Wednesday, October 30, 2019
Ronald Reagan work in Cannon, Diggin Essay Example | Topics and Well Written Essays - 1000 words
Ronald Reagan work in Cannon, Diggin - Essay Example Several biographers have written a lot about Reagan as a president as well as his earlier and later life. This paper shall attempt to put in relation to one another the historical and philosophical presuppositions written by some of his biographers. Michael Schaller is one of the acclaimed historians of the United States political right. In his writings, he offers the readers a detailed account of Ronald Reaganââ¬â¢s life and achievements. This, he does right form Reaganââ¬â¢s upbringing in the rural Illinois to his success in Hollywood, entry into the American politics as a governor, to his later rise to the White House. In his writing, Schaller documents that Ronald Reagan was born to John Edward and Nelle Wilson on 6th 1911 in Illinois. His father, who was fondly known as Jack struggled with alcoholism and often forced his family to move frequently ahead of the bill collector (Schaller 2). This resulted to the family moving to several small towns within Illinois and briefly to Chicago before a final settlement in Dixon. Through constant encouragements from his mother, Reagan participated in sports and dram as a teenage in school. In college, Reagan majored in sociology and economics (Schaller 10). Later in life, Reagan associated the success of his life to his happy childhood. Peggy Noon, one of Reaganââ¬â¢s most effective White House writers, described Reaganââ¬â¢s outward amicability as a fruit of his childhood life. According to her, Reagan found it his duty to make other people happy. The biographer Sean Wilentz also writes that Reagan spent all his life trying to be someone else. He says that the small boy became a Hollywood actor, the open-minded democrat became a republic conformist, and the citizen superstar became governor and later president. Reagan graduated from collge in 1932 and secured a job as a sports announcer of a radio. As a youth,
Monday, October 28, 2019
What Are the Reasons for Students to Cheat During Examinations Essay Example for Free
What Are the Reasons for Students to Cheat During Examinations Essay In the 21st century, peoples are much concerned about the certificate. Nowadays, no matter what you want to work, you need a certificate. You can imagine how important the certificate are. Because of a certificate, students cheat during examinations. Firstly, the main reason for students to cheat during examinations is they desire to have a good grades. Most of the students who cheat during the examinations ordinarily have a lot of stress from their family. Especially for those who have brother or sister with good grades in exam. Because of this, they will force themselves to get a good grades in their exam. When they get stuck during exam, they will cheat. In similar, students cheat because of a good fame. When they see their classmates have a good grades in exam, they want this fame too, so they will cheat during examinations. Therefore, students will do anything to get a good grades, even cheating during exam. Furthermore, the second reason that make students cheat during examinations is they desire to have a high-paying job after finish school. Nowadays, students are living in the world who always need good grades and certificate. This make students to think that a better grades will lead them to get a high-paying job. For those who are lazy, lack of study and wanted to get a high-paying job, cheating will did by them during examinations. They donââ¬â¢t even think about when they have been caught cheating during the examinations, this will destroy their future and their personal reputation. Lastly, lack of high self-esteem is also a reason for students to cheat on their exam. Those students who have a high self-esteem will feel shame to cheat during their exam. They will think that they need to get a good grades due to their own knowledge but not to cheat on their exam. Conversely, for those students who have a low self-esteem, they will only value on the final grades but not depend on their own knowledge. They will cheat whenever is possible. This will lead them to a dark future. In conclusion, the reasons that make students to cheat on their exam are desire to have a good grades, high-paying job and lack of high-esteem. Cheat on exam is a very bad and dishonest habit, so, students should avoid cheating during exam and students need to be more hardworking in their studies, because work hard is the only way to lead you to success.
Saturday, October 26, 2019
Knute Rockne - Coach And Legend Of Notre Dame Essay -- essays research
Knute Rockne - Coach and Legend of Notre Dame Knute Kenneth Rockne was born on March 4, 1888 in Voss, Norway. He first moved to Chicago at the age of 5. Nobody liked him there, and he was in many fights. Before football or even baseball, Knute discovered skiing.à He loved it, and went skiing every chance he got during the winter. Knute was a natural athlete, and excelled in all of the sports he tried. He excelled in track, making a name for himself later on. Although he was always one of the shortest guys around, Knute was one of the toughest. The only protective gear he ever wore was adhesive tape that he stuck to his ears to prevent them from being torn off. Knute often said "Show me a good and gracious loser and I'll show you a failure." Knute discovered the great game of football at the age of 7. He played in games against other teams his age. The team he played on was called the Tricky Tigers. All of the teams were "sandlot" teams. Knute could not get enough of the sport. He praticed every chance he got. In fact, the other boys thought him crazy for practicing so much. This obsession almost got him an education. Knute never made the starting team until he was a senior, so he played on the scrubs team. At the same time, Knute tried playing many other sports. His school attendance slipped and his grades became mediocre. Persistence paid off, and after 3 years on the scrubs, Knute finally made it to the starting football team. After this successful senior football season, it was time for him to leave high school. It was a wonder that he got into Notre Dame with his high school record. At the age of 22, Rockne decided that he wanted to fulfill a dream. That dream was to become a pharmacist and to eventually own his own drug store. Two of Knute's friends gained acceptance to a small college in South Bend, Indiana called Notre Dame.à Knute decided to try to get into this same school, although his high school grades were dismal. He was accepted, but his parents were not fond of the idea of him going to a Catholic school, as they themselves were practicing Lutherans. However, they did not forbid him to go. Interestingly, Notre Dame was not Rockney's first college choice. For years he had saved and planned to go to the University of Illinois. Knute had not even planned on playing football in college. That decision would have resulted i... ...! Practice makes perfect and perfect practice makes a winning team." One of his most innovative ideas was the Notre Dame Shift'. This was when the entire backfield would move all to oneside of the ball before the ball was snapped. This really screwed up the defenders and it worked a lot for ND. "Knute was the most innovative and charismic coaches of his era." The Cleavland Press called him "the Buffalo Bill of his generation." In his last game as coach he defied his doctorsà orders and went to the field. The players looked on in horror when the man they thought might die in front of them told them to win or watch him die. Rockne ended his career with the greatest all time % of .881: 105 wins,12 losses, 5 ties, 6 national championships and 5 undefeated seasons. Rokne tragically died in a plane crash a the age of 43. Studebaker named a car after him and the U.S. government named a ship after him. Will Rogers put it best when he said, " It takes a big calamity to shock a country all at once, but Knute, you did it. You died one of our national heroes. Notre Dame was your address, but every gridiron in america was your home."(needs to be proofread)
Thursday, October 24, 2019
Essay --
ââ¬Å"Cyrano de Bergeracâ⬠is a play about a man named Cyrano de Bergerac, a poet and a superb swordsman who contains a terribly giant nose. Heââ¬â¢s in love with his cousin, Roxanne. Cyrano never tells Roxanne how he feels concerning her therefore she has no idea of his love for her. Within the play Cyrano is a tragic hero. A tragic hero is a great, noble, heroic character. The dictionary.com definition of a tragic hero states, ââ¬Å"All tragic heroes have a tragic flaw and since of that flaw the hero is destined for a downfall, suffering, or defeat: the tragic hero is the character that the majority readers will sympathize or empathize with.â⬠Cyrano is different from the contemporary anti-hero however his death was foreshadowed by his actions. Cyrano has all of these traits. Heroic principles and values are necessary of a tragic hero. Whether its showing honor in battle, by charging at enemy lines to redeem his fallen friend Christian, or his loyalty to Roxanne by v isiting her each week and comforting her at the church until his death, displays why he was the hero. Cyrano's admirable traits may be seen as the cause of his downfall. His low self-esteem is why he's too afraid to inform Roxanne how he feels about her. Heââ¬â¢s terrified of rejection. Not only is He to proud to ever except defeat in battle by never backing down from a fight but also he is too proud to tell Roxanne how he feels for he believes he will be defeated. This is often the reason why he has gained such a large amount of enemies throughout his life. His pride, along with his low self-esteem, is a burden that weighs him down throughout the play. Cyrano was an excellent example of a tragic hero; for he's a great hero but with tragic flaws, ultimately resulting in his defeat. His... ...ce, possesses admirable traits and characteristics, and has a tragic downfall. Heââ¬â¢s strong and intelligent, however with a weakness over his sense of pride. His nose and how seriously he takes himself, makes him a tragic hero. He cannot believe that anybody is able to see beyond his physical characteristics. Cyrano de Bergerac does what he pleases and most actually says whatever is on his mind. He speaks through prideful actions, always thinking of how to make himself stand out or to look intelligent. He never backs down from a fight or a confrontation, and this is often where his pride will continuously persuade his sense. Cyrano only grows in pride, and his temper grows shorter, through the play so the characters don't even say the word 'nose' anywhere near him. Cyrano was a good tragic hero that the audience loves who sadly has tragic flaws that cause his demise.
Wednesday, October 23, 2019
Cicero, Aristotle, Plato – Just Warrior
Tory Macdonald 9. 25. 12 Ethics of War and Peace Essay #1 My question: Plato, Aristotle and Cicero all talked about Just War Theory, and emphasis on the Just Warrior. Obedience and loyalty ( can lead to destruction. Plato, Aristotle and Cicero, the fathers of the Just War tradition, develop and enhance the concept of civic virtue and the necessity to uphold such morality during the most chaotic, violent and brutal of times ââ¬â war. They each defend the necessity of war; yet emphasize the correct code of conduct in war and what makes an honorable and just warrior.Today, war is much less engrained in our culture; our sons are not born with the future of a warrior. However, when there is war, we hear of many unjust and dishonorable acts such as mass rape, genocide, or specifically the My Lai Massacre. Plato, Aristotle and Cicero lived through a culture of war, defending it as necessary to keeping the peace. Because it was so engrained in their culture, a normalcy, they were not as concerned with the inhumane idea that defines war- killing another human being. Today, we do not live in a culture of constant war, therefore we are more susceptible to becoming overwhelmed by the trauma of violence.Plato, Aristotle and Cicero, provide guidelines of a just warrior however, had not yet discovered what it is that can turn a good man into a bad one, and what horrible aspects of war he may fall victim to. Today, true courage means fighting against dishonor, because unfortunately, war turns the most honorable men into dishonorable ones. Plato is a philosopher who lived from 469-399 through the Peloponnesian Wars and stressed the belief that for man, there is something worse than death- an unreflective life. Plato reasoned that all people should strive to be pious, or good.He noted that piety is what the Godââ¬â¢s hold dear, what all the Gods agree upon therefore, it is these morals that the people should uphold. In war, a soldier should not fear death but rather fear a dishonorable or impious life. He should rather die from pain than he should from shame. The same idea should be used when deciding to go to war or not. There must always be a just reason. In a conversation between Alcibiades and Socrates, Plato describes the importance of waging war for a just cause. ââ¬ËSoc: Donââ¬â¢t you know that when we make war we begin to wage war after accusing each other of some affront and what term we use when we begin?Alc: I do ââ¬â we say we have been deceived, or done violence to, or deprived of something. ââ¬â¢[1] He then elaborates to whom a war can be claimed against: ââ¬ËSoc: Now, what of this? Whom will you advise the Athenians to wage war against, those behaving unjustly or those practicing the just things? Alc: What you are asking is a terrible thing; for even if someone had it in his mind that war ought to be waged against those practicing the just things, he would not admit to it, at least. ââ¬â¢[2] Plato seeks the unbiased truth, a critical reflection on why and what to do in a situation, especially regarding war.Each of his answers comes back to being pious and reflective. He believes that war is necessary to keep up a good state, however believes it especially important to uphold pious and virtuous standards as a just warrior, in a just cause, using just means, to accomplish just ends. Aristotle is the founder of virtue ethics or ââ¬Å"Jus in belloâ⬠, just actions in war. Aristotle claimed that virtues are described as a mean of excellence, a center between two extremes: excess and deficiency. For example, courage is a balance between cowardice and recklessness.Prudence is practical wisdom that determines the mean of all virtues essentially what determines the mean between two extremes. This is especially important in defining the virtues of a warrior. Aristotle believes that a ââ¬Å"just warriorâ⬠is a man who exhibits courage and commits actions that are only noble. He states there sh ould be a purpose to his fighting, something he is willing to die for. A ââ¬Å"just warriorâ⬠chooses to endure things because it is noble. ââ¬Å"He will fear them as he ought and as reason directs, and he will face them for the sake of what is noble, for this is the end of excellence. [3] He notes that a courageous man is not a fearless one, but one who faces those fears because it is right. Aristotle also notes that, ââ¬Å"Courage is noble. Therefore the end is also noble; for each thing is defined by its end. Therefore it is for a noble end that the brave man endures and acts as courage directs. â⬠[4] Aristotle emphasizes that a just warrior fights only for a just cause. Aristotle also illustrates five different types of courage and their honorable uses. The first is political courage. One who exhibits political courage fears shame rather than pain or punishment.The second is that courage is knowledge. He notes, ââ¬Å"While the former from the very beginning faced t he danger on the assumption they were stronger, and when they know the facts they fly, fearing death more than disgrace; but the brave man is not that sort of personâ⬠. [5] He explains that when one knows of the danger, and still plows ahead, he is courageous. The third is that passion should aid morals, however feelings are not bravery and emotions should not speak louder than reason. As Homer noted, ââ¬Å"put strength into his passionâ⬠[6] as those who are passionate are often eager to rush into danger.The fourth states that sanguine people are not brave, ââ¬Å"for they are confident in danger only because they have conquered often against many foesâ⬠¦when their adventures do not succeed however, they run away; but it was the mark of a brave man to face things that are. â⬠[7] A noble man acts on character, not calculations. The fifth point is that courage does not mean people who are ignorant. Those who do not know and succeed are not brave, just lucky. Cicero who lived from 106 to 43 BC, created the Peace Movement that moved away from ââ¬Å"best defense is a good offenseâ⬠to the idea of constant civic virtue.He strongly stated that war must be undertaken with the aim of peace. He believed that war must be a last resort and a declaration between two parties. ââ¬Å"For this we can grasp that no war is just unless it is waged after a formal demand for restoration, or unless it has been formally announced and declared beforehand. â⬠[8] Justice was to be maintained amongst all participants. He was the first to declare that war was not a world apart, and that atrocities committed at an international level were not different as if they were committed in ones own state.Cicero stated that the ââ¬Å"moral fellowship of mankind should know no boundariesâ⬠. [9] This correlates with his idea of natural law; a natural fellowship that exists amongst all humans, which nature has provided for all men to treat each other morally. There are commonalities amongst all men, no matter if he is a sea away, and Cicero believed that each warrior to act justly was to uphold that concept. Cicero also stressed that the fighting during war must always be towards an honorable end.He notes that a just warrior does not think of self-interest saying, ââ¬Å"However, if the loftiness of spirit that reveals itself amid danger and toil is empty of justice, if it fights not for the common safety but for its own advantages, it is a vice. â⬠[10] He also values reasons that make decisions over courage that incites battle. A just warrior ââ¬Å"fights on behalf of fairnessâ⬠[11]. A just warrior must also be able to balance reason with his cause. Cicero notes, ââ¬Å"However, we must exercise the body, training it so that when it has to attend to business or endure hard work it is able to obey counsel and reason. [12] Just because a warrior is fighting for a noble cause, does not mean he can lose sight of the just reasoning beh ind it and we must train our soldiers so that this doesnââ¬â¢t happen. The My Lai massacre on March 16th, 1968 was the mass murder of somewhere between 347 to 500 innocent, unarmed village people of Southern Vietnam. [13] The United States military men of the Company C ââ¬Å"Charlieâ⬠of the 1st Battalion committed the acts that included mass murder, mutilation, ransacking and rape. Lead into the area under a false indication of dense enemy activity, they were met with women, children, and the elderly.Although the men had not yet suffered any direct attack in the first months of their deployment, they had suffered mines and booby traps, losing many men. [14] The company was given orders by Captain Ernest Medina, who clearly stated that all those who were enemies or seemed like enemies were to be taken down. [15] The company lead by Second Lieutenant William Calley then went in to the village, and began firing at what was supposed to be dangerous enemies. [16] The violence e scalated and the brutality did not stop.Several men participated, several men stood back and watched. Only one man, Warrant Officer Scout Hugh Thompson who had spotted the massacre from a helicopter, sacrificed his life and the lives of his men to stop the atrocities. [17] To this day, only one man has been convicted of war crimes and only served three years of house arrest. The others were left alone. Today, the My Lai Massacre is looked at as the epitome of the Vietnam War- a mistake, a terrible time of confusion, an example of the psychological traumas of war.Most importantly, it is an example of how easily dishonor can cloud moral reasoning. These men were angry to have lost their fellow brothers in mines and booby traps, they were scared, they were starving, and they were not in their natural mind. A soldier states of that day, ââ¬Å"Yes I am ashamed, Iââ¬â¢m sorry and Iââ¬â¢m guilty but I did itâ⬠¦If you go to war, those are the types of things that happen and can h appen to anyoneâ⬠¦It can happen, it happens, that is what war isâ⬠¦War is war, itââ¬â¢s killing all type of ways. [18] When a dishonor was done to them, when dishonor is all around them, dishonor is what they begin to do too. Today the dishonors of war range from obedience to a terrible leader, to dehumanizing the enemy so inhumane actions suddenly seem right. In the case of the My Lai Massacre, many soldiers involved to this day claim that they were just following orders and that their loyal obedience overtook their moral compasses. One soldier noted, ââ¬Å"At no time it ever crossed my mind to disobey or to refuse to carry out an order that was issued by my superiors.I shudder to think what the repercussions would have beenâ⬠¦Ã¢â¬ [19] The soldiers were fighting in a perceived honor and loyalty to the United States. The need to please and obey took the pressure off of their actions, because someone else was dictating them. In other instances, soldiers would dehu manize their enemy to get through the idea of killing them. Cicero notes that this is entirely wrong according to natural law: ââ¬Å"Perhaps we should examine more thoroughly what are the natural principles of human fellowship and community.First it is something that is seen in the fellowship of the entire human race. For its bonding consists of reason and speech, which reconcile men to one another, through teaching, learning, communicating, debating, and making judgments, and unite them in a kind of natural fellowship. It is this that most distances us from the nature of other animals. To them we often impute courage, as with horses or lions, but we do not impute them justice, fairness or goodness. For they have no share in reason and speech. â⬠[20] Cicero states that since we are all of peech and reason, we are all human. However, dehumanization, where one dehumanizes their enemy and views them as some sort of animal, is a common strategy and conflict in todayââ¬â¢s wars . The Holocaust, the Bosnian and Rwandan genocide are all examples of dehumanization. The Nazi soldiers truly believed that they were ridding their country of ââ¬Å"verminâ⬠, and the Hutu soldiers considered the Tutsi people to be ââ¬Å"cockroachesâ⬠. Similarly, soldiers fighting in the Vietnam War referred to their enemies as animals, less than human and the massacre is a clear example of that.Perhaps the rules have changed since wars progressed through time. Todayââ¬â¢s atrocities donââ¬â¢t seem as atrocious to us as they would to Plato, Aristotle and Cicero because we have become accustomed to them, as they were accustomed to having a culture of war. Peter Olsthoorn stated in his book ââ¬Å"Just Warriorsâ⬠ââ¬Å"Soldiers, although far from selfish, cannot be expected to perform their duties from a sense of duty alone. Both inside and outside the sphere of war, only the perfectly wise act virtuously for virtueââ¬â¢s sake.However those perfectly wise are rare, Cicero himself claimed that he had never met such a personâ⬠¦For the not so wise, that is, most of us, a little help from the outside, consisting of the judgments of our peers and our concern for our reputation, can be of help. â⬠[21] Looking back on the massacre, many men are quick to point out the outside factors that effected their behavior such as their loyalty, fear, confusion, lack of direction, even a blank blackout. One man notes, ââ¬Å"We felt what we were doing was right, and after it was over we knew it was wrong. [22] These soldiers eventually are able to reflect. However at the time, they were worried for themselves, acting out of vengeance and self interest, therefore were not leading an honorable life. Officer Thompson exhibited true courage of a just warrior. He saw that the bodies consisted of mostly babies, children, women and the elderly, without a threatening combatant or weapon in sight. After several failed radio transmissions, he ordered his m en to land on sight and aim their guns at their fellow American soldiers.He ordered that they would hold their positions against their bothers until they had agreed to a cease-fire and stopped the massacre. While doing this he walked out unarmed, entered a ditch and rescued a woman and her child. Officer Thompson knew what he was getting himself into. He recognized that his loyalty to his fellow Americans was the wrong kind of loyalty. He pushed past fear and fought for a noble cause, to save the people. He did not shoot anyone down to do it, but was prepared to do so to end an injustice. Thompson used honorable means to obtain an honorable end.He illustrated every of the five points Aristotle noted a ââ¬Å"just warriorâ⬠should be. He was courageous but not reckless, and he proved that in an unjust war, in and unjust setting, justice still prevails. Plato, Aristotle, and Cicero believe that a warriorââ¬â¢s honor is the ability to exercise restraint under chaotic and emotio nally taxing experiences. It is not simply standing firm in battle or committing acts of heroic bravery. It is recognizing the differences between combatant and noncombatant, between the innocent and the guilty and acting with reason when reason is hard to find.Today, it is about escaping the dishonor. War is about entering with the right reasons and leaving with the correct ends. War can make an honorable man, a dishonorable one and the three philosophers explain that real courage, is tackling war itself and not falling victim to the demons. If they had been alive at the time their general philosophy would have stood, the advancing atrocities just would have made it that much harder and much more honorable to be a real, true ââ¬Å"just warriorâ⬠. Bibliography: Reichberg, Gregory M. Henrik Syse, and Endre Begby, eds. The Ethics of War: Classic and Contemporary Readings. Blackwell, 2006. Print. Baker, Deane-Peter. Just Warriors, Inc. London: Continuum International Publishing G roup, 2011. Unknown. ââ¬Å"The My Lai Massacre. â⬠PBS. PBS, 29 Mar. 2009. Web. 05 Oct. 2012. . Wikipedia. org YmBigBen90 (Userââ¬â¢s ID). ââ¬Å"My Lai Massacre ââ¬â Part One of Two. â⬠YouTube. YouTube, 16 May 2009. Web. 02 Oct. 2012. ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â [1] Reichberg, Gregory M. , Henrik Syse, and Endre Begby, eds. The Ethics of War: Classic and Contemporary Readings.Blackwell, 2006. Print. [2] Ibid. [3] [4] Reichberg, Gregory M. , Henrik Syse, and Endre Begby, eds. The Ethics of War: Classic and Contemporary Readings. Blackwell, 2006. Print. [5] Ibid. [6] Ibid. [7] Ibid. [8] Ibid. [9] Ibid. [10] Reichberg, Gregory M. , Henrik Syse, and Endre Begby, eds. The Ethics of War: Classic and Contemporary Readings. Blackwell, 2006. Print. [11] Ibid. [12] Ibid. [13] Ibid. [14] Wikipedia. org [15] Unknown. ââ¬Å"The My Lai Massacre. â⬠PBS. PBS, 29 Mar. 2009. Web. 05 Oct. 2012. . [16] Unknown. ââ¬Å"The My Lai Massacre. PBS. PBS, 29 Mar. 2009. Web. 05 Oct. 2012. . [17] Ibid. [18] Ibid. [19] Unknown. ââ¬Å"The My Lai Massacre. â⬠PBS. PBS, 29 Mar. 2009. Web. 05 Oct. 2012. . [20] Ibid. [21] Reichberg, Gregory M. , Henrik Syse, and Endre Begby, eds. The Ethics of War: Classic and Contemporary Readings. Blackwell, 2006. Print. [22] Baker, Deane-Peter. Just Warriors, Inc. London: Continuum International Publishing Group, 2011. [23] YmBigBen90 (Userââ¬â¢s ID). ââ¬Å"My Lai Massacre ââ¬â Part One of Two. â⬠YouTube. YouTube, 16 May 2009. Web. 02 Oct. 2012.
Tuesday, October 22, 2019
Definition Essay Sample on Love What Is for Me
Definition Essay Sample on Love What Is for Me What is love? Thousands and thousands of philosophers spent plenty of time on this subject, but none of them managed to give an acceptable response. Words appeared to be too primitive to explane this unique feeling. What I can say exactly is that every person understands the meaning of love in his or her individual way. And it is silly to generalize any of these meanings! For example the way I understand the role of love in my life is very original; however, anybody can say the same. By the way I dont believe in any tests in magazines because of their dull generalization. Were all different, our feelings are different, they cant be put in any restrictions. I remember somebody once said that people call LOVE two absolutely different feelings. Tears into a pillow, jealousy, conflicts all that means I want you belong only to me. But the right meaning of love is I want you to be happy! And if you think like that, there isà really no difference, whether you are together with your beloved or not. It is painful, oh yes! But such love is light.
Monday, October 21, 2019
Negotiation Team Essay
Negotiation Team Essay Negotiation Team Essay Journal Entry 3: Units 3, 4, 5 Unit 3 Negotiation is a critical tool when dealing with conflict. BATNA which is Best Alternative to a Negotiated Agreement gives tips on how to negotiate to get the outcome that you want. When there is a conflict for people not to feel guilty about not handling it they tend to think they are powerless and that there is nothing they can contribute to the situation. By the individual doing this it also eliminates failure which most people are afraid of. When there is a conflict most people would rather do nothing in case of failure then try and help resolve a conflict. For example when there is a fight people will stand around and watch instead of intervene. In the summer I saw two kids fighting, they were both wrestling each other and throwing punches and people in their cars and walking on the street were doing nothing. People were getting gas across the street and they were just watching. People do this because they donââ¬â¢t know what they can do. I was sitting in my car at a red lig ht and was honking and the two of them stopped, had a few words and started walking in the opposite direction. My sister looked at me and made a comment of being proud that I did something. When an issue arises in public people stand around and spectate. Why is this? For entertainment? People donââ¬â¢t want to get involved? People are scared to get involved? Or is it because people do not know how to react to conflict. When two people have a conflict there has to be some sort of agreement to resolve the issue, and that is when negotiation steps in. There has to be a relationship between people who are negotiating, meaning understanding both sides and respect if there is a disagreement. If I disagree with a co-worker I canââ¬â¢t disrespect them by telling them that their view on the topic is stupid or doesnââ¬â¢t make sense. I have to listen to their point of view and communicate with them to reach an understanding. Communication is important with listening and talking to on e another for a resolution that both parties are happy with. By listening to the other side of the story it will help increase your chances to persuade them. It is also important when negotiating to show commitment to the other party. This helps increase your power over the other party. As the negotiator you can commit to what you will do for the other party, what you want to do (take it or leave it), and what kind of commitments you want to see from the other party. For example, there have been many fights in my house of who does what house work. If the bathroom, living room and kitchen need to get clean a negotiation with my sister and I has to be done. I would rather clean the kitchen rather than the bathroom so if I show a commitment to my sisters by saying I will do the kitchen and living room if you do the bathroom it shows her commitment from my end and therefore increases my power to get what I want. And in return I get commitment from my sister when she says yes to the ne gotiation. Negotiators are trained in many skills and tactic that are used in their line of work to help resolve conflict. The Hostage Negotiation Team (HNT) works with the police departments and is trained in many skills to help resolve conflict. The HNT trains with the Special Weapons and Tactics (SWAT) and learn skills to help certain conflicts which are hostage taking, barricaded suspects and suicide attempts (to be explain later). When negotiating there is many factors that need to be taken into consideration. Such as when the first line officer gets on scene it is important that they call a trained negotiator immediately. The best thing that can be used in these situations is time. The negotiating time is made up of three components. First the primary negotiator who is in contact with the suspect, second the secondary negotiator who will give help to the primary negotiator by giving advice and by making sure the primary negotiator can hear and understand everything
Sunday, October 20, 2019
Gathering of Old Men essays
Gathering of Old Men essays The book, A Gathering Of Old Men, is set in the 1970's and is heavily based on the ownership of black slaves in the south. Referring to racist and abusive acts towards blacks, the book also has a reoccurring theme of justice. Justice can be described many different way depending on the circumstances in which it is being used. Justice can best be described as the purposeful attempt to re-administer wrongs by a person, as shown in A Gathering Of Old Men. The individual by which justice is the most clearly observed in the book, is Charlie. Charlie, a black, worked for Beau, but being a racist, Beau cared little as to the well being of Charlie. Charlie told Mapes that all his life, all he ever did was run from people. He did what blacks and whites wanted him to do, and he would get abused if he did something either the right or wrong way. No matter what Parrain tried to do to make Charlie a man, it took 50yars of abuse for Charlie to say he had enough. Beau told Charlie that he wouldnt just cuss him, but beat him as well. Feeling that after 50 years, he couldnt allow that anymore, Charlie decided to get justice. In this case, it resulted in a murder. Two types of justice are represented in A Gathering Of Old Men. Charlie wanted personal justice, or to get revenge personally, for something someone has done. The court scene in the last chapter of the book showed legal justice, or justice for an individual though the courts. Justice is important to A Gathering Of Old Men because as Charlie said, hes now a man. Im a man,he said. I want the world to know it. I aint Big Charlie, nigger boy, no more, Im a man. Yall hear me? A man come back. Not a nigger boy. A nigger boy run and run and run. But a man come back. Im a man. (Page 187) Charlies justice for himself by standing up to Beau, gave him self respect, freedom, and respect from his friends and Mape...
Saturday, October 19, 2019
A critical analysis of the role of ICTs for the strategic development Essay - 1
A critical analysis of the role of ICTs for the strategic development and an assessment of the electronic presence of British Airways - Essay Example Moreover, ICTs has assisted the British Airline to strategize and continuously assess of all external elements as well as competition posed by other airlines and customer needs. ICTs have helped the British Airways to adapt themselves in order to enhance the competitiveness (Zong 149). This model involves business transactions between business organizations and consumers. The organization sells and advertises its product through the internet. It provides consumers with online catalogue to choose a variety of their goods. One of the services offered include travel services. British Airways offer travel services to its customer who purchases goods through the internet (online shopping). This model involves consumers selling directly to other consumers. For example is an auction web site that allows consumers to advertise and sell their products online to other consumers. When a consumer purchases the auctioned goods, they need the transport service in order to have their goods at their premises. Therefore, through the ICTs mechanism, British Airways is able to satisfy the urgent need of transportation needed by the consumers. Mobile commerce refers to the use of internet to sell or purchase products online then availing the products into consumerââ¬â¢s hands using wireless technology. Lastly, British Airways has used several tactics to ensure improvement in its services to the customers. Such tactics include arranging sales settlements between airlines and travel agencies to enhance accessibility by the customers and empower often flyer programs that serve domestically to primarily serve the national market (Paul
Friday, October 18, 2019
What did the Impressionists aim to doTheir subject matter and their Essay
What did the Impressionists aim to doTheir subject matter and their distinctive painting method - Essay Example The Impressionist movement grew out of an earlier movement called Realism which flourished in the government funded artistic salons in Paris in the middle of the 19th century. During the second half of the nineteenth century other artists took up this emerging style. In the middle of the 19th century painters were moving away from idealized pictures of classical scenes and began to focus more on everyday events and people drawn from real life. It is generally accepted that the Realist painter Edouard Manet was a key figure in the drive to achieve a painting style that could more closely approach real life. There was a growing interest in painting people and things out of doors, and in natural light, which was a big change from the fashion of the day for interiors and portraits. One of his most influential pictures was the ââ¬Å"Luncheon on Grassâ⬠which shocked Parisian audiences because it showed realistic people in modern clothing surrounding a naked woman in natural landscap e. Gunderson points out that it was not only the daring subject matter but also the painting style that caused consternation in artistic circles: ââ¬Å"He used broad brush strokes that relied on the juxtaposition of different colors to create depth. He did not try to hide the brushstrokes to make the image appear real: instead he believed that the viewer should see the paint on the canvas. He focused on lightâ⬠¦Ã¢â¬ (Gunderson, 2008, p. 12)... His main theme was the world of theatre and dance, which sets him apart from most other Impressionists, but he shared many of their techniques. He belonged firmly to the Realist school in his early career, but increasingly made use of the sketchiness and more unfinished brush work of the Impressionists in his later work. Nevertheless, he consistently denied that he was part of the Impressionist movement. It is a characteristic of the Impressionists as a group that they argued and squabbled with each other about who was part of the group, and who was not. They endlessly debated one othersââ¬â¢ works, the salon criticsââ¬â¢ opinions, and the various techniques that they used. (Rewald, 1961, p. 543) This creative chaos produced a genuine and very fruitful era of technical experimentation which influenced many later styles and movements. It was not the work of any one artist in particular, but rather a collective effort that evolved as they competed to have their works shown in the salons and appreciated by a sceptical public. The paintings were often painted beyond Paris, however, in gardens or along the river Seine. At first the juries who decided which paintings could be displayed in public galleries were not sympathetic to the new style. It was not so much the subject matter that was hard to accept at first, but way that the artists approached their work: ââ¬Å"For the impressionist, as the name implies, the concept of the ââ¬Å"impressionâ⬠provided the theoretical means for approaching the relation of individual and universal truth. The artistsââ¬â¢ characteristic technical devices, such as accentuated (ââ¬Å"spontaneousâ⬠) brushwork and bright color, are signs of their
Marketing Analysis of the Country of Zaire Research Paper
Marketing Analysis of the Country of Zaire - Research Paper Example Its capital is Kinshasa and its people are called Zairian (Library of Congress Country Studies, 1993). "Known as the Belgian Congo up until its independence in June 1960, unrest and rebellion plagued the new government until 1965, when Lieutenant General Joseph-Dsir Mobutu, by then commander-in-chief of the national army, seized control of the country and declared himself president for five years" (Wikimedia Foundation, Inc, 2009). Geography. The over-all land area is 2,343,950 square kilometers / 904765 square miles and with a generally high temperature and humidity. Two wet and two dry seasons are observed during the year with an average annual temperature of 25C (Library of Congress Country Studies, 1993). Demography. The over-all population of the country is recorded at 53,624,718 and a density of 22.88 per sq. kilometer. A study of Shapiro in 1995 has found out that the population grows by 3% annually over the past 30 years (Shapiro, 1995). This figure has not increased much then. The birth rate is 46.02 births/ 1000 population while the death rate is at 15.15 deaths/ 1000 population. Life expectancy at birth is recorded at 48.94 years.
Thursday, October 17, 2019
The global recession and workplace malfeasance Essay
The global recession and workplace malfeasance - Essay Example nnot influence those with the opportunities to malfeasance in workplace as they are trying to maintain their jobs to reduce the impact of the global recession. Though there are media reports that there has been malfeasance in workplace, it has no clear evidence that the malfeasance is because of the economic downturns and company layoffs. The Times of London for example reports that job losses in the United States is directly linked to 58 fatalities of which 13 people were killed by a Vietnamese man who was later fired from his factory job; this does not prove it was because of the recession just because the crime was committed during that recession (35). The case proves that we can learn nothing from the business press; this is because the press does not present accurate information to the public but reports opposite of the real situations. A poll conducted among 400 employers asking whether recession has brought a recent rise in monetary theft among employees such as missing cash or fraudulent transaction showed that 18% said yes, 41% were unsure, and 41% said they had not. The poll results indicates that a small percentage of employers thought the employee theft is caused by the recession, but the business press reports that ââ¬Å"Business Say Theft by Their Workers Is Up,â⬠which is a complete opposite of the poll result thus we cannot learn from the business press. Regarding on how to be an informed consumer on business news, difficulty illustrations by OB help in the investigation by asking questions, analyzing situations, and considering the information source. This helps the consumers in critically thinking about problems and careful analysis of the same. Therefore, the chapter provides clues on OB issues that can inform the consumer (35). Individual privacy is violated when measurers, such as fingerprint scanner are put in all cash register to monitor what the employees do. Employees feel that their privacy is violated when every move he or she makes in
Homeless on Campus Essay Example | Topics and Well Written Essays - 1250 words
Homeless on Campus - Essay Example The article has discussed the plight of a number of college students who have been rendered homeless. The first one is Aesha who happens to be in her last semester in college. Aesha became homeless after she walked out of the three bedroom apartment that she shared with her son, her sonââ¬â¢s father, her motherââ¬â¢s boyfriend as well as her mother. Aesha and her son left the three bedroom apartment mainly because her sonââ¬â¢s father became a violent. Physical abuse from a partner is quite devastating both for the victim as well as other close family members that witness. It is even a criminal offence for a person to engage in domestic violence. The physical abuse would not only have caused a direct harm to Aesha but also an indirect harm in her studies as she is a student. It is not possible for any student to juggle family work, school work and an abusive partner. I therefore agree in entirety with the decision that Aesha made of leaving her sonââ¬â¢s father. This woul d save both her physical health as well as her emotional health. She will therefore at least be able to concentrate in hers studies despite the homelessness challenges that she might face. After leaving the three bedroom apartment, Aesha was forced to spend her nights in a temporary shelter for one month. This was quite dangerous for the life of her son as well as her. Safety is never guaranteed in temporary shelters in the cities. Her son was also exposed to dangerous conditions in that shelter house as he was likely to catch various diseases like a common cold. The next shelter that Aesha and her son landed in after spending their nights at the shelter house was the emergency assistance unit that was located in the city. The living conditions in this place were equally atrocious as the place was filled with a crowd of people. Sleep was not comfortable at all and benches were used as beds. This would only have aided in causing backaches for the users of those beds. From the article it is also
Wednesday, October 16, 2019
The global recession and workplace malfeasance Essay
The global recession and workplace malfeasance - Essay Example nnot influence those with the opportunities to malfeasance in workplace as they are trying to maintain their jobs to reduce the impact of the global recession. Though there are media reports that there has been malfeasance in workplace, it has no clear evidence that the malfeasance is because of the economic downturns and company layoffs. The Times of London for example reports that job losses in the United States is directly linked to 58 fatalities of which 13 people were killed by a Vietnamese man who was later fired from his factory job; this does not prove it was because of the recession just because the crime was committed during that recession (35). The case proves that we can learn nothing from the business press; this is because the press does not present accurate information to the public but reports opposite of the real situations. A poll conducted among 400 employers asking whether recession has brought a recent rise in monetary theft among employees such as missing cash or fraudulent transaction showed that 18% said yes, 41% were unsure, and 41% said they had not. The poll results indicates that a small percentage of employers thought the employee theft is caused by the recession, but the business press reports that ââ¬Å"Business Say Theft by Their Workers Is Up,â⬠which is a complete opposite of the poll result thus we cannot learn from the business press. Regarding on how to be an informed consumer on business news, difficulty illustrations by OB help in the investigation by asking questions, analyzing situations, and considering the information source. This helps the consumers in critically thinking about problems and careful analysis of the same. Therefore, the chapter provides clues on OB issues that can inform the consumer (35). Individual privacy is violated when measurers, such as fingerprint scanner are put in all cash register to monitor what the employees do. Employees feel that their privacy is violated when every move he or she makes in
Tuesday, October 15, 2019
Human identity and relationships Assignment Example | Topics and Well Written Essays - 500 words
Human identity and relationships - Assignment Example Evidently, from the film there are instances of distortion on the character Shaw by the mother. On that note, she is seen referring to him as his little monster. In addition to that, the film also outlines the discrimination and the misinformation regarding punks as a possible source of stigma. The underserving of the population on the basis of the provision of essential services has contributed to the development of stigma in the society. Apparently, through the unequal serving of the population due to the inequity of resource distribution, stigma development has been boosted greatly. Apparently, the onset of mental conditions for instance stress and anxiety serve to drive an individual to engage into drug and alcoholism which consequently, leads to addiction thus when diagnosed, the two conditions are present. Notably, the model describes a simple way of enhancing the resilience in order to boosting the mental health. On the same point, mental health can be boosted through the promotion of resilience strategies and the minimizing of adverse experiences in the childhood stage. 10. What are some examples that you use for your own self-care in tending to your mental well-being. (Identify whether positive or negative)on the positive side, the engagement in playing computer games aids in the exercising my brain thus inhibiting the onset of mental conditions. Om the contrary, I enjoy watching movies over night as opposed to sleeping which serves to impact negatively on my mental
Sample of Detailed Job Description of Health Care Assistant Essay Example for Free
Sample of Detailed Job Description of Health Care Assistant Essay In the morning the role of the Healthcare Assistant is to assist the Nursing Staff in the delivery of Patients care , under the supervision of Clinical Nurse Manager and Staff Nurse. Before handling the clients Health Care Assistant under Inspection and Prevention Control by Washing or Disinfecting hands must be follow. Health Care Assistant will assist the client during bathing, showering, shaving, dressing and undressing in bed and in the bathroom under the supervision of the Nurse. Privacy and Dignity must be respected and full Independence are implemented in all clients and those not able. Health Care Assistant will help the Nurse to serve clients breakfast and to feed those who are helpless, under the supervision of the Nurse. Privacy and Dignity must taken place and full Independence must be delivered to the clients. Health Care Assistant will follow individual patients dietary needs are adhered including special diets and give supplementary drinks under the direction of the Nursing Staff. Health Care Assistant will assist the Nurse in bed making. Health Care Assistant will collect dirty sheets, duvet covers, bed covers and patients dirty cloths under the guidelines of Linen Management/Disposal put them to their respective laundry bag for porter to be collected. Health Care Assistant will answer bell calls and assist patients who are confined to bed with their toilet needs under the supervision of the Nurse. Health Care Assistant will assist in toileting of patients including the giving, removing and emptying of bedpans, urinals, commodes under the supervision of the Nurse. Health Care Assistant will clean and disinfect bedpans, urinals, commodes, hoist, shower seats and trolleys under the guidelines of Infection control and Prevention. Guidelines of Infection and Prevention control must be follow. Health Care Assistant will tidy bathrooms, sluices and toilets. Mop up spillages on the floors under the guidelines of Waste Management/Disposal. Disposed of soiled linen in water soluble bag securely and seal place it in white canvas bag for transfer to hospital sluicing department. Pack soiled woolens in separate water soluble bags place it in blue plastic bag for laundry. Health Care Assistant will serve dinner to patients at 1 oââ¬â¢clock and feed those are helpless under the supervision of the Nurse. Monitor patients intake to avoid choking. Clean and wash if necessary bed-tables and lockers. Remove rubbish etc. Health Care Assistant will answer call bells and report request to Nursing staff. Health Care Assistant will assist in toileting of patients including the giving, removing and emptying of bedpans, urinals, commodes under the supervision of the Nurse. Always maintain privacy and dignity towards patients. Answer telephone calls and locate appropriate personnel, as required. Health Care Assistant if necessary will assist with the transport of patients in the wards or transfer patients to other departments as required under the supervision of the Line Manager or Nurse in Charge. Health Care Assistant during Admission, transfer or discharge list patients property under the supervision of the nurse in charge. Health Care Assistant will serve tea and feed those who are helpless. Health Care Assistant will assist the patients back to bed under the supervision of the Nurse. Always maintain privacy,dignity and respect to patients. Remember, patients has the right to refuse. Remove uniform and disinfect hands before leaving the ward. 2/2 As a night Healthcare Assistant the role is to assist the night Nurse in the delivery of the the Patients care, under the supervision of the night Superintendent. Collect dishes and wash them. Ensure that kitchen are keep tidy and locked at all times. Answer call bells and report request to nurse on duty. Assist patients those who wants to go to the toilet or offer bedpans and commodes to those who needs before bed. Assist patients back to bed. Always maintain privacy, dignity and respect at all times. Remember patients has the right to refuse. Assist patients and ensure that call bells are working properly at patients reach. Ensure all doors and windows are lock and all Fire exit doors are clear with no obstruction. Monitor patients at all times, ensure that patients are in safe and in comfortable way. Emptying and disinfects commodes, urinal bottles and bedpans after use. Be alert at all times. Ensure safety and security of all the patients at night. Answer call bells and report request to nurse on duty. Incontinence patients are more likely to be wet at night.Ensure they are dry at all times. Change pad and linen if necessary under the supervision of the night Nurse on duty. Always maintain privacy, dignity and respect towards patients.
Monday, October 14, 2019
Active or Passive Third Stage of Labour: Pros and Cons
Active or Passive Third Stage of Labour: Pros and Cons Introduction This dissertation is primarily concerned with the arguments that are currently active in relation to the benefits and disadvantages of having either an active or passive third stage of labour. We shall examine this issue from several angles including the currently accepted medical opinions as expressed in the peer reviewed press, the perspective of various opinions expressed by women in labour and theevidence base to support these opinions. It is a generally accepted truism that if there is controversy surrounding a subject, then this implies that there is not a sufficiently strong evidence base to settle the argument one way or the other. (De Martino B et al. 2006). In the case of this particular subject, this is possibly not true, as the evidence base is quite robust (and we shall examine this in due course). Midwifery deals with situations that are steeped in layers of strongly felt emotion, and this has a great tendency to colour rational argument. Blind belief in one area often appears to stem from total disbelief in another (Baines D. 2001) and in consideration of some of the literature in this area this would certainly appear to be true. Let us try to examine the basic facts of the arguments together with the evidence base that supports them. In the civilised world it is estimated that approximately 515,000 currently die annually from problems directly related to pregnancy. (extrapolated from Hill K et al. 2001). The largest single category of such deaths occur within 4 hrs. of delivery, most commonly from post partum haemorrhage and its complications (AbouZahr C 1998), the most common factor in such cases being uterine atony. (Ripley D L 1999). Depending on the area of the world (as this tends to determine the standard of care and resources available), post partum haemorrhage deaths constitutes between 10-60% of all maternal deaths (AbouZahr C 1998). Statistically, the majority of such maternal deaths occur in the developing countries where women may receive inappropriate, unskilled or inadequate care during labour or the post partum period. (PATH 2001). In developed countries the vast majority of these deaths could be (and largely are) avoided with effective obstetric intervention. (WHO 1994). One of the central argumen ts that we shall deploy in favour of the active management of the third stage of labour is the fact that relying on the identification of risk factors for women at risk of haemorrhage does not appear to decrease the overall figures for post partum haemorrhage morbidity or mortality as more than 70% of such cases of post partum haemorrhage occur in women with no identifiable risk factors. (Atkins S 1994). Prendiville, in his recently published Cochrane review (Prendiville W J et al. 2000) states that: where maternal mortality from haemorrhage is high, evidence-based practices that reduce haemorrhage incidence, such as active management of the third stage of labour, should always be followed It is hard to rationally counter such an argument, particularly in view of the strength of the evidence base presented in the review, although we shall finish this dissertation with a discussion of a paper by Stevenson which attempts to provide a rational counter argument in this area. It could be argued that the management of the third stage of labour, as far as formal teaching and published literature is concerned, is eclipsed by the other two stages (Baskett T F 1999). Cunningham agrees with this viewpoint with the observation that a current standard textbook of obstetrics (unnamed) devotes only 4 of its 1,500 pages to the third stage of labour but a huge amount more to the complications that can arise directly after the delivery of the baby (Cunningham, 2001). Donald makes the comment This indeed is the unforgiving stage of labour, and in it there lurks more unheralded treachery than in both the other stages combined. The normal case can, within a minute, become abnormal and successful delivery can turn swiftly to disaster. (Donald, 1979). chapter 1:define third stage of labour, The definition of the third stage of labour varies between authorities in terms of wording, but in functional terms there is general agreement that it is the part of labour that starts directly after the birth of the baby and concludes with the successful delivery of the placenta and the foetal membranes. Functionally, it is during the third stage of labour that the myometrium contracts dramatically and causes the placenta to separate from the uterine wall and then subsequently expelled from the uterine cavity. This stage can be managed actively or observed passively. Practically, it is the speed with which this stage is accomplished which effectively dictates the volume of blood that is eventually lost. It follows that if anything interferes with this process then the risk of increased blood loss gets greater. If the uterus becomes atonic, the placenta does not separate efficiently and the blood vessels that had formally supplied it are not actively constricted. (Chamberlain G et al. 1999). We shall discuss this process in greater detail shortly. Proponents of passive management of the third stage of labour rely on the normal physiological processes to shut down the bleeding from the placental site and to expel the placenta. Those who favour active management use three elements of management. One is the use of an ecbolic drug given in the minute after delivery of the baby and before the placenta is delivered. The second element is early clamping and cutting of the cord and the third is the use of controlled cord traction to facilitate the delivery of the placenta. We shall discuss each of these elements in greater detail in due course. The rationale behind active management of the third stage of labour is basically that by speeding up the natural delivery of the placenta, one can allow the uterus to contract more efficiently thereby reducing the total blood loss and minimising the risk of post partum haemorrhage. (ODriscoll K 1994) discuss optimal practice, Let us start our consideration of optimal practice with a critical analysis of the paper by Cherine (Cherine M et al. 2004) which takes a collective overview of the literature on the subject. The authors point to the fact that there have been a number of large scale randomised controlled studies which have compared the outcomes of labours which have been either actively or passively managed. One of the biggest difficulties that they experienced was the inconsistency of terminology on the subject, as a number of healthcare professionals had reported management as passive when there had been elements of active management such as controlled cord traction and early cord clamping. As an overview, they were able to conclude that actively managed women had a lower prevalence of post partum haemorrhage, a shorter third stage of labour, reduced post partum anaemia, less need for blood transfusion or therapeutic oxytocics (Prendiville W J et al. 2001). Other factors derived from the paper include the observation that the administration of oxytocin before delivery of the placenta (rather than afterwards), was shown to decrease the overall incidence of post partum haemorrhage, the overall amount of blood loss, the need for additional uterotonic drugs, the need for blood transfusions when compared to deliveries with similar duration of the third stage of labour as a control. In addition to all of this they noted that there was no increased incidence of the condition of retained placenta. (Elbourne D R et al. 2001). The evidence base for these comments is both robust and strong. On the face of it, there seems therefore little to recommend the adoption of passive manage ment of the third stage of labour. Earlier we noted the difficulties in definition of active management of the third stage of labour. In consideration of any individual paper where interpretation of the figures are required, great care must therefore be taken in assessing exactly what is being measured and compared. Cherine points to the fact that some respondents categorised their management as passive management of the third stage of labour when, in reality they had used some aspect of active management. They may not have used ecbolic drugs (this was found to be the case in 19% of the deliveries considered). This point is worth considering further as oxytocin was given to 98% of the 148 women in the trial who received ecbolic. In terms of optimum management 34% received the ecbolic at the appropriate time (as specified in the management protocols as being before the delivery of the placenta and within one minute of the delivery of the baby). For the remaining 66%, it was given incorrectly, either after the delivery of the placenta or, in one case, later than one minute after the delivery of the baby. Further analysis of the practices reported that where uterotonic drugs were given, cord traction was not done in 49%, and early cord clamping not done in 7% of the deliveries observed where the optimum active management of the third stage of labour protocols were not followed. >From an analytical point of view, we should cite the evidence base to suggest the degree to which these two practices are associated with morbidity. Walter P et al. 1999 state that their analysis of their data shows that early cord clamping and controlled cord traction are shown to be associated with a shorter third stage and lower mean blood loss, whereas Mitchelle (G G et al. 2005) found them to be associated with a lower incidence of retained placenta. Other considerations relating to the practice of early cord clamping are that it reduces the degree of mother to baby blood transfusion. It is clear that giving uterotonic drugs without early clamping will cause the myometrium to contract and physically squeeze the placenta, thereby accelerating the both the speed and the total quantity of the transfusion. This has the effect of upsetting the physiological balance of the blood volume between baby and placenta, and can cause a number of undesirable effects in the baby including an increased tendency to jaundice. (Rogers J et al. 1998) The major features that are commonly accepted as being characteristic of active management and passive management of the third stage of labour are set out below. Physiological Versus Active Management . . Physiological Management Active Management Uterotonic None or after placenta delivered With delivery of anterior shoulder or baby Uterus Assessment of size and tone Assessment of size and tone Cord traction None Application of controlled cord traction* when uterus contracted Cord clamping Variable Early (After Smith J R et al. 1999) physiology of third stage The physiology of the third stage can only be realistically considered in relation to some of the elements which occur in the preceding months of pregnancy. The first significant consideration are the changes in haemodynamics as the pregnancy progresses. The maternal blood volume increases by a factor of about 50% (from about 4 litres to about 6litres). (Abouzahr C 1998) This is due to a disproportionate increase in the plasma volume over the RBC volume which is seen clinically with a physiological fall in both Hb and Heamatocrit values. Supplemental iron can reduce this fall particularly if the woman concerned has poor iron reserves or was anaemic before the pregnancy began. The evolutionary physiology behind this change revolves around the fact that the placenta (or more accurately the utero-placental unit) has low resistance perfusion demands which are better served by a high circulating blood volume and it also provides a buffer for the inevitable blood loss that occurs at the time of delivery. (Dansereau J et al. 1999). The high progesterone levels encountered in pregnancy are also relevant insofar as they tend to reduce the general vascular tone thereby increase venous pooling. This, in turn, reduces the venous return to the heart and this would (if not compensated for by the increased blood volume) lead to hypotension which would contribute to reductions in levels of foetal oxygenation. (Baskett T F 1999). Coincident and concurrent with these heamodynamic changes are a number of physiological changes in the coagulation system. There is seen to be a sharp increase in the quantity of most of the clotting factors in the blood and a functional decrease in the fibrinolytic activity. (Carroli G et al. 2002). Platelet levels are observed to fall. This is thought to be due to a combination of factors. Haemodilution is one and a low level increase in platelet utilisation is also thought to be relevant. The overall functioning of the platelet system is rarely affected. All of these changes are mediated by the dramatic increase in the levels of circulating oestrogen. The relevance of these considerations is clear when we consider that one of the main hazards facing the mother during the third stage of labour is that of haemorrhage. (Soltani H et al. 2005) and the changes in the haemodynamics are largely germinal to this fact. The other major factor in our considerations is the efficiency of the haemostasis produced by the uterine contraction in the third stage of labour. The prime agent in the immediate control of blood loss after separation of the placenta, is uterine contraction which can exert a physical pressure on the arterioles to reduce immediate blood loss. Clot formation and the resultant fibrin deposition, although they occur rapidly, only become functional after the coagulation cascade has triggered off and progressed. Once operative however, this secondary mechanism becomes dominant in securing haemostasis in the days following delivery. (Sleep, 1993). The uterus both grows and enlarges as pregnancy progresses under the primary influence of oestrogen. The organ itself changes from a non-gravid weight of about 70g and cavity volume of about 10 ml. to a fully gravid weight of about 1.1 kg. and a cavity capacity of about 5 litres. This growth, together with the subsequent growth of the feto-placental unit is fed by the increased blood volume and blood flow through the uterus which, at term, is estimated to be about 5-800 ml/min or approximately 10-15% of the total cardiac output (Thilaganathan B et al. 1993). It can therefore be appreciated why haemorrhage is a significant potential danger in the third stage of labour with potentially 15% of the cardiac output being directed towards a raw placental bed. The physiology of the third stage of labour also involves the mechanism of placental expulsion. After the baby has been delivered, the uterus continues to contract rhythmically and this reduction in size causes a shear line to form at the utero-placental junction. This is thought to be mainly a physical phenomenon as the uterus is capable of contraction, whereas the placenta (being devoid of muscular tissue) is not. We should note the characteristic of the myometrium which is unique in the animal kingdom, and this is the ability of the myometrial fibres to maintain its shortened length after each contraction and then to be able to contract further with subsequent contractions. This characteristic results in a progressive and (normally) fairy rapid reduction in the overall surface area of the placental site. (Sanborn B M et al. 1998) In the words of Rogers (J et al. 1998), by this mechanism the placenta is undermined, detached, and propelled into the lower uterine segment. Other physiological mechanisms also come into play in this stage of labour. Placental separation also occurs by virtue of the physical separation engendered by the formation of a sub-placental haematoma. This is brought about by the dual mechanisms of venous occlusion and vascular rupture of the arterioles and capillaries in the placental bed and is secondary to the uterine contractions (Sharma J B et al. 2005). The physiology of the normal control of this phenomenon is both unique and complex. The structure of the uterine side of the placental bed is a latticework of arterioles that spiral around and inbetween the meshwork of interlacing and interlocking myometrial fibrils. As the myometrial fibres progressively shorten, they effectively actively constrict the arterioles by kinking them . Baskett (T F 1999) refers to this action and structure as the living ligatures and physiologic sutures of the uterus. These dramatic effects are triggered and mediated by a number of mechanisms. The actual definitive trigger for labour is still a matter of active debate, but we can observe that the myometrium becomes significantly more sensitive to oxytocin towards the end of the pregnancy and the amounts of oxytocin produced by the posterior pituitary glad increase dramatically just before the onset of labour. (GÃ ¼lmezoglu A M et al. 2001) It is known that the F-series, and some other) prostaglandins are equally active and may have a role to play in the genesis of labour. (Gulmezoglu A M et al. 2004) >From an interventional point of view, we note that a number of synthetic ergot alkaloids are also capable of causing sustained uterine contractions. (Elbourne D R et al. 2002) chapter 2 discuss active management, criteria, implications for mother and fetus. This dissertation is asking us to consider the essential differences between active management and passive management of the third stage of labour. In this segment we shall discuss the principles of active management and contrast them with the principles of passive management. Those clinicians who practice the passive management of the third stage of labour put forward arguments that mothers have been giving birth without the assistance of the trained healthcare professionals for millennia and, to a degree, the human body is the product of evolutionary forces which have focussed upon the perpetuation of the species as their prime driving force. Whilst accepting that both of these concepts are manifestly true, such arguments do not take account of the natural wastage that drives such evolutionary adaptations. In human terms such natural wastage is simply not ethically or morally acceptable in modern society. (Sugarman J et al. 2001) There may be some validity in the arguments that natural processes will achieve normal separation and delivery of the placenta and may lead to fewer complications and if the patient should suffer from post partum haemorrhage then there are techniques, medications and equipment that can be utilised to contain and control the clinical situation. Additional arguments are invoked that controlled cord traction can increase the risk of uterine inversion and ecbolic drugs can increase the risks of other complications such as retained placenta and difficulties in delivering an undiagnosed twin. (El-Refaey H et al. 2003) The proponents of active management counter these arguments by suggesting that the use of ecbolic agents reduces the risks of post partum haemorrhage, faster separation of the placenta, reduction of maternal blood loss. Inversion of the uterus can be avoided by using only gentle controlled cord traction when the uterus is well contracted together with the controlling of the uterus by the Brandt-Andrews manoeuvre. The arguments relating to the undiagnosed second twin are loosing ground as this eventuality is becoming progressively more rare. The advent of ultrasound together with the advent of protocols which call for the mandatory examination of the uterus after the birth and before the administration of the ecbolic agent effectively minimise this possibility. (Prendiville, 2002). If we consider the works of Prendiville (referred to above) we note the meta-analyses done of the various trials on the comparison of active management against the passive management of the third stage of labour and find that active management consistently leads to several benefits when compared to passive management. The most significant of which are set out below. Benefits of Active Management Versus Physiological Management Outcome Control Rate, % Relative Risk 95% CI* NNT 95% CI PPH >500 mL 14 0.38 0.32-0.46 12 10-14 PPH >1000 mL 2.6 0.33 0.21-0.51 55 42-91 Hemoglobin 6.1 0.4 0.29-0.55 27 20-40 Blood transfusion 2.3 0.44 0.22-0.53 67 48-111 Therapeutic uterotonics 17 0.2 0.17-0.25 7 6-8 *95% confidence interval Number needed to treat (After Prendiville, 2002). The statistics obtained make interesting consideration. In these figures we can deduce that for every 12 patients receiving active management (rather than passive management) one post partum haemorrhage is avoided and further extrapolation suggests that for every 67 patients managed actively one blood transfusion is avoided. With regard to the assertions relating to problems with a retained placenta, there was no evidence to support it, indeed the figures showed that there was no increase in the incidence of retained placenta. Equally it was noted that the third stage of labour was significantly shorter in the actively managed group. In terms of significance for the mother there were negative findings in relation to active management and these included a higher incidence of raised blood pressure post delivery (the criteria used being > 100 mm Hg). Higher incidences of reported nausea and vomiting were also found although these were apparently related to the use of ergot ecbolic
Sunday, October 13, 2019
Arnold Essay -- essays research papers
Introduction There was no way of knowing it at the time, but a baby boy born in Graz, Austria, was pre-destined for greatness. His father strongly encouraged him to become involved in athletics in order to develop a strong sense of determination trait that evolved into nothing short of a dogged pursuit of excellence in every aspect of his life. He participated in the sport of soccer and competed in track and field events before discovering his true passion for weight lifting at the age of 15. Three years later, he trained as a professional bodybuilder and by the age of 20, he became none other than Mr. Universe. That baby boy grew up to be ARNOLD SCHWARZENEGGER. Early life Arnold was born July 30 1947, in the little town Thal in Austria, four miles from Graz. The name Schwarzenegger means "black plowman". His father Gustav was a former military officer who later became a policeman and his mother was a house wife. They all lived above the police station, where Gustav worked. Arnold had a one year older brother, Meinhard, who died in a car accident when he was in his twenties. They were both raised in a very strict catholic home. One day after seeing the Olympic swimchampion Johnny Weissmà ¼ller in Graz, Arnold was so inspired by Johnny's physique that he decided he wanted to become a champion athlete and started training. In the early years Arnold and his brother practiced a lot of different sports such as skating, skiing, hiking, swimming and table-tennis. Because of the interest in sports the school came in second place and did not get much attention. The brothers were always competing against each other both in sports and in school. Gustav wanted Arnold to become a world-class soccer player, but at the age of thirteen Arnold dropped out of the soccer team. He was looking for a role model and found one on the silver screen, Hercules. He watched all the Hercules movies over and over. He started to collect muscle magazines and was so impressed by the strength and the muscles in the magazine that he had just one goal clear in his mind. So he started to train. Bodybuilding Just about everyone who walks the face of the earth has heard of the legendary Arnold Schwarzenegger. The man is an inspiration to millions of men around the world, both in success and fitness. Even though times have changed -- today's bodybuilders are far bigger than in Ar... ...Bodybuilder as well as two volumes of the Encyclopedia of Modern Bodybuilding. Governor On August 6th, 2003, the audience attending the Tonight Show received a direct witnessing of an historic, jaw-dropping occasion: the announcement of candidacy for the California governorship. Arnie smiled for the camera, waved a massive American flag, and gave a full-on political speech, while adding catchphrases from his blockbuster hits. Then on the 17th of October 2003 Arnie Was elected, by a wide margin, to be the Californian Governor. Throughout his lifetime so far, Arnold Schwarzenegger has provided the world with so many significant contributions and achievements of work ranging from acting, directing and producing to athletic competitions, business ventures and community service and now even Governor of California. From his early days as Mr. Universe to a well-respected patron of the arts to reigning box office champion he expects the best from himself and inspires the best in others. All the while Schwarzenegger puts his family first as husband of fifteen years to broadcast journalist Maria Shriver and father to their four children Katherine, Christina, Patrick and Christopher. Arnold Essay -- essays research papers Introduction There was no way of knowing it at the time, but a baby boy born in Graz, Austria, was pre-destined for greatness. His father strongly encouraged him to become involved in athletics in order to develop a strong sense of determination trait that evolved into nothing short of a dogged pursuit of excellence in every aspect of his life. He participated in the sport of soccer and competed in track and field events before discovering his true passion for weight lifting at the age of 15. Three years later, he trained as a professional bodybuilder and by the age of 20, he became none other than Mr. Universe. That baby boy grew up to be ARNOLD SCHWARZENEGGER. Early life Arnold was born July 30 1947, in the little town Thal in Austria, four miles from Graz. The name Schwarzenegger means "black plowman". His father Gustav was a former military officer who later became a policeman and his mother was a house wife. They all lived above the police station, where Gustav worked. Arnold had a one year older brother, Meinhard, who died in a car accident when he was in his twenties. They were both raised in a very strict catholic home. One day after seeing the Olympic swimchampion Johnny Weissmà ¼ller in Graz, Arnold was so inspired by Johnny's physique that he decided he wanted to become a champion athlete and started training. In the early years Arnold and his brother practiced a lot of different sports such as skating, skiing, hiking, swimming and table-tennis. Because of the interest in sports the school came in second place and did not get much attention. The brothers were always competing against each other both in sports and in school. Gustav wanted Arnold to become a world-class soccer player, but at the age of thirteen Arnold dropped out of the soccer team. He was looking for a role model and found one on the silver screen, Hercules. He watched all the Hercules movies over and over. He started to collect muscle magazines and was so impressed by the strength and the muscles in the magazine that he had just one goal clear in his mind. So he started to train. Bodybuilding Just about everyone who walks the face of the earth has heard of the legendary Arnold Schwarzenegger. The man is an inspiration to millions of men around the world, both in success and fitness. Even though times have changed -- today's bodybuilders are far bigger than in Ar... ...Bodybuilder as well as two volumes of the Encyclopedia of Modern Bodybuilding. Governor On August 6th, 2003, the audience attending the Tonight Show received a direct witnessing of an historic, jaw-dropping occasion: the announcement of candidacy for the California governorship. Arnie smiled for the camera, waved a massive American flag, and gave a full-on political speech, while adding catchphrases from his blockbuster hits. Then on the 17th of October 2003 Arnie Was elected, by a wide margin, to be the Californian Governor. Throughout his lifetime so far, Arnold Schwarzenegger has provided the world with so many significant contributions and achievements of work ranging from acting, directing and producing to athletic competitions, business ventures and community service and now even Governor of California. From his early days as Mr. Universe to a well-respected patron of the arts to reigning box office champion he expects the best from himself and inspires the best in others. All the while Schwarzenegger puts his family first as husband of fifteen years to broadcast journalist Maria Shriver and father to their four children Katherine, Christina, Patrick and Christopher.
Saturday, October 12, 2019
Primary Health Care Essay -- Health, Policies, Regulations
Part A Primary health care evolves from the economic, cultural, social, and political conditions of a country, and it is described as an essential part of health care that is universally provided to individuals in a community at the country's and community's expense (World Health Organisation [WHO], 1978). The goal of primary health care is to address the main local health problems, but it involves community education about these problems in addition to providing disease treatments (WHO, 1978). Furthermore, primary health care is concerned with nutrition promotion, sanitation standards, family planning, immunisation, disease control and prevention, and it promotes and relies on community and individual participation in primary health care functions (WHO, 1978). Population health is concerned with policies and interventions that result in positive health outcomes within a community and further distribution of these outcomes among the individuals of the community (Kindig and Stoddart, 2003). Primary health care and population health overlap and complement each other because primary health care builds the fundamental infrastructure of the national health care system (WHO, 1978), so other aspects of national health care are built upon the principles, organisation, and functions defined in the country's primary health care policies and regulations. For example, primary care is provided to individuals, and population health is concerned with community health. However, population health depends on proper individual care because individuals with potentially communicable disease can be a threat to public health, so population health can plan its interventions in the community based on evidence collected from primary health observations... ...r intervention accordingly. Item #6. Finally, the issue of an influenza pandemic must be addressed by agencies and organisations other than health care providers, so the occupational health nurse in the role of the educator will notify and counsel boarder controls, travel agencies, and all international organisations about proper rules and regulations in this situation because entering and leaving Australia during a pandemic should not be allowed without proper vaccination. Although quarantines have proven ineffective against flu pandemics in the past, and a 90% air travel restriction can delay the pandemic by no more than two weeks (GlobalSecurity.org, 2011b), making vaccination obligatory for travellers should not be overlooked because it can both slow down the progress of the disease within the Australian community and prevent spreading it to other communities. Primary Health Care Essay -- Health, Policies, Regulations Part A Primary health care evolves from the economic, cultural, social, and political conditions of a country, and it is described as an essential part of health care that is universally provided to individuals in a community at the country's and community's expense (World Health Organisation [WHO], 1978). The goal of primary health care is to address the main local health problems, but it involves community education about these problems in addition to providing disease treatments (WHO, 1978). Furthermore, primary health care is concerned with nutrition promotion, sanitation standards, family planning, immunisation, disease control and prevention, and it promotes and relies on community and individual participation in primary health care functions (WHO, 1978). Population health is concerned with policies and interventions that result in positive health outcomes within a community and further distribution of these outcomes among the individuals of the community (Kindig and Stoddart, 2003). Primary health care and population health overlap and complement each other because primary health care builds the fundamental infrastructure of the national health care system (WHO, 1978), so other aspects of national health care are built upon the principles, organisation, and functions defined in the country's primary health care policies and regulations. For example, primary care is provided to individuals, and population health is concerned with community health. However, population health depends on proper individual care because individuals with potentially communicable disease can be a threat to public health, so population health can plan its interventions in the community based on evidence collected from primary health observations... ...r intervention accordingly. Item #6. Finally, the issue of an influenza pandemic must be addressed by agencies and organisations other than health care providers, so the occupational health nurse in the role of the educator will notify and counsel boarder controls, travel agencies, and all international organisations about proper rules and regulations in this situation because entering and leaving Australia during a pandemic should not be allowed without proper vaccination. Although quarantines have proven ineffective against flu pandemics in the past, and a 90% air travel restriction can delay the pandemic by no more than two weeks (GlobalSecurity.org, 2011b), making vaccination obligatory for travellers should not be overlooked because it can both slow down the progress of the disease within the Australian community and prevent spreading it to other communities. Primary Health Care Essay -- Health, Policies, Regulations Part A Primary health care evolves from the economic, cultural, social, and political conditions of a country, and it is described as an essential part of health care that is universally provided to individuals in a community at the country's and community's expense (World Health Organisation [WHO], 1978). The goal of primary health care is to address the main local health problems, but it involves community education about these problems in addition to providing disease treatments (WHO, 1978). Furthermore, primary health care is concerned with nutrition promotion, sanitation standards, family planning, immunisation, disease control and prevention, and it promotes and relies on community and individual participation in primary health care functions (WHO, 1978). Population health is concerned with policies and interventions that result in positive health outcomes within a community and further distribution of these outcomes among the individuals of the community (Kindig and Stoddart, 2003). Primary health care and population health overlap and complement each other because primary health care builds the fundamental infrastructure of the national health care system (WHO, 1978), so other aspects of national health care are built upon the principles, organisation, and functions defined in the country's primary health care policies and regulations. For example, primary care is provided to individuals, and population health is concerned with community health. However, population health depends on proper individual care because individuals with potentially communicable disease can be a threat to public health, so population health can plan its interventions in the community based on evidence collected from primary health observations... ...r intervention accordingly. Item #6. Finally, the issue of an influenza pandemic must be addressed by agencies and organisations other than health care providers, so the occupational health nurse in the role of the educator will notify and counsel boarder controls, travel agencies, and all international organisations about proper rules and regulations in this situation because entering and leaving Australia during a pandemic should not be allowed without proper vaccination. Although quarantines have proven ineffective against flu pandemics in the past, and a 90% air travel restriction can delay the pandemic by no more than two weeks (GlobalSecurity.org, 2011b), making vaccination obligatory for travellers should not be overlooked because it can both slow down the progress of the disease within the Australian community and prevent spreading it to other communities.
Friday, October 11, 2019
Health Care Reform Project Essay
Introduction ââ¬Å"By 2030, one in five Americans will be over age 65, and the healthcare system is just beginning to feel the burden. (Matthews, 2013)â⬠Medical technologies, from the discovery of antibiotics to the portable defibrillators in nearly every workplace in the United States, have succeeded in prolonging life. In fact, humans are living about thirty years longer. (Matthews, 2013) This creates a gigantic problem for the US government: Who is paying for the health care of these aging individuals? Cause of Death for Seniors Over Sixty-Five An article in live science last year indicates that a senior over 65 years of age is most likely to die from falls resulting in head trauma. (Live science, 2013) ââ¬Å"Traumatic brain injury (TBI) is a major cause of death and disability in the United States, contributing to about 30% of all injury deaths. Every day, 138 people in the United States die from injuries that include TBI. Those who survive a TBI can face effects lasting a few days to disabilities which may last the rest of their lives. Effects of TBI can include impaired thinking or memory, movement, sensation (e.g., vision or hearing), or emotional functioning (e.g., personality changes, depression). These issues not only affect individuals but can have lasting effects on families and communities (Centers for Disease Control and Prevention, 2014).â⬠Falls resulting in traumatic brain injury for seniors, if the trauma is severe, may result in months ââ¬â if not the remainder of the individualââ¬â¢s life and l eave the individual in need of around the clock nursing care. The ensuing results, if the individual survives a traumatic brain injury, may render the individualââ¬â¢s personality (change in mental status, mannerisms, or habits) being adversely affected to severe deficitsà in the senses. The capability of walking and/or talking, the use of one or both arms, and the ability to control bodily functions are all possibilities that may occur if an individual suffers traumatic brain injury. The cost of therapy and nursing care can swiftly deplete a seniorââ¬â¢s savings. Once stabilized, following the occurrence, an individual, if the individual is able to ambulate sufficiently returns, he or she may live for additional decades. If the ability to ambulate is grossly affected, despite adequate care, the individual stands to experiences frequent battles with lung infections, which may eventually lead to death. Regardless, beyond 65 years of age with one or more chronic diseases, the need for assistances will grow with each year. According to Matthews, seniors tend to ââ¬Å"romanticizeâ⬠the past ââ¬â a time when families took care of their elders, often at home. If a senior is in anticipation of this happening, chances are the realization dwindles with each passing year. (Matthews, 2013) Most of the baby boomers with chronic illness will require nursing home care and will rely upon Medicare and Medicaid to withstand paying for it. Who Pays for Baby Boomerââ¬â¢s Health Care? Couples turning sixty-five now should assume their portion of long term health care will be a minimum of $220,000 or more out of pocket. Most baby boomers have $50,000 or less when sixty-five rolls around and will expect to rely solely on Medicare and Medicaid. (Gleckman, 2013) This mindset is unrealistic. The number of people already dependent on these systems that are under sixty-five has nearly bankrupts the systems and the anticipation of the addition of large numbers of baby boomers certainly more than justifies the need for Health Care Reform. Conclusion Many baby boomers failed to prepare for the high health costs associated with aging. Medical technology has prolonged life. However, for all the technology, nothing was done to ensure the baby boomers (or those younger than the ââ¬Å"boomersâ⬠) retained adequate savings to meet the high cost of health care. Realistically, a twenty-five year old couple ââ¬â each earning minimum wage ââ¬â has a gross salary of $580 per week, $2,513 per month. The couple would have to save 25% of their gross salary to come ââ¬Å"closeâ⬠to the amount needed to cover out of pocket expenses after sixty-five years of age.à (Gleckman, 2013) In todayââ¬â¢s society, is that reality? What happens then? Baby Boomerââ¬â¢s reality check has yet to reach full impact. It is going to take tremendous government change and far more restraint on the US citizen to pay for senior care in the future. References Centers for Disease Control and Prevention (June, 2014). Injury & Prevention & Control: Traumatic Brain Injury. Retrieved from http://www.cdc.gov/traumaticbraininjury/get-the-facts.html Gleckman, H. (5/22/2013). Why Baby Boomers Need to Get Real About Health and Long-Term-Care Costs in Retirement. Retrieved from http://www.forbes.com/sites/howardgleckman/2013/05/22/why Live science (January 15, 2013) whatââ¬â¢s the leading cause of death for the elderly Retrieved from http://wwwlivescience.com/32413-whatââ¬â¢s-the-leading-cause-of-death Matthews, S. (10/03/2013). How the Aging Population is changing the Health Care System. Retrieved from http://www.everydayhealth.com/senior-living/aging-and-health WHO, International (May, 2014). The top 10 causes of death. Retrieved from http://www.who.int/mediacentre/factsheets/fs310/ent
Thursday, October 10, 2019
Farewell to Arms Is a Novel Without Hope
Ernest Hemingwayââ¬â¢s novel ââ¬ËA Farewell to Armsââ¬â¢ shows the destitution of war and the hopelessness of life. Throughout times of hardship and despair, the need to believe in a better future is enhanced, and through the horrors of death and injury, Hemingway implies that all is hopeless. Attempts to find meaning through alcohol and sex proved unsuccessful, societies corruption highlights the absurdity of war, and the love Catherine and Henry felt for each other ended in horror. During the war, soldiers turned to the simple pleasures of live in a means finding hope and escaping the misery. The constant drinking and journeys to ââ¬Å"bawdy housesâ⬠shows the change in moral standards as the need for meaning in life rises, and the social norms change from modesty to going to the ââ¬Å"whorehouse before it shutsâ⬠This lowered standards as a result of the soldiersââ¬â¢ position leads the reader to understand that in war, there is no hope; the constant death and destruction leaves soldiers feeling as though they have no purpose in life. The routine death, to the point that a soldier dying is unimportant, shows the brutality of war on the emotions of men. The positive connotations of ââ¬Å"only seven thousandâ⬠soldiers dying highlights the hopelessness of life and the need for an outlet from war. While in normal circumstance one could turn to religion as an answer for the reason behind war and how to alleviate oneself from the terror, Henry and his friends believe ââ¬Å"all thinking men are atheistsâ⬠, and interrupt the priest when he attempts to tell Henry about the Abbruzi. This disruption of spirituality affirms Hemingwayââ¬â¢s belief in the falsehood of religion, and shows how in times of war, society changes itself and consequently, all hope of peace and happiness is lost. Once Henry injures himself and is forced to take leave from the war, it is evident to the reader that the world is corrupt, and it drags everyone with it. While in the hospital immediately following his knee being ââ¬Å"blown to bitsâ⬠, Rinaldi tries to make Henry realise his sacrifice and accept the rewards that come with it. Despite Henry protesting that he was ââ¬Å"blown upâ⬠not during battle, but when he was ââ¬Å"eating cheeseâ⬠, Rinaldi still believes that Henry could ââ¬Å"get a silverâ⬠medal of honour. Even though he knew that he had done nothing courageous or even brave, but was rather injured in the most banal way possible, Henry was still able to receive an award that was meant for those who had made a significant sacrifice in war. This medal was meant for the type of hero Hemingway believed in; one that displayed acts of courage, endurance and stoicism. Hemingway, through Henry, implies that he does not believe in the glorification of war, as he sees it as an incentive for people to continue fighting. This continuation of war only leads to more despair, and ultimately, a life devoid of hope and meaning. vidence Much like in the hospital, at the races, Hemingway once again shows the reader the corruption of the world and the hopelessness that is brought about as a result of it. When Catherine and Henry realise that the race is corrupt and one horse is assured of victory, they decide to ââ¬Å"poolâ⬠all their money together and back it. Although once they do not win as much as they hoped, their mindset towards cheating is reversed, and suddenly, Catherine ââ¬Å"does not like this crookedâ⬠racing. It can be concluded that people donââ¬â¢t care about the unauthenticity of life, as long as it benefits them. Even Catherine, a woman used to balance Henryââ¬â¢s faults and teach him lessons as a result of her loss, is dragged into the corruption of the world. These acts of corruption highlight the inability of man to act in a truly righteous way, and extinguish all hope of an honest society. While there is an overall feeling of hopelessness, some can be found in the relationship between Henry and Catherine. Their love inspires them to look towards the future, planning and hoping to ââ¬Å"go somewhereâ⬠when ââ¬Å"the war is overâ⬠. While the ââ¬Å"many long nights in Milanâ⬠provided the couple with everlasting memories and hope for the future, the inevitable, and sudden, ending of their relationship further reinforces Hemingwayââ¬â¢s view of a hopeless society. The single emotion that can provide some sense of hope and prospect for the future inflicts more pain than any other as a result of the passion and intensity of love the couple felt for each other. When Henry hears the news of Catherineââ¬â¢s haemorrhage and that the death of the woman he loves is imminent, he tries anything possible to end her pain, even turning to religion, a belief he had criticised on many occasion. Even though he believed that he had ââ¬Å"outlived (his) religious feelingâ⬠, he pleaded with god to not ââ¬Å"let her dieâ⬠The repetition of this prayer allows the reader to see the maturity Henry has develop; he has turned from a man who was in a relationship purely because he wanted to ââ¬Å"play the gameâ⬠, into someone with empathy and real care for a woman. The joy of ââ¬Å"waking and not knowing who it wasâ⬠with him had left him, and he had developed true affection for Catherine. The strong connection the couple shared made Catherineââ¬â¢s death even more difficult, and reinforces the harsh view of society that Hemingway believed. Deathââ¬â¢s winged chariotâ⬠took all that had meaning from Henryââ¬â¢s life, and left him a ââ¬Å"crackedâ⬠and ââ¬Å"brokenâ⬠man in a world that was ââ¬Ëcookedââ¬â¢. ââ¬ËA Farewell to Armsââ¬â¢ predominately presents a hopeless and cynical view of the war and life itself, but hope doe s appear as a result of the love between Henry and Catherine. Hope is seen as futile through the soldiersââ¬â¢ actions, the corruption of the world, and the inevitable heartache as a result of Catherineââ¬â¢s death and from this it is evident that the only bit of justice left in the world is love, assuming that it too is not dragged down by war.
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