Saturday, August 31, 2019
Careers in Psychology Essay
In Psychology there are so many different careers that have gained my interest because I love learning how people function, behave, and how the brain works. The first career that truly gained my full interest is Neuropsychologist. Neuropsychologists are the ones that explore not only the brain system but they also explore behavior and the relationship between the two. This is something that interests me more than I can put into words. One of the reasons I have so much interest in this type of career is because I myself have fetal alcohol syndrome, attention deficit hyperactivity disorder as well as learning disorder. Being able to study the cognitive functions of the brain such as attention, language and memory I believe will eventually help me to understand more of my disabilities and how to work past them. A Neuropsychologist is also able to evaluate people who have various types of nervous system disorders. They work closely with doctors including neurologists. Illnesses, injuries, and diseases of the brain and nervous system can affect the way a person feels, thinks, and behaves and some of the symptoms may call for a neuropsychologist. Those symptoms are memory difficulties, mood disturbances, learning difficulties as well as nervous system dysfunction. If other doctors are unable to identify the cause of a condition then they bring a neuropsychologist into help determine the diagnosis. In order to become a Neuropsychologist you have to obtain many different skills such as reading comprehension, active listening, critical thinking, social perceptiveness, complex problem solving, writing, speaking, science, active learning, judgement and decision making, instructing, service orientation, learning strategies, monitoring, system analysis, systems evaluation, time management, coordination and persuasion. Each and every one of these skills is just as important as one or the other. By having all these skills it will help To become successful in helping your clients. There is a lot of education involved in becoming an aspiring neuropsychologist. The first step is to earn a bachelors degree which is four years long, after that you complete a masters degree of another two years, then the last and final step is to earn a PHD or PsyD which can take another two to four years. So overall you are looking at spending 8-10 years in college if your heart is truly set on becoming a neuropsychologist. The duties and responsibilities of a neuropsychologist may vary depending on their specialties. Some Neuropsychologists, for instance work primarily as researchers. This might involve studying both healthy humans as well as animals, and those with brain injuries and or illnesses. Neuropsychologists might also work in clinical settings as well. This typically involves assessing and diagnosing patients. This can be done by observing symptoms and using sophisticated technology, such as brain scans. After successfully diagnosing a neurological problem, they can then often recommend a course of treatment which can include therapy, medication or even surgery. The neuropsychologists that are primarily concerned with research might work in private or government research facilities. Some universities might also hire these professionals to conduct research as well as teac h a class or two. Clinical neuropsychologists might work in a number of different healthcare settings. This can include hospitals, clinics, and physicians offices. Some neuropsychologists might also choose to open private practices and treat patients in their offices or work as consultants. The second career in Psychology which really grabbed my attention more and more as I researched it and read what they do is Rehabilitation Psychologists. Rehabilitation psychologists work with stroke and accident victims and people with mental retardation and those with developmental disabilities caused by conditions such as cerebral palsy, epilepsy and autism. I once worked with a gentleman who had a severe case of cerebral palsy and could not do anything for himself. I was always helping him from the time he woke up in the morning to the time he laid down in bed at night. The sad thing is that from one day to the next I wasn’t sure if he was going to remember me or not. If he didn’t remember me then he would lock me out of his house and he wouldn’t let me back in so most of the time I had to crawl through a tiny window. I believe I would be very good as a Rehabilitation Psychologist for many different reasons. The first reason is that those with disabilities have a soft spot in my heart because I know what its like to be looked at differently for one and for two the willingness to work past the disability is outrageous. Some people with disabilities you cannot even tell they have one because they have learned how to work past it and not let it show. This type of career works closely with public health programs to prevent disabilities including those caused by violence and substance abuse. Rehabilitiation Psychologists testify in court as expert witnesses about the causes and effects of a disability and a persons rehabilitation needs. Rehabilitation Psychologists are uniquely trained and specialized to engage in a broad range of activities including clinical practice, consultation, program development, service provision, and teaching and education training, amongst many others. I am always looking out for everyone else and trying to figure out how I can help them or do something for them to make their lives a little easier on them. In order to become a Rehabilitation Psychologist you need to have to same type of skills as you would if you were a Neuropsychologist as well as the same path of education. This goes for many of the careers in Psychology. As for where a Rehabilitation Psychologist can work, they can open up their ow n practices, work in healthcare facilities, or in government buildings.
Friday, August 30, 2019
Report of findings to the Community Health Department Essay
It has been brought to my attention that there may be an illness spreading throughout the middle schools due to a recent rise in student absences. In researching the recent absences, I’ve noticed that in 2 of the 4 middle schools, Truman and Jackson, there was an unusual spike in the absences of band students on May 20 and 21. I reviewed the school calendars and noticed that Truman and Jackson Middle School had a Battle of the Bands event scheduled on May 19. Interviews were conducted with some of the absentees’ parents, it has come to my attention that some of the band members likely went out to dinner after the event. I looked into recent health inspections of local restaurants available from the Health Department and there are several health violations at restaurants in close proximity to the schools. The school nurse also provided information that food poisoning symptoms can start within a day or two of eating contaminated food, which, based on interviews conducted, is when these students began seeing symptoms. After reviewing the available data from the health department and schools, I offer that the absences are most likely related to food poisoning and not a contagious illness such as the flu or other epidemic. There would be no need to alert students, parents or the community about an outbreak. Thank you, Joanna Aeschbacker Community Health Department Investigator ? After conducting my investigation, I would have to ask a few other questions to support my hypothesis of food poisoning being the most likely cause of the absences: When were the restaurants inspections conducted? If the inspections were done recently, then this helps support my hypothesis. If the inspections were conducted weeks prior to the event or after the event, the data provided from them I think would not be useful in supporting my hypothesis. Interviews were provided for some of the students, but I would like to interview as many as possible to ask: What symptoms did each absent student experience? I would want to know when the symptoms began to appear. If they all have similar symptoms and symptoms appeared around similar times, this supports my hypothesis. Did each absent student go out to dinner after the Battle of the Bands? If each student went out to dinner then this supports my hypothesis. Where did each student go to dinner? If the students did go out to dinner and went to a restaurant with health code violations, then this supports my hypothesis. Assuming each student did go to dinner at a restaurant with health code violations, what did each student eat for dinner at the restaurant? If many, or all of the students ate the same thing, then this would help support my hypothesis. ? Is the following statement a suitable hypothesis: â€Å"The Brentwood Indians basketball team lost the state championship because there is bad stuff in the stars happening with Mars in Aquarius†? Explain why or why not. I don’t believe this statement to be a suitable hypothesis. Astrology to me is more of a personal belief rather than scientific fact. Sure, there are coincidences that happen. Mars in Aquarius could mean disaster! But to base a basketball team’s performance on where the stars and planets are aligned is preposterous. There is no scientific data to back up this hypothesis; therefore it is not a suitable.
A Cultural Criticism Of Kite Runner by Khaled Hoesseini Essay
How high could a kite fly?: a cultural criticism of Kite Runner by Khaled Hoesseini            There is a saying that cultural contacts sometimes bring the worst of two cultures. It could be true but it also an illusion because of unchanging thinking on the relationship between people. And culture is all about relationship of people. What happens when people from different ethnic background and religions are caught up in cascading events in a changing world? What if the culture which binds or more accurate divides people is essentially ancient and has remain unchanged through the years, generation after, generation. And what happens if the â€Å"now’s†world politics suddenly has suddenly broken the spell and subjected people to reality. This is the basic motif or thematic thread of the Kite Runner. See more: Foot Binding In China essay A novel set in Afghanistan, an ancient land, of ancient culture in the the 1960s up the 1980s when the Taliban came into power in Afghanistan, the Kite Runner chronicles a strange friendship between two people from different ethnicity, religion and socio-economic status. It is a study of contrasts as told by the main character Amir. To understand Amir and the characters set in a mosaic of contrasting and sometimes sharp contrast is to understand the cultural milieu of the ancient culture of Afghanistan based on Islam. This is no easy thing to do because of the matter of point of view. In the case of the Kite Runner or perhaps in any narrative, there are two point of views. The point of view of the author and the point of â€Å"culture†as to the events and characters being described by the author. In the Kite Runner, the point of view is definitely modern – the narrative is excellent as shown by the superb weaving of the textual logic and the plot contemporary. The plot and characters As told by Amir, the story revolves around his friendship with Hassan the son of Amir’s father’s servant. It tells a story of betrayal, redemption and finally escape to freedom. Amir is Pashtoon and Hassan is Hazara. Pashtoon and Hazara are two of the ethnic groups in Afghanistan. From the novel, it appeared that the Hazara is discriminated upon or looked down on as revealed in the the following passage when Amir and Hassan are growing up:            One day, we were walking from my father’s house to Cinema Zainab for a new Iranian movie, taking the shortcut through the military barracks near Istiqlal Middle School-Baba had forbidden us to take that shortcut, but he was in Pakistan with Rahim Khan at the time. We hopped the fence that surrounded the barracks, skipped over a little creek, and broke into the open dirt field where old, abandoned tanks collected dust. A group of soldiers huddled in the shade of one of those tanks, smoking cigarettes and playing cards. One of them saw us, elbowed the guy next to him, and called Hassan. â€Å"Hey, you!†he said. â€Å"I know you.† We had never seen him before. He was a squatty man with a shaved head and black stubble on his face. The way he grinned at us, leered, scared me. â€Å"Just keep walking,†I muttered to Hassan. (Kite Runner, p 6-7)            â€Å"You! The Hazara! Look at me when I’m talking to you!†the soldier barked He handed his cigarette to the guy next to him, made a circle with the thumb and index finger of one hand. Poked the middle finger of his other hand through the circle. Poked it in and out. In and out. â€Å"I knew your mother, did you know that? I knew her real good. I took her from behind by that creek over there.† The soldiers laughed. One of them made a squealing sound. I told Hassan to keep walking, keep walking. â€Å"What a tight little sugary cunt she had!†(Kite Runner, p 6-7) This passage revealed a lot on the circumstances surrounding the two friends. Hassan was called by a soldier, â€Å"Hazara†and specifically pointed at Hassan just to taunt him, telling him that his mother is prostitute. From this passage, the two lads are simply out to watch an Iranian movie partaking of what little leisure their culture has to offer when they are confronted by the soldiers. It is understandable that Amir could not defend his friend and hence he took evasive action. It also showed the meek character of Hassan. The characterization of Amir and Hassan is set early in the novel. The circumstances of their births are telling of the subjugation and desperation of an ethnic group. The contrast is revealed in this passage:            It was in that small shack that Hassan’s mother, Sanaubar, gave birth to him one cold winter day in 1964. While his mother hemorrhaged to death during childbirth, Hassan lost his less than a week after he was born. Lost her to a fate most Afghans considered far worse than death. She ran off with a clan of traveling singers and dancer. (Kite Runner, p 6-7)            Both Amir and Hassan lost their mothers upon birth with Amir’s mother dying of hemorrhage giving birth while Hassan was born with not much problem as implied by the quick recovery of his mother. But she ran away apparently not wanting the responsibility of raising a child. This passage is revealing of the harsh reality of Hazara woman and how harsh her reaction could be as depicted in the novel.            â€Å"the moment Sanaubar had given birth to Hassan. It had been a simple enough affair. No obstetricians, no anesthesiologists, no fancy monitoring devices. Just Sanaubar lying on a stained, naked mattress with Ali and a midwife helping her. She hadn’t needed much help at all, because, even in birth, Hassan was true to his nature: He was incapable of hurting anyone. A few grunts, a couple of pushes, and out came Hassan. Out he came smiling. As confided to a neighbor’s servant by the garrulous midwife, who had then in turn told anyone who would listen, Sanaubar had taken one glance at the baby in Ali’s arms, seen the cleft lip, and barked a bitter laughter. â€Å"There,†she had said. â€Å"Now you have your own idiot child to do all your smiling for you!†She had refused to even hold Hassan, and just five days later, she was gone.†(Kite Runner, p 9-10)            This early in the novel, how the characters would develop has already been foretold. The novel’s author, included the phrase â€Å"true his nature, incapable of hurting anyone†in referring to Hassan. A gentle soul, helpless and innocent amid the torrid racial, economic and political cauldron that is Afghanistan.            Ethnic intolerance is a pervading theme in Kite Runner and there are many scenes showing this. In another passage, Hassan was taunted and called him â€Å"flat-nosed†referring to the physical features of Hassan.            It is interesting to point out, that this tale is in the point of view of Amir, a Pashtoon, an ethnic group which Amir found out later that his people have subjugated the Hazaras. This is the turning point of Amir’s understanding of Hassan and critical to the development of the novel and Amir’s actions much later in the book. The passage reflects the contrast between Amir and Hassan.            Then one day, I was in Baba’s study, looking through his stuff, when I found one of my mother’s old history books. It was written by an Iranian named Khorami. I blew the dust off it, sneaked it into bed with me that night, and was stunned to find an entire chapter on Hazara history. An entire chapter dedicated to Hassan’s people! In it, I read that my people, the Pashtoons, had persecuted and oppressed the Hazaras. It said the Hazaras had tried to rise against the Pashtoons in the nineteenth century, but the Pashtoons had â€Å"quelled them with unspeakable violence. (Kite Runner, p 9) This is no easy revelation to a child. Difficult to grasp the extent of racial tension and subjugation, of a horrendous history separating him from a childhood friend, almost a bond brother if not a loyal servant. This as mentioned earlier is the difficult part. Is Amir, undergoing a change as a benevolent master or into egalitarian person? The climactic culmination of the this relationship is portrayed in the kite contest wherein Hassan is the kite runner of Amir. Take note that the relationship of master-servant did not change so are the dreams of children. Winning contests or making a name to make someone happy. In this case, Amir wants to impress his father so he joined the contest. In one part of the novel is this passage showing that the relationship is still is master and servant. This is important in the understanding the construct of the Kite Runner. Finally, I had my kite in hand. I wrapped the loose string that had collected at my feet around the spool, shook a few more hands, and trotted home. When I reached the wroughtiron gates, Ali was waiting on the other side. He stuck his hand through the bars. â€Å"Congratulations,†he said. 1 gave him my kite and spool, shook his hand. â€Å"Tashakor, Ali jan.†â€Å"I was praying for you the whole time.†â€Å"Then keep praying. We’re not done yet.†(Kite Runner, p 67)            Ali, here is the father of Hassan, note Amir’s dialogue: â€Å"I gave him my kite and spool, shook his hand.†It is plainly, a lad in confidence talking to a servant, as if saying, here take care of this will you? Like what Batman would have done with Alfred after a caper. â€Å"Here Alfred, take care of my boomerang will you?†The following passage shows the blissful innocence in triumph.            I hurried back to the street. I didn’t ask Ali about Baba. I didn’t want to see him yet. In my head, I had it all planned: I’d make a grand entrance, a hero, prized trophy in my bloodied hands. Heads would turn and eyes would lock†¦ Then the old warrior would walk to the young one, embrace him, acknowledge his Worthiness. (Kite Runner, p 67)            The prize trophy being referred here is a blue kit which Amir won. Hassan is tasked to recover the prize in a kite war. But succeeding events in an otherwise happy occasion of winning which Amir wanted to share with Hassan is not allowed by the author and the illusion of a champion in kiting as clashed with reality is painted squarely by Hosseini when Hassan was violated by Assef, the nemesis of Amir who would figure as the dark symbol of the grim world of Afghanistan at the rise of the Talibans in the 80’s. The sexual violation or rape of Hassan, perhaps symbolizes the subjugation by use of powerful force over another. In one scene, perhaps to zero in on a contradiction in Afghan culture, Hosseini weaved this passage describing Amir as he looks for Hassan shortly after the kite contest and shortly before witnessing the violation of Hassan.            By the time I reached the marketplace a few blocks away, from the Haji Yaghoub Mosque, the mullahbellowed azan, calling for the faithful to unroll their rugs and bow their heads west in prayer. Hassan never missed any of the five daily prayers. Even when we were out playing, he’d excuse himself, draw water from the well in the yard, wash up, and disappear into the hut. He’d come out a few minutes later, smiling, find me sitting against the wall or perched on a tree. He was going to miss prayer tonight, though, because of me. (Kite Runner, p 68)            Here in this passage, Hassan is picture as a devotee of Haj Yaghoub Mosque, religious, true to his faith innocent. A simple child devoted to a friend performing for him the task of a kite runner. He performed his task and recovered the blue kite of Amir but was intercepted by Assef.            Amir saw the whole episode but did nothing. Here is a symbolic twist in the novel. The incapacity of Amir to act to protect not only Hassan but himself. As we noted earlier, Amir is both a master and a friend of Hassan in terms of relationships, cultural and personal. As a master, he backed down to the superior force of Assef and friends, he knows he could not win so he whimpers just watching. As a friend, he suffered internally at the sight of the violation. The illusion of triumph in the kite contest shattered. When kites are let loose The resolution of the tale of ethnic strife Kite Runner is framed by the author in the succeeding generation. It would be the redemption of Amir, when he rescued Hassan’s child who was taken captive by Assef who became a Taliban official. Amir was able to escape to California with his wife and Hassan’s child. Hassan was revealed to have been killed by the Taliban. As far as handling the themes of conflict and its resolution, the Kite Runner showed us symbolically, how change is almost impossible in an ancient setting. It would take perhaps generation after generation to a society more tolerant of each other’s differences. The novel is rich in symbols. The kite is highly symbolic, there is a thread that keeps it afloat, there is the wind. Cutting loose has significant meaning as when Amir decides to escape to California. The kite of Amir has crossed the continents, from the ancient to the modern or post modern California. We are then left with one question, authenticity. It is not the objective of this paper to analyze what is Afghan culture and conflicts which tearing the country apart in flare ups of violence, we could only view the novel as woven by the author. Though in many ways, ethnic or racial discrimination has been a plague of mankind, and even stable techno-scientific economies has their share of racial disharmony and bigotry. Apartheid was just recently abolished in South Africa and there are racial and ethnic strifes in Eastern Europe. What Kite Runner did is to open our eyes to such problems and maybe in the future, youthful dreams would come true. Reference Hosseini, Khaled, Kite Runner http://rahapen.org/RAHA_Literary_criticism_safar_hanifi2.htm (1 of 8)5/6/2006 1:30:29 PM RAHA PEN: A quick glance on Novel†The Kite Runnner†WIKEPEDIA.com
Thursday, August 29, 2019
The Effect of Lobbying on Public Opinion Research Paper
The Effect of Lobbying on Public Opinion - Research Paper Example This is so he can carry out his mandate more easily and even more importantly, win a re-election if needed by implementing his programs. Discussion Public relations is the practice of having a positive public opinion for oneself. This means projecting a public image of goodwill that essentially entails using the right communications tool between a person or an organization and his or its various publics or stakeholders. A big extent is the use of the right public relations tools to inform and more crucially, shape opinion. It involves influencing the public process of debates, discussions and consultations in order to have good or favorable public opinion. In today's modern society, there is widespread use of lobbyists who are either volunteers or some people paid to speak in one's behalf as an advocate. In this regard, part of lobbying is the intent of influencing the legislative process by having favorable laws enacted in relation to a person's or group's special interests. Before a bill becomes a law, drafts are passed around with their justifications and aimed to judge a public reaction (OECD, 2009, p. 160). The public process – lobbyists are required to meet legislators for several times. In some cases, lobbying brings about good results as it raises public awareness of certain issues.
Wednesday, August 28, 2019
Threats to validity Essay Example | Topics and Well Written Essays - 250 words
Threats to validity - Essay Example 231). Owing to the involved period, participants to an experiment may adjust to the experimental environment and realign physically, psychologically, or emotionally due to maturation in the set environment or towards expectations (Jackson, 2011). A hypothetical case to history, as a threat to validity, involves an experiment, carried over a ‘six-month’ period, to test effectiveness of a depression therapy. While the participants’ stay in the experimental environment over time, and not the particular therapy may have psychological and emotional impacts to reduce the participants’ depression level, the researcher may be misled to believe that the therapy is effective in managing the level of depression (Jackson, 2011). These types of threats to validity are very difficult to recognize and control. This is because they are majorly psychologically subconscious factors in participants that are not evident to both a researcher and a participant. They can however be controlled through precautionary measures such as application of an â€Å"equivalent control group†to eliminate the effects on validity (Jackson, 2011, p.
Tuesday, August 27, 2019
Marketing Essay Example | Topics and Well Written Essays - 500 words - 4
Marketing - Essay Example Was their objective to change their image from a conservative clothing store to a more fashion-updated store? Did they want to reposition their products? Are they willing to sacrifice their conservative market just to tap another segment of the market? These are essential questions which should have been addressed before deciding to come up with the ad. Another important aspect which Penny might have overlooked is the pre-testing stage of the advertisement. They should have randomly picked out a â€Å"consumer jury†who will view the ad and see how they would react to the ad. The â€Å"jury†should be representative of their target market, to include their present consumers and the market which they want to tap. Had they done this process, they could have gotten outright feedback on the impact of their ad. 2. How could Penney use public relations strategies to counteract the bad publicity it received as a result of the ad and the t-shirts? As a result of its television commercial entitled â€Å"Attitude Adjustment†, Penny suffered from bad publicity. Their customers reacted negatively. This same problem was encountered by Penny when they came out with a T-shirt design with a slogan â€Å"Home Skooled†. To counter the negative publicity that they experienced from these instances, I think Penny should try to redeem itself and beef up its reputation again.
Monday, August 26, 2019
Galveston Island Essay Example | Topics and Well Written Essays - 500 words
Galveston Island - Essay Example As the salty air blows against the face, it makes you feel calm and relaxed. Sitting on the beach, one can watch the waves crest and then crash over one another as surfers wearing their bright colored suits jump into the turquoise water. At a distance one can see the light colored sailboats as they move slowly on the waters under the clear blue sky. At times the noise of the seagulls fill the air as they fly around searching for food and snatch a fish from the water once in a while. Although the beach offers a calm and relaxed atmosphere, a more exciting experience awaits as one decides to take a ride on the ferry. The ride on the ferry is one of Galveston’s most popular attractions. Riders can choose to drive their vehicles aboard the ferry. As the wind blows hard and the sea gets a little rough, the waves crash against the ferry drenching the vehicles and the people that stand on the deck. During the ride, one may even notice the smooth gray hump of dolphins in the waters. As one dolphin slides back under the ocean’s surface, more join them as they play in the surf. However as the ferry nears the shore, the dolphins disappear back into their home in the Gulf. During the ride, one may notice fishermen throwing their nets for a catch. Seeing the fishermen gathering their catch and the sea gulls hovering around to grab a bite, one can hardly wait to taste the delicacies of the seafood that the place has to offer.
Sunday, August 25, 2019
Scientific Concept Research Essay Example | Topics and Well Written Essays - 1500 words
Scientific Concept Research - Essay Example The process we call recycling is the act of making used materials into other forms of materials that will benefit the end user and the environment we live in. Everyday we live on resources and produce waste after consumption. However, millions of individuals neglect these waste materials and do not realize their worth for other functions in our environment. So one question comes to our mind, why is recycling important? An old saying goes, â€Å"it’s easier said than done.†I have seen hundreds of world leaders talk about recycling, making our earth a greener place to live in etc. but they have never successfully campaigned for recycling. As soon as they newly elected officers sit on their desk, they forget about their vision and just ride along the power trip. For me, recycling is very essential to us, human beings, because it affects not only ourselves but also our future generations to come. We must preserve the beauty of our environment for our children to see as well. The thought in recycling is comparable to the thought of reincarnation in the Christian bible. As our human bodies decay and our souls depart, we are reborn into other creatures or species and form part of society in a different perspective. When we pass away, our spirit is reborn into a different being. We may be a dog, cat, or insect in the next life. Recycling does the same function through a cycle of waste to a new form of use in society. Science tries to explain the importance of recycling because our world does not have unlimited resources. By providing an alternative of producing new light from garbage, we are able to save nature and preserve it. We can compare recycling to religious practice because religion observes certain rituals and traditions to nurture their beings. Almost any church needs rituals and weekly collection (Ackerman, 1997). They collect resources and impose a â€Å"bringing back to life†of used resources such as
Saturday, August 24, 2019
The Cold War and U.S. Diplomacy Essay Example | Topics and Well Written Essays - 750 words - 1
The Cold War and U.S. Diplomacy - Essay Example However, since he wanted to maintain the good reputation of the country, he intended to have plausible deniability about the matter. As such, he decided to use Cuban citizens who disliked Castro to spearhead the fight while American operatives were not directly included. Kennedy was unsure of this decision but since it had been planned in the Eisenhower administration. He found it difficult to abandon probably because it would undermine Eisenhower’s reign (Kennedy & Sedgwick, 2006). However, after the invasion things went horribly wrong. The invaders were killed, and some of them captured for ransom to the U.S. This became a bureaucratic nightmare. Knowing that the country was in trouble, Kennedy publicly took responsibility for the attack on Cuba and apologized(Presidentprofiles.com, 2013). In addition to this, he consulted with other former presidents like Eisenhower and Nixon in order to find a suitable way alleviate their problem. Due to these actions, Kennedy was able to salvage the reputation of the United States from the drain. 2. Given that the invasion of Cuba was unsuccessful, Kennedy had to come up with contingency measures that wouldensure that his country was not blamed for the outcome of the failed invasion(Presidentprofiles.com, 2013). As such,he had to come up with a proper diplomatic doctrine to suit his situation. The first decision he made was to admit to his mistake publicly. This action was far from intended since the U.S. wanted to deny all claims of involvement. However, to the diplomatic community, admission was suitable,and it neutralized the effects that the invasion had on not only Cubans but also other countries worldwide(Gienow-Hecht, 2010). The United States obtained most of its allies back after this admission of guilt. Back in the country, another problem was emerging. If Kennedyexplained to the citizens that it was not his idea to invade Cuba, but that of his predecessor, he wouldhave created division in the country. Disu nity of such proportion would be catastrophic to the country (Presidentprofiles.com, 2013. Therefore, he decidedto consult with two former presidents in order to show they were in agreement. These consultations yielded alternative steps that the country would take in order to avoid such embarrassment in the future. This action by Kennedy further strengthened the American citizens’ belief in their leadership (Kennedy & Sedgwick, 2006). However, even after the Cubaninvasion failed miserably, Kennedy still wanted involvement with the local affairs of other countries. He explained thatsuch countries were not able to manage their own matters, and this was why he got involved (Kennedy & Sedgwick, 2006). For instance, he still wanted Fidel Castro of Cuba overthrown from power. This is because Castro was an ardent communist while Kennedydisapproved of this method (Sibley, 1998). Kennedy then took up secretive methods that would ensure the U.S. wasnot involved if they failed. He utili zed the CIA for this purpose. Much to his dismay, the CIA, did not follow the orders it was given, and it tried to assassinate Castro on numerous occasion, all of which failed. It is claimed that Castro got wind of these assassination attempts and was infuriated. Castro is rumored by many to be the person behind Kennedy’s assassination (Kennedy & Sedgwick, 2006). Nevertheless, Kennedy’s response to this crisis was outstanding. 3. This diplomatic doctrine had an effect not only on the United States but also on other countries(Gienow-Hecht,
Friday, August 23, 2019
Electromagnetic Waves Principles Assignment Example | Topics and Well Written Essays - 1250 words
Electromagnetic Waves Principles - Assignment Example The waves are usually emitted and absorbed by charged particles. This is exactly how the radio waves are usually transmitted in wireless communication. The waves have got both the magnetic as well as the electric field oscillating perpendicularly to each other and also perpendicular to the direction of wave propagation. Radio waves are usually in the range of 10 kHz to 100 GHz. The smaller ranges of the radio waves are usually used in the deep space telecommunication. However, the frequency as well as the wavelength of a propagated electromagnetic wave depends on its source. The electromagnetic spectrum is the range of all the types of the electromagnetic radiation. Radiation is the type of energy that travels while spreading out as it goes. Some electromagnetic spectrum is invisible to the naked eye. However, they all have the properties of frequency and wavelength. The frequency of the electromagnetic spectrum is defined as the number of cycles of a wave that passes a particular point in one second. It is measured in Hertz. On the other hand, the wavelength of the electromagnetic spectrum is defined as the distance from the peak of a particular wave to the next one. It is measured in meters. The two attributes are however inversely proportional to each other. The longer the wavelength of the electromagnetic spectrum is, the smaller the frequency of the spectrum and vice versa. However, the shorter the wavelength of the electromagnetic spectrum, the more energetic is the light. The frequency and wavelength of the electromagnetic spectrum are related in a precise mathematical formula. The wavelength is normally expressed by the Greek letter lambda (ÃŽ »). On the other hand, the frequency of the electromagnetic spectrum is usually expressed as nu (ÃŽ ½). Their relationship is therefore expressed as: a.) Radio frequency is the rate of oscillation of waves between the ranges of 3 kHz to 300Â GHz. Very low
Thursday, August 22, 2019
Comparison paper between A Rose for Emilyby William Fulkner, and Research
Comparison between A Rose for Emilyby William Fulkner, and BattleRoyal by Ralph Ellison - Research Paper Example The setting of the story is in Faulkners imaginary city, Jefferson, in his imaginary county of Yoknapatawpha in Mississippi. The story is about an unusual spinster, Emily Grierson, the anonymous narrator gives the particulars the odd circumstances of Emily’s living and her strange relationships with her lover, her father and the town of Jefferson. The narrator also details the horrible secret Emily hides from the world. In a small number of pages, A Rose for Emily, cover roughly three-quarters of a century; from the birth of Emily Grierson which takes place sometime just about the Civil War, while her death happens sometime in the early 1930s. The Reconstruction following the Civil War had a deep and humbling consequence on Southern society. The South’s dated agricultural estate economy, centered so long upon slave labor, was overwhelmed by emancipation. Northern investors, recognized as ‘‘carpet-baggers,’’ came in large numbers to capitalize on the economic chaos. A number of Southern top class people found themselves employed on the farms together with tenant farmers and earlier slaves. Faulkner happened to come from a family that once possessed a plantation (Marie  ¶ 4). The past of his family plus that of the South in general was completely overturned by the reconstruction after the civil war. According to Royden (372), from the fact that Faulkner comes from a family background with an aristocratic attitude and linked with other comparable families, he was conversed with the arrogance of behaviors like the Griersons where Rose came from. A number of these people persisted to act as if they were still fortunate plantation owners even though their wealth had disappeared. Nevertheless, Faulkner used up much of his time examining ordinary townspeople too and this gives the reason why he was capable of capturing the voice of the ordinary people of
Stakeholders and the One Industry Town Essay Example for Free
Stakeholders and the One Industry Town Essay 1. Identify the stakeholders that influence and/or that are influenced by the company’s decision. The appropriate identification of stakeholders is very important to business corporations as one approach to understanding the environment in which they operate. According to this case, there are insufficient eligible workers in the immediate area and workers would have to be attracted from other communities. Employees want to have the convenient transportation of back and forth. And onside accommodations are feasible for them. However, if the company decided to build and maintain a road, they will spend too much money on it. 2. Use the stakeholder mapping matrix to plot the stakeholders based upon their support or opposition to the plant and their importance to the decision. The stakeholder matrix mapping methodologies give managers a practical approach to assessing the influence of stakeholders. Matrices can be based on a variety of dimensions and designed to suit the company’s purpose in stakeholder understanding. Using the stakeholder mapping matrix to plot the stakeholders based upon their support or opposition to the plant can ascertain the likely impact of stakeholder demands on the company’s strategies and identify appropriate courses of action to counter influence these demands. 3. Make recommendations to management how they should establish relationships with various stakeholders. The company’s arrangements must be in place to understand the relationships and ultimately to interact with stakeholders. The company can allow employees to adopt new ideas from external networks and encourage the employees share their information and work collaboratively. Expropriate to Expedite Development 1. Who are the stakeholders involved in this situation and what are the issues? The stakeholders are Developers, St. John, 19 property owners, Brendan Murphy, and City Council. * Developers indicated in building a hotel in downtown. * St. John’s wants the area to be developed because if it developed, the area would be a source of taxation revenue. * 19 property owners, the developers were successful in negotiating purchases with 19 property owners. * Brendan Murphy, who is only one of 20 owners, and only he refused to accept the offer from Developers. * City Council, the City Council thinks it was in the public interest to develop the site as employment opportunities. 2. Should governments have the authority to expropriate private property? Yes, I think so. Because government expropriate private property in order to develop public facilities such as parks, public library, and roadway and so on. It is conducive to residents’ daily life. In addition, it is a good way to create more employment opportunities. 3. What are the implications of the practice of the government expropriating property for the purposes of private development? First implication is the government is a non supportive Stakeholder, because government is trying to reduce the organization’s dependence on stakeholders. Then, Developers are the supportive Stakeholder such as Langton Green Development and Halifax-based Pacrin Hospitality Services. They are estimated to cost between $30 and $40 million to develop the area.
Wednesday, August 21, 2019
Benefits of Patient Representatives and Advocates
Benefits of Patient Representatives and Advocates What are patient representatives and advocates, and in what ways do they benefit patients? There has been an arguable change within the working practices of the healthcare systems in the UK (and elsewhere) in the recent few decades. One can point to the gradual evolution of the general public perception of the doctor / physician from an unchallengeable, unapproachable all-knowing figure embodying benign paternalism at the inception of the NHS to the still knowledgeable, but nevertheless accountable, healthcare professional who has to consider the patient’s needs and requirements but can still be capable of making decisions which may not be in the patient’s best overall interests. (1) This has been coupled with the ascendancy of other stakeholders, such as the pharmaceutical industry, whose aims and objectives may not always run parallel with the concept of holistic patient care. (2) One can also argue that the concept of advocacy has risen to the fore in recent years, as a result of such evolutionary processes, with most stakeholders agreeing that the role of the patient advocate is an essential prerequisite of modern healthcare systems and is believed to be a means of safeguarding good patient care. At first sight, this movement could be considered a universal concept of excellence with no downside, after all, patient centred care and patient empowerment and education are considered current ideals in healthcare delivery and surely patient advocacy must be considered a major tool in helping to achieve these goals? This essay challenges this notion and intends to set out the arguments both for and against this proposition. There is no doubt that the concept of advocacy has gained credence in the recent past and is considered to be a means of safeguarding standards of good patient care. (3) It is perhaps unsurprising that a number of different healthcare professional groupings claim the intrinsic right to be patient advocates suggesting, in support of their claims, that their particular branch of the profession has an inherent capability in the role. Closer inspection might suggest that the different professions, and indeed different individuals within these professions, may actually have different interpretations of, and applications for the role of the patient advocate. (4) The result of this spectrum of beliefs is that there is both confusion and uncertainty as to what advocacy is, or actually should be, what it entails and what values it should have. This is disturbing from an analytical viewpoint, as it is generally agreed that the concept of advocacy brings with it a number of privileges, some of which are largely based on the acceptance of the fact that the patient advocate is presumed to have insights into the way in which patients perceive their own interests, others include an enhancement of the individual’s own professional standing. To expand the first point further. We have used the term â€Å"patients perceived interests†to include their perceived beliefs into their rights and protective mechanisms, including their entitlement of force and degree of input into clinical decision making, relating to their own case. Despite the comments and considerations already presented, we would suggest that inherent in the discussions relating to patient advocacy, will be an element which considers whether there is an actual need for the patient advocate. If we are able to demonstrate a need, then we should also consider exactly what are the features that a patient advocate would need to embody and also it follows that we should discuss who is best suited to fulfil the role. Firstly then, we need to consider whether or not a patient advocate is actually needed in the current mechanisms of delivery of NHS healthcare. Is there actually a need to support patients, to express their perceived needs more vociferously, to ensure that their needs are taken seriously and that their interests are actively promoted? This is probably best illustrated by considering cases at the extreme end of the continuum of need. We can cite recently publicised cases where conjoined twins were separated by direction of a court despite the protestations and direct opposition of their parents (5). One can also consider a more frequently encountered practical problem, where the mentally ill patient decides to stop medication and the doctor in charge of the case disagrees. On face value, these types of situations appear to make a fairly unanswerable case for the existence of the patient advocate. On deeper examination however, one can take the view that the concept of advocacy can appear to impose certain difficulties in the obvious and necessary relationship between the healthcare professional and the patient, which may give it an appearance which is possibly neither required, desirable or actually merited. The presence of an advocate in the therapeutic negotiations between doctor and patient carries with it an implied suggestion that the two parties are not only in conflict over the decisions relating to the best (or most appropriate) treatment for the patient, but that the professionals may not actually have patient’s best interests in sight and may actually have ulterior motives from which the patient needs to be protected. Clearly this is an extreme position, and may well not be representative of the vast majority of doctor-patient interactions. We do not seek to argue against the fact that the ideal (and probably normal) relationship between doctor and patient is anything other than one of holistic care and that the healthcare professional takes the requirements and desires of the patient fully into account when formulating care plans and carrying out professional interactions. If we are correct in the assumption that this is actually the case, then it follows that, in the normal doctor-patient interaction, there is palpably no need for a patient advocate as this can be interpreted as being seen as an inherent part of the professional activity of a healthcare professional. This point of view is enhanced by an examination of the advice given and regulations imposed by the various professional regulatory bodies in the UK. For example, the GMC gives advice to all registered doctors: make the care of your patients your first concern, respect patients dignity and privacy; listen to patients and respect their views; respect the right of patients to be fully involved in decisions about their care. (6) The United Kingdom Central Committee for Nursing and Health Visiting (UKCC) also add that their recommendation is that their registered professionals should â€Å"ensure that the interests of patients inform every act of the practitioner†(cited in 7). Nurses specifically are directed to: act at all times in such a manner as to safeguard and promote the interests of patients and clients. Work in an open and cooperative manner with patients, clients and their families, foster their independence and recognise and respect their involvement in the planning and delivery of care. (8) All of these arguments and professional statements are consistent with the Ethical principal of Beneficence, which effectively charges all healthcare professionals with a duty to protect the patient from harm. It is probably beyond dispute that the vast majority of healthcare professionals, if asked, would suggest that they would adopt these principles in their professional work. If this is the case, then one could reasonably argue that there is no need for the patient advocate since the professionals in the healthcare system are already aware of their responsibilities in this respect and that an insistence on a requirement for a distinct and separate role of a patient advocate could be considered unnecessary, alarmist and fraught with the potential to produce conflict. (9) Part of the discrepancy in these viewpoints becomes obvious when one considers the right of the individual patient and the collective rights of all patients. Healthcare professionals have a duty of beneficence to the patient that they are treating, but there is also a wider responsibility to â€Å"The Public Health†in a general sense, and this certainly is a major source of potential conflict. This is not an academic argument but a very practical one. Closer examination of the documents cited above shows that, for example, the GMC requires doctors to consider and respond to the needs of â€Å"all patients†not just the individual patient that they are treating at the time. This clearly has a huge potential for producing conflict when, since the advent of initiatives such as Fundholding, many doctors also have varying degrees of responsibility for running their own budgets which then directly reflect on patient care. (2). Such conflicts enhance the perception, by the public at large, that their own perceived individual interests are being balanced by the doctor (or other healthcare professional) against the interests of other factions. If the doctor needs to prioritise treatment (as inevitably they must in a rationed service such as the NHS), the patient may believe that their own needs are being subsumed by a consideration of the greater public good, thereby depriving them of both autonomy and the possibility of achieving those treatment goals that would otherwise have been set for them. (10) One only has to consider the furore surrounding the Alderhey organ retention issue to appreciate that such a view has a considerable validity and topical resonance. This issue has been addressed by a number of authorities in the past. In a milestone paper on the issue, Fried compared the role of the advocate in the medical field with the eponymous role in the legal profession. (11) He drew a number of analogies between the doctor patient relationship and the relationship between the lawyer and the client, describing them both as non-utilitarian because: The ideal of professional loyalty to ones client permits, even demands, an allocation of the lawyers time, passion, and resources in ways that are not always maximally conducive to the greatest good for the greatest number. Both professions affirm the principle that the professionals primary loyalty is to his client, his patient. The case would therefore seem to be made for the presence of the patient advocate, although it is neither as transparent nor as clear cut as it might appear on first consideration. If we now consider the argument from a different perspective, we could look at the reasons why the calls for advocacy still persist in the literature. The NHS Plan 2000 called for the acceptance of multidisciplinary team working and the adoption of the concept of the healthcare team. As a result of this initiative, decisions relating to patient care tend to me made more often by a multi-input team of professionally qualified individuals than by one individual alone, particularly in the hospital setting ( although the same comments are arguably less true in a primary healthcare team setting). (12) In general terms, such decisions are made when the patient is typically ill, vulnerable or may have diminished degrees of (legal) competence. In circumstances such as these, it is easy to see why some authorities can argue that the patient may need a degree of extra support (possibly both practical and moral) to be sure that their own wishes, preferences and choices are heard, weighed and fully considered by the team. This is particularly the case where the patient’s choices may appear to be bizarre, irrational or counterintuitive. Certainly it is the case when the patient’s choice is not the one that is preferred by the clinical staff. Authorities such as Seedhouse suggest that, in these circumstances, the patient advocate can assume the mantle of helping the patient translate their expressed desires into a cogent treatment plan and to help to steer the healthcare team in the direction preferred by the patient. (13). The practicalities of this function being invested in a professional member of the treatment team become obvious when one considers that it is still normal practice to exclude the patient, even intelligent and informed ones, from the discussion forum where treatment plans and goals are formulated. The advocate can thereby ensure that the patient’s wishes and desires are still represented even in the circumstances when the patient is absent. (14). The other side of this argument is that the dual role of the patient advocate is also to report back to the patient the decisions of the team in a language and a context that is appropriate for the patient’s level of comprehension, thereby keeping the patient informed of decisions made. This degree of communication also provides an obstacle in the arguments supporting advocacy because it implies a full understanding and clear insight , by the advocate, of the patient’s needs (as the patient perceives them) so that the advocate can present them to the healthcare professionals in the team. Incomplete understanding of these issues can clearly lead to distortion and bias which undermines the usefulness of the arrangement. We alluded earlier to the fact that there was â€Å"both confusion and uncertainty as to what advocacy is, or actually should be†. Before we examine the subject further, it is useful to consult the literature for authorities on the subject. We have already presented Seedhouse’s view that an advocate speaks on behalf of another person as that person perceives his interests. This may be true, but it is not the way that advocacy is generally employed in the medical literature and medical practice. A brief overview of the literature on the subject will reveal a number of different interpretations of the essential characteristics of a patient advocate specifically in the healthcare setting and these include: Inform the patient and promote informed consent (8) Empower the patient and protect autonomy. (12) Protect the rights and interests of patients where they cannot protect their own. (3) Ensure patients have fair access to available resources. (15) Support the patient no matter what the potential cost (4) Represent the views/desires of the patient and not just their needs (4) If we follow Schwartz’s analysis it would appear that advocacy has two related tensions: Conflict between what can reasonably be an expected duty of health care practitioners, and what might be beyond reasonable expectations The difficulty in distinguishing between what is actual representation of patients wishes, and what is an assertion of what the advocate believes to be in the best interests of the patient, which would be better described as paternalism. The logical conclusion from the first point is that there is a dichotomy of opinion as to whether advocacy is an essential ethical professional duty or whether it is a burden which is not an essential prerequisite, but a choice that can be made voluntarily. It follows, from the arguments already set out, that if a patient advocate assumes the mantle of agreeing to try to present the patient’s perceptions of their situation and needs, unconditionally and accurately, then they may find themselves in a dilemma of discovering that the patient’s choices conflict with their own and require professional compromise which they may be unwilling to make. On a different level, it may impose a burden of anticipated conflict with other professionals. This may put the patient advocate in a situation which is clearly at odds with the views and guidance published by the profession’s governing bodies expressed earlier. For these (and other) reasons, we could therefore argue that advocacy may be better described as an admirable choice rather than and expectation and duty of healthcare professionals. (16). Wu (17) gives a good practical illustration of this point. How should a potential patient advocate respond to a request for an amputation of a healthy limb from a patient suffering from a body dimorphic syndrome? One might suspect that such a request would produce considerable conflict in the professional practice of the advocate, quite apart from the almost certain conflict that it would arouse with most other professionals when this view was expressed. The assumption of such a role in these circumstances would suggest that the advocate would have to exhibit unconditional support of the patient’s expressed needs and the ability to suppress their own professional feelings on the subject. The concept of paternalism is commonly confused with advocacy in the literature. Some authorities refer to advocacy (wrongly in our view) as the action of assisting a patient through their illness trajectory, or particular clinical procedure, by acting as a resource to provide clarification, advice and education. Halbach (18) suggests that this type of activity is not advocacy for the patient, as it is not as a representative of the patient that the advocate is acting, but as a representative of the healthcare system and clearly this is quite a different concept. It is clearly admirable to help and guide the patient through the complexities of a medical procedure and to minimise the possibilities of miscommunication that can occur if the patient’s own intellectual capacities and abilities are limited. This type of â€Å"advocacy†does not however, represent the patient, Indeed, one could argue that such paternalism may be inadvertently (or even overtly) utilised as an opportunity of the albeit well meaning healthcare professional to bias or frankly manipulate the patient into making the preferred choice. This type of activity, although promoted as one of the attributes and requirements of advocacy, does little to clarify the confusion that exists in this area, as it is essentially doing what the healthcare professional believes is best for the patient, or in the patient’s best interests, even though it may actually override the patient’s expressed needs. It needs to be contrasted with the definition of advocacy that we are arguing in this essay which is advocating what the patient wants, even if this goes against what the healthcare professional actually believes is best for the patient. Obviously there are a number of clinical situations where advocacy and paternalism may appear to overlap, but a critical analysis of the situation should allow a clear, albeit fine, distinction between these two states. If the overriding analysis is that the advocate is essentially supporting the decisions that they believe are in the best interests of the patient, but not necessarily putting forward the views of the patient, then the action is paternalistic. This difference is all the more important when the patient is actually capable of expressing their own considered views in any event Malin (19) reminds us of the generally accepted definition of paternalism which is to override a person’s autonomously self determined choices on the grounds that they believe that it is in the patient’s best interests. If this is presented as paternalism then so be it. If it is presented as advocacy, then it is morally and ethically wrong. There are occasionally circumstances in which it is not possible to be sure of exactly what the patient wants. The paradox is that those who are able to express themselves are probably least likely to require an advocate and yet those who are actually in the greatest need of advocacy are those who may be unconscious or legally incompetent. If we embrace the arguments that we have set out so far, it follows that the healthcare professional who is acting in the capacity as patient advocate must do all that they can to help the patient. This is morally appropriate and recognised as part of the responsibility of the office. This is in direct distinction from considerations relating to the rest of the community, ones colleagues or, for that matter, other patients, which must not be considered if they are antagonistic to the position that the patient finds themselves in. The thrust of this argument clearly means that there may well be situations encountered, which may professionally, or even personally, compromise the activities of the patient advocate. We can return to Fried’s analogy with the criminal lawyer advocate in an attempt to find a compromise solution. Later in his article, Fried points to the fact that lawyers have to compromise themselves to provide optimum help for their clients and this includes acting knowing that they may compromise the position of others. As we have already outlined, a healthcare professional who agrees to be a patient advocate, may have to antagonise others if they are to carry out their duties impartially and with a proper ethical respect for client autonomy. (20) Fried takes his rationalisation to the limits when he states: The lawyer acts morally because he helps to preserve and express the autonomy of his client vis-à -vis the legal system. Rights are violated if, through ignorance or misinformation about the law, an individual refrains from pursuing a wholly lawful purpose. Therefore, to assist others in understanding and realising their legal rights is always morally worthy. (11) If we accept the validity of this argument then we can also accept the corollary can apply to healthcare professionals. True representation is, in Fried’s terms, morally worthy and can be justified because it protects patient autonomy in the face of a â€Å"potentially overwhelming and intimidating healthcare system†(21) To bring this thread of argument full circle, we can point to the fact that it can therefore be considered part of the duty of the healthcare professional to provide assistance and guidance because, by virtue of their training knowledge and expertise, they have the experience to be expert navigators in the healthcare system. In the words of Schwartz The patient advocate assists the patient to do what they would otherwise be unable to do themselves. These arguments justify numbers five and six on the list above. Having established both the need and the parameters of the role of the patient advocate, we should now consider the qualities and the position of the patient advocate in general terms. The patient may be in a position to fulfil the role adequately themselves. In theoretical terms this may be seen as the best possible outcome, as clearly the ability to give informed consent is a natural sequel to the ability to represent oneself. In practical terms this is seldom accomplished as, by the very nature of being a patient, there is an implication of the state of illness and this brings with it a degree of vulnerability in all but the most stoic of individuals. Few patients have sufficient knowledge to be able to assimilate all that is told to them in the context of their illness and may also therefore benefit from having an â€Å"external†or uninvolved advocate. The friends and family of a patient are natural candidates for the role as they generally know the patient as a person, they are familiar with their needs and desires and can (sometimes) be relied upon to have an empathetic desire to ensure the best outcome for the patient. Such candidates may not be universally altruistic however, as there may be the possibility of family and friends having a vested interest in a less than optimum outcome of a patient’s illness. They may therefore be perceived as being at risk of overtly manipulating the situation or misrepresenting the patient, as there may be an outcome-related benefit for the family member. Inevitably there will be a commitment to a great deal of involvement, both in terms of time and emotional energy, which may be generously given, but should not be taken for granted. Such comments should obviously be considered by the healthcare professionals involved, but this should not be allowed to blind them to the common clinical e xperience that the vast majority of friends and family who wish to have an input in these circumstances are often both informed (about the patient) and deeply committed on their behalf. We should draw attention to the fact that some cultures and healthcare systems have experimented with the concept of the professional patient advocate, particularly in the area of psychiatric disease. (22). In countries such as Canada and Austria, patient advocates are trained and employed specifically to fulfil this role and nothing else. The theory being that by doing this there is no conflict of interest, and the element of paternalism is effectively eradicated from the scenario. Such advocacy should be in its purest form therefore with undivided loyalty to the interests of the patient and no professional bias or personality issues. In such a context, it is believed that there will be less intimidation or inhibition by medical beliefs or dogma and their official status will prevent them from being ignored. The studies that have been carried out in this area have revealed a downside which may not have been widely anticipated. The presence of a designated and professional patient advocate in the decision making process has the ability to engender an adversarial atmosphere where healthcare professionals may adopt a defensive stance which is not optimal for efficient and effective patient care, particularly in the field of psychiatric illness. (23). Practical difficulties ensue when personnel, who may not have wide experience in assessing and handling people in the course of an illness trajectory, may actually be unable to accurately assess the patient’s own goals, values and beliefs. Because such projects are still in their infancy, a number of other potential practical problems have yet to be resolved. The issue of responsibility and accountability is not formalised. One has to question the options open to a patient who finds that they believe that their professional advocate has given them bad advice or poor representation. There are, as yet, no formalised pathways for redress. Doctors have a track record of fulfilling the role as the patient advocate. To an extent, it may be considered a natural extension of their â€Å"job description†and role in the community. Some doctors may be more fitted than others by virtue of their particular position in the medical hierarchy, their personality or their disposition towards particular patients. For example the GP is likely to have built up a relationship over the years with many of his patients and will know them, their families, their wishes, and their personality intimately. One might think that they might be prime candidates for the job. Equally a specialist who may have no knowledge of the patient and may be (for example) and excellent technician in his field but suffers from an inability to communicate well with patients may be a very poor candidate. In addition to these considerations we have already referred to the potential conflict of interests which have arisen in respect of GP Fundholding in the UK where the GP has a theoretical, and in some cases, real problem in balancing his ethical duty to the patient with his financial responsibilities to the community at large (2). For this reason, some doctors find that they cannot realistically act for the interests of the individual patient when they are overtly conscious of their obligations to the pressures of funding a balanced service for the community at large. Some doctors also have cultivated a paternalistic approach to their practice. This is an observation and not intended as criticism, as some would hold that it is an approach which works, and is appreciated by certain sections of the community. (24) In the context of this essay however, for reasons which we have set out in detail above, it is an approach which is not compatible with our definition of advocacy. Such an approach is capable of not being trusted to set out the patient’s interests as the patient perceives them. As we have illustrated earlier, it is more likely to be set out as the doctor believes would be best for the patient, and this removes the possibility of true patient autonomy. (25) Acting in accordance with the Principle of beneficence does not necessarily imply that one is acting in accordance with the patient’s explicit wishes. We have also considered peripherally, the fact that, in acting in a capacity as an advocate, a doctor may find certain other professional conflicts of interest and may therefore find his capacity to act as an unbiased advocate severely impaired. Traditionally the nurse has frequently filled the role of the patient advocate and, on face value, it would appear that the nurse is possibly in the most favourable position to fulfil the role. (26) The nurse has a professional medical training and is well versed with healthcare procedures and practicalities. In a hospital setting, they are the healthcare professionals who tend to spend most of their professional time in direct contact with the patients and are therefore perhaps best placed to be able to holistically assess their needs, aspirations and goals in the widest connotation of these terms. Their professional body (the UKCC) endorses their involvement in this role. The converse of these points include the fact that the nurse, like the doctor, has potential conflicts of professional interest, not often the financial considerations that may fall to the doctor, but other considerations, where there is an antagonism of a professional position where there is a duty to society in general, or perhaps a duty to the profession and the duty to the patient in the role of a patient advocate. A topical situation could be illustrated by the debate over Herceptin (Trastuzumab) which has not yet been fully evaluated and costed by the regulatory authorities, but is in demand by sufferers of advanced forms of breast malignancy. If a nurse was acting in the capacity of an advocate for such a patient, one would have to consider how she would resolve her professional difficulties in recommending a drug that is not yet fully licensed, her duty to society in general to uphold the regulatory pharmaceutical mechanisms and her obligations to the patient who is telling her that she believes that this drug is her best chance of long term survival. (after 27) The NHS Plan 2000 sets out to promote the â€Å"seamless interface of care†between healthcare professionals together with concepts such as multidisciplinary team working. (28) Such concepts are difficult to reconcile with what may transpire to become an adversarial situation. As we have already examined this type of situation in respect of doctors, we shall therefore not set it out again. It is however, appropriate to observe that this adversarial element may be particularly problematic for the nurse as working practices in the past have required appropriate deference to the doctor, and this shift of loyalty may cause particular difficulty in those healthcare professionals who are uncomfortable with this apparent change of stance. Lastly, we note that the formal nursing and medical training in the UK does not currently contain any element of specific learning about this topic. (12). Clearly the general knowledge relating to the workings of the healthcare services and the profession specific training are good preparations for the role but it is quite possible to become qualified without becoming aware of the potential problems associated with advocacy that have been set out here. Medical law and ethics are traditionally poorly represented in the professional curriculum (29) as is specific training in communication skills and the art of negotiation. There is one point that is common to all potential patient advocates that we have not yet addressed. We have considered the fact that the patient may make seemingly irrational, bizarre or idiosyncratic choices may place the patient advocate in a difficult position. If this is the case,
Tuesday, August 20, 2019
Terrorist Attack In Mumbai History Essay
Terrorist Attack In Mumbai History Essay MUMBAI, India Indian commandos took control of the Taj Mahal Palace Tower, the last nest of terrorist resistance, on Saturday morning, after a lengthy assault that left three terrorists dead and sections of the hotel in flames, the head of the commando unit said in a televised news conference. Soldiers were still combing the hotel, going room to room in search of remaining gunmen, but the siege appeared finally to have ended, J. K. Dutt, director general of the National Security Guard, an elite commando force, said in the news conference at 9 a.m. Firefighters were permitted to begin pouring water over the flames that had burned out of control in the hotels lower floors for as much as an hour while the commandos battled the terrorists. It was the third day of a siege that has shaken India, raised tensions with neighboring Pakistan and prompted questions about the failure of the authorities to anticipate the tragedy or to react swiftly enough as it unfolded. All told, after attackers were cleared from a second hotel and a Jewish center on Friday, more than 150 people had died. Most of the dead were apparently Indian citizens, but at least 22 foreigners were killed. Among the dead reported were a rabbi from Brooklyn and his wife, who ran the Jewish center. The main success for the authorities on Friday came at the second hotel, the Oberoi. The authorities said that two gunmen had been killed and 93 foreigners some of them wearing Air France and Lufthansa uniforms had been rescued, though 30 bodies were found. Survivors offered harrowing accounts of their ordeal, trapped on the upper floors of the high-rise hotel while gunmen prowled below. The National Security Guard said it recovered two AK-47s, a 9-millimeter pistol and some grenades. For the first time, after several veiled accusations that Pakistan was involved, Indian officials specifically linked the attacks to their neighbor and longtime nemesis. Indias foreign minister blamed elements in Pakistan for the attacks , spreading the repercussions of the attacks beyond Indias borders. American intelligence and counterterrorism officials said Friday that there was mounting evidence that a Pakistani militant group Lashkar-e-Taiba, which has long been involved in the conflict with India over the disputed territory of Kashmir was responsible. Indian commandos said the attackers at the hotels were well trained, with one carrying a backpack packed with hundreds of rounds of ammunition, and they seemed to know the buildings layout better than the security forces, indicating a high degree of preparation. Some were seen arriving by boat; others may have been guests at the hotels for days. The leader of a commando unit involved in a gun battle on Thursday morning inside the Taj said during a news conference on Friday that he had seen a dozen dead bodies in one of the rooms. His team found a gunmans backpack, which contained dried fruit, 400 rounds of AK-47 ammunition, four grenades, Indian and American money, and seven credit cards from some of the worlds leading banks, he said. The pack also had a national identity card from the island of Mauritius. The attackers were very, very familiar with the layout of the hotel, said the commander, who disguised his face with a scarf and tinted glasses to hide his identity. He said the militants, who appeared to be under 30 years old, were determined and remorseless. ANALYSIS The terrorist attack on Saturday morning is one of the major activity which has led terrorist most dangerous for our country. A team of terrorist attacked the TAJ HOTEL and killed many innocent visitors. The fight between commandos and terrorist went for two days. India a safe tourist destination: Minister 2010-09-20 14:10:00 New Delhi, Sep 20 (IANS) India is a safe destination and the security of tourists is of utmost importance to the government, Tourism Minister Kumari Selja said here Monday as Britain and Australia issued travel advisories asking their nationals to be vigilant. The advisories came a day after two Taiwanese were injured when a two armed men on a motorcycle opened indiscriminate fire outside the historic Jama Masjid here Sunday. Condemning the attack, Selja said: This attack on tourists shows the desperation of those elements who want to create panic in the society by attacking innocent people. She appealed to the tourists and the tourism fraternity not to panic by such stray incidents as India is a safe destination and safety and security of tourists is utmost concern of the government. Investigating agencies are at work to bring the culprits to book, she said in a statement issued here. The attack on Taiwanese came just two weeks before the Commonwealth Games which start Oct 3. A high alert was issued by the police in the national capital Sunday and security was tightened. The British High Commission here, in its advisory, said: There is a high threat from terrorism throughout India. Terrorists have targeted places in the past which Westerners are known to visit, including public places such as restaurants, hotels, railway stations, markets and places of worship. Australias Department of Foreign Affairs (DFAT) updated its travel advice following Sundays attack, saying there is a high risk of a terrorist attack in New Delhi, ABC.net.au reported. Some 7,000 athletes and delegates from 71 countries and territories are expected for the Oct 3-14 Commonwealth Games, Indias biggest sporting event after the 1982 Asian Games. ANALYSIS Government is taking many steps to reduce terrorism from India.Govt. has increased the security on its boundaries . It is also taking many steps to check over commonwealth games to make it peaceful and fully free of terrorism. Fighting Terrorism in India By Maj. Gen. Kulwant Singh (Retd.) and Dr. David Leffler Terrorism is not an easy problem to solve. India has been fighting terrorism for over half a century. Since independence in 1947, the eastern states have been under the spell of insurgents, abetted by foreign countries. The disputed region of Kashmir is a powder keg, threatening to explode into conventional and possibly nuclear war any day. A viable solution may lie in Indias past-ancient Vedic knowledge that was scientifically validated in the 20th century. Now, in the 21st century, Indias ancient method of preventive defense, a form of defense called invincible, promises to end terrorism and conflict and set an example for the rest of the world. Is India ready to revive its illustrious past? India has fought four major wars over the problem of the disputed POK (Pakistan Occupied Kashmir). Pakistan is unlikely to be able to win a conventional war against India. For this reason, Pakistan has allegedly resorted to sending terrorists into Kashmir, calling them freedom fighters. This holds true throughout the world: one sides terrorist is another sides freedom fighter. Globally, the impact of terrorism has been increasing since al-Qaeda formed alliances with existing terrorist organizations. The rise of tensions and the looming threat of nuclear war between India and Pakistan has triggered a mass exodus of foreign nationals from India as well as Pakistan. Like many other countries, India has fought terrorism through a dynamic approach, i.e., with weaponry and military personnel. Despite its long-term military experience fighting terrorists, India is still losing the war. Terrorists continue to increase in number. Adding to the fray of foreign-based terrorists, new organizations are emerging, like the Peoples War Group (PWG). The number of such organizations and cadres who have joined them is alarming. Even with fully equipped police and para-military forces, India will not be able to completely control them. Even more alarming, defence experts predict that it is just a matter of time before terrorists attack with weapons of mass destruction which may be handheld and easy to transport and conceal. Tensions between India and Pakistan rise and fall, and frequently, both are poised for war. If war starts, Indias strategy, as announced so far, is for a limited offensive to stop terrorism. The term limited offensive itself is misleading, as it cannot be quantified. Does it imply limiting effort in the employment of forces, the areas of offensive, use of weapon systems and so on? In any case, Indias leaders may want it to be limited, but this cannot dictated to its opponents. In all probability, once war starts, it will not be limited. Can India eliminate terrorism by deploying military forces, as it has for the last 50 years? Again and again, history shows that the answer is no. Terrorism is a human problem. Therefore, it requires a human solution. The underlying cause of terrorism, war, conflict as well as other types of social violence, is accumulated social stress. If the collective social stress driving terrorism could be prevented, such negative problems would cease. Thus, no collective stress-no terrorism, and no war. A silent approach to achieve this prevention ideal is described in the Vedic literature. Heyam duhkham anagatam (Yog-Sutra, 2.16): Avert the danger before it arises. The Yog-Sutra, 2.35 also affirms Tat sannidhau vairatyagah: In the vicinity of Yogic influence-unifying influence, integrating influence, coherent and harmonious influence-conflicting tendencies do not arise. These ancient principles applied in the past, and they apply today. According to Vedic tradition, conflict resulted from ignorance-ignorance of how to prevent the build-up of collective stress. For example, the Ramayana stated that ignorance will have no access within eight miles from [the Yogis hermitage]. The Ramayana also described the ancient city of Ayodhya. Ayodhya means the city none can challenge in warfare. Certainly, Ayodhya relied on the conventional defence technologies of its time. For instance, It was enclosed by strong fortifications and a deep moat, which no enemy, by any expedient whatsoever, could penetrate. Also, Ayodhya abounded in warriors undefeated in battle, fearless and skilled in the use of arms, resembling lions guarding their mountain caves. However, the descriptions of the enlightened, stress-free life of the inhabitants of Ayodhya may indicate that its first line of defense was the citys freedom from collective stress. According to the Ramayana, this low stress level, based on life in harmony with Natural Law, made Ayodhya worthy of its name. Could this ideal of preventive defence again be accomplished in India? Vedic scholar and physicist Maharishi Mahesh Yogi revived the practical components of the silent approach of Invincible Defence Technology-he calls them the Transcendental Meditation (TM) and TM-Sidhi program. These human resource-based technologies need not require or involve religious belief and practices. These meditation techniques have been practiced by members of many faiths worldwide. Extensive scientific research documents the ability of the TM and TM-Sidhi program to dissolve stress on the individual and collective levels. India could use this nourishing and non-destructive Invincible Defence Technology to reduce tensions, thereby preventing conflicting tendencies that drive terrorism ANALYSIS Since independence India is fighting against terrorism . And even it has got many success Mostly regions are well awared of this threat and it is reducing slowly from this world. Within few years it will be free from this threat September 11 attacks From Wikipedia, the free encyclopedia Jump to: navigation, search 9/11 redirects here. For the date, see September 11 or 9 November. For other uses, see 911 (disambiguation). September 11 attacks . Location New York City; Arlington County, Virginia; and near Shanksville, Pennsylvania. Date Tuesday, September 11, 2001 8:46 am (2001-09-11T08:46) 10:28 am (2001-09-11T10:29) (UTC-4) Attack type Aircraft hijacking, mass murder, suicide attack, terrorism Death(s) Nearly 3,000 victims and 19 hijackers Injured 6,000+ Belligerent(s) al-Qaeda led by Osama bin Laden[1] (see also Responsibility and Hijackers) The September 11 attacks (often referred to as September 11th or 9/11) were a series of coordinated suicide attacks by al-Qaeda upon the United States on September 11, 2001. On that morning, 19 al-Qaeda terrorists hijacked four commercial passenger jet airliners.[1][2] The hijackers intentionally crashed two of the airliners into the Twin Towers of the World Trade Center in New York City, killing everyone on board and many others working in the buildings. Both buildings collapsed within two hours, destroying nearby buildings and damaging others. The hijackers crashed a third airliner into the Pentagon in Arlington, Virginia, just outside Washington, D.C. The fourth plane crashed into a field near Shanksville in rural Pennsylvania after some of its passengers and flight crew attempted to retake control of the plane, which the hijackers had redirected toward Washington, D.C. There were no survivors from any of the flights. Nearly 3,000 victims and the 19 hijackers died in the attacks.[3] According to the New York State Health Department, 836 responders, including firefighters and police personnel, have died as of June 2009.[3] Among the 2,752 victims who died in the attacks on the World Trade Center were 343 firefighters and 60 police officers from New York City and the Port Authority.[4] 184 people were killed in the attacks on the Pentagon.[5] The overwhelming majority of casualties were civilians, including nationals of over 70 countries.[6] In addition, there was at least one secondary death one person was ruled by a medical examiner to have died from lung disease due to exposure to dust from the World Trade Centers collapse.[7] The United States responded to the attacks by launching the War on Terror: it invaded Afghanistan to depose the Taliban, who had harbored al-Qaeda terrorists. The United States also enacted the USA PATRIOT Act. Many other countries also strengthened their anti-terrorism legislation and expanded law enforcement powers. Some American stock exchanges stayed closed for the rest of the week following the attack and posted enormous losses upon reopening, especially in the airline and insurance industries. The destruction of billions of dollars worth of office space caused serious damage to the economy of Lower Manhattan. The damage to the Pentagon was cleared and repaired within a year, and the Pentagon Memorial was built adjacent to the building. The rebuilding process has started on the World Trade Center site. In 2006, a new office tower was completed on the site of 7 World Trade Center. The new 1 World Trade Center is currently under construction at the site and, at 1,776 ft (541 m) upon completion in 2013, it will become one of the tallest buildings in North America. Three more towers were originally expected to be built between 2007 and 2012 on the site. Ground was broken for the Flight 93 National Memorial on November 8, 2009, and the first phase of construction is expected to be ready for the 10th anniversary of the attacks on September 11, 2011.[8] Map showing the attacks on the World Trade Center. The World Trade Center Towers on fire and the collapse of the South Tower ANALYSIS This is one of the major attack of terrorist in the world . After this attack United states has taken major attacks against rerrorist Asia Briefing NÂ °109, 6 September 2010 The Indonesian government could reduce the circulation of illegal firearms by improving procedures for guarding and monitoring police and military armouries, conducting regular audits of gun importers and enforcing controls over the airsoft industry. ANALYSIS Even the foreign countries are also affected by this threat.
Monday, August 19, 2019
Comparing Merchant of Venice, Taming of the Shrew, and Much Ado About Nothing :: comparison compare contrast essays
Trickery and Disguise in Merchant of Venice, Taming of the Shrew, and Much Ado About Nothing    Shakespeare uses similar comic elements to effect similar outcomes in his works. Many of his plays utilize trickery and disguise to accomplish similar endings.      Trickery plays a major role in The Merchant of Venice and drives most of the action, while mistaken identity, specifically Portia's disguise as the "learned attorney's" representative, plays a major role in the resolution of the play. The first instance of trickery in the play is Bassanio's plan to present himself as a financially sound suitor, when in truth, he is not.      Bassanio believes that he would stand a very good chance of being the successful suitor if he had the proper money backing him. Bassanio then goes to his friend Antonio to try to secure a loan to provide for his wooing.      O my Antonio, had I but the means/To hold a rival     place with one of them [other suitors]/I have a     mind presages me such thrift/That I should     questionless be fortunate!" (Shakespeare,     Merchant 1.1 173-176)      However, Antonio has, "neither the money, nor commodity/to raise a present sum" but urges Bassanio to go through Venice to try to secure a loan using Antonio's bond as credit (Shakespeare, Merchant 1.1 178-179).      One of the resident money-lenders of Venice is an individual called Shylock, a person of Jewish descent. The practice of usury was traditionally banned by the Christian church. This allowed many Jews, because their belief system contained no objection to profitable money-lending, to become the de facto loan officers. Bassanio approaches Shylock to ask for a loan, and Shylock seems as if he is going to agree, however, he first asks to speak with Antonio. It is revealed in an aside that Shylock harbors a secret hatred of Antonio because of his religion and Shylock's belief that Antonio's practices drive down the interest rates that Shylock can charge in Venice. Here we see the second instance of trickery and deception within The Merchant of Venice. Shylock seems to have great knowledge of the positions of Antonio's fleet and ominously notes that, "ships are but boards, sailors but men" (Shakespeare,
Sunday, August 18, 2019
The National Assemby and Restructuring The French Government :: essays research papers
ON WHAT PINCIPLES DID THE NATIONAL ASSEMBLY SEEK TO RESTRUCTURE FRENCH GOVERNMENT AND SOCIETY IN THE YEARS 1789-91? When the National Assembly established a dominant position in the running of the French state in 1789, they needed to move quickly to reform the old state around them into one that corresponded to the political views held within the new Assembly members. A ‘principle’ or origin from which all remodelling could take form from, and that would justify the actions of the Assembly to the people as they began reconstructing the state into a ‘ uniform, decentralised, representative and humanitarian system’ was needed. The question being asked is for us to define this principle used by the Assembly to remodel French society and government, a question that can only be answered by studying the declarations of the Assembly to discover the point at which they declare the main principles of their new system openly in a bid to justify further actions. When the newly gathered members of the National Assembly met on the royal tennis court on the 20th June 1789, they declared a vow that was to be remembered as the ‘Tennis court oath.’ This vow was to never rest until they ‘provided France with a constitution,’ a basses that the Assembly could remodel France around. However, constitutions were new to this time in history and the constitutional writers needed time to discover the art of preparing such a document considering the lack of knowledge they had in the field. They may have been aided by information from the recent events in America and the benefits from studying their new American Constitution, but the Assembly still needed time to insure success, and this meant they needed a temporary base of principles to work from. The starting point in the history of the Assembly’s actions to change France can be seen in the 4th August ‘ August Decrees.’ The Assembly had drawn up this set of principles after the pressure created by the Great Fear had forced action to be taken for the safety of French society. The assembly had wanted to calm down the peasant rising in the country and at the time this meant abolishing the feudal system, a system that hung around the shoulders of the peasantry mass. This action would provide the country with a freedom from personal servitude along with the removal of the dues that restricted the peasantry from day to day.
Saturday, August 17, 2019
Civil rights DBQ Essay
Teakolya Gibson May 29, 2014 MS 390 805 Civil Rights DBQ Essay The civil rights movement was a time period that can be defined as a large popular movement to secure for African Americans equal access to and opportunities for the basic privileges and rights of U.S. citizenship. The roots of the civil rights movement go back to the 19th century; the movement was addressed in the 1950s and 1960s. African American men and women, also whites, organized and led the movement at national and local levels. They pursued their goals through legal means, negotiations, petitions, and nonviolent protest demonstrations. The largest social movement of the 20th century, the civil rights movement influenced the modern women’s rights movement and the student movement of the 1960s. In public schools African Americans faced inequality in their learning experience. According to the document the inequality Blacks faced were they were not involved as much in school because of their race, even though physical facilities are equal and also other real factors could be equal, the programs deprive children from minority groups of equal educational opportunities. From my understanding of the document, the Supreme Court ruled in favor of Brown and declared that segregation in the public schools was unconstitutional. The situation that led to Rosa Parks getting arrested was on December 1, 1955 is when she refused to give up her seat to a White man because there were no more seats in their area on a Montgomery bus. Methods that African Americans use to deal with the inequality faced by the African Americans in that city were bus boycott, nonviolent protest, passive resistance, and peaceful protest. A method that was used to gain equality is sit-ins, pickets, taking part in a public demonstration, filling up all of the seats in a Restaurant, sitting at the lunch counter, and nonviolent protest. Two goals of the March on Washington in August 1963 were to get jobs (equal employment opportunities), gain decent/acceptable housing, end segregation in Schools, gain more equal rights, increase the number of integrated facilities, end Jim Crow laws, gain voting rights, end police brutality, attain first-class citizenship, get equal restaurant services, receive decent pay, and pass the FEPC (Fair Employment Practices Committee) law, bring civil rights issues to the attention of the Government, and show Washington that they needed to do something to improve civil rights. There were many methods recommended but W.E.B Du Bois thought that they should fight for their rights and equality. Booker T. Washington believed that they should get an education and work their way up to equality. The major trend in African American voter registration that is shown by the map above is that voting population of African Americans increased after 1965, more African Americans were registered to vote after 1965, more African Americans voted after 1965, more people voted after 1965. The two actions that were taken by the government were in 1964 the twenty-fourth amendment outlaws the pool tax in elections for federal office, and second was in 1965 Voting Rights Act prohibits literacy tests and makes it easier for African Social movement Americans to register to vote. Methods that were recommended to help African Americans achieve equality were nonviolence, nonviolent resistance, use of nonviolence as Jesus did, not one hair of one head of one White person shall be harmed, no harm to White people. African Americans have made gains in racial equality. African Americans still face challenges in areas of equal rights such as economic inequality, economics, African Americans are not getting jobs because of the color of their skin, they are not being paid enough for their labor, jobs, and job Discrimination, making less money than whites, they are still in an economic pit. In conclusion, discrimination is still active in America today. Even after the Civil Rights Movement, a disparity still exists in education, the work place and society. Today, unfortunately, discrimination and social segregation are more evident than it has ever been.
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