Disease Essay Example | Topics and Well Written Essays - 2250 words

Disease - Essay Example The primary meaning is that these are representative of continually surfacing contagions reacting to speedy changes in the association between host and the pathogens. Current literature has identified that there are almost 1, 400 species of human pathogens. Almost 60 percent of these pathogens are zoonotic. This implies that almost 60 percent of the pathogens are infections that are transmitted between humans and vertebrates. In reference to Woolhouse et al (2012), emerging and re-emerging pathogens are most probable to be zoonotic. Viruses form a majority of this group. In addition, viruses with RNA sequences constitutes a third of all emerging and re-emerging contagions. Emergent pathogens are characteristically those with a wide host variety ranging across numerous mammalian animals. In the contemporary world, in spite of the exceptional progresses towards development of steps to counter the development of the infectious illnesses, the increased global mutuality, increased world t ravel and climate change have contributed deposits of complication to controlling and containing these contagious diseases that not only have an impact on an individual’s health but also a nation’s economy. ... Remarkably, most of the illnesses originate from animals such as rodents and bats, as shown by the presence of Nipah virus encephalitis, lassa fever and hantavirus pulmonary syndrome (Howard & Fletcher, 2012). Current interest in emerging contagions has centered on three primary fields. First, it has centered on how the interaction of the environment, human societal pressures and climate can cause unanticipated outbursts of emergent illnesses. Second, it has centered on the apprehension on how viruses can be transmitted from a reservoir to a host, and thirdly on recognizing the elements of the illness process that present opportunities for treatment and prevention. Drivers of Emerging Viral Diseases in Humans i. Animals that act as reservoirs of Human diseases Many emerging illnesses arise when transferable agents in animals are passed to people. The advent of agriculture 10, 000 years ago was one of the primary factors that contributed to the rise of majority of the infections in th e present world. Agricultural activities drove people near wild animals and livestock. Notably, people put establishments in these regions (Lashley $ Durham, 2007). This offered a fertile ground for the transmission of infections from the animals to humans. Among the mammalian species, members that make up Muridae family have been the natural hosts of Hantaviruses and arenaviruses. The mamals reproduce faster and increase the population’s exposure and risk to the pathogens. Additionally, domestic livestock have also contributed to the spread and emergence of virus infections. For instance, pigs have been associated with numerous outbursts of emerging infections. A total number of 265 cases of viral infections

Juvenile Offenders Essay Example for Free

Juvenile Offenders Essay Steinberg states that there are some issues which are very challenging to the society concerning the nature of human development and justice when it comes to serious juvenile crimes (para, 1). This is due to the fact that people do not expect crimes to be committed by children let alone children being criminals. The unexpected connection between childhood and criminality brings about a dilemma that is hard to resolve (Steinberg para, 1). Some of the ways out of this dilemma are: trying to redefine the offense as something of less magnitude than a crime and redefining the offender as somebody who is not actually a child. For almost a century now, the American society has chosen to redefine an offense as something less than a crime (Siegel and Welsh p, 211). Hoge, Guerra and Boxer states that most juvenile offenses have for long time been treated as delinquent acts that need adjudication within a separate justice system for juveniles (p, 154). This system is designed in such a way as to recognize the exceptional needs as well as the immature condition of young persons and stresses more on rehabilitation over punishment. Steinberg asserts that the two guiding principles that have prevailed concerning young people are that: they have different competencies as compared to adults, which necessitates adjudication in a different type of system, and that they have different potential for change and therefore qualify for a second chance as well as an attempt at rehabilitation (para, 4). The operations of juvenile courts are carried out under the presumptions that offenders are immature meaning that their development is incomplete, their judgment is immature, and their character is still undergoing development. However, in the recent past as Steinberg states, there has been a tremendous shift concerning the way crimes committed by juveniles are treated by policymakers as well as the general public (para, 6). This shift has resulted in great changes concerning policies that deal with the way juvenile offenders are treated. Gale argues that instead of choosing to defend offences committed by young people as delinquent, the society has opted to redefine them as adults and transfer them to the criminal justice system that deals with adult crime (p, 76). Some proponents in society have come to agree that there are those young offenders who should be transferred to the adult criminal justice system due to the fact that they pose a serious threat to the safety of the society where other juveniles live (Siegel and Welsh, p. 214). Proponents, as Hoge, Guerra and Boxer illustrates, argue that the magnitude of the offense committed by these youth deserves a relatively more harsh punishment (p. 174). They also argue that the history of repeated offenses do not augur well for definitive rehabilitation of juvenile offenders. This however, does not describe the large number of young people who are currently being put on trial in the adult criminal justice system. Steinberg argues that majority of these have been charged with crimes that are not as violent to merit such a harsh punishment (para, 7). When this transfer of juvenile offenders to adult system begins to become a rule instead of an exception, it characterizes a primary challenge to the very ground that the juvenile system was anchored in- that young people are different from adults. Debates concerning transfer policies can be viewed from different angles. Developmental psychologists would ask whether the differences drawn between people of various ages under the law are rational in light of what is known concerning age variation in different aspects of social, emotional, and intellectual functioning (Hoge, Guerra and Boxer, p. 79). One major issue based on developmental psychology that emerges is about the creation of a boundary between young people and adults in matters of criminal justice. Developmental psychology seeks to identify the scientific reasons that justify the separate treatment of adults and young people within the criminal justice system, especially with reference to the age bracket, 12-17 years, highly under political analysis currently (Steinberg para, 9). First and foremost, this age bracket is an intrinsically intermediary phase. It involves swift as well as dramatic changes in individual’s social, intellectual, physical, and emotional capacities. It is a phase where a line concerning competence and incompetence of individuals can be drawn. Secondly, teenage years are a period of potential flexibility (Gale p, 98). Young people are heavily influenced by experiences in school, at home, as well as other social settings. To the level that flexibility is possible, transfer of young people into a criminal justice system that rules out a rehabilitative response may be an unrealistic public opinion (Siegel and Welsh, p. 11). Adolescence is a decisive phase through which numerous developmental trajectories are firmly set up and increasingly hard to change. Numerous experiences that adolescents go through have devastating cumulative impacts. Irrational decisions and poorly formulated policies relating to young offenders may have unpredictable harmful outcomes (Gale, p. 104). According to Steinberg, mitigating factors such as mental illness, emotional stress and self defense should be critically evaluated when trying a young person (para, 14). A punishment that is fair to an adult may be unfair to a young person who was not aware of the penalties of his/her actions. It would therefore be unethical to give life sentences to juvenile offenders. The way laws are interpreted and applied should vary when dealing with a case in which a defendant understanding of the law is limited by intellectual and emotional immaturity. The repercussions of administering long and severe punishment are very different when the offender is a young person as compared to when he/she is an adult (Steinberg, para. 17).

Transformation of Carl in A Bridge to Wisemans Cove Essay -- James Mal

A BRIDGE TO WISEMANS COVE By James Maloney *Compare the character of Carl at the end of the novel with the person you met at the start* James Maloney in A Bridge to Wisemans Cove takes us on a journey into the life of a young, awkward, self-conscious teenager with the name of Carl Matt. We watch Carl grow into a confident, head strong young man through his experiences of making friends and starting relationships. These experiences all lead him to finally feel loved and free. We follow Carl through the challenges that he faces and endeavours to find where he stands in life. The Carl we meet at the end is completely different to the one we met at the start. Carl matures into a person who has friends and high self esteem, someone who is comfortable with his decisions and makes independent choices. At the beginning of the text when he and Harley first arrived at Wattle Beach, Carl didn?t belong, he didn?t fit in with anyone his own age. He arrived with a reputation, constantly shadowing him, seemingly pinned to the name that he bore. Matt. Everyone looked at him and his relatives in disgust. But throughout the story, Carl has tried and succeeded in proving them wrong. Everyone pushes Carl around but through the experience of getting the job at the barge, befriending Skip Duncan, joy, Justine and Maddie, Carl learns to stand up for himself and the people he loves and cares about. He shows this when he stands in the way of Maddie and Nathan when he believes that Maddie may possibly be in harms way. ?It was no different from standing on the barge, confident in what he knew.? Carl has turned into a young man who is confident in what he knows and will let nothing stand in the way of what he thinks is right. Carls jo... ... then meets Joy Duncan and Justine who just like him the way he is, they are not concerned with his social status, they like him because he is a kind, genuine boy. As the text goes on, we watch Carl and Justine?s relationship flourish into something bigger. This helps him with his self esteem. Justine shows him the true meaning of friendship and shows him that he is loved and worthwhile. There is also Carl?s relationship with Maddie. At the beginning of the story, Carl follows Maddie around because he notices her, she stuck out from a crowd. He then helped her on New Years Eve. Maddie was quite cruel to Carl but he never gave up and near to the end of the novel, they form a true friendship. Maddie, Carl and Justines friendship was very important because they all leaned on eachother through hard times, like the hard times Carl and Maddie were going through.

Foundation by Isaac Asimov Essay

Foundation is the first novel in Isaac Asimov’s Foundation Trilogy (later expanded into The Foundation Series). Foundation is a collection of five short stories, which were first published together as a book by Gnome Press in 1951 which, together, form a single plot. Foundation saw multiple publications—it also appeared in 1955 as part of Ace Double D-110 under the title â€Å"The 1,000-Year Plan†. Four of the stories were originally published inAstounding Magazine (with different titles) between 1942 and 1944, and the fifth was added when they first appeared in book form. A further two books of short stories were published shortly after, and decades later, Asimov wrote two further sequel novels and two prequels. Later writers have added authorized tales to the series. The Foundation Series is often regarded as one of Isaac Asimov’s best works, along with his Robot series. Plot summary Foundation tells the story of a group of scientists who seek to preserve knowledge as the civilizations around them begin to regress. The Psychohistorians (0 F.E.) (First published as the book edition in 1951) Set in the year 0 F.E., The Psychohistorians opens on Trantor, the capital of the 12,000-year-old Galactic Empire. Though the empire appears stable and powerful, it is slowly decaying in ways that parallel the decline of the Western Roman Empire. Hari Seldon, a mathematician and psychologist, has developed psychohistory, a new field of science and psychology that equates all possibilities in large societies to mathematics, allowing for the prediction of future events. Using psychohistory, Seldon has discovered the declining nature of the Empire, angering the aristocratic members of the Committee of Public Safety, the de facto rulers of the Empire. The Committee considers Seldon’s views and statements treasonous, and he is arrested along with young mathematician Gaal Dornick, who has arrived on Trantor to meet Seldon. Seldon is tried by the Committee and defends his beliefs, explaining his theories and predictions, including his belief that the Empire will collapse in 500 years and enter a 30,000-year dark age, to the Committee’s members. He informs the Committee that an alternative to this future is attainable, and explains to them that creating a compendium of all human knowledge, the Encyclopedia Galactica, would not avert the inevitable fall of the Empire but would reduce the dark age to one millennium. The skeptical Committee, not wanting to make Seldon a martyr, offers him exile to a remote world, Terminus, with others who could help him create the Encyclopedia. He accepts their offer, prepares for the departure of the â€Å"Encyclopedists† and receives an imperial decree officially acknowledging his actions. The Encyclopedists (50 F.E.) (published May 1942 as â€Å"Foundation†) Set in 50 F.E., The Encyclopedists begins on Terminus, which has no mineral resources but one region suitable for the development of large city, named Terminus City. The colony of professionals, devoted to the creation of the Encyclopedia, is managed by the Board of Trustees of the Encyclopedia Galactica Foundation, composed solely of scientists. The affairs of Terminus City itself are handled by the city’s mayor, Salvor Hardin, who is virtually powerless due to the influence of the Board of Trustees. However, Hardin does not accept the status quo, which he believes puts Terminus in danger of political exploitation by the neighboring prefects of the Empire, which have declared independence and severed contact with Trantor. Hardin, recognizing the imminent downfall of imperial power due to the loss of the Empire’s outermost region, decides that the only way to ensure Terminus’s continued survival is to pit the four neighboring â€Å"kingdoms† against one an other. Hardin manages to avoid an attempt by the Kingdom of Anacreon to establish military bases on Terminus and to take advantage of nuclear power, which Terminus retains but which the Four Kingdoms do not. Hardin succeeds in diverting Anacreon from its initial goal and furthers his goal of the establishment of a stable political system on Terminus. Hardin’s efforts, however, are still resisted by the Board of Trustees and its chairman, Dr. Louis Pirenne. To remove this obstacle, Hardin and his chief advisor, Yohan Lee, plan a coup d’etat designed to remove the Board of Trustees from its politically powerful position on the same day that, in the city’s Time Vault, a holographic recording of Hari Seldon is programmed to play. The recording will contain psychohistoric proof of Hardin’s success or failure; Hardin realizes that his coup is a great gamble due to the possible case that his beliefs are incompatible with Seldon’s original goals. The next day in the Time Vault the holographic video of Hari Seldon appears. He is in his wheelchair and his voice is old and soft. He reveals that the Encyclopedia Galactica is a distraction intended to make the colony’s creation possible. The true purpose of the Foundation is to form one nucleus of a Second Galactic Empire and shorten the predicted period of chaos to a mere thousand years, rather than thirty thousand years. After the video ends, the Board of Trustees admits they were wrong to Hardin and schedule a meeting to discuss their next action. Hardin smiles, knowing they would be giving orders no longer. Out there in Terminus City Yohan Lee’s men were already in control. In two days time Anacreon would be landing in force, but that was fine, in six months they would be giving orders no longer as well. Salvor Hardin had guessed the solution, and as Hari Seldon said, it was obvious. The Mayors (80 F.E.) (published June 1942 as â€Å"Bridle and Saddle†) Set in 80 F.E., three decades after the events of The Encyclopedists, The Mayors is set in a time where the Encyclopedia Foundation’s scientific understanding has given it significant leverage over the Four Kingdoms, though it is still isolated from the Galactic Empire. Exercising its control over the region through an artificial religion, Scientism, the Foundation shares its technology with the Four Kingdoms while referring to it as religious truth. Maintenance technicians comprise Scientism’s priesthood, trained on Terminus. A majority of the priests themselves are unaware of the true importance of their â€Å"religion†, referring to advanced technology as â€Å"holy food†. The religion is not suppressed by the secular elite of the Four Kingdoms, reminscient of Western European rulers of the early medieval period, who use it to consolidate their power over the zealous populaces. Salvor Hardin, as Mayor of Terminus City, is the effective ruler of the Foun dation, and has been reelected as mayor continuously since his political victory over the Encyclopedia Galactica Board of Trustees. However, his influence is suddenly checked by a new political movement led by city councillor Sef Sermak, which encourages direct action against the Four Kingdoms and a cessation of the scientific proselytizing encouraged by Hardin’s administration. The movement, whose followers refer to themselves as Actionists, is wildly popular, and Hardin is unable to appease Sermak and the Actionist leadership. The kingdom that is most concerning to the Actionists is that of Anacreon, ruled by Prince Regent Wienis and his nephew, the teenaged King Lepold I. Wienis plans to overthrow the Foundation’s power by launching a direct military assault against Terminus, making use of an abandoned Imperial space cruiser redesigned by Foundation experts to fit the needs of the elite Anacreonian navy. However, Hardin orders several secret technological devices to be incorporated into the ship’s design prior to its completion. Wienis plans to launch his offensive on the night of his nephew’s coronation as king and sole ruler of Anacreon. Hardin attends the coronation ceremony and is arrested, but has arranged with Anacreonian High Priest Poly Verisof, who is aware of the true nature of Scientism, to foster a popular uprising against Wienis. Convincing the Anacreonian populace that an assault against the Foundation and Terminus is blasphemous, Verisof leads an infuriated mob to the royal palace and surrounds it, demanding Hardin’s release. Meanwhile, the crew of the space cruiser mutinies against its commander, Admiral Prince Lefkin, Wienis’s son. Lefkin confronts the mutineers and, captured, is forced to broadcast a message to Anacreon demanding Wienis’s arrest and threatening a bombardment of the royal palace if that and other demands are not met . Wienis, maddened by his failure, orders Hardin’s execution, but his royal guardsmen refuse to obey him. Attempting and failing, due to a protective energy field, to kill Hardin personally, Wienis commits suicide. Hardin is proven correct again upon his return to Terminus City by another Seldon recording, set to play at this date. Though Actionists continue to hold a significant amount of power, an attempt to impeach the mayor fails and his popularity is renewed among the city’s residents. It is also confirmed by Hari Seldon that the Foundation’s immediate neighbors, the Four Kingdoms, will now be virtually powerless and incapable of resisting Scientism’s advance. The Traders (About 135 F.E.) (published October 1944 as â€Å"The Wedge†) The events of The Traders are set around 135 F.E., at a time during which the Foundation has expanded greatly and has sent out officially sanctioned Traders to exchange technology with neighboring planets for what amounts to greater political and economic power. Master Trader Eskel Gorov, also an agent of the Foundation government, has traveled to the worlds of Askone, where he hopes to trade nucleics. Gorov, however, is met with resistance by Askone’s governing Elders due to traditional taboos that effectively ban advanced technology. Gorov is imprisoned and sentenced to death; the Elders refuse Foundation requests for clemency. Trader Linmar Ponyets is ordered by the Foundation to try and negotiate with the Elders, and travels to the central Askonian planet. Ponyets meets with the Elders’ Grand Master and deduces that, though he is determined to have Gorov executed, he may be willing to exchange the captive for a suitable bribe, which Ponyets realizes would be a sum o f gold. Ponyets clumsily fashions a transmuter that will convert iron into gold. The Grand Master informs Ponyets that others who have attempted this have failed and have been punished with execution for both their attempt and for their failure; Ponyets succeeds and convinces the Grand Master that the gold is appropriate for Askonian religious decoration, which pleases the Elders. Councilor Pherl, the Grand Master’s protà ©gà ©, appears to be wary of Ponyets. Meeting with the Councilor, Ponyets discovers that Pherl is instead quite willing to work with him, if only due to the chances of eventually attaining the Grand Mastership himself. Pherl, from a different ethnic background than traditional Grand Masters and a young man, believes that a stable supply of gold will be able to dramatically increase his power, and Ponyets provides him with the transmuter. It appears that the friendly Pherl will ascend to the Grand Mastership, while Gorov is released quickly. Ponyets discusses his success with Gorov, who criticizes his techniques due to what he perceives as Ponyets’s lack of morality. Ponyets replies by reminding Gorov of an alleged statement made by Salvor Hardin: â€Å"Never let your sense of morals prevent you from doing what is right!† The Merchant Princes (About 155 F.E.) (published August 1944 as â€Å"The Big and the Little†) Set around 155 F.E., The Merchant Princes takes places against the backdrop of a powerful Foundation, which has subjugated the neighboring Four Kingdoms and expanded its commercial and technological empire throughout numerous stellar systems. However, it continues to meet resistance, and three Foundation vessels have vanished near the planets of the Republic of Korell, a nation suspected of independent technological development. Master Trader Hober Mallow is assigned to deal with Korell and also to investigate their technological developments and find the missing ships. Those who have assigned this mission to Mallow, Foreign Secretary Publius Manlio and the Mayor’s secretary, Jorane Sutt, believe that a â€Å"Seldon Crisis† is underway; they fear that domestic tensions caused by the great autonomy given to Traders and shaky foreign relations may give rise to a nuclear conflict involving the Foundation. Sutt and Manlio, believing that they can weaken the Traders by staging an embarrassing diplomatic incident, plant an agent aboard Mallow’s ship. The agent, a respected Trader, invites a Foundation missionary onto the ship once it reaches Korell. Such missionaries are forbidden to enter Korell, and an angry mob immediately surrounds the ship, demanding the missionary. This rapid response in a remote location arouses Mallow’s suspicions, and Mallow gives the missionary to the mob, despite the frantic intervention of the agent. Later, Mallow meets with Korell’s authoritarian ruler, Commdor Asper Argo, who appears friendly and welcomes Foundation technological gifts. Argo refuses to allow Scientism on Korell, and Mallow agrees not to encourage missionary work in the Republic. Mallow is invited to tour a steel foundry belonging to Korell’s government, where he notes guards carrying atomic handguns. He is surprised to discover that these weapons bear the markings of the Galactic Empire, which the Foundation assumes has fallen by this time. Mallow’s discoveries lead him to believe that the Empire may be attempting to expand into the Periphery again, and has been providing weapons to client states such as Korell. Leaving the Republic and his ship, he journeys alone to the planet Siwenna, which he believes may be the capital of an Imperial province. He finds Siwenna a desolate and sad place, and meets the impoverished patrician Onum Barr in the latter’s isolated mansion, which is slowly crumbling. Barr, a former provincial senator and a leading citizen, had served in the Imperial government on Siwenna during a fairly stable time several decades earlier, before a series of corrupt and ambitious viceroys who each harbored dreams of becoming Emperor. After the previous viceroy rebelled against the Emperor, Barr participated in a revolution that overthrew the viceroy. However, the Imperial fleet also sent to remove the viceroy wanted to conquer a rebellious province even if it was no longer in rebellion, and began a massacre that claimed the lives of all but one of Barr’s children. Mallow is tried for murder upon his return to Terminus, due to turning over the Foundation missionary to the mob. However, he is able to convince the court that the â€Å"missionary† was in fact a Korellian secret policeman who played a part in the conspiracy against the Traders manufactured by Sutt and Manlio. Acquitted, Mallow is received with delight by the population of Terminus, which will almost undoubtedly select him as Mayor in the elections scheduled to take place in the following year. To prepare for the election, Mallow engineers the arrest of Sutt and Manlio, and eventually takes office. However, he is soon faced with tensions between the Foundation and Korell, which declares war on the Foundation, using its powerful Imperial flotilla to attack Foundation ships. Instead of counterattacking, Mallow takes no action, waiting until the lack of Foundation goods forces Korell to surrender.

The starry night

The Starry night Now the darkness took over the sky and a chill ran down my body. The wispy breeze was cold too. The somber path curving up to the ghastly trivial hill, on which I walked alone. But the other side of the hill was proud with light. The path ran amidst prickly scrubs trampled by the locals. On the path were laid water drenched leaves from the shower in the afternoon. The sky was illuminated with tiny emotive objects.Under he colossal tree laid a pit of dry leaves with some streaks of gray smoke making their way through the long butted sack of heat. The starry night started with a chilled breeze blowing and fireflies rode the air current making their way through to safer grounds. I made myself comfortable on soft damp grass and lay down. A man stood on the front, barring the view. He crushed a stalk in his mouth, a Mexican poncho crowned his head, and he bore a cowboy outfit on a lean build.He had his own way, e stood tall with a silhouette marking his practical personal ity. He asked â€Å"what are you doing out here, kid? † I was bewildered and I said Just had food, ‘am chilling, you? † He kept quiet, wind blew, the leaves rattled and the light smoke hustled to get attention. The sky had a startling clout which made me contemplate the environment. In front of the long butted fire stood a rock which stood crisp and rough by the blowing air.It was midnight, an' I still lay on the velvety grass sensing a deep, amp scent of rain, a little bit of moist mud. The cynical curls of clouds ruled the skies, and the stars seemed to have been standing overpowered by the vicious clouds of rain, but as time went past the mighty clouds had been triumphed by the robust Lulus. It seemed very positive while the person by my side lay with his hat covering his cryptic and diplomatic personality. The sky was clear and the moss started to deluge on my face like god left his shower running.I felt exuberant, I unveiled my yes and witnessed the Jovial an d stunning sky and it mesmerism's me, as I gradually stood up and could not see the man. The rabbits hurried as silently as they could to get out of sight. For a moment the entire place felt dull until I the bright sunlight struck my eyes and forced me to look at it. The tedious darkness was defeated by the bright streaks of sun, the light climbed up the hill and it was five in the morning. The ‘cowboy man patted me on the back, his face blushing with an optimistic glow, like it said â€Å"let's move on†.

History of the Gulf War

History of the Gulf War Free Online Research Papers Since the Arab oil embargo of 1974, Western states have attempted to find alternatives to their growing dependence on imported oil. However, the West did a better job of negotiating regional security arrangements to protect the leading sources of oil imports than it did in finding substitutes. With the fall of the Shah of Iran and the Iranian hostage situation, the West lost its only regional military base. This loss caused an increased risk that the Gulf could be dominated by a radical anti-Western power (Cordessman 1-2). When Iraq invaded Kuwait, the West moved quickly and decisively to strike down the enemy that would threaten its allies and deprive it of its supply of oil. In a television address, President George Bush stated, â€Å"No nation should rape, pillage, and brutalize its neighbor,† and â€Å"No nation should be able to wipe a member state of the United Nations and the Arab League off the face of the earth (Smith 1).† The war against Iraq was fought for a high principle. Aggression must be punished. There are many reasons, both military and diplomatic, that caused the U.S. to take military action against Iraq’s aggression. One military reason for American involvement was a strategic argument. This argument centered on the conclusion that fighting now may prevent other wars. If force is not used when words fail, future aggressors will be less likely dissuaded by nonviolent means (Dunnigan and Bay 71-72). National security is supported on a three-legged stool called ‘Military Strategy.’ The legs of this stool must be balanced or national security may be in jeopardy. The stool rests on an angle and that angle represents risks associated with not achieving an objective. There were several risks associated with the U.S. military strategy used in the Gulf War. The first risk the U.S. faced was credibility. The U.S. had to prove to the world that it could handle the diplomatic and military challenges posed by Iraq. The second risk was the potential for a great number of casualties. The U.S. took a calculated risk in assuming that the ultimate toll of American and Allied lives would be lower if it applied overwhelming military force (Dunnigan and Bay 73). National security was threatened and the U.S. military strategy was employed. President Bush acted immediately to protect U.S. interests and to punish aggression when the first Iraqi tanks crossed into Kuwait. The national security objective: to deter aggression against the U.S., its citizens, interests, or allies, and defeat such aggression if deterrence fails was achieved. America demonstrated to the world that it has the forces and will use them to counter aggression when its vital interests are at stake. The U.S. used a sequential, step-by-step approach towards attaining their military objective. The strategy was to execute a series of discrete steps and actions to attain the objective. Reinforced by cumulative strategies, the U.S. achieved crushing results. The first strategy was to use an indirect approach, focusing on economic sanctions and non-military options. President Bush immediately signed two executive orders which froze Iraqi assets and barred U.S. trade with Iraq. Economic sanctions began to take hold but there was a marked increase in enemy forces in Kuwait. Naval warships that were stationed in the Gulf were bolstered to demonstrate a show of force. The goal was to prevent or limit the scope of war. Naval operations were a vital part of the Gulf War. Surface warships and amphibious craft threatened the Kuwait coast. The Navy fleet destroyed the small but potentially effective Iraqi coast defense navy; neutralized Iraqi mines; and threatened a major amphibious assault on Iraqi forces in Kuwait. Allied Naval forces maintained the naval embargo and isolated Iraq from the outside world. The Navy stood ready to lead reentry into the Arabian Peninsula if Arab and American ground forces were overwhelmed. These actions supported the maritime theory which provides that we can subdue an enemy if we control the seas and starve the enemy. The continental theory stresses that a decisive victory can be achieved by destroying the enemy’s armed forces and then physically occupying their territory. Continental strategists believe that air and naval forces serve only to support ground forces. There were two phases of Operation Desert Storm which support this theory: the air war and the ground offensive. Allied forces waged the air war to win air supremacy, destroy strategic targets, and to degrade Iraqi ground forces. Using a series of discrete, sequential actions, the allied forces gained air supremacy and destroyed targets vital to the Iraqi war effort. The Iraqi air defense system was rendered ineffective. The allies continued the air war to maximize Iraqi and minimize allied casualties. Air power was the key component in the Allies’ psychological warfare campaign to demoralize the Iraqi Army. These actions paved the way for the ground war. General Schwarzkopf’s plan for the ground war was the climax of the cumulative strategy. The general used the direct strategy and utilized principles of deception, concentration of force, and speed. The goal of the ground war was to regain control of Kuwait by neutralizing Iraqi ground forces (Britannica 231-232). Operation Desert Storm was an AirLand Battle. All allied weapons systems and troops worked together, complementing one another, so that speed and firepower overwhelmed Iraq. The Allies used initiative. U.S. forces used agility to execute rapid and bold maneuver in the ground campaign. The coalition used depth to retain the ability to fight and defend in any direction. Synchronization was used to put all the pieces together in a continuous combat operation (Dunnigan and Bay 263). The strategies used by the U.S. in the Gulf War were developed for a limited war. Allied forces joined and engaged their military forces to defeat the enemy using well-trained manpower and technologically advanced weapons systems. NATO member nation-states joined forces to protect and defend Kuwait from the Iraqi invasion using a strategy of collective military security. The collective military strategy posed some problems for the allies. One of the problems was the difference in equipment. Each member state had its own way of caring for equipment. Communications equipment and procedures presented a big problem. New procedures were developed on the spot to address this problem. The coalition of allied forces combined strength to increase their military might and demonstrate a show of force. The major key was a direct strategy whereby force was the essential factor. Psychology and planning was the minor, indirect strategy. Propaganda which demoralized the enemy and strategic bombing and naval warfare were parts of the direct and indirect strategies. The U.S. made the first strike offense. Massive firepower virtually eliminated all efforts for retaliation. Air power cut Iraqi communications and denied air reconnaissance. The coalition forces isolated the Iraqi Army and nearly killed it. The Allies effectively used their forward defense strategy to contain the Iraqis and prevent them from expansion. The Iraqis’ initial approach to military strategy was to assure the U.S. that its oil supply was not in jeopardy and that Israel would not be attacked. The Iraqis believed that by making these assurances, the U.S. would not interfere in its quarrel with Kuwait. Iraq was using a deterrent strategy to induce the U.S. from retaliating against it. The deterrent strategy was also present in Saddam Hussein’s Iraq-Arab diplomatic talks. The Iraqis would not attack their neighbors if they would agree to give billions of dollars in gifts, forgive Iraq’s war debts, and make certain land concessions. The Iraqi Army was a formidable force. The Iraqis had billions of dollars’ worth of Russian and Western equipment. They also had a large cadre of experienced NCOs and officers which made them highly competent (Dunnigan and Bay 76). The Gulf War was a general war for Iraq. The Iraqis employed all of their resources to win and faced the possibility of total destruction. The Iraqis marched on Kuwait using a direct military strategy. They built defensive positions and engaged in a head-on battle with the Kuwaitis. They also launched a direct airborne assault against Kuwait and moved to secure the Saudi border. These actions support the continental theory which says that victory can be achieved by destroying the enemy’s armed forces and then physically occupying their land. The Iraqis were always on the defensive. They improved their defensive positions and fortified the area with fire trenches, minefields and other obstructions. These defensive strategies were designed to conquer Kuwait and improve Iraq’s ability to counterattack. Iraq used a direct strategy throughout the war. The Iraq-Iran War had left them well equipped and experienced. They expected to use fortification and deception skills to defeat the enemy. The Iraqi forces were fierce on paper. The Army was the fifth largest in the world, with some 950,000 personnel, 5,500 main battle tanks, 10,000 other armored vehicles, and nearly 4,000 artillery pieces. The Air Force of 40,000 personnel had 689 combat aircraft. The Army and Air Force had extensive combat experience from the 1980-88 Iraq-Iran War, including large-scale use of chemical weapons. Iraq was also developing biological weapons. Iraq also was capable of delivering chemical and biological weapons. Iraq intended to use its forces to clearly demonstrate a show of force. Assured destruction is when an aggressor can inflict unacceptable damage on a foe, even after absorbing a first attack. Iraq would use chemical and biological weapons even after the allies had made the first strike offensive. The Iraqis used the assured destruction strategy as an defensive tactic. The Iraqis used the second strike strategic concept as a deterrent to show the U.S. that it maintained the ability to fight back. The strategy was to dig, fortify Kuwait and create a huge â€Å"hedgehog† defensive position. Iraq used its elite Republican Guard for the forward defense. These dug-in forces and complementing minefields, tank traps, fire trenches and other trench and bunker warfare were supposed to frighten the Allies. This was a psychological strategy that was designed to convince the coalition that attacking Iraqi forces would lead to heavy casualties among allied troops. The Iraqis’ objective was to show force throughout the Gulf War. Their strategy was a direct, head-on tactic. The threat of chemical warfare was consistently used as a psychological deterrent. During the Gulf crisis, the U.S. moved quickly and decisively to strike down an enemy that would deprive it of its supply of oil and threaten its national security. The war was a personal crusade for President Bush. It was a black and white struggle between good and evil; an opportunity â€Å"to stand up for what’s right and condemn what’s wrong (Smith 1).† Aggression had to be punished. WORKS CITED Bennis, Phyllis and Michael Moushabeck. Beyond the Storm. New York: Olive Branch Press, 1991. Cordessman, Anthony H. The Gulf and the West Strategic Relations and Military Relations. Colorado: Westview Press, 1992. Dunnigan, James F. and Austin Bay. From Shield to Storm, 1st ed. New York: William Morrow and Company, 1992. Sergeants Major Academy, U.S. U.S. Military Strategy. Fort Bliss, Texas: 1997. Smith, Jean Edward. George Bush’s War. New York: Henry Holt and Company, 1992. â€Å"The Gulf War.† Encyclopedia Britannica, Inc. (1992), 231-232. Research Papers on History of the Gulf WarAppeasement Policy Towards the Outbreak of World War 2Open Architechture a white paperEffects of Television Violence on ChildrenAssess the importance of Nationalism 1815-1850 EuropePETSTEL analysis of IndiaCapital PunishmentIncorporating Risk and Uncertainty Factor in CapitalGenetic EngineeringThe Project Managment Office SystemNever Been Kicked Out of a Place This Nice

Introducing Yourself in English

Introducing Yourself in English Learning how to introduce yourself is an essential  part of learning how to converse in English. Introductions are also an important part of making  small talk  at parties or other social events. Introductory phrases are different than the ones we use to  greet friends, but theyre often used together as parts of the broader conversation, as youll see. Introducing Yourself In this example, Peter and Jane are meeting for the first time at a social event. After greeting each other, they begin by asking simple personal questions.  Working with a friend or classmate, take turns  practicing this role-play. Peter:  Hello. Jane:  Hi! Peter:  My name is Peter. Whats your name? Jane:  My name is Jane. Nice to meet you. Peter:  Its a pleasure. This is a great party! Jane:  Yes, it is. Where are you from? Peter:  Im from Amsterdam. Jane:  Amsterdam? Are you German? Peter:  No, Im not German. Im Dutch. Jane:  Oh, youre Dutch. Sorry about that. Peter:  Thats OK. Where are you from? Jane:  Im from London, but Im not British. Peter:  No, what are you? Jane:  Well, my parents were Spanish, so Im Spanish, too. Peter:  Thats very interesting. Spain is a beautiful country. Jane:  Thank you. It is a wonderful place. Key Vocabulary In the previous example, Peter and Jane are introducing themselves. Several important phrases that they use in this exchange are: My name is...Where are you from?Im from... (city, state, or country)Are you... (Spanish, American, German, etc.) Introducing Other People Introductions in Formal Situations Introductions can occur between more than two people, for example at a party or at a business meeting. When you meet someone for the first time, it is common to greet them by saying, Its a pleasure to meet you, or Pleased to meet you. It is polite to respond by repeating the statement back at them, as Mary does in this example: Ken: Peter, Id like you to meet Mary. Peter: Its a pleasure to meet you. Mary: Its a pleasure to meet you too! Ken: Mary works for... Introductions in Informal Situations In informal situations, especially in North America, introductions are also made simply saying, This is (name). It is also common to just say Hi or Hello as a response in this informal setting. Ken: Peter, this is Mary. Peter: Hi. How are you? Mary: Hello! Pleased to meet you. Ken: Mary works for... Common Introductory Phrases As you can see in the previous examples, there are a number of different phrases that are commonly used to introduce  strangers: (name), I dont think youve met (name).I dont think you know (name)May I introduce you to (name)(name), do you know (name)?(name), Id like you to meet (name) Saying Hello and Goodbye Many people begin and end conversations by saying hello and goodbye to each other. Doing so is considered good manners in many parts of the English-speaking world, and its also a simple way to express friendly interest in whoever youre chatting with. A simple greeting followed by asking about the other person is all that is needed to begin an introduction. In this brief scenario, two people have just met: Jane: Hello, Peter. How are you? Peter: Fine, thanks. How are you? Jane: Im fine, thank you. Once youre finished speaking with someone, its customary to say goodbye as you both part, as in this example: Peter: Goodbye, Jane. See you tomorrow! Jane: Bye bye, Peter. Have a nice evening. Peter: Thanks, you too! Key Vocabulary Key phrases to remember include: Hello... How are you?Im fine, thank youGoodbyeSee you... (tomorrow, this weekend, next week, etc.)Have a nice... (day, evening, week, etc.) More Beginning Dialogues Once youre mastered introducing yourself, you can practice your English skills with more exercises, including telling time, shopping at a store, traveling at an airport, asking for directions, staying at a hotel, and eating at a restaurant. Work with a friend or classmate to practice these role-playing dialogues, just as you did for these exercises.

Using the Spanish Verb Decir

Using the Spanish Verb Decir Decir is the is one of the most commonly used verbs in Spanish; it typically is the equivalent of to say or to tell in English. Examples of Using Decir Usage of decir is straightforward for English speakers. Context will tell you whether say or tell is the better translation.  ¿Quà © dices? (What do you say?)Ella me dijo que iba a volver. (She told me she was going to return.)El presidente dice que su misià ³n central es relanzar la economà ­a. (The president says his prime mission is to relaunch the economy.)Yo digo que nuestro sistema de justicia es un cachondeo. (I say that our justice system is a joke.)A decir verdad no me gusta. (To tell the truth, I dont like it.)Nos decimos que nos amamos. (Were telling ourselves we love each other.) ¿Cà ³mo se dice airport en espaà ±ol? (How do you say airport in Spanish?) ¿Por quà © decimos sà ­ cuando queremos decir no? (Why do we say yes when we want to say no?) Grammar Involving Decir When someone is told something, the person to whom something is told is represented by an indirect-object pronoun. The logic behind this is that the thing being said is the direct object, while an indirect object represents the person affected by what is said. Le dije adià ³s. (I told him goodbye.) ¿Quà © le vamos a decir a la gente? (What are we going to tell the people?)Les decimos que no estn solos. (Were telling them that they are not alone.) In general, decir que (to say that) is followed by a verb in the indicative mood, but no decir que is followed by a verb in the subjunctive. Dije que somos amigos. (I said that we are friends.)No dije que seamos amigos. (I did not say that we are friends.)Decimos que nuestro paà ­s tiene futuro. (We are saying that our country has a future.)No decimos que nuestro paà ­s tenga futuro. (We arent saying that our country has a future.) Common Expressions Using Decir Se dice que or dicen que can be used for the equivalent of it is said that or they say that: Dicen que nadie es perfecto. (They say nobodys perfect.) ¿Por quà © se dice que el mezcal es una bebida mgica? (Why do they say that mezcal is a magic drink?)Se dice que hay hadas en este bosque. (It is said that there are fairies in this forest.) Es decir can translate phrases such as in other words, that is to say, and meaning. Los espacios blancos dan la perspectiva de mas espacio es decir dan la sensacià ³n de ampliacion de los espacios. (The white spaces give the perspective of more space. In other words, they give the feeling of the spaces being expanded.)Hay muchos usuarios de Linux, es decir Ubuntu, Fedora, etc. (There are many users of Linux, that is to say Ubuntu, Fedora, and so on.)Machu Picchu recibià ³ a 1419,507 visitantes en 2016, es decir 3889 por dà ­a. (Machu Picchu hosted 1,419,507 visitors in 2016, meaning 3,878 daily.) Conjugation of Decir The conjugation of decir is highly irregular; it is irregular in every tense except for the imperfect. Changes are made to both the stem and the ending. Also, the present participle and past participles are diciendo and dicho, respectively. Here are the conjugations in the present, preterite, and future indicative tenses: Present: Yo digo, tà º dices, usted/à ©l/ella dice, nosotros/nosotras decimos, vosotros decà ­s, ustedes/ellos/ellas dicen (I say, you say, you/he/she says, etc.) Preterite: Yo dije, tà º dijiste, usted/à ©l/ella dijo, nosotros/nosotras dijimos, vosotros dijisteis, ustedes/ellos/ellas dijeron (I said, you said, you/he/she said, etc.) Future: Yo dirà ©, tà º dirs, usted/à ©l/ella dir, nosotros/nosotras diremos, vosotros dirà ©is, ustedes/ellos/ellas dirn (I will say, you will say, you/he/she will say, etc.) Spanish has several verbs based on decir that are conjugated in the same way. Among the most common are contradecir (to contract) and bendecir (to bless). Key Takeaways Decir is a common verb that means to do or to say.Decir is conjugated irregularly in most of its forms.Se dice que is a popular say of saying they say that.

Commercialisation of Research Findings in Malaysia Article

Commercialisation of Research Findings in Malaysia - Article Example ient which need to be immediately taken into consideration in order to compete profitably in the global scenario (National Economic Advisory Council, â€Å"New Economic Model for Malaysia†). Furthermore, the study of science and technology is crucial for the growth and development of the industries as well as the entire nation. The emerging markets across the world, particularly in Asia are continuously striving to innovate and introduce new products and new services. Hence, for the firms in emerging markets such as India, China and Malaysia, it is important to make considerable investments in research and development (R&D) and effectively initiate R&D outcome at the marketplace for sustaining their competiveness against the developed market firms of America and Japan. At the same time, it is essential for the policy-makers of these emerging market countries to recognize innovation and commercialization as one of the vital issues which needs to be critically addressed for ensuring thriving economic performance (Lester, â€Å"Universities, Innovation, and The competitiveness of Local Economies: Summary Report from the Local Innovation Project — Phase I†).. In the recent times, Malaysia and other developing nations have engaged in following certain strategic approaches for effectively utilizing innovation as one of the sources for growth and development. Over the years, it has been apparent that Malaysia has firmly been focusing its efforts towards transforming itself as an innovation-based economy. Evidently, there has been dramatic shift in terms of information, knowledge and innovation in the past few years. Nonetheless, shift in creativity and innovation alone cannot be regarded as enough for maintaining competiveness in the highly dynamic socio-economical environment. Therefore, emphasizing on research and development and introducing research results effectively at the market is essential for remaining viable in the present highly competitive market.

Analysis for Isle of Wight Food Show Essay Example | Topics and Well Written Essays - 1500 words

Analysis for Isle of Wight Food Show - Essay Example Wiley Events has been the leading event organising company in the IOW. Micro-environment 1.1 The Isle of Wight (IOW) Food Show The IOW has organised the food show for the 3rd time, generally taking place in the first weekend of May. The IOW food show is jointly organised by Isle of Wight Tourism, Isle of White Chamber of Commerce, the Island Traders’ Association and Wiley Events. It is a two-day event taking place from 1pm to 6 pm. Entry to the festival is free as per the Needles Park pay per attraction policy. Exhibitors are charged ?200 for the services rendered to them. Venue of the food show is Needles Park, Alum Bay in the North West of the island. Various stakeholders to the food show include accommodation providers, event organisers, transporters, visitor attractions, the local council and DMO. 1.2 Wiley Events Wiley Events has been the leader in the line of bespoke event management since 2001. Teddy Toddington and Pippa Powell, the partners of Wiley Events carry 20 yea rs experience in event organising. Both are experts in their own right and divide job functions as per their acumen in different event management functions. Wiley is also into advisory role of offering consultancy services to other companies particularly in the areas of sales, operations and administration. 1.3 Isle of Wight Tourism There are 21 specific touring sites, as identified by tourism data. Caravan sites also organise touring and camping, capturing 8% visitors of the event market. Summer is the peak season of tourism in the IOW when occupancy rate is 80%, which reduces to 37% in the spring and 19% in the autumn season. There are 60 worth-seeing sites, as per the Attractions Mini-guide 2005 and places of interest could be 200, as taken from the Tourism Baseline Audit 2003. Macro-environment 1.4 The Isle of Wight – Tourism destination – economy, social, cultural trends, physical environment, business environment Measuring 23 miles by 13 miles, the Isle of Wight boasts of near about 2.6 million visitors each year with an approximate tourism spend of ?352 million a year, tourism being 24% of the Island’s GDP and the first tourism destination to encourage quality and supervised stay facility; Once reaching to the Isle of Wright, one finds the transport infrastructure fully customised for visitors’ comfort. Cultural trends include such events as Taste Festivals, which are held at various places to celebrate local culinary talent. Business environment is very competitive with the Isle of Wight remaining on the top by getting awards for organising festivals, just to name the winning of music festival as the ‘Best Major Festival’ while the award for ‘Best Medium Size Festival’ was cornered for the third year consecutively. Business on the island depends on the initiatives of the stakeholders to use tourism as a tool to re-energise the economy. Success in leveraging this tool can be doubtful if only the trad itional niche area of the tourism portfolio is given attention by focussing just on summer holiday customers and coach and school group market. To reap the benefit, investment on facility and quality staff provision is mandatory otherwise actual contribution of tourism in the local economy would slow down. Negative outcomes can appear in traffic snarls to the displeasure of local people and affecting environment and standard of living. Businesses won’t be able to expand to raise the quality benchmark. Public sector can withdraw support if any of the symptoms

Evolution of Stable Angina into Acute Myocardial Infarction Essay

Evolution of Stable Angina into Acute Myocardial Infarction - Essay Example It is a very variable symptom that varies when is described by different patients, and this makes it one of the most controversial symptoms in the medicine (Melvyn et al. 2010). Stabile angina pectoris is usually first recognized during a general practice (GP) doctor visit or is noticed by a nurse during a home visit or other occasion. GP doctors often must decide if the acute symptoms described by the patient are due to heart problems or some other less acute condition and have limited resources in GP ambulance to do complete more detailed diagnostic tests like a stress test, laboratory findings, angiography or other procedures that are less often found in GP office. Initial recognition of this symptom but also the future monitoring and treatment of these patients is important for the preventing progression of evolution of the coronary artery disease and progression of stable angina pectoris into unstable angina or myocardial infarction (Adam et al. 2007). In this essay, we will con duct a critical review of several studies in order to assess factors that influence the recognition and progression of stable angina pectoris into a more serious condition. Review of studies in relevance to stable angina pectoris in primary care As we mentioned above angina pectoris is a symptom defined by the patient in his own words. This condition can often cause changes like ST depression on EKG strip but very often angina pectoris can occur without any changes on the ECG strip (Hausmann et al. 1991). Because more accurate methods for confirmation of angina pectoris are often unavailable in pre-hospital or pre-clinical settings, anamnesis has an important function as a factor for initial recognition of this disease. But as we mentioned above angina pectoris is a subjective symptom and description of the patients often vary significantly. This condition was researched by Melvyn et al. 2010 who tried to recognize the variations of presentation of these symptoms. For this task, the y recruited patients from two general practice institutions and only included patients that had a diagnosis of angina pectoris or other ischemic cardiovascular (CV) condition or patients that were taking some form of nitrates. All of the participants were subjected to interview conducted by medical professionals and all of the participants were asked the same questions: did they have any chest, jaw or neck discomfort in the last year and how would they describe this discomfort. A total of 64 patients were interviewed. There are a set of widely accepted individual interpretations of angina pectoris that are called angina â€Å"canon†. These symptoms are (Somerville et al. 2008): - association of the symptoms with physical exercise. - positive reaction after administration of medication, - general duration of symptoms during a single attack.

Police effectiveness Essay Example | Topics and Well Written Essays - 500 words

Police effectiveness - Essay Example eness obviously depends on the ability of law enforcement agencies to conform to the ideology, and meet the changing needs, of the society they protect, and to tackle the constant evolution in the character of crime. In democratic societies, policing policies have largely moved away from the rigidity of traditional policing. A policy which is popularly being adopted today is Community Oriented Policing and Problem Solving (COPPS). Community Oriented Policing acknowledges the right of the community to be involved in law enforcement. Prevention of crimes is by working in partnership with community members, and public and private non-governmental organizations, to identify and eliminate the underlying causal factors. There is the decentralization of authority and a personal approach from police officers, who are allotted permanent beats to become familiar members of the community. The focus is on shared responsibility of the police and the community through interactive community meetings, door to door calls and foot or bike patrols, fostering of mutual trust, and the formation of grassroots movements to monitor and report crimes. Community development projects, such as neighborhood clean-ups and combating drug usage, and problem solving, are prioritized. Officers are granted increased discretion and autonomy to deal with problems on a proactive, case-by-case basis, tailoring responses to particular local conditi ons. Rigid procedural responses are not favored. Community Oriented Policing â€Å"is cooperative, communicative and collaborative† (Summerfield, 2005). Problem Oriented Policing emphasizes preventive responses. It acknowledges that community problems may not be strictly criminal in nature and police discretion and locality-specific responses are more effective than arrest and prosecution. It favors a long term approach and a proactive police role. It involves (a) Scanning: identifying a recurring problem, its’ frequency and consequences. (b) Analysis:

The Nude in Post World War II Art Essay Example | Topics and Well Written Essays - 1250 words

The Nude in Post World War II Art - Essay Example But these movements were construed as being of European origin, and were considered essentially foreign to the United States. In the 1930s some American artists staged a strong rebellion against European influences in American art. Grant Wood's American Gothic was typical of a movement called regionalism, whose agenda was to celebrate what was typically American, and to do it in a style that avoided any references to European modernism. But for other American artists the regionalists' embrace of nationalism could only hinder the arts. Kenneth Clark, in his book, the Nude: A study in Ideal Form, studies the classic nude in Greek art. We observe that several of the factors that inspired interest in nudes then, are true today too. Thus, "the nude gains its enduring value from the fact that it reconciled several contrary states. It takes the most sensual and immediately interesting object, the human body, and puts it out of reach of time and desire; it takes the most purely rational concept of which mankind is capable, mathematical order, and makes it a delight to the senses; and it takes the vague fears of the unknown and sweetens them by showing that the gods are like men and may be worshiped for their life-giving beauty rather than their death-dealing power." The idea of "recThe idea of "reconciling contrary states" is, in fact, one of the most significant benefits of creating and viewing the nude. Our everyday life is littered with opposites with which we must somehow work and make sense. Realizing reconciliation in our corporal existence helps us to understand how this is accomplished. The body is both an object, inanimate and art-like, and a subject--a person, a personality. It is universal and yet individual and unique. It is an art form based on geometry, line and angle, light, shadow, meter-reading and lens distance as much as on spontaneous inspiration. The nude in nature reminds us that we are a part of the environment, while making it clear that really we are not. The industrial nude reminds us that we are man-made, yet we are separate from our creations. We see the beauty in the awkwardness of our bodies. We feel peace, although we remain ill at ease. We watch opposites work to create union--harmony despite conflict. All art is sensuous in that it heightens and delights the senses both in the making and the viewing. It is the transformation of the emotional into the physical, the spiritual into the corporal. It is the language of the unspeakable. It gives form to the intangible. It is the very act of extracting what is sacred within us and giving it shape in an experience which is sensual and, in its purest form, arousing. As previously noted, this arousal is efficiently sublimated in most art forms. We can safely enjoy the arousal of the art piece without defining the emotion. We are not suspicious or threatened by our feeling because we know that it is not in regards to the art object (ie: the piece of pottery or abstract sculpture). We are simply aroused by the art itself. The excitement of art is naturally true of figure art as well, but we suddenly become alarmed, because we fear we might be aroused by the subject matter. In truth, we are most likely responding to both the subject and the ar t

Police effectiveness Essay Example | Topics and Well Written Essays - 500 words

Police effectiveness - Essay Example eness obviously depends on the ability of law enforcement agencies to conform to the ideology, and meet the changing needs, of the society they protect, and to tackle the constant evolution in the character of crime. In democratic societies, policing policies have largely moved away from the rigidity of traditional policing. A policy which is popularly being adopted today is Community Oriented Policing and Problem Solving (COPPS). Community Oriented Policing acknowledges the right of the community to be involved in law enforcement. Prevention of crimes is by working in partnership with community members, and public and private non-governmental organizations, to identify and eliminate the underlying causal factors. There is the decentralization of authority and a personal approach from police officers, who are allotted permanent beats to become familiar members of the community. The focus is on shared responsibility of the police and the community through interactive community meetings, door to door calls and foot or bike patrols, fostering of mutual trust, and the formation of grassroots movements to monitor and report crimes. Community development projects, such as neighborhood clean-ups and combating drug usage, and problem solving, are prioritized. Officers are granted increased discretion and autonomy to deal with problems on a proactive, case-by-case basis, tailoring responses to particular local conditi ons. Rigid procedural responses are not favored. Community Oriented Policing â€Å"is cooperative, communicative and collaborative† (Summerfield, 2005). Problem Oriented Policing emphasizes preventive responses. It acknowledges that community problems may not be strictly criminal in nature and police discretion and locality-specific responses are more effective than arrest and prosecution. It favors a long term approach and a proactive police role. It involves (a) Scanning: identifying a recurring problem, its’ frequency and consequences. (b) Analysis:

The Count Down to Zero Assignment Example | Topics and Well Written Essays - 250 words

The Count Down to Zero - Assignment Example The Count Down to Zero films by Lucy Walker illustrates how the production of the nuclear has become a global threat due to its growth in unexpected ways. Further, the discussion has been held by some leading political leaders including Tony Blair, Jimmy Carter and Plame Wilson on the elimination of nuclear weapons due to their mass killings and long lasting effect caused when nuclear weapons are used in war. Some of the arguments include, what do you hope the film will accomplish? The nuclear weapons generally need to be eliminated internationally and the film takes part in making efforts before the entire citizens of the world suffer a nuclear catastrophe (Walker Web). Through this, it is clear that the film is after saving the world, not for entertainment purposes. Did the President Obama's speech to the UN Security Council Affect the direction of the film? Walker asserts that he was greatly impressed by the president spoke in regards to the use of nuclear weapons in war. The policy of President Obama has been consistent and brilliant. Do the film of countdown call for some action? The film of countdown greatly calls for action in eliminating the use of nuclear weapons in war. The film tries to alerts people from different corners of the world to know the exact truth of using nuclear weapons on war (Walker Web). The film provides ideas of weapon inspection treaties and involving some tough issues in investigating the presence of nuclear weapons in Israel, Pakistan, and Iran.

Fat is a Feminist Issue Essay Example for Free

Fat is a Feminist Issue Essay Susie Orbach writes about the reality that many women face with problems of obesity, overweight, social roles, and sex-stereotypes in the US. In â€Å"Fat is a Feminist Issue† the author writes in extend to the main problem that women face with overweight in America, how it has become a serious issue in the topic of obesity, and the typical â€Å"sex-role stereotypes† differences that exist today (449). Manipulated by media ads and the pressure on women to pursue the ideal physical and beauty appearance, Orbach claims that women have been the target of a â€Å"ten billion dollar industry waits to remold bodies to the latest fashion† year after year (451-52). In addition to this, Orbach gives us some background history on fashion and how media ads affected the thinking of those young ladies who lived in the 60’s and 70’s, where television started to be a mainstream along with magazines and radio. Orbach writes that in the 60’s, there were only three ways to â€Å"feel acceptable† within one’s society: to be skinny, flat chested and straight hair (451). By the 70’s the fashion was the opposite. Clearly, this statement clarifies the historical example of the classic American culture, slammed by media ads in which women are bombarded with new fashion styles and new trends every year. The fact of the matter is that Orbach claims that being fat is a â€Å"culturally defined experience of womanhood† (449), however, she calls society to make a change in this issue in which women are constantly fighting a never ending war of overweight and obesity. Response After reading this essay I’ve found there are reasons as to why women in our society today overeat. In terms of overeating, and the pressures society places on women, I agree that sometimes society place too much pressure on them to look or be a certain way. There are indeed some overweight woman who are perfectly healthy, and others who are not. Although, the issue comes when we try to impose what our idea of healthy is, or what it is supposed to look like from our on perspective onto them. This can drive people to depression, and all types of other bad habits like overeating. I also believe that Orbach, was correct when she stated that self –image, and self- consciousness, play a big role in this subject as well. She states that by not living up to the standards placed by society, would essentially be deeming oneself as an outcast, which in today’s society is very true. Those who cannot/ do not keep up with the latest trend, look, and style are no longer considered to be â€Å"in† which is ridiculous. Women especially, should be able to be them despite what new trend comes about, how many more people become skinnier, or whatever the case may be. We should teach that being comfortable in one’s own skin is what is key, staying healthy, and then working one becoming a better you is what comes next. This essay showed me that if one really took the time to think about it, being â€Å"fat† really could be looked at as a social disease that we ideally created and placed on them. I agree, that society, gender roles and the expectations that we place on women can be directly correlated with overeating and obesity. For me, obesity and overeating is something I never quite understood, nor took the time to really critically think about until now. I was skinny as a young girl; my weight was under one hundred pounds and therefore never having to think about being â€Å"fat†. As I got older, I started to gain weight, reaching one hundred and thirty pounds, and then I started thinking â€Å"Wow! I’m fat†. Then I became pregnant and gained more weight, I was â€Å"HUGE† in my eyes. After giving birth I became obsessed with my weight and body image. I started to exercise and eat healthy to lose the weight; I felt pressure from society, family, and friends to lose the weight because I had always been so thin. I even went to the extreme of having lipo after I couldn’t lose the weight by eating right and exercise. That period of my life was a dark and sad time for me; my family didn’t know about my depression, I was under so much pressure to look perfect! Orbach, also touches a subject that I kind of disagree with as she explains: â€Å"the relegation of women to the social roles of wife and mother has several significant consequences that contribute to the problem of fat† (450). The social roles have played an important role in the American culture, especially in women where it’s always the classic stay home mom, taking care of kids and the husband being the only provider. Under these circumstances, perhaps, women don’t feel the necessity to present an ideal physical image once they are married, or to what she claims it’s a â€Å"response to the inequality of sexes† where women feel less valuable and they express some type of rebellion towards the stereotypes that society has created of â€Å"being fat† or impulsive eating disorder (448-49). Reason I don’t agree completely with this subject is because, I know many stay at home mom’s that do want to stay looking good, and feeling good, not only for them, but for their husband and children. Overall, Susie Orbach’s article â€Å"Fat is a Feminist Issue† was a very good one. It teaches us that we should not imply our own beliefs of what the ideal woman should, or should not look like. While at the same time understanding that obesity and overeating are driven by something, some struggle, expectation, or pressure. This implies that would should not be so quick to say being â€Å"fat† is simply a choice that some individuals make and that, that is all there is to it, because there can be other factors. Works Cited

†REFLECTION Monitoring and Ensuring Quality Care

– REFLECTION Monitoring and Ensuring Quality Care Introduction The purpose of this paper is to reflect on a recent personal experience of patient care, which enabled me to achieve a module 9 competency, Actively seeks to extend own knowledge. I will be critically analyzing one nursing practice incident using Boud, et al (1985) model of reflection, (please see appendix 1) which will enable me to monitor and ensure quality patient care in future practice. The nursing incident happened when I was looking after a patient requiring enteral tube feeding (ETF). It is important to note that all confidential information relating to patients, wards, hospitals and professional colleagues has not been included in this paper to ensure ethical practice and adherence to the NMC code of professional conduct, section 5 which affirms that I must guard against breaches of confidentiality (NMC 2008). Reflection is a useful tool for the continuation of professional development among nurses (Somerville and Keeling 2004). The word reflection originates from the verb reflectere which means to bend or turn backwards (Hancock 1998). It is a tool, which unlike text books and videos, does not have a limited shelf-life, it is cost effective, is portable and can be used world wide. Patient Profile The aspect of nursing care I have chosen to reflect on is the care of a patient who required enteral tube feeding (ETF) due to dysphagia a condition in which the action of swallowing is difficult to perform (Unison Health Care 1998). This nursing intervention was essential for a patient in my care, who I shall call John. Please see appendix 2 for Johns past medical history. The Plan of Treatment for John John was admitted to my area of practice six days ago following his CVA. He is receiving ETF via an NG tube as an immediate intervention and is being assessed to see if he is a suitable candidate for a percutaneous endoscopic gastrostomy (PEG) tube which are used as a more permanent form of enteral tube feeding (Holmes 2004). The nasogastric tube is about 22 inches [55.9cm] in length (Holmes 2004) and was inserted into his left nostril down through the pharynx, through the oesophagus and through the cardiac sphincter muscle and into the stomach (Marieb 2001). Food can be administered through the tube directly into the stomach and the swallowing process does not need to take place. The food is administered by a pump that controls the amount of feed given in mls per hour. This description could sound as though ETF is always safe and effective and has no complications. Elia (2001) affirms that ETF is typically safe and easy to administer. However John did experience a number of difficul ties that could have been rectified sooner than they were. On reflection of Johns care it is clear to see (with the benefit of hindsight) that if Johns care was managed differently and if complications were noticed and acted on promptly, his hospital experience could have been very different. 1.) Returning to the experience Problems John faced. John experienced two main complications as a result of ETF. The first was regurgitation of the feed into his throat and mouth and the second was diarrhoea. The rate of the feed had been increased over a period of days to its optimal rate, following the ETF guidelines provided by the NHS trust that I was working in. The infusion was commenced during the night while he was sleeping to allow John greater freedom during the day as he could be disconnected from the pump. The regurgitation happened during the first night that the pump was running at the optimal flow rate. Davis and Shere (1994) report that regurgitation is a common complication of ETF. As a consequence, John had to swallow what had come up into his mouth. The rationale for John to undergo enteral tube feeding was to prevent further weight loss and aspiration which can be caused by dysphagia (DeLegge 1995, Gibbon 2002 and Davies 1999). Aspiration has various meanings, however in this context it refers to the movement of for eign material i.e. fluids or food, into the trachea and further down into the lungs (Unison Health Care 1998). This can occur when the swallowing mechanism is ineffective or impaired. Infection of the lobe of the lung, in which the foreign material has lodged, occurs. This is called aspiration pneumonia (Unison Health Care 1998). Patients suffering from dysphagia are at risk of developing aspiration pneumonia (DeLegge 1995 and Gibbon 2002). ETF was commenced to overcome this risk but now the very intervention that was intended to eliminate the risk has caused an even greater risk of aspiration pneumonia. According to Marieb (2001) there are two stages of deglutition (swallowing). The buccal phase, which is a voluntary action, occurs in the mouth and is the first phase of deglutition. The tongue progressively elevates anteriorly to posteriorly, propelling the bolus through the oral cavity. When the bolus has moved to the base of the tongue, the soft palate is raised, preventing food from being regurgitated via the nasal passage (Davies 1999). The second is the involuntary pharyngeal-oesophageal phase which Davies (1999) describes as a complex sequence of muscular movements. After a CVA the ability to initiate the secondary phase of deglutition can be disrupted resulting in ineffective or complete failure of this phase of deglutition. This short explanation of pathophysiology demonstrates how important it is to know nursing rationales for nursing interventions. Patients suffering from dysphagia can sometimes overcome the problem by eating a pureed diet and drinking thickened fluids, but this depends on the severity of the dysphagia (Stringer 1999). John needs ETF because his dysphagia is too advanced to be overcome by a change in diet. Arrowsmith (1993) recommends that patients who are receiving ETF via a NG tube that are lying in bed, should have their head and shoulders elevated 30-40 degrees during feeding and up to one hour afterwards to minimise gastric pooling and reflux of the feed. This example demonstrates how a simple action can make a substantial impact on the quality of care that they experience. It has the twofold purpose of Impact of the quality of care that they experience. It has twofold purpose of promoting the effectiveness of the intervention and minimises harm to the patient by reducing the risk of aspiration pneumonia. Assessing for signs of aspiration in a patient suffering from dysphagia should always be taken seriously by nursing staff. Stringer (1999) reports that if dysphagia is serious enough it can prevent the victim from swallowing their own saliva. The average person swallows approximately 590 times each day 146 when eating, 394 when awake and not eating and 50 times during sleep (Davies 1999). With the average person swallowing literally hundreds of times each day, patients are at risk of aspirating (on their own saliva) regardless of ETF. Barer (1989) found that over one third of conscious acute stroke patients admitted to hospital had unsafe swallowing. Davies (1999) citing Ellul and Barer (1994) affirms that dysphagia in the first three days after stroke is associated with a five to tenfold increased risk of chest infection during the first week. This is due to varying degrees of aspiration. Aspiration is a potentially fatal complication of ETF. John also experienced three episodes of diarrhoea since starting ETF. John was only provided with a commode which was only dealing with the symptoms rather than treating the cause. No contact was made with the senior house officer or dietician. Furthermore there did not appear to be much concern among the nursing team and there was no discussion or sharing of knowledge between colleagues accept what came from myself. I told my mentor what I had been reading during my reflection time and pointed out some reasons that have been identified as causing diarrhoea for patients receiving ETF. The attitude of my mentor was apathetic, and commented, Hes bound to pick up a bug, give it time, it will pass. This shocked me as Somerville and Keeling (2004) reports that the nursing profession depends on a culture of mutual support, and this was not what I received from my mentor. I wanted to discuss the temperature of the feed, his current medication and the cleanliness in which the feed was prepared and administered. If the feed is too cold when it is administered it can cause diarrhoea (Arrowsmith 2003). Howell (2002) reports that diarrhoea can be the result of ETF but it can also be due to the side effects of medications. Antibiotics can cause the common side affect of diarrhoea (BMA 2001) but John was not receiving any. Diarrhoea in ETF can also be caused through the introduction of bacteria through poor hygiene standards in the preparation and administration of the feed; however the preparation and administration does not need to be performed aspptically. This is only indicated if the patient is immunocompromised (Arrowsmith 1993). My professional knowledge reminded me that I could not dismiss the diarrhoea as a coincidence. If there were nursing interventions that could be used and I didnt use them, I would be failing to provide quality care for my patient. Nurses are responsible not only for their actions but also for their omissions (NMC 2008). I wanted to refer to each others professional knowledge through discussion, and to the ETF guidelines to see if there was a simple cause to the problem that could be rectified before consultation with the doctor or dietician became necessary. I was able to rule out most factors that can cause diarrhoea. This led me to believe that the infusion rate could be too fast. These are the factors that I wanted to discuss with my mentor so I could contact the dietician to seek help from the multidisciplinary team. Gibbon (2002) asserts that stroke care requires the services of a multi-professional te am, working towards an agreed therapeutic plan hence my reason to collaborate with the dietician. 2.) Attending to feelings What did I feel was Positive? During reflection time I was very interested and pleased to find this research to suggest that there could be something that I could do to put an end to the discomfort, distress and potentially disastrous complications of a patient in my care. Many times as a student I have felt that I personally, am not making a great difference to my patients health and wellbeing as I am not working independently, but under my mentor who in general decides on a course of action for our patients. This time I have found the answer from my own research. All that remains is for me to bring this research to my mentors attention and then put the intervention into practice. The patient will benefit, and I will have a great sense of achievement as I will have, in a small way, improved the quality of someones life, accomplishing one of the reasons why I decided to take a career in nursing. Attending to feelings What did I feel was Negative? In response to the apathy that I encountered, I felt disappointed and powerless and undervalued. My original mentor was off on temporary short term sickness due to a small operation and therefore I was allocated another Junior Ward Sister to take her place for the short period of time in her absence. I felt disappointed because my contribution to the care of my patient was not welcomed and that this mentor was not as patient or interested in my learning and on-going development. I also thought it was unfair because I had evidence to base my suggestions on. It was not a vague idea I had conceived but it was grounded in research. I felt powerless because as a junior and inexperienced member of the team I felt I had little influence over the overwhelming hierarchy. Morris (2004) states that student nurses possess little power because they are viewed as inexperienced. I wanted to make my mentor realise that the patient could be suffering (from diarrhoea and regurgitation) because of our negligence and not from inevitable causes. Why was Cognitive Learning Being Achieved? In this situation I was learning a number of things, mainly relating to communication, team work, assertiveness, accountability and responsibility. I learned that my priority is with the care of my patient and not with my popularity among colleagues, just as the NMC (2008) signifies when it states when facing professional dilemmas, your first consideration in all activities must be in the interests and safety of patients. When I met with my original mentor on her return back to work we discussed this incident of practice and she praised my efforts in extending my knowledge to improve patients care. I therefore achieved the competency, actively seeks to extend own knowledge. Do Any Barriers to Learning Exist? The barriers that existed to my learning were the apathy of the nurses and the limits of my own assertiveness. It was very hard on this ward to feel proud of the care that was being given. The ward was poorly staffed, the ward manager was unanimously unpopular, the ward relied heavily on agency staff that was not familiar with the ward and my temporary mentor wanted to leave nursing because of all of the above (and more). As a new and enthusiastic team member I found my self fighting against the low morale and low motivation of the current staff. Job satisfaction can impact on the care that nurses provide. Brown (1995) believes that when nurses enjoy good job satisfaction they provide a higher standard of care to their patients. Rohrlach (1998) and Govier (1999) cited by Kitson (2003) discovered that nurses who were happy with the care they were giving were more likely to stay within the clinical area which would in turn provide some stability and security within the workplace. Accor ding to this research, the inability to give quality care (due to the problems mentioned) was resulting in low morale. The dilemma I faced was as follows. I had already approached my mentor once regarding Johns problems and detected that there was little interest in what I had to offer and in the nurses willingness to correct any problems. If I addressed the issue again, I risked worsening the relationship between my mentor and myself. Morris (2004) identifies that student nurses often feel nervous about speaking out because they feel the need to conform or do not wish to be viewed in a negative way. Student nurses risk upsetting the status quo by speaking out. If I left the issue my patient may be suffering discomfort unnecessarily, but as a student I will never be held accountable in a way that registered nurses midwives or health visitors are (NMC 2008). Would this justify me leaving the issues and conforming to the apathy and bad practice of my mentor? Morris (2004) disagrees. She says that although students are not legally accountable for their actions and omissions, they are morally responsible for ensuring that patients are receiving good standards of care. The student nurse must be responsible. Semple and Cable (2003) affirm that responsibility is concerned with answering for what you do. Registered nurses, midwifes and health visitors are accountable which, Semple and Cable (2003) defines as being answerable for the consequences of what you do. 3.) Re-evaluating the Experience Drawing Conclusions Drawing conclusions is the most vital part of the process of reflection. It will shape future practice and quality of care. Conclusions that are drawn from reflection must agree with the Nursing and Midwifery Council code of professional conduct. It is with the NMC that all matters of conduct, practice and attitude are dictated to nurses. The NMC (2008) motto, protecting the public through professional standards can only be achieved if all those on the NMC register are willing to submit to the conditions and regulations that it upholds. Indeed Somerville and Keeling (2004) affirm that in order for nurses to meet the demands of the NMC, they must focus on their knowledge skills and behaviour which can be achieved through reflection. On reflection of the described incident, it was difficult to know what to do. My mentor was not up to date with the knowledge of this area of practice. I cannot, and do not expect her to know everything, however Glover (1999) points out the nurses should be reliant on others for information. The NMC (2008) states that nurses should work cooperatively within teams and respect the skills, expertise and contributions of colleagues, treating them fairly and without discrimination. Therefore I expected my temporary mentor to take more interest in what I had to offer. Indeed Morris (2004) argues that qualified nurses are obliged to listen to other staff regardless of their qualification status. Announcing that practice should be in accordance with the NMC is too simplistic an answer to such a diverse problem. It is correct to say this but how will this be achieved? The ward is in need of good clinical leadership, first of all from the sister in charge. Nadeem (2002) states that the call for good leadership in the NHS has reintroduced the matron figure and also the new role of nurse consultants. Specialist nurses do have a role in ensuring safe practice and quality care but this should be in addition to effective local leadership i.e. leadership from the ward sister. Leadership is perceived as being good if there is good team working and if managers have good relationships with staff (Lipley 2003) which is one area that needs consideration in this scenario. Meeting the staffs needs improves satisfaction, productivity and efficiency (Nadeem 2002) which in this instance principally means the provision of resources, i.e. human resources. Nurses who are happy with the care they give are more likely to stay within their clinical area (Rohrlach 1998 and Govier 1999 cited by Kitson 2003). This would provide some stability and security in the workplace. Clinical governance has also come to play a prominent role in ensuring quality care. The government has defined clinical governance as a framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding standards of care, by creating an environment in which excellence in clinical care will flourish (Department of Health 1998). It had been noted that unacceptable variations in clinical practice where becoming common in the NHS (Department of Health 2010). While some patients were receiving excellent health care, e.g. in stroke care, other patients in the country were receiving sub-optimal stroke care due to differences in facilities, funding, education and staff. Each clinical area can improve the quality of care by (1) using modern matrons and nu rse consultants as clinical leaders, (2) by having adequate staff to care effectively and to lift morale among existing staff and (3) by implementing clinical governance which will result in the flourishing of good practices across wards, departments and NHS trusts through the sharing of expertise, research and ideas. The wards problems could also be addressed through annual reviews or by encouraging staff to keep an up-to-date portfolio (Somerville and Keeling 2004). This will allow nurses to identify strengths and opportunities for development. Critically analysing using reflection on this incident has been valuable in maintaining the quality of care as set out in the NMC code of professional conduct. Gallacher (2004) says that she questions different peoples practices in order to provide her patients with first class quality care. Clinical practice will not improve if it remains unquestioned. Hindsight gives the practitioner the opportunity to discriminate between good and bad practices. Safe, legal and quality care can only be given if it is in keeping with the NMC code of professional conduct. Reference list Arrowsmith, H. (1993) Nursing Management of Patients Receiving a Nasogastric Feed. In: British Journal of Nursing. 2 (21) 1053-1058 Barer, D. (1989) The Natural History and Functional Consequences of Dysphagia after Hemispheric Stroke. In: Neurol Neurosurg Psychiatry. 52, 236-241 BMA (2008) New Guide to Medicines and Drugs. London: British Medical Association. Brown, R. (1995) Education for Specialist and Advanced Practice. In: British Journal of Nursing. 4 (5) 266-268 Department of Health (1998) First Class Service: Quality in the New NHS. London: The Stationery Office. Davies, S. (1999) Dysphagia in Acute Strokes. In: Nursing Standard. 13 (30) 49-55 Davis, J. Shere, K. (1994) Applied Nutrition and Diet Therapy for Nurses. 2nd Ed. Philadelphia: PA,WB Saunders. DeLegge, M. (1995) Percutaneous Endoscopic Gastrojejunostomy: A Dual Centre Safety and Efficacy Trial. In: Journal of Parenteral and Enteral Nutrition. 19 (3) 239-243 Gallacher, G. (2004) Gaining a Better Understanding of Reflection to Improve Practice. In: Nursing Times. 100 (23) 39 Gibbon, B. (2002) Rehabilitation Following Stroke. In: Nursing Standard. 16 (29) 47-52 Glover, D. (1999) Accountability. In: Nursing Times Clinical Monograph. 27, 1-11 Elia, M. (2001) Trends in Artificial Nutrition Support in the UK during 1996-2000. Maidenhead: BAPEN. Hancock, P. (1998) Reflective Practice using a Learning Journal. In: Nursing Standard. 13 (17) 36-39 Holmes, S. (2004) Enteral Feeding and Percutaneous Endoscopic Gastrostomy. In: Nursing Standard. 18 (20) 41-43 Howell, M. (2002) Do Nurses know enough about Percutaneous Endoscopic Gastrostomy? In: Nursing times. 98 (17) 40-42 Hutton C (2005) After a stroke: 300 tips for making life easier, London.UK Kitson, J. (2003) Education for High Dependency Nursing. In: Paediatric Nursing. 15 (1) 7-10 Lipley, N. (2003) Research Shows Benefits of Nurse Leadership Training. In: Nursing Management. 10 (2) 4-5 Marieb, E.N. (2001) Human Anatomy and Physiology. 5th Ed. United States of America: Benjamin Cummings. Morris, R. (2004) Speak out or Shut up? Accountability and the Student Nurse. In: Paediatric Nursing. 16 (6) 20-22 Nadeem, M. (2002) Evolution of Leadership in Nursing. In: Nursing Management. 9 (7) 20-5 Nursing and Midwifery Code of Professional Conduct. London: Nursing Council (2008) and Midwifery Council. Nursing and Midwifery An NMC Guide for Student of Nursing and Council (2008) Midwifery. London: Nursing and Midwifery Council. Semple, M. Cable, S. (2008) The new Code of Professional Conduct. In: Nursing Standard. 17 (23) 40-48 Somerville, D. Keeling, J. (2004) A Practical Approach to Promote Reflective Practice within Nursing. In: Nursing Times. 100 (12) 42-45 Stephanie K, Daniels, Maggie Lee Huckabee (2008) Dysphagia following stroke (clinical dysphagia) London. Stringer, S. (1999) Managing Dysphagia in Palliative Care. In: Professional Nurse. 14 (7) 489-492 Appendix 1 Three stages to the process of reflection. Boud, Keough and Walker (1985). a) Returning to experience Observations what happened? What was my reaction? Clarify personal perceptions b) Attending to feelings What did I feel at the time? What did I feel was positive? Why is cognitive learning being achieved? What did I feel was negative? Do any barriers to learning exist? Raise awareness and clarify feelings c) Re-evaluating the experience Draw conclusions and insights together with existing knowledge Identify gaps in knowledge Integrate existing and new knowledge

The Depression :: essays papers

The Depression Imagine for a moment, waking up one day to find yourself on a dirty floor, a pile of rags, or maybe even the street. You look down at yourself to find you're wearing the same clothes you wore yesterday, except they are completely filthy and have lots of holes in places like the knees and elbows. You have no access to a mirror to show you what you look like so you go to touch you hair with your hand and find it to be a pile of grease and dirt that obviously hasn't been washed in days, maybe even weeks. You get up and start to head for work, or school, only to realize you have no place to go. The pain of hunger eats away at you, but you just ignore it knowing that there is nothing for you to eat and you have no money to buy any food. You have no job, no money, no family, no hope. Welcome to the Depression. The 1920's was a time of great prosperity in the lives of most Americans and our natural human ignorance made us think it would stay that way forever. We had just come out of the Great War and business was booming, along with agriculture and the stock m arket. The outlook for the future was great, but people failed to understand that economies can't be on the upswing forever, it has to come down sometime. All of the signs of a depression were there; the farmers were producing too much, the uneven distr ibution of income, easy credit/huge debts, imbalance of foreign trade; people just didn't notice them. Not until October 29, 1929--BLACK TUESDAY--anyway, when the bottom of the stock market fell out, taking millions of American lives with it. Even thoug h any didn't admit it, they knew what was on the way. People who had been buying stocks on margin (10% down) suddenly found themselves penniless and in bigger debt than they could imagine. America went into a panic, pulling money out of banks in a frenz y causing many to close their doors. President Hoover tried hard to make the times better for the unemployed first by setting aside almost $800 million for public works like the now Hoover Dam. Conditions, however, failed to improve. His other policies, the Reconstruction Finance Corporat ion (RFC) and the Home Loan Bank Act, also didn't make much difference. The election of 1932 made it clear that the American people were unhappy with Hoover.