Healthcare Policy Assignment Example | Topics and Well Written Essays - 2750 words

Healthcare Policy - Assignment Example A recent evaluation of the UK healthcare policy shows that while policies have contributed to a positive change in society development, there is still need to improve these policies. An area of keen interest is the increase in lifestyle diseases within the country, which has now raised an alarm within the public. Despite the efforts of the NHS policy ton use a preventive approach to reduce lifestyle diseases, it is clear that diseases such as Cancer, hypertension and lung diseases are on the rise. This essay seeks to critically appraise the evaluation of the NHS policy to identify various weaknesses and the strengths of this policy. In the recent past, there has been a great rise in lifestyle related diseases such as cancer, high blood pressure, diabetes, gout and heart diseases (Shepard, 2010: Chock lingam and Beleaguer, 1999). These diseases have become major killers in the world and are very expensive to treat. The government ever increasing budget allocation in health has not made any progress in reducing the health problems in most countries. In the United Kingdom there exists free medical care for its citizens as one way of showing its community towards creation of zero-disease environment (Kumar & Kumar, 2003). The NHS Despite use of many resources used for treatment of patients, it is clear that the health demands are increasing each day as the population grows and there is little chance for the establishment of a healthy society. Statistics show that the government and public spending is expected to spend more on diseases such as cancer and heart diseases in the near future. This has raised question am ong many scholars who feel that the government should find an alternative strategy towards creation of a health environment. The NHS policy has paid a lot of attention to lifestyle diseases in the past ten years. The NHS policy seeks to the reduce lifestyle diseases by engaging a preventive approach that seeks to intervene on this

Abraham Lincoln and Primary Documents Quiz Essay Example for Free

Abraham Lincoln and Primary Documents Quiz Essay 1. One writer maintains that slaves in the South are the â€Å"happiest† and â€Å"freest† people in the world and workers in the North are not. How this is so? 2. For O’Sullivan, how would California benefit once separated from Mexico? 3. According to Angelina Grimke, what could women do to contribute to the abolition of slavery? Women played a vital role in the campaign to abolish slavery, although they themselves lacked even the right to vote. Their campaign techniques were employed to great effect in the struggle for suffrage. In the early years, women influenced the campaign to abolish slavery, but they were not direct activists. This accorded with the prevalent view of women as a moral not a political force. As the campaign gained popularity, they could publish anti-slavery poems and stories. 4. Why does Lincoln in the â€Å"House Divided† speech believe the pro-slavery side was winning regarding the expansion of slavery in the territories? Why does Calhoun in opposing the Compromise of 1850 think the South was at a disadvantage? Because starting the new year of 1854 found slavery excluded from more than half the States by State Constitutions, and from most of the National territory by Congressional prohibition. Four days later, commenced the struggle which ended in repealing that Congressional prohibition. This opened all the National territory to slavery, and was the first point gained†¦Ã¢â‚¬ ¦ Although each side received benefits, the north seemed to gain the most. The North had absolute control over the government. The South 5. Garrison and Fitzhugh refer to Declaration of Independence in their excerpts. How do they use the Declaration? Garrison uses Jefferson’s declaration as a foundation that to prove his thought and to convince the society. his â€Å"Declaration of Sentiments of the American Anti-Slavery Convention† is strongly convincing. He confirms â€Å"that all persons of color, ought to be admitted forthwith to the enjoyment f the same privileges, and the exercise of the same prerogatives, as others; and that the paths of preferment, of wealth, and of intelligence, should be opened as widely to them as to persons of a white complexion.† No matter what are your skin color, and what gender you are in, all people should have the way to be educated, rich and happy. What he advocates is quite similar with Jefferson’s claim that all man have the right to â€Å"pursuit their happiness†. George Fitzhugh’s ideas are totally against Garrison. He is a representative of thought that men are not born equal. Whites are strong, healthy, smart, and blacks are weak, sickly, and foolish. He stated that â€Å"Their natural inequalities beget inequalities of rights.† African American is stupid so they deserve to have no right. Furthermore, African Americans are lower than whites; they cannot survive in society without being â€Å"modified† so they need the white man for survival. However, I disagree with Fitzhugh. I think the reason why black people is â€Å"foolish†, and cannot competitive with white people is they are not allowed to get access to knowledge. White people control their lives and brainwash their minds; therefore, they only have a narrow view that they deserve to be slaves, and they ought to do free labor work for whites. They are â€Å"foolish† because they are uneducated, and because how whites treat them. If African Americans were educated, then they would be a threat to white people. They are kept â€Å"foolish† so it is easy to control them. 6. What were the strategies of Garrison and Douglass in opposing slavery? 7. Compare Lincoln’s First and Second Inaugural addresses. What do you think was his purpose in each? Lincolns main purpose in his First Inaugural Address was to allay the anxieties of the southern states that their property, peace, and personal security were endangered because a Republican administration was taking office. The purpose of Lincolns second inaugural address was to state that slavery was the key component that led to the civil war and he stated that it was possible that slavery had offended God and he retaliated by causing conflict which started the war. He said that since there was now peace, they should take advantage of that and begin a time of reconciliation where there was malice towards no one and charity for everyone†¦Ã¢â‚¬ ¦..Lincoln contradicts himself, giving false hope to southerners hoping to hold onto slavery. He says in his first Inaugural address that he has no plans to interfere (directly or indirectly) with the institution of slavery, also saying he had no right to do so. He still holds onto the idea of secession and how we are a perpetual union and by no means should we be divided. Lincoln leaves the idea of taking actions towards slavery in his first address mainly to win some supporters in the middle states, paying off with West Virginias loyalty to the union. Towards the end of the Civil War, Lincoln make a transformation as he turns bolder (evident in his second inaugural address), disowning slavery and all of its practices, issuing the Emancipation Proclamation. This new view of Lincoln sent a loathsome spirit throughout the South, especially for Lincoln.

Freuds Consideration Of Masochism English Literature Essay

Freuds Consideration Of Masochism English Literature Essay Freuds first detailed consideration of masochism appears in his discussion of sexual perversions in Three Essays on the Theory of Sexuality. At this early date, Freud writes that sadism and masochism are inverse forms of a single sexual perversion centring on pain as an avenue to pleasure.  [1]  Sadism and masochism, at this point in Freuds theoretical understanding are inextricably bound the former being the active, externally directed version of the perversion; the latter being its passive, internally focused form. In fact, it is passivity that defines masochism, not a desire for pain, humiliation or punishment. The term masochism comprises any passive attitude towards sexual life and the sexual object, the extreme instance of which appears to be that in which satisfaction is conditional upon suffering physical or mental pain at the hands of the sexual object.  [2]   Freud considers sadism and masochism to be the most common and most significant of all perversions.  [3]  Although he fails to elaborate the reasons for choosing the second adjective, the choice of the first is most likely related to an understanding of sadism as an exaggeration of the normal aggressive sexual instinct in men.  [4]  Because there is, on Freuds understanding, an intimate connection between cruelty and the sexual instinctà ¢Ã¢â€š ¬Ã‚ ¦ an active or violent attitude toward the sexual object is to be expected; it is only where sexual satisfaction is entirely conditional on the humiliation and maltreatment of the object that the term sadism, as a signifier of perversion of the sexual aim, is entirely appropriate.  [5]  While Freud opines that masochism is further removed from the normal sexual aim than its counterpart, the logic of the transformation of a single sexual instinct into an active and passive form means that masochism shares sadisms purported natu ralness. Even if sadism, then, is represented as an extension or exaggeration of normal impulses and desires most likely because it is more comfortably aligned with a culturally normative understanding of masculinity as active and aggressive it is important to note that masochism, which is an intrinsic part of this pain-related perversion, inevitably shares in the normality afforded sadistic impulses, given the terms of the analysis. The other feature of masochism from this early exposition that merits attention is Freuds description of the transformation from sadism to masochism. According to Freud, masochism is [often] nothing more than an extension of sadism turned round upon the subjects own self, whichà ¢Ã¢â€š ¬Ã‚ ¦ takes the place of the sexual object.  [6]  Although Freud identifies the castration complex and the subjects sense of guilt as part of the mechanism that effects this transformation from sadism to masochism, masochism is at least partially motivated by some form of libidinal interest in ones own self as a sexual object, i.e., masochism is linked in some way with narcissism. In Instincts and Their Vicissitudes, written a decade after the first edition of Three Essays on the Theory of Sexuality, Freud explicitly describes the mechanism of transformation from sadism to masochism as being fuelled by narcissistic investment in ones own self.  [7]  Freud retains his understanding that sadism and masochism are inextricably bound and turn upon a single axis: he continues to describe sadism as cruelty directed toward an other for the purpose of sexual satisfaction and masochism as the desire for cruelty directed toward oneself as a means of sexual satisfaction.  [8]  The presence of masochistic desire in sadistic practice complicates the picture of how the instincts mutate and transform. A sadistic child takes no account of whether or not he inflicts pains nor does he intend to do so. But when once the transformation into masochism has taken place, the pains are very well fitted to provide a passive masochistic aim; for we have every reason to believe that sensations of pain, like other unpleasuable sensations, trench upon sexual excitation and produce a pleasurable condition, for the sake of which the subject will even willingly experience the unpleasure of pain. When once feeling pains has become a masochistic aim, the sadistic aim of causing pains can arise also, retrogressively; for while these pains are being inflicted on other people, they are enjoyed masochistically by the subject through his identification of himself with the suffering objectà ¢Ã¢â€š ¬Ã‚ ¦. The enjoyment of pain would thus be an aim which was originally masochistic, but which can only become an instinctual aim in someone who was originally sadistic.  [9]   Although Freud will abandon some of these ideas, his notion that sadistic and masochistic desire hides other forms of desire will continue to develop. In his essay A Child is Being Beaten: A Contribution to the Study of the Origin of Sexual Perversions, Freud attempts to clarify how masochistic fantasy and practice differ by gender by considering what he characterises as the very common fantasy, both for those in analysis and those who are not, of a child is being beaten.'  [10]  This short phrase is the only description of the fantasy Freud provides; as he observes, those who indulge in the fantasy are often quite uncertain as to the identity and number of the victims or perpetrators of the beating, their own relationship to the victims and perpetrators, their location in the fantasy or even whether the pleasure derived from the fantasy is best described as sadistic or masochistic.  [11]  Freud reports that his male patients in both fantasy and performance always select a woman to perform the role of chastiser.  [12]  In addition, in both performance and fantasy, the male masochists invariably transfer themselves into the part of the woman; that is to say, their masochistic attitude coincides with a feminine one.  [13]  While the figure of woman appears to play an important role in male masochistic fantasy, it is the father who is central. Freud contends that the fantasy of a woman chastiser is a translation of a prior, now unconscious fantasy of being beaten by the father. This unconscious, now repressed, fantasy recovered by and accessible only to the analyst-author Freud works a further disavowal of an even earlier longing to be loved by the father. In the male phantasyà ¢Ã¢â€š ¬Ã‚ ¦ the being beaten also stands for being loved (in a genital sense), though this has been debased to a lower level owing to regression. So the original form of the unconscious male phantasy was not the provisional one that we have hitherto given: I am being beaten by my father, but rather: I am loved by my father. The phantasy has been transformed by the processes with which we are now familiar into the conscious phantasy: I am being beaten by my mother. The boys beating is therefore passive from the very beginning, and is derived from a feminine attitude towards his fatherà ¢Ã¢â€š ¬Ã‚ ¦. The beating-phantasy has its origin in an incestuous attachment to the father.  [14]   Freud fails to elaborate on the character of the transfer to the feminine or the features of the attitude that mark it so. Given the distinction he has drawn between an active sadism and a passive masochism, it may be the passive status of the male masochist alone that renders his fantasy/performance feminine. The meaning of passivity is troubled, however, if we remember that the male masochist conjures the fantasy or seeks the sexual encounter. While passivity has come to mean a willingness or desire to be penetrated in certain male homosexual cultural codes, it is unclear whether the transfer to the womans role is meant to imply this, given that the chastiser in the masochistic fantasy is always a woman. The incestuous desire for the father links the boys and girls beating fantasies. One way to read this common desire is to understand it as a longing to be daddys little girl whether one has a penis or a vagina. On the other hand, this commonality, while marking the boy as feminine, secures the fathers role as the only legitimate object of libidinal connection, even in masochistic fantasies. In other words, even in fantasy structure where it appears the male child is assigning some form of value or surrendering some bit of power to the mother/woman, Freud explains that the fantasy, ultimately, when unravelled, is all about the significance and desirability of the father and that this feature of the fantasy is the only one shared across gender. Although the masochistic fantasy necessarily entails an adoption of a feminine attitude and identity on the part of the male child, this attitude and identity work to reinforce the primacy of the paternal position. Echoing his understanding of the fetish, Freud explains that the conscious masochistic fantasy the translation from love to violence, from father to mother enables the male child to evade homosexuality. In the case of the girl what was originally a masochistic (passive) situation is transformed into a sadistic one by means of repression, and its sexual quality is almost effaced. In the case of the boy the situation remains masochistic, and shows a greater resemblance to the original phantasy with its genital significance, since there is a difference of sex between the person beating and the person being beaten. The boy evades his homosexuality by repressing and remodelling his unconscious phantasy: and the remarkable thing about his later conscious phantasy is that it has for its content a feminine attitude with a homosexual object-choice.  [15]   Like the complicated relationship between fetishistic and homoerotic desire, masochistic fantasy and performance has an uncertain and unstable relationship to heterosexual identity. To state it somewhat differently and more pointedly, this supposed evasion is a retention. Moreover, this homoerotically focused retention, despite its instantiation of the boy in a position of femininity and passivity, creates a bond between the boy and the father and makes men, the masculine ideal, the paternal signifier and male-to-male relationships the primary figures of desire and desirability. According to Butler, Freuds constant conjoining of the evasion of homosexuality with an admission of the homoerotic character of heterosexual male identity forecloses the possibility of masculine homoerotic desire. According to Butlers reading of Freud, desire is always represented as heterosexual, where it appears homosexual, the gender of the desiring subject is refigured so that the heterosexual dynamic ca n be preserved.  [16]  This re-signification, on Butlers view, depends less on the character of the desire in question than on cultural prohibitions of homoeroticism. Finally, in The Economic Problem of Masochism, Freud seeks to understand how to square masochistic desire with his understanding of the pleasure principle a basic instinctual impulse. In this essay, Freud distinguishes three types of masochism: feminine, erotogenic and moral.  [17]  Feminine masochism, the most easily observable form, is found in male patients, who, like those considered in A Child is Being Beaten,' conjure fantasies or seek sexual activity in which they are gagged, bound, painfully beaten, whipped, in some way maltreated, forced into unconditional obedience, dirtied and debased.  [18]  These masochistic fantasies generally signify, according to Freud, being castrated, or copulated with, or giving birth to a baby.  [19]  Erotogenic masochism, which underlies and supports the other forms, is characterised by a libidinal pleasure in pain.  [20]  In Three Essays on the Theory of Sexuality, Freud had rejected the notion that the extreme and exceptional st imuli of painful experiences could carry a sufficient libidinal charge to explain the origin of masochism. In this later essay, Freud turns to the death instinct to find the origin of what he now concedes is a primary masochism, one that does not depend on the transformation of a prior sadistic instinct. According to Freud, one task of the libido is to meet the death instinct and render it innocuous: It fulfils the task by diverting that instinct to a great extent outwardsà ¢Ã¢â€š ¬Ã‚ ¦ towards objects in the external world.  [21]  When this will to power is sexualised, it becomes sadism proper.  [22]   Part of this instinct, however, remains inside the organismà ¢Ã¢â€š ¬Ã‚ ¦ [and] becomes libidinally bound there. It is in this portion that we have to recognise the original, erotogenic masochism.  [23]  Freud admits that analysis can explain neither the precise nature of the interaction between sexual and death instincts nor the precise reasons why the death instinct b ecomes externalised or internalised. The internalisation of a libidinised death instinct, however, manifests in a desire to be beaten, a fascination with castration and a focus on the buttocks and anus as erotogenic zones.  [24]   Moral masochism, the third form that Freud considers, is chiefly remarkable for having loosened its connection with what we recognise as sexuality.  [25]   All other masochistic sufferings carry with them the condition that they shall emanate from the loved person and shall be endured at his command. This restriction has been dropped in moral masochism. The suffering itself is what matters; whether it is decreed by someone who is loved or by someone who is indifferent is of no importance. It may even be caused by impersonal powers or by circumstances; the true masochist always turns his cheek, whenever he has a chance at receiving a blow.  [26]   As Freuds discussion reveals, however, this desexualisation and depersonalisation is only apparent. Moral masochism is characterised by anxiety stemming from unconscious guilt or severe limitation in light of moral sensibilities.  [27]  According to Freud, the super-ego, the agency that serves as the conscience, comes into being through the introjections into the ego of the first objects ofà ¢Ã¢â€š ¬Ã‚ ¦ libidinal impulses namely, the two parents.  [28]  The punishing force whose attention the masochistic ego seeks, therefore, has a personal identity. As Freud notes elsewhere, the father is the primary figure behind the super-ego. Along with the retention of a personal identity behind the masochistic relationship to the super-ego, the connection between the masochistic ego and the paternal super-ego also retains a sexual charge. We now know that the wish, which so frequently appears in phantasies, to be beaten by the father stands very close to the other wish, to have a passive (feminine) sexual relation to himà ¢Ã¢â€š ¬Ã‚ ¦. If we insert this explanation into the content of moral masochism, its hidden meaning becomes clear to us. Conscience and morality have arisen through the overcoming, the desexualisation, of the Oedipus complex; but through moral masochism morality becomes sexualised once moreà ¢Ã¢â€š ¬Ã‚ ¦. Masochism creates a temptation to perform sinful action, which must then be expiated by the reproaches of the sadistic conscienceà ¢Ã¢â€š ¬Ã‚ ¦ or by chastisement from the great parental power of Destiny.  [29]   In a manner similar to the analysis of the beating fantasy of feminine masochism, this description of the mechanics of moral masochism, while representing masochism as both contrary to the interests and perhaps even threatening to the existence of the subject, functions to aggrandise the site of paternal authority and mark the father as the focus of desire.  [30]  Moral masochism, the form among the three that seems most impersonal and non-erotic, turns out, upon analysis, to (also) be about sexual desire for the father. In addition, similar to the way in which the discussion of the beating fantasy introduces homoerotic desire as a feature of heterosexual identity, this description of the homosexualised substratum of conscience and morality complicates the notion of the masochists sexual identity. More interestingly, perhaps, insofar as moral masochism is only an exaggerated form of the normal course of development of the id, the conscience generally. This account of the critical potential of masochistic fantasy depends on the ability of such fantasies to emphasise the conditions of lack that are part of male subjectivity, the ability of such fantasies to challenge the dominant fiction that links the penis to the phallus thus rendering the actual father and by implication all men equivalent to the symbolic father. Although Freuds description of the male masochists fantasy and practice emphasises the feminine position that the fantasist adopts (toward the father) within the fantasy and even draws attention to the male masochists fascination with castration, his account also creates a closed circuit of male-to-male desire that underlines the desirability of both the father and the paternal position and strongly intersects the male child who longs to acquire the phallus with the paternal figure who is understood to possess it. Feminine conduct within this fantasy castration, copulation, parturition while putatively inscribing lac k on the male subject also functions to displace the woman from the fantasy space. While undergoing an imaginary experience of castration may be the price of admission to the masochistic scene, in this arena the son becomes the object of the fathers desire, the source of his sexual satisfaction and the bearer of his children. Far from emphasising universal conditions of lack and loss facing all subjects, the masochistic fantasy has as much potential to render female subjects irrelevant, reducing the world to fathers and sons by circumscribing desire to male homoerotic negotiations and aggrandising male subjects by marking the father as the ultimate object of virtually all desire.

Life of a Slave Girl Essay -- Papers

Life of a Slave Girl Harriet Jacobs constantly refers to friends that help her through her plight for freedom. Relying on the kindness of others seems to be a trend through out her life. Harriet was always helped out when she was a slave and when she escaped from slavery. When ever she got into trouble someone always came to her rescue. Everyone that came to her rescue was risking themselves when they would aid her. Be it a good old friend from the past, someone who knew her mother or a random stranger in the last expected place, there was always someone to save her. She thankfully accepted every bit of aid that came her way. Countless times Harriet speaks of getting help from someone whom she knew when she was little, be it an old friend or someone who is helping her because they knew her mother. People always wanted to help her, and this makes me wonder what she was like. Not once in her story does Harriet describe herself or do we get to know much about her other then how troubled she always is. Harriet was someone of a very strong moral character. Her second master Dr. Flint was relentless in his desires to have her as his lover yet she never gave in. In the situation of a slave this was very unusual. There was nothing to stop Dr. Flint from sticking Harriet in jail or whipping her until she couldn't stand anymore for no other reason then he felt like it. Yet she would not do anything she chose not to. She eventually ran away from him after spending years in his service and spent seven years hiding in an atic that summed up to be a large coffin then serve him and his family any more. She would rather torchure herself then submit to the Flints and do something she felt was wrong. At the age of six Harri... ... to smuggle Harriet north. After much time, he found way by a sympathetic caption of a ship to bring her north. He gave seven years trying to help her with information and a way to get north instead of helping himself. To simply save a friend. After Harriet arived in New York she met Mr. Bruce. His second wife was the greatest help to Harriet through out all of her years. Though she was white, she treated Harriet as an equal and always tryed to do the best for her. At one point Harriet had to flee from New York for fear of being cought and Mrs. Bruce tells her to bring her baby with her so that if she happened to be cought they would have to bring Harriet back to her and that there might be some way to help her then. Eventually Mrs. Bruce enables someone to purchase Harriet for three hundred dollars from Mr. Flint's daughter so that Harriet could be free.

Religion in the Workplace Essay

People around the world have a set of beliefs whether they choose to believe in Jesus Christ or not to agnostic and gnostic, everyone has a set of beliefs which they hold on to. However the question arises on how can we practice it outside our homes specifically at work without imposing other people’s rights who may not hold to the same views as one does. How does the view of a utilitarianism, deontology, and relativism tie into this matter, and could we find a balance on both sides to come to a logical conclusion on how things could be run at a workplace. People seem to shy away when it comes to talk about religion and politics for good reason. One cannot come out of the conversation agreeing with the other side so they revert back to relativism which is a go to for some trying to avoid confrontations, but what about our rights to religious practice at work? Where does one draw the line? We were born with the freedom of choice, this includes choosing to believe in what others tell you, to listen to things etc. One can easily choose to leave the room or place, but where it gets troubling is if it takes place during a meeting and the other persons morals are founded strongly on their religious beliefs and they just might either make or break a company based on their decision or performance. Why though do we feel as if we need to have the right to express ourselves? Well as Mosser., K explains â€Å" because religion is such a basic part of a person’s self-conception, someone may feel his or her right to the free expression of religious beliefs is restricted by not being allowed to state them when and where he or she wishes.† A company may reap the blessings of a group or an individual true Christian and still not be biased to that  person only because of the good that is coming out of it. This would result in good for the greatest number of people according to a utilitarianism view. However there is another side to the coin even in the same ethical theory. Rule utilitarianism states that â€Å"allowing the majority’s religious views to be imposed on a minority does not create the greatest good for the greatest number.† (Mosser K.,) This also brings into light that people cannot be forced into something that they do not want to accept. Christianity was never meant to be forced upon people, but over the years it has been twisted to mean something other then what is true though there are those who still hold faithfully to what is right. Even at mandatory work functions one cannot force prayer or religious service on one without possibly violating state laws. Sam Grover explains â€Å" most likely any prayer or religious service that accompanies a mandatory work event or meeting would violate Title VII discrimination laws under the same reason used in Townley.† (Grover, S. 2010) The next question one could ask themselves how much is too much, when someone continuously asks to attend church or has their bible out on their office desk? Harassment has taken place in the workplace when â€Å"an employee is required or coerced to abandon, alter, or adopt a religious practice as a condition of employment† (Grover, S 2010) A person by no means base their decisions on whether a person is of the same beliefs and or style of worship to give them the greatest good even if that particular religion is the biggest in the workplace, and leave the others hanging dry. In an article written by ACLJ it speaks about prayer in the workplace as being legal, stating â€Å"In sum prayer is not illegal, unauthorized, inappropriate, nor improper – and as long as employees pray before or after working hours, or during official breaks, there should be no problem at all.† (ACLJ 2012) So the person cannot make it mandatory for anyone to participate in a religious gathering nor can they hold it against them in terms of gaining a status at a job, and make it into a utilitarian view on them. So what are the outcomes of the utilitarianism over an issue like prayer in the workplace? One can practice their religion on their own personal time as long as it does not conflict with work and can perform their duties while on the job. The greatest good that comes from this view is that all people are protected in some way or form, but we will always have those who have ethical egoism and that is what the greatest number of people are protected from in the laws that are set forth. Using the view of deontology (Golden Rule) it serves as a good foundation and rule of them to treat others. This view however when looked at and studied, that part of scripture is telling the reader not as a reactive approach, but for them to go and do unto others regardless of how they may treat them. Also, the way this view could be used and twisted is if another person from a different very radical belief thinks it is right for them to force it upon other people talking to them about it at work. No one needs to feel the stresses of a job and then put on top of that, dealing with religious views that one apposes. These laws that were put up were not only to protect the people, but also in a way for the religion. This does not in fact mean to keep going up to someone and throwing scripture at them, unless one wants to have a lawsuit against them and the company, but to be able to meet the other person half-way and realize that I might not like them pushing their beliefs down my throat either. Deontology ethics is grounded in the â€Å"Categorical Imperative† by Immanuel Kent states â€Å"The Categorical Imperative simply declares act as if thy action were to become by thy will a universal law by nature.† We should live our lives to help all mankind and that by this we write our own morals. Would we be okay with others adopting our actions and be able to live with what they do to us since we did it first unto them? If we are at a workplace and there are no regulations established on prayers in the workplace and no guidelines whatsoever set in place. Would one put their beliefs out there and start the religious movement at work by their  actions, but be able to handle and live peacefully when another religion that strongly apposes theirs comes into the picture? Is it better to just leave it at home rather than starting something that perhaps one may not be able to handle very well? Relativism works hand in hand with this issue simply because it is used as a means to get out of a discussion and end it at a peaceful ending instead of coming out of it with a reasonable answer. This only adds to the ongoing issue and cannot solve a problem in the workplace, there are those who by their faith need to pray a certain amount of numbers a day which can in turn affect their work and if given special treatment for this may cause some division amongst co-workers. With utilitarianism, deontology and relativism we see different ways on how all this could play out in the end and while trying to figure out the right decision for everyone. The laws are there to protect people from having to conform to something that they do not believe in but at the same time must meet the freedom of choice in the other persons personal views as long as it does not hinder the good standing work order. References Mosser K., Bridgeport Education Inc, 2013 Ethics and Social Responsibility Grover S., FFRF Summer 2010 http://ffrf.org/faq/state-church/item/14007-religion-in-the-workplace ACLJ 2012 http://aclj.org/workplace-rights/religious-expression-workplace http://www.allaboutphilosophy.org/deontological-ethics.htm

Midterm Learning Reflection Essay

Introduction. You should print this out, although you may also use it as a template to type over. You will be writing two reflections this term: a midterm reflection and a final reflection. The final reflection is the one you want to have ultimately on your portfolio. Both your midterm and final learning reflections must be 700 to 1000 words, which is approximately two to three MLA-formatted pages. You can check your word count by going to Tools/Word Count on the menu bar. Style and Format. The writing style of the learning reflection is primarily expressive, but will also contain narrative elements. You do not need a Works Cited page unless you cite something. So, if, for example, you cite song lyrics, one of our texts, a poem, or even a work of art, then you need a Works Cited page. I’ve included one here to serve you for formatting purposes. File formats. We are going to be learning how to convert Word documents to pdf format so that they load more easily in a browser window. If you can, please practice with one or both of the following two methods, which are what I use (they are free). 1. Install a free pdf converter. These are not truly â€Å"free† in that they either force you to look at some advertising or they add a line on each page advertising the manufacturer of the software. I don’t have a problem with either of these and gladly suffer through the free advertising every time I convert a file to pdf, which I do all the time. The one I use to create all the pdf files for my classes is at http://www.pdf995.com/download.html. Download both the Pdf995 Printer Driver and the Free Converter (they are both free; they are required to work together, but for some reason, they are two separate downloads). After you go through the download and installation process, every time you want to create a pdf file from Word, all you need to do is select File/Print and then chose PDF995, which will show up as a â€Å"printer.† When you initiate this process of creating a pdf file, you will be prompted for a place to save the file, as well as a file name. Be careful to save the file to your H: drive or, if to your C: drive, to ftp (transfer) it over to your H: drive later. You will notice that some advertisements come up as the conversion process occurs. That’s the â€Å"price† you pay for the free conversion software. 2. The other pdf-conversion method I like is to use the free OpenOffice word processing software. This software should be in our labs. You can also download it for free on your own computer, from http://www.openoffice.org/. This is basically an open-source version of Microsoft Office. Once you’ve installed it (it’s large and takes a while to install), you can open any Word document with the OpenOffice word processing program (Open Document). Some of the original Word formatting may be lost – especially the header information with your last name and page number. You will need to add that back in; be sure you do it correctly. When you’re satisfied with the format, there is a little pdf icon on the toolbar that you can click, and that will automatically convert the document to pdf format. Learning Reflection Content. What should you discuss in your reflection? In general, you discuss what you’ve learned, what you’ve done especially well, what you’ve enjoyed – and the challenges you’ve encountered and how you might make changes in the future. Here are some suggestions for what to write about: †¢ Your experience transitioning from high school (or wherever you were previously) to a freshman in college, focusing on how you have grown as an individual and an independent student. †¢ Your experience in this particular course – your year-long freshman inquiry. In this regard, you should probably focus on the University Studies goals and the ways in which you have grown and developed with respect to those goals. I would expect that other courses have also contributed to the goal areas, so you might want to highlight any that have been particularly useful in that regard. †¢ Other experiences as a student here at Portland State. Portland State University’s mission is â€Å"Let Knowledge Serve the City,† which reflects the fact that we are an urban university. What have you learned with respect to community, diversity, and the connection between a learning community (the university) and the city in which it is located? Keep in mind that you may have acquired valuable experiences outside of the classroom, but still connected to your identity as a student. o Perhaps you have learned important lessons about discipline and time management as a student athlete, which may serve you well when you enter the workforce. o Maybe your involvement in activities with other students – such as taking dance classes or playing in the band or spending hours in an art studio or toughing out chemistry and physics labs – has improved your personal skills and brought to light new areas of interest, which you’ve pursued in your free time. o Or perhaps you’ve found out that you are a loner, that you haven’t connected very well with a lot of the people in your classes. As you reflect on this (or any other conclusions that some – maybe you – might consider, well, depressing), think of this is an opportunity to think of ways to make some changes in the future. †¢ A reflection, in other words, should include a self-assessment element as well as thinking along the lines of â€Å"What could I do better or differently in the future?† Consider the challenges you’ve faced, how you’ve overcome them, or how you’d like to overcome them in the future. Conclusion. Your reflection should end in a way that gives the reader the sense that you are closing up a chapter in your life and ready to move on, with some ideas in mind of what you might do differently. My suggestion is that you do not spend a lot of time critiquing the world around you; after all, you can’t change that very much. Confine your reflection to you and what you have learned and experienced. Dwelling on what you don’t like about a given course or program is not a reflection about you, but about something else. Works Cited Eakin, Paul John. How Our Lives Become Stories: Making Selves. Ithaca and London: Cornell UP, 1999. Fiske, John. â€Å"Popular Culture.† Critical Terms for Literary Study. Ed. Frank Lentricchia and Thomas McLaughlin. Chicago: University of Chicago Press, 1995. 321 – 335. Harrison, Claire. â€Å"Hypertext Links: Whither Thou Goest, and Why.† First Monday. 7 Oct. 2002. 10 Feb. 2004 .

Ramona essays

Ramona essays It was a Saturday morning, and I thought it would be a good time to go to the beach with my friends since I had nothing to do for the rest of the week. So I decided to call my best friend Sarah to see if she wanted to drive with me down to the beach Unfortunately, she had a wedding to go to, so she was not able to make it. I was a little disappointed, but I decided to go to the beach by myself. I left home at 3:30 p.m. and arrived at 5:00 p.m. to the beach house. Everything looked the same wa as it did last summer when I came with my sister. The only difference was now I was alone, and that was little scary. The next morning I went to one of my favorite cafes The Italian Coffee. This Cafe held good memories since last summer I worked there. The owners Mr. Roger and Mrs. Roger told me that a job was available if I wanted to work. I thanked them, but e lained that I had other plans for the summer. I told them that the restaurant looked great since it had been renovated. It was very noisy and crowded, yet it had a wonderful atmosphere that customers like. Perhaps, it was the Italian music and the w derful smell of fresh coffee that attracted them. Suddenly a lady came over to my table and asked, '' How are you, Raquel?'' I told her, '' I'm sorry Maam I don't recognize you!. She replied, ''Oooh, Raquel , I'm Elizabeth's aunt''. I said, ''Of course, excuse me''. We started talking about h the place was crowded, and she told me that she had to meet a friend here, but she had not shown up. I told her that it was nice seeing here, but I was expecting a call and I had to go. She promised me she was going to tell Elizabeth to call me so w When I got home to check the answering machine, the telephone rang. It was mom. She said that Sarah was planning to come Monday, and if I needed anything to give her a call. I thanked her and said,'' ...

A comparison between cardiac CT scanning and cardiac digital subtraction angiography (DSA) The WritePass Journal

A comparison between cardiac CT scanning and cardiac digital subtraction angiography (DSA) Abstract A comparison between cardiac CT scanning and cardiac digital subtraction angiography (DSA) ). This review aims to review the literature on coronary CT scanning and digital subtraction angiography, their clinical applications, techniques and comparative value in coronary artery assessment and diagnosis. Cardiac Digital subtraction angiography Coronary angiography is the conventional diagnostic procedure used in coronary artery disease. It is a minimally invasive technique, whereby a catheter is placed into the radial or femoral artery and is advanced through the arterial system to the coronary arteries. A contrast agent is then injected at the aortic root and allows visualization of the arteries using x-ray in real time at up to 30 frames per second. This allows a view of the extent, location and severity of coronary obstructive lesions such as atherosclerosis and enables prognostic indication (Miller et al., 2008). Coronary angiography also enables catheter placement either side of the lesion to assess pressure changes and determines the degree of flow obstruction (Miller et al., 2008). . Digital subtraction angiography (DSA) again works by introducing a contrast agent into the coronary arteries and taking x-rays in real time, however a pre image is taken by x-ray. This allows for the post images to be subtracted from the original mask image, eliminating bone and soft tissue images, which would otherwise overlie the artery under study (Hasegawa, 1987). Unlike conventional angiography, it is possible to conduct DSA via the venous system, through accessing the superior vena cava via the basillic vein (Myerowitz, 1982). This removes the risks associated with arterial cannulation (Mancini Higgins, 1985). The procedure can also be performed with a lower dose of contrast agent and be done more quickly therefore eliminating constraints of using too much contrast during a procedure (Myerowitz, 1982). Whilst DSA is the gold standard in arterial imaging of carotid artery stenosis (Herzig et al., 2004), the application of DSA to the coronary arteries is limited due to motion artefacts associated with each heartbeat and respiration (Yamamoto et al., 2009). There are numerous cardiac clinical applications of DSA, it can be used to assess coronary blood flow (Molloi et al., 1996), valvular regurgitation (Booth, Nissen DeMaria, 1985), cardiac phase (Katritsis et al., 1988), congenital heart shunts (Myerowitz, Swanson, Turnipseed, 1985), coronary bypass grafts and percutaneous coronary intervention outcomes (Katritsis et al, 1988; Guthaner, Wexler Bradley, 1985). However, others have suggested that the coronary arteries are not visualized well due to their small size, movement, their position overlying the opacified aorta and left ventricle, and confusion with other structures such as the pulmonary veins (Myerowitz, 1982). Cardiac CT Scanning Development of CT scanning in the 1990s enabled an increase in temporal resolution that was sufficient to view the beating heart, and they now provide a non-invasive technique for diagnostic and prognostic purposes. Cardiac CT scans have clinical applications that go beyond perfusion investigation, and can be used to assess structure and function of the heart (for example in electrophysiology disorders or congenital heart disease) due to its ability to provide anatomical detail (Achenbach Raggi, 2010). CT scans can be used to assess coronary artery disease with and without injection of contrast agent (Achenbach Raggi, 2010) by calcium scan or CT angiography. Coronary calcium CT scanning uses the evidence base that coronary artery calcium is a correlate of atherosclerosis (Burke et al., 2003) and is a strong prognostic predictor of the future development of coronary artery disease and cardiac events (Arad et al., 2000; Budoff et al., 2009; Achenbach Raggi, 2010). Calcium is easily depicted on CT scan due to its high CT attenuation, and is classified according to the Agatson score, which considers the density and area of the calcification (Hoffman, Brady Muller, 2003). Coronary CT angiography (CTA) allows visualization of the coronary artery lumen to identify any atherosclerosis or stenosis within the vessels. Patients are injected intravenously with a contrast agent and then undergo a CT scan. There are limitations regarding the suitability of patients for coronary CTA due to prerequisites of sinus rhythm, low heart rate and ability to follow breath-holding commands. Additionally, obesity presents a problem for patients that cannot fit into the scanner and affects the accuracy of the procedure. (Achenbach Raggi, 2010). Comparison of cardiac DSA and cardiac CT scanning The technical differences between cardiac DSA and cardiac CT scanning give rise to differences in the clinical indications for the procedures, their diagnostic efficacy and also different risks or relative benefits to the patients. Due to the nature of the images produced by coronary CTA and DSA, each lends itself to different indications for use. Whilst coronary DSA provides imaging of all aspects of perfusion, CTA used with contrast agent also provides this however has the additional advantage of being able to assess structure and function of the heart. Coronary CTA has been shown to have a high accuracy at detection and exclusion of coronary artery stenoses (Achenbach Raggi, 2010). In a multicentre trial conducted by Miller et al. (2008), patients underwent coronary calcium scoring and CT angiography prior to conventional invasive coronary angiography. The diagnostic accuracy of coronary CTA at ruling out or detecting coronary stenoses of 50% was shown to have a sensitivity of 85% and a specificity of 90%. This showed that coronary CTA was particularly effective at ruling out non-significant stenoses. Additionally, coronary CTA was shown to be of equal efficacy as conventional coronary angiography at identifying the patients that subsequently went on to have revascularisation via percutaneous intervention. This was shown by an area under the curve (AUC), a measure of accuracy of 0.84 for coronary CTA and 0.82 for coronary angiography. Miller et al.’s (2008) study included a large number of patients at different study sites, and additionally represented a large variety of clinical patient characteristics. The author’s claim that these factors contribute to the strength and validity of the study findings, and suggest that in addition to using patients with clinical indications for anatomical coronary imaging, should be used as evidence that coronary CTA is accurate at identifying disease severity in coronary artery disease. Miller et al. (2008) did however,, find that positive predictive and negative predictive values of coronary CTA were 91% and 83% respectively and therefore suggested that coronary CTA should not be used in place of the more accurate conventional coronary angiography. A low positive predictive value (in relation to the prevalence of disease) was proposed to be due to a tendency to overestimate stenosis degree as well as the presence of artefacts leading to false positive interpretation (Achenbach Raggi, 2010). Other research providing comparison between coronary CTA and conventional coronary angiogram has highlighted variability in results. A meta-analysis conducted by Gorenoi, Schonermark and Hagen (2012) investigated the diagnostic capabilities of coronary CTA and invasive coronary angiography using intracoronary pressure measurement as the reference standard. The authors found that CT coronary angiography had a greater sensitivity than invasive coronary angiography (80% vs 67%), meaning that coronary CTA was more likely to identify functionally relevant coronary artery stenoses in patients. Despite this,, specificity of coronary CTA was 67%, compared to 75% in invasive coronary angiography, meaning that the technique was less effective at correctly excluding non-diagnoses than invasive coronary angiogram. This research appears to contradict the power of cardiac CTA at excluding diagnoses of coronary artery stenosis as suggested by Miller et al. (2008), he study did combine evidence from over 44 studies to provide their results and therefore had a large statistical power. The authors interpret the results in light of the clinical relevance of cardiac imaging, suggesting that patients with a higher pretest possibility of coronary heart disease will likely require invasive coronary angiography for revascularisation indicating that coronary CTA may be a helpful technique in those patients with an intermediate pre-test probability of coronary heart disease that will therefore not require invasive angiography. Goldberg et al. (1986) investigated the efficacy of DSA in comparison to conventional coronary angiography in 77 patients. They found that the two angiograms agreed within one grade of severity in 84% of single cases and 90% of multiple cases, identifying both patent and lesioned arteries. The results led the authors to conclude that there was no significant difference between the two methods and that DSA could be used in selective coronary angiography to find results comparable to that of conventional angiography. In addition to being a small study into the efficacy of DSA, the study also had several sources of inherent variability that should be considered when interpreting the results. These included differing sizes of digital imaging screen and non-use of calipers, meaning that the interpretation of the images could vary throughout the study. The authors also suggest that whilst showing strong support for the use of DSA in coronary artery disease, the technique may not actually p ermit better prognostic determinations or clinical judgements that are better than conventional angiography, and therefore the further implementation of the techniques may not be founded or necessitated. More recently, there has been further research looking at the effectiveness of DSA as a way of measuring coronary blood flow. Whilst motion artefacts have proven a problem in lots of past research (Marinus, Buis Benthem, 1990; Hangiandreou, 1990), recent research has developed methods to minimise these. Moilloi and colleaues (1996) showed that using a motion-immune dual-energy digital subtraction angiography, absolute volumetric coronary blood flow could be measured accurately and thus provide an indication of the severity of any arterial stenosis.This may provide further suggestion for clinical implementation of DSA. Although these studies provide evidence for the efficacy of cardiac DSA and CTA, they often make comparisons to conventional angiography. This is useful as a baseline comparison, however it is difficult to make comparisons between the two procedures directly due to less available evidence making direct comparisons. Lupon-Roses et al. (1985) conducted a study investigating both coronary CTA and venous DSA. The study looked at the efficacy of both techniques at diagnosing patency of coronary artery grafts compared to the control conventional angiography. CT was shown to diagnose 93% of the patent grafts and 67% of the occluded grafts whereas DSA correctly diagnosed 98% and 100% of patent and occluded grafts respectively. Interestingly, the DSA picked up the 11 grafts that were misdiagnosed by CTA and the CTA picked up the 2 grafts misdiagnosed by the DSA. This data may suggest that individually, DSA has a better profile for diagnosis of coronary artery occlusion, however if the two procedures are used in combination exclusion of patent arteries and diagnosis of occluded arteries would be effective (Lupon-Roses et al., 1985). Coronary DSA and CTA are both non-invasive procedures (unlike the conventional coronary angiography where a wire is placed in the coronary vasculature). With the only invasive part of the procedure being the injection of the contrast material into a vein. This presents a significant advantage to both procedures over that of conventional angiography, and may even permit investigation on an outpatient basis (Meaney et al., 1980). Similarly, both DSA and coronary CTA are favoured because of their intravenous approach, eliminating the risks of bleeding or arterial injury from an intra-arterial catheterization and being able to be used in those with limited arterial access. However, although the intravenous approach used in cardiac DSA makes it favourable, it does lead to difficulty with visualisation of the coronary arteries due to the overlying iodinated pulmonary and cardiac structures (Mancini Higgins, 1985). Therefore,, intra-arterial DSA is also sometimes used (Yamamoto et al., 200 9). As with all CT scanning, coronary CTA carries with it a dose of ionizing radiation (Brenner Hall, 2007). Studies have estimated that for diagnostic CT scanning, patients are on average exposed to 12mSv of radiation during the procedure, the equivalent of 600 x-rays (Hausleiter et al., 2009). Estimates of radiation doses associated with conventional coronary angiography are lower than that of coronary CTA at 7mSv (Einstein et al., 2007). Additionally, DSA technique reduces the radiation dose from that of conventional coronary angiography as the vessels are visualised more clearly (Yamamoto et al., 2008). The dangers of radiation exposure are increased risk of developing cancer, skin injuries and cateracts (Einstein et al., 2007). It is therefore important that the benefits of conducting the procedure greatly outweigh the risk of radiation exposure. CT calcium scanning provides a low radiation dose at around 1mSv (Hunold et al., 2003). Cardiac CT calcium scanning does not require administration of a contrast agent, unlike in coronary CTA and DSA that use iodine based contrast agents. The risks associated with contrast agent include nephrotoxicity and risks of hives, allergic reactions and anaphylaxis (Maddox, 2002). The amount of contrast agent used is partly dependent on the length of the procedure and how clearly the arteries can be visualised. For this reason, both cardiac CTA and DSA use less contrast agent that conventional coronary angiography (Brant-Zawadzki, et al., 1983). CT calcium scanning of the coronary arteries is therefore recommended in those with less likelihood of coronary artery disease (NICE, 2010). Both coronary CTA and DSA require interpretation by trained physicians, and the importance of training and achieving intra-rater reliability should not be underestimated (Pugliese et al., 2009). Conclusion Overall, both coronary CT and DSA have been demonstrated as effective procedures for the imaging of the coronary arteries in CAD (Achenbach Raggi, 2010; Miller et al., 2008; Moilloi et al., 1996; Goldberg et al., 1986). Whilst cardiac CT scanning does provide a wider range of clinical applications, allowing assessment of perfusion as well as cardiac structure and function (Achenbach Raggi, 2010), coronary DSA has many applications that allow assessment of coronary blood flow (Molloi et al., 1996; Katritsis et al, 1988; Booth, Nissen DeMaria, 1985; Guthaner, Wexler Bradley, 1985; Myerowitz, Swanson, Turnipseed, 198). Both cardiac DSA and CTA procedures have their advantages. As non-invasive procedures, these techniques pose less risk to patients, and enable the possibility of outpatient investigation, to be used to rule out diagnoses and to avoid inappropriate invasive coronary angiogram (Gorenori et al., 2012). Additionally, intravenous access is preferential to arterial cannulation for the contrast infusion, removing the risks associated with bleeding or intra-arterial injury. Cardiac DSA exposes the patient to a lower dose of radiation that coronary CTA (Hausleiter et al., 2009; Yamamoto et al., 2008; Einstein et al., 2007), which is beneficial at reducing the risk of genetic mutations and cancer. Cardiac CTA and DSA also have their common disadvantages. The use of contrast agent may present side effects for the patient including kidney damage and risk of allergic reactions and anaphylaxis (Maddox, 2002). For this reason, calcium CT scanning can be useful in patients that are not at high likelihood of coronary artery disease (NICE, 2010b). Additionally, both cardiac DSA and CTA are subject to motion artefacts from respiration and heart beats, which can cause difficulties with interpretation (Achenbach Raggi, 2010; Yamamoto et al., 2009). In the case of cardiac CTA, this excludes a subset of patients that are unable to follow commands and those who have high heart rates. Overall, cardiac CTA and cardiac DSA are effective, non-invasive imaging techniques for assessment of coronary artery disease. Whilst they are not the gold standards in cardiac monitoring, they can provide important diagnostic information without exposing patients to the risks of invasive angiography. Due to this, their use should be weighted against clinical need, the risks of the procedures, and the suitability of the patient. Interpretation of cardiac CTA and DSA imaging should be by trained individuals. References Achenbach, S., Raggi, P. (2010) Imaging of coronary atherosclerosis by computed tomography. European Heart Journal. 31:1442 Arad, Y., Spadaro, L. A., Goodman, K., Newstein, D., Guerci, A. D. (2000). Prediction of coronary events with electron beam computed tomography.Journal of the American College of Cardiology,  36(4), 1253-1260. Booth, D. C., Nissen, S., DeMaria, A. N. (1985). Assessment of the severity of valvular regurgitation by digital subtraction angiography compared to cineangiography.  American heart journal,  110(2), 409-416. Brenner  D. J., Hall  EJ.  Computed tomography: an increasing source of radiation exposure.  Ã‚  N Engl J Med.  2007;357(22):2277-2284 Budoff, M. J., McClelland, R. L., Nasir, K., Greenland, P., Kronmal, R. A., Kondos, G. T., Blumenthal, R. S. (2009). Cardiovascular events with absent or minimal coronary calcification: the Multi-Ethnic Study of Atherosclerosis (MESA).  American heart journal,  158(4), 554-561. Bugiardini, R., Manfrini, O., Pizzi, C., Fontana, F., Morgagni, G. (2004). Endothelial function predicts future development of coronary artery disease a study of women with chest pain and normal coronary angiograms.Circulation,  109(21), 2518-2523. Burke, A. P., Virmani, R., Galis, Z., Haudenschild, C. C., Muller, J. E. (2003). Task force# 2- what is the pathologic basis for new atherosclerosis imaging techniques?.  Journal of the American College of Cardiology,41(11), 1874-1886. Einstein, A. J., Moser, K. W., Thompson, R. C., Cerqueira, M. D., Henzlova, M. J. (2007). Radiation dose to patients from cardiac diagnostic imaging.Circulation,  116(11), 1290-1305. Goldberg HL, Moses JW, Fisher J, Tamari I, Borer JS (1986). Diagnostic accuracy of coronary angiography utilizing computer-based digital subtraction methods; Comparison to conventional cineangiography. Chest 90, 793–797, Gorenoi, V., Schà ¶nermark, M. P., Hagen, A. (2012). CT coronary angiography vs. invasive coronary angiography in CHD.  GMS health technology assessment,  8,  Doc02-Doc02.. Guthaner, D. F., Wexler, L., Bradley, B. (1985). Digital subtraction angiography of coronary grafts: optimization of technique.  American journal of roentgenology,  145(6), 1185-1190. Hacker, M., Jakobs, T., Hack, N., Nikolaou, K., Becker, C., von Ziegler, F., Tiling, R. (2007). Sixty-four slice spiral CT angiography does not predict the functional relevance of coronary artery stenoses in patients with stable angina.  European journal of nuclear medicine and molecular imaging,34(1), 4-10. Hangiandreou N. J.  (1990) Coronary Blood Flow Measurement Using Digital Subtraction Angiography and First Pass Distribution Analysis. Madison, Wis: University of Wisconsin-Madison; Thesis. Hasegawa, B. (1987). Physics of Medical X-Ray Imaging 2nd Edition. Medical Physics Publishing Corporation. Hausleiter, J., Meyer, T., Hermann, F., Hadamitzky, M., Krebs, M., Gerber, T. C., Achenbach, S. (2009). Estimated radiation dose associated with cardiac CT angiography.  Jama,  301(5), 500-507. Herzig, R., BuÃ…â„¢val, S., KÃ…â„¢upka, B., Vlachov, I., Urbnek, K., MareÃ… ¡, J. (2004). Comparison of ultrasonography, CT angiography, and digital subtraction angiography in severe carotid stenoses.  European Journal of Neurology,  11(11), 774-781. Brant-Zawadzki, M., Gould, R., Norman, D., Newton, T. H., Lane, B. (1983). Digital subtraction cerebral angiography by intraarterial injection: comparison with conventional angiography.  American Journal of Roentgenology,  140(2), 347-353. Hoffmann, U., Brady, T.J., Muller, J. (2003). Cardiology patient page. Use of new imaging techniques to screen for coronary artery disease. Circulation 108 (8): e50–3. Hunold, P., Vogt, F. M., Schmermund, A., Debatin, J. F., Kerkhoff, G., Budde, T., Barkhausen, J. (2003). Radiation Exposure during Cardiac CT: Effective Doses at Multi–Detector Row CT and Electron-Beam CT 1.Radiology,  226(1), 145-152. Katritsis, D., Lythall, D.A., Cooper, I.C., Crowther, A., Webb-Peploe, M.M. (1988) Assessment, of coronary angioplasty: Comparison of visual assessment, hand†held caliper measurement and automated digital quantitation.  Catheterization and cardiovascular diagnosis,  15(4), 237-242. Kaufmann, P. A., Gnecchi-Ruscone, T., Schfers, K. P., Là ¼scher, T. F., Camici, P. G. (2000). Low density lipoprotein cholesterol and coronary microvascular dysfunction in hypercholesterolemia.  Journal of the American College of Cardiology,  36(1), 103-109. Liu, J. L. Y., Maniadakis, N., Gray, A., Rayner, M. (2002). The economic burden of coronary heart disease in the UK.  Heart,  88(6), 597-603. Lupà ³n-Rosà ©s, J., Domingo, E., Marinez-Vzquez, J. M., Là ³pez-Moreno, J. L., Montaà ±, J., Permanyer-Miralda, G., Soler-Soler, J. (1985). Direct non-invasive techniques for assessing coronary bypass graft patency.  The International Journal of Cardiac Imaging,  1(3), 181-188. Maddox, T. G. (2002). Adverse reactions to contrast material: recognition, prevention, and treatment.  American family physician,  66(7), 1229. Mancini, J. G. B., Higgins, C. B. (1985). Digital subtraction angiography: a review of cardiac applications.  Progress in cardiovascular diseases,  28(2), 111-141. Marinus, H., Buis, B., Van Benthem, A. (1990) Pulsatile coronary flow determination by digital angiography.  International Journal of Cardiac Imaging, 5, 173-182 McClure, K. H., McGivern, J. P., Stultz, M. R., Whitehurst, T. K. (2009).  U.S. Patent No. 7,481,759. Washington, DC: U.S. Patent and Trademark Office. Meaney, T. F., Weinstein, M. A., Buonocore, E., Pavlicek, W., Borkowski, G. P., Gallagher, J. H., Maclntyre, W. J. (1980, August). Digital subtraction angiography of the human cardiovascular system. In  Application of Optical Instrumentation in Medicine VIII  (pp. 272-278). International Society for Optics and Photonics. Miller, J. M., Rochitte, C. E., Dewey, M., Arbab-Zadeh, A., Niinuma, H., Gottlieb, I., Lima, J. A. (2008). Diagnostic performance of coronary angiography by 64-row CT.  New England Journal of Medicine,  359(22), 2324-2336. Molloi, S., Ersahin, A., Tang, J., Hicks, J., Leung, C. Y. (1996). Quantification of volumetric coronary blood flow with dual-energy digital subtraction angiography.  Circulation,  93(10), 1919-1927. Myerowitz, P. D. (1982). Digital subtraction angiography: present and future uses in cardiovascular diagnosis.  Clinical cardiology,  5(12), 623-629. Myerowitz, P. D., Swanson, D. K., Turnipseed, W. D. (1985). Applications of digital subtraction angiography in cardiovascular diagnosis.  The Surgical clinics of North America,  65(3), 423-437. National Institute for Health and Care Excellence. (2010a). Unstable angina and NSTEMI: The early management of unstable angina and non-ST-segment-elevation myocardial infarction. CG94. London: National Institute for Health and Care Excellence. National Institute for Health and Care Excellence. (2010b). Unstable angina and NSTEMI: Chest pain of recent onset: assessment and diagnosis of recent onset chest pain or discomfort of suspected cardiac origin. CG95. London: National Institute for Health and Care Excellence. Pugliese, F., Hunink, M. M., Gruszczynska, K., Alberghina, F., Malagà ³, R., van Pelt, N., Krestin, G. P. (2009). Learning curve for coronary CT angiography: what constitutes sufficient training?.  Radiology,  251(2), 359. Yamamoto, M., Okura, Y., Ishihara, M., Kagemoto, M., Harada, K., Ishida, T. (2009). Development of digital subtraction angiography for coronary artery.  Journal of digital imaging,  22(3), 319-325.

Biophysical Processess and Health Assessment

Discuss about the Biophysical Processess and Health Assessment. Mr. A (70 yrs) is from the Srilanka. He is living alone in his home on the outskirt of city alone as his wife was expired two years before. He is not interested to stay with his son who is staying in the same city. His is financially weak as he don’t have any i e source and he is having very little pension. Hence, he can’t offer to have helper to assist in his activities of daily living. munity from which Mr. A belongs is traditionalist in character, as people from this munity are not interested to share their health problems with healthcare professional. 15 years before he was diagnosed with peptic ulcer, diabetes, obesity, ostoporosis, fatty liver cirrhosis and hypertension and till date he is having these disease conditions. Mr. A was consuming bisoprolol, atenolol, esomeprazole, metformin, frusemide, spironolactone and orlistat since some time. He was on alcohol consumption and chronic smoking since few years. Milk products and eggs are allergic to him. He is not ea ting nutritious food and as result his nutritional balance is impaired. In recent times, his vital systems were tested and below are the observations. He has breathing problem, stomach pain, vomiting, insomnia and he has feeling of loss of appetite and lethargy. It is evident that he wishes to keep isolated from society and family members and pletely depressed. Mr. A feels that society and family members are not going to accept him in this condition. Society and family members are unhappy with his lifestyle since long time and his presenting condition is due to his lifestyle. As he is depressed, he is forgetting routine things and he disoriented to time, however he is oriented to the people. Liver function tests are performed for Mr. A because he has liver cirrhosis. Liver function test generally estimates proteins such as alanine transaminase (ALT), aspartate aminotransferase (AST), albumin, and bilirubin. Atypical level of these proteins exhibit degree of liver damage or scarring. Full blood examination (FBE) exhibit plete examination of health of the Mr.A. Diagnosis of acute inflammation can be performed by C-reactive protein (CRP) estimation. Test for the inflammation was performed because Mr. A has peripheral oedema (cirrhosis).   MBI test is generally performed as metabolic panel test essentially for diabetes, liver disease, kidney disease and hypertension. MBI test was performed because Mr. A is having multiple diseases.   CT scan of the left hip of Mr. A was performed as Mr. A has pain in hip. With the help of CT scan degree of pression of fracture can be determined and it is also useful for the evaluation of severity of osteoporosis. X-ray of spine pelvis ri ght hip was carried out in the patient for the assessment of   dislocation of three bones of the pelvis like illiun, ischium and pubis (Fischbach and Barnett, 2009; Novelline and Squire, 2004). Mr. A has cardiovascular plications since some time and he taking medicines for the same. To assess his current cardiovascular plications his blood pressure should be assessed. He is also having breathing problem and to assess his current lung function pulmonary function test should be performed. He is also having liver cirrhosis, hence his liver function test should be performed. In these evaluations it has been observed that his cardiovascular system, respiratory system and liver are normal (Jensen, 2010). Head, ears, eyes, nose and throat (HEENT) Observations   : Eyes : No problem in vision, No blurred vision and there are no spots in the eye. Cardiovascular: Occasional mild chest pain, occasional very little palpitations. Pulmonary : No shortness of breath and no cough. Gastointestinal : There is epigastric pain since long time, diarrhea and bloody stools and loss of appetitie. Genitourinary : No urgency in urination Neurologic : No numbness, tingling and paresthesias. Mukosleletal : Abdominal pain after lifting little heavy bag. Vital signs   : B.P. – Systolic 120 mmHg and diastolic 80 mmHg, Blood sugar level – 110 mg/dl, Body weight – 75 kg, Live function test – AST - 70 IU, ALT -   50 IU Forced expiratory volume (FEV1) – 75 % Conclusion : From the above physical examination and vital signs and other tests, it is evident that disease of Mr. A like hypertension, diabetes, cirrhosis are in control now. However from symptoms like stomach pain, bloody diarrhea and loss of appetite is predicted that he is suffering from Inflammatory bowel disease and decided to go for diffential diagnosis of inflammatory bowel disease. Possible diffential diagnosis : Crohn’s disease and ulcerative colitis. Crohn’s disease and ulcerative colitis are types of inflammatory bowel disease. Crohn’s disease and ulcerative colitis are the inflammatory disease of the GI tract and these two disease share few mon factors like symptoms. Also, these two disease share mon etiological factors like environmental, genetic and an abnormal immune response. These two diseases can occur equally in men and women. Crohn’s disease is spread intermittently in the large and small intestines with few areas are inflamed and few areas are normal. Ulcerative colitis can be continuous inflammation particularly in the small intestine. . Crohn’s disease occurs throughout every layer of the intestinal wall, on the other side ulcerative colitis occur particularly in the inner lining of the colon (Targan et al., 2013; Cohen, 2005). Conclusion:   Ã‚  Out of total cases of inflammatory bowel disease around 10 % cases exhibit characteristics of both Crohn’s disease and ulcerative colitis and moreover severity and occurrence of these diseases is similar in all age groups. This together occurrence of Crohn’s disease and ulcerative colitis is called as intermittent colitis. Out of these two diseases, one particular disease is not age related and both disease occur at any stage of life. Hence, in few cases it is very difficult to differentiate between these two diseases. Nevertheless, a careful medical history, physical examination, use of screening tools, and correct diagnostic tests can precisely differentiate between these two inflammatory bowel disease conditions in most patients, allowing disease-specific management (Tontini et al., 2015).  Ã‚   Physical examination of the patient should be performed along with asking questions to the patient. There is the possibility of fever due to intestinal inflammation and dehydration due to diarrhea. Hence, temperature should be noted and about dehydration Mr. A should be asked about his fatigue and lethargy. This fatigue and lethargy also would be helpful in evaluating anemia because bloody diarrhea, there is the possibility of anemia in Mr.A. There is also possibility of weight loss in patients with inflammatory bowel disease. Hence,   weight of Mr. A, also should be noted.  Ã‚  Ã‚      Stomach pain in particular area should be evaluated by slight pressing of the stomach area and inquiring Mr. A about the pain sensation. Inflammatory bowel disease is generally associated with extra intestinal plications like arthritis, iritis and dermatitis. These plications also should be evaluated by observation of the particular part and asking Mr. A about any abnormal feeling in that part like pain in limb in arthritis.  Ã‚   Rectal examination should be performed to assess bloody stool because in inflammatory bowel disease, there is occurrence of bloody diarrhea (Targan et al., 2013; Cohen, 2005). Biomarker analysis: As IBD is inflammatory bowel disease further prediction of Crohn’s disease and ulcerative colitis can be performed by inflammatory biomarker analysis like CRP, IL-6, INF gamma and IL-13. Immunologically Crohn’s disease is TH1 mediated inflammatory disease INF gamma predict about the occurrence of   Crohn’s disease. On the other side, ulcerative colitis is TH2 medicated disease, IL13 predict about ulcerative colitis. Even tough, CRP doesn’t give clear differentiation between Crohn’s disease and ulcerative colitis, it has been found that CRP levels are slightly higher in Crohn’s disease than ulcerative colitis. Serum IL6 levels are also slightly higher in Crohn’s disease than ulcerative colitis. Serum biomarker as diagnostic test should be performed initially because it is simple test and it give good prediction without much plication to the patient. From biomarker analysis, it is evident that Mr. A has ulcerative c olitis (Lewis, 2011; Iskandar et al., 2012). Cross-sectional imaging can be helpful in the identification of the stage of the inflammatory bowel disease. This includes tools like ultrasonography, puted tomography, magnetic resonance imaging and barium contrast radiology. Decision on the selction of the tool for cross-sectional imaging depends on the patient condition, severity of the symptoms in the patient, availability of expertise and instrument. Along with the identification of   location of the lession, cross-sectional imaging is also helpful in the evaluation of the thickness of the colonic wall and examination of the different layers of the colonic wall. This analysis of each wall of the colonic wall helps in the differential diagnosis of Crohn’s disease and ulcerative colitis because Crohn’s disease occurs throughout all the layers of colonic wall and ulcerative colitis occurs in the inner layer of the colonic wall. These imaging techniques also helpful in the assessment of presence or absence of colonic lymph nodes From cross sectional imaging, it is evident that Mr. has ulcerative colitis (Braveman et al., 2004; Tekkis et al., 2005).      Ileo-colonoscopy : Ileo-colonoscopy helpful in the differential diagnosis in the inflammatory bowel disease because in this examination patient with Crohn’s disease exhibits discontinuous inflammation of colonic wall, lesions and cobblestoning of the mucosa. On the other side, ulcerative colitis exhibits erosions,continuous inflammation, microulcers and granularity in the mucosa. From Ileo-colonoscopy it is evident that Mr. A has ulcerative colitis (Dignass et al., 2012).   Ã‚   Histopathology : For the differential diagnosis of the inflammatory bowel disease, histopathology was performed from the two specimens from the five sites of the colon of the colon, rectum and terminal ileum. In histopatological analysis, Crohn’s disease exhibits architectural and inflammatory changes which depicts discontinuous alterations throughout the colon, focal cryptitis, inflammation of the lamina propria and mucin deposition. Ulceratice colitis exhibits paneth cell metaplasiain the distal part of the colon, depletion of mucin, inflammatory cell infiltration throughout the mucosa, distorted crypts and surface erosions. From histopathological analysis it is evident that Mr. A has ulcerative colitis (Magro et al., 2013). Upper endoscopy: Esophagogastroduodenoscopy is helpful in the patients with suspected Crohn’s disease because this particular disease of the inflammatory bowel disease is related to the upper gastrointestinal tract. This diagnostic tool is not valid exclusivity for Crohn’s disease because upper endoscopy is also useful for the diagnosis of the Helicobacter pylori infection, sarcoidosis, tuberculosis and gastric adenocarcinoma. This diagnostic test was rejected in Mr. A because other above performed tests clerly indicated occurrence of ulcerative colitis in Mr. A (Annese et al., 2013). Small-bowel endoscopy:   Small-bowel endoscopy is also specifically useful for the examination of the upper gastrointestinal tract. Hnece, this test was also not considered for the diffential diagnosis of Mr. A, because in other diagnostic tests it was confirmed that Mr. A has ulcerative colitis (Flamant et al., 2013). In the health assessment of Mr. A, stepwise approach was followed starting from the collection of the history of Mr. A in terms of family history and medical history. In this it was identified that Mr. A has very unhealthy lifestyle which was responsible for the multiple disease in M. A like cardiovascular disease, diabetes, obesity, liver disease and his condition was like a patient with metabolic syndrome. As, he was consuming medications for these conditions, his most of the health issues in the past are in control now. It is evident from the tests performed for diabetes, blood pressure and liver function test. Recently he was suffering from the intense stomach pain and bloody diarrhea. Hence, it was predicted that Mr. was suffering from inflammatory bowel disease. Inflammatory bowel disease prised of Crohn’s disease and ulcerative colitis, specific diagnosis was performed for Mr. A by applying differential diagnosis. In the diffential diagnosis it is evident that Mr.A is s uffering from the ulcerative colitis. Annese, V., Daperno, M., Rutter, M.D., Amiot, A., Bossuyt, P., & East, J. (2013). European evidence based consensus for endoscopy in inflammatory bowel disease. Journal of Crohn's and Colitis, 7(12), 982-1018. Braveman, J.M., Schoetz, D.J., Marcello, P.W., Roberts, P.L., et al. (2004). The fate of the ileal pouch in patients developing Crohn’s disease. Diseases of the Colon & Rectum, 47, 1613–1619. Cohen, R. D. (2003). Inflammatory Bowel Disease: Diagnosis and Therapeutics. Springer Science & Business Media. Dignass, A., Eliakim, R., Magro, F., Maaser, C., Chowers, Y., et al. (2012). Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 1: definitions and diagnosis. Journal of Crohn's and Colitis, 6, 965–990. Fischbach, F.T., & Barnett, M. (2009). A Manual of Laboratory and Diagnostic Tests. (8 th ed.). Lippincott Williams & Wilkins. Flamant, M., Trang, C., Maillard, O., Sacher-Huvelin, S., Le Rhun, M., Galmiche, J.P., & Bourreille, A. (2013). The prevalence and ou e of jejunal lesions visualized by small bowel capsule endoscopy in Crohn's disease. Inflammatory Bowel Disease, 19(7), 1390-6. Iskandar, H.N., & Ciorba, M.A. (2012). Biomarkers in inflammatory bowel disease: current practices and recent advances. Translational Research, 159, 313–325. Jensen, S. (2010). Pocket Guide for Nursing Health Assessment: A Best Practice Approach. Lippincott Williams & Wilkins. Lewis, J, D. (2011). The utility of biomarkers in the diagnosis and therapy of inflammatory bowel disease. Gastroenterology, 140:1817–1826.e2. Magro, F., Langner, C., Driessen, A., Ensari, A., Geboes, K., et al. (2013). European consensus on the histopathology of inflammatory bowel disease. Journal of Crohn's and Colitis, 7(10), 827-51. Novelline, R. A., & Squire, L. F. (2004). Squire's Fundamentals of Radiology. (6 th ed.). Harvard University Press.  Ã‚  Ã‚  Ã‚   Targan, S.R., Shanahan, F. Karp, LC. (2007). Inflammatory Bowel Disease: From Bench to Bedside. Springer Science & Business Media. Tekkis, P.P, Heriot, A.G., Smith, O., Smith, J.J., Windsor, A.C., & Nicholls, R.J. (2007). Long-term ou es of restorative proctocolectomy for Crohn’s disease and indeterminate colitis. Colorectal Disease, 7, 218–223. Tontini, G.E., Vecchi, M., Pastorelli, L., Neurath, M.F., & Neumann, H. (2015). Differential diagnosis in inflammatory bowel disease colitis: state of the art and future perspectives. World Journal of Gastroenterology, 21(1), 21-46.

Zoot Suit Riots Essay Example | Topics and Well Written Essays - 1000 words

Zoot Suit Riots - Essay Example Delving into its origins, the cause of these riots can partly be attributed to an incident known as the Sleepy Lagoon Murder. In August of 1942, a man of Mexican origin was found unconsciousnear Los Angeles at a place which later came to be referred to as ‘Sleepy Lagoon’. The authorities labeled his death a murder committed by the local gangs of Mexican youth, particularly the ‘38th street gang’, the reason being the frequent violence that allegedly ensued between them. Several members of the aforementioned gang were arrested and charged with murder and were then put in jail. Although the convictions were later overturned and the members which were arrested were let go, this murder case brought an anti-Mexican tendency throughout the media in California and Mexicans were thought of as being violent and troublemakers. Tensions grew between the Mexican-Americans and the people of local origin, especially the white Americans, as a result. The riots however did not start without further incidents directly or indirectly causing even more tension. Before we get to when the actual riots took place, we must understand that there was an ever-growing amount of discrimination against the Mexican-Americans or Latino-Americans in the area. ... r Production Board imposed restrictions on various things in order to utilize the resources in a better way; one of the goods on which the production restrictions were imposed were suits, and clothing which contained wool. These restrictions had the effect of practically forbidding the manufacture of Zoot suits as they used a lot of cloth and were considered extra flamboyant and unnecessary. However, certain tailors did not stop the manufacture of Zoot suits and thus, shortly afterwards, wearing a Zoot suit in war-time became a symbol of disregard to the regulations of the War Production Board and therefore, a disregard to the fact that the country is at war and care must be taken in utilizing of the recourses. Wearing of these suits was hence a symbol of going directly against patriotism and in the view of the authorities, the media and especially the men of the US navy stationed in the city, it was reason for even more hatred towards the Mexican-Americans or â€Å"Pachucos†. The causes of the riots can be further elaborated by highlighting two incidents that took place a few days before, and on the night before the riots, respectively. The first incident involved a group of Mexican-Americans in Zoot suits attacking the soldiers and sailors based on allegations of harassment of Mexican women in the area. The second incident took place the night before the start of riots, as a bunch of Sailors of the U.S. Navy got into an argument and got attacked by young Mexicans who were wearing Zoot suits. The actual riots started the next day. On 4th of June 1943, about 200 members of the U.S. Navy, as a group, went through the city towards the east side of the city, and started a fight when they first saw their targets: Mexican-Americans in Zoot suits. Most of the victims in this

Argument for God using the Design argument Essay

Argument for God using the Design argument - Essay Example The world was created in a way that human beings have no control or clue of the occurrence or existence of different phenomena. This essay is going to explore and affirm that God exists through the argument for design. Thesis Statement: The coordination and the intricate way in which human beings live by purpose suggest the existence of an intelligent designer. Overview Our lives in the world are inspired by the events and activities that we, human beings, undertake. However, in the process we have questions on our existence and, most importantly, on whether God exists. An argument by design explains the existence of God through the use of facts, theories and examples of how God created life. The world is meant for human inhabitation because there is a pattern in which life occurs and exists. It is true to argue that the world and life were designed by someone or a spirit that is unexplainable due to the following facts: Teleological orders: This is used to explain how order in the w orld occurs since everything in the world seems to follow a certain pattern. Teleological order can exist as spatial and temporal order whereby spatial order explains the co-presence while the latter explains succession. It is easy to look at the world and wonder at the facts of co-presence and succession. For instance, the human body is made up of millions of parts which interact with one another to come up with a complex living creature. William Paley who was an advocate of natural teleology argued that as a watch is a timepiece that is made up of millions of parts, then also the world and human life is designed that way. Another advocate of the teleological argument was Thomas Aquinas who argued that we see the world as being made up of many things some of which lack knowledge. He elucidates that these beings act for an end and this is evident by the small animals of living things (Sweet 95). As a result, a thing that does not have knowledge cannot move towards and end but only i f it is directed by an intelligent being. Apart from humans who possess knowledge, natural things cannot move towards an end and therefore, what drives their move towards end is an intelligent being who in this sense is God. Paley’s argument is that the world is created in a perfect manner different from a watch due to several reasons. For instance, in his natural teleological argument he says that â€Å"as a watch is perfectly crafted and a well oiled machine,† then the world is also perfect. For instance, in the world there is enough oxygen for everybody. It is not less because it would not support life and again, it is not a lot because it could lead to easy combustion. Apart from William Paley’s theory, other scientists have supported the analogy of design through the positioning of the earth. For instance, if we look at the way earth is positioned, it not so close to the sun because it would cause problems to people and life would not be supported. Furtherm ore, if the sun was in a far position from the earth, then life would not be supported in the world (Sweet 102). The look of the universe from this view presents us with conclusion that God was involved in the creation of the world. This is summed by Isaac Newton who said that the most beautiful system of the sun, planets and comets can only proceed through the counsel and dominion of an intelligent and powerful Being. Criticisms: The William Paley analogy created a lot of criticism from a lot of quarters, especially from David Hume. The first

Sociology Essay Example | Topics and Well Written Essays - 1000 words - 4

Sociology - Essay Example Humans acquire of their behavioural traits from nurture thus come a philosophy called tabula rasa or blank slate. In recent years, both nature and nurture have been recognized to play interacting roles in development. These two are tied in mutually in ways that many of us do not see. Both are important influences to a person as they are developing their traits. What we have inherited is essential basis of what kind of person we are, but our environment can alter and develop us even more. In acquiring or altering traits in a person, these two factors are important. Some psychologists agree that nature and nurture are both major influences to the development of behaviour. Psychologist Robert Plomin said, "†¦. But the genetic influence on traits and behaviors is only partial: Genetics account, on average, for half of the variance of most traits. That means the environment accounts for the rest." Though we receive genes from our family, our surroundings and nurturing can alter that if strong enough, as an influence. We might not notice it, but  nature  and  nurture  are mixed in with each other, influencing traits of everyone. 2. What are the common themes in the ideas of Freud, Piaget, Kohlberg, Gilligan, Mead and Erickson? In what ways do their theories differ? The common theme in the idea of the Freud, Piaget, Kohlberg, Gilligan, Mead and Erickson is child development. They all believed that society played a vital role in the development of the person. However, they all developed variety of concepts in the psychoanalytic point of view. Sigmund Freud developed the elements of personality. He declared humans had two basic needs or drives:  eros, a need for bonding and  thanatos, which related to a drive for death. Freud's perspective combined both these basic needs and the influence of society into a unique model of personality. Freud’s work highlights the internalization of social norms and the importance of childhood experiences in the so cialization process and the development of personality. Jean Piaget’s theory of cognitive development centred on human cognition or how people think and understand. He identified four major stages of cognitive development: sensory motor stage, post-industrial societies, concrete operational stage, and the formal operational stage. Lawrence Kohlberg developed a theory of moral development. He used Piaget’s theory as a facilitator for a study of moral reasoning. He suggested three stages: preconventional stage  based on pain and pleasure, a  conventional stage  (in the teenage years), where right and wrong is understood within cultural norms, and a  postconventional stage, where abstract critique of the social order is possible. However, his work is gender limited to boys only. Carol Gilligan in response to Kohlberg’s theory developed the theory of gender and moral development. She concludes that males and females make moral judgments in different ways. Ma les use a  justice perspective:  "It's wrong if the rules define it that way". Females use a  care and responsibility perspective:  "It's wrong if it damages relationships." Her recent research on self-esteem demonstrates that female self-esteem begins to slip during adolescence as they encounter more authority figures who are men. George Mead developed the theory of social self. Mead's analysis focuses on mental processes and is often referred to as  social behaviourism. He emphasized that the key to developing the

Price Analysis Essay Example | Topics and Well Written Essays - 500 words - 1

Price Analysis - Essay Example R) promulgates which is a helpful guideline that assists both the parties to transaction regarding the correct price of any article (Subpart  15.4-Contract Pricing). There are different sorts of techniques that are highlighted in FAR, to correctly estimate the price of goods and services (Price Analysis Techniques: Procurement 2011). Some of them are listed below with brief description. This price analysis technique involves use of previous quotations in respect of the same item. However, this technique has the drawback in the form of not incorporating the element of inflation that normally increases with the passage of time. This method of determining the price utilizes the published list of prices in respect of goods and services, of similar types. Normally goods relating to general use are included in this category as the appropriate authority lists the prices of those goods for the general public. This technique refers to the determination of price through different laws. Normally government authorities fix some prices via law so that local producers can take benefit as well as the customers in order to avoid the danger of shortage. This technique is basically not a technique rather a way out to determine the prices when no such technique is available to determine the appropriate price. In this method, prices are sought by the personal judgment of the buyer based upon his past experiences and perception related to that particular product. Among these broad techniques, the most commonly used technique is the comparison of Bid Price Technique. In this technique, suppliers are asked to quote their prices and in the end, when best price is found, the tender is given to that particular supplier (Dahl and Hammond 1977). This technique is also useful as the true price prevailing in the market is sought and the element of monopoly is mitigated through the use of this technique. This technique basically erodes the importance of all other techniques as in this

Knolege creatain Essay Example | Topics and Well Written Essays - 500 words

Knolege creatain - Essay Example . Balmisse et al (2007: 118) take up this concept stating that knowledge management is a type of tool which , through ‘ social interaction and interface customization’ enables the sharing and transferring of necessary data. In 2010 Martin-Niemi and Greatbanks came up with produced an interesting discussion centering on â€Å"ba† which is said to be defined as ‘place’. This ‘ba’ becomes the means of relationships being developed, and enabling workers to contribute their knowledge and so enhance their joint experiences and so create a communicative environment which all can participate and share. This figure above shows how knowledge is accumulated when individuals and groups share a common working environment. Such sharing is not just the field of a few elite experts, but must include participation by all. An emphasis is made in this type of knowledge creation upon both explicit as well as tacit knowledge as well as how these varying types could be shared. The former . explicit knowledge, is the easier to share because of its basis in individual talents. The model referred to as SECI, refers to the various stages, i.e. socialization, externalization, combination, and internalization. This model can be used to demonstrate how blogs can be utilised within my company. We became interested in blogs as a way of encouraging groups of employees to contribute the knowledge they had. After only a few months it was possible to see positive developments. However, it was clear that full participation by all employees was necessary in order to create the optimum amount of knowledge. At the present time usage remains limited, but the company is actively developing a programme of incentives with the aim of encouraging employees to share their knowledge. There are a number of benefits to the use of blogs. As well as encouraging the

Sociology Essay Example | Topics and Well Written Essays - 1000 words - 4

Sociology - Essay Example Humans acquire of their behavioural traits from nurture thus come a philosophy called tabula rasa or blank slate. In recent years, both nature and nurture have been recognized to play interacting roles in development. These two are tied in mutually in ways that many of us do not see. Both are important influences to a person as they are developing their traits. What we have inherited is essential basis of what kind of person we are, but our environment can alter and develop us even more. In acquiring or altering traits in a person, these two factors are important. Some psychologists agree that nature and nurture are both major influences to the development of behaviour. Psychologist Robert Plomin said, "†¦. But the genetic influence on traits and behaviors is only partial: Genetics account, on average, for half of the variance of most traits. That means the environment accounts for the rest." Though we receive genes from our family, our surroundings and nurturing can alter that if strong enough, as an influence. We might not notice it, but  nature  and  nurture  are mixed in with each other, influencing traits of everyone. 2. What are the common themes in the ideas of Freud, Piaget, Kohlberg, Gilligan, Mead and Erickson? In what ways do their theories differ? The common theme in the idea of the Freud, Piaget, Kohlberg, Gilligan, Mead and Erickson is child development. They all believed that society played a vital role in the development of the person. However, they all developed variety of concepts in the psychoanalytic point of view. Sigmund Freud developed the elements of personality. He declared humans had two basic needs or drives:  eros, a need for bonding and  thanatos, which related to a drive for death. Freud's perspective combined both these basic needs and the influence of society into a unique model of personality. Freud’s work highlights the internalization of social norms and the importance of childhood experiences in the so cialization process and the development of personality. Jean Piaget’s theory of cognitive development centred on human cognition or how people think and understand. He identified four major stages of cognitive development: sensory motor stage, post-industrial societies, concrete operational stage, and the formal operational stage. Lawrence Kohlberg developed a theory of moral development. He used Piaget’s theory as a facilitator for a study of moral reasoning. He suggested three stages: preconventional stage  based on pain and pleasure, a  conventional stage  (in the teenage years), where right and wrong is understood within cultural norms, and a  postconventional stage, where abstract critique of the social order is possible. However, his work is gender limited to boys only. Carol Gilligan in response to Kohlberg’s theory developed the theory of gender and moral development. She concludes that males and females make moral judgments in different ways. Ma les use a  justice perspective:  "It's wrong if the rules define it that way". Females use a  care and responsibility perspective:  "It's wrong if it damages relationships." Her recent research on self-esteem demonstrates that female self-esteem begins to slip during adolescence as they encounter more authority figures who are men. George Mead developed the theory of social self. Mead's analysis focuses on mental processes and is often referred to as  social behaviourism. He emphasized that the key to developing the