Literacy Development - 2585 Words

NAME: Keneisha Blair LECTURE: Ms. Palmer I.D#: SW9011/11 COURSE WORK #: 3 Emergent literacy According to May (1990, p. 59) emergent literacy is the process of learning. It is a product of children’s explorations with concepts and conventions about language with which they are familiar. Two Early Literacy behaviours in young children * Pretend reading * Scribbling Two activities that can be used to enhance and cater for pretend reading Young children imitate what they see adults do in society. On such thing is reading. Children will take up any form of literature and pretend that they are reading. To enhance and cater for this behaviour parents and teachers can: Activity 1 The teacher or parent should ensure†¦show more content†¦This is so because if students have to pause to decode words in each sentence then the reading will not be fluent. According to Balsiger, fluent readers have highly automatic word recognition, and the skills to sound out unfamiliar words; dysfluent readers make frequent mistakes, have poor word recognition, skip words, substitute similar-appearing words, and struggle with unfamiliar words. Reading speed refers to the rate at which pupils read. It should be noted that both children and adults vary their reading speed depending on how difficult the text is and its purpose. But, extremely slow or fast reading is often a characteristic of a dysfluent reader. Finally, prosody is the ability to orally read sentences expressively. This incorporates proper phrasing and intonation. Dowhower (1991, p. 166) stated that prosody is the ability to read in expressive rhythmic and melodic patterns. Kelly to give According to Sheakoski (2012), a strategy that can be used to improve fluency in reading is repeat reading. Students can increase fluency skills using the repeated reading strategy during which they read a short passage repeatedly. It should be noted that fluency is more than just pronouncing words correctly, it also encompasses the process of fully and smoothly conveying what the text is about. The ability to read fluently is a predictor of comprehension. This is mainly because the more fluently one reads the easier it is for him or herShow MoreRelatedDevelopment Of Knowledge, Literacy, And Literacy1981 Words   |  8 PagesDigitization and literacy Most simply stated literacy is considered as the ability to read and write. However, with the development of knowledge, literacy became more complex, it evolved into a cognitive process which involves critical interpretation of information that are represented through spoken and written words. According to dr. Kirk Panneton, it is an important intellectual, cultural and electronic capability† (1). As the dr. Pannton’s view of literacy involves digital capabilities ofRead MoreLiteracy Skills And Development Of Literacy Training Programs907 Words   |  4 PagesHealth Literacy Many individuals in the United States are struggling with reading, writing, and comprehension. This is not only necessary for daily life in today’s world, but imperative on the healthcare front. â€Å"Health literacy continues to be a major problem despite public and private efforts at all levels to address the issue through testing of literacy skills and development of literacy training programs† (Bastable, 2014, p. 256). â€Å"By focusing on health literacy issues and working togetherRead MoreAdult Literacy and Community Development Essay1724 Words   |  7 PagesMy vision in my work with VOC this year is to explore the intersection of adult literacy and community development. Through research, I hope to learn more about the connection between research and practice in writing for adult learners; through working with a community based organization I hope to deepen my knowledge and understanding of the impact and challenges of working in a literacy program and how this translates into overall goals of improving livelihoods and building a stronger communityRead MoreLiteracy Influences Child Development, Social Interaction And Development Of The Brain978 Words   |  4 PagesLiteracy influences child development, social interaction and the ability to overcome obstacles a positive aspect. If you are reading this, at some point in time someone, somewhere taught you to read. Literacy in small children can be very beneficial to the growth and development of the brain. â€Å"Decades of research prove that when young children are surrounded by literature-rich environments are spoken to and read to frequently, have the skills needed to start school and are appropriately supportedRead MoreDevelopment Of Quality Literacy Programs For Children And Parents1091 Words   |  5 Pagesin health, child development, and mental health. The main focus is on the development of infants and toddlers. The main goal of this organization is to guarantee that all ba bies and toddlers are given a strong start in life. Promoting an understanding about key issues that affect young children and their families. Key issues include infant mental health, child care, early language and literacy development, early intervention and the impact culture has on early childhood development (About Us, 2016)Read MoreTwo Theories of Literacy Development1395 Words   |  6 PagesIn this task I am going to identify 2 different theories of language development I am going to be doing, Naom Chomsky and Jean Piaget. Jean Piaget According to Piaget, language development is related to cognitive development, that is, the development of the child’s thinking determines when the child can learn to speak and what the child can say. For example, before a child can say, â€Å"This teddy is smaller than that one†, she/he must have developed the ability to judge differences in size.Read MoreLanguage and Literacy Development1014 Words   |  5 PagesRUNNGHEAD: LANGUAGE AND LITERACY DEVELOPMENT ESSAY Language and Literacy Development Essay Alma J. Bosket Early Literacy Development (O101) -ECH-425 Dr. Leah Barley July 21, 2013 Language and Literacy Essay The achievement of oral language is a normal development for the performance of most children. The child’s (ren) understanding to communicate will began to increase with ageRead MoreDevelopment Of Literacy For Students902 Words   |  4 PagesThe development of literacy for students in pre-K through 1st grade all need a basic understanding of letter recognition, knowing phonics, and the difference between vowel sounds when they are long and short. Once these skills are established progression will be made with the introduction of diphthongs and blends. Ways that allow students to learn these basics without losing interest with posters and reads alouds is incorporating interactive videos such as LeapFrog where it draws the students inRead MoreReflection On The Literacy Development1791 Words   |  8 Pages Reflections As future educators, it is important that we understand and become consciously aware that phonological awareness is an essential aspect of the emergent literacy development. The comprehension of phonological awareness is critical for learning to read any alphabetic writing system. For this assignment, we chose to implement a word awareness, rhyming, and alliteration activity in our typically developing service learning classes. Also, we incorporated phonics throughout these activitiesRead MoreChildrens Emergent Literacy Development1395 Words   |  6 Pagessignificantly impacts a child’s emergent literacy development. (Senechal, Lefevre, Thomas , Daley, 1996; Sawyer, et al., 2014; Sà ©nà ©chal LeFevre, 2002; Senechal LaFevre, 2014). HLE is defined by the â€Å"frequency of storybook reading and literacy teaching during book reading† (Sawyer, et al., 2014, p. 65). Sà ©nà ©chal LeFevre (2002 2014) conducted a study to prove that a positive and helpful HLE aid s in children’s emergent literacy. The Home Literacy Model used proved the original hypothesis

Assisted Suicide - Introduction - 1878 Words

Introduction/Rationale No person is entitled to consent to have death inflicted on him, and such consent does not affect the criminal responsibility of any person by whom death may be inflicted on the person by whom consent is given.†, this is according to the Indiana Code of Criminal Law and Procedure. In ancient days, assisted suicide was frequently seen as a way to preserve one’s honor. For the past twenty-five years, on the other hand, the practice has been viewed as a response to the progress of modern medicine. New and often expensive medical technologies have been developed that prolong life. However, the technologies also prolong the dying processes, leading some people to question whether modern medicine is forcing†¦show more content†¦The other person simply helps for example, providing the means for carrying out the action. In the US, only the State of Oregon permits assisted suicide or physician-assisted suicide. The Oregon Death with Dignity Act allows terminally ill state residents to receive prescriptions for self-administered lethal medications from their physicians. It does not permit euthanasia, in which a physician or other person directly administers a medication to a patient in order to end his or her life. The Oregon law allows adults with terminal diseases who are likely to die within 6 months to obtain lethal doses of drugs from their doctors. A relatively very small number of people sought lethal drugs under the law and even fewer people who actually used them. Many patients have said that what they want most is a choice about how their lives will end, a finger on the remote control, as it were. Like for instance, the case of Diane, one of the patients of Dr. Timothy Quill. She was diagnosed with acute myelomonocytic leukemia and she was under Dr. Quill for a period of 8 years. Dr. Quill informed her of the diagnosis, and of the possible treatments. The series of treatments include multiple sessions of chemotherapy and bone marrow transplant, accompanied by an array of ancillaryShow MoreRelatedAssisted Suicide - Introduction to Ethics Social Responsibility2678 Words   |  11 PagesPhysician Assisted Suicide Brandon Tucky SOC120: Introduction to Ethics amp; Social Responsibility Carrie Quiza April 27, 2012 Physician Assisted Suicide Physician assisted suicide has been an ethically intense subject to many people for decades. The U.S. sees this as an illegal and immoral way to end one’s life while many other countries find it is perfectly legal and moral. The determination of its true standing is one that will probably take many more decades to fully understand. Read MoreAssisted Suicide - Introduction1887 Words   |  8 PagesIntroduction/Rationale No person is entitled to consent to have death inflicted on him, and such consent does not affect the criminal responsibility of any person by whom death may be inflicted on the person by whom consent is given.†, this is according to the Indiana Code of Criminal Law and Procedure. In ancient days, assisted suicide was frequently seen as a way to preserve one’s honor. For the past twenty-five years, on the other hand, the practice has been viewed as a response to the progressRead MoreEuthanasia And Physician Assisted Suicide. Introduction.1672 Words   |  7 Pages Euthanasia and Physician Assisted Suicide Introduction Euthanasia is when a patient suffering from a disease that cannot be cured is helped to die in a painless manner. Doctors help in such cases to kill patients without feeling much pain. 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With multiple cases occurring in the past, current and the more to occur the in the future, this looksRead MorePhysician Assisted Suicide : Controversial Healthcare And Political Realms Alike1218 Words   |  5 Pages Physician-Assisted Suicide Elissa Munoz-Tucker University of Arizona Abstract Physician-assisted suicide is controversial in healthcare and political realms alike. Currently, this end-of-life option is practiced in five states within the United States. Social concerns regarding assisted suicide revolve around ethical quandaries; providing the means to a patient’s death is contradictory to ethical principles of healthcare providers. Political concerns surroundingRead MorePhysician Assisted Suicide : Who Should Decide If A Terminally Ill Person?1146 Words   |  5 PagesGemini Government Siembor Who should decide if a terminally ill person has the right to commit physician-assisted suicide? Introduction Physician Assisted Suicide has been a very controversial topic in the recent years. P.A.S can also be known as physician assisted death or euthanasia. Many states wonder wither this practice is morally right or wrong. Physician Assisted Suicide is when a doctor administers patient lethal drugs, upon the request of the patient, with the end result being deathRead MorePhysician Assisted Death As A Person s Ethno Cultural Identity1673 Words   |  7 Pagesas physician assisted-death is, it is also one of great merit that offers an opportunity to explore a better understanding of the human experience. Physician assisted-death is often coupled with the term euthanasia and although it can be seen as a form of euthanasia, it differs in that the patient is in the control of the process through which they commit the act of suicide. In the consideration of the role of a human service professional during the procedure that is physician assisted-death (PAD)Read MoreThe Need for the Legalizatio n of Physician-Assisted Suicide2485 Words   |  10 Pagesprevent death. Many people turn to a procedure known as Physician-Assisted suicide, a process by which a doctor aids in ending a terminally ill patient’s life. This procedure is painless and effective, allowing patients to control their death and alleviate unnecessary suffering. In spite of these benefits, Physician-Assisted suicide is illegal in many places both nationally and internationally. Despite the fact that Physician-Assisted suicide is opposed by many Americans and much of the world on ethicalRead MoreThe Bill Of Rights : The Amendment Rights2572 Words   |  11 Pages1 . Introduction In 1791, the Bill of Rights was created to specify the individual rights of every human being. Madison James is the creator of the 10 Amendments, he believed it was necessary to create the document to further explain what the Constitution will provide for each person. The Bill of Rights gives every citizen the right to freedom of religion, freedom of speech, as well as the freedom of the press, and lastly the due process rights. This document was formed when the Constitution inRead MoreEuthanasia Is Not A Bad Thing2331 Words   |  10 Pagesis to inform the reader in order to/so that euthanasia isn’t a bad thing it could help many people but there should still be restrictions. The author write in a formal tone for the American Studies English teachers at Granite Hills High School. Introduction Five years ago, Joe was a retired landscaper and a loving father and grandpa. Joe was a very active man only wanting the best for himself. Everyday he would wake up make himself a healthy breakfast, go on a walk and take his grandchildren to

Securities and Investments Commission v Citigroup Global Markets

Question: Discuss about the Securities and Investments Commission v Citigroup Global Markets. Answer: Introduction Citigroup Global Market is a financial services company operating in Australia and carries out its business in circa 100 countries. It is the defendant in the proceedings of Australian Securities and Investments Commission v Citigroup Global Markets Australia Pty Ltd (Citigroup). Citigroup Inc. participates on various businesses in Australia. For example, it participates in the Corporate and Investment Bank (CIB), which is a company known internally. In turn, CIB has many operating divisions such as the Investment Banking Division (IBD) and Equities, among many others. The IBD delivers advisory and investment banking services. Equities, on the other hand, engage in proprietary security trading (Liptak Goldstein, 2016). The issue in the ASIC v Citigroup, therefore, is how the association between a customer and the investment bank came under an equitable microscope. The bank was giving advisory services based on a planned purchasing bid to this client. However, the primary question in the case is if the letter of engagement for retaining a bank by a great public organization to talk about the takeover bid left out the presence of any fiduciary association between the bank and its customers (Black, Mills Cox, 2007). Following the issue in this proceeding, this paper begins with an overview of the ASIC v Citigroup case, outlines the breached duties, and goes on to look into some more details of the Court's decision and the reasons for it given the Corporation Act. Background of the Case On August 8, 2005, the Investment Banking Division got reserved by a subsidiary of an Australia firm known as Toll Holdings Limited (Toll) to be able to offer banking and commercial services. These services were to take place in connection with proposed takeover of another listed company known as Patrick Corporation Limited by Toll Holdings. Toll wanted to use Patrick as means through which it can use to access ports logistic market. It was a significant transaction that traded at AUD 4.5 billion. The parties that got involved were highly sophisticated. In response to these services, Toll selected two venture banks to provide it with advice in connection with the bid. One of the banks was Citigroup while the other one was the Carnegie Co Pty Limited. According to the terms of retainer execution done on 8th August, the charges for the fruitful completion of the purchase from the Citigroup IBD were likely to range between AUD 10 to 18 Million. On the other hand, Equities and IBD of the Citigroup divisions got detached by the precise data and other obstacles recognized in the commercial segment as the Chinese walls (Kennedy, 2009). Those staffs who got employed on the IBD side were working in the private department of the Chinese walls due to being routinely possessing a secret sensitive information concerning securities such as information about the intentions of Toll in connection to Patrick. Additionally, those employees who were operating in the public department of the wall were in the Equities division. The main reason for the Chinese wall was to prevent Citigroup from breaching the rules regarded as insider trading laws in Australia, by doing business with the Equities section of the Patrick shares through the IBD department. Such activity was considered as private information about Patrick. On Friday 19th August 2005, a trader in Citigroup's equities section obtained a huge part of Patrick's share. Nobody suggested that, when he purchased the shares, the buyer already had information about the proposed bid of Toll on behalf Patrick. Instead, the buyer appears to have been following how the price was moving in relation to Patricks price. The trader's response to the movements of the price reflected broad market assumption concerning the possibility of Patrick as the topic of a purchaser. When it reaches mid-day of the same day, the broker had already had a long, considerable share in Patrick. On the other hand, Patrick's value had reasonably appreciated. At 3.30pm, somebody who was guiding the broker called him aside and discussed with him shortly telling him to stop purchasing the shares of Patrick. After that discussion, the dealer went back in the dealing and put on sale some of his positions. As the events unfold, the bid that Toll had for Patrick got announced on subsequent following business day, in this case, on Monday 22 August 2005. Otherwise, under standard practice, Toll trading in Patrick shares bid got inspected by the investigation department of the Australian Security Exchange Limited, in which they witnessed the exchange on which the bid got listed (Standen Angus-Smith, 2009, p.607). The Australia Security Exchange checked whether there was a likelihood of any insider trading in Patrick by the Citigroup. After that, they forwarded the concern to ASIC for further investigation. ASIC started its investigations touching Citigroup towards the end of 2005 but completed early 2006. ASIC began the trials touching Citigroup in 2006. Duties and Responsibilities Breached Though the ASIC did not claim that Equities Trading was aware of the insider information as it was buying the shares, its stand was that; the Citigroup as Tolls advisor was in a fiduciary affiliation in one way or the other (Benard, 2007). ASIC alleged that it breached its fiduciary duty when it purchased shares in Patrick, thus contravened its responsibilities under 912A(1) provision of the Corporations Act. Moreover, Citigroup violated the rules of section 12DA of the ASIC Act together with Section 1043 of the Corporation Act. These sections prohibit false and deceiving behavior referred as Fiduciary Claim (Hanrahan, n.d.). The further allegation was that Citigroup contravened the insider trading laws that are in section 1043A of the Corporation Act. First, the Equities Trading had an assumption that alleged that Citigroup was representing Toll in the anticipated buyout of Patrick (Hastings Marjoribanks, 2012, p.544). This assumption came out due to what ET heard after Investment Bank realized the potential conflict (Citigroup Inc. 2008). On the other hand, ASIC suspected that this assumption composed of information in the definition of 'Division 3 financial products under section 1042A of the Corporative Act. It got argued that the sale of the 200,000 shares had constituted insider business by Citigroup, thus making it the first Insider Trading Claim (Hastings Marjoribanks, 2012, p.542). It was also because the ASIC realized the challenges in the second claim that Chinese Walls Citigroup had in place. ASIC allegation was that, because the senior IB staff had the knowledge about a substantial likelihood that Toll was going to launch its tender, that acquaintance was accredited to the entire Citigroup. Therefore, ASIC suspected Citigroup to have engaged in insider trading since its shares got purchased by the Citigroups Equities division, thus making the allegation to be additional Insider Trading Claim. Decision of the Court According to the Federal Court of Australia on Thursday 28 June 2007 about ASIC v. Citigroup case, was that Citigroup did not take part in insider trading and did not contravene the conflict of interest laws according to the Corporations Act (Jacobson, 2007; 'Australia Banking' 2015, p.104). It found that Citigroup did not contravene its responsibilities under s 1043A, s 1043H and s 912A(1)(aa) of the Corporations Act and s 12DA of the ASIC Act. Therefore, the Court dismisses the claims by ASIC about Citigroups breach of duties. The first Insider Trading Claim failed. This claim could only do well if the trading employee possessed the insider information and attributed his knowledge to the company. According to section 1042G(1)(a), the awareness of the staff got not associated to the enterprise unless the employee was an officer defined by section 9 of the law (Jacobson, 2007). Therefore, the Court did not come to an agreement with ASIC because the employee in question was not an officer of Citigroup (Seeto, 2008). According to the Act, an officer was a person with a senior role in management, unlike the employee in the ASIC v Citigroup case. Moreover, the Court found that the employee did not make the supposition of the takeover bid according to what ASIC claimed that Citigroup acted in place of Toll regarding Patrick's acquisition. The second Insider Trading Claim also did not succeed. According to the Courts findings, Citigroup adhered to section 1043F of the Act. It proved to the Court that it had put in place some compliance arrangements. It raised the Chinese Wall Defense in a satisfactory manner (Jacobson, 2007). It implies that the Company complied as it would be anticipated to make sure that the price sensitive data according to IB got not revealed to the Public Side employees or communicated with ET (Lumsden Bridgen, 2007, p.37). Besides, the choice to buy shares came from a person rather than the individuals who held the information and no communication of it concerning the purchase got given by IB (Seeto, 2008). The Fiduciary Claim also failed right at the beginning. This finding was so, because, the letter of engagement did not involve the existence of the fiduciary association. According to the Court, the Corporation Act did not hinder the bank from having a fiduciary duty when it started its connection with its clients (07-171 Decision, 2007; 'Australia Banking' 2015, p.62). In addition to these findings, there were also compliance implications regarding the Chinese walls, written policies and procedures for training, and the escalation procedures. In relation to the issue of the Chinese Walls, the verdict was that the arrangements to fulfill the law did not call for total perfection. Instead, it needed only the necessary steps. As a result, it came up with the following steps for an efficient Chinese wall: departments physical separation, educational programs, crossing the wall, observation from acquiescence officers, and finally the corrective sanctions. Besides, the Court found that Citigroup had its procedures in place (Citigroup Inc. 2007). For example, the company called for the IB not to spread the material information that is not meant for the public to the ET without having the right individuals to assess the informations materiality. In addition to that, Citigroup had a precise escalation policy to help IB advice the necessary people of the pot ential conflict. However, Jacobsons decision does not alter the people's recognition of the right stand of how banks that do investment provide advisory services to its customers. Nonetheless, the findings are meant to be of significance to everyone including the corporate advisers. For example, the decision allows likeness on the fiduciary obligations and how they are related to the other unbiased and entrepreneurial law requirements such as the requirement of good faith and confidence (Batten Pearson, 2013, p.520; Benard, 2007). If the Honours decision had been otherwise, the international investment banking communitys concerns that the Australian controller had distressed many entities by merging consulting businesses with those of equities trading could also get noticed ('Australia Banking' 2015, p.84). Rather, Jacobsons findings have proven that his act is not forbidden by equity, as long as the banks and the customers association with that of the company of the conglomerates business kowtows t o some particular convictions. Conclusion Therefore, the case ASIC v Citigroup is relevant to advisers and Australias commercial services regulation. When the case against Citigroup started, it appears as if ASIC did not care about protecting Toll's interests. If it wanted to protest about the copyrighted trading of Citigroup in the shares of Patrick, Toll would presumably do so on its own due to the sufficient resources. In fact, the Courts judgment shows that Toll did not have any complaint to present to Court. The CFO of Toll revealed that Toll comprehended that Citigroup would take part in copyrighted trading without opposition so long as the company did not employ Tolls private data wrongfully. Thus, it illustrates that according to the provisions of the insider trading; an adequate compliance system is relevant since it can help a company and its members from being held liable for a claim. Aside from that, the fact that Chinese Walls restrain the information from flowing between different divisions in a company, an org anization can avoid damaging its reputation and substantial fines if it complies with to the requirements of the Chinese wall. References 07-171 Decision in ASIC v Citigroup | ASIC - Australian Securities and Investments Commission. (2007). Asic.gov.au. Retrieved 6 January 2017, from https://asic.gov.au/about-asic/media-centre/find-a-media-release/2007-releases/07-171-decision-in-asic-v-citigroup/ 'AUSTRALIA BANKING' 2015, Acquisdata Industry Snapshots: Australia Banking, 3601, pp. 1-87. 'AUSTRALIA BANKING' 2016, Acquisdata Industry Snapshots: Australia Banking, 6604, pp. 1-108. Batten, R, Pearson, G 2013, 'Financial Advice In Australia: Principles To Proscription; Managing To Banning,' St. John's Law Review, 87, 2/3, pp. 511-559. Benard, M. (2007). McCabe, Bernard --- "ASIC v Citigroup and fiduciary obligations" [2007] BondCGeJl 5; (2007) Corporate Governance eJournal (Bond). [online] Austlii.edu.au. Available at: https://www.austlii.edu.au/au/journals/ElderLRev/2007/5.html [Accessed 14 Jan. 2017]. Black, A, Mills, K, Cox, B 2007, 'A big win for banks,' International Financial Law Review, 26, 9, p. 12. Citigroup Inc. (2007). Mergent's Dividend Achievers, 4(4), pp.60. Citigroup Inc. (2008). Mergent's Dividend Achievers, 5(2), pp.60. Hanrahan, P. (n.d.). ASIC v Citigroup: Investment banks, conflicts of interest, and Chinese walls. 1st ed. [ebook] unimelb.edu, pp.1 - 25. Available at: https://law.unimelb.edu.au/__data/assets/pdf_file/0008/1709837/67-Hanrahan_-_ASIC_v_Citigroup1.pdf [Accessed 14 Jan. 2017]. Hastings, L, Marjoribanks, G 2012, 'Tough on crime -- insider trading enforcement and its relevance to you,' Keeping Good Companies (14447614), 64, 9, pp. 542-544. Jacobson, J. (2007). Australian Securities and Investments Commission v Citigroup Global Markets. Australia Pty Limited (ACN 113 114 832) 2007 (pp. 1-130). Sydney. Retrieved from https://www.smh.com.au/pdf/ASICvCitigroup.pdf Kennedy, C 2009, 'ASIC holds Citigroup to account for credit products,' Money Management, 23, 46, p. 4. Liptak, A, Goldstein, M 2016, 'Supreme Court Sides With Prosecutors in an Insider Trading Case,' New York Times. Lumsden, A, Bridges, V 2007, 'Chinese Walls Lessons from the Citigroup case,' In finance, 121, 4, pp. 36-38. Seeto, G. (2008). ASIC v Citigroup - The compliance implications - Knowledge - Clayton Utz. Claytonutz.com. Retrieved 6 January 2017, from https://www.claytonutz.com/knowledge/2008/january/asic-v-citigroup-the-compliance-implications Standen, M, Angus-Smith, R 2009, 'ASX and ASIC -- the changing of the guard,' Keeping Good Companies (14447614), 61, 10, pp. 606-608.

Psyschology Study On Drinking Essays - Stress, Human Behavior

Psyschology Study on Drinking Abstract In response to the need for research that incorporates multiple aspects of theory into a testable framework, this study attempted to replicate and extend the results of Cooper, Russell, Skinner, Frone, and Mudar (1992). A modified stressor vulnerability model of stress-related drinking was tested in a homogeneous sample of 65 male and female undergraduate student drinkers. Total weekly consumption of alcohol was used as the criterion measure, whereas family history of alcoholism (Adapted SMAST: Sher & Descutner, 1986), alcohol outcome expectancies/valences (CEOA: Fromme, Stroot, & Kaplan, 1993), perceived stress (PSS: Cohen, Kamarck, & Mermelstein, 1983), and coping dispositions (COPE: Carver, Scheier, The proposed modified model postulates that expectancies play a proximal mediating role in stress-related drinking, whereas gender, family history of alcoholism, and coping all play a distal moderating role. Hierarchical multiple regression procedures were then performed to evaluate the model. The results failed to support the hypothesized model. Specifically, expectancies emerged as a distal rather than proximal predictor of stress-related drinking, and family history of alcoholism did not moderate stress-related drinking. In contrast, gender and coping styles emerged as the most powerful predictors in the model. Despite the shortcomings of the proposed model, the present results offer an alternative interpretation as to what constitutes the stressor vulnerability model of stress-related drinking. Introduction Stress as a Causal Factor in Drinking One of the common stereotypes about the effects of alcohol involves the drug's capacity to act as a stress antagonist. Conger (1956) has proposed a theory, known as the tension reduction hypothesis (TRH) of drinking, to support this notion. Essentially the theory holds that alcohol's sedative action on the central nervous system serves to reduce tension, and because tension reduction is reinforcing, people drink to escape it (Marlatt Strong evidence to support the validity of the theory comes from epidemiological findings which indicate that the prevalence of anxiety disorders in alcoholics ranges from 16 to 37%, compared to a rate of only 4-5% in the general population (Welte, 1985). Notwithstanding, there seems to be a subset of people for whom the predictions of the TRH do not hold. For instance, in a study conducted by Conway, Vickers, Ward, and Rahe (1981) it was found that the consumption of alcohol among Navy officers during periods of high job demands was actually lower than the consumption during low-demand periods. In addition, other studies (i.e., Mayfield, 1968; Mendlson, Ladou, & Soloman, 1964) have shown that some drinkers actually consider alcohol as a tension generator rather than a tension reducer. Overall, when taking into account these conflicting findings, it seems prudent to find some middle ground. The solution to this problem than is a modified version of the TRH, specifying the conditions under which stress will lead to an increase in drinking. Moderating and Mediating Factors in Stress Induced Drinking In addition to stress, several other variables have been shown to be crucial in determining an individual's drinking behavior. These variables include gender of drinker (gender), coping behavior of drinker (coping), and alcohol outcome expectancies of drinker (expectancies). In the following discussion, the importance of each of these variables to drinking will be considered first, followed by an evaluation of these as potential moderators or mediators of stress in drinking. 1 Differential Gender Drinking Behavior It has been repeatedly demonstrated that significant differences exist between the drinking patterns of men and women (Hilton, 1988). In a comprehensive survey of US drinking habits conducted by the US National Center for Health Statistics in 1988, significant gender differences were found in three areas as pointed out by Dawson and Archer (1992). The first significant difference pertained to the number of male and female current drinkers. Roughly 64% of all men were current drinkers in comparison to 41% of all women. The second and third significant differences concerned the quantity of alcohol consumed. Men were more likely to (a) consume alcohol on a daily basis and (b) be classified as heavy drinkers. Men's daily average of ethanol intake (17.5 grams per day) was almost twice as high as women's (8.9 grams per day). Even when an adjustment for body weight was made

11 Geographic Facts About the Gulf of Mexico

11 Geographic Facts About the Gulf of Mexico The Gulf of Mexico is a large ocean basin near the Southeastern United States. It is a part of the Atlantic Ocean and is bounded by Mexico to the southwest, Cuba to the southeast, and the Gulf Coast of the United States on the north, which includes the states of Florida, Alabama, Mississippi, Louisiana, and Texas (map). The Gulf of Mexico is the ninth largest body of water in the world at a width of 810 nautical miles (1,500 km). The entire basin is about 600,000 square miles (1.5 million sq km). Most of the basin consists of shallow intertidal areas, but its deepest point is called Sigsbee Deep and has an estimated depth of about 14,383 feet (4,384 m).The Gulf of Mexico itself and the regions surrounding it are highly biodiverse and feature large fishing economies. The economics of the area as well as the environment thus are sensitive to pollution.   To learn more about the Gulf of Mexico, visit the  Gulf of Mexico Program  from the U.S. Environmental Protection Agency. Gulf of Mexico Geographic Facts Here are 11 facts about the geography of the region: 1) The Gulf of Mexico likely formed as a result of seafloor subsidence (or the gradual sinking of the seafloor) about 300 million years ago. 2) The first European exploration of the Gulf of Mexico occurred in 1497 when Amerigo Vespucci sailed along Central America and entered the Atlantic Ocean through the Gulf of Mexico and the Straits of Florida (the strip of water between present-day Florida and Cuba). 3) Further exploration of the Gulf of Mexico continued throughout the 1500s, and after numerous shipwrecks in the region, settlers and explorers decided to establish a settlement along the northern Gulf Coast. They said this would protect shipping, and in the event of an emergency, rescue would be nearby. Thus, in 1559, Tristn de Luna y Arellano landed at Pensacola Bay and established a settlement.4) The Gulf of Mexico today is bordered by 1,680 miles (2,700 km) of U.S. coastline and is fed with water from 33 major rivers that flow out of the United States. The largest of these rivers is the Mississippi River. Along the south and southwest, the Gulf of Mexico is bordered by the Mexican states of Tamaulipas, Veracruz, Tabasco, Campeche,  and Yucatn. This region consists of about 1,394 miles (2,243 km) of coastline. The southeast is bordered by the northwest portion of Cuba, which includes the capital, Havana.5) An important feature of the Gulf of Mexico is the Gulf Stream, which is a warm Atlantic current that begins in the region and flows north into the Atlantic Ocean. Because it is a warm current, sea surface temperatures in the Gulf of Mexico are normally also warm, which feeds Atlantic hurricanes and helps in giving them strength. Climate change thats warming waters further is also making them larger, as in increased intensity and amount of water. Hurricanes are common along the Gulf Coast, such as Katrina in 2005, Ike in 2008, Harvey in 2016, and Michael in 2018.  6) The Gulf of Mexico features a wide continental shelf, specifically around Florida and the Yucatn Peninsula. Because this continental shelf is easily accessible, the Gulf of Mexico is exploited for oil with offshore oil drilling rigs centered in the Bay of Campeche and the western Gulf region. Eighteen percent of the countrys oil comes from offshore wells in the Gulf. There are 4,000 drilling platforms there.  Natural gas is also extracted.7) Fisheries are also extremely productive in the Gulf of Mexico, and many Gulf Coast states have economies centered on fishing in the area. In the United States, the Gulf of Mexico has four of the countrys largest fishing ports, while in Mexico the region has eight of the top 20 largest. Shrimp and oysters are among the largest fish products that come from the Gulf.8) Recreation and tourism are also a significant part of the economy of the lands surrounding the Gulf of Mexico. Recreational fishing is popular, as are water sports and tourism along the coastal regions.9) The Gulf of Mexico is a highly biodiverse area and features many coastal wetlands and mangrove forests. The wetlands along the Gulf of Mexico cover around 5 million acres (2.02 million hectares). Seabirds, fish, and reptiles are abundant, as well as bottlenose dolphins, a large population of sperm whales, and sea turtles.10) In the United States the population of the coastal regions surrounding the Gulf of Mexico is estimated to number more than 60 million people by 2025, as states such as Texas (the second most populous state) and Florida (the third most populous state) are growing quickly. 11)  The Gulf of Mexico was the site of a large  oil spill  that occurred on April 22, 2010, when an oil drilling platform, the Deepwater Horizon, suffered an explosion and sank into the Gulf about 50 miles (80 km) from Louisiana. Eleven people died in the explosion and an estimated 5,000 barrels of oil per day leaked into the Gulf of Mexico from the 18,000-foot (5,486 m) well on the platform. Cleanup crews attempted to burn the oil off of the water, gather the oil and move it, and block it from hitting the coast. Cleanup  and fines cost BP $65 billion. SourcesFausset, Richard. (April 23, 2010). Flaming Oil Rig Sinks in Gulf of Mexico. Los Angeles Times. Retrieved from: http://articles.latimes.com/2010/apr/23/nation/la-na-oil-rig-20100423Robertson, Campbell and Leslie Kaufman. (April 28, 2010). Size of Spill in Gulf of Mexico is Larger than Thought. New York Times. Retrieved from: nytimes.com/2010/04/29/us/29spill.htmlU.S. Environmental Protection Agency. (February 26, 2010). General Facts about the Gulf of Mexico: GMPO: US EPA. Retrieved from: epa.gov/gmpo/about/facts.html#resources.

Definitions and Examples of Filler Words

Definitions and Examples of Filler Words A filler word is an apparently meaningless word, phrase, or sound that marks a pause or hesitation in speech. Also known as a pause filler or hesitation form. Some of the common filler words in English are um, uh, er, ah, like, okay, right, and you know. Although filler words may have fairly minimal lexical content, notes linguist Barbara A. Fox, they can play a strategic syntactic role in an unfolding utterance (in Fillers, Pauses and Placeholders, 2010). Examples and Observations Hey, hey, shh, shh, shh. Come on. Be sensitive to the fact that other people are not comfortable talking about emotional disturbances. Um, you know, I am, Im fine with that, but . . . other people. (Owen Wilson as Dignan in Bottle Rocket, 1996) Shirleys Use of Filler Words in Community Pierce: About those filler words of yours. I mean, nobody wants to buy brownies from somebody who says um and like. I have a method for fixing that. Start from the top.Shirley: Okay. These brownies are, uh- Pierce: Uh!Shirley: They, um- Pierce: Um!Shirley: These brownies are delicious. They taste like- Pierce: Like!Shirley: Thats not a filler word.Pierce: Whatever, valley girl.(Chevy Chase and Yvette Nicole Brown in Environmental Science. Community, Nov. 19, 2009) Safire on Hesitation Forms Modern  linguists  led by Leonard Bloomfield in 1933 call these hesitation forms- the sounds of stammering (uh), stuttering (um, um), throat-clearing (ahem!), stalling (well, um, that is), interjected when the speaker is groping for words or at a loss for the next thought. You know that yknow is among the most common of these hesitation forms. Its meaning is not the imperious you understand or even the old interrogatory do you get it? It is given as, and taken to be, merely a filler phrase, intended to fill a beat in the flow of sound, not unlike like, in its new sense of, like, a filler word . . . [T]hese staples of modern filler communication- I mean, yknow, like- can also be used as tee-up words. In olden times, pointer phrases or tee-up words were get this, would you believe? and are you ready? The function of these rib-nudging phrases was- are you ready?- to make the point, to focus the listeners attention on what was to follow. . .   If the purpose is to tee up a point, we should accept yknow and its friends as a mildly annoying spoken punctuation, the articulated colon that signals focus on this. . . . If the purpose is to grab a moment to think, we should allow ourselves to wonder: Why are filler phrases needed at all? What motivates the speaker to fill the moment of silence with any sound at all? (William Safire, Watching My Language: Adventures in the Word Trade. Random House, 1997) Filler Words Across Disciplines Why do some people fill the air with non-words and sounds? For some, it is a sign of nervousness; they fear silence and experience speaker anxiety. Recent research at Columbia University suggests another reason. Columbia psychologists speculated that speakers fill pauses when searching for the next word. To investigate this idea, they counted the use of filler words used by lecturers in biology, chemistry, and mathematics, where the subject matter uses scientific definitions that limit the variety of word choices available to the speaker. They then compared the number of filler words used by teachers in English, art history, and philosophy, where the subject matter is less well-defined and more open to word choices. . .   Twenty science lecturers used an average of 1.39 uhs a minute, compared with 4.85 uhs a minute by 13 humanities teachers. Their conclusion: subject matter and breadth of vocabulary may determine the use of filler words more than habit or anxiety. . . . Whatever the reason, the cure for filler words is preparation. You reduce nervousness and pre-select the right ways to say ideas through preparation and practice. (Paul R. Timm and Sherron Bienvenu, Straight Talk: Oral Communication for Career Success. Routledge, 2011) Pausing Perhaps no profession has uttered more ums or uhs than the legal profession. Such words are a clear indication that the speakers style is halting and uncertain. Eliminate these filler words. The lack of ums and uhs alone can make you sound more confident. And its not hard to do. Just pause. Every time you feel that youre about to use a filler word, pause instead. (Joey Asher, Selling and Communication Skills for Lawyers. ALM Publishing, 2005) Syntax, Morphology, and Fillers Perhaps because English and other western European languages tend to use fillers lacking morphology and syntax (preferring instead pause vowels), linguists have tended to ignore the significance of these forms for syntax. However, . . . we can see that some fillers, especially those known as placeholders, may carry a range of morphological marking, including prototypical nominal marking (gender, case, number) and prototypical verbal marking (person, number, TAM [tense-aspect-mood]). They may also take the morphology appropriate for adjectives and adverbs. In addition, they may occupy precisely the syntactic slot normally occupied by a regular noun or verb . . .. (Barbara A. Fox, Introduction. Fillers, Pauses and Placeholders, ed. by Nino Amiridze, Boyd H. Davis, and Margaret Maclagan, John Benjamins, 2010

Humanities - Modernism in Art, Literature and Film Essay

Humanities - Modernism in Art, Literature and Film - Essay Example The essay "Humanities - Modernism in Art, Literature and Film" gives a detailed information about the art. literature and film of postmodernism era. The first half of the nineteenth century Europe witnessed a large number of wars and revolution that consequently lead to â€Å"turning away† form traditional form of aesthetics and evolved a new genre of art, culture and social activities. Modernism rejected the doctrine of the conviction in â€Å"Enlightenment Thinking† and negated the existence of an empathetic and omnipotent creator. But these essentially doesn’t mean that the movement of modernism negated the existence for all kinds of religion and existence of god, nor do they rejected every kind of â€Å"Enlightened Thought†, to be more precise rather, modernism was a movement that challenged and questioned the maxims of the previous age. Modernism, therefore, marks a very distinguishing difference with the Victorian bourgeois morality and a complete de viation from the nineteenth century optimism. It profoundly displayed pessimistic scenario of a culture in disorder. Modernism, as a movement and as an aesthetic form, is subjected to myriads of criticism. Charles Baudelaire is treated as one of the major poets of the modernist movement and a staunch follower and patron of modern art and literature. Baudelaire was the first author of the symbolist tradition. In his ‘To the Bourgeois and The Heroism of Modern Life, from Salons of 1845 and 1846’, Baudelaire wrote, â€Å"It is true that the great tradition has been lost..."

Capital Punishment in the USA Essay Example | Topics and Well Written Essays - 1250 words

Capital Punishment in the USA - Essay Example The main argument against capital punishment states that capital punishment disregards the value of human life2. Human value is viewed as being highly valuable and should not be taken away under any circumstances, legal or otherwise. It is believed that not even the worst form of crime should deprive one his life. Those against capital punishment believe that the value of the criminal’s life should not be destroyed by their crime even if they killed someone. They argue that a substitute of this form of punishment can be through life imprisonment which gives the offender a chance to turn over a new leaf and lead a better life. In summary, human life is valuable and no authority should take it a away and no crime warrants for capital punishment. Capital punishment violates the due process of law in several ways. First, the imposition is arbitrary and irrevocable. This denies the offender the opportunity to benefit from reversal of a conviction or discovery of any new evidence wh ich might reverses the verdict. Additionally, the death penalty violates the Constitution's provision of equal protection of its citizens3. It was observed to be imposed randomly and with biases based on one’s skin color, social status and ethnicity. This shows that the death penalty does not conform to the due process of the law. The death penalty violatebiasesst important universal human right which is the right to live. This right should be respected at all times regardless of the form of crime that an individual has committed. This argument is similar to the one concerning the value of human life. This argument supports the point that a victim could kill their attacker in the process of a murderous attack. In such a case, the victim can be argued to have committed murder in self defense. In conclusion, killing does not correct the act committed by the offender, instead their natural worthiness is taken away. Moreover, it does not bring any form of retributive justice in s ociety. Capital punishment results to the wastage of limited resources that could have been directed to other meaningful activities in fighting crime3. In addition to, it is time consuming and wasted the energy of prosecutors, defense counsel, prosecuting attorneys and the legal enforcement personnel. It burdens the criminal justice system and has negative effects of societal values and morals. It goes ahead to prove that killing is right which is not true. There are higher chances of execution of the innocent as offenders may get killed due to the loopholes in the justice system. Jurors and prosecutors make mistakes and in the event an offender is innocent, they are killed for a crime that they did not commit which is highly regrettable. This together with the mistakes in the legal system can lead to death of innocent people where capital punishment is practicable3 . There is ample evidence for such situations leading to the conclusion that capital punishment should be abolished to avoid the loss of innocent lives.  

Role of the Nurse Leader in Evaluating Data Essay Example for Free

Role of the Nurse Leader in Evaluating Data Essay Role of the Nurse Leader in Evaluating Data to Improve Quality and Safety Recent nursing literature indicates it is critical that nurse leaders construct a culture of safety to develop and maintain a successful fall prevention program (Johnson et al., 2011). Data exists readily in healthcare systems that nursing leaders may use to understand nursing performance and improve patient outcomes (Diers, Hendrickson, Rimar, Donovan, 2013). The purpose of this paper is to discuss the importance of nursing leadership’s use of data to improve patient quality and safety. Data Overview Data provided in the NURS 4020 course [lecture notes] (â€Å"Evaluating Data†, n.d.) and the Patient Fall Data (Excel, n.d.) document indicate patient fall rates have increased over the last four months to an unacceptable level on a telemetry unit (Laureate Education, Inc., n.d.). Patient population data indicates the majority (68%) of patients is arewomen, all have a cardiac diagnosis, and the average age is 72.4 years. The majority of patients receive diuretic therapy (94%), and 12% have a secondary diagnosis of disorientation or confusion. Additionally, one full-time employee has been removed from the night shift (11p-7a) to the evening shift (3p-11p). â€Å"Data hold the key to risk reduction – to understanding not only what happened but why – and point the way toward solutions† (Siegal Ruoff, 2015, p. 25). Analyzing the data in the patient fall data set (Excel, n.d.) reveals that 59% of falls occur over a weekend, and 62% of falls occur between 3a-11 a. Staffing on weekends and especially between 3a-11a may not be appropriate to manage tasks and safeguard patients from falls. (Williams, Szekendi, Thomas, 2013). A high number of falls occur two hours after mealtime. Assessing patient needs every one or two hours has been reported helpful to prevent patient falls (Williams, Szekendi, Thomas, 2013). The average age of patients on the telemetry unit is 72.4 years of age (â€Å"Evaluating Data†, n.d.). Twelve percent of patients have secondary  diagnoses of confusion or disorientation. William et al., (2013) state patients exhibiting confusion and disorientation have an increased risk of falls. The National Guideline Clearinghouse (National Guideline Clearinghouse, Prevention of falls, 2012) recommends assessment of all adults over age 65 upon admission for dementia and delirium. Patients with delirium and dementia are at a much higher risk of falls. Why? How do the cardiac medications influence the fall rate? What about the l ayout of the unit? Quality Improvement Plan The DMAIC method of Six Sigma is a process improvement method whereby nurse leaders develop quantitative data to implement a quality management program. The first step in the DMAIC process is to identify what measure will indicate success (Sullivan, 2013). A baseline measurement must include what fall prevention strategies are in place presently. An assessment of staff knowledge of fall prevention strategies is necessary to determine deficits. In the example provided, 47 patient falls have occurred in 4 months. An appropriate goal is patient falls are reduced by 50% in the next quarter or four months. The second step in the DAMIC process is to provide a baseline of performance. The patient fall data set (Excel, n.d.), provides this baseline data. Accurate data must be utilized to create a successful quality improvement plan (Siegal Ruoff, 2015). The next three steps consist of analyzing the data set to determine appropriate interventions, improving performance through interventions, and last control and sustain improvements (Sullivan, 2013). Implementation of an evidence-based plan to improve patient falls include asking the right questions, acquiring and appraising evidence, and applying evidence to practice. Refinement of a quality improvement plan includes adjusting processes as needed (Seidel Newhouse, 2012). Rogers change model is appropriate for implementing change in a fall prevention program. Sullivan (2013) states the first step is assessing knowledge related to fall risk and prevention. Secondly, persuasion is utilized to convince staff of a need for fall prevention focus and prevention program. Senior leadership must support the fall prevention initiative for success and sustainability of quality improvement projects (Sullivan, 2013). The third step in Roger’s change model is decision-making. Decisions must be made regarding how implementation will  occur. Implementation and confirmation follow. National Guideline Clearinghouse (2012) suggests successful fall prevention programs are supported by organizational leadership and include interdisciplinary team members to oversee the program. Reliable risk assessments, as well as communication of the assessment and plan, are imperative to the success of a fall prevention program. Clinical staff and interdisciplinary team members must receive fall prevention education. Patients, family members, and non-clinical staff must also receive fall prevention education. Organizational leadership must foster a culture of safety that includes on-going analysis of fall rates and injuries sustained, as well as effectiveness of fall prevention measures (National Guideline Clearinghouse, Prevention of falls, 2012). Leadership Characteristics Shared leadership is a leadership style that incorporates principles of participative and transformational leadership to empower staff to make changes in health care (Sullivan, 2013). Complex problem resolution require solutions that more than one individual may be capable of providing. Including a panel of experts or a team approach to problem resolution may be most beneficial in implementing a fall prevention program. Nurse Managers must encourage and create a culture of safety and quality. Providing open discussion and brainstorming sessions to uncover how, when and why patient falls occur will assist in formulating a fall prevention plan.Very good plan This type of open communication also encourages a â€Å"just culture.† Sullivan (2013) explains a â€Å"just cultures† allow reporting of errors in an environment where staff does not fear retribution for reporting errors or near misses (Sullivan, 2013). Summary Nurses have an ethical responsibility to protect patients from harm (Fowler, 2008). Patient falls remain one of the most frequently occurring safety incidents in hospitals (Johnson et al., 2011). Nurse leaders must identify problems in safety and quality through data collection, communication with staff and multidisciplinary departments. Numerous evidence-based strategies are available to improve nursing practice and patient safety. Creating a culture of safety culture is accomplished through shared leadership. Utilizing quality improvement processes and change management strategies  discussed in this paper will provide greatest success and sustainability of change necessary to protect patients from harm. References Diers, D., Hendrickson, K., Rimar, J., Donovan, D. (2013). Understanding nursing units with data and theory. Nursing Economics, 31(3), 110-117. Fowler, M. D., American Nurses Association. (2008). Guide to the code of ethics for nurses: Interpretation and application. Silver Spring, MD: American Nurses Association. Johnson, J. E., Veneziano, T., Green, J., Howarth, E., Malast, T., Mastro, K., Smith, A. (2011, December). Breaking the fall. The Journal of Nursing Administration, 41, 538-545. Laureate Education, Inc. Patient Falls Data (Excel). (n.d.) Retrieved from https://class.waldenu.edu National Guideline Clearinghouse, Prevention of falls (acute care). (2012). http://www.guideline.gov Seidel, K. L., Newhouse, R. P. (2012, June). The intersection of evidence-based practice with 5 quality improvement methodologies. Journal of Nursing Administration, 42(6), 299-304. Siegal, B., Ruoff, G. (2015). Data as a catalyst for change: Stories from the frontlines. JOURNAL OF HEALTHCARE RIS K MANAGEMENT, VOLUME 34(3), 18-25. Sullivan, E. J. (2013). Effective leadership and management in nursing (8th ed. ed.). Upper Saddle River: Pearson Prentice Hall. Williams, T., Szekendi, M., Thomas, S. (2013). An analysis of patient falls and fall prevention programs across academic medical centers. Journal of Nursing Care Quality, 29(1), 19-29. Grading Rubric NURS 4020 Week 5 Application Criteria/Points Comments/Points Earned Introduction to overview of paper. The last sentence in this paragraph is a sentence that begins The purpose of this paper is to . . .† 20 points Well-written, the reader knows what to expect 20 Data over view describe some possible interpretations of the data related to the patient fall rate on the telemetry unit. Summarize the statistics and demographics of your patients. 20 points The data analysis and  interpretation is accurate. The importance of the medication and the environment needed to be included in the analysis – 19 points Quality improvement plan discuss the quality management process you would follow to improve patient fall rates on the unit. Also, discuss the change management strategies you would incorporate in your quality improvement plan. 20 points DMAIC and Rogers change theory were accurately explained and applied to the scenario. Including the national clinical practice guideline recommendations was very effective in supporting the analysis. 20 Leadership characteristics explain the leadership characteristics needed to assist in improving the patient fall rates. 20 points These are explained very well 20 points Summary end the paper with a 1-paragraph summary of the importance of a solution to the identified practice-based problem that is based on evidence and a 1-paragraph summary of the main points of the paper. 20 points The key points discussed in the paper are included in the summary 20 points Grammar and format (indicate if any points are taken off for these errors. Up to 40 points may be deducted if needed). A minimum of three references are required. No issues – the paper is well-written and the required areas are included. Please see my comments. Total points possible – 100

Abortion Essay -- essays research papers

Abortion   Ã‚  Ã‚  Ã‚  Ã‚  According to Planned Parenthood, â€Å"millions of women per year sought out illegal abortions, thousands died. There are two kinds of abortion; one is what we call spontaneous abortion. This type may be more familiar as a miscarriage. When an embryo or fetus stops developing the body expels it. If a woman wants to end her pregnancy then she can have what is called an induced abortion, this can be done either surgically or medically. It terminates the fetus so that the mother doesn’t have to raise a child. Three reasons why abortion is a critical issue are moral, financial, and health. These are very important in the decision to have an abortion.   Ã‚  Ã‚  Ã‚  Ã‚  The first reason why abortion is a critical issue is moral. The definition of moral is the distinction between right and wrong. People only think of abortion as being the right thing to do or the wrong thing to do. In some peoples minds it is either the killing of a child or saving it from having a horrible life. For instance the Catholic Church is so against abortion they go as far as trying to terminate the hospitals. They think of it as the killing of a human being while the woman who is having the abortion is just not fit to raise a child. Or in more extreme circumstances, rape or incest occurs. In this situation what do you do, probably have an abortion. In the mind of people all these are reasons why people think abortion is right or wrong, it just depends on ...

Major Event That Contributed to the Intolerable Acts

From Protests to Separation All of the events contributed in causing the Intolerable Acts in some ways but I think that the Boston Tea Party played the most influential role of all. To help the East India Company from losing money, Britain passed the Tea Act which allowed the company to have a virtual monopoly of the trade for tea in America. This angered the merchants and the smugglers and they called for a new boycott on tea. Also on December 16, 30 -130 men dressed as Mohawks climbed aboard and threw 320 chests of tea overboard which took them approx. hours. This was the last straw. When the colonists threw the tea overboard, they also threw away Britain’s sympathy towards them. This angered Britain because in the past the colonist have done many protests and boycotts to tick them off and throwing 320 chests of tea overboard caused Britain a great loss. So to get revenge on the people of Mass. , G. B passed the Intolerable Acts or the Coercive Acts essay writer price. This means that the Boston Tea Party played a huge role in causing the Intolerable Acts.These Acts closed the Boston Harbor until the Bostonians pay off the company for the tea, allowed British officials to go back to Britain for trial by jury if they were accused of crime and also allowed the governor to house soldiers in suitable quarters. And finally to put fuel in the fire, Britain gave the land south of the Ohio River Valley to Quebec. To sum it up, G. B. passed the Tea Act which angered the colonists so they threw tea which angered G. B so they passed the Intolerable Acts. I think this event is the most influential because right after this, Britain passed the intolerable acts.

Importance of Sex Education in School

Many parents are against sex education being taught within the schools. Sex is a very sensitive subject. Many parents feel that it is not appropriate to teach children these  ¡Ã‚ §facts of life ¡ at such a young age. Shouldn ¡t one wait for marriage to learn about these things any way? The overwhelming fact is that a growing number of teens especially are thinking about and even having sexual encounters. Should sex education be taught in school? Some say that is no longer the question, but rather how should it be taught. Over 93% of all public high schools currently offer courses on sexuality or HIV. More than 510 junior or senior high schools have school-linked health clinics, and more than 300 schools make condoms available on campus. (Sex Education in the Schools) The following is a discussion of the many questions associated with teaching sex education at school. 1. Why do youth need sex education? – The United States has more than double the teenage pregnancy rate of any western industrialized country. More than a million teenagers become pregnant annually. In addition, teenagers have the highest rates of sexually transmitted diseases (STDs) of any age group. In fact, one in four young people contract an STD by the age of 21.(Sex Education in Schools) 2. Why should schools be involved in sex education? – Most parents still avoid the issue. Keeping children ignorant endangers their lives ¡Xespecially for the millions of teens who have already begun having sex. An overwhelming 61% of male high school students and 48% of female high school students fit in this category. (CDC, U.S. Dept. of Health and Human Services, Sexual Behavior Among High School Students, What You Should Know About Sexuality Education) 3. If sexuality education is so useful, why are so many teens still having sex and getting pregnant? – It is also the product of the child ¡s environment and experiences that leads them down a certain path. The total responsibility cannot be placed on school education. Here are some tips provided by Planned Parenthood for parents dealing with the issue of sex with their children. (National Family Sexuality Education Month) „h Be open and respectful about your child ¡s questions „h Examine your values about sexuality Here are some scary STDs, Sexually Transmitted Diseases, which teens should be aware of: „ « HIV – Human Immunodeficiency Virus. This weakens your immune system, making you susceptible to any other virus or bacterial germ in creation. HIV leads to AIDS, which is fatal and is now the leading cause of death in America with no cure or vaccine available. (Three Scary STDs) HIV is passed through blood, semen, vaginal fluids, and breast milk. „ « CHLAMYDIA- It's called the â€Å"invisible STD† because a large percentage of people who have it don't show symptoms. Chlamydia is bacterial, so it can be treated in its early stages with antibiotics. However, if left untreated, it can leave you sterile. „ « GENITAL WARTS – A type of the Human Papilloma Virus. Some types of this virus cause warts, others show NO symptoms. There are 60 different types altogether. Luckily, there are a number of ways to treat it. However, even with treatment, the warts can always recur. Condoms do offer some protection, but viruses can â€Å"shed† on areas not covered by the condom. (Three Scary STDs)

Biological Diseases essays

Biological Diseases essays For hundreds of years people have been struck down with diseases such as Cholera, an acute diarrhoel infectious disease. Diphtheria is a serious contagious bacterial disease. Hepatitis is the inflammation of the liver. Malaria, is another infectious disease. And Typhoid Fever, an acute, highly infectious disease. I will talk about hese diseases that through out the years scientists have been trying to cure the world from. These diseases lie in areas where there is poor sanitation of tropical areas of the world, where a lot of bacteria and parasites live. Some of the vaccines or medication we have the parasites are becoming immune to it. We must administer successful vaccines out to the people and teach them about the diseases so they can understand how to take care of it. First, Cholera is present in many countries all over the world. It's caused by the bacterium Vibrio cholerae. This bacterium can be anywhere. In your water supply, in under cooked food such as seafood, raw fruit and vegetables, and foods that have been contaminated during preparation and storage also. Cholera can result from poor sanitation and hygiene practices. If these problems aren't fixed Cholera could be around forever. "Although some cholera victims have no apparent symptoms at all, others may suffer severe dehydration from massive diarrhea" (Craig Wallace, 2001). Painless and effortless diarrhea is common of symptomatic cholera. The diarrhea is clean with no pus or blood; it's only a continuous "rice-water" light-grey stool, with flecks of mucous material. After the diarrhea appears you have sudden bouts of vomiting and about "75% of all Cholera patients also suffer severe muscular cramps, usually confined to the extremities" (Craig Wallace, 2001). Sunken eyes and cheeks, dryness of the tongue, and mucous membranes, hoarseness, and drawn and withered skin on the hands and feet and face diagnose ...

Hortatory Discourse in Rhetoric

Hortatory Discourse in Rhetoric Speech or writing that urges or commands an audience to follow (or not follow) a particular course of action. It is also called hortatory rhetoric. Examples of Hortatory Speeches: I want you to get mad!I dont want you to protest. I dont want you to riot. I dont want you to write to your Congressman, because I wouldnt know what to tell you to write. I dont know what to do about the depression and the inflation and the Russians and the crime in the street.All I know is that first, youve got to get mad.Youve gotta say, Im a human being, goddammit! My life has value!So, I want you to get up now. I want all of you to get up out of your chairs. I want you to get up right now and go to the window, open it, and stick your head out and yell, Im as mad as hell, and Im not going to take this anymore!(Peter Finch as Howard Beale in Network, 1976)Please forget that we are anarchists. Forget that it is claimed that we propagated violence. Forget that something appeared in Mother Earth when I was thousands of miles away, three years ago. Forget all that, and merely consider the evidence. Have we been engaged in a conspiracy? Has that conspiracy been proven? Have we committed overt acts? Have those overt acts been proven? We for the defense say they have not been proven. And therefore your verdict must be not guilty.(Emma Goldman, address to the jury on July 9, 1917) Young America, dream. Choose the human race over the nuclear race. Bury the weapons and dont burn the people. Dreamdream of a new value system. Teachers who teach for life and not just for a livingteach because they cant help it. Dream of lawyers more concerned about justice than a judgeship. Dream of doctors more concerned about public health than personal wealth. Dream of preachers and priests who will prophesy and not just profiteer. Preach and dream!(Jesse Jackson, speech at the Democratic National Convention, July 18, 1984) Observations: Discourse as a Play: Narrative, Expository, and Hortatory[A] metaphor that has proven particularly useful in several theoretical approaches to discourse and communication . . . is summarized as discourse is a play. The idea is that a person who intends to communicate an idea is like the director of a play. The speaker has an image in mind, and uses linguistic tools to encourage some audience to create a similar image in their minds. . . . The scene may be an actual or fictional series of events occurring over time, in which case we may say that the discourse produced is narrative. Or the scene may involve a description of some concrete thing or abstract idea, in which case the speaker engages in expository discourse. Sometimes a speaker will use language to describe ways the speaker would like the audience to behave. This would be called hortatory discourse.(Thomas E. Payne, Understanding English Grammar. Cambridge Univ. Press, 2011)In hortatory discourse, the composer of the discour se is especially likely to get involved with his subject matter and his audience and to urge on them a certain course of conduct by virtue of the prestige invested in this person.(Robert E. Longacre, The Grammar of Discourse, 2nd ed. Springer, 1996) Hortatory discourse can be seen as valuable in its own right. It can be seen as having a different purpose from the conveying of factual information. And the argumentation that is used to fulfill it, can be seen as legitimate in its own right, as a type of discourse distinct from information-seeking discourse.(Douglas Walton, Ethical Argumentation. Lexington Books, 2003) Pronunciation: HOR-teh-tor-ee

Environment & Society Essay Example | Topics and Well Written Essays - 2500 words

Environment & Society - Essay Example In poor countries for instance, women are mostly involved in activities such as fetching water, fetching fuel for domestic use and agriculture and therefore they understand the issues relating to the availability of water and other natural resources. This can be seen in the Bolivia water issues where women were the most affected by the rising water prices. The concept that gender has an effect on the way the society relates with the environment is predicated on the fact that gender roles and division of labour between the two genders determine how the society relates with the environment. Gender differences for instance determine how much each gender knows about the issues of environment and environment management. As Levy (pp. 8-12) says, in societies where there is no gender equality and women are left to do the lowly domestics tasks, they have the least knowledge about environment and this makes it harder for these women to be able to participate efficiently in conserving the envi ronment. This can be seen clearly in developing and underdeveloped world where women are not involved in the environment programs; yet, they are the ones who interact with the environment every day as they go about their daily economic activities such as fetching water, fetching fuel, farming etc. Differences in gender also result in differences in the way the environment is used. ... At the same time, the gender differences determine who will be involved in the management of the environment. This is very important because of a number of issues. To begin with, when gender inequalities are high, women are not involved in the management of the environment and this makes it harder for the management of the environment to be done in a holistic way. In almost any society, women are always the majority and this means that they are instrumental in helping to manage the environment. Failing to involve them in the management of the environment only leads to an ineffective environment management. It is also clear that in societies where gender inequalities are higher, women are not only left out in the management of the environment but are also likely to involve in the negative interaction with the environment. This is because such women are also left out in participating in the modern socioeconomic activities, leaving them to only have access to harmful economic activities . Failing to involve women in the proper management of the economy has a double negative impact in that in such a situation the majority of the population is not involved and the part of the society which involved itself the most in interacting with the environment are not involved in managing it. Environmental degradation also seems to affect different genders in a different way. Women for instance are affected in a more negative way when the environment is harmed since they are the ones who need the resources from nature the most. This difference in the way environmental degradation affects the gender is also an indication that gender has an effect in the way the gender affects the way in which the society interacts with the environment. When for instance the water catchments are

The Importance of Diversity in the Workplace Research Paper

The Importance of Diversity in the Workplace - Research Paper Example resource professionals of a company must know how to deal with Communications, Change and Adaptability to monitor and to effectively bring about normality in the environment where so many ethnicities are working together in harmony. This is the need of the time now that diversity increases over the future upcoming years, however the companies are now very vigilant with this and they are ready to spend a lot to recognise this factor and manage on diversity at the workplaces. The more an organization accepts the cultural diversity in itself, the more is their ratio of making more profits and the more beneficial is this factor for them. And, in the corporate environment, when diversity is handled carefully, there are so many benefits that come their way that they might not realise: A greater number of solutions to the problems, resources and a great variety of sourcing can be done by diversity. All the employees coming from different ethnic groups and different cultures bring along different talents that help in customer satisfactions and bringing diverse kind of methods to handle the corporate matters which are only in the advantage of the companies that they are employed in. A large pool of ideas and concepts arise when so many different languages and so many cultural perspectives are mixed together in one place which helps the company to maintain or fasten the pace in their business matters and daily tasks. This way the customers can be handled and also they can be managed perfectly. Companies that inhibit the cultural diversity are on a loss big time, however on the contrary, the companies that encourage this thing, flourish over the period and greater productivity, return on investments and profits are encountered. The first barrier could be the ways of perception and the language barriers, and for a company to flourish, it needs to overcome these key barriers as they a long way otherwise and make the teamwork and morale of the teams get ineffective. Some

Karina Cervantez INTERVIEW Article Example | Topics and Well Written Essays - 250 words

Karina Cervantez INTERVIEW - Article Example She does this by creating jobs in the area to ensure that people get good pays. According to her, life in California is very expensive. Her other responsibility entails serving in various commission such as the recreation commission where she manages the budgets of the open spaces in the community. She also proposes parks and gardens in the community. She also serves in the planning commission where she addressed land use and housing issues. Moreover, she ensures that people in the city can access the internet in order to improve networking especially among small business persons. One of students asked her to describe her regular day. She said that serving in city council is usually a part time job in their city. She said that each day is different since she performs different tasks. She goes for meetings on the second and fourth Tuesdays of every month where she meets with people to talk about the issues facing the council. On other days she attends community events. She is also a teacher in local colleges. She was also asked about the challenges the council faces. She said that the council faces safety issues especially on roads. Among her challenges include financial problems in the council and less political powers. When asked whether she only served documented individuals in the community, she said that all documented and undocumented access the city services. She said the city’s funds come from the taxations all documented and undocumented

Causes and Effects of Tuberculosis

Causes and Effects of Tuberculosis Tuberculosis is a chronic, infectious and deadly disease caused by Mycobacterium Tuberculosis. Tuberculosis often attacks lungs but it is also known for attacking other parts of the body (extrapulmonary tuberculosis). The infection site of extrapulmonary tuberculosis includes the central nervous system, the lymphatic system particularly in the neck, genitourinary system and bones and joints. People with active tuberculosis often show some of these symptoms: Mycobacteria are found abundantly in habitats such as pond and soil. However, a few are intracellular pathogens to animals and humans. Tuberculosis is transmitted through aerosol route but the transmission can also occur via gastrointestinal route. Coughing, sneezing and spitting by people with active tuberculosis releases droplet nuclei containing the germ which is known as bacilli into the air. The droplet nuclei can remain suspended in the air for up to several hours. Infection only occurs when someone inhales the droplet nuclei. A person needs only to inhale a  treated with existing drugs and medications. To make the condition even worse, new tuberculosis germ (XDR-TB) that is extremely resistant to drugs has been found in US. Now, the governments are focusing more on the preventive measure and at the same time, searching for a possible drug or vaccine that could eliminate the problem once and for all. So, to address this issue, I have focused my research on this question What are current available treatments for tuberculosis? Current Possible Solution With the advancement of technology, mankind had the power in combating with deadly diseases. Tuberculosis, which had killed millions of people in the nineteenth century, was brought under control by using vaccines and drugs. Drug treatments are used extensively in treating people with active tuberculosis. Latent tuberculosis, however, does not require intensive care but merely prescribed medication for several months. Vaccines, on the contrary, are used as preventive measures in areas of higher tuberculosis risk. Apart from that, vaccines are used by healthcare workers, newborns, and travelers who are at constant risk of getting infected by the disease. One of the most commonly used vaccine in prevention of tuberculosis, the BCG vaccine, is discussed below. But, first, I will discuss about the drug treatments. Tuberculosis treated with drugs has a mortality rate of less than 5%. This shows that the current available drugs for tuberculosis are quite effective in treating the disease. Among the common drugs used in tuberculosis treatment are isoniazid, rifampicin, pyrazinamide, and ethambutol. These drugs aim at inhibiting the bacterial activity thus improving the patients conditions. Anti-tuberculosis drugs are classified into three major categories. They are the first line drugs, the second line drugs and the third line drugs. These drugs are classified according to their effectiveness in treating the disease and their availability. The first line drugs are as follows: Ethambutol-EMB or E, Isoniazid-INH or H, Pyrazinamide-PZA or Z, Rifampicin-RMP or R, Streptomycin-STM or S (802 words) There are six classes of second line drugs. These drugs are classified second class because they may be less effective than first line drugs (p-aminosalicylic acid), they may have harmful side-effects (cycloserine) or they may not be available in the developing countries (fluoroquinolones). aminoglycosides: e.g.-amikacin(AMK), kanamycin(KM); polypeptides: e.g.-capreomycin, viomycin, enviomycin; fluoroquinolones: e.g.-ciprofloxacin(CIP), levofloxacin, moxifloxacin(MXF); thioamides: e.g.-ethionamide, prothionamide; cycloserine(the only antibiotic in its class); p-aminosalicylic acid(PAS or P). Other drugs (third line drugs) that may be useful, but are not on the WHO list: rifabutin macrolides: e.g.-clarithromycin(CLR); linezolid(LZD); thioacetazone(T); thioridazine; arginine; vitamin D; R207910. Tuberculosis treatments are often done as combination therapies (except for latent tuberculosis where only one type of drug is prescribed to the patient) because single drug therapy would result in rapid development of resistance which would lead to the failure of the treatment. Besides that, there are other reasons to support the combination therapy. Different drugs have different form of action. For example, PZA is a weak bactericidal but is very effective against bacteria located in acidic conditions. On the other hand, INH is very effective against replicating bacteria. RMP is a good bactericidal and at the same time, has sterilizing effects. This proves that, using combination therapy is effective to counter the disease and at the same time, it would prevent the mutation of the bacteria into drug resistant. Upon infection, tuberculosis bacteria are taken up by the alveolar macrophages and are carried to the lymph nodes where it may be spread to other parts of the body (this is the basis of extrapulmonary tuberculosis). Two to eight weeks after infection, hypersensitivity and cell-mediated immunity develops and suppression of the infection will result in people with good, healthy immune system. People, who are immunocompromised, will develop inflammatory immune response which eventually leads to lung damage. These drugs functions by confining the bacteria and at the same time, since it has antibiotic effects, it will kill the bacteria, thus, improving the patients condition. It would usually take about six months or more for full (1153 words) recovery with 2-3% of relapse rate. Continuation of medication would be recommended by the physician to avoid the problem form reappearing. Isoniazid is one particular type of the drug which is commonly used due to its effectiveness in treating tuberculosis. This medication is best taken on an empty stomach 1 hour before or 2 hours after meals. But it may be taken with food or milk if stomach upset occurs. Take as directed. Do not stop taking this medication without your doctors approval. Stopping therapy early may result in ineffective treatment and the infection could recur. Vitamin B6 (pyridoxine) supplements may be prescribed in addition to this medication to prevent numbness and tingling. Extracted from MedicineNet.com- Isoniazid ORAL (Niazid) side effects, medical uses and drug interaction. Figure 1 Fgure4- Effect of aspirin or ibuprofen administered in combination with isoniazid on lung(a) and spleen(b) log10 CFU in murine tuberculosis. ASP only, aspirin(20 mg/kg of body weight); IBU only, ibuprofen(20 mg/kg); INH only, isoniazid(25 mg/kg); ASP+INH, aspirin and isoniazid(20 and 25 mg/kg, respectively); IBU+INH, ibuprofen and isoniazid(20 and 25 mg/kg, respectively). There is reliable and concrete evidence that isoniazid is effective in curbing the disease. The graph shows clearly that when isoniazid is administered to a patient with murine tuberculosis, it effectively inhibits the progress of the disease. This can be seen when there is zero tuberculous bacterium count when INH is administered. The drug acts in the same way in both liver and spleen. Other drugs, such as ibuprofen and aspirin are used to compare the relative effectiveness of each individual drug. Ibuprofen seems not to interfere with the INH mechanism while aspirin reduces the effectiveness of INH. So, aspirin should be avoided when using drug regime containing INH to prevent it from interfering with INH mechanism. (1447 words) Benefits and Risks of Drug Treatment As with all forms of medications, tuberculosis drugs also pose some side-effects which may cause uneasiness to the patient. The benefits of tuberculosis drug treatments are well known. It effectively reduces symptoms of the disease upon the administration of the medication and in most cases; the drug cures the disease with 2-3% of relapse rate. Drug treatment also decreases the mortality rate significantly; reducing it to less than 5%. This means number of people dying from tuberculosis or tuberculosis related diseases is falling every year. On the other hand, the risks of drug treatments are severe but only in remote cases. This is usually due to the aggravation of the side-effects by the risk factors such as alcohol abuse, history of hepatitis, diabetes mellitus and HIV infection. Increasing age is also a risk factor for the noncompliance to the treatment. The severe forms of side-effects are drug-induced hepatitis, arthralgia, central nervous system toxicity and exanthema. The drug treatments also pose some rather common adverse-effects. These include nausea, abdominal pain, fever, diarrhea and fluid (saliva, tears and urine) discolouration. Table1-Number of side-effects due to isoniazid, rifampin or pyrazinamide followed by final termination of  one of the drugs (n=519) Side-effect Isoniazid Rifampin Pyrazinamide Total Hepatotoxicity 19(4) 8(1.5) 28(5) 55(11) Arthralgia 1(0.2) 12(2) 13(2) Exanthema 6(1.2) 27(5) 33(6) CNS toxicity* 8(1.5) 8(1.5) Nausea 5(0.9) 5(0.9) Others# 7(1.4) 7(1.4) Total 34(7) 8(1.5) 79(15) 121(23) Values are present as absolute number, and percentage in  parenthesis. *:including peripheral neuropathy(n=6) and  seizure(n=2); #:including leucopenia(n=1), fever(n=3) and  severe hyperuricaemia(n=3). CNS: central nervous system. After evaluating both pros and cons of the drug treatment, I feel that the benefits of drug treatment outweigh the risks. Therefore, the risks should not discourage the patient from continuing the medication. The completion of the medication is vital for the full recovery from the disease. Social and Economic Implications of the Disease Tuberculosis is the worlds largest endemic with one third of world population being infected with the disease. And tuberculosis remains the greatest terror in developing nations. This is because the disease causes unbearable social and economic implications to the one infected with the disease. The substantial non-treatment costs of TB are borne by the patients and their  families. These are often greater than the costs of treatment to the health sector.   The largest indirect cost of TB for a patient is income lost by being too sick to work. Studies suggest that on average three to four months of work time are lost, resulting  in average lost potential earnings of 20% to 30% of annual household income. For the families of those that die from the disease, there is the further loss of about  15 years of income because of the premature death of the TB sufferer. Extracted from the Stop Tb Initiative by WHO It is very clear that tuberculosis, left untreated, would result in loss in terms of financial support. Therefore, it is vital for the authority to provide necessary treatment to the patients and, at the same time, they should also work on preventive measures such as awareness campaigns and vaccinations to prevent the spread of the disease. The World Health Organization (WHO) have cited TB treatment as one of the most cost-effective health interventions accessible at a cost of only $10 for every year of life gained. Effectively treating TB will not solve the worldwide AIDS crisis, but it will significantly reduce its burden Dr Piot, Executive Director, Joint United Nations Program on HIV/AIDS On the other hand, a person with tuberculosis would have to live as an outcast. This is very true in the poorer nations of the world where the people do not have enough knowledge about the disease thus exiling the patient from their community. This would result in the patient losing moral support and faith which may ultimately lead to suicide. (2093 words) Alternative Solution Ayurvedic treatment Ayurveda, traditional Indian medication, is also proven to be effective in combating against tuberculosis. Current tuberculosis drug treatments induce unfavourable side-effects such as decreased appetite and liver inflammation. On the long run, it could lead to permanent liver damage. Therefore, combined with ayuvedic medication such as Kutki (Picrorrhiza kurroa), Guduchi (Tinospora cordifolia), Sharapunkha (Tephrosia purpurea) and Kalmegh (Andrographis paniculata) would prevent any damage to the liver and would result in increased efficiency in treating the disease. Tuberculosis of the lymph glands also could cause serious problems. Ayurvedic medicines like Kancnnaar (Bauhinia variegata), Kanchnaar Guggulu and Triphala Guggulu can increase the bodys immune response towards the disease. These ayurvedic medicines when combined with correct drug regimes would effectively fight off the disease and prevent it from relapsing. Ayurvedic medicines are known to increase immune response signi ficantly, thus, making the body to be able to fight the infection. Prevention Methods Vaccination Besides drug treatments, there is another practical approach to eradicate the endemic worldwide. This solution aims at preventing the disease. Vaccination is the best, available solution for most of the contagious disease. For tuberculosis, Bacillus Calmette Guerin (BCG) is the current available vaccine. This vaccine is actually an attenuated strain of live mycobacterium bovis which has lost its virulence after being carefully cultured artificially for many years. This vaccine works by providing natural passive immunity in which the infection with bovine tuberculosis would protect against infection with human tuberculosis. This is the result of memory cells in our body being able to recognize the same type of infection and providing instant protection against the disease. BCG is found to be very effective in giving protection primarily in children aged 3 and below and teenagers aged 14-20. Efficiency of BCG also differs according to geography. The first large scale trial evaluating the efficacy of BCG was conducted from 1956 to 1963 and involved almost 60,000 school children who received BCG at the age of 14 or 15; this study showed an efficacy of 84% up to 6 years after immunization. However, a US Public Health Service trial of BCG in Georgia and Alabama published in 1966 showed an efficacy of only 14%, and did much to convince the US that it did not want to implement mass immunization with BCG. A further trial conducted in South India and published in 1979 (the Chingleput trial), showed no protective effect. Extracted from Bacillus_Calmette-Guerin_Wikipedia-the_free_encyclopedia. Reducing exposure Tuberculosis is directly dependent on the degree of exposure. The more a person comes into contact with the disease, the higher is the chance to suffer from active tuberculosis. Generally, inhalation of minute amount of the bacilli would result in the immune response which immediately inactivates the disease thus preventing it from progressing. However, a direct exposure to a relatively high amount of the bacilli would result in the immune system to be unable to wall off the disease fast enough. This would result in the person developing active tuberculosis although he may not have the history of the disease before. Therefore, visit to places with a high incidence of tuberculosis should be avoided. Furthermore, we should also avoid close contact with people infected by the disease. Apart from that, personal hygiene, and the practice of wearing mask should be cultured in the society to prevent the spread of the disease. On top of that, self-quarantine should be practiced by individual s if they are suspected to carry the infection. Evaluation For the research on this issue, I have used a number of sources ranging from websites to newspaper articles and books. The World Health Organisation official webpage; http://www.who.int/en/ is one of the sources that I have used in my research. I find that this website provides loads of information regarding tuberculosis. This source is definitely trustable as it is the official webpage of a world-recognized organization which is committed to the welfare of the people. The facts and information obtained from this website is valid and reliable under any circumstances because they are up to date. Moreover, WHO have also organized research on this issue and the findings have been reviewed by experts from all over the world. One such research is the Economic Impacts of Tuberculosis. On top of that, I found that a lot of other websites such as http://en.wikipedia.org/wiki/Tuberculosis, http://www.plospathogens.org/article/info:doi%2F10.1371%2Fjournal.ppat.1000600 and http://www.wrongdiagn osis.com/t/tuberculosis/stats.htm have cited WHO in their websites. This proves that WHO is a reliable source of information for this issue. Furthermore, I have evaluated another source http://www.mayoclinic.com/health/tuberculosis/DS00372/DSECTION=treatments-and-drugs and found that there are similarities in terms of facts presented in the website with other renowned websites such as http://en.wikipedia.org/wiki/Tuberculosis_treatment, http://familydoctor.org/online/famdocen/home/common/infections/common/bacterial/120.html, and http://www.nlm.nih.gov/medlineplus/tuberculosis.html. Similar information was also found in the journal Risk factors for side-effects of isoniazid, rifampin and pyrazinamide in patients hospitalized for pulmonary tuberculosis from the European Respiratory Journal. This source, therefore, is trustable because it has a lot of correspondence with other sources.

A Raisin in the Sun and Brown versus Board of Education :: Race Racial Segregation Lorraine Hansberry

The American Dream Langston Hughes wrote a poem, in 1951, called â€Å"Harlem†. It sums up the play A Raisin in the Sun, by Lorraine Hansberry: â€Å"What happens to a dream deferred? Does it dry up like a raisin in the sun? Or fester like a sore- and the run? Does it stink like rotten meat? Or crust and sugar over- like a syrupy sweet? Maybe it just sags like a heavy load. Or does it explode?† Lorraine Hansberry uses this poem to open A Raisin in the Sun. This dialogue suggests what happens to the African American’s dream during the Brown v. Board of Education trials. While critiquing this play I was a little disappointed that Brown v. Board of Education was not discussed directly. However, I did find the plot of the play, and the people who were attending it to be very interesting. The plot of A Raisin in the Sun does not directly talk about the Brown v. Board of Education decision. Actually, very little of the play, until the end, deals with any kind of racial segregation. The play revolves around four main characters; Walter, a defiant husband who desperately wants to become rich; Ruth, Walter’s devoted wife; Beneatha, Walters intellectual younger sister, who is much better educated than the others and wants to become a doctor; and Mama, the head of the household, and also Walter and Beneatha’s mother. Mama inherits some money from her dead husbands insurance. With this money she buys a house in an all white community, and gives the rest to Walter. He is instructed to put some money away for Beneatha’s medical school, and the rest into a checking account for himself. Walter, however, desperate to become rich foolishly gives the money to his friend to invest in a liquor store. His so called friend runs off with all of the money Walter gave him. In order to get some money back for Beneatha to go to school, Walter wants to sell the house back to the white community. The community offered the Younger family a lot of money for the house, because they did not want Negroes living next to them. In the end however, Walter, realizes that it is this house that unifies the family and is what truly will make them happy, instead of being rich.