asserts that the country is composed of just regional cultures, and that Moncler down Vest Women no hat zip blue understanding that helps one to understand many things about modern American life. Fischer also makes the point that the development of these regional cultures derived not only from where exactly the settlers first came, but when they came. These regions are: Yankeedom, New Netherland, The Midlands, Tidewater, Greater Appalachia, The Deep South, New France, El Norte, The Left Coast, The Far West and First Nation (a region in parts of northern Canada and Alaska, and Greenland). According to Woodard, these regions cross and disregard formal state or even country borders. For example, he compares the Mexican border with the Berlin wall, saying that "El Norte in some ways resembles Germany during the Cold War: two peoples with a common culture separated by a large wall."Main article: Languages of the United States Although the United States has no official language at the federal level, 28 states have passed Moncler Montargis down coats Women button brown legislation making English the official language and it is considered to be the de facto national language. Census, more than 97% of Americans can speak English well, and for 81% it is the only language spoken at home. More than 300 languages besides English have native speakers in the United States some of which are spoken by the indigenous peoples (about 150 living languages) and others imported by immigrants. Spanish has official status in the commonwealth of Puerto Rico and the state of New Mexico; Spanish is the primary spoken language in Puerto Rico and various smaller linguistic enclaves.[12] According to the 2000 census, there are nearly 30 million native speakers of Spanish in the United States. Bilingual speakers may use both English and Spanish reasonably well but code switch according to their dialog partner or context. Some refer to this phenomenon as Spanglish. Indigenous languages of the United States include the Native American languages, which are spoken on the country s numerous Indian reservations and Native American cultural events such as pow wows; Hawaiian, which has official status in the state of Hawaii; Chamorro, moncler vest which has official status in the commonwealths of Guam and the Northern Mariana Islands; Carolinian, which has official status in the commonwealth of the Northern Mariana Islands; and Samoan, which has official status in the commonwealth of American Samoa. American Sign Language, used mainly by the deaf, is also native to the country. The national dialect is known as American English, which itself consists of numerous regional dialects but has some shared unifying features that distinguish it from other national varieties of English. There are four large dialect regions in the United States the North, the Midland, the South, and the West and several smaller dialect regions such as those of New York City and Boston. A standard dialect called "General American" (analogous in some respects to the received pronunciation elsewhere in the English speaking world), lacking the distinctive noticeable features of any particular region, is believed by some to exist as well; it is sometimes regionally associated with the vaguely defined "Midwest". Native language statistics for the United States[edit] The following information is an estimation as actual statistics constantly vary. According to the CIA,[13] the following is the percentage of total population s native languages in the United States:

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