Thursday, August 27, 2020
Medical and Dental Dialogue for ESL Learners
Clinical and Dental Dialog for ESL Learners English students can rehearse clinical jargon and perusing understanding with this discourse between a patient and a dental hygienist.â Dental Hygiene Dialog Sam: Hello.Gina the Dental Hygienist: Hello Mr. Waters. Im Gina. Sick be cleaning your teeth today. Sam: Dr. Peterson has quite recently filled two pits. For what reason do I need a cleaning?Gina the Dental Hygienist: Well, we need to make get your teeth and gums clean and infection free. Sam: I surmise that makes sense.ââ¬â¹Gina the Dental Hygienist: Oral wellbeing prompts inconvenience free teeth. Sick beginning off by expelling plaque. It would be ideal if you recline and open wide. Sam: OK, I trust its not very bad.Gina the Dental Hygienist: Everybody gets plaque, regardless of whether they floss consistently. That is the reason its essential to come in two times every year for registration. Sam: (getting his teeth cleaned, cant say much...)Gina the Dental Hygienist: OK, it would be ideal if you take a beverage and flush. Sam: Ah, that is better.Gina the Dental Hygienist: OK, presently Ill apply some fluoride. Which flavor would you like? Sam: I have a choice?Gina the Dental Hygienist: Sure, we have mint, spearmint, orange or air pocket gum - that is for the children. Sam: Id like to have the air pocket gum!Gina the Dental Hygienist: OK. (applies fluoride) Now, let me give your teeth a last flossing. Sam: What kind of floss tape do you recommend?Gina the Dental Hygienist: Personally, I like the level tape. Its simpler to get between the teeth. Sam: OK, Ill recollect that whenever I purchase floss. How regularly should I floss?Gina the Dental Hygienist: Everyday! Two times every day if conceivable! A few people like to floss after each dinner, however that is not totally vital. Sam: (in the wake of completing the cleaning) I feel greatly improved. Express gratitude toward you.Gina the Dental Hygienist: My pleasure. Have a wonderful day, and make sure to floss each day - at any rate once every day! Key Vocabulary to clean someones teethdental hygienistto fill cavitiesgumsdisease freeoral healthto lead toplaqueto evacuate plaqueto flosscheck-upto rinsefluorideto apply fluorideflavorflossingfloss tapefloss after dinners
Saturday, August 22, 2020
Quality Function free essay sample
Quality Function Deployment: à ¦ To give client contribution at the item configuration stage à ¦ The procedure brings about a framework, alluded to as a ââ¬Å"house of qualityâ⬠for a specific item that relates client ascribes to designing attributes. à ¦ The focal thought of QFD is the conviction that items ought to be intended to mirror the customersââ¬â¢ wants and tastes à ¦ The place of value gives a system to making an interpretation of consumer loyalty into recognizable and quantifiable conformance determinations for item or administration plan Place of Quality : Quality Function Deployment (Village Volvo): Village Volvo is an autonomous auto administration carport that has practical experience in volvo car upkeep and rivals volvo vendors for clients. Town Volvo has chosen to survey its administration conveyance framework in examination with that of the volvo seller to decide territories for improving its serious position 1. Build up the point of the venture: for this situation, the target of the undertaking is to survey Village Volvoââ¬â¢s serious position 2. We will compose a custom paper test on Quality Function or on the other hand any comparable subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Decide client desires: unwavering quality, responsiveness, confirmation, sympathy and physical assets 3. Depict the components of the administration: for Village Volvo we have chosen preparing, mentality, limit, data, and gear 4. Note the quality of connection between the administration components: three degree of solidarity of relationship: *= solid, . =medium, and O= feeble. E. g. , note a solid connection among preparing and perspectives. These connections may give valuable purposes of influence to improve administration quality. . Note the relationship between client desires and administration components: the body of the framework contains numbers somewhere in the range of 0 and (9 demonstrating a solid connect) to show the quality of the connection between a help component and comparing client desire 6. Weighting the administration components: this progression is taken to gauge the significance of a customerââ¬â¢s discernment. The stack of the place of value contains a postin g of the general significance of every client desire. The relative significance will be duplicated by the quality of the connection number in the body of the framework under each assistance component to show up at a weighted score for the component. For instance, the preparation component would have a weighted score determined as (9)(8) + (7)(3) + (4)(0) + (2)(2) = 127 7. Administration component improvement trouble rank : in the storm cellar of the house is a positioning for the trouble of improving each assistance component, with a position of 1 being the most troublesome. Limit and hardware have a high position in view of their capital necessities 8. Appraisal of rivalry.
Friday, August 21, 2020
How to Manage Your Time Effectively
How to Manage Your Time Effectively How to Manage Your Time Effectively I think the hardest part of university, especially in first year, is striking a balance between your uni work and your social life, finding a way to juggle all the commitments you may have. Realistically, your priority will always be your social life when youâve just started uni, and that's OK because first year rarely counts for much in most degrees. However, itâs important that you find ways to balance your responsibilities soon, as your degree assignments are going to matter a lot more by the time you get to second and third year. If youâre struggling to manage your time effectively, here are a few tips on how to juggle everything successfully: Avoid joining too many societies I think this is key to making sure you're not too busy to handle both your uni work and your other activities. Joining just two or three societies where you have regular meetings means you can commit properly to them instead of spreading yourself too thinly by trying to go to everything. You want to make sure youâre able to have a few evenings where thereâs nothing regularly planned so you can complete your uni work. Make a timetable every week Every Sunday, I make a timetable of the week where I start with the classes I always have, and then add the new things that are just for that specific week. It's helpful to see the week mapped out so you know exactly what you're doing at each hour. Always make to-do lists to help you visualize your workload A good way to do this is by having a whiteboard in your room. Buy some different colored pens and organize it by color with uni work being one color, extras being another etc. You should be able to find everything you need for this at a good stationery shop. Keep a diary Whether this is physical, or digital, it's good to have something you can have on you all the time to note down new plans and plan your time. You can then transfer this information to your weekly timetable when you get home. Look in shops for a good academic planner. Bullet journaling is also a fun way to keep a diary. Here's an example of a page spread: Set alarms on your phone to act as reminders For important events and meetings, you can set reminders on your phone so that you definitely won't forget to go. This is good if you've accidentally left your diary and timetable at home. Hopefully these tips will mean you can organize your time well and manage to do everything you want to do. Got any tips of your own? Let us know in the comments below.
Monday, May 25, 2020
How to Conjugate Voler (to Fly, Steal) in French
The French verbà volerà has two very interesting meanings. While it may be used for to fly, as in an airplane or as a bird does, it may also mean to steal, as in robbing someone or taking something. In orer to useà volerà properly, you will need to commit its conjugations to memory. A quick lesson will introduce you to the essentials you need to know. The Basic Conjugations ofà Voler French verb conjugations can be a challenge because you have more words to memorize than you would in English. Thats because the verb changes not only with the tense but for every subject pronoun within each tense as well. The good news is thatà volerà is aà regular -er verb. It follows some very common rules of conjugation and youll use these for the majority of French verbs. That makes each new one you study just a bit easier than the last. The first step in any conjugation is to find the radical of the verb (its stem). In this case, that isà vol-. With that, use the table to study the different endings you need to apply for the present, future, and imperfect past tenses. For example, I am flying isà je voleà and we stole isà nous volions. Present Future Imperfect je vole volerai volais tu voles voleras volais il vole volera volait nous volons volerons volions vous volez volerez voliez ils volent voleront volaient The Present Participle ofà Voler The present participle of regular verbs is formed by adding -ant to the radical. For voler, this gives us volant. Volerà in the Compound Past Tense Theà passà © composà ©Ã is common in the French language. It is the compound past tense and its relatively easy to construct. You will begin byà conjugating avoir, the auxiliary verb, to fit your subject in the present tense. Then, all you need to do is add theà past participleà volà ©. This gives usà jai volà ©Ã for I flew andà nous avons volà ©Ã for we stole. More Simple Conjugations ofà Voler Whenever you need to bring the act of flying or stealing into question,à the subjunctiveà can be used. If, however, the act is dependent on something, then youll needà the conditional. In written French, youll likely encounter the passà © simpleà orà the imperfect subjunctiveà forms ofà volerà as well. Subjunctive Conditional Pass Simple Imperfect Subjunctive je vole volerais volai volasse tu voles volerais volas volasses il vole volerait vola volt nous volions volerions volmes volassions vous voliez voleriez voltes volassiez ils volent voleraient volrent volassent The French imperativeà formà drops all formality, along with the subject pronoun. When using it for short sentences, you can simplify it fromà tu voleà toà vole. Imperative (tu) vole (nous) volons (vous) volez
Thursday, May 14, 2020
Which Insect Has the Most Toxic Venom
Hopefully, in your lifetime you will never experience the painful sting of a bee, be swarmed by biting ants or brush your hand against the spines of a stinging caterpillar. Among the venomous insects, some possess only mildly toxic venom, while others pack a serious punch capable of taking down a threat as large as a person. Which insect has the most toxic venom of all? The insect with the most toxic venom is not necessarily the most painful or the most lethal. Pain is a fairly subjective measure. What I find excruciating, you might tolerate as merely uncomfortable. We cant compare venom on the basis of morbidity statistics, either, since peoples immune systems respond differently to the same venom. For those with bee venom allergies, a bee sting can be deadly, though the venom itself is not that toxic. To compare insect venoms and determine which is the most toxic, we need an objective way to measure them. A standard measure used in toxicology studies is the LD50 or median lethal dose. This measurement determines the amount of a toxin, relative to body weight, that is required to kill exactly half of a given population of organisms. In this case, researchers tested insect venom on mice to compare and rank their toxicity. So which insect came out on top? The harvester ant, Pogonomyrmex maricopa. With an LD50 measurement of just 0.12 mg per kg of body weight, the harvester ant venom proved far more toxic than that of any bees, wasps, or other ants. By comparison, honey bee venom has an LD50 measure of 2.8, and a yellowjackets venom has an LD50 of 3.5 per kg of body weight. Just 12 stings from the venomous harvester ant were enough to take out a 2 kg animal. Reference: W.L. Meyer. 1996. Most Toxin Insect Venom. Chapter 23 in University of Florida Book of Insect Records, 2001.
Wednesday, May 6, 2020
The Issue Of Domestic Violence Homicides Or Gun Surrender...
B. Interview format: In an attempt to better understand the barriers in getting perpetrators to surrender their guns, and the possible solution in remedying them, I conducted interviews with different members of the King County community. The goal of these interviews was to generate information regarding the experiences of DV victims, and their advocates as well as law enforcement agencies on the issue of gun surrendering. Interviews were done primarily in person with the attorneys, and primarily over the phone with the DV advocates. Due to the political sensitivity of this issue, the majority of the interviewees have requested to remain anonymous. C. Interview Questions: The following questions guided each interview: Background: 1. Can you tell us a bit about the work you currently do, and how it is related to the issue of domestic violence homicides or gun surrender laws? a. How long have you been working in this capacity? b. In which County has most of your work been in? c. How often do you work with clients that are the victims of Domestic Violence? 2. Did any of your clients have a judge order their perpetrators to surrender their weapons, and if so, can you tell me about an instance where this has happened? Recent Policy Changes and their impact: 3. Washington enacted a law in 2014 that mirrors federal law by prohibiting gun possession by anyone subject to a protective order. The protective order must have been issued after a noticed hearingShow MoreRelatedDomestic Violence : A Serious And Grave Social Concern1844 Words à |à 8 PagesDomestic violence is a serious and grave social concern. Domestic violence essentially affects everyone. It is not merely a personal or private problem in families. According to the Bureau of Justice Statistics, a woman is beaten every 15 seconds somewhere in the United States. (www.bjs.gov). According to the AARDVARC 960,000 incidents of violence against a current or former spouse, boyfriend, or girlfriend each year to 4 million women who are physically abused by their husbands or live-in partners
Tuesday, May 5, 2020
Pygmalion Monologue Essay Research Paper Example For Students
Pygmalion Monologue Essay Research Paper A monologue from the play by George Bernard Shaw NOTE: This monologue is reprinted from Androcles and the Lion; Overruled; Pygmalion. Bernard Shaw. New York: Brentano\s, 1916. DOOLITTLE: Don\t say that, Governor. Don\t look at it that way. What am I, Governors both? I ask you, what am I? I\m one of the undeserving poor: that\s what I am. Think of what that means to a man. It means that he\s up agen middle class morality all the time. If there\s anything going, and I put in for a bit of it, it\s always the same story: \You\re undeserving; so you can\t have it.\ But my needs is as great as the most deserving widow\s that ever got money out of six different charities in one week for the death of the same husband. I don\t need less than a deserving man: I need more. I don\t eat less hearty than him; and I drink a lot more. I want a bit of amusement, cause I\m a thinking man. I want cheerfulness and a song and a band when I feel low. Well, they charge me just the same for everything as they charge the deserving. What is middle class morality? Just an excuse for never giving me anything. Therefore, I ask you, as two gentlemen, not to play that game on me. I\m pl aying straight with you. I ain\t pretending to be deserving. I\m undeserving; and I mean to go on being undeserving. I like it; and that\s the truth. Will you take advantage of a man\s nature to do him out of the price of his own daughter what he\s brought up and fed and clothed by the sweat of his brow until she\s growed big enough to be interesting to you two gentlemen? Is five pounds unreasonable? I put it to you; and I leave it to you.
Thursday, April 9, 2020
Ammoco Caediz Essay Example
Ammoco Caediz Essay On the morning of the 16 March 1978, the oil tanker Amoco Cadiz owned by Amoco Transport Co. suffered a technical failure of the steering system off the coast of Finistere in Brittany, France. The tanker was transporting 227,000 tonnes of crude oil from the Persian Gulf to Rotterdam (Netherlands) when the ship began to drift towards the coastline in a heavy storm. (Tides, 2008). The reason for the steering gear failure was seen to be because of the stormy weather conditions that the ship was facing. At 9:15 the Captain Pasquale Bandari hoisted the international signal for Not Under Command. But he did not request assistance until 11:20, when his engineer determined that the damage was irreparable. Two unsuccessful towing attempts the first a towrope, thrown at 1:30 am, this broke three hours later. Despite all the efforts made by the crews of both ships, the Amoco Cadiz started drifting to shore where touching the bottom ripped open the hull and storage tanks before stopping on the Portsall Rocks on the Breton coast. cedre, 2008)The crew of the tanker was rescued by helicopter, but the ship broke in two releasing 230,000 tons of crude oil. This spread through the English Channel. The oil spill polluted approximately 300 kilometres of coastline, destroying fisheries, oysters and seaweed beds and also 76 beaches in the Breton community. (Lenntech, 2006) This was seen as the worst oil disaster the world had seen at that time. After the steering had failed the captain had made some unwise decisions that were made under pressure. It took 1 hour 45 minutes before the tug boat was called for. We will write a custom essay sample on Ammoco Caediz specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Ammoco Caediz specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Ammoco Caediz specifically for you FOR ONLY $16.38 $13.9/page Hire Writer It also took 1 hour 30 minutes to negotiate a towing contract this did not help with the language problems with both parties. The second tow for the ship was very badly coordinated. All of these examples led to the ship splitting in half and losing all of the oil. (Kristiansen, 2005) Having a single propeller and also a single rudder the Amoco Cadiz was at risk of the steering gear failing. This became a reality when it happened and the crew could do nothing to repair it. The fact was that the crew where ill prepared for the steering gear to fail. If they were more prepared or had two propellers this tragedy might not have happened. (Kristiansen, 2005) BIB http://www. cedre. fr/en/spill/amoco/amoco. php http://www. lenntech. com/environmental-disasters. htm#1. _Bhopal:_the_Union_Carbide_gas_leak http://www. kozacky. com/site/files/789/74616/284382/393597/matter_oil_spill_by. pdf http://www. itopf. com/information-services/data-and-statistics/case-histories/alist. html http://en. wikipedia. org/wiki/Amoco_Cadiz http://news. bbc. co. uk/onthisday/hi/dates/stories/march/24/newsid_2531000/2531211. stm
Monday, March 9, 2020
Muslims Essay Example
Muslims Essay Example Muslims Essay Muslims Essay Essay Topic: The arabian Nights One Thousand and One Nights The Muslims have been a part of the American History ever since the Pre-Columbian times. The Early explorers used maps that were made by Muslims. At the time, the Muslims had advance Geographical and Navigational information. Also, aside from this, during the time when African slaves were imported in the Americas, half of the slave population could be estimated to be Muslims. The Msulims arrived in Europe in different ways, these were through, Muslim Explorers, Muslim Armies, Traders, and through Scientific Research and Arabic Manuscripts. Europe being influenced by Muslim Culture was famous for exploring the Western Continent. These are some instances in History that could usher a great influence in Culture.Islamic ScienceIn 750 AD, Abbasid caliphs of Baghdad, helped Science not only to thrive, but also spread towards the West(Spain) and East(Central Asia) in a period of over six hundred years.Influenced by Greek, Indian and Persian Culture, the early Arab Muslim scholars were able accrue an insurmountable amount of scientific knowledge. In doing so, they were able to make it flourish through their own innovations and discoveries.Astronomy and Mathematics were two of the bodies of knowledge which the Muslims paid attention to. Astronomy was particularly important to them specifically because of their religion. In Muslim Religion, one must pray towards a specific direction, specifically towards Mecca. Wherever a Muslim follower is, he must pray towards that direction, and at the time, they did not rely on any instruments such as a compass, but simply relied on the stars. Mathematics is relatively important to them as well with regards to dividing their property with regards to Inheritance in the Islamic Law.Although Science developed with the help of Islamââ¬â¢s, there are no active figures in Science that were Muslims. But during the 12th and 13th Centuries, the Research paper done by these people were translated from Arab to Latin and was passed to the wes tern continents.Medical ArtsA book that may be found in on-line, Islamic Medicine, Proviedes studies and various essays pertaining to different Physicians and scholars which would contain chapters on Islamic Medical Ethics, euthanasia and AIDS. The advance stages of Arab Medicine came in 12th and 13th Century, wherein we can find entries pertaining to Medical Schools flourishing in the Muslim Society.Some achievements of Arab medicine that were overlooked by the west was Muslim(Arab) roots of European Medicine, and the Discovery of how Pulmonary Circulation works in the Body. In fact it was discovered later by two doctors in the U.S. that the Pulmonary Circulation was indeed discovered by a Muslim that goes by the name of Ibn Nafis. This proves that the Pulmonary Circulation was not discovered in the 16th Century by the Europeans, but by Ibn Nafis who was actually a famous physician of the 13th Century.Alchemy and ChemistryAlchemy is often related to magic. It is described as the Ma gical transformation of different kinds of metal, specifically; Lead, into gold which is the most precious metal of the time. Alchemy in reality is the precursor to Modern Chemistry as we know it.A record from the 14th Century of the Arabs maid by Abu al-Qasim Muhammad Ibn Ahmed al-Iraqi, pertained to a book which was about the cultivation of Gold.Literature and PoetryAn Arab named Al Biruni, born in Khawarizm(Caspian Basin), who lived in 1050ââ¬â¢s was a man of letters and words who gave the Arabic Culture a universal dimension. Al wrote in the Persian and Arabic languages. He said, I was brought up in one language (that of Khawarizm) â⬠¦ I learnt Arabic and Persian later, and I therefore come as an outsider to both these languages, my command of which I strive to perfect. But I must confess that I would rather be insulted in Arabic than praised in Persian.In the 8th Century, the first Arabic Literature that could be called a masterpiece was ââ¬Å"Ibn Al-Muqaffas Kalila Wa Dimnaâ⬠. This was an indication to the nature of this epoch and also it was a collection of Indian Fables translated in the Arab language. These Indian fables may it be the Persian or the original Sanskrit version is now lost.Arab grammarians were able to establish rules for the language which was developed to be pure and as much as possible, close to its origins. This was the time that the first Arab dictionary was created. During this time, the paper industry developed and the rulers began to take a liberal approach with regards to arts. Soon after, the aristocracy supported and patronized the evolution of Literature.Literary genres such as the Epistle, the short story(risala) and the maqama(a mix of diction and reality in a form of a rhythmic prose, where in the action is centered towards one character), prospered. It was at this time that the champions of Reason started to debate against the conservative majority, whether to keep their native tongue or propagate diversity.T he Arabian Nights, Alf Layla Wa Layla, or the World famous ââ¬Å"A Thousand and One Nightsâ⬠is an essence of ââ¬Ëpeddlersââ¬â¢ literatureââ¬â¢. Peddlerââ¬â¢s Literature in laymenââ¬â¢s terms would mean a form of public speaking. In Muslim countries, public speaking is a form of entertainment or communication that is loved by all. Public Speeches are done in city squares and is often used to deliver poetry, which comes with gestures. The Public speaker must have a god command of the literary piece and must also command the public to continually gain their attention.Geometrical OrnamentationBecause of the Geometrical style of Ornamentation, the art of Muslims moved towards pure abstraction. Art of Astronomers and Mathematicians would be described by the series of modifications and superposing of star like shapes with six, eight, ten, or even twelve points. With these kinds of designs which has countless foci, constitutes an invitation to meditate.Moral SystemIsla m has done a really good job of creating foundation for Human rights all through out the world which is not only observed but respected as well, what ever the circumstance may be. Not only do Muslims provide legal safeguards but they also provide and effective moral system. This moral system can be discussed as such: Anything that would lead to the welfare of an individual or the welfare of the society is morally good, and such, whatever provides to be injurious to the society and its people may be considered as morally bad.Muslims have never claimed the right to call their Moral system to be one of its kind, or a breakthrough when it comes to other moral systems, nor did it ever seek to minimize or exaggerate the importance of other moral systems. They address the well known moral virtues with equal importance with regards to its role in the scheme of life. The Muslims wanted to ensure that their sense of morality overcomes oneââ¬â¢s selfish desire.May it be literature, science, medicine, astrology, geometry or Alchemy; Muslims have indeed made a mark in History. Their culture is rich and has done a great job of influencing other nations, specifically the Western Nations. The Influence was neither forced nor was it intentional. It was the inevitable outcome of two civilizations meeting, mixing and taking the best from each other at the boundaries of the Muslim encroachment on the Christian Civilization in Europe.
Saturday, February 22, 2020
Anton Pavlovich Chekhov Research Paper Example | Topics and Well Written Essays - 1250 words
Anton Pavlovich Chekhov - Research Paper Example Born in a provincial and remote city on the shores of the Sea of Azov, Chekhov experienced philistine poverty under the supervision of a suppressed mother and tyrant and religious zealot father who was a grocer and son of a serf.Chekhovââ¬â¢s grandfather bought freedom for himself and his three sons in 1841 and taught himself reading and writing. Chekhovââ¬â¢s early life is shadowed by his fatherââ¬â¢s suppression and strict behavior. Frenzied father forced his sons to sing in evening church choirs. He not only tormented Chekhov and his brothers with late-night rehearsals but also asked them to play their roles as ââ¬Å"masterââ¬â¢s eyes and earsâ⬠in his shop. Antonsha was soon discovered to be more reliable than his brothers; therefore, father relied on him frequently. However, this compulsion proved to be productive for Chekhov and the world in the form of stories like; ââ¬Å"The Sacred Night,â⬠ââ¬Å"The Sacred Mountains,â⬠ââ¬Å"The Student,â⬠ââ¬Å"Perhaps,â⬠ââ¬Å"and The Archbishop.â⬠Chekhov would have never aware of the religious services and people with simple souls without these exercises. (Bunin 4). Chekhov's Education and Profession Chekhov attended a Greek school in Taganrog (1867-68 and then Taganrog grammar school (1868-79).Hid fatherââ¬â¢s bankruptcy forced the family to migrate to Moscow. Tutoring made Chekhov independent enough to support himself and spend some time alone in his hometown. In 1879, Chekhov got enrolled in Moscow University Medical School. He supported himself and his family by publishing hundreds of comic stories. Subjects of Chekhovââ¬â¢s stories were nonsensical social situations, marital issues, absurd encounters between husbands, wives, lovers, and mistresses, and whimsical young women. Though Chekhov had much knowledge of these issues, he was shy even after his marriage (Liukkonen). Chekhov worked as a physician in most of his life as adult. He gave credit to his medic al profession for his power of observation and sense of direction in literary work (Loehlin viii).He often stated that, ââ¬Å"Medicine is my lawful wife, and literature is my mistressâ⬠(qtd. in Loehlin viii). Writing and Achievements Nenunzhaya pobeda (1882) was Chekhovââ¬â¢s first novel, written in Hungarian context, this novel parodied famous Hungarian writer Mor Jokaiââ¬â¢s novels. Jokai was also ridiculed for his ideological optimism during that time period. Chekhov established himself as a famous writer by 1886. The Shooting Party, Chekhovââ¬â¢s second full-length novel was translated into English in 1926.Its characters and atmosphere was also used by Agatha Christieââ¬â¢s mystery novel, The Murder of Roger Ackroyd in 1926(Liukkonen). Chekhovââ¬â¢s first story book was a success which transformed him into a full-time writer. His denial to join ranks of social critics annoyed liberal and radical intelligentsia. Their wrath appeared in the form of criticizin g Chekhov for dealing ad raising social and moral issues and avoiding answers. However, Chekhov won the support of
Wednesday, February 5, 2020
American Missionaries in East Asia Essay Example | Topics and Well Written Essays - 750 words - 1
American Missionaries in East Asia - Essay Example to teach formal education and sensitize the Koreans about the capitalism rule that was befalling Asia in 1800s since there were local schools, already established before missionariesââ¬â¢ arrival, though it only offered informal education to woman and girls (Hyaeweol 78). This was during the era of Tokugawa. They used educational institution to influence the feminist in Japan and china who did not believe in Christianity. Research exercises conducted by Korean missionaries focused only on political and theological matters, taking little considerations on matters pertaining to gender. Missionaries learned that the Korean women were rising up from their hibernation state and were looking aggressively for something to keep them occupied. They contrasted between the valueless world characterized by limited Christian concepts and a Christian world which was peaceful, optimistic and morally pure (Hyaeweol 94). Though the missionaries still believed that a womanââ¬â¢s place is in the traditional home setting, they also believed that women should not be restrained by traditional boundaries within a household. Therefore, they used educational institutions to encourage Korean women to take part in formal education where new ideas could be introduced to them, especially ideas of definite career fields like medicine, sports and other professional fields, which were conventionally unachievable to Korean women. In this regard, education institutions were the best option for missionaries in their efforts of reach out to Korean women. Apart from training the professionally, missionaries also wanted to portray out that formally educated women were liberated and modern. During their early times in East Asia, missionaries used ââ¬Å"enlightenedâ⬠western woman as an example of enticing Koreans into accept the modernized way of living. Typically, western women were perceived as being inherently enlightened as they were well versed with affairs around the world. Western women actively
Tuesday, January 28, 2020
Civil Enforcement Against Senior Bankers
Civil Enforcement Against Senior Bankers Civil enforcement against senior bankers for the financial failure of the institutions that employ them has been quiet in the United Kingdom before the global financial crisis in 2007. However, this unpleasant event that happened in the period between 2007 and 2009 directly displayed the weaknesses of senior management in the financial sector. Risk-taking management decisions, market misconduct and mis-selling practices are the common malpractices in the financial sector. Gradually, this problem which is caused by weak governance and misbehaviour has become more and more serious. There is a quote from an article stating this kind of problem as nothing so concentrates the mind as an urgent and complex problem.[1] However, generally, senior managers at financial institutions are typically incentivised in ways that lead them to underestimate risk-taking from the perspective of the firms other constituencies because they put the institutions profit in the first place. This can result in a failure to identify or fully appreciate in particular the correlation between low-probability risk and firm integrity.[2] Hence, it may not be best dealt with by enforcement against senior bankers.[3] As we know, a decision to be made equally for the best interest of the financial institution and the public is difficult. However, since weak governance appeared to be a problem for the fairness and transparency of the financial sector, it has to be addressed as soon as possible. Before determining whether the law is taking sufficient measures in addressing this senior management problem, we should first proceed to look at previous cases of the banks in the UK which failed in the global financial crisis. First and foremost, Northern Rock, which was a mortgage lender with a large market share, operated on a risky originate-to-distribute business model which relied on short-term money market funding to finance its extensive mortgage writing business. However, it went into trouble when the money markets dried up owing to subprime mortgage defaults in the United States. Then the Financial Services Authority (FSA) produced a report reflecting upon what went wrong at Northern Rock.[4] Certain doubts were voiced regarding the chairman of the board and the chief executive in terms of their competence and decisions made. However, neither individual has been subject to any individual liability under the law. Thus, this reflects that the law was not having a consolidate d structure to deal with individual liability in decision making. Next, the Royal Bank of Scotland teetered on the brink of failure in early 2009. It had been growing aggressively through large-scale acquisitions, such as of National Westminster Bank in the UK in 2000.[5] In May 2007, Fred Goodwin, who was the Chief Executive Officer of the Royal Bank of Scotland Group between 2001 and 2009, led the bank to acquire the Dutch bank ABN-AMRO, over-bidding for it in order to edge its rival Barclays out of the race.[6] The deal was completed deal quickly without adequate due diligence carried out on ABN-AMROs assets. This action was severely questioned by the media at that time.[7] By early 2009, the bank faced significant losses due to the absorption of losses from ABN-AMROs extensive securitised assets portfolio. This acquisition was proved not a good move. However, although the Financial Services Authority criticised the senior management for poor risk decisions and governance culture in its report on the Bank, no individual has been subject to any i ndividual liability under the law again.[8] In addition, Halifax Bank of Scotland, in fact, was a casualty of the global financial crisis because the crisis crystallised the failure of an already dangerous business model.[9] The bank had been underwriting corporate loans with poor due diligence and standards in order to pursue rapid growth and expansion. The Parliamentary Commission looked into the banking standards and criticised the chairman, the chief executive and a number of board members. However, only one individual, Peter Cummings, the director of the corporate finance division who led the business into writing enormous sums of bad corporate loans, was fined and disqualified by the Financial Services Authority.[10] No other individual has been subject to any individual liability. Hence, these previous cases show that the legal structure in this area was not competent to act as a deterrence and raise awareness of the senior bankers in making careful decisions in the best interest of the public. After the global financial crisis, several conduct scandals were revealed in the financial sector. Significant banks in the UK such as Barclays were fined in significant amounts for rigging the London Inter-bank Offered Rate.[11] The Financial Conduct Authority (FCA), together with other international regulators, also subjected a number of banks, including Barclays and RBS, to record fines over foreign exchange market-rigging.[12] The Salz Review[13], which revealed unhealthy sub-cultures in the large and complex structures at Barclays, also raised interesting questions. Question arises as to what extent senior management and the board should be responsible for the polluted banking culture as organisational pyramid shows the decisions are often made at the top.[14] The harms caused by malpractices in the banking sector are not only individual losses, but also damaging market confidence and integrity. Good corporate governance matters. It persuades, prompts and encourages institutions to preserve the honesty and integrity of key promises made to investors and the public.[15] In the aftermath of the global financial crisis, we can notice that many affected banks underwent senior management changes. In fact, the general consensus of all key reports is that the economy would have had stronger chances of survival had there been more professionalism among executives, better corporate governance structures and more ethical behaviour within the banking sector.[16] However, new management is unlikely to have significant effect on the current posed problem if the law is still lacking sufficient supervision in this area. In relation to this, Singapore, one of the world leading financial centres, recognises that a regulatory framework that is sound, strong and in line with the practices of leading jurisdictions is fundamental to achieving a thriving and liquid market.[17] We should now proceed to look at the development of the law in this area. In fact, the regulation of banking in the UK began with informal controls by the Bank of England and was eventually placed on a statutory basis by the Banking Act 1979. The following decades saw the passing of the Banking Act 1987 which increased the Bank of Englands regulatory and supervisory powers. As the UK did not have any special regime for dealing with banks in financial difficulties, a temporary Banking (Special Provisions) Act 2008 was passed to enable the resolution of problems. That Act was then replaced by the Banking Act 2009. After that, Financial Services Act 2010 was passed which amended Financial Services and Markets Act 2000 by strengthening the powers of the FSA and giving it a financial stability objective.[18] In July 2012, following a series of banking scandals culminating in the LIBOR findings, the UK instituted a Parliamentary Commission comprising both Houses to inquire into how banking culture could be changed for good.[19] The Parliamentary Commission was of the view that individual standards are key to enhancing banking culture and hence enhanced regulation of individuals must be introduced to change banking for good.[20] The Parliamentary Commission proposed enhanced regulatory liability for senior persons and employees performing any function that could harm the bank, as well as a special criminal liability regime for senior persons who have recklessly mismanaged a bank.[21] In relation to the above, the Financial Services (Banking Reform) Act 2013 has adopted many of the Parliamentary Commission recommendations. This Act has been lauded by the Treasury as the biggest reform to the UK banking sector in a generation, which will help to increase conduct standards among bankers.[22] This Act can be seen at the heart of system-focussed reforms designed to increase overall resilience of the UK financial system to future shocks and instability, as much as it can be seen in initiatives designed to strengthen the liability of individual actors operating within the overall financial system.[23] However, the Financial Services (Banking Reform) Act 2013 is also said to be a missed opportunity to increase the accountability of senior bankers for the financial failure of the institutions that employ them. In fact, individual liability is governed under Section 36 of the Act.[24] We can examine this issue by viewing it from two perspectives. We should first look at the express meaning and purpose which the Act wishes to carry out by its wordings. From the Act, we can see that Section 36 provides a jurisdiction to prosecute misconduct in the financial services sector. However, this jurisdiction is quite broad. This can be seen in Section 36(1)(a)(i) and (ii). It states that the senior manager either needs to have taken a decision or have agreed to the taking of a decision. Besides that, the senior manager has the duty to take steps he or she can in order to prevent such a decision being taken. The Parliamentary Commission on Banking Standards (PCBS) in its June 2013 final report concluded that mismanagement and failure of control lie at the heart of standards and culture in banking.[25] However, it seems that Section 36 is only intended to deal with the process of making reckless decision while managing the financial institution. Furthermore, the Act has a number of limitations. First, S stated in the Act must be a senior manager or an authorised person who is carrying out a senior management function, which is stated in S.19(2) of the Act.[26] In fact, many organisations have delegated authority now and so, this will narrow down the ambit of the offence. There is one problem in accessing this jurisdiction identified by the Commission is that managers of varying levels can communicate preferences that give rise to a risk without directing subordinate employees explicitly. For example, this was displayed in the London Interbank Offered Rate rigging scandal.[27] In relation to this, the law provides the provision where the senior bankers have the duty to take measures in order to prevent reckless decisions. Nevertheless, this 2013 Act still has its limitation to prosecute senior managers who are experienced and have become adept at encouraging reckless misconduct. Besides that, the Act states that S needs to be aware of a risk that the decision in question may cause the failure of the financial institution. This may be unfair to criminalise the actions of a decision-maker who did not appreciate or actually foresee a risk. The decision must actually bring the financial institution to the risk of failure, not only risk causing losses to the bank. In addition, there is no single definition of conduct risk available. There are different definitions in use, depending on the emphasis, the causes and the impact.[28] This will make the Act seem vague in this sense. The scope of the offence is limited further by the causation clause in Section 36 (1) (d) which states that the implementation of the decision causes the failure of the group institution. Failure in this context means is interpreted in three ways. First, the institution becomes insolvent. Second, any of the stabilisation options in Part 1 of the Banking Act 2009 is satisfied by the financial institution in question. Third, the financial institution is taken for the purposes of the Financial Services Compensation Scheme to be unable or likely unable to satisfy claims made against it. Practically speaking, it is very difficult to prove or to bring actions under the law. In the article titled Criminalising Bank Managers, Professors Julia Black and David Kershaw from the London School of Economics identified the difficulties faced by the drafters of the new legislation.[29] In fact, the law has to be broad enough to provide a solid deterrent to individual liability and also to satisfy public demand for accountability. However, it cannot be legislated too widely which would possibly allow senior bankers to benefit from the loopholes of the law. In fact, it can be said that the criminal sanction provided by the Act delivers an important message and acts as an alarming notice for the banking sector. Apart from that, question arises here as to whether the law achieves its purpose practically. The exact purpose of the law in this area is said to be difficult to be achieved practically. The practical problem of the Act is that Section 36 is seemed to be a legal framework on how the law and sanction will operate because the possibility of successful prosecution is quite remote. Indeed, the Commission stated in its final report that it would not be easy to secure convictions for the offence. However, the Commission felt that the provision should be created to give pause for thought to the senior officers of UK banks. There are two main reasons affecting the practicality of the law in this area. First, there is the matter of causation. In order to establish liability, the senior manager must cause or his decision results in the institutional failure. In other words, it has to be proved beyond reasonable doubt that the senior banker causes the failure of the financial institution. As we know, most of the business failures are often caused by a combination of factors. In any prosecution, as stated above, establishing that the decision of a senior manager cause the failure of a bank will be difficult. Financial institutions such as banks are often large organisations, and failure of the bank is not usually caused by only an individual, but a combination of different factors. Hence, it is quite difficult to prove that the bank failure was due to a specific decision by an individual, if not impossible.[30] In fact, the government argued that causing the banks failure should be interpreted as having significantly contributed to the failure during the Parliamentary debates on the b ill. However, this interpretation is unsupported by a plain reading of the Act. Hence, establishing causation in fact and in law successfully might be very difficult practically. Secondly, it also appears to be difficult that the senior manager is aware of the risk that the implementation of a decision may lead to bank failure as it is full of uncertainties in the financial sector. Besides that, the Act states that his or her conduct fell far below what could reasonably be expected of a person in their position. In fact, the doctrine of reasonableness can have different outcomes owing to different circumstances. For example, if there is an imminent bank failure, a senior manager is reasonably expected to take responsive but difficult decisions under pressure. This will cause proving the necessary mental element of the offence become very complicated. Besides that, misconduct or risk-taking decisions at one bank spreads across the sector, as the behaviour comes to be seen as the market norm and no bank wants to miss the extra earnings from the practices. Therefore, it is difficult to apply the reasonableness test on senior bankers since a lay person may not kn ow the actual reason behind certain decisions made in that position. The idea of how these situations will be decided can only become clear when it comes to the court. Apart from that, in determining a potential prosecution under this Act, investigations on the issues are likely to require a high degree of access to the financial institution records. This may appear to be a heavy burden for the financial institution in question. In the absence of sufficient evidence or information on what actually causes the banks failure, this will be a waste of time for the authorities and the financial institution. In addition, if the investigating authority wishes to investigate on every person involved in the senior management decision, this action requires a certain amount of time which might take months or even years. It would be even worse for a financial institution which does not have proper records of its major decisions. Besides that, it should be noted that not every decision is made at the general meeting. Therefore, an investigation may use up management time.[31] By looking at the nature of the Act, the new provision criminalises individuals actions by holding them responsible for having caused the banks failure. However, the process of decision-making in large financial institutions is usually a collaborative process with several inputs from various senior managers or people sitting at the top level of the institutional pyramid. As stated above, an investigation on this issue would possibly consume few months or years and this may disrupt the continuing management. In relation to the above, it shows that the laws must be clear and simple for people to follow. Laws that are overly vague or complex and technical do not encourage compliance as they are too difficult to interpret and comply with.[32] Practically, this new offence has its limitations in finding senior bankers liable for making risky decisions because risk-taking is the spirit of the financial sector. For example, in many capitalist societies, risk-taking is seen as a necessary part of business and it is hard to prove wrongdoing.[33] Therefore, this illustrates that Section 36 may seem to be a paper tiger which is enacted more for symbolic than actual punitive effect.[34] Apart from that, the law has another way of addressing senior bankers liability besides merely applying the 2013 Act. The Financial Conduct Authority (FCA) and Prudential Regulation Authority (PRA) have published the final approach to improve individual accountability in the banking sector. The Senior Managers Regime will ensure that senior managers can be held accountable for any misconduct that falls within their areas of responsibilities, while the new Certification Regime and Conduct Rules aim to hold individuals working at all levels in banking to appropriate standards of conduct.[35] This has come into force on 7 March 2016. In fact, the new UK Senior Managers Regime (SMR) has the potential to rebalance these incentives. It is the product of a two year process led by a parliamentary commission tasked with addressing widespread misconduct at banks. The commission identified the lack of personal consequences for individuals as a root cause of repeated bad behaviour by institution s.[36] Under the SMR, an individual is guilty of misconduct if the regulators are able to show that there was a failure by a relevant authorized person in an area for which that individual senior manager was responsible.[37] Clearly, all centrepiece reforms of the Financial Services (Banking Reform) Act 2013 can be related to culture as it is currently understood by regulators: as a set of attitudes, values, goals and practices which together determine how a firm behaves à ¢Ã¢â ¬Ã ¦[38]; and also by academic scholars: as the subsistence and transmission of behaviours and beliefs which characterise particular social or economic groupings within and beyond these groupings.[39] From the above, we can see that the Financial Services (Banking Reform) Act 2013 can be seemed to act as a reminder or notification for the senior bankers not to make extremely risky decisions. And by having this legislation, senior bankers and those who are responsible for making decisions would be more cautious in future decision making. However, practically speaking, it is difficult to be accessed as the financial or banking sector are full of uncertainties. No one can foresee the potential risk hidden in every decision made a nd no one should be blamed if the decision is made in the best interest of the institution. In short, a powerful mechanism to promote desired behaviour is to ensure that senior managers of the banks and their counterparties are aware of the possibility of the systemic implications of their actions such as aware of the possibility of their failure, and therefore the need to be concerned about that risk.[40] Banks safety and soundness are key to financial stability, and the manner in which they conduct their business is central to economic health. Governance weaknesses at banks, especially but not exclusively, those which play a significant role in the financial system, can result in the transmission of problems across the banking sector and into economies in outlying jurisdictions. Thus, effective and sensible corporate governance is critical to the proper functioning of the banking sector and the global economy.[41] In conclusion, the presence of this new offence may be seemed as a political tool to comfort the public after the global financial crisis which has no real and practical impact on individual liability. However, this Act will anyhow act as a general framework for senior bankers in their financial institutions to re-examine their decision making processes and to ensure that they comply with the highest standards of transparency. Someone may argue that strict rules or legislation might stop attracting talents into the financial sector. However, if they are not prepared to be bound by the legislation, they are clearly not the people who can bring huge impact to the financial sector and consequently the national economy. BIBLIOGRAPHY Books Ellinger E. P., Lomnicka E and Hare C. V. M, Ellingers Modern Banking Law (5th edn, OUP, Oxford 2011) Articles A Minto, Misconduct in banks: approaching the issue from a systemic perspective (2016). A Salz, The Salz Review: An Independent Review of Barclays Business Practices (2013). D Arsalidou and M Kambria-Kapardis, Weak corporate governance can lead to a countrys financial catastrophe: the case of Cyprus (2015). F. Hilmer, Strictly Boardroom: Improving Governance to Enhance Company Performance (1993). FCA, FCA publishes final rules to make those in the banking sector more accountable (2015). Financial Stability Board, Peer Review Report on Risk Governance (2013). FSA, Final Notice against Peter Cummings (2012). FSA, The Failure of the Royal Bank of Scotland: Financial Services Authority Board Report (2011). FSA Board, The Failure of the Royal Bank of Scotland (2011), para.581. FSA Internal Audit Division, The Supervision of Northern Rock: A Lessons Learned Review (2008). G Wilson and S Wilson, Banking and regulation post-crisis: the significance of culture in the UK and experiences from Australia (2016). Hall and du Gay (eds), Questions of Cultural Identity (1996); and Williams, Culture and Society: 1780-1950 (2013). House of Lords and House of Commons, Changing Banking for Good (12 June2013), Vol.I, para.116 House of Lords and House of Commons, Changing Banking for Good (12 June 2013), Vol.II, paras 632-634 House of Lords and House of Commons Parliamentary Commission on Banking Standards, An Accident Waiting to Happen: The Failure of HBOS (2013). Iris H.-Y. Chiu, Regulatory duties for directors in the financial services sector and directors duties in company law: bifurcation and interfaces (2016). J Black and D Kershaw, Criminalising Bank Managers (2013). J. Gapper, Trading Floor Culture no longer Acceptable (2012). J Stainsby and K Anderson, Making individuals accountable: new regulatory frameworks for banking and for insurers (2015). L.A. Bebchuk, A Cohen and H Spamann, The Wages of Failure: Executive Compensation at Bear Stearns and Lehman 2000-2008 (2010). M S. Kenney, A D. Moglia and A Stein, Fraudsters at the gate: how corporate leaders confront and defeat institutional fraud: Part 1 (2016). Parliamentary Commission on Banking Standards, Changing Banking for Good (2013). Singapore Parliamentary Debates, Securities and Futures Bill (5 October 2001) Vol.73, cols 2127-2128. T Hallett, Symbolic Power and Organizational Culture (2003). V. K. Rajah SC, Prosecution of financial crimes and its relationship to a culture of compliance (2016). Official Published Sources J. Macey, Corporate Governance: Promises Kept, Promises Broken (Princeton University Press, Princeton, NJ 2008). Electronic Sources BBC News, NatWest Takeover Battle accessed 26 March 2017. BBC News, RBS Secures Takeover of ABN Amro accessed 26 March 2017. The Independent, Was ABN the worst takeover deal ever? accessed 26 March 2017 C Coltart, Banking act is a paper tiger, The Law Society Gazette accessed 26 March 2017. D Gilroy, Banking Reform Act 2013, a good idea with poor implementation accessed 27 March 2017. L Hodges, Jail bankers for failure? The new criminal offence is an unworkable paper tiger accessed 27 March 2017. Norton Rose Fulbright, Criminal liability for senior bankers accessed 27 March 2017. R Burger and M Bonnell, Individual Accountability in Banking and Finance
Monday, January 20, 2020
Nature and Procreation in Blue Highways Essay -- Blue Highways
Nature and Procreation in Blue Highways In the book of a rustic American journey, Blue Highways, William Least Heat Moon continually characterizes the land he travels with simple, natural references. Least Heat Moon repeatedly gives the nature he discovers on his journey very fertile, prolific qualities. The essays often contains vivid physical descriptions of the environment, particularly its natural beauty. Least Heat Moon ponders human existence and its interference with the environment. The themes of natural beauty and fertility repeatedly surface throughout Least Heat Moon's account of his journey around America. In several descriptions of nature throughout the book, William Least Heat Moon portrays the wilderness he finds with extremely basic, reproductive traits. The themes of procreation and fertility in the natural environment surround him. For example, in his description of a swamp environment, Least Heat Moon writes, In the muck pollywogs were starting to squirm. It was spring here, and juices were getting up in the stalks...water bubbled with the froth of ...
Sunday, January 12, 2020
Negative Effect of Video Games on Children Essay
The Negtive Effects of Video Gaming on Children Children donââ¬â¢t have to buy an expensive gaming system to play video games anymore, than can simply log onto the internet through their home computer or their handheld devices and they have an array of videogames to choose from. Every time a child pops a role playing videogame into their gaming console or logs onto the internet to play so called interactive video games, they enter a virtual world where there are no real consequences for their actions. While playing violent video games children can choose to play the violent roles of either car thieves or killers. The more time a child spends playing video games the less time they spend engaged in normal social activities with their friends. When a child is allowed to spend hours a day playing video games, especially violent role playing games, they can cause them to become violent, socially isolated, and depressed. First person role playing games allow children to identify with their character (Harding). The more time children spend as killing machines in the false reality of the video gaming world, the more desensitized they become to death and killing in the real world. Studies have shown the more time children spend playing violent video games, the more likely they are to respond to real world situations with aggression and violence (Gordon). A 2004 study published in the Journal of Adolescence found children, particularly teens, who played violent video games are more likely to become aggressive, confrontational, and see a decline in their academic performance (Harding). Allowing children to play violent video games is not worth the risk they pose! Children are exposed to enough violence through television without the help of violent games offered to them over the internet and through popular video gaming systems. Video games do not only expose children to violence they allow them to engage in it through the violent roles they allow them to play. Many of the roles children play over the internet or through their game consoles simulate real world situations where they can steal and murder with no consequences. Parents should not need to read the results of a study for them to realize that allowing their hild to play violent roles in video games, where they kill and steal, will encourage violent behavior from them in the real world. During September 2009 in Ohio a sixteen year old boy named Daniel Petric was forbidden by his father from buying the new version of the violent video game Halo that he was obsessed with. After being forbidden from buying the new version of the violent game Daniel snuck out of his house and bought it anyway. When Danielââ¬â¢s father discovered he had disobeyed him, and bought the game, he took it away from him and locked it in his lockbox where he kept his gun. Later that same night, sixteen year old Daniel unlocked his fatherââ¬â¢s lockbox to retrieve his game and found his fatherââ¬â¢s gun. After finding the gun Daniel went into his parentââ¬â¢s bedroom and shot both his father and mother in the killing them (Gordon). No one can say with absolute certainty that the video game Halo caused the boy to shoot his parents. One thing is obvious, if the boyââ¬â¢s account of events are to be believed, the game played a huge factor in his descion to murder his parents that evening. Violent behavior unfortunately is not the only negative effect from children playing video games to often. A recent study by Douglas A Gentile, an associate professor of psychology at Iowa State University found that children who spend several hours a day playing video games are at risk to become addicted to them. Once a child becomes addicted to their video game, their addiction can cause them to become depressed, anxious, and have social problems including social isolation (Gilmore). If a child is spending several hours a day gaming they can very easily become depressed. When a child spends most of their day playing video games they do not engage in normal healthy physical activity with their friends. It makes sense that the more time a child spends isolated playing video games the more likely they are to become depressed. Children need to spend time interacting with their friends in order to develop normal social skills. When children isolate themselves playing videogames alone all day, they begin to lose their friends and social skills. Studies show that the depression caused from children pathologically playing video games can be easily lifted when they simply stop playing them (Frontelera). Douglas Gentile said, ââ¬Å"We found in children who started playing pathologically anxiety and depression got worse. And, when they stopped gaming the depression liftedâ⬠(qtd. in Gilmore). The idea that allowing a child to play his or her favorite video game for a couple hours a day can lead them to social isolation may sound farfetched, unfortunately it is not. The more time a child spends playing video games the less desire they have for one on one human contact. Although, children have the ability to interact with other players including their friends through the internet, their friends become part of the game itself and there is no real contact. Children need to spend time in social environments with their peers in order to learn and maintain the social skills they need to navigate through life. When a child loses his or her social skills they quickly become isolated and depressed. Their isolation and depression can lead them to identify themselves more with the character they are playing in their videogame than their own real life. First person role playing games allow children to identify with their character. Studies have shown the more time teenagers spend playing violent videogames at home the more likely they are to respond to real world situations with aggression and violence. A childââ¬â¢s imagination is amazing and sometimes limitless, unfortunately it can become dangerous when they begin to imagine themselves stealing cars and murdering people while playing first person role playing Videogames allow children to become kings and queens, or car thieves and murderers. Children can become so entranced by the different roles they play in the virtual worlds created for them through videogames that the line between the real world and the virtual one depicted in the video games they are playing becomes blurred. . Violent video games rewarded children for things like stealing cars and killing people.
Saturday, January 4, 2020
The Death And Life Of Great American Cities - 1863 Words
New York City is touted as many things: It is the current financial capital of the world; it offers the unparalleled opportunities to those who migrate here; it is at the forefront of innovationââ¬âand yet it is still possible for people to remain more or less invisible while living here. I look to further investigate the paradox of how it is possible for a city to undeniably be two completely opposite things, at the same time. In the three works I chose, I found that each displayed both the greatness of New York City, as well as the loneliness and alienation people face while living here. To start, in ââ¬Å"Crossing Brooklyn Ferryâ⬠, Walt Whitman describes the admiration he feels for New York during a ferry ride; he writes with exhilaration aboutâ⬠¦show more contentâ⬠¦Manstey lives in. The owner of the boardinghouse next door to Mrs. Mansteyââ¬â¢s decides that she needs expand her house (i.e., progress), without being aware of the potential impact of this on Mrs . Manstey, whose life is completely contained inside her roomââ¬âincluding the view from her window. In ââ¬Å"The Catcher in the Ryeâ⬠by J.D. Salinger, the main character Holden experiences loneliness and isolation after being kicked out of boarding school. He refuses to accept the fact that life goes on without him and causes an unnecessary struggle for himself throughout the story. Loneliness and alienation have formed the crux of many stories about New York, from all points in time. This idea goes hand in hand with our symbolic importance of wanting New York to be the modernist city, without any exceptions, and how our need to constantly progress and move forward ultimately leaves some people out of the loop, lonely and alienated. All four works, although from different time periods, are seemingly involved in a conversation about New York City. That is, a conversation about the loneliness one experiences while living here, and how it can co-exist with the idea that Ne w York is the modernist city of the worldââ¬âconstantly growing and evolving, even if some people are left behind. Each of these stories takes on their own persona in this conversation. ââ¬Å"Crossing Brooklyn Ferryâ⬠is more optimistic, while ââ¬Å"Mrs. Mansteyââ¬â¢s Viewâ⬠is obviously more pessimistic in its approach. ââ¬Å"The Death and Life
Thursday, December 26, 2019
PGs Pert Plus a Pan-European Product - 1141 Words
PGS Pert Plus: A Pan-European Product? QUESTION 1 How attractive is the pan-European market for Pert Plus in terms of demand potential? Competition? Any cannibalization problems? PG is an international supplier of consumer goods it is a global leader in health and beauty care products, detergents, diapers and food . PGs presence in the hair care market in the U.S has been strengthened by innovative technology BC-18 and the replacement of an old brand Pert with Pert Plus- a mild shampoo with a fully effective conditioner. PG decided to introduce BC-18 in Europe. Traditionally, the European market is highly competitive the main rivals are Colgate, Unileaver, and LOreal. The European market is segmented (i.e. value based) andâ⬠¦show more contentâ⬠¦Brand choice? Should the BC 18 technology be introduced with a pan European name, or with local brand names, or even with a mixture of both approaches? Research indicates in Europe there are large price differences among hair care products. PG has decided that it should place the new shampoo in the premium-priced segment; this is done in order to keep up the image of the shampoo as a high quality and innovative product. PG should charge premium price in each country to be sold for 4.99 DM for the 200 ml bottle and for 5.99 DM for the 250 ml bottle in all the countries which had had been accepted during the consumer tests. The company cannot charge a price very few people can afford, this will also not be profitable for the company. PG is to become a leader in the European market of two in one hair products. The first year objective is to attract new European customers from competing brands to shift to the use of shampoo to BC-18. The aim is to exert a pull on the population in order to create a new market niche inside the shampoo market and encourage the people to use the new BC-18. In effect BC-18 technology serves the core need of washing hair and therefore it has to compete with the different national brands which are often well established. As I see, the BC-18 technology should be introduced with a mixture of both approachesââ¬âwith a pan-European name and local brand names. If we just introduceShow MoreRelatedPGs Pert Plus: a Pan- European Brand?636 Words à |à 3 PagesQ1. How attractive is the Pan- European market for pert plus in terms of demand potential? Competition? Pan- European market is quite attractive for pert plus à in terms of demand as the consumers test results showed that the product concept of wash go their (time-saving benefits) 28% consumers said that they would definalty buy the product that was only 1 percent less then already established bran there Vidal Sasson. Also because they are gradually accepting the idea of 2-in-1 shampoo more
Wednesday, December 18, 2019
trials involving genocide or crimes against humanity
ââ¬Ëâ⬠¦it is often argued that trials involving genocide or crimes against humanity are less about judging the person than about establishing the truth of the events.ââ¬â¢ ââ¬ËIn nearly all the criminal prosecutions concerned with crimes against humanity committed during or after World War II, some observers have doubted the ability of the criminal law to deal with the events precisely in view of their enormous moral, historical, or political significance.ââ¬â¢ Show Trial v. The Need for Justice to be Done in the Public Realm Hausners intention was to not only demonstrate Eichmanns guilt but to present material about the entire Holocaust, thus producing a comprehensive record. In addition to wartime documents, material presented as evidenceâ⬠¦show more contentâ⬠¦Instead, it has been thought necessary so as to enable the commencement of the healing process in the victim: only when the injustice to which a person has been subjected has been publicly recognised, the conditions for recovering from trauma are present and the dignity of the victim may be restored.ââ¬â¢ But, arguably, this healing process had already been allowed to take place. Trials at Nuremberg, subsequent trials by the Allies, etc. ââ¬Ëâ⬠¦if crimes against humanity really emerge from Kant labelled ââ¬Å"radical evilâ⬠, an evil that exceeds the bounds of instrumental rationality, that seeks no objective beyond itself, thenâ⬠¦Ã¢â¬â¢ the deterrent force of international criminal proceedings would be minimal. ââ¬Ëâ⬠¦fitting crimes against humanity or other massive human rights violations into the deterrence frame requires some rather implausible psychological generalisations. Either the crimes are aspects of political normality ââ¬âShow MoreRelatedA List Of Crimes Against Humanity1346 Words à |à 6 PagesCrimes against humanity means of any kind of act that is violent in nature and aimed at a specific area of the population. That is a list of crimes against humanity. This list of crimes against humanity does not take on every possible crime that can be so classified, whatever the particular acts in this list of crimes against humanity are some of the more common acts defined by the term. ïÆ'Ë Murder/Extermination (this is the action of killing a larger amount of people, while murder is often more individualized)Read MoreA war crime is an unjust act of violence in which a military personnel violates the laws and1100 Words à |à 5 PagesA war crime is an unjust act of violence in which a military personnel violates the laws and acceptable behaviors of a war. Despite all the violence in a war, a soldier shooting another is not considered a war crime because it is not a violation to the laws and practices of a war, and it is considered just. A war crime is defined as a ââ¬Å"violations [violation] of the laws and customs of warâ⬠(ââ¬Å"War Crimesâ⬠), and are attacks ââ¬Å"against civilian populations, prisoners of war, or in some cases enemy soldiersRead MoreThe Declaration Of Human Rights1590 Words à |à 7 Pagesthe atrocities involving World War II and the Holocaust, in an attempt to stop events like genocide and ethnic cleansing, as well as war cri mes, from happening in the future. However, this document proved ineffective in relation to the events in Cambodia between 1975 and 1979. 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The Tutsi peopleRead More International Charter Of Human Essay example980 Words à |à 4 Pages International Declaration of Human Rights and Freedoms History nbsp;nbsp;nbsp;nbsp;nbsp;After the war crimes committed by the Germans in the holocaust that occurred during World War II, the United nations decided to create a document guaranteeing respect for human rights and fundamental freedoms for all people, regardless of race, sex, language, or religion. This document was called The Universal Declaration of Human Rights. nbsp;nbsp;nbsp;nbsp;nbsp;The declaration was voted in on DecemberRead MoreEssay on Nightfather by Carl Friedman834 Words à |à 4 PagesSome Germans would rather forget it ever happened than acknowledge the disgraceful events that took place during World War II ââ¬Å"Adolf Eichmanns trial began on April 11, 1961 in Jerusalem, Israel. Eichmann was charged with 15 counts of crimes against the Jewish people, war crimes, crimes against humanity, and membership in a hostile organizationâ⬠(ââ¬Å"Eichmann Trialâ⬠). ââ¬Å"The 1960s saw an upsurge in civil rights and other organizations promoting freedom and equality for blacks and womenâ⬠(ââ¬Å"Social MovementsRead MoreThe Extermination Of Jews By Nazi Germany Essay1438 Words à |à 6 Pagesgroup. Apart from the logistics, strategy, or tactics of mass genocide, it is difficult to comprehend how an entire country can bear responsibility for the premature deaths of over six million people. While genocide, including the extermination of Jews by Nazi Germany, has occurred under multiple different contexts and is still present in modern society, there must be a psychological component to the cause of genocide. Where was humanity in the midst of widespread murder? Shouldnââ¬â¢t there have beenRead MoreWhat Is The Crime Of Aggression Is International Law2469 Words à |à 10 Pagesis the crime of aggression in international law Introduction The Rome Statute marked historic moments of consensus in international criminal law in 2002 as it entered into force. The first permanent international criminal Court (ICC) was established with the main aim of ending impunity, promoting judicial independency and reaffirming the position of the United Nations Charter (UNC). The mandate of the Court is to try individuals and to hold such persons accountable for the most serious crimes of concernRead MorePurposes And Principle Of Un Charter Essay1646 Words à |à 7 Pages(Global R2P, 2015). According to UN (2015), Resposibility to Protect is a duty of Members to counter mass atrocity and genocide. The responsibility of international community is mentioned in the third pillar of ââ¬ËResponsibility to Protectââ¬â¢: The international community has a responsibility to use appropriate diplomatic, humanitarian and other means to protect populations from these crimes. If a State is manifestly failing to protect its populations, the international community must be prepared to takeRead MoreEssay 1 Jus ad Bellum, Jus in Bello, and Jus Post Bellum are the three stages of Just War Theory.2700 Words à |à 11 Pages Meaning, only use force against legitimate targets in war, and only use an amount of force that is morally appropriate. Jus Post Bellum discusses how justice should be served following the cessation of a war, with discrimination being a big factor once again. In this case, that means that punitive measures are only to affect the ones directly responsible for the conflict, not civilians. I believe Just War Theory plays a big role in the study of genocide, war crimes and international law. International
Tuesday, December 10, 2019
Compare a romantic relationship in Hour and In Paris With You. free essay sample
Compare a romantic relationship in Hour and In Paris With You. Hour is a sonnet written by poet Laurete Carol Ann Duffy. Its about a couple in love and describes their relationship throughout the time (hence the title of the poem- Hour). Hour is about the feelings that arise from spending time with a loved one. The poem suggests that to be with a loved one, even for just an hour, is precious and valuable. It also presents the traditional idea of time as an obstacle to lovers. In Paris with you is a sonnet written by James Fenton. In Paris with You is by a (narrator) whose relationship has just ended and who is now in Paris with someone else (Im on the rebound). This suggests a long-term relationship has ended and the speaker is currently enjoying a less serious commitment. The narrator isnt interested in exploring Paris with his/her loved one; he just wants to enjoy the moment rather than thinking of the future or the past. We will write a custom essay sample on Compare a romantic relationship in Hour and In Paris With You. or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Hour and In Paris with you are two different poems taking a different look at love and relationships. Firstly Hour is to do with love and how wonderful it is when youre together yet In Paris with you is about love and how it isnt always perfect. The feelings in Hour is that they are worried that time is running out time hates love. These two people are in love which is portrayed from the romantic imagery and the repetition of the word love . Additionally, they are so absorbed in each other which is highlighted in the use of a hyperbole Your hair like treasure on the ground which then displays to the reader that the poet decides to use this particular technique because it emphasises that they feel that everything is so perfect and precious. However, In Paris with you there is a lot of anger from perhaps being cheated on/walked out on, or upset following the breakdown of his last relationship this is revealed during the poem when he says Yes I am angry at the way Ive been bamboozled. There is also a feeling portrayed of heartbreak, in pain from the way he has been treated by his ex perhaps an example of this is when he says talking wounded. It brings sympathy to the narrator because using a war image which could then mean that he feels like his heart has been smashed into a thousand pieces and it also portrays that he feels sorry for himself (I get tearful). Hour is about a relationship blossoming in ordinary settings, focusing on the preciousness of the present time rather than the past and future which is also the same as In Paris with you. By Beth Upchurch.
Tuesday, December 3, 2019
The Media and Body Image free essay sample
Ones body is what makes us who we are. Every single person is unique due to an individual physical trait. Even though everyone has an opinion about what his or her perfect body would be, changing ones personal features would take away from individuality. I personally would never have plastic surgery because when I look at myself, I do not see a tall, skinny young man with a funny looking nose and big bug eyes, rather I see a beautifully sculpted masterpiece that God has made just for me. I take pride in the fact that there is no one else on this earth exactly like me. Not just my inner beauty, but my outer beauty makes me different from everyone else. Life would be so boring if everyone looked exactly the same. I personally could not be more content and happy with my body image. Whatââ¬â¢s body image? Body image is how people picture themselves and how they think other people picture them. We will write a custom essay sample on The Media and Body Image or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It is basically how you feel about your body, and it includes your perception, imagination, emotions, and physical sensations. Mass media has been able to shape popular culture and often influence public opinion. However, when abused, the power of media can harm the general population. Images portrayed by the media tend to make people strive to be someone elses idea of perfect while subconsciously ignoring their own goals. Stereotypes formed by the media that include thin, tanned women, and wealthy, muscular men have led to a decline in self-acceptance. The majority of media today often present the perfect body to the public, hoping that consumers will strive to achieve fitness using a certain product or idea. While this form of advertising may somewhat increase a products market share, many people suffer from inner conflicts as a result of failure to achieve the body of a top athlete or fashion model. As a result of these body images projected by the media, men and women have encou ntered physical problems, including bulimia, anorexia, employment of harmful dietary plans, low self-esteem, and depression. Unless reality is discerned from what is presented in certain media, some people will continue to suffer. Consumers could find the truth more easily if media offered products advertised by everyday people without the entire extra glamour. In addition to this, if the public could view adverts only as something to get ones attention and not a portrayal of how one should look, there would be fewer problems. Until either is accomplished, the negative effects will be felt by the vulnerable, and companies will continue to make their money. Consumers which are given a false impression about a product through various forms of media are the ones who suffer most from our societys portrayal of the perfect body. After being influenced by a television commercial or a magazine pictorial, certain people in this world will purchase an item hoping that the same success shown in the media will be achieved by them as well. The truth of the matter is that this hardly ever happens. Every day, people who feel unattractive wear sensual cologne, and those who are not athletic wear Carl Lewis track shoes; mentally, some may feel an improvement but in reality nothing has changed. Realization of this fact leads to the demise of many individuals self pride. The severity of both the mental and physical damage done to the person depends on the case. Some may resort to extreme diets, more unnecessary spending, or a decline in social activity. After being rejected at a local bar despite the bath he took in Polo Sport, Jerry might finally unde rstand that his appearance or personality is the problem, not his cologne. The mental effects of the mass medias portrayal of the perfect body can cause people to resort to unhealthy methods of losing weight to attain that athletic look that so many desire. For instance, men and women who think they are overweight do not eat, for the simple fact that ââ¬Å"they want to lose weightâ⬠which can result to eating disorders like bulimia and anorexia. Bulimia is a food disorder caused by mental insecurities and doctors recommend that people who suffer bulimia should see a psychiatrist, and the symptoms include compulsive exercise, taking laxatives, and throwing up, which can cause ones body to become short on electrolytes. Anorexia is a similar condition in which one loses exorbitant amounts of weight often by eating very little and vomiting a small amount of food that is actually consumed. Also men who think they are not muscular take harmful substances such as steroids to build up their muscles, a dangerous act that might endanger their health. In the pa st, both men and women (predominately men) who were slightly overweight used a fat burning drug known as Redux. It was designed for obese individuals, but the off-label use of such drugs became rampant due to advertising techniques by the manufacturers. Many people, including doctors, who were slightly overweight used the drug and have experienced pulmonary hypertension, valvular heart disease, and neurotoxicity. Other drugs, such as steroids, have been widely proven to cause brain cancer, stunted growth, and shrinkage of the testes .Many student-athletes use these performance enhancers in an attempt to become as muscular as the men often portrayed by media. This problem is also present in female teenagers as well. To some girls, steroid use is comparable to diet pills and laxatives. The abuse of these drugs is partly a result of inaccurate advertising as well as the young persons desire to look and perform as well as the superstars shown in various forms of media. The influence the media has on teenagers (especially girls) is becoming greater and more dangerous every day. Advertisements and the media set out with only one intention: to make a profit. However, along the way they are altering the reality of body image and leading girls to believe beauty is only skin deep. Flip through the channels on your television and you will find gorgeous skinny star icons that make healthy young girls feel like they need to be prettier in order to be noticed. The media affects a girlââ¬â¢s mind in such a negative manner that it often causes these girls to look at themselves in dissatisfaction and disgust. When girls see the models in a Victorias Secret commercial they think only one thing: Why cant I look like that? After they examine the models, they then compare their bodies to that of the models they see on television; if the girls ribs do not show or her legs are not as long as the models, she may ultimately begin to think she is unattractive. When girls think this about themselves, their self-esteem is lowered and their confidence is lost. Self-esteem is the opinion and value you have for yourself. Low self-esteem is often caused by the lack of positive body image, which almost every girl in America can relate to. It has been reported that at age thirteen, 53% of American girls are unhappy with their bodies. This grows to be 78% by the time girls reach seventeen. Having a low self-esteem may seem like an insignificant effect to some; however, it leads to much more serious problems that can even result in dire consequences. According to I Am Beautiful, a program created to help girls with low self-esteem issues to build their confidence, girls with low self-esteem are more likely to suffer from depression, consider or attempt suicide, or be more willing to engage in unhealthy sexual activity. Although it is not impossible to restore ones self esteem, it is difficult and may require professional attention such as a therapist fo r the individuals to accept themselves for who they are. In conclusion, body image is not to be taken lightly. People should make up their minds that they will not be negatively influenced by the media. In doing this, the public can view the media for what it truly is, a means of conveying information or providing entertainment. Good common sense should tell a woman that the overly attractive person in an advertisement is a model and should be admired for her beauty; all women are not required to look like a model to be attractive. The process of differentiating fact from fiction in adverts cannot be described on paper. It can only happen in the mind of the individuals. It is true that some messages are sent subliminally, but if consumers would appreciate advertisement for what it actually is, much of these ordeals could be avoided.
Wednesday, November 27, 2019
Pain Management and Quality of Life for Sickle Cell Disease Patients Essays
Pain Management and Quality of Life for Sickle Cell Disease Patients Essays Pain Management and Quality of Life for Sickle Cell Disease Patients Essay Pain Management and Quality of Life for Sickle Cell Disease Patients Essay Pain Management and Quality of Life for Sickle Cell Disease Patients Cynthia Evans Mississippi College Pain Management and Quality of Life for Sickle Cell Disease Patients This is a review of literature examining how frequent recurring episodes of pain affect the quality of life in the sickle cell disease patients. Several studies conducted concerning pain management and quality of life for sickle cell disease patients indicate additional studies needed. Identifying additional effective complementary alternate therapies is vital for a more improved quality of life. This will be necessary in order to reduce the number of painful episodes experienced by the sickle cell patient. Sickle cell disease is a genetic disorder of the red blood cells and further characterized by painful acute vaso-occlusive episodes where the sickle cell is stuck in the blood vessels, blocking the blood flow. This is one of the most common reasons leading up to hospitalization, the vaso-occlusive episodes. These episodes can lead to ischemia and infarctions over the entire body region with painful recurring, unpredictable, intense, and relentless episodes, lasting approximately 3-14 days (Yaster, Kost-Byerly, Maxwell, 2000). According to Granados and Jacob (2009), the purpose of their study was to examine pain experienced and the effectiveness of analgesics for hospitalized adults with sickle cell disease. The literature review indicates a variety of reasons why inadequate pain management is ongoing in the adult (SCD) patients admitted with vaso-occlusive episodes. The focus is mainly on factors that affect the management of pain, including methods of analgesic administration, and non-pharmacologic regimens, therefore the perception of the provider is important in regards to treating sickle cell pain as identified in the study by (Shapiro, Benjamin, Payne Heidrich, 1997; Steinberg, 1999; Yale et al. , 2000). Little attention in the way of research studies has been examined in relation to the pain experience of the sickle cell adults. Ballas and Lusardi (2005) evaluated the sequence of hospital admissions of patients with sickle cell disease, reviewing the causes of recurring admissions, and the importance of the patientââ¬â¢s outcome of illness. All readmissions examined specifically within seven to thirty days from the initial admission discharge assessing for the rationale of the recurrence of hospital admission and relation to the prognosis of the sickle cell disease patient. The researchers evaluated the pain by a descriptive underlying research design knowledgeable by the sickle cell disease patients for intensity, location, and quality of pain. Fifty percent of patients admitted for intense painful episodes were readmitted within one month after discharge, and another estimated 16% were readmitted within one week after discharge. Severe pain is described as a degree of pain greater than six on a zero to ten numerical rating scales. A mean score of seven or greater indicates prematurity in discharging the sickle cell disease patients from the hospital. In conclusion, the patients admitted to the hospital with high pain scores were more likely to have lengthy hospitalizations, and to be discharged home with equally higher pain scores. The pain intensity scores from the previous discharge examined by the researchers indicated 71 readmission, in which 52 patients were readmitted for vaso-occlusive episodes, (Ballas Lusardi, 2005). The pain score of study participants indicated a high pain intensity score, and the scores did not change consequently during prolonged episodes. Even higher pain intensity more so on days seven and eight were indicated for increase pain significance. Researchers further indicated that the main reason for hospital readmissions were early discharge to home settings, signs and symptoms of medication/drug withdrawal, that brought about the intense reoccurring episodes of vaso-occlusive illnesses. It was noted that readmissions to the hospital for the adult sickle cell disease patient is more common and researchers recommended future studies for improvement in pain management in the hospital and at home. In future studies, researchers will need to use a larger sample size to evaluate patterns of pain management, effectiveness and influence on quality of life in the sickle cell disease patient. Although, no evidence was identified where upward titration of analgesics was done it is recommended that development of algorithms be encouraged to help carefully plan decisions regarding titration of medications in adult patients with sickle cell disease during hospitalizations. Jiles and Morris, (2008) made known in their descriptive study of 62 patients (18 years of age and older) using Burckhardt and Andersonââ¬â¢s 16 item self-report and a demographic uestionnaire used for data collection. The purpose of the study was to investigate the quality of life in adults with sickle cell anemia, hemoglobin SC, or Hemoglobin S beta thalassemia. The results revealed that the healthy populations average scores for quality of life scale is 90 and in this study the overall mean QOL score was 83. 6 ( SD=13. 2) lower than those of the overall general population. The outcome of this study indicated additional research is necessary to advance the understanding of the factors that greatly affect quality of life in the management of sickle cell disease in order for patients to enjoy normal activities of life. A cross sectional descriptive study conducted by Yoon and Black (2006) researched both pharmacologic and complementary therapies used for pain management by caregivers of children with sickle cell disease (SCD). They further studied the prevalence and types of complementary therapies used for pain management by caregivers of children with SCD and made inquiries of caregiversââ¬â¢ concerning their interests in using complementary therapies in the future. Since there was no obtainable questionnaire to meet the principle of the study, a questionnaire was created by the chief researcher. Items included on the questionnaire was age of child, age of caregiver, use of analgesic, annual income estimate, caregivers educational level, and type of health insurance their child had available. Divisions were randomly ordered and included massage, chiropractic, acupuncture, energy healing, relaxation techniques, imagery, meditation, hypnosis, biofeedback, self-prayer, spiritual healing by others, music therapy, herbal or fold remedies, megavitiamins, yoga, tai chi and other body works, and transcutaneous electrical nerve stimulation. The prospective patients were identified, approached, and invited to participate in the study by the clinical coordinator of the sickle cell disease clinic. The study was explained and potential participants were provided an informed consent letter. All subjects were provided a room for privacy and questionnaires were completed either by the caregivers of the participants or by the research assistance. The research assistant was nearby in either case to answer any questions that might arise by the caregivers when completing his/her form. The instructions provided to the caregivers indicated the questionnaires listing of the sixteen complementary therapies. The caregivers were to indicate any usage of them within the last six months and were asked would they be interested in using any of the listed complementary therapies in the future. Statistical analyses was used including how often an event repeats itself over a set amount of time and expected values with standard deviations, were used to compare demographic variables, research use of pharmacological therapies for pain management between age groups, and evaluate pharmacologic/analgesic and complementary therapy use. Chi-square tests were done in the beginning of the study and carried through to completion comparing the demographic variables, scrutinized use of pharmacologic therapies for pain management between age groups, and compared use of pharmacologic and complementary therapies. The results of the most frequently used pain medication for children revealed a mean age of 9 years. The results indicated children using pain medications most frequently identified was ibuprofen (37. 5%), acetaminophen with codeine (32. 1%), and acetaminophen with oxycodone (14. 5%). Complementary and alternative medicine use among children as well as adults has increased in the last ten years. In the study, caregivers with a mean age of 33 years was 70% of the 63 caregivers identified as using some form of complementary therapy. African American mothers made up 79% of the predominant race of caregivers and (56. 9%) indicated an annual income less than $20,000. Sixty percent of caregivers had twelve years of education or less, and twenty-four percent reported at least 2 years of college education. Medicaid (76%) was the major source of coverage for the children, although 24% had private or other identifying insurance. Future studies should include investigating the safety and effectiveness of the most commonly used complementary therapies reported in this study as well as recognizing possible ways complementary and alternative medicine (CAM) may be used effectively with pharmacologic therapies for pain management in children with Sickle cell disease in order to offer greater longevity and overall improved quality of life. Yoon and Black (2006), Jiles and Morris (2008) and Granados and Jacob (2009) all indicate the need for future studies in management of pain in the sickle cell disease patients. All studies indicate that the genetic disorder most commonly found in the African- American affects approximately 70,000 in the United States. This genetic disorder affects the red blood cells causing a stasis of sickle shaped erythrocytes, in which occlusion of the cells microcirculation, causing ischemia, and infarction. These recurring, unpredictable, intensified, and persistent painful episodes prevent stability and overall quality of life in the sickle cell disease patient and all authors indicate the need for future studies. The purpose of this review of literature is to identify all of the effective therapies of pain management for sickle cell disease patients. Whether the therapies used are complementary or alternative therapies vs. analgesic regimens. There must be future studies to seek out the answers for improved methods of pain treatment in order to improve the quality of life for the patients with sickle cell disease to exceed living past the age of forty-two with an increased zest and quality of life. References Granados, R. , Jacob, E. , (2009, May/June). Pain Experience in Hospitalized Adults with Sickle Cell Disease. Medsurg Nursing, 18 (3), 161-167,182. Jiles, V. M. , Morris, D. L. , (2009). Quality of Life of adult patients with sickle cell disease. Journal of the American Academy of Nurse Practitioners, Volume 21, 340-349. doi: 10. 1111/j. 1745-7599. 2009. 00416x Yoon, S. L. , Black, S. , (2006) Comprehensive, Integrative Management of Pain for Patients with Sickle-Cell Disease. The Journal of Alternative and Complementary Medicine, Volume 12, Number 10, pp. 995-1001.
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