Monday, September 30, 2019

History of Nursing Research Worksheet Essay

Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies† (Henly, 2013). Sigma Theta Tau Journal published by this organization is now called Image—The Journal of Nursing ScholarshipFirst published: 1967 Importance: â€Å"This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 90 countries, the Journal of Nursing Scholarship is focused on the health of people throughout the world. It reflects the society’s dedication to providing the tools necessary to improve nursing care around the world† (Hegyvary, 2011). Research in Nursing and Health First published: 1978 Importance: â€Å"a general peer-reviewed research journal devoted to publication of a wide range of research and theory that will inform the practice of nursing and other health disciplines. It has influenced on nursing education administration, health issues related to nursing, and testing research in practice† (â€Å"Research In Nursing & Health â€Å", n. d. ). Western Journal of Nursing Research First published: 1979 Importance: â€Å"The dissemination of research studies, book reviews, discussion and debate, and meeting calendars, all directed to a general nursing audience. It has risen to the challenges of the ever-changing nursing research field, providing an innovative forum for nurse researchers, students and clinical practitioners to participate in ongoing scholarly debate† (Conn, 2013). Scholarly Inquiry for Nursing PracticeFirst published: 1987 Importance: â€Å"Research and Theory for Nursing Practice (former named Scholarly Inquiry for Nursing Practice) focuses on issues relevant to improving nursing practice, education, and patient care. The articles strive to discuss knowledge development in its broadest sense, reflect research using a variety of methodological approaches, and combine several methods and strategies in a single study. Because of the journal’s international emphasis, article contributors address the implications of their studies for an international audience† (â€Å"Springer Publish Company†, 2013). Applied Nursing ResearchFirst published: 1988 Importance: â€Å"To present original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include ‘Ask the Experts,’ research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration† (â€Å"Applied Nursing Research†, 2013). Nursing Science QuarterlyFirst published: 1988 Importance: â€Å"Nursing Science Quarterly (NSQ) is a peer-reviewed quarterly journal publishing original manuscripts focusing on nursing theory development, nursing theory-based practice and quantitative and qualitative research related to existing nursing frameworks, contributed by the leading theorists, researchers and nurse executives† (â€Å"Nursing Science Quarterly†, 2013). Conduct and Utilization of Research in NursingFirst published: 1982-1983 Importance: â€Å"The Conduct and Utilization of Research in Nursing (CURN) project, an organizational approach, was designed to develop and test a model for using research-based knowledge in clinical practice settings† (Morse, 2006). Annual Review of Nursing ResearchFirst published: 1983 Importance: â€Å"The purpose of this annual review is to critically examine the full gamut of literature on key topics in nursing practice, including nursing theory, care delivery, nursing education, and the professional aspects of nursing. ARNR has brought together internationally recognized experts in the fields of nursing, and continues to deliver the highest standards of content and authoritative reviews of research for students, researchers, and clinicians† (â€Å"Springer Publishing Company†, 2013). AgenciesEstablishment date and goal or function: American Nurses’ Association (ANA) Council of Nurse Researchers Established: 1972 Goal: â€Å"The Council of Nurse Researchers helped with the development of research endeavors, gave credit to meritorious research, and facilitated the discussion of research ideas† (Burns ; Grove, 2009). National Institute for Nursing Research (NINR)Established: 1993 Goal: â€Å"NINR is to promote and improve the health of individuals, families, communities, and populations. NINR supports and conducts clinical and basic research and research training on health and illness across the lifespan to build the scientific foundation for clinical practice, prevent disease and disability, manage and eliminate symptoms caused by illness, and improve palliative and end-of-life care† (â€Å"National Institute Of Nursing Research†,

Sunday, September 29, 2019

Romeo&Juliet Analysis

Character Analysis Romeo is an essential character worth analyzing in William Shakespeare's famous play, Romeo and Juliet. One way to describe Romeo is determined. Throughout Act 1 in the play at and after the party, he is determined to get Juliet. â€Å"What lady’s that, which doth enrich the hand of yonder knight? † (I. ib. 46-47) In this line, Romeo is a the party and it is â€Å"love at first sight. † Romeo is very in love with Juliet. When Romeo first sees her at the Capulet ball, he completely forgets about Rosaline and falls in love with Juliet at first sight.When he meets her, Romeo quotes, â€Å"My lips, two blushing pilgrims, ready stand to smooth that rough touch with a tender kiss† (I. iv. 97-98). By this line, Romeo is discussing how each of his lips is ready to kiss Juliet. Romeo is so much in love with Juliet that he becomes very romantic forgetting all about Rosaline. Romeo loves Juliet. â€Å"O. she doth teach the torches to burn light! à ¢â‚¬  He says this in   (I. v. 49) after he sees her at the party. Romeo tries to talk to her all night. The first thing Romeo tells Juliet that he wants to kiss her. He gets into fights with people over her.Romeo marries Juliet in secret, and even eventually kills himself because he thinks that she is dead. Even when Romeo is banished for killing Tybalt, he cannot bring himself to leave Juliet, and even sneaks with determination back to Verona to facilitate their getaway. Romeo is determined to have Juliet, but at the beginning of the story, Romeo is very depressed. Montague quotes, â€Å"Away from light steals home my heavy son and private in his chamber pens himself, shuts up his windows, locks fair daylight out, and makes himself an artificial night†(I. i. 138-141).Montague is talking about how Romeo looks so sad that it seems as if he does not want to come home. Romeo would rather be locked up in a room with shut windows blocking daylight in or out. Romeo was sad beca use he loved a girl named Rosaline. However, Rosaline didn’t love him back. She believed in chastity and Romeo just wanted her. â€Å"Not I, believe me. You have dancing shoes With nimble soles; I   have a soul of lead So stakes me to the ground I cannot move. † (I. iv. 14-16) In this line, Romeo and his friends are going to the party. He is telling them that he does not want to go because he is depressed, and misses Rosaline.An additional way to describe Romeo is daring. This is easily seen by his sacrifices for Juliet. In addition to his tremendous sacrifices,   he   is also undaunted about marrying into a rival family. In fact, he tells Juliet that he would rather die than have her not love him–that is daring! His fearless attitude is demonstrated when he says, â€Å"And but thou love me, let them find me here. My life were better ended by their hate, Than death prorogued, wanting of thy love† (II. ii. 85-87). By marrying her, he is being very br ave and daring, too. He knows how much trouble the marriage could bring, especially since they have to marry in secret.There are many physical descriptions of Romeo as a handsome, young man. In Romeo, Shakespeare created a physically desirable character. â€Å" Well, you have made a simple choice; you know not how to choose a man: Romeo! no, not he; though his face be better than any man’s, yet his leg excels all men’s; and for a hand, and a foot, and a body, though they be not to be talked on, yet they are past compare: he is not the flower of courtesy, but, I’ll warrant him, as a gentle as a lamb. † This is the nurse talking to Juliet in (II. v. 41-47). The nurse is telling Juliet that Romeo is handsome, and better than any other man on the earth.Also, â€Å"When he shall die, take him and cut him out in little stars and he will make the face of heaven so fine that all the world will be in love with night and pay no worship to the garish sun. † ( III. ii. 22-26). This quote is Juliet talking about Romeo. She is explaining what will happen when Romeo dies. When she says â€Å"†¦ he will make the face of heaven so fine.. † Juliet’s language conveys the message that he is very handsome. Romeo is a character in Shakespeare’s Romeo and Juliet. He is depressed, determined, daring, and handsome. These traits only scratch the surface of what an interesting character Romeo is.

Saturday, September 28, 2019

Country’s economy Essay

These are goods that cannot be provided by the private sector but are very essential to the development of a country’s economy. They are usually very expensive undertakings with fewer returns or take a long time for the investors to recoup their money back. This makes them to be less attractive to the private sector investors who are mainly driven by the profit motive and would thus be unwilling to invest their resources in such projects. The government has the mandate of providing such goods that are very essential which have indivisible cost with a marginal cost of zero (Kaul, 2006). It is not possible to practically charge the public for the utilizing such goods. The government can therefore, only collect taxes from the public to enable it provide public goods. Public goods in this category include roads and state security provided by the policemen who are paid by the government. There are other public goods that even though, they have high returns and the private sector can be able to invest in them, they cannot be allowed to do so by the government due to the amount of risk involved. Manufacturing or trading of weapons is a risky activity that no government can be willing to allow it to be done by the private sector as it would put the public into a lot of risk since the private sector investors in such an industry would mostly be guided by the profit motive and not whether or not ammunitions will be on the wrong hands or the right ones (Kaul, 2006). The public goods are very important to everyone, including the private investors who shy away from investing their resources in such ventures. It is this importance that makes the government to be under obligation of providing such goods to its people since they are very essential and it is only the government that is best placed to provide them (Kaul, 2006). Reference: Kaul, I. (2006): What is a public good? Retrieved on 17th June 2009 from, http://mondediplo. com/2000/06/15publicgood.

Friday, September 27, 2019

Development of automobile industry in the united states Research Paper

Development of automobile industry in the united states - Research Paper Example May 2011 brought Volkswagen’s manufacturing plant to America. In addition to manufacturing plants, several manufacturers have opened transmission and engine plants that are working in research and development, design, and testing in the United States. The whole automotive industry and dealership amounts to nearly 3.5 percent Gross Domestic Products (GDP) of the United States. By the end of 2012, auto manufacturers and related industries directly employed 786,000 people (SelectUSA). In addition to manufacturers, there is an extensive network of auto parts suppliers who produced $225.2 billion (4 percent of U.S. manufacturing) in shipments during 2012. According to the study conducted by Motor & Equipment Manufacturers Association and Information Handling Services, overall automobile industry’s direct employment generation was 3.62 million while indirect influence was the creation of jobs and economic wellbeing in comparison to any other sector (SelectUSA). This research paper examines U.S. automobile industry, its history and development, and finds that it the backbone of manufacturing industry, therefore, plays a vital role in strengthening American economy. During 1900 and 1930, Detroit experienced record growth in comparison to any other city in the United States. The reason behind this unparalleled growth was concentration of auto industry around Detroit, which became the largest industry in the U.S. by 1929(Davis ix). The number of auto firms grew in a gradual manner from 1895 to 1907, reaching at its peak at 82 in 1907. For the next three years, the number of entrants remained high, but after that it dropped sharply. With an average number of 15 firms every year from 1911 to 1922, it fell to only 15 firms from 1923 to 1966. After a few early years, the auto industry’s exit rate was more than 10 percent; moreover, by the year 1910, the number of exit was more than the number of entries. Excluding the two year period from

Thursday, September 26, 2019

Team Development Assignment Example | Topics and Well Written Essays - 500 words

Team Development - Assignment Example ve communication in business depends on a feedback cycle, which encompasses listening to the message, speaking and confirming that whatever has been heard is what was intended to be passed across. Parties that get engaged in communication that is highly interactive often make use of the feedback cycle to reach decisions that are mutually beneficial (Yukl, 2010). When communication is carried out in the organization across different levels, the time frame, and type of the feedback cycle can influence the overall effectiveness of that organization. Leaders of a company who spend some time to pinpoint their most operational, organizational communication form often take lead in the most effective teams in the organization (Boynton & Fischer, 2005). In such manner, team players that acclimatize their styles of communication to align with those of their leaders usually achieve more than peers who have a disparity in modes of speaking and writing. Organizations that have been labeled to be the most effective usually manage to hit a balance between communication and action to prevent them from falling into a phenomenon known as ‘analysis paralysis.’ Communicator type of team players is basically process oriented. They are effective facilitators of conflict resolution, involvement, feedback, consensus building, and they are good listeners. They also help create an informal relaxed climate (Thompson, 2008). In many cases, communicators are â€Å"people person,† meaning he stands with the majority, and they sometimes see the process as the means to an end in itself. They avoid confronting other team members and may not even put a lot of emphasis on making advancement towards the objectives set by the team (Lencioni, 2002).. They are considerate, relaxed, supportive tactful and enthusiastic. Their positive attributes are that they have the voice of the majority. Because of their figure, they are better heard and listened to by people. They are also very enthusiastic

Health Care Reform Research Paper Example | Topics and Well Written Essays - 1250 words - 2

Health Care Reform - Research Paper Example The contention was supported by authors Siegel, Mead and Burke (2008) who revealed an analogous argument in the rising costs of health care services coupled with the increasing number of Americans who are uninsured. B. Reality of Health Care in the US The American Federation of Labor and Congress of Industrial Organizations (AFL-CIO) emphasized that â€Å"some  47 million U.S. residents have no health insurance, and the numbers keep growing† (AFL-CIO, 2011). In view of this, the current administration has enacted the Affordable Care Act that envisions implementing â€Å"comprehensive health insurance reforms that will hold insurance companies more accountable, lower health care costs, guarantee more health care choices, and enhance the quality of health care for all American† (USDHHS: Health Care, n.d,). C. ... rage through the following strategies, to wit: â€Å"(1) sets up a new competitive private health insurance market; (2) holds insurance companies accountable; and (3) puts our budget and economy on a more stable path† (USDHHS: Health Care, n.d., pars. 6 to 8). Section 2: The History and the Evolution of the Issue in Health Care The major issues in health care that significantly traced its historical evolution are sourced from The Henry J. Kaiser Family of Foundation (2011) and enumerated herewith, as follows: 1965 President Lyndon Johnson Lyndon enacted legislation which introduced Medicare covering both hospital and general medical insurance for senior citizens paid for by a Federal employment tax over the working life of the retiree, and Medicaid permitted the Federal government to partially fund a program for the poor, with the program managed and co-financed by the individual states. 1985 The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) amended the Employ ee Retirement Income Security Act of 1974 (ERISA) to give some employees the ability to continue health insurance coverage after leaving employment. 1997 The State Children's Health Insurance Program, or SCHIP, was established by the federal government in 1997 to provide health insurance to children in families at or below 200 percent of the federal poverty line. 2010 The Patient Protection and Affordable Care Act Patient Protection is enacted by President Barack Obama providing for the phased introduction over four years of a comprehensive system of mandated health insurance with reforms designed to eliminate "some of the worst practices of the insurance companies" — pre-condition screening and premium loadings, policy rescinds on technicalities when illness seems imminent, lifetime and annual

Wednesday, September 25, 2019

Motivational Interviewing Article Example | Topics and Well Written Essays - 1000 words

Motivational Interviewing - Article Example Their follow-up is also easier as they are closely monitored in the clinic. The next article by Cummings, Cooper & McClure (2009) focuses on the older generation of adults who are being encountered with serious health problems ranging from acute to chronic illnesses. The population comprised of people with diabetes, risk if heart disease and cancer survivors. There were two groups in this research: the control group and the intervention group and the two were being monitored in order to verify the changes brought about by application of the motivational intervention. The older generation adults were in no specific location but they were being monitored in their different locations for any physical changes once the intervention started to be administered on them. The results in this population also factored in the age and the conditions that come with old age such as the mental illnesses. In the first research about teens with substance abuse problem, the main point is on ensuring that this population by the end of the 3 month period of research and follow up will not relapse once they leave the primary care clinic where they are under close observation. There is also the issue of ensuring that they will be well educated enough to avoid the friends that use the drugs and evade their company as they are likely to be influenced back into using the drugs and alcohol. Working with teens is also not an easy affair especially because they are in the adolescence age where they are trying to find their loci in life and think they know everything as well as thinking no one understands them including their reason for engaging in the drugs and alcohol. The main point in the article about older adults and their health issue is the fact that they are needed physical exercise to deal with some of their health complications and ensue that they are healthy but resistance is very high. Many do not believe

Tuesday, September 24, 2019

XYZ (Pvt) Ltd Case Study Essay Example | Topics and Well Written Essays - 1250 words

XYZ (Pvt) Ltd Case Study - Essay Example According to the company’s view, there are many basic aspects to be referred and people to be approached before the actual proceedings begin. At this juncture, the management can be advised by every aspect that they see the name and the knowhow are protected from being used by others. Since the scope of the scope of the product is promising and profitable in the long run and also while considering its unprecedented features, there seems every chance of this product getting a hit on the sales chart shortly. Taking into account all the possible features and benefits of getting the brand name and the patent registered, there needs a detailed study in this regard while it is strongly recommended that the company go with legal validation of their legally entitled right over this particular piece of intellectual property of Mr. Aimee. The finding Trademark registration and patent authorization come under way to defend the strength of the original makers of any product involving the investment of intellectual components. The very fact that the commercial world today has gained a saleable value for almost every human effort much to the relief of creative art lying in scientific development. A performer with a commercial intent, an artist with a monitory objective, or an organizer or producer of such events all come under the stakeholders of this wide web of intellectual property rights. In the absence of this right or the laws that enforce it and secure the creative achievers, the word business would not have its face today. According to certain clear information, patent of ownership of the intellectual property and its use can be protected by...In such cases, the need for obtaining registered identity recognition becomes essential for the safety of the developer’s innovative ideas. Conclusion While considering the commercial value of the new product and its innovative effect in a trend setting sales acquisition potential, the stand of the company at the moment is to be diverted and the management needs to be encouraged to file the application for the registration proceedings. When the details of studies on the importance of intellectual property registration as well as the trademark registration from both business and corporate social responsibility angle, the company is bound to ensure that their product is not misconceived by the people in the future course of business. It is also recommended that M/s XYZ endorse with the legal protection of its software in order to boost the morale and dedication of employees of all business where they feel their enterprising skills are recognized and preserved by the owners. Above everything, the little strain the company will have to take during the registration process can prove worthwhile once the product gets a spot in the hit cha rt of software sales.

Monday, September 23, 2019

Ethics of selling body parts Research Paper Example | Topics and Well Written Essays - 1250 words

Ethics of selling body parts - Research Paper Example There are many avenues both legal and illegal that human body products can be sold through. According to () the amount of money one receives for trading in human body parts is in proportional to the risk involved. This source of income can be tapped again and again. The global trade in organs opens a large market worldwide with both legal and ethical issues. Being a living laboratory compared to no other laboratory known it can produce products such as Kidneys, blood, ovum, sperms, hair, also prostitution is said to be trade in human body parts and others such as surrogacy. These body parts are are sold through illegal and legal avenues. The human baby is made from a biological combination of sperm and ovum, thus there is no product made from scratch by factories. Good percentage of people who want children are unable to get hence they are helped by science but the important ingredients have to be used. Infertility science has improved so much such that it has developed into a multib illion ventures for entrepreneurs in this business. Buying of biological fathers has been made easier with the availability of sperm banks. A client chose a biological father depending on personality, education, ethnicity among many other factors; this is because when woman buys a sperm she is buying that mans medical history and genes. Screening is thorough in the legal markets for sperms. Ovum donation also referred to as egg donation, involves risks of infection and injuries to the donor, though it is a fifteen minute operation. But even with the modern invitro fertilization methods, many implanted embryos fail to hatch in the recipient’s womb. This technology enables women who are barren to get children.egg donors earn monthly for every months work, they can earn between $3000-$8000 dollars a month, but this is not a task for the squeamish. Man’s obsession with beauty has opened a large market for hair business. There are options for auctioning ones hair. Hair trad e is a multimillion dollar business and probably hair is the easiest body part to harvest and even to sell, depending on the texture of the hair. Prostitution is the oldest trade in human body parts that is practiced the world over but this is a service product. Other human body parts traded in are, the kidneys and the heart, which are done through kidney and heart transplant respectively, it involves a lot of risks to both the donor and the recipient hence it is very expensive for the recipient. for the heart the donor cannot remain alive hence it has not gained popularity because it is 100% risky and very expensive for one to afford .it is not like kidney transplant where the risk is not much since only one kidney is removed. Others like surrogacy involves provision of raw materials for human life, the only body parts sold here the hormones responsible for baby formation, maintenance and renting of the womb. The surrogate mother undergoes a grueling experience for nine

Sunday, September 22, 2019

E-Business Paper Essay Example for Free

E-Business Paper Essay Businesses today operates under intense competition and are under pressure to provide a product/ service that is customized, of high quality, and delivered in time at lowest possible cost. The growth and development of electronic and communication technology has been a key environmental factor that has revolutionized business in recent times. Many successful business organizations have harnessed electronic and information technology, especially internet to improve the efficiency and effectiveness of their business processes to gain competitive advantage. E-business involves business communications and transmissions over networks and through computers, specifically the buying and selling of goods and services, and the transfer of funds through digital communications. (Hutt Speh, 2004) Dell Computers is a classic example of an organization that has used internet technology to successfully refocus its business from a traditional business model to an e-business model. It has used Internet to improve the efficiency of many of its business processes and enhanced customer focus, responsiveness and relationships in all its customer segments including individual consumers, small businesses and large corporations. Dell is now able to align with its customers through the internet, on order management, product configuration, design and customization. This has resulted in better service and more satisfied customers for Dell. The Dell website allows the company to provide low-cost access to both order entry and order tracking 24 hours a day, seven days a week. This has reduced personal selling efforts and driven down the transactions costs massively both for Dell and its customers. The advent of globalization has resulted in supply chain of any organization becoming a key cost driver. Dell has used Internet to electronically link customers, suppliers, intermediaries and alliance partners in spite of organizational, geographical and functional boundaries. It has helped the company to drastically reduce the lead times as vital data with respect to sales forecasts, production plans, delivery schedules, shipments through distribution network and inventory levels at various stock points is shared amongst the participants of the supply chain on a real time basis. The unauthorized use of such competition critical information is a major risk facing Dell. Effective communication has always been a major challenge to any business. Dell has used Internet to expand its communication capabilities with its customers. Internet leverages the advantages of both, advertising which is paid form of non personal mass communication and personal selling which is face to face communication. Dell provides real time, up-to-date, low cost and fairly customized information to its potential customers in different segments. This has reduced the company’s expenses on communication mix to a great extent. The major limitation of Internet as a communication tool is that it is impersonal, though information can be customized to a large extent. The purchase of computers is associated with a fairly complex buying behavior, especially for individual consumers. The over emphasis of Dell on Internet technology may drive many of the customers, who are more comfortable with face to face communication for their information needs, to its competitors. Dell has used Internet technology very effectively to penetrate far-flung global markets. It has exploited the technology to expand its customer base all over the globe by implementing order and procurement management systems as well as sales, marketing and customer support functionality. Its website has provided it the necessary coverage freeing it from investment in sales force or â€Å"bricks mortar† assets in every potential market. The company also uses the internet to provide a wealth of marketing information with respect to the segments, the customers and their charging needs. Such information can be used for better responsiveness. Dell’s e-business success has resulted in the risk of delineating with members of its distributor channel who perform vital marketing activities. The major risk Dell may face in future is that it may not receive co-operation from its channel members when a future unforeseen situation may call for their support. So also most of the company’s strategic data is also available to its competitors who can easily respond to its strategic moves. The confidence and the security involved in electronic payments still remains a challenge to Dell. References Hutt, Michael, D Speh, Thomas, W (2004), Business Marketing Management, Thomas Southwestern pp. 117 – 144

Saturday, September 21, 2019

Nucleic Acids Are The Organic Compounds

Nucleic Acids Are The Organic Compounds Nucleic acids were discovered by Friedrich Miescher, a Swiss biochemist, in 1869. He called them nucleic because he believed that they occurred only in the nucleus of the cell [1]. Nucleic Acids are the organic compounds found in the chromosomes of living cells and in viruses. The structure of the nucleic acids in a cell determines the structure of the proteins produced in that cell. Since proteins are the building blocks of life, nucleic acids can be considered the blueprints of life. But chemically we can define nucleic acids as molecules that are comprised of monomers known as nucleotides.[2,3] The two main types of nucleic acids are:- Deoxyribonucleic acid ( DNA) :-It ordinarily occurs only in the cell nucleus. Ribonucleic acid ( RNA):-It is found both in the nucleus and in the cytoplasm (the main part of the cell exclusive of the nucleus). Both DNA and RNA combine with protein materials to carry out cell division and cell repair processes. [4] Deoxyribonucleic acid ( DNA) A type of nucleic acid that constitutes the molecular basis of heredity. It is found principally in the nucleus of all cells where it forms part of the chromosome, or in the cytoplasm of cells lacking a nucleus, such as bacteria. It acts as the carrier of genetic information containing the instructions (code) to make proteins. It consists of two single chains of nucleotides, which are twisted round each other to form a double helix or spiral. The nucleotides contain sugar (deoxyribose), phosphate and the bases (adenine, cytosine, guanine and thymine). The two strands of DNA are held together by hydrogen bonds located between specific pairs of bases (adenine to thymine and cytosine to guanine). The sequence of bases and consequently gene sequence is sometimes altered, causing mutation. DNA includes the sugar deoxyribose, which has one less oxygen atom than ribose the sugar found in RNA, hence the name is deoxy-ribose nucleic acid.[6,7] Each DNA molecule is a long two-stranded chain. The strands are made up of subunits called nucleotides, each containing a sugar (deoxyribose), a phosphate group, and one of four nitrogenous bases, adenine, guanine, thymine, and cytosine, denoted A, G, T, and C, respectively. A given strand contains nucleotides bearing each of these four. The information carried by a given gene is coded in the sequence in which the nucleotides bearing different bases a soccur along the strand. The chemical and physical properties of DNA suit it for both replication and transfer of information . Fig 1.A 3D rendered computer model of the DNA double helix. [16] Structure Of DNA Its structure, with two strands wound around each other in a double helix to resemble a twisted ladder, was first described (1953) by Francis Crick and James D. Watson and they named it as Watson and Crick model of DNA which states that: Fig 2. Double helix structure of DNA[ It is a double helix with two right handed helical polydeoxy ribonucleotide strands twisted around the same central axis. The two strands are anti parallel. The phosphodiester linkages of one of these strands run in 5 to 3 direction while the other strand runs in 3 to 5 direction. The bases are stacked inside the helix in planes perpendicular to the helical axis. These two strands are held together by hydrogen bonds. In addition to hydrogen bonds, other forces e.g., hydrophobic interactions between stacked bases are also responsible for stability and maintenance of double helix. Adenine always pairs with thymine while guanine always pairs with cytosine. A-T pair has 2 hydrogen bonds while G-C pair has 3 hydrogen bonds. Hence, G C is more stronger than A=T. The content of adenine is equal to the content of thymine and the content of guanine is equal to the content of cytosine. This is Chargaffs rule, which is proved by the complementary base pairing in DNA structure. The genetic information is present only on one strand known as template strand. The double helix structure contains major and minor grooves in which proteins interact with DNA. The diameter of double helix is 2nm. The double helical structure repeats at intervals of 3.4 nm (one completer turn) which corresponds to 10 base pairs.[7,8,9] Different forms of DNA Double helical structure exists in six different forms. They are A-DNA, B-DNA, C-DNA, D-DNA, E-DNA and Z-DNA. Among these only 3 forms of DNA are important. They are B-DNA, A-DNA and Z-DNA. 5.1 B-DNA:-This is nothing but the double helical structure described by Watson and Crick. It has 10 base pairs in each turn. 5.2 A-DNA:-This is also a right handed helix. It has 11 base pairs per turn. 5.3 Z-DNA:-This is a left handed helix. It has 12 base pairs per turn. The strands in this form move in a zig-zag manner and hence it is called as Z-DNA.[12,13] Properties of DNA The properties shown by DNA that allows for transmission of genetic information to new cells are as follows:- Replication Transcription Translation 6.1 Replication An important property of DNA is that it can replicate, or make copies of itself. Each strand of DNA in the double helix can serve as a pattern for duplicating the sequence of bases. This is critical when cells divide because each new cell needs to have an exact copy of the DNA present in the old cell. Fig3. Replication Process in DNA [30] 6.2 Transcription Transcription is the process in which DNA nucleic acids transfer the cells genetic information into RNA materials. In essence, each DNA strand manufactures a corresponding RNA strand. Three types of RNA are manufactured within this process. [13]Messenger RNAs (mRNA) are designed to carry the genetic information received from the DNA strands. Ribosomal RNAs (rRNA) reside in the cells cytoplasm, and are responsible for decoding, or translating the genetic instructions into cell processes. Transfer RNAs (tRNA) are responsible for gathering whatever amino acids are needed for protein synthesis.[14] Fig4. Transcription In DNA [20] 6.3 Translation Translation is the process in which RNA molecules create the proteins needed to sustain necessary cell functions. This is accomplished by converting the genetic code contained in the messenger RNAs into amino acid strings, which is what make protein molecules. This conversion process takes place within the ribosomes, which are located in the cells cytoplasm. [14] Functions of DNA (deoxyribonucleic acid): DNA is a permanent storage place for genetic information. DNA controls the synthesis of RNA (ribonucleic acid). The sequence of nitrogenous bases in DNA determines the protein development in new cells. The function of the double helix formation of DNA is to ensure that no disorders occur. This is because the second identical strand of DNA that runs anti-parallel to the first is a backup in case of lost or destroyed genetic information. Ex. Downs Syndrome or Sickle Cell Anemia.[16,17] RNA( ribonucleic acid) It is another type of nucleic acid which functions in cellular protein synthesis in all living cells. They play an essential role in the synthesis of proteins. On hydrolysis they yield the pentose sugar ribose, the purine bases adenine and guanine, the pyrimidine bases cytosine and uracil, and phosphoric acid.RNA occurs mostly in the cytoplasm in the eukaryotic cells. A small amount occurs in the nucleus of the cell, as a constituent of nucleolus. RNA is a single polynucleotide chain composed of nucleotides of adenine, guanine, cytosine and uracil. Thymine nucleotides are absent. Structure of RNA RiboNucleic Acids consist of: Ribose (a pentose = sugar with 5 carbons) Phosphoric Acid Organic (nitrogenous) bases: Purines (Adenine and Guanine) and Pyrimidines (Cytosine and Uracil) An RNA molecule is a linear polymer in which the monomers (nucleotides) are linked together by means of phosphodiester bridges, or bonds. These bonds link the 3 carbon in the ribose of one nucleotide to the 5 carbon in the ribose of the adjacent nucleotide. Fig 5. Chemical Structure of RNA [19] Purines: Adenine A Guanine G Pyrimidines: Uracil U Cytosine C Fig 6. Organic Bases Structure of RNA [21] Structural Difference between RNA and DNA RNA differs, however, from DNA because it does not form an analogous double helical structure. The pyrimidine base thymine is modified in that it lacks a methyl group and the resulting uracil takes its place in base pairing. Together, the presence of uracil in place of thymine, and the 2-OH in the ribose constitute the two chemical differences between RNA and DNA which is shown in Fig 7. Fig7. Structural difference between RNA and DNA [19] Types Of RNA 11.1 Messenger RNA (mRNA) It represents about 5 to 10% of the total RNA. It is synthesised from DNA as and when necessary. It carries the genetic information in the form of a specific sequence of nitrogen bases arranged in triplet codons, which are copies from the code in DNA. 11.2 Transfer RNA (tRNA) It represents about 10 to 15% of the total RNA in the cell. It has the shortest molecule having only about 80 to 100 nucleotides. The polynucleotide chain is folded on itself to have the shape of a cloverleaf. The molecule has three lateral loops, a DHU loop, a t loop and an anticodon loop. The anticodon loop bears a triplet combination of nitrogen bases, called anticodon. It is complementary to a codon of mRNA. The tRNA molecule is meant for recognising and carrying particular types of amino acids to the sites of protein synthesis. 11.3 Ribosomal RNA (rRNA) It represents nearly 80% of the total RNA in the cell. It always occurs bound to basic proteins in ribosomes. It takes part in assembling the amino acids brought by tRNA, into a polypeptide chain, based on the sequence of codons in mRNA. [19,20] Functions of RNA RNA serves the following functions: mRNA has a significant role in genetic code. tRNA is responsible for transferring amino acids to the site of protein synthesis (ribosomes). rRNA assembles the amino acids into a polypeptide chain. It also serves as a primer for replication of DNA. RNA serves as the genetic material in some plant viruses. [21] Applications of Nucleic Acid Nucleic acids find a number of exciting applications in various fields. . 13.1 Microarrays and biosensors PNA(peptide nucleic acid) can be used on microarrays and other biosensors. PNA microarray combined with PCR could detect genetically modified organisms (GMOs) in food 13.2 Imaging probes and FISH PNA is especially good for FISH because it can bind to DNA or RNA quickly even under low salt or other unfavorable conditions for DNA.PNA s specificity was utilized to discriminate 16S rRNA of bacteria species in drinking water. PNA probes also have been used for in vivo imaging of mRNA for cancer research. [23] 13.3 Catalysts and receptors Nucleic acids can also be employed as enzymes (for catalysis) and receptors (for ligand binding). Increasingly, researchers are making interesting use of these molecules, now collectively called functional nucleic acids. 13.4 Body functions Essential bodily functions such as growth, repair and reproduction all rely on nucleic acid for direction and support. Nucleic acid is in nearly every cell of the body. [24] 13.5 Medicinal Uses Gen-Probe Inc. (San Diego, California) introduced nucleic acid probe-based diagnostic products for gonorrhea and chlamydia. It is a direct test based on DNA ribosomal RNA hybridization, with demonstrated sensitivity of 89.9% to 97.1%, and specificity of 93% to 98%. [23, 26] FUTURE PROSPECTS OF NUCLEIC ACID Nucleic-acid-amplification test (NAAT) is used for the diagnosis of TB(tuberculosis) by the new method instead of conventional smear/culture method. So NAAT will simply take us to a new era of advanced, effective, and rapid TB diagnosis. Attempts are done to employ nucleic acids in effective gene therapy which is believe to become commonplace in recent years. At the same time, however, the study of nucleic acids has revealed remarkable properties of DNA and RNA molecules that could make them attractive therapeutic agents, independent of their well-known ability to encode biologically active proteins. In future we will find alternative uses of nucleic acids that do not rely on virus-based vectors or even on gene transfer. Tuberculosis (TB) is an important target for clinical testing due to the increase in incidence of the disease in this decade. Both Roche and Gen-Probe,great are developing kits for rapid TB testing. The Roche kit is based on PCR technology, while Gen-Probes kit uses transcription mediated amplification. [27, 28, 29]

Friday, September 20, 2019

Counselling and psychotherapy

Counselling and psychotherapy The objective of the final assessment was to video a short counselling session, and then to write a reflective essay critiquing the session in light of the particular counselling method selected. The logistics of the interview were made difficult by a recent move to a country area, where I did not have access to recording equipment, a DVD burner, or classmates willing to volunteer to act as the client. After a few technical difficulties, I was able to record a session using a webcam. It was then that I found that I was unable to burn the file to a disc, and after looking through the entire town for a business that would burn it to disc, finally transferred the file to a memory stick to be posted. Approach The chosen approach was person-centred counselling, where the client is at the centre of the method, unlike some other forms of counselling where technique is more pronounced. The approach, founded by Carl Rogers in the 1940s, has also been called non-directive which also emphasises that the counsellor is not giving advice and directions, but rather a format where the client can look at and consider their own feelings and options. Rogers also focused on the present rather than the past, as opposed to the Freudian approach, as well as a closer focus on feelings. In addition, Rogers used the term client rather that patient, to highlight the fact that the person being treated was taking responsibility for their own selves, rather than being reliant on the counsellor. In the person-centred approach, it is the client who ultimately makes all decisions, looks at alternatives, and takes responsibility and ownership of their own lives and choices. Dryden Mytton (1999) identify three important areas in person-centred counselling. The first is creating an environment in which the client can freely express their emotions. Approval and understanding from the counsellor towards the client is stressed. The outlook of the counsellor is also important, and the counsellor must trust the client to be able to cope with their problems, and undertake change and development. The counsellor is there to provide support and empathy, and unconditional positive regard. The counsellors own feelings and world-view must also be taken into account there must be congruence between the counsellor and client there need to be a genuineness of emotion, with the counsellor being really there in the moment of the session. The theory behind the person-centred approach puts forward that as long as there is unconditional positive regard, empathic understanding and congruence, all the core conditions for theraputic improvement or problem solving are met, and positive change will occur. As I counsellor using a person-centred approach, I would be trying to establish the core conditions, and be non-directive. Using this approach I do not try to cause anything to happen, or prevent any thing from happening, it is the client who does the real work. One of the better analogies Ive heard to describe this approach is it is the counsellors job to hold up a mirror for the client we need to comb our hair, and can do an okay job without the mirror, but unusually there are spots we cannot see without the assistance of the mirror, and maybe can do a better job if we can view our hair from a different angle. It may take some extra time, and we may have to hold the mirror just so to catch that awkward angle, but we can see so much more, hopefully in a more sympathetic and kinder light. Evaluation Trini agreed to not only record the session on her webcam, but to be the client as well. This was appreciated, especially as the only from of counselling that Trini is familiar with is either around the kitchen table with family, or with an ordained minister. When asked as to what subject she would like to discuss, that would not to substantial or in-depth, Trini requested that we discuss baby names, as it is only a few weeks until the birth of her next child, and a decision was still to be made about names. The setting was chosen to more due to the location of the webcam, as much as for privacy and fewer distractions from noise outside or children. There was not much choice in seating, but it was comfortable for Trini, who has reached quite an uncomfortable stage in her pregnancy is not able to sit for too long in any one position. In addition to the physical environment, I tried noticeably tune in to improve communication as described by Egan (2007; 71). The acronym SOLER is used by Egan to sum up these key skills: I tried to establish and keep eye contact as much as possible, although I found this harder when taking notes of names for Trini. I think I will need a bit of practice to get to the point where taking notes is not a distraction for both myself and the client. Throughout the session I tried to always facing Trini, maintain eye contact as much as possible, stay calm and relaxed, lean forwards without being too overt; more of an incline of the head rather than the entire body. Throughout the session I tried to encourage Trini to do most of the talking, ask as many open questions as possible, and pay attention to what the client way saying and how it was said, and listen without expressing criticism or judgment. The session was also very brief, partly due to it being an assessment rather than a normal session of fifty to ninety minutes, besides Trini being unable to sit comfortable for any length of time. After becoming used to longer practice sessions in class, if felt very strange to take such a short time. Because of time constraints, information about privacy and confidentiality was provided prior to the session. No sensitive matters were discussed, but it was still important for Trini to know how the recorded information would be treated and stored. I started the session with thanks and what would you like to talk about, which I prefer due to its simplicity and directness. Improvement for future The physical location of the session could definitely been improved, but there was little that could be changed due to technical restraints. Counsellor Challenges The line between talking too much and talking too little. Fight the need to jump in, to talk, to fill in the gaps sometimes silence is just fine. Burnout trying to do much, insufficient supervision and support Taking breaks, and not doing too much. Personal and professional development. Develop more effective techniques learn more about different problems. Learn more about specific problems effecting people living in remote or rural communities. In such a small community, being extremely vigilant concerning privacy and confidentiality, offering alternatives where needed. Personal and professional implications I have to have sufficient and specific training to address different kinds of issues that present in rural communities I dont want to try to treat problems outside my range of experience. I need to be able to listen to the client, and hear the changes that they want to make and their goals for therapy it is not about me. I need to be able to clearly communicate how I can help the client solve for themselves whatever problem or concern they have. I cannot make any promises or guarantees, but I can walk with the client as they go through the problem solving or decision making process. I need to continue to be non-judgmental of any clients life choices, behaviour, or the problems that they face. I need to be able to keep up-to-date with any changes in legislation and policy to be able to provide accurate information about client rights, confidentiality and informed consent, and appropriate duty of care towards my clients. I need to find a balance in my own work life, incorporating adequate supervision and continued education. If I am not able to deal with my own emotional issues, feelings and what is happening in my life, I will not be able to efficiently help others to cope with their own problems and emotional issues. References Bolton, R. (1986) People Skills: How to Assert Yourself, Listen to Others and Resolve Conflict. New York: Prentice-Hall. Brammer, L.M. and MacDonald, G. (1996) The Helping Relationship, Process and Skills 6th ed. Boston: Allyn and Bacon. Burnard, P. (1999) Counselling Skills for Health Professionals 3rd ed. Cheltenham: Stanley Thorne. Dryden, W. and Mytton, J. (1999) Four Approaches to Counselling and Psychotherapy. London: Routledge. Egan, E. (2007) The Skilled Helper: A Problem Management and Opportunity Development Approach to Helping 8th ed. Pacific Grove: Brooks/Cole Publishing Company. Heaton, J.A. (1988) Building Basic Therapeutic Skills. San Francisco: Jossey-Bass.

Thursday, September 19, 2019

Mariquita: A Tragedy of Guam by Chris Perez Howard Essay -- Book Revie

Mariquita: A Tragedy of Guam by Chris Perez Howard The book entitled Mariquita A Tragedy of Guam was written by author Chris Perez Howard in honor of her mother Mariquita Aguon Perez. The book covers the pain and sufferings of Guamanians through World War II from the perspective of one family. The book covers a period of time a little under a decade, beginning in 1938 while Guam was under Naval Administration. The book starts off painting the image an Howard's mother Mariquita. She is depicted as somewhat a diamond in the rough, beautiful and one of a kind, even pointing out that she worked as a stenographer, an uncommon position to be held by women in this time period. The book goes on describing her daily life including spending much time with her friends, competing amongst each other in the latest fashions and watching the movies. The story goes on describing her acquaintance with a young soldier by the name of Edward Neal Howard that has an eye for her. Mariquita at first entertained the young sailor but hesitated to pursue any relationship with Eddie. Then one night coming out of the movies, a Marine yelled a racial remark towards Mariquita and Eddie, out of the crowd, defended Mariquita. That was the turning point, and they eventually begin dating, first in secrecy then soon after, they married. Mariquita and Eddie had two children, the first named Chris and the second named Helen. Japanese invaded and the war broke out in Guam right after the birth of Helen and Mariquita actually had to flee with her newborn into the jungle for safety. During Japanese rule Guamanians were forced to work. The Japanese also occupied any housing they needed. The Americans were forced to surrender and Eddie bec... ...dure their torture, then head home and play and laugh with her kids, it was like there were two people playing her role. The book gave very good accounts of the times surrounding war, but I think Howard's emotions skewed the story somewhat. This book goes against the canon in citing instances which were harmful to the Guamanians. Americanization for instance, indirectly told the people to lose their identity and their culture and opt for a more Westernized and modern set of values. Then goes the point of having separate schools and American only functions, U.S. treated the people of Guam as second class citizens. The book does a great job in capturing all this unfairness. All in all, the book seemed better as a romance novel to me, with a great many details, valuable details of World War II in Guam hidden in the background almost as a supplemental story.

Wednesday, September 18, 2019

Dark Prejudice in Conrad’s Heart of Darkness :: HOD Joseph Conrad Racism

Prejudice in Heart of Darkness  Ã‚      Slavery has been with us since the Egyptian times and with it prejudice towards certain humans have also come about. In Conrad's Heart of Darkness these prejudice feelings are reflected throughout the story by the characters and their descriptions. The main character, Marlow shows much prejudice feelings towards the native black slaves by much of his descriptions and actions towards them.    One of the most noticeable prejudice descriptions that Marlow gives to us is in the way in which Marlow describes the Themes River in two different positions. He first describes the river as being a place where many people seek to follow their dreams. In a way, his descriptions are like a great fantasy with great feelings of serenity and full of liveliness. This description of the river also contained many words of color; this Marlow rarely uses to describe events. The description of the river going upstream was extremely different from the former description. Marlow described it as this "The air was warm, thick, heavy, and sluggish. There was no joy and brilliance of sunshine. The long stretches of the waterway ran on, deserted, into the gloom of overshadowed distances" (Conrad 2:16). Upriver was where all the natives lived and this is how it is described, quite the opposite of what he had thought before. Marlow feels extremely uncomfortable going to this area, he even says that it seems as if the large trees hanging over the river swallow the boat up as they move up. These words give the impression that this area is very uncivilized and even animal like. Marlow constantly feels that something is watching him and he called this watching monkey tricks (Conrad 2:2). Obviously referring to the natives watching him. Yet another description that Marlow gives to us that is somewhat different is in the reactions of Kurtz's girlfriends to his departure and death. We first meet Kurtz's native girlfriend. Her descriptions were much of her savage appearances. Marlow refers too much of her jewelry as barbarous ornaments and gifts of witch-men. This he does not know but only assumes so. When he describes her facial expressions, they aren't very human like but more like an animal.

Tuesday, September 17, 2019

Having Suffered A Heart Attack Health And Social Care Essay

This assignment ‘s purpose is, to give the reader a really precise apprehension of the medical journey, a male platinum aged 55 old ages of age named Matthew will travel through, after holding suffered a bosom onslaught ( acute myocardial infarction ) . That was diagnosed in infirmary five hours post patient ‘s initial symptoms while exigency intervention was being implemented. Information both via household and from medical professionals in respects to the platinum ‘s life style and the platinum ‘s consequences to allow medical appraisals, usher and find the way the platinum will medically venture down, towards recovery. Much of the information gathered about the platinum ‘s history will be subjective informations ; this significance information peculiar to our peculiar person that may or may non hold a bearing due to the exactitude, preciseness and proved current cogency ; the information is from the topic or topics household. Still the information mus t be considered. There will besides be information known as nonsubjective informations, intending information that is besides specific to the patient, but more precise, factual, mensurable, not opinionated and demonstrable from professionals in the medical field. The subject of pathophysiology will be explored in several facets associating to the platinum and giving ground to the platinum ‘s physical status and recent marks and symptoms. Management of the patient and his status, by single wellness attention professional ‘s and as collaborative squads and or squad in a holistic mode will be outlined and discussed. Finally of class the pharmacological sector of the platinum ‘s intervention will be delved into, to bespeak the rule characteristics and maps and possible side effects of medicines he was and may be prescribed. The subject of this assignment is highly of import and really relevant due to the current medical tendencies we have in Australia sing coronary art eria disease ( CAD ) , which is incorporated within cardio vascular disease ( CVD ) . â€Å" Cardiovascular disease ( CVD ) A is the taking cause of decease in Australia, accounting for 34 % of all deceases in Australia inA 2006. Cardiovascular disease kills one Australian about every 10 proceedingss. † . † ( Heart Foundation of Australia 30/05/09 ) . â€Å" It is estimated that about 4 % of the population over 45 old ages have chronic HF [ Heart Failure ] . Cardiovascular disease is one of the chief causes of decease in both Australia and New Zealand, the incidence dramatically increases with progressing age and, as the aged population additions, HF incidence and prevalence will increase. HF histories for about 2 % of all deceases and is the 3rd largest cause of cardiovascular-related decease. The life-time hazard of developing HF has been estimated at around 20 % for Western states. The addition in prevalence of HF in Australia and New Zealand has been attributed to the ripening of the population, improved endurance from bosom onslaught, and the increased prevalence of diabetes and fleshiness in the population and the wider usage of sensitive diagnostic engineering. † ( Brown & A ; Edwards 2ed. 2009 pg 883 )PATHOPHYSIOLOGYIn the bulk of bosom failure state of affairss, the left ventricle non working as it should, Cardio Vascular Disease ( CVD ) . â€Å" Three of the more common causes of reduced LV contractility include coronary arteria disease, aortal stricture and systemic high blood pressure † ( Phipps Sands & A ; Marek 6th ed.1999 pg 700 ) . â€Å" Systolic failure, the most common cause of HF, consequences from an inability of the bosom to pump blood. It is a defect in the ability of the ventricles to contract ( pump ) . The left ventricle ( LV ) loses it ‘s ability to bring forth adequate force per unit area to chuck out blood frontward through the hard-hitting aorta. † ( Brown & A ; Edwards 2ed. 2009 pg 884 ) Co ronary arteria disease lowers the Black Marias ability to contract through being the cause of less oxygenated blood being delivered to the chondriosome of the sarcostyles. In aortal stricture, where there is noticeable narrowing of the aortal lms the left ventricle demands to pump harder to acquire the needed volume of blood through the now limited valve. With systemic high blood pressure, where the overall blood force per unit area is already higher than norm, the left ventricle must supply more force per unit area than this overall blood force per unit area to win in pumping out its volume or at least a valid per centum. What finally happens when the left ventricle can non pump out the needed sum of blood ; is blood staying in the left ventricle causes extra blood to stay in the left atrium besides. The effect of excess blood is blood endorsing up into the pneumonic circulation. All this extra blood increases the force per unit area in the pneumonic capillaries coercing blood into the interstitium so the air sac compromising gaseous exchange. High pneumonic force per unit areas negatively effects the blood flow from the right ventricle to the lungs, ensuing in less blood being oxygenated aˆÂ ¦ a barbarous rhythm of deoxygenated blood easy hungering the organic structure of O and taking to an Acute Myocardial Infarction ( AMI ) . The authoritative marks and symptoms that was noticeable with the patient. Was being short of breath and being visible radiation headed after a really small sum of physical activity, which usually the platinum could accomplish without any emphasis. This represents a deficiency of O being circulated finally doing a rise in respiratory rate and visible radiation headedness due to low sums of O to the encephalon. â€Å" Dyspnea, an unnatural uncomfortable consciousness of external respiration, occurs when high pulmonary force per unit areas force fluid out of the pneumonic capillaries into the air sac. The fluid in the air sac interferes with effectual gas exchange. † ( Phipps Sands & A ; Marek 6th ed.1999 pg 702 ) â€Å" Dyspnoea ( shortness of breath ) is a common manifestation of chronic HF. It is caused by increased pneumonic force per unit areas secondary to interstitial and alveolar hydrops. Dyspnoea can happen with mild effort or at remainder † . ( Brown & A ; Edwar ds 2ed. 2009 pg 887 ) It makes sense that Matthew our patient was reported to holding felt nauseous and uncomfortable in his thorax after devouring his dinner. His digestive system would be necessitating oxygenated blood to map and his bosom evidently was non able to provide that. Hence feeling nauseated, due to the lessening in cardiac end product ( CO ) impairing perfusion to critical variety meats such as his tummy and bowels. Pain and or disfunction would be noticeable when the peculiar organ ‘s demands for more oxygenated blood additions. ( Brown & A ; Edwards 2ed. 2009. pg 887 ) An hr subsequently Mathew ‘s symptoms worsen, increasing in badness. His thorax strivings are much worse and are besides radiating down his left arm. â€Å" Heart Failure can precipitate chest hurting because of reduced coronary perfusion from decreased CO and increased myocardial work. Anginal-type hurting may attach to HF. † ( Brown & A ; Edwards 2ed. 2009. pg 888 ) During the execution of exigency interventions, Matthew was diagnosed as holding had an acute myocardial infarction AMI. Information was so gathered both via Matthew his household and via physical medical scrutiny.The information gathered by word of oral cavity through inquiries in interview from Matthew and his household are classified as subjective, of import but ca n't be proven without a shadow of a uncertainty. The information collected via the physical scrutiny is current and can be proven hence classified as aim. Either manner all the information can be categorised as modifiable ( M ) or non modifiable ( NM ) ; mutable or non mutable. The undermentioned appraisal findings are recorded and will now be identified as M or NM. These findings will play a function making the beginnings of a valid attention program. Data is as follows, ‘A history of coronary arteria disease, specifically high blood pressure ‘ This is really of import due to his past being now revisited may give us an thought as to what may hold happened and or a prevue of things yet to come. Data classified as NM because it ca n't be changed, you ca n't alter your yesteryear. ‘States he late stopped taking his antihypertensives as he ‘felt better † . This information decidedly has a bearing because non taking this medicine would raise Matthews blood force per unit area and increase his high blood pressure which in bend additions his Black Marias work load and perchance puting his bosom up to neglect ensuing in AMI. Data classified as M because it can be changed, Matthew could take his medicine. ‘Mother besides has high blood pressure ‘ . Proposing this status being inherited and the particulars of the high blood pressure may be similar, casting visible radiation on what is being dealt wi th by Matthew, perchance salvaging much valuable clip as to the way to be investigated. Data classified NM, because cistrons can non be altered. ‘States he is marginal diabetic ‘ Diabetes – Peoples with diabetes have a two to eight times greater hazard of bosom failure compared to those without diabetes. Womans with the status have a greater hazard of bosom failure than work forces with diabetes. Part of the hazard comes from the disease ‘s association with other bosom failure hazard factors, such as high blood force per unit area, fleshiness, and high cholesterin degrees. The disease procedure besides amendss the bosom musculus. ( Symptoms of bosom disease, n.d. ) Heart failure should, nevertheless, be suspected in anyone presenting with a history of new oncoming weariness, hydrops or shortness of breath. This is peculiarly the instance if the patient has a background of diabetes, chronicrenal damage, ischemic bosom disease, high blood pressure. ( Brady.S, n.d. ) This tells us, if true, that diet will be of paramount importance because diet is an of import direction therapy for both HF and Diabetes. Diet instruction and weight direction are critical to the patient ‘s control of chronic HF. The nurse or dietician should obtain a elaborate diet history, finding non merely what foods the patient chows and when but besides sociocultural value of nutrient. ( Brown & A ; Edwards 2ed. 2009. pg 894 ) Data classified as NM if Matthew is truly without uncertainty diabetic, that ca n't be changed but can be adapted to. ‘Overweight but late lost 5kg ‘ . Because it is, late lost 5 kilogram, it could be as a consequence of him being ailing, but from here onwards his diet will be an indispensable portion of his overall attention program. The diet will hold to be specifically tailored to decrease his fleshiness, and will besides hold to suit his diabetic demands it will likely hold to be low Na low fat and be alert of sugars, to ass ist him in respects to his HF position. Data classified as M, can and must alter. ‘Rarely exercises ‘ detrimental in respects to HF and how he got to where he now is, but his physical activity will hold to be minimised until he is in a healthier place, to so get down remodelling his life style with exercising, ( monitored of class ) , to better his wellness and understate the opportunities of HF re-occurring. Data M aˆÂ ¦very mutable, from inactive to active bit by bit. ‘Has smoked 15-20 cigarettes/day for the past 18 old ages ‘ . This would hold had an inauspicious affect on both Matthews ‘s pneumonic system and cardiovascular system ; smoking deprives the organic structure of O because blood will transport C monoxide in penchant to oxygen plus smoking destroys many of the air sac that absorbs the O for gaseous exchange therefore the lungs are absorbing less O overall for the organic structure, therefore holding damaging consequences on musculuss including the bosom. â€Å" Smoking surcease may non straight cut down BP, but markedly reduces overall cardiovascular hazard. The hazard of myocardial infarction is 2-6 times higher and the hazard of shot is 3 times higher in people who smoke than in non-smokers † ( HeartFoundation.2010 ) .Data M aˆÂ ¦Matthew can be helped to discontinue smoke this is modifiable behavior. ‘Has 3 teenage kids who are doing jobs ‘ This job is a stress direction job, there have been many surveies done, covering this affair and a Psychologist would be the best port of call to assist Mathew cover with this emphasis. â€Å" Family demands chiefly affect lovingness and supplying for kids of married employees. Number of dependent kids is an nonsubjective index of the degree of household demands ( Rothausen, 1999 ) . † ( International Journal of Stress Management 2008 ) Data M this subjective informations can be altered but more specifically can be adapted to by get bying mech anisms being applied aˆÂ ¦ ! ‘Recently experient loss of best friend and concern spouse who died from malignant neoplastic disease ‘ . Besides another emphasis get bying job needed, and would best be suited for a psychologist ‘s expertness. Even though the platinum ‘s nurse would likely hold more contact hours with the platinum aˆÂ ¦this is where wellness attention professionals can join forces, work together as a squad for the platinum ‘s ultimate end, of working better and perchance being discharged. Data M the heartache can be dealt with through a assortment of possible intercessions, so this state of affairs is non inalterable, it is decidedly modifiable. ‘ Oppressing substernal thorax hurting radiating down his left arm and giddiness. Pain mark: 9/10'.This is a text book description of what it feels like to be enduring from an Acute Myocardial Infarction as is described in many pathophysiology texts. â€Å" The hurting typically is terrible and suppression, frequently described as being compressing, smothering or like, â€Å" person sitting on my thorax. † The hurting normally is substernal, radiating to the left arm, cervix, or jaw, although it may be experienced in other countries. Unlike that of angina, the hurting associated with AMI is more drawn-out and non relieved by remainder or nitro-glycerine, and narcotics often are required. † ( Porth.C. 2007 pg 395 ) â€Å" Data M this hurting is a tell narrative that an Acute Myocardial Infarction is in procedure. This hurting is frequently mistaken for dyspepsia and is treated with hydrogen carbonate, alkalizers or even pain slayers which in bend could detain seeking professional medical attending. Siting the individual up with legs lower than the bosom, even swinging the legs may give some alleviation prior to medical attending geting. By understating the Black Marias work load via decreasing venous return. ‘Physical scrutiny ‘ Objec tive information is as follows. Diaphoresis, abruptly of breath and sickness. Diaphoresis [ sudating ] is sometimes due to wound or unnatural cells of the bosom motivating the production of pyrogen. This causes the hypothalamus to react to a higher set point, the hypothalamus initiates heat production behaviors ( shuddering and vasoconstriction ) hence the profuse perspiration, anxiousness the feeling of pending day of reckoning, I am certain plays a function in this excessively. â€Å" Many non-infectious upsets, such as myocardial infarction, pneumonic emboli, and tumor ‘s green goods febrility. † ( Porth.C.2007 pg 288 ) Short of breath or Dyspnea can be because of myocardial infarction oncoming because blood is endorsing up into the pneumonic system and holding an inauspicious consequence on the lungs [ alveoli ] being able to absorb O and interchanging it for C dioxide, which so makes one short of breath because O is low and even C dioxide is low so the trigger to d o one breath is besides non available Dyspnea in this instance is a respiratory manifestation † due to congestion of the pneumonic circulation and is one of the major indicants of left sided bosom failure. † ( Porth.C.2007 pg 426 Nausea is a feeling of unwellness aˆÂ ¦that is sometimes a precursor to purging. â€Å" Perform complete appraisal of sickness, including frequence, continuance, badness, and precipitating factors, to be after appropriate intercessions. † ( Brown & A ; Edwards. 2009. Pg1065 ) â€Å" Nausea often is accompanied by ANS manifestations such as watery salivation and vasoconstriction with pallour, sudating, [ perspiration ] and tachycardia. Nausea may work as an early warning signal of a diseased process. † ( Porth.C. 2007 pg 602 ) . Possibly even an acute myocardial infarction. Diaphoresis, Dyspnea and Nausea are all M, O therapy, cold compress, organic structure positioning i.e. sitting up – pillows support- take downing li mbs and giving antiemetic if ordered ; to modify these symptoms. The implicit in cause of the symptoms will depend on physician diagnosing perchance drug therapy or surgery.BP 165/100 mmHg – Pulse rate 120 beats/min – Respiratory rate 26 breaths/min.Bp is rather high this tells us that the force per unit area is high but the ground could be many, could be that the individual is by and large hypertensive, in the procedure of holding an episode of HF, or on drugs that are doing vasodialation of arterias or rushing up the bosom and many many more possible grounds, the most serious being HF. Pulse rate is besides really high this rate is such you would be anticipating the person to be running non at remainder ; the bosom would merely be working this difficult at rest if there was something incorrect, rather perchance oncoming of HF. Body non having adequate O ; musculuss, major variety meats, including encephalon being starved of O and finally the bosom being a musculus wo uld get down experiencing the effects. Respiratory rate is elevated besides, stand foring the organic structure seeking to do up an O debt. All these symptoms can be minimised and a certain sum of comfort can be achieved, so data classified as M. Through O therapy, stockings, take downing limbs and sitting up. O2 Impregnation: 94 % on room air. Is non improbably low but oxygen therapy via rhinal prongs would decidedly be good at no higher than 4 liters per minute to acquire O2 impregnation over 95 % . So this would be considered modifiable M. Electrocardiogram: A premature ventricular contraction with ST lift in anterior thorax leads V1-V3. Signifies a left front tooth wall myocardial infarction. This could mean that the left anterior falling coronary arteria is occluded

Monday, September 16, 2019

Newman’s Sermon

A summary 1.  Ã‚  Ã‚  Ã‚  Ã‚   Faith presumes. Reason examines. 2.  Ã‚  Ã‚  Ã‚  Ã‚   Because we believe one thing it is easier to believe the next. 3.  Ã‚  Ã‚  Ã‚  Ã‚   Faith and Reason have different starting points. 4.  Ã‚  Ã‚  Ã‚  Ã‚     Faith has a bearing on practice. 5.  Ã‚  Ã‚  Ã‚  Ã‚   Faith is presumption rather than proof. 6.  Ã‚  Ã‚  Ã‚  Ã‚   We cannot inherit faith but must acquire it for ourselves. 7.  Ã‚  Ã‚  Ã‚  Ã‚   To have Faith is to test oneself. 8.  Ã‚  Ã‚  Ã‚  Ã‚   Religion won’t convince someone who doesn’t want to be convinced. 9.  Ã‚  Ã‚  Ã‚  Ã‚   What we believe is based upon our previous experience. 10.   Faith is a test of character not of intellect. 11.   Reason is opposed to Faith, but so is unbelief. 12.   Faith doesn’t depend upon intellectual ability. 13.   There seems to be no rule about what to believe and what not. A safe guard is there needed. Many think this should be education. Faith is then an act of reason. Not so. Faith’s safeguard is a right state of heart. 18 and 19. Personal faith is the way to eternal life. 20. Because we love we can recognise the love of the Saviour. 21.We believe because we love. 22,23,24. Examples from scripture. 25. Holiness and love will keep us safe and on track. 26. Faith is an act of reason and based upon a presumption prompted by love 27. Faith turns us away from evil towards good. 28. Lack of faith leads to disobedience. 29. For the Christian faith supercedes sacrifice because of the atonement. 30. For many Christians their faith is tinged with superstition. 31. We should act on faith   and so not be misled as to what is God’s will. 32. Gospel truths cannot be contradicted by modern ideas. 33. Paul said the   gospel was the fulfilment of the law. 34. Judaizers first believed, but clung to law. 35. The Gospel completes the faith of the Jews. 36. It builds on what is revealed by nature 37. True faith is moving from the unknown to the known, from darkness to light. 38. That is all we need. Love, the safeguard of faith against superstition â€Å"The sheep follow Him, for they know His voice. And a stranger will they not follow, but will flee from him, for they know not the voice of strangers.† John 10 v. 4, 5. 1.Looked at logically Faith has this characteristic – it presumes, it trusts, rather than looking at evidence, rather than by measuring and examining. This is what distinguishes it from Knowledge as we use that word in our everyday lives. We say we know something when we have found it out by natural methods. We can be said to know a mathematical fact when we can demonstrate it to be true. We know that things are present because we sense them. We know about events that take place by using our moral judgement and so judge them to be good or bad. We know about the past and things we will never see by the evidence that we find . When for instance we hear testimony of a miracle occurring from honest men who are neither being deceived or out to deceive us we may be said to know what they testify to as fact. We know about the nature of the case because of the Evidence and when we believe in a miracle because of such Evidence we can be said to believe because of reason. 2. By using our reason we look at the evidence and we believe, and because we believe one thing we can go forward and believe something else. In the general sense Faith is this kind of knowledge – a presumption based on evidence. But as in earlier discourses Reason can be contrasted with Faith as meaning what can be inferred from evidence and which therefore leads to knowledge. 3. Faith is based on presumption and Reason on factual knowledge. Reason makes the fact that is to ascertained the most important point [1].It then looks at the evidence available. It doesn’t exclude what has gone before [2], but doesn’t begin with that. Faith has a different starting point. It begins on a basis of previous knowledge and opinions which, though they may not lead to exactly the same conclusion tend towards it. To take a step of faith is to act before absolute certainty. It could be said to be against Reason or even to triumph over Reason, to take hold of what Reason sees as beyond its reach. Faith is beyond argument, and so is not capable of being argued against and cannot defend itself by using logic i.e. it seems illogical. 4. So why are we bothering with it. Because I believe that Faith has a bearing on practice. Our text was ‘The sheep follow him because they know his voice.’ Their faith leads them to follow. 5. As things turn out day by day we see that Faith is a judgement made by reaching out towards facts, a presumption in their proof, rather than a search for proof. There is no doubt that for the vast majority of sincerely religious   who stake their happiness upon Faith, do so not from examination of the facts , but from a spontaneous move of the heart. They reach out to meet with God despite the fact that they can’t see him. They discern his presence in symbols that are provided [3]. They may perhaps later examine more closely the evidence on which their faith is founded and see whether or not they are justified in believing, but their faith did not begin with the evidence, nor is it affected by the strength of their knowledge,[4] although it may be strengthened by such knowledge. They believe because of something within themselves, not basing their faith only on what Religion teaches. 6. Many Christians can be said to have merely inherited the Faith. They need a faith of their own. 7. Everyone needs to test his own Faith rather than merely accept what he is told. 8. Not that such evidence is deficient, but whether of true religion or a false one the evidence for or against religion is not of the kind that will convince someone against his will. I don’t mean that the evidence has no value one way or another, for or against Christianity, but that few people, in the bustle of their daily lives, have time to consider all the evidence before making decisions. Most of us, most of the time, make judgements by stepping out and meeting the evidence to a greater or lesser degree.[5] 9. This is the way in which we make judgements, because we cannot do it any other way. We act upon only part of the evidence. We make judgements based on the way we feel, how credulous we are, and what seems feasible and safe often based on our previous experience. It is the same with religious experiences. When we apparently experience the supernatural we judge it according to how much we want to believe it. Such judgements are based upon such things as our views of life and our knowledge of the miraculous. We decide whether or not something is true according to how the alleged miracle fits into our existing religious life and knowledge. 10. These religious judgements are not exactly like those we make in our ordinary lives. Evidence about worldly matters is all around us and our minds are not necessarily capable or discrimination between truth and falsehood. Religious facts are fewer in number and of a different kind and the powers we use to judge them are correspondingly stronger. Even the wisest person can make worldly judgements that are wrong, and go against the evidence available, but this does not necessarily mean that even the most ordinary intellect need be wrong in making judgements about the more important kingdom of heaven. I believe that a merciful God are so ordered things that faith, based on presumption, will lead to the same conclusions as if, as the minority do, we carefully examine the evidence. I am not speaking of the trustworthiness of Faith, but of its nature. Faith is a test of moral character. This is the essence of religious faith as opposed to Reason, which by its nature excludes prejudice or what we want to happen in favour of carefully examining the facts. We make multiple decisions on the way when using reason, before we come to a fixed conclusion. This means that there is little merit in getting   the right answer in, for example , a mathematical problem or indeed little guilt involved in making a wrong decision because of a faulty memory. 11. So we see Faith as being opposed to Reason, but we must not forget that Unbelief is also opposed to Reason. Unbelief considers itself to be totally logical, but when it comes to questions of religion Unbelief criticizes the evidence not in a logical way, but because it doesn’t suit. It makes presumptions in a similar way to that which Faith does, but in a negative rather than a positive way. It is the opposite of Faith. It considers religion to be so impossible that it fails to see the evidence. Unbelievers consider themselves rational beings, but they do not decide by evidence. They just make decisions and stick with them. Hume,[6] in the case of alleged miracles, said ‘What have we to oppose†¦..but the absolute impossibility or miraculous nature of the events†¦.’ Hume   sees improbability as sufficient reason for denying the evidence, but presumptions made on either the   side of Faith or Unbelief cannot, by their nature, be proved. Hume went on to say of Faith, ‘Mere Reason is insufficient to convince us of its veracity. 12. Faith   is an exercise of presumptive reasoning which is open to all and does not depend upon intellectual ability. If the majority believe, not because of careful examination of the evidence, but because they are ‘ordained to eternal life’ then this must be the way that God wants it. There may be difficulties with our Faith, but let us face up to them and so overcome them. 13. Such a view of Faith may be made an excuse for all kinds of bigotry and lead to superstition. There seems to be no rule for what is to be believed and what not. If we are to accept the miracles and Revelations of Christianity why not those of other faiths? 14. So a safeguard is needed if Faith is not to become superstition.   The consensus seems to be that if you educate people about their Faith and encourage them to reflect you will avoid fanaticism and superstition. 15. If this is so then Faith is an act of Reason. 16.Yet I deny that any intellectual act is necessary for right Faith, that it needs to be more than a presumption or that it necessarily needs to be fortified by education. The safeguard of Faith is a right state of heart. It is holiness and love which is the principles behind true faith. 17.18.19. Christ is the way into the kingdom of God. Knowing him in a personal way and following him in Faith is the way to eternal life. 20. The Jews didn’t love Christ   and so were unable   to see him as Saviour. Just as a child trusts his parents because of the affection he receives so we believe because we love . 21. Just as sheep do not follow a stranger so we won’t be misled if we know and follow Christ. We believe because we love. 22. This doctrine is expounded in several places such as Ist Corinthians 2 which teaches us the worthlessness of natural Reason. 23.24. Other examples from scripture. 25. Holiness and love are what keep us on track and prevent us getting caught out by things that are wrong. 26. Right Faith is the Faith of a right mind. It is an intellectual act, an act of reasoning based upon presumption and stirred into action by a spirit of love and purity. We will recognise true Revelation because it not be in opposition to the nature of God. 27. Superstition is the worship of evil spirits. Faith is an instinct of Love towards both God and man. It will cause us to turn from what is evil and towards what is good. 28. Lack of faith leads to disobeying God’s laws. 29. However what is superstition for a Jew or Christian is not necessarily so for a heathen   who is not bound by the rules of his Faith. Blood sacrifices for a heathen are not   necessarily superstitious, but for the Christian they have been superseded by the   blood of Christ in the Atonement. 30. Take the example of the viper which bit St Paul on Malta. The people might have been mistaken in believing him to be a god, but at least they were aware of the possibility of heavenly intervention in human life. They weren’t Christians but they recognised the presence of God with Paul. 31. The woman with an issue of blood. Was that superstition? Her action did not fit with what she knew. She recognised in Jesus someone who could save her, yet she stayed on the edge. She didn’t want to bother him. Yet Christ commended her faith . In her faith tinged with superstition and humility we see many believers through the ages, who impair their true vision of God by concentrating on outward emblems. 32. In I Kings 13 we have the story of prophet of Judah who was credulous enough to be misled by the lying prophet. Not   a well known story, but an important one as it reminds us that even God’s people can be led astray. 33 It is not Faith but superstition that leads to stories of omens, charms and so on. We have found Christ already. If the doctrine of today contradicts that which has already been revealed we must disguard it or face the consequences. 34. That was what the Judaizers did. They received the Spirit but went back to the Law. Paul fought against such ideas and   proclaimed that the Gospel was the true fulfilment of the Law. 35. In the case of the heathen he paid respect to their beliefs, but tried to show how the Gospel was the completion of Faith.[7], a fulfilment of what had already been revealed to them by nature. This is real Faith, a moving forward, closer to God. A move from the known to the unknown. It is made perfect not by intellect but by obedience, the act of a pure, obedient and devout mind. 37.This is sufficient. [1] As when a scientist states the hypothesis which his experiment will prove [2] As when Newton said ‘I stand on the shoulders of giants.’ [3] Such as the bread and wine of communion. [4] And so is not affected by their intellectual capacity – a child may have faith and so may a university don. [5] As when we meet someone for the first time and make judgements about his character based on only a brief acquaintance. [6] David Hume, Philosopher, ‘An enquiry concerning human understanding’. [7]   Acts 17 v 16 ff.

Sunday, September 15, 2019

Bcom/230 Memo Review

Memorandums are a versatile form of business communication. They can range from inform, such as the University of Phoenix Material: Accounting Memo, to the formal; which would be the reply memo that would be sent to the Vice President. The degree of their formality can vary widely, so in writing the reply the sender much pay close attention to various types of information he/she should omit/include, the type of jargon used, and any potential repercussions in failing to know his/her audience. Corrections.There are various corrections that need to be made throughout the memorandum. To include the following in the Heading: †¢To: Mr. /Mrs. Smith, V. P. †¢From: Andrew Jones (He would also include his initials) †¢Department: Accounting (Being his senior officer the Vice President may not know who Andrew Jones is) †¢CC: Joe Accountant (Include the the partner he was working on the project with) †¢Date: January 28, 2013 The Subject line would also not be included in the heading, but several spaces down from the heading.Where the original sender included a greeting of â€Å"TEAM-MATE† should be omitted because it is unnecessary and out of place. This is the type of greeting that should be included in an email or letter. This is where the subject line should be included. To read: †¢Subject: Last In/First Out Vs. First in/First Out Inventory Review Jargon. The sender needs to be careful of his/her use of accounting specific terms such as LIFO, FIFO, COGS, and P&L Statements because they are everyday terms used by accountant, this can create confusion if the recipient does not know the term.An easy solution would be to define the word or spell it the first time then proceed with acronyms proceeding. Repercussions. The repercussions that a person may face when failing to know ones audience is that you run the risk of writing the wrong type of message formal when informal should be used, or informal when formal should be used. This could lead from something as little as embarrassment to reprimand.Other possible scenarios are that your message is misunderstood and not convey because your audience did not understand the meaning of what you were saying. Conclusion. Memos can be a simple message to another co-worker, or a formal message to the Vice President of the company, but as long as you know how to address your audience, be careful of the word choice, and know what information is important for your audience; you should be able to write a clear, concise memorandum.

Saturday, September 14, 2019

Pros and Cons on Death Penalty Essay

Ms. Pat Johnson ENG-099 Pros and Cons of Assisted Suicide: Argument Essay When death is knocking at your door, do you answer or ignore the call? Unfortunately, some people answer the call willingly. Euthanasia is painless killing of a patient suffering from an incurable and painful disease or in an irreversible coma. All motives are compassionate for a patient, whether the killing is by a direct action, such as a lethal injection, or by failing to perform an action necessary to maintain life. The euthanasia movement started in l935 in Britain, in l938 in the U S A, and in l980 in Canada (catholicapologetics). Opinion polls show average support of 60 percent in the USA, 74 percent in Canada, and 80 percent in Britain (catholicapologetics). Many people disagree that death is a decision upon GOD but, why make a person suffer more pain being alive? Today, many people are against euthanasia because; they feel that it is murder. This is because there are certain cons of euthanasia that compel them to think this way. Firstly, medical science has made great advancements in the recent years. There is almost always a cure available for a disease. So euthanasia should not be kept as a viable option. One of the other cons of euthanasia is that sometimes there is pressure from family members who want to induce death for their own gains. The doctor may get influenced by the ideas that are put forward by them. In that case it becomes very difficult to decide whether euthanasia was completely necessary or was influenced by the family members. Sometimes even medical science cannot predict with certainty the fate of a patient. In such cases, euthanasia would mean snatching away the chances of a patient’s survival. There are many cases where mercy killing has often been misused. To prevent such manhandling euthanasia should be prohibited. Something that concerns the life of a person should not be left in the open for people to play around with.

Friday, September 13, 2019

British Stereotypes Essay Example | Topics and Well Written Essays - 1000 words

British Stereotypes - Essay Example There goes the old ethnic joke which clearly depicts stereotyping among different cultures. Stereotype denotes simplified and fixed image of all members of a culture or group. Stereotypes are often based on race, religion, ethnicity, age, gender, and national origins (Stereotypes 2006). It is irrefutable that the world is filled with stereotypes as each one of us often tries to associate a certain trait or characteristics in an individual based on the common stereotype placed on the culture and race a person belongs to. For example, people always tend to characterize Americans as people who are superficial and with no fashion sense. This paper will look at the common stereotypes linked with British and how these stereotypes are justified. The next section of the paper will show the negative and the positive stereotypes given by foreigners. The report will conclude with its findings. Negative Stereotypes One of the most common stereotypes about British is their having bad teeth. The concept of â€Å"bad British teeth† can be traced as American’s perception on Britons. This concept is even worsened when Lisa Simpson was shown by her orthodontist as â€Å"The Big Book of British Teeth (Guardian Unlimited 2006).† British recognize that their teeth are relatively worse than their counterparts for a lot of reasons. Firstly, the structure of American teeth is really whiter and straighter than Britons. Aside from that, it was also recognized that Americans invests money on their dental health while British think that cosmetic surgery and self manipulation is vanity. It should also be noted that only a few number of British over the age of 35, regardless of income and social status have had orthodontia. In America, there is an overwhelming social pressure to have aligned and white teeth. Orthodontia has been a social necessity in the United States since 1970 (Why do Americans 2005). British are also regarded as unemotional. This is supported by the idiom "British stiff upper lip" which means displaying courage in times of difficulties. In British stereotype however, the stiff upper lip connotes their exercise of self-restraint in expressing their emotion. By some means, the formal demeanor of the ruling class of Britain gives rise to this stereotype. Another significant connotation of the stiff upper lip is feeling of superiority and proud. One of the reasons why people see this is the fact that British have never been colonized by any other nation. Other British stereotypes branded them as snob and reserved (Stiff Upper Lip 2006). British are also classified as shy individuals especially when it comes to financial aspects. British are not likely to divulge how much money they have and find it socially offensive to chat about how much they got according to the recruitment organization Jonathan Wren. It was also found out that eight out of ten feel embarrassed when discussing the size of their "pay pocket (Dunn 2005)." British art is very reserved and grey, avant-garde, eccentric and mad. Saudi Arabians also commented on the lack of British artist (How the World Sees 1999). British media is seen to be unreliable (How the World Sees 1999). Positive Stereotypes In a survey was conducted by MORI, the most prominent British public opinion research agencies to determine how the world sees Britain, the following positive stereotypes are derived. The survey was answered by 200 successor generation in thirteen countries which include Brazil, China, Egypt, France,

Thursday, September 12, 2019

The U.K Governments Policy of Deficit Reduction Essay

The U.K Governments Policy of Deficit Reduction - Essay Example s printing money, but that too had its ill effects, such as people do not sit with such money in hand, rather they spend it, creating demand for goods and then it can lead to inflation. Without printing money the government can resort to borrowing, but that will include equal amount of less private spending, thus jobs created by stimulus spending will be equaled by jobs lost by decline in private spending. Another case is where the people can investment in government bonds when they know that taxes would go up. This will put the net effect to zero (Cochrane, 2009). UK government could have taken the path decreasing corporate and income taxes instead of increasing them. Tax increase immediately leads to more money getting accumulated, as liquidity trap, and less mobility. Tax cuts on the other hand could have increased the overall spending and helped reduce the crisis. Government spending is another component of aggregate expenditure. If the government expenditure increased then the b enefits of multiplier effect could have been derived (Petroff). It has been debated whether these policies of the UK Government were appropriate in this context. Firstly, the Government declared an increase in taxes. This was expected to lower the level of production in the economy. Secondly, high taxes in an economy also have a deterring effect on the taxpayers because citizens have tried to evade taxes in economies which have imposed high levels of taxation. Thirdly, the reduction in Government spending was also supposed to lower the economic production. Fourthly, reduction in Government spending could have a detrimental effect on the consumer and the investor spending which would further decrease the level of its production. Fifth, when the Government of a country decreases its spending... This essay declares that the UK government could have come up with other alternative policies such as printing money, but that too had its ill effects, such as people do not sit with such money in hand, rather they spend it, creating demand for goods and then it can lead to inflation. Without printing money the government can resort to borrowing, but that will include equal amount of less private spending, thus jobs created by stimulus spending will be equaled by jobs lost by decline in private spending. Another case is where the people can investment in government bonds when they know that taxes would go up. This will put the net effect to zero. This paper makes a conclusion that UK government could have taken the path decreasing corporate and income taxes instead of increasing them. Tax increase immediately leads to more money getting accumulated, as liquidity trap, and less mobility. Tax cuts on the other hand could have increased the overall spending and helped reduce the crisis. Government spending is another component of aggregate expenditure. If the government expenditure increased then the benefits of multiplier effect could. It has been debated whether these policies of the UK Government were appropriate in this context. The decision to finance higher education and designing policies for its betterment is crucial for any economy. Often students opt out of higher education due to the cost and as a result there arises shortages of qualitative human capital