Tuesday, December 31, 2019

Pride And Prejudice By Jane Austen - 1280 Words

‘Pride and Prejudice’ is concerned with the equality of personhood between characters in the story. For instance, the marriage of Charlotte Lucas marriage to Mr. Collins which can be demonstrate the fact that marriage in the 19 century England, was ultimately seen as being an economic institution, dictated primarily by economic means. Miss Lucas, whom is a woman with small fortune, recognized her requirement for a wealthy husband to ensure that her social and cultural sustainment and thus, she marries Mr. Collins for whom she does not feel any loving emotion, â€Å"it is impossible that every moment should be employed in conversing together†. Within this, Austen presents a more cynical view of marriage, that of happiness not as marital prerequisite but rather as being an improbable benefit to people. Charlotte emphasizes the need of a husband for social security when she declares to Elizabeth; â€Å"happiness in marriage is entirely a matter of chance†. Su ch an institution of wanting of love and happiness, but burdened with social security and class recognition which is evident within Charlotte s situation this can be shown when Charlottes says; â€Å"I am not romantic [I ask only for a comfortable home].† To a magnitude, Austen recognizes the desolation of such an institution; â€Å"impossible for that [Charlotte] to be tolerably happy in the lot she had chosen.†Such a stance can be a juxtaposition with that of Elizabeth and Darcy which renders Austen s perspective on marriage as being aShow MoreRelatedPride And Prejudice By Jane Austen Essay1724 Words   |  7 PagesThe 18th century novel, Pride and Prejudice, by Jane Austen, is a fascinating book about a young woman’s struggle with family and love. Pride and Prejudice was originally published in 1813, but, the most common version of the story, and the one used for this research, is from the version published in 1892, still by only Jane Austen, though many other authors have contributed to this book over time. Austen often references the class system at the time, often noting one of the multiple heroine’s struggleRead MorePride And Prejudice By Jane Austen1467 Words   |  6 Pages Pride and Prejudice by Jane A usten is a classic novel that has remained relevant even years after its release. Its themes and symbols are understandable to even the most modern of reader. One of the many themes is sisterhood, something that is focused on constantly throughout the novel. Elizabeth Bennet, the protagonist of the novel, finds many of her decisions to be based upon the actions of her sisters. Making sisterhood a main driving force. Whether they are confiding in each other for marriageRead MorePride And Prejudice By Jane Austen872 Words   |  4 PagesIn my personal cherished novel, Pride and Prejudice by Jane Austen, the worlds of two immensely divergent people display the marxist idea of the importance of social status and its affect on the people. The two main characters seem to be on opposite ends of the earth in terms of an affluent Mr. Darcy being so privileged while on the contrary, Miss Elizabeth Bennet is of a lower class. Throughout the novel, there is a fine distinction between their cla shing opinions and actions that are highly influencedRead MorePride And Prejudice By Jane Austen Essay1711 Words   |  7 Pageshe 18th century novel, Pride and Prejudice, by Jane Austen, is a fascinating book about a young woman’s struggle with family and love. Pride and Prejudice was originally published in 1813, but, the most common version of the story, and the one used for this research, is from the version published in 1892, still by only Jane Austen, though many other authors have contributed to this book over time. Austen often references the class system at the time, often noting one of the multiple heroine’s struggleRead MorePride And Prejudice By Jane Austen1285 Words   |  6 PagesPride and Prejudice Analysis I.Introduction Jane Austen wrote her novels during the time period known as the Regency. The Enlightenment and the Age of Reason, a time where ideas like democracy, secularism, and the rise of developing sciences were making their way across Europe had come to an end.It was replaced with the wave of horror that was the French Revolution, a once minor revolt that escalated into a violent war, concluding with the rise of Napoleon, which whom England fought against the majorityRead MorePride And Prejudice By Jane Austen1384 Words   |  6 PagesNicole Voyatzis Professor W. Acres HISTORY 1401E May 26, 2015 Discussion Paper - Pride and Prejudice Pride and Prejudice written in 1813 by Jane Austen tells the story of The Bennet’s and their five unmarried daughters. The family live as part of the lower gentry in early 19th century England. With that being said, Mrs. Bennet’s primary focus in life is to ensure that all her daughters are married, preferably to wealthy men. The book begins with Mrs. Bennet seeing an opportunity for her daughtersRead MorePride And Prejudice By Jane Austen1570 Words   |  7 PagesThe comical novel Pride and Prejudice by Jane Austen depicts the love life of women in the early 1800’s. Austen shows the hardships young women in that time period had to go threw to find their place in this world. Women were thought of as objects to the men, they were supposed to be stay at home mothers, or simple just a accessory to their partner. Women were the subordinates in life, as they still are today. Austen tells the story of how Mrs. Bennet (a mother of 5) works tirelessly to get her daughte rsRead MoreJane Austen: Pride and Prejudice 1086 Words   |  5 PagesJane Austen, born December 16, 1775, was an English novelist whose works of romantic fiction earned her a place as one of the most widely read authors in English literature. Austen’s novels critique the life of the second half of the eighteenth century and are part of the transition to nineteenth-century realism. Though her novels were by no means autobiographical, her fictional characters do shed light on the facts of her life and but more importantly, they offered aspiring writers a model of howRead MorePride And Prejudice By Jane Austen914 Words   |  4 Pages Bell 1 Natalie Bell Pedersen English 4 honors 29 February 2016 Pride and Prejudice Essay Jane Austen s novel, Pride and Prejudice, focuses on the social conflicts of England during the 1800s. Elizabeth Bennet and Mr. Darcy fall in love, and face social criticism. Mr. Darcy struggles with the ideology of societal expectations while falling in love with Elizabeth Bennet. After persistent self-reflection, Mr. Darcy overcomes the stereotype of whom he should marry, and marries ElizabethRead More Pride and Prejudice by Jane Austen 1104 Words   |  5 Pagesrate of over 50% from 1970-2010. However, during the eighteenth and nineteenth centuries, marriage was often one of the few choices for a woman’s occupation. Reading Pride and Prejudice by Jane Austen from the twenty-first century perspective might make some matters that are stressed in the book seem dated or trivial. As Pride and Prejudice was set sometime during the Napoleonic Wars, it is only fitting that finding a proper marriage is on the minds of many of the women in the book. Marriage and marrying

Monday, December 23, 2019

Voluntary/Assisted Euthanasia Essay - 1200 Words

Voluntary/Assisted Euthanasia Grand Canyon University Ethical Decision Making in Health Care Voluntary/Assisted Euthanasia (Thesis, Description of the topic and related ethical implications, Obligations to your profession and work as a nurse) Debra Burden The purpose of this paper is to define the issue and legalities of assisted death and the key ethical arguments, including the social values and norms, encompassing this topic. Also included in this paper on voluntary/assisted suicide is the connection with nursing practice and the theories and/or principles that guide the foundation and fundamentals of the profession in this particular area. Assisted death is a term that encompasses both assisted suicide and also active†¦show more content†¦Nurses are healers by nature, and most nurses would by no means ever suggest ending a patient’s life. When a patient is expiring from a terminal, debilitating disease, he/ she may beg for a rapid and painless death. This concern will raise a very complicated moral dilemma for a nurse. This type of situation aids the nurse to second-guess the ethical traditions she has obtained in the nursing profession, leaving us with the uncertainty â€Å"what is a nurse’s role in ass isted suicide?† (Kozier Erb, 2010). In spite of this, assisted suicide should not be confused with ethically warranted end-of-life decisions and actions. The case was based on family and the physician’s individual beliefs. According to her husband, Michael Schiavo, Terri did not want to live life in a vegetative state. Her wishes needed to be heard, valued, and fulfilled. Possibly if the healthcare team offered education to the family then the individuals this could have kept their autonomy. Many times all it takes an explanation what the patient is going through and assisting the family with making the best ethical decision for their loved one. Nurses, play a major role in end-of-life care by advocating for patient’s needs and making certain that the quality symptom management and support at the end of life. In the case of Terri, the patient autonomy was taken from them and their wishes were not granted. (Laws regarding the topic, stakeholders in theShow More RelatedPhysician Assisted Suicide And Voluntary Euthanasia1348 Words   |  6 PagesPhysician-assisted suicide and voluntary euthanasia is still under scrutiny for a number of reasons. â€Å"In spring, 1996, the Ninth and Second Circuits were the first circuit courts in the country to find a constitutional prohibition against laws which make physician-assisted suicide a crime† (Martyn Bourguignon, 1997). New York was one of the states that followed this prohibition. Eventually, The Ninth and Second Circuit, â€Å"allow physician-assisted suicide while attempting to protect individuals fromRead MoreVoluntary Euthanasia Or Assisted Suicide983 Words   |  4 PagesA topic that has been around for a while is voluntary euthanasia or assisted suicide. Our book states that â€Å"a person who is virtually certain to die within a given amount of time and is experiencing or will experience a lot of pain before he or she dies should be able to choose an earlier, les painful death (Mosser, 2013). There are reasons that arise or illnesses that occur that should be reason enough for a person to choose if they want to continue to suffer through the illness or the painRead MoreAssisted Death And Voluntary Euthanasia1586 Words   |  7 PagesTO ALLOW ‘ASSISTED DYING’ FOR THE TERMINALLY ILL? To begin with, assisted dying remains highly topical and debated, both in the public and medical arena. Assisted death, incorporates both physician assisted suicide and voluntary euthanasia. It gives the freedom to a terminally ill person or a mentally competent adult, to choose on their own free will and after meeting strict legal safeguards, takes prescribed medication which will end their life in dying. There are two types of Euthanasia. InvoluntaryRead MoreAssisted Suicide Or Voluntary Euthanasia1864 Words   |  8 Pages TITLE Assisted Suicide or Voluntary Euthanasia is when a patient with a terminal illness request to end their life by taking a lethal injection or a prescribed medication with the help of a medical professional. In the United States each state has the choice on whether or not it is illegal to perform the task of assisted suicide. Out of all fifty states there are only five with a legal method for assisted suicide. In Vermont, Washington, California and OregonRead MoreAssisted Suicide And Voluntary Active Euthanasia Essay1345 Words   |  6 Pagesphysician assisted suicide and voluntary active euthanasia. Physician assisted suicide is when the patient is prescribed lethal medicine by the doctor to commit suicide. Meanwhile, voluntary active euthanasia is when a physician takes an active role in the act of killing the patient. There is often debate on whether or not any of these actions should be legalized in all states. Physician assisted suicide is legal in Oregon, California, Montana, V ermont, and Washington. Voluntary active euthanasia is illegalRead MoreAssisted Suicide And Voluntary Active Euthanasia Essay1270 Words   |  6 Pagesphysician assisted suicide and voluntary active euthanasia. Physician assisted suicide is when the patient is prescribed lethal medicine by the doctor to commit suicide. While, voluntary active euthanasia is when a physician takes an active role in the action of killing the patient. There is often debate on whether or not any of these actions should be legalized in all states. Physician assisted suicide is legal in Oregon, California, Montana, Vermont, and Washington. Voluntary active euthanasia is illegalRead MoreEuthanasi Voluntary Active Euthanasia, Passive Euthanasia And Physician Assisted Suicide1143 Words   |  5 PagesAmerican Heritage Dictionary euthanasia is defined as the art or practice of ending the life of a person or animal having a terminal illness or a medical condition that causes suffering. Euthanasia should be a individual choice to end a patient s life. This keeps them from going through excruciating pain due to an incurable disease. Some people think euthanasia should be out of the picture while others inquiry the effectiveness of these actions. With effectiveness, euthanasia is classified in threeRead MoreAmerica Needs Voluntary Euthanasia and Assisted Suicide Essay1081 Words   |  5 Pageswilling to accept the fact their family member intended to use medical assisted suicide? Very few individuals would agree with this, but in the same instance should a human being want their relative to be in unbearable pain? According to the author, â€Å"Indeed, physician-assisted suicide implies not a resistance to but an extension of medical power over life and death† (Salem). There are various reasons as to why medical assisted suicide could be viewed as wrong, but it should be the patient’s choiceRead MorePhysician Assisted Suicide And Voluntary Euthanasia, Legitimacy And Legality 1352 Words   |  6 Pages Physician Assisted Suicide and Voluntary Euthanasia, Legitimacy and Legality Isaac Roer Saginaw Valley State University Abstract This paper discusses why the U.S. should implement the availability of physician assisted suicide/death and voluntary euthanasia. It discusses countries that have this legally, how they do not abuse the fact, and the percentages of both physicians and patients that are affiliated with PAS/VE. It continues with the legal moral issues it has within the UnitedRead MoreFree Euthanasia Essay580 Words   |  3 Pages The word quot;euthanasiaquot; is Greek, which means quot;a good death.quot; The issue is far more complex than what a dictionarys explanation is. The issue of euthanasia is one of the most discussed topics in all of the United States Congress. US government agencies, legislators and leaders have attempted unsuccessfully to stop assisted suicide nationwide by barring the use of federally controlled substances at lethal levels intended for mercy killing. There are many issues surrounding the

Sunday, December 15, 2019

Student Version of Decleration of Independence Free Essays

When in the course of human events, it becomes necessary for students to break off with their parents and teachers and to become independent; they must explain why they deserve to be independent to the rest of the world. This requires us, as students to write our own Declaration of Independence for the rest of the world to see and comprehend why we should be and will be independent to show our oppression against our teachers. To begin with, it is obvious that all students are created equal and are given by their creator the rights of life, liberty and the pursuit of whatever makes them happy. We will write a custom essay sample on Student Version of Decleration of Independence or any similar topic only for you Order Now To get these rights, teachers should allow students do as they wish. However, when teachers begin a long train of mistreatment and machination against students with their communistic ways and Pearl Harbor sneak attacks with discipline it shows they only want to control every aspect of our lives. Do we not deserve respect? It is the duty and right of us sapient students to get rid of the control our fastidious teachers have over the students and our school. Furthermore, students have been very patient with the teachers and faculty of South Gwinnett High School, but with such a long history of mistreatment, headache and constant nagging from the staff it is only right that the rest of the world finds out what has been happening. It has rained so long, it seems as though it has rained for 40 days and nights. They give us repeated pointless referrals; they give us way too much work with no time to finish. Staff are constantly questioning students in the hallways and telling us what to wear. They tell us when we can or cannot use the restroom; they tell us that we only have six minutes to get to each class, which is not enough time. Our lockers are too small and our lunches are inedible. They refuse to let us go off campus for lunch, and they refuse to let us self-checkout anymore. They punish us if we do not make it to class on time by going to the tardy room, and they punish us for gratuitous reasons that were unfair and not our fault. Even after all of this mistreatment, the students including myself have expressed how we felt to our teachers. However, our complaints have fallen flat. And as usual we have been shunned and ignored. We have even brought our situation to the ears of administrators, teachers from different schools and parents, but we have been muted. A petition to ease the dictatorship of our teachers was refused by many. Some even attempted to post posters illustrating how the students felt. Students even tried going on strike, refusing to go to classes. Meetings to try and sit down with the faculty of South Gwinnett to discuss the matter were ignored as well. The betrayal was stern. Do we not deserve respect? Though, now we must announce that we are accommodating in this debauchery and separating ourselves from the school as a whole to become more independent and liberated. We, therefore the students and representative of South Gwinnett High School in Snellville Georgia present these facts to the rest of the country and the world for freedom. And with this, the students of South Gwinnett write and declare that we are now independent from South Gwinnett High School. How to cite Student Version of Decleration of Independence, Essay examples

Saturday, December 7, 2019

Why so Many People Eat Junk Food free essay sample

People may be wondering why sometimes they eat a little bit of junk food; suddenly they want a little bit more. They cannot control their hands from putting food in their mouth. Such things are not because people feel that food is good, but because of a series of unconscious actions that happen in human bodies. People like to eat junk food as a result of genes that they inherited from ancestors. Back 10,000 years ago, when the ancestors ruled these lands, they were living totally different from now. The primitive man could go for days or weeks without eating anything, they were always hungry and starving the majority of the time. The only way they could survive was to eat lots of food at one time with plenty of sugar and fat, also meats. To be sure that they would be alive until the next time of eating, which craving is made by natural selection where those who did not crave it died. We will write a custom essay sample on Why so Many People Eat Junk Food or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Undoubtedly, Junk food is often high in sugar, salt, white flour, and fat, particularly saturated fat. It is often heavily processed and prepackaged, making it easy to prepare and consume. A few examples of foods often considered to be junk food include fast food, sweets such as ice cream, candy, donuts, and prepackaged treats, soda, and potato chips, among many others. Most people have no trouble identifying junk food; it is when they want to stop eating junk food that the trouble starts. (the ingredients from KFC and McDonald’s official website) According to YouDao encyclopedia, scientists found that when people eat enough food, the excess sugar and fat from that food will turn the biological receptor off in the human brain, the receptor is used to receive the signal from the stomach and tells the brain whether it is hungry or full. That is, when people eat extra sugar from junk food, they will not feel full mentally even though they are actually full. Thus all of these processes are going in people’s subconscious. In other words, people enjoy eating junk food not only because it tastes good, but also because there are certain genes in human blood that urge people to choose that junk food. When junk food goes through the mouth into the stomach, plenty of sugar and fat will be absorbed; hence the full-feeling signal will be cut off. Eventually, as a consequence, people enjoy lots of junk food or even become a troubleaddicted.

Friday, November 29, 2019

Meaning Of Life Essays (1903 words) - Meaning Of Life, Metaphysics

Meaning Of Life Is there a meaning to life? First, to clear up any misunderstandings in the next few paragraphs you are about to read, I shall explain a few things. I am not talking about the individual people in our lives, that mean so much to us, or individual lives. That is a whole other matter. What I mean by the "meaning of life", is the greater picture. There are people all over the world, doing their own thing, living their own lives, in their own areas. Is there a point to this? The people themselves, benefit from learning and having experiences while they're alive, but then they die, and all they have accomplished, ends. Then the process begins all over again with the next generation. So one purpose for life is established. We are here to reproduce. It has been genetically coded into us, and with little prompting, we continue to produce tiny versions of ourselves. But, is there a POINT to this? Well, I solemnly believe not. Some people say the point of life, is to have fun and make others happy. Righto then. Sure, that's a good thing to do, I don't disagree with that. But in terms of the big picture, what does it exactly accomplish? A person lives their life, has fun, and perhaps has the knack of making lots of other people happy in the process, then that person dies. And so eventually, do all the other people they brought happiness to. And through different generations come people who have the same philosophy....same thing, just happening later in time, with different people. Nothing has been accomplished...So, this obviously cannot be the point of life, unless it's inventor has the same intellect as that of pond scum. I would like to think otherwise, so I am interested in finding another answer. Other people believe that God is the point of life. God gives us a booklet of rules and regulations, for us to be eligible to receive his personal 'attention'. We respect his wishes and act accordingly, as to how we believe he would like us to act. Then, it is thought, he looks after us and takes care of us. I find this theory hard to grasp...God, usually, is seen as this great celestial being, that is far more advanced and powerful than any person here on Earth. He has these 'talents' and powers by simply...not being one of us. So, there's God....Way up there, looking down upon us. Earth must seem like a little ant farm to him. If he's up there, looking down and watching over us, how is it so many horrible things happen in the world? Some of you may say it's because the people that these things happened to, weren't behaving how they should have been, how God would have liked them to. Or that God allows us to make choices, good or bad. Ok, then that would mean to me that God is an unforgiving and unsympathetic, celestial meanie. Why should he watch us create misery, see wars break out, while he remains aloof, superior and more powerful than us? I say that's unfair. Perhaps one reason for him would be, because it's more 'fun' to us be so 'handicapped' in the celestial scheme of things. It provides more entertainment, more adventure, and it's harder. And because it's harder, he knows there will be more rewards for us when we succeed in being "good". Something is obviously amiss with this plan, since we continue to do the same things over and over again through the generations, and centuries. We just do not learn this particular philosophy of his. Perhaps he could have let us work the controls? Do you think God has been GOOD at it? Heck no. Look at the world's history...It hasn't exactly been a bed full of roses. Sure, God tried. But while the footy game was on tv, he forgot to cut some of the thorns off the roses when he was preparing Earth's future. You reckon we could do any worse? I don't think so. Seems to me we'd all have just as much luck, even more so, at running a world, than God would. Even if God really was this powerful, wise, kind and forgiving fellow, why is he running a world? He obviously hasn't succeeded in achieving much. Humanity hasn't made any real accomplishments (I'm not talking technology...I'm talking about discovering anything that would lead us to understanding why we are here at all). What's in

Monday, November 25, 2019

20 Poetic Metaphors About Time

20 Poetic Metaphors About Time According to proverbs, time heals, steals, and flies. In that same vein, time is also something we all make and take, save and spend, keep, waste, kill, and lose. Habitually and almost without thinking, we explain our relationship to time through metaphors. In ​More Than Cool Reason: A Field Guide to Poetic Metaphor (University of Chicago Press, 1989), George Lakoff and Mark Turner remind us that Metaphor isnt just for poets; its in ordinary language and is the principal way we have of conceptualizing abstract concepts like life, death, and time. So whether were spending it or running out of it (or both), we deal with time metaphorically. 20 Metaphorical Quotes About the Definition of Time Time is a circus, always packing up and moving away. - Ben Hecht Time, you old gipsy man,Will you not stay,Put up your caravanJust for one day? - Ralph Hodgson, Time, You Old Gipsy Man Prince, I warn you, under the rose,Time is the thief you cannot banish.These are my daughters, I suppose.But where in the world did the children vanish? - Phyllis McGinley, Ballade of Lost Objects But thats where I am, theres no escaping it. Times a trap, Im caught in it. - Margaret Atwood, The Handmaids Tale Time is the reef upon which all our frail mystic ships are wrecked. - Noel Coward, Blithe Spirit She tried to discover what kind of woof Old Time, that greatest and longest established Spinner of all, would weave from the threads he had already spun into a woman. But his factory is a secret place, his work is noiseless, and his Hands are mutes. - Charles Dickens, Hard Times Time is a storm in which we are all lost. Only inside the convolutions of the storm itself shall we find our directions. - William Carlos Williams, Introduction to Selected Essays Time is but the stream I go a-fishing in. I drink at it; but while I drink I see the sandy bottom and detect how shallow it is. Its thin current slides away, but eternity remains. - Henry David Thoreau, Walden Time is a flowing river. Happy those who allow themselves to be carried, unresisting, with the current. They float through easy days. They live, unquestioning, in the moment. - Christopher Morley, Where the Blue Begins Time is an equal opportunity employer. Each human being has exactly the same number of hours and minutes every day. Rich people cant buy more hours; scientists cant invent new minutes. And you cant save time to spend it on another day. Even so, time is amazingly fair and forgiving. No matter how much time youve wasted in the past, you still have an entire tomorrow. - Denis Waitely,  The Joy of Working Old Time, in whose banks we deposit our notesIs a miser who always wants guineas for groats;He keeps all his customers still in arrearsBy lending them minutes and charging them years. - Oliver Wendell Holmes, Our Banker Time is the coin of your life. It is the only coin you have, and only you can determine how it will be spent. Be careful lest you let other people spend it for you. - Carl Sandburg Yesterday is a canceled check; tomorrow is a promissory note; today is the only cash you have, so spend it wisely. - Kay Lyons Time is a fixed income and, as with any income, the real problem facing most of us is how to live successfully within our daily allotment. - Margaret B. Johnstone What am I now that I was then?May memory restore again and againThe smallest color of the smallest day:Time is the school in which we learn,Time is the fire in which we burn. - Delmore Schwartz, Calmly We Walk Through This Aprils Day Time is a dressmaker specializing in alterations. - Faith Baldwin, Face Toward the Spring Initially, I was unaware that time, so boundless at first blush, was a prison. - Vladimir Nabokov, Speak, Memory Time is an irreversible arrow, and we can never return to the self that we sloughed off in childhood or adolescence. The man trying to wear youths carefree clothing, the woman costuming her emotions in dolls dresses - these are pathetic figures who want to reverse times arrow. - Joshua Loth Liebman, Renunciation of Immaturity,  Ã¢â‚¬â€¹from Peace of Mind Time is a great teacher, but unfortunately it kills all its pupils. - Hector Berlioz Time is a gift, given to you,given to give you the time you needthe time you need to have the time of your life. - Norton Juster, The Phantom Tollbooth

Friday, November 22, 2019

Sickle Cell Anemia Term Paper Example | Topics and Well Written Essays - 1000 words

Sickle Cell Anemia - Term Paper Example This pain can last from several hours to days. Chronic pain,lasting for weeks and months, is also possible. Recurring infections, gallstones, leg ulcers, multiple organ failure, spleen shrinkage and eye problems are due to the complications arising from sickle cell anemia (National Heart Lung and Blood Institute). Sickle cell anemia or sickle cell disease is due to a mutation, or a single nucleotide change in the gene or the DNA sequence that codes for hemoglobin. Hemoglobin is the major protein component of red blood cells and has the main function of transporting oxygen from the lungs to other organs in the body. The single nucleotide change occurs at the codon GAG which codes for the amino acid glutamic acid. The adenine base or â€Å"A† is replaced with thymine, or â€Å"T†, resulting in GTG, which codes for amino acid valine (Berg, Tymoczko, & Stryer; US Department of Energy). Normal hemoglobin is HbA while sickle cell hemoglobin is designated as HbS (Figure 1). The change in the amino acid sequence of the hemoglobin gene results in significant changes in the structure of the hemoglobin protein, which ultimately lead to the shape alteration of red blood cells from concave discs to sickle shaped. These alterations are due to the different properties of the two amino acids: valine is non-polar, while glutamic acid is electrically charged. At biological pH 7.4, glutamic acid has 2 negative charges. Mutant or sickle cell hemoglobin has less 2 negative charges compared to normal hemoglobin, therefore the interactions within the 4 chains of hemoglobin in red blood cells are affected, which changes the structure of the protein. A hydrophobic or â€Å"sticky† patch on the surface of the ÃŽ ² chains of hemoglobin is produced. When the hemoglobin molecules of the sickle cells is deoxygenated, they become insoluble and stick to each other, forming polymers or fibers, and the red blood cell

Wednesday, November 20, 2019

Management Planning Essay Example | Topics and Well Written Essays - 2000 words

Management Planning - Essay Example In words by Nash (2006) planning of management systems ensures there is a perfect flow of ideas and strategies throughout a specific period of time and of the required consistency. The same sentiments are reiterated by Humby, Hunt & Philips (2006) who argues that consistency in the management team creates the whole difference in terms of excellence and success in an organization. Management planning involves all the factors and department in an organization. All departments in an organization have different objectives and goals set to them for achievement. For a good management team, all these objectives should be achieved within the specified timeline and by the required standards. In creating a good management planning systems, department heads should be included in the planning structure. In support of this suggestion, Vanessa (2010) argues that management planning involves more of incorporation of the whole organization rather than the top management team. The author further argu es that employees should also be considered when formulating a management plan. The brief of the paper will be an inclusion of the factors that affect managerial performance. Additionally, solutions and suggestions to solve these factors will be provided. For a clear perspective, the paper will analyze the managerial performance of TESCO PLC Company. ... In its operation, the companies sell at least 40, 000 products in its stores. From its sales, their brand accounts for a total of 50% of the sales (Datamonitor, 2004). This fact has been made possible by the fact that the organization has been in the market for a significant period to gain a large competitive advantage and consumer support. The total accounted for customers of the organization add up 3.4 million people (Datamonitor, 2004). Apart from the external environment success, the internal arrangement of the organization is outstanding. The organization has a well formulated and compact managerial team headed by the chairman of the executive board. Beneath the chairman there are numerous executive positions that are aimed at subdividing the managerial responsibilities across the whole organization. The organization has seven executive board members in managerial positions and seven non executive board members in the other managerial positions. An inclusion to the management te am is the company secretary who falls under the senior management team (Datamonitor, 2004). Explain how interpersonal relationships and communication skills affect managerial performance In any organization communication and relationships form the basis of the success of an organization. In words by Jordan (2008) interpersonal relationships in an organization shape the organizational culture. The author further argues that communication in an organization is a great determinant of the organizational culture in an organization. The effect of these two factors on the managerial performance is based on the specific requirements of the employees. For instance, the management team is provided with the obligation of providing instructions and

Monday, November 18, 2019

SMART Goal Setting Essay Example | Topics and Well Written Essays - 250 words

SMART Goal Setting - Essay Example Through the application of SMART goals, it is easier to set goals that drive change and engage all the stakeholders in initiating change. The SMART goals also help in an assessment of the successes of the organization, and what aspects needs to be changed to attain the EHR objectives (Amatayakul, 2012). Through SMART goal setting in EHR as well, it is evident that an implementation project is possible. After setting the goals, the implementation process becomes easier since a follow up program is easily drawn. The set goals are also practical in a way that the expectations are already set and all support mechanisms are enacted so as to achieve the goals (Amatayakul, 2012). Simply put, the SMART goals setting in EHR has been credited with the ability to increase efficiency in the clinical setting as well as patient care (Amatayakul, 2012). However, challenges such as lack of proper follow up hinder a successful realization of the application of SMART goal setting in the clinical

Saturday, November 16, 2019

Analysis of Human Fossil Findings in Indonesia

Analysis of Human Fossil Findings in Indonesia Indonesia is an important country to examine about human origins and evolution, due to many sites within central Java, such as Sangiran and Ngandong which account for 75 percent of the world’s Homo erectus findings (Frederick Worden, 2011). Evolution of Homo sapiens in Indonesia has shown Indonesian archipelago was inhabited by Homo erectus, which were known as the â€Å"Java Man†, between 1.5 million years ago and resent as 35,000 years ago. About 800,000 years ago, some of the earliest hominids of the archipelago made tools, constructed boats, used fire, and had a language (Fredrick Worden, 2011). Furthermore, about 600,000 years ago, these hominids have developed a more complex and civilized culture which was dispersing throughout Indonesia (Fredrick Worden, 2011). Patterns of evolution started to form through hunting, fishing, and creating communities which depended on tools made of materials such as shell, wood, bamboo, and stone (Fredrick Worden, 2011). The most recent discoveries in human fossils, were in 2004 on the island of Flores, Indonesia, which is located between Bali and Timor. Flores, Indonesia is one of many Wallacean islands, which lie east of Wallaces Line and west of Lydekkers Line.Teams of archeologists found an entirely new type of hominid species at the Liang Bua excavation site, which has since been named Homo floresiensis. This type of hominid has been considered a new hominid type that had locally evolved, was a considerably smaller hominid, and was mixed between Homo erectus and modern humans (Fredrick Worden, 2011). Homo floresiensis was a dwarf human, which lived at Liang Bua between at least 95,000 and 13,000 years ago. The species was believed to have used stone tools, fire, and hunted small animals found on Flores (Foley, 2005). The newly found remains had a skull that appeared to belong to a hominine species, possibly belonging to a child considering its size, but once the remaining parts of its skull and teeth were found and they concluded it did not belong to a child, but an adult. The remains of this hominines partial skeleton was found and, the likes of which had never been discovered before.Today, this specimen is referred to as Liang Bua 1 (Smithsonian Institution, 2014). The earliest modern humans coexisted with their hominid relatives for thousands of years, although there is no evidence of this at Liang Bua (Fredrick Warden, 2011). Although Indonesia is extremely diverse ethnically, with more than 350 distinct ethnic groups that are recognized, along with 13 languages spoken by 1 million speakers (Fredrick Warden, 2011). Human immigration to the islands of Indonesia occurred as long ago as 3000BC, and was continuous for about 3000 years. People immigrated to Indonesia in small groups and established independent civilizations all around the coast, occasionally coexisting with the hostile descendants of â€Å"Java Man† (Frederick Worden, 2011). In the next several millennia Indonesia developed cultural characteristics that still exist today such as rice agriculture, ceramic and metal technology and the expansion of long distance seal travel and trade. Earlier inhabitants used horticultural economy in which they grew cereals, created pottery and stone tools during the period 2500 to 500 B.C (Glasscase, 2011). During the period between 500 B.C. and A.D. 500, as the people of the archipelago increasingly interacted with South and East Asia, metals and domesticated farm animals were introduced (Glasscase, 2011). The Dongson culture, which originated in Vietnam and southern China around 1000 BC, spread to Indonesia, bringing irrigated rice growing techniques, husbandry skills; buffalo sacrifice rituals, bronze casting, the custom of erecting megaliths, and ikat weaving methods. By 700 BC, Indonesia was dotted with permanent villages where life was linked to rice production (Lonely Planet, 2014). These early settlers were animists, believing all objects had a life force or soul. The spirits of the dead had to be honored, as they could still help the living and influence natural events, while evil spirits had to be warded off with offerings and ceremonies. As there was a belief in the afterlife, weapons and utensils were left in tombs for use in the next world. By the 1st century AD, small kingdoms, were little more than collections of villages with a leader, which evolved from Java (Lonely Planet, 2014). The island’s constant hot temperature, abundant rainfall and volcanic soil were ideal for wet field rice cultivation. The organization this required may explain why the Javanese developed a seemingly more successful society than the other islands. It is not certain how Hinduism and Buddhism arrived in Indonesia. The oldest works of Hindu art in Indonesia were found in Sulawesi and Sumatra in 3rd century AD (Fredrick Worden, 1992). One theory suggests that the developing courts invited Brahman priests from India to watch over on spiritual and ritual sacrifices, thereby providing status to those in control (Fredrick and Worden, 1992). In earlier kingdoms, the Hindu-Buddhist kingdom of Sriwijaya rose in Sumatra (an Indonesian island) during the 7th century AD (Lonely Planet, 2014). It was the first major Indonesian sea power able to control the trade in Southeast Asia by being located on the Strait of Melaka. The Buddhist Sailendra dynasty and the Hindu Mataram dynasty flourished in Central Java (the largest Indonesian island) between the 8th and 10th centuries (Lonely Planet, 2014). While Sriwijaya’s wealth came from trade, Javanese kingdoms like Mataram had human labor at their disposal and developed as agrarian societies. At the end of the 10th century, the Mataram kingdom declined. The centre of power shifted from Central to East Java and it was a period when Hinduism and Buddhism were united and when Javanese culture began to come into its own (Pearson Education, 2000-2014). A series of kingdoms held until the 1294 rise of the Majapahit kingdom, which grew during the reign of Hayam Wuruk from 1350 to 1389 (Pearson Education, 2000-2014). Its territorial expansion can be credited to military commander Gajah Mada, who helped the kingdom claim control over the archipelago, claiming power over smaller kingdoms and obtaining trading rights from them. After Hayam Wuruk’s death in 1389, the kingdom began a steady decline (Pearson Education, 2000-2014). The first Islamic inscriptions found in Indonesia date from the 11th century. Islam first took hold in northern Sumatra,(a western Indonesian island) where Arab traders had settled by the 13th century. From the 15th and 16th centuries, Indonesian rulers made Islam the state religion. By the 15th century, the trading kingdom of Melaka (a small Malaysian state) was reaching the height of its power and had embraced Islam (Lonely Planet, 2014). Its influence strengthened the spread of Islam through the archipelago. By the time of the collapse of the Majapahit kingdom (based on the island of Java) in the early 1500s, many of its satellite kingdoms had already declared themselves independent Islamic states (Lonely Planet, 2014). Much of their wealth came from trading spices, and Islam followed the trade routes across the archipelago. By the end of the 16th century, a new sea power had emerged on Sulawesi, which had been settled by Malay traders and whose realm spread far beyond the region (Lonely Planet, 2014). Beginning in 1602, the Dutch slowly established themselves as rulers of Indonesia and eventually laid the foundation of the Indonesian state, by taking advantage of the weakness of the small kingdoms that had replaced that of Majapahit (Pearson Education, 2000-2014). During 300 years of rule, the Dutch developed the Netherlands East Indies into one of the worlds richest colonial possessions, extracting natural resources through local elites but doing little to modernize Indonesia. By the end of the Dutch rule and after many wars and lives taken, the Indonesian people wanted to stand alone and become united. The Indonesian people started to receive a Dutch education for the children of the Indonesian elite, and with that came Western political ideas of freedom and democracy (Lonely Planet, 2014). However, the first ideas of Indonesian nationalism came from Islamic movements. Despite Dutch repression, the nationalist movement found a unified voice. In a historic announcement in 1928, the All Indonesia Youth Congress proclaimed it’s Youth Pledge, adopting the notions of one national identity, one country and one language (Lonely Planet, 2014). The battle for independence wavered between warfare and diplomacy. Under the Linggarjati Agreement of November 1946, the Dutch recognized the Republican government and both sides agreed to work towards an Indonesian federation under a Dutch commonwealth (Pearson Education, 2000-2014). The agreement was soon swept aside as war escalated. The Dutch mounted a large offensive in July 1947, causing the United Nations to step in (Pearson Education, 2000-2014). In February 1948 the Dutch launched another attack on the Republicans, breaking the United Nations agreement. Under pressure from the United States, which threatened to withdraw its postwar aid to the Netherlands, the Dutch negotiated for independence. On December 27, 1949 the Indonesian flag was raised at Jakarta’s Istana Merdeka, and power was officially handed over (Pearson Education, 2000-2014). References Foley, J. (2005, April 01).  Homo floresiensis: The hobbit. Retrieved from http://www.talkorigins.org/faqs/homs/flores.html Frederick, W., Worden, R. (1992). Early Indonesia. Retrieved from http://www.shsu.edu/~his_ncp/Indones.html Frederick, W., Worden, R. (2011).  Indonesia a country study. (6thed.). Washington, DC: Government Printing Office. Glasscase, F. (2011, June 01). Indonesia uncovered: Prehistoric indonesia. Retrieved from http://indonesiauncovered.blogspot.com/2011/06/prehistoric-indonesia.html Lonely Planet. (2014). History of Indonesia. Retrieved from http://www.lonelyplanet.com/indonesia/history ONeil, D. (1999).  Homo erectus. Retrieved from http://anthro.palomar.edu/homo/homo_2.htm Pearson Education. (2000-2014). Indonesia. Retrieved from http://www.factmonster.com/ipka/A0107634.html Prof. Palmer, Soc.3597.01, January 2014. Smithsonian Institution. (2014, January 27).  Hobbits on flores, Indonesia. Retrieved from http://humanorigins.si.edu/research/asian-research/hobbits

Wednesday, November 13, 2019

You Can’t Say That: The Growing Threat to Civil Liberties from Antidisc

You Can’t Say That: The Growing Threat to Civil Liberties from Antidiscirmination Laws You Can’t Say That is a truly important book, for it reminds us that no social revolution, even the most morally justified, is costless. The Civil Rights Act of 1964 did indeed precipitate a social revolution, one that at long last began to deliver on the promise of the Emancipation Proclamation. Over the nearly half-century since its passage much has changed in America, and for African-Americans that change has been both grievously overdue and remarkable in its sweep, although still very much a work in progress. However, this is not a book that catalogues the successes of the antidiscrimination movement that burgeoned in the wake of the 1964 Act, but rather an elegy to what must count on the other side of the ledger, to what has been compromised in the noble quest for racial equality. In this eloquent and accessible book, remarkably free from the lawyer’s propensity to stultify the laymen with a blizzard of case law, it is clear that the principal cost has been to First Amendment values, sacrificed too cavalierly when they conflict with antidscrimination principles. One need only look to the publisher of Bernstein’s book, the Cato Institute, to see that the ideological landscape has been radically altered since the 1960s, when New Deal liberals still dominated the left, and the First Amendment comprised the heart and soul of their United States Constitution. Even earlier, before World War II, when Communists held sway on the left, the First Amendment was sacrosanct: to Communists it was their second favorite constitutional amendment, after the Fifth, prized as a stratagem to protect their freedom to subvert. For... ...ork’s most prestigious museums did not display enough art produced by women. Housing and Urban Development officials used the Fair Housing Act amendments to intimidate neighborhood groups that sought to exercise their free speech rights to campaign against group homes for the disabled, while those charging discrimination have sometimes been allowed by courts to enter into evidence a defendant’s past political speech. These examples are the tip of Bernstein’s iceberg. Even good causes can run amuck if fundamental constitutional principles are set aside: noble ends can be compromised by hasty or tainted means. This book is a red flag, which we ignore at our peril. Works Cited: You Can’t Say That: The Growing Threat to Civil Liberties from Antidiscirmination Laws by David E. Bernstein. Washington, DC: CATO Institute, 2003, 197 pages, $20.00

Monday, November 11, 2019

Jekyll and Hyde Contrast

Dr Jekyll and Mr. Hyde consists of reputation, good vs. evil and damage control. In other words, Utterson tirelessly works to prevent his good friend Dr. Jekyll from being dragged into the horrid affairs of Mr. Hyde, and Dr. Jekyll goes to the greatest of lengths to prevent his Hyde identity from being discovered, in order to avoid anyone knowing of his somewhat questionable scientific work and morally despicable behavior. Much of the novel is based on the characters reputations and how they have to maintain a good public image, as they are upper class people.The novel takes place in Victorian England and the main characters are all male members of upper class London. Enfield, Utterson, Lanyon and Jekyll are all aware of social expectations and the importance of appearance, Jekyll and Hyde shows a contrast of public vs private. Even in the first chapter, Enfield is wary of sharing his story of the mysterious door because he loves gossip, as it destroys reputations. In kind, Utterson refrains from informing the police that Jekyll is a close friend of Hyde's following the murder of Sir Danvers Carew.Rather, to maintain his friend's reputation and protect his public image, Utterson goes to Jekyll directly to discuss the matter. This issue also arises in the matter of physical appearances, particularly architecture. In the first chapter, we learn that Hyde's mysterious dwelling is run down, neglected, and shabby. In contrast, Jekyll's home is extremely well kept, majestic, rich, and beautiful. Ironically, we eventually learn that the mysterious door is in fact connected to Jekyll's home, it is a back entrance rarely used. Dr. Jekyll and Mr.Hyde is an examination of the duality of human nature, this is shown through the fact that Mr. Hyde is in fact Dr. Jekyll; the difference is that Hyde is formed through all the evil characteristics of Jekyll. Utterson's discovery of Jekyll's astounding work occurs in the final chapter of the novel. We have already witnessed Hyde' s powerfully vicious violence and have seen the contrasting kind, gentle, and honorable Dr. Jekyll. In approaching the novel's mystery, Utterson never imagines that Hyde and Jekyll are the same man, as he finds it impossible to believe their extremely different behavior.In pursuing his scientific experiments and validating his work, Jekyll claims, â€Å"man is not truly one, but truly two. † So, in Jekyll's view, every soul contains elements of both good and evil, but one is always dominant. In Jekyll's case, his good side is dominant, but he knows there is evil inside of him, but at the end of the book his evil side becomes stronger and unstoppable. However, as a respectable member of society and an honorable Victorian gentleman, Jekyll cannot fulfill his evil desires. Thus, he works to develop a way to separate the two parts of his soul and free his evil characteristics.Unfortunately, rather than separating these forces of good and evil, Jekyll's potion only allows his pure ly evil side to gain strength. Jekyll is in fact a combination of good and evil, but Hyde is only pure evil, so there is never a way to strengthen or separate Jekyll's pure goodness. Without counterbalancing his evil identity, Jekyll allows Hyde to grow increasingly strong, and eventually take over entirely, perhaps entirely destroying all the pure goodness Jekyll ever had. The book portrays Hyde in like an animal; short, hairy, and like a troll with gnarled hands and a horrific face.In contrast, Jekyll is described in the most gentlemanly terms; tall, refined, polite and honorable, with long elegant fingers and a handsome appearance. So, perhaps Jekyll's experiment reduces his being to its most basic form, in which evil runs freely without his reputation as Jekyll being at risk. Jekyll and Hyde are not the only examples of duality in the novel. The city of London is also portrayed in contrasting terms, as both a foggy, dreary, nightmarish place, and a well kept, bustling center of commerce.Indeed, just as men have both positive and negative qualities, so does society. Dr. Jekyll and Mr. Hyde contains extremely violent scenes. In each instance, the culprit is Mr. Hyde, and the victim is an innocent. For example, in the first chapter we learn how Mr. Hyde literally trampled a young girl in the street and later on we learn that Hyde, unprovoked, mercilessly beat Sir Danvers Carew to death. Even worse, we find at the conclusion of the novel that Hyde thoroughly enjoyed committing this violence, and afterwards felt a rush of excitement and satisfaction.This shows the pure evil Hyde has that was mentioned before. Interestingly, Hyde's final victims, when he commits suicide just before Utterson and Poole break into his cabinet, are both himself and Jekyll. In this final act, neither victim is innocent. Clearly, Hyde is guilty of a great many crimes, and Jekyll is guilty as he created Hyde, let him run free, and inhabits the same body as the man. Perhaps in this conc lusion, Stevenson is suggesting that to those who promote and commit senseless violence, punishment will come.

Saturday, November 9, 2019

Free Essays on Creation Vs. Evolution

Creation vs. Evolution Outline Title: Creation vs. Evolution or Scientific Creation Thesis: Creation vs. Evolution has been a hot topic with society for centuries. Just recently, in the mid-1980’s an new kid came on the block, Scientific Creation. Purpose: The following will show the main ideas of Creation, Evolution, and Scientific Creation. I will also show why I believe in Creation and what aspects of Evolution and Scientific Creation help me to confirm this belief. Creation vs. Evolution or Scientific Creation The cosmos, whether you believe in Creation, Evolution, or Scientific Creation is a very interesting subject. Creation, as documented in the Bible in Genesis 1:1 states that â€Å"In the beginning God created the heavens and the earth.† It shows that God created the universe and all living things out of love, in a particular order, and with a particular purpose. Evolution portrays the origin of life as starting out with the â€Å"big bang†. The collision of two atmospheres, both atmospheres having the ability to create life as we know it. Scientific Creation is not based on Genesis or any religious teaching. Scientific Creation is based on the scientific data, which supports Creation. According to Henry M. Morris, the difference between Scientific Creation and Biblical Creation is â€Å"the first is based solely on scientific evidence, from such sciences as genetics, geology, thermodynamics and paleontology; the second is based on Biblical teachings.† In examining the above beliefs, Creation, Evolution and Scientific Creation, I view Scientific Creation as an attempt to make a lateral connection between Evolution and Creation. The theory that all living creatures came out of the â€Å"big bang† (according to Evolution) is too far of a stretch to the imagination for me. If all animals, insects and human beings were created due this collision and through an evolutionary process, then one would think that we would all be r... Free Essays on Creation Vs. Evolution Free Essays on Creation Vs. Evolution Creation vs. Evolution Outline Title: Creation vs. Evolution or Scientific Creation Thesis: Creation vs. Evolution has been a hot topic with society for centuries. Just recently, in the mid-1980’s an new kid came on the block, Scientific Creation. Purpose: The following will show the main ideas of Creation, Evolution, and Scientific Creation. I will also show why I believe in Creation and what aspects of Evolution and Scientific Creation help me to confirm this belief. Creation vs. Evolution or Scientific Creation The cosmos, whether you believe in Creation, Evolution, or Scientific Creation is a very interesting subject. Creation, as documented in the Bible in Genesis 1:1 states that â€Å"In the beginning God created the heavens and the earth.† It shows that God created the universe and all living things out of love, in a particular order, and with a particular purpose. Evolution portrays the origin of life as starting out with the â€Å"big bang†. The collision of two atmospheres, both atmospheres having the ability to create life as we know it. Scientific Creation is not based on Genesis or any religious teaching. Scientific Creation is based on the scientific data, which supports Creation. According to Henry M. Morris, the difference between Scientific Creation and Biblical Creation is â€Å"the first is based solely on scientific evidence, from such sciences as genetics, geology, thermodynamics and paleontology; the second is based on Biblical teachings.† In examining the above beliefs, Creation, Evolution and Scientific Creation, I view Scientific Creation as an attempt to make a lateral connection between Evolution and Creation. The theory that all living creatures came out of the â€Å"big bang† (according to Evolution) is too far of a stretch to the imagination for me. If all animals, insects and human beings were created due this collision and through an evolutionary process, then one would think that we would all be r...

Wednesday, November 6, 2019

Executive Compensation essays

Executive Compensation essays This is a modification to the stock options. At the core this strategy deals with rewarding stock options and cash to its executives. A typical example of how it works: A CEO receives a contingent grant of up to 5,000 performance shares at the beginning of the year. The total shareholder return relative to an industry peer group dictates how many shares the executive actually gets. If the shareholder return value relative to the industry peer group is below then the executive would not get any shares. It the return is well above that of its industry peers then the executive gets his share. The higher the return the more shares the executive actually earns. Performance shares are usually paid out in a combination of company stock and cash, however there might be a requirement with holding the stock for a period of time after it is awarded. The advantage of this approach is that by requiring the company to outperform its peers, the plan is supposed to reduce payoffs tied only to rising stock prices. The catch here is that if the stock price is flat over a period of time and the company does better than its peers, the executives would get pay out but not shared by its investors. Since the stock market is not part of the equation the volatile stock market is not going to dictate the executive pay. I think that the method of tying bonus to the return of investment is going to gain support. Since the market became more volatile, pay experts have said stock grants may be used more widely More and more institutional investors are becoming critical of stock grants, as they are an outright gift of shares to the executives. To summarize I think that the bonus and performance shares are a good alternative ...

Monday, November 4, 2019

Personality Inventory of Skills Assignment Example | Topics and Well Written Essays - 750 words

Personality Inventory of Skills - Assignment Example Therefore, in a professional setting, being goal-oriented has, and would come in handy as relevant to achieving the target goals without the need to enlist the services of extra labor. Most especially working with children and families requires a goal-oriented person, to continuously offer the needed services without tiring or observing time. Nothing counts in a workplace or in any other environment, than being sure that the person to whom certain duties or responsibilities are delegated will execute them faithfully and satisfactorily. One of my professional qualities is that I am highly autonomous and dependable, such that I will faithfully execute the duties that are my responsibilities without being supervised or monitored. My dependable character draws from the fact that I am autonomous and self-disciplined, which then means that I will always focus on doing whatever it is that requires being done, without the need to be monitored. This is useful in the family and child services field, where offering services to families or children must be innately driven, rather than being pushed to offer the services. Serving families and children requires a lot of good will from the service provider, due to the complexity and sensitivity of the issues associated with children and family needs. It is therefore essential to have a person who will always be relied upon to do everything in the best interest of the children and families, without being followed up. Networking and connectedness is a professional quality that I uphold and value greatly. I have realized that in life, there is much success or satisfaction that comes with working with others, as opposed to individualism. There is always something to learn from other people, if an individual is interested in them. There is also challenge and motivation that comes along with associating with others, which brings in the desire to

Saturday, November 2, 2019

What is Augustinian political philosophy Essay Example | Topics and Well Written Essays - 3000 words

What is Augustinian political philosophy - Essay Example Medieval political philosophy focused on several primary questions. Among them the most important ones will be discussed in our paper/ Schall, 1984/. First question, which was studied and revealed in the works of Medieval philosophers, is the question of the best city and its location. Philosophers were trying to compare and contrast existing cities, which were quite numerous and diverse, in order to find out which of the contemporary regimes was better and in what way. Different philosophers argued what regime was the best and where it was situated. According to classics the best regime subsisted in speech. One definite answer to this question was that the best regime can not be seen in any of existing states and was not presented by any of the existing actual regimes / Schall, 1984/. The second important question of political philosophy of the Medieval period is that of the essence of human happiness. Political philosophers are interested not only in the core of happiness of a man in general but also in its connection with the temporary life of the men mortal during his secular life. Although these questions are closely connected they are far not the same. During his life on the earth a man can reach happiness if he realises his potentialities at full capacity. These potentialities are originally given to him by nature. However, in spite of the fact that happiness is given to a man â€Å"from above† it is not he who chooses its constituents. They are already given to him and his primary task is to see and try to reach them. In any case this question of the happiness of the man mortal further raises the question of eternal happiness/ Schall, 1984/. One more important question, which is discovered in the works of Medieval political philosophers is the question of the importance of politics to the achievement of human happiness. Philosophers argue that the man is not originally born as he is. It is politics which polishes him to a â€Å"good† man. This

Thursday, October 31, 2019

Computer-aided image processing for bacterial cell enumeration Essay

Computer-aided image processing for bacterial cell enumeration - Essay Example There appear several inhibitors in the way of counting colonies to ensure effectiveness of the method. The inhibitors include; methods of handling confluent development of the development of colonies that lean or overlaps other colonies, the methods of differentiating colonies regardless of the different form, volume, their feel, light intensity amongst other factors (Daims, 2007) The methods ensure accuracy in counting. A devise termed as a colony counter assists in including colonies in bacteria and varied microorganisms thriving in an algae plate. The method applied in overcoming the hindrances includes thresholding, segmentation methods, time domain frequency method, watersheding method, edge detection and morphology operator methods, regional descriptors amongst others. These methods emit a heightened level of accurateness. The projected counter proves highly reliable at both levels of correctness and memory; it also proves flexible and efficient in terms of effort and time savi ng (National Renewable Energy Laboratory (U.S.) and United States, 2006) Keywords Some of the key words in the study includes Bacteria colony, thresholding, morphology, water shedding. Introduction Bacteria colony counting appears vital in quantitative, accurate judgment of pathogens in clinical investigations and diagnosis. The manual process of counting bacteria appears challenging. The use of an automated colony counting helps in saving time and reduces labor requirements. In a bid to create fast and accurate information, and cut down the use of labor workload, two colony counting techniques come in play. The techniques might apply the use of direct and indirect process of counting the colonies. The tradition plate count technique pauses as an indirect technique and often preferred for its cheap nature. Technologies applied for quantification of microbial growth involves: ATP Bioluminescence, spiral plating, the use of membrane filtration, Direct Epi-Florescent Filter Microscopy and Membrane laser scanning, Fluorescence amongst others. Various hindrances require addressing for the techniques that count the present colonies. The techniques supply a heightened degree of correctness in counting that could be attained by applying the use of a trained hand on operator. The machine technique; allows the Bacteria to grow on a filter within a period of 24to 48 hours to examine the contamination level of the sample (Mittal and Matsko, 2012).   The microbiologists’ uses dye to identify the bacteria clearly and ease the counting process. In an industry setting, thousands of such samples appear per day; the colonies on each side remain counted manually. This consumes a lot of time and increases the chances of errors. The aim of the project remains to create software that saves time and produces the exact outcomes and ensures competence to customers. The project extension designs allows for colonies counting for a period of 6 to 8 hours before, which saves time . The paper seems to differentiate the processing of colony figures with colored data; the filter method applies to deionize (Masters, 2006).   Bacteria Bacteria pause as nuclear microorganisms; that thrives in various surfaces of the earth. Bacteriology, the study of bacteria, is a branch in micro biology. Bacteria can grow anywhere on the face of the earth, in soil, acid hot springs amongst other places. Grouped bacteria originate from one common bacterium. A bacteria cell

Tuesday, October 29, 2019

Annotated Bibliography Essay Example for Free

Annotated Bibliography Essay In this case, Yun, Cox Sims carried out a study the main purpose being to investigate how to develop a (TOCB) Team Organizational Citizenship Behavior. They examine whether there is a unique relationship between leadership and TOCB. They first offer a theoretical study presenting a literature review on citizenship and leadership behavior. They take citizenship as a result of leadership and probably mediated through job satisfaction. They went further to explain research method present results and finally move on to the discussion and implication part. According to earlier research carried out in this field, it revealed that leader characteristics such as consideration, participation and fairness are linked as evoking (OCB) Organizational Citizenship Behavior at personal level. In this research, they tested whether TOCB relates to other forms of a leadership typology. They also investigated the mediating responsibility of job contentment. Yun, Cox Sims concluded that leader characters influence TOCB both indirectly and directly via job satisfaction, and distinct kinds of leaders’ traits were developed to manipulate both TACB and TOCB. Whilst empowering and transformational leadership revealed that, TACB and TOCB have indirect impacts to job satisfaction. They also indicated that if employees are forced to do what they do not want they will feel less contented than other people will. The aversive managers will not contribute to unhappy employees. The study also indicates that transactional leadership has no impacts on job sa tisfaction, while transformational leadership has a positive result which is in line with earlier researches that showed that an augmenting competence of transformation leadership. This research is extremely helpful to the organization on how to create team organization behavior. The research, however, did not cover group level of analysis. This is a gap identified in this reserach or call for a further research. In this article, Wray-Lake Syvertsen look at how adolescents and children can make a positive input to community, and development knowledge during this period also create the arena for citizenship thought the life span. They start by defining social responsibility and explaining how it develops. They aim at understanding environmental and personal traits in adolescence and childhood that undergird the enhancement of social responsibility. They define social responsibility in relation to the development at the same time stressing on focal aspects that are communal along theoretical traditions. In development viewpoint, they aim at identifying elements of adolescence and childhood that stand for opportunities for development in social responsibility. They then move on to context, discussing the proximal scenery of young people everyday lives that motivate social responsibility. Lastly, they move on to seedbeds of social responsibility that comprise of communities, peers families and s chools. Still in this last context, they discuss techniques of developing social responsibility. Wray-Lake Syvertsen review regarding procedure through which social responsibility is earned in adolescence and childhood throughout the context propose quite promising avenues for changing development route of social responsibility. They argue that a single aspect is not significant; instead, a number of setting such community, family, school, peer environment can lead to seed of social responsibility via both indirectly through cultivating socio-emotional and cognitive competence and openly socialize social responsibility. They also conclude that adult who works together with youth can explicitly integrate a social accountability lens into relations. Assisting young individuals develop bridging community capital via forming connections with various others, for instance, is every potential way for promoting social responsibility. In addition, Wray-Lake Syvertsen think that a social responsibility is mainly controlled by some steady forces and yet has an element that is open to rev iew across the lifetime. Wray-Lake Syvertsen consideration of social responsibility in adolescence and childhood is the substantial aspect for citizenship across lifetime. If all these aspects discussed in this article are put into consideration, then, we can develop adults who are socially responsible. This can further contribute to a community rooted with moral responsibilities. Wray-Lake Syvertsen article assist in identifying factors to consider and breach the gap that they have not considered in studying social responsibility in youth and childhood in drafting the final essay. References Yun, S., Cox, J., Sims, Jr, H. P. (2007). Leadership and Teamwork: The Effects of Leadership and Job Satisfaction on Team Citizenship. International Journal of Leadership Studies (pp. 171 193). Virginia: School of Global Leadership Entrepreneurship, Regent University. Wray-Lake, L., Syvertsen, A.K (2011). The development roots of social responsibility in childhood and adolescence. In C.A Flanagan B.D Christens (Eds) Youth civic development: Work at cutting edge, New Directions for Child and Adolescent Development, 134, 11-25 Source document

Sunday, October 27, 2019

Issues in the UK: Gender Pay Gap, UK Underclass and Racism

Issues in the UK: Gender Pay Gap, UK Underclass and Racism What is the gender pay gap and why does it occur? Gender pay gap has been a contentious issue for the last two decades, the recent the international womens day celebration brought the issue into spotlight. Gender pay gap simply the differences in wages paid to men and women. The advocate of gender pay gap argued that men are paid more money than women for the same job, in other word, it is immoral and create inequality in the society. The cent study conducted by the European Union Commission on pay structure across the member states indicated that the main cause of gender pay gap is the way women competencies are measured against men. For instance, jobs that are required limited skills or qualification are undervalued and poorly paid because they are dominated by women. In addition, jobs in the construction companies are dominated by men and the wages structure is higher when compared to jobs like cleaning, cooking or even nursing. This is because employers judge people based on their physicality in this jobs rather than the skills and knowledge of the employer. Another example, is most individual that works as a cashier in the supermarket are women, while men tends to work in the warehouse, stacking shelve and other role that require physical ability, the comparison is the women are pay less because they work on the till compared to men that are involved in physical task. Drolet and Mumford (2011) indicated that gender pay gap is influenced by different factors such as discrimination, stereotyping, family and societal factors. The scholar argued that most women are likely to work in part-time compared to men because they have to undertake other roles such as caring for their children, parent or taking an unpaid job in the society. Hence, because of their limited commitment to work, it is difficult for them to attain managerial roles. The Office for National Statistic figures on earning in 2016 shows that 26% of women earn less than men which indicated that women in full time employment earn less than men by  £5,732. Rubery(2015) suggested that gender pay gap is caused by the kind of occupation and industry were women seek work. He argued that women are more commitment to health and social care organisations because they are good with been compassionate and empathy compared with scientific or high tech industries that nurture and pay their employees more for their expertise. Most of the employees of high tech organisations are dominated by men because of the long hours and commitment required for their role. There are many factors that causes gender pay gap, and it essential to have an in-depth understanding of the causes of the problem in order to make any suggestions on how the government and organisation can work together to limit or eliminate pay inequality and stereotyping in our society. One of the main factor of gender pay gap is discrimination, and this could be direct or indirect discrimination. Some organisations prefer to employ men because they are more committed to their job, because of this, they pay them more money and more also, men do not usually take time off to take care of their children or parents compared to women. Recent study conducted by Fawcett Society shows that women are unfairly especially when they return back from maternity. A record number of women are forced to leave their job after having a baby because of poor treatment at work. (Fawcettsociety, 2017). Secondly, womens competences and skills are undervalued, men in the same or similarly role with the same qualification are paid more than women. For instance, Birmingham Council was forced to pay compensation to predominantly women workers such as cook, cleaners, care staff etc. because they were denied bonuses compared to men that works as refuse collector, road workers and street cleaners. The bonus was based on the physical task of the role rather than the skill and knowledge of the individual. On other factor is that women take up more responsibilities that men when it comes to the society and caring. Women have to balance between taking care of their family and work, and tend to work part time because they share Unequal caring responsibilities with men. The argument is that women play a greater role in caring for children, as well as for sick or elderly relatives, as a result they take up mostly part time role that are generally lower paid job with limited progression opportunit ies (Fawcettsociety, 2017). The introduction of Equality Act 2010 has strengthened the right of women in the workplace. It is unlawful for an organisation to discriminate against an individual because of their gender or sex (Dawson, 2014). Likewise, either man or woman should be given equal of opportunity to fulfil their potential. Meaning organisations or employers have to be flexible and consider that women play more role in the society such as taking care of their and parents, and make their job flexible and create a platform for them to progress to managerial role. It should not be based on the hour you put in, but the quality of the work. What is institutional racism in policing? How can we address this issue? The word institutional racism gain prominence during Macphersons report for the racist murder of Stephen Lawrence. Although, it has been used extensively by some scholars study on racism in the past. The findings of the report indicated organisations especially in the public sectors is riddled with institutional racism such as stereotyping, fear and contempt for ordinary people especially a black people (Ray, Smith and Wastell, 1999).MacPherson refers to institutional racism as the collective failure of an organisation to provide an appropriate and professional service to people because of their colour, culture, or ethnic origin, and went on to conclude, It can be seen or detected in processes, attitudes and behaviour which amount to discrimination through unwitting prejudice, ignorance, thoughtlessness and racist stereotyping which disadvantage minority ethnic people (Ray, Smith and Wastell, 1999). According to Souhami (2012), stereotyping and discrimination are factors associated with institutional racism. It is about typecasting people because of their race, colour, religion or nationality. Regarding, Macpherson report, black people are not provided the same level of service provided to white citizens by the police force because of the stereotyping approach employed by the Metropolitan police. Black citizens are classified as people with riddled with crime and drugs, which was one of the reason why Stephen Lawrence case was not taken seriously at the beginning. Hence, it can be argued that institutional racism is has link with stereotyping, ignorance of people and social inequality or diversity. Research has shown that United Kingdom one of the diverse and multicultural country in the world, however many institution including the police are yet to accurately reflect the countrys diversity within their workforce, particularly at the managerial levels. Research conducted by Souhami (2012) on institutional racism and police reform: an empirical critique, Policing and Society revealed that white applicant into the police force are more likely to get a better chance of getting job and progress to the managerial level compared to people from the minority group. In addition, the newly published data from the Office for National Statistic indicated that 32 of Britains 45 territorial police forces employed a greater proportion of white applicants that other ethnicity that identify themselves as being from a BAME background (Ons, 2017). The findings were supported by the Londons Metropolitan Police chief, Sir Bernard Hogan-Howe who pointed that police chiefs in every part of the country has to be held accountable for failing to recruit people of their groups of the society that can positively reflect the communities they serve (Dodd, 2017) Dealing with institutional racism requires wider effort of the public and private sectors, schools, communities by educating people about the importance of diversity, and learning to understand and respect others people beliefs, culture or value. To mitigate against institutional racism in the police, the organisation has to embark on training their workforce on the importance of equality and diversity in the society. More also, the police force need to deploy a recruitment and selection process that will allow underrepresented groups to have a chance of getting employment and progression to the senior level of management in the police force. An independent body should also handle the complaints against the police for any investigation about racism or discrimination is transparency and credible in order to gain back the trust of the public. Officers that displayed violent behaviour against black people or other ethnicity should be prosecuted and face the consequences of their actions . In regard to the figures of ethnicity in the police force, the management should create progression route for minorities that apply to join the police for them to be part of the management, training and development to enhance their skills. Additionally, positive steps should be taken to drive recruitment of underrepresented groups in order to reflect the diversity of the nation. Continuous training should be provided on equality and diversity for new and current employees to promote equality and diversity in the police force. To reform and create a dynamic workforce, the police force can set up a cultural day whereby employees are encouraged to bring their traditional food, wear their attires and share their cultures and values with their peers. This will help police force employees to understand diversity in their own practice which can be demonstrated in the public. Does the UK have an underclass? Recently, there have been a lot of debates about social inequality and isolation in the UK politics. Social inequality is described the extent to which there are differences between groups in society (Amin and Sabermahani, 2017). It occurs in employment, life expectancy, access to education, business loans, mortality or morbidity rate. Some groups of the society are faced with the issues of struggle with social inequality in the sense that they do not have access to the same opportunity like others. The London riot in August 2011 was caused by social inequality because most the rioters came from poor and deprived areas with limited opportunity, lack of education and neighbourhood blighted with drugs (Liu and Bloom, 2006). The findings show that most of rioters came from neighbourhoods which were ethnically diverse or fractionalized. By going the definition of underclass by Lawrence M. Mead, in his book Beyond Entitlement, underclass as group of people who are poor and behaviourally d eficient, the rioters fit into this category (Mead, 1998). However, been poor does not necessarily mean an individual will have behaviour problems. The case of rioters as underclass was caused by social inequality and isolation by the government. In Britain, the media hep to promote the image of an underclass as someone on benefit that have cultivated the culture of poverty and laziness. Programmes like Benefits Britain: Life on The Dole, Benefits Street, Skint and Saints and Scroungers help also help to promote the idea of an underclass by providing real world examples and images (Donaldson, 2014) The word underclass is an ambiguous, impudent and subjective. According to Myrdal (1982), a Swedish social scientist refers to underclass as the class of unemployed, unemployables, and unemployed who are more and more hopelessly set apart from the nation at large and do not share in its life, its ambitions and its achievements. Mead (1998) defines underclass as a group that is poor and behaviourally deficient. He describes the underclass as dysfunctional. The underclass group are usually delineated and associated with people that have low aspirations, unemployed, lazy, have criminal record and poorly educated as well as coming from a family with instability and drug and alcohol addictions. However, the so call underclass group in Britain tend to have experience various forms of inequality and disadvantage in the labour market. They are very low wages, live in deprived areas with less opportunity and some end been addicted to drug because of low self-esteem. Murray (2008), in his book Losing Ground argued that welfare dependency has encouraged the break-up of the nuclear family household, and socialisation into a counter-culture which devalues work and encourages dependency and criminality. Lewis (2000) on the other hand, believes that culture of poverty is part of the coping strategies by which the poorest of the poor managed to survive. He argued that once an individual embrace this culture, it is difficult for them to break from it, hence making such individual to be an underclass. The scholar view culture of poverty as historically specific, emerging out of the problems of societal transition and the breakdown of the social order in an industrial/capitalist society. The culture of poverty theory states that living in conditions of pervasive poverty will lead to the development of a culture or subculture adapted to those conditions. This culture is characterized by pervasive feelings of helplessness, dependency, marginality, and powerlessness (Lewis, 2000). However, In Britain, the underclass group live in deprived areas of the country where there is less opportunity, fewer jobs, community is usually faced with drug and alcohol addiction as well as people with low self-esteem and peer pressure from there be part of the same group. Did they bring this problem up themselves? Wilson (2012) argued that Wilson argues that when communities experience widespread joblessness, they experience a social isolation that excludes them from the job network system. Wilson (2012) indicated that the main issue facing members of the underclass is joblessness reinforced by an increasing social isolation in an impoverished neighbourhood. They not only suffer from lower socioeconomic status, minimal education, and lack of opportunities, but they are further victimized by a lack of community safeguards and resources. The UK government help to create underclass group in the society because of social inequality, lack of opportunity and equality for certain group of people. They were seen as a problem group and given handout to keep satisfied without any real hope of integration into the main stream of the society. There are many factors to the problem, institutional racism where some people or individual typecast as not fit for purpose, stereotyping and lack of equality and diversity in every spectrum of the society. So yes, UK have an underclass group. References Atiba Goff, P. and Barsamian Kahn, K. (2012). Racial Bias in Policing: Why We Know Less Than We Should. Social Issues and Policy Review, 6(1), pp.177-210. Dawson, T. (2014). Collective Bargaining and the Gender Pay Gap in the Printing Industry. Gender, Work Organization, 21(5), pp.381-394. Dodd, V. (2017). Bernard Hogan-Howe to retire as Met police commissioner. [online] the Guardian. Available at: https://www.theguardian.com/uk-news/2016/sep/29/sir-bernard-hogan-howe-to-retire-as-met-police-commissioner [Accessed 8 Mar. 2017]. Drolet, M. and Mumford, K. (2011). The Gender Pay Gap for Private-Sector Employees in Canada and Britain. British Journal of Industrial Relations, 50(3), pp.529-553. Fawcettsociety.org.uk. (2017). Cite a Website Cite This For Me. [online] Available at: http://www.fawcettsociety.org.uk/policy-research/the-gender-pay-gap/ [Accessed 8 Mar. 2017]. Lewis, O. (2000). Five families; Mexican case studies in the culture of poverty. 1st ed. New York, NY: Basic Books. Mead, L. (1998). The new politics of poverty. 1st ed. New York, NY: Basic Books. Murray, C. (2008). Real education. 1st ed. New York: Crown Forum. Myrdal, G. (1982). Beyond the welfare state. 1st ed. Westport, Conn.: Greenwood Press. Neyroud, P. (2014). Policing Facts and Policing Evidence: System 1 and System 2. Policing, 8(2), pp.93-95. Ons.gov.uk. (2017). Gender pay gap by age in the UK- Office for National Statistics. [online]Availableat:https://www.ons.gov.uk/aboutus/transparencyandgovernance/freedomofinformationfoi/genderpaygapbyageintheuk [Accessed 8 Mar. 2017]. Ray, L., Smith, D. and Wastell, L. (1999). The Macpherson Report: A View from Greater Manchester. Sociological Research Online, 4(4). Rubery, J. (2015). Closing the Gender Pay Gap in the EU. Intereconomics, 50(2), pp.62-63. Souhami, A. (2012). Institutional racism and police reform: an empirical critique. Policing and Society, 24(1), pp.1-21. Wilson, W. (2012). Truly Disadvantaged. 1st ed. Chicago: University of Chicago Press.

Friday, October 25, 2019

Its Time to Declare English the Official Language Essay -- Argumentat

It's Time to Declare English the Official Language "In no way would having English as the official language intrude upon anyone's private life, business, or day-to-day living. Official English applies only to the conduct of government business." -S.I. Hayakawa America today is a melting pot of different societies. Everywhere, in every city and in every state, there are Germantowns, and Chinatowns, and Greektowns. America has certainly developed into one big multicultural society. With the many different cultures, come the many different languages as well. When a person imagines the language of the United States, naturally most believe that English is the national language. America, however, does not have an official language. According to the Center of Immigration Studies, more than 300 languages are currently spoken in the United States (U.S. Bureau of the Census). Immigration in the United States is a positive event that cannot be altered no matter what actions are taken against it. Immigration, in fact, has many positive influences upon this great nation. With the positive effects on this country also come the harmful effects. If America wants to continue to live harmoniously with the multitude of different cultures, the first step wo uld be to make English the official language of the United States of America. Today, 1.9 billion people speak the English language; more than one-third of humanity (U.S. Bureau of the Census). English is also the national language of many countries- countries with a multiple of different cultures- including India and several populous countries in Africa. People in those countries use English to conduct common and o... ...for our flag. It was not easy, but they did it; the beautiful thing was we were united. A World War I Veteran told me that when he came to this country from Poland, he did not speak a word of English, nor did his parents. He said he learned English and spoke it well enough to get by. â€Å"This is America,† he said, â€Å"and it is only right to honor its language.† When asked if he felt if his love and pride for his own country had faltered, he gave a stern â€Å"no.† English is the language of freedom, commerce and opportunity around the world. Declaring English the official language of the United States of America will honestly do no harm. In the end, only positive effects could come out of the measure because the day-to-day lives of a common citizen would rarely be altered. Declaring English the national language is the right and honorable thing to do. Now let's do it.

Thursday, October 24, 2019

One Flew Over the Cuckoo’s Nest Satire Terms Analysis Essay

â€Å"Her face is smooth, calculated, and precision-made, like an expensive baby-doll, skin like flesh-colored enamel, blend of white and cream and baby blue eyes, small nose, pink little nostrils-everything working together except the color on her lips and fingernails, and the size of her bosom. A mistake was made somehow in manufacturing, putting those big, womanly breasts on what would of otherwise been a perfect work, and you can see how bitter she is about it. Incongruity: Something strangely, shockingly, or ridiculously out of place Analysis: In this passage, after Nurse Ratched enters the room in a typical day on the ward, Chief Bromden’s description of her as perfection is juxtaposed by his actual intention to emphasize her big flaw. Chief Bromden begins this paragraph with the positive side of the nurse. He claims how perfect she looks with her â€Å"smooth, calculated and precision-made† face, comparing her to a â€Å"baby-doll. Chief Bromden is trying to make her look like a goddess without any faultiness in her image. While all these pretty dictions such as the â€Å"baby blue eyes† and the â€Å"small nose† have been used, he begins to point out her defects by inserting the word â€Å"except† and emphasizing miniscule details of her – â€Å"the color [of] her lips, her fingernails and the size of her bosom. † This is very incongruous to her overall appearance of being a perfect human being. Moreover, he says that Nurse Ratched is a â€Å"mistake in manufacturing,† suggesting her machine-like quality and comparing Nurse Ratched to inanimate product made in a factory. Her â€Å"womanly breasts† with all the defects mentioned above reflect another idea. Chief Bromden suggests that â€Å"breasts,† which symbolizes womanhood, as the deformity implying her unfitness to rule over the patients in the ward despite all the other perfect qualities that she has. Throughout the book, Kesey uses this character of Nurse Ratched to suggest how even a perfectly-looking person or in extreme, a dictator is the same human being as the oppressed with humanly defects and how the strong individual idea led him or her to have an authority over the majority of the people. Thus, the author clearly establishes the importance of individuality and nonconformity to suggest how the American government tried to get the people to conform under the unrest especially due to the protest against the involvement in the war.

Tuesday, October 22, 2019

A Letter of Advice to Nhs Litigation Authority on Clinical Neglgence Case of Missed Fractured Scaphoid Bone

To: NHS Litigation Authority, Re: Chandler Bing v Friends Health NHS Foundation Trust Dear Sir/ Madam, Thank you for your referral of the case concerning Mr. Chandler Bing’s missed fracture scaphoid bone received on 31 August 2010. The following is the Letter of Advice to the NHSLA concerning the above-mentioned case. The Claimant: 1. The Claimant was born on 8 April 1969. As a result of the events referred to in their particulars of claim the claimant is now represented by Bloomingdale Solicitors to launch to launch a civil action against Friends Health NHS Foundation Trust on 31 August 2010. The Defendant: 2. The Defendant was at all relevant times responsible for the management control, and administration of Friends Health NHS Foundation Trust, and for the employment of doctors, nurses, and other medical specialist s including emergency medicine, radiology and orthopaedic surgeons at and for the purpose of the said hospital. Duty of care: 3. Each of the doctors, nurses, and other staff employed at the hospital who treated the Claimant at the hospital owed the Claimant a duty of care. This duty included a duty in respect of: a. The advice given to the Claimant; . The diagnosis made in respect of the condition of the Claimant; c. The treatment prescribed for the Claimant and advice as to the effect of the treatment; d. The monitoring of the Claimant whilst treatment was given to the Claimant. 4. The Defendant is vicariously liable for any such breach of duty on behalf of any of its employees. Procedural Steps: 1. Protocol Steps: a. Obtaining health records: to provide suf ficient information to alert the Healthcare provider where an adverse outcome has been serious; to request for specific medical records involving the case. . Request for copies of patient’s clinical records with approved standard forms. c. Make sure the copy records to be provided within 40 days of the request and for a cost not exceeding changes permissible under the Access to Health Records Act 1990. d. If the Healthcare provider fails to provide health records within 40 days, their advisers can then apply to Court for an order for pre-action disclosure. e. If Healthcare provider considers additional health records are required from a third party, these should be requested through the patient. Third party Healthcare providers are expected to co-operate. 2. The response: Letter of response: a. Provide requested records and invoice for copying. b. Comments on events and/or chronology. c. If breach of duty and causation are accepted, suggestions for resolving the claims and request for further information offer to settle. d. If breach of duty and/or causation are denied, outline explanations for what happened by Healthcare provider suggests further steps like further investigations, obtaining expert evidence, meetings, negotiations or mediation, or an invitation to issue proceedings. e. Healthcare provider should acknowledge receipt of letter of claim within 14 days of receipt. f. Healthcare provider should, within 3 months of letter of claim, provide a reasoned answer. g. If claim is admitted, then the Healthcare provider says so. h. If any part of claim is admitted, then Healthcare provider makes clear which issues of breach of duty and/or causation are admitted and which are denied and why. i. If claim is denied, include specific comments on allegation of negligence, and if synopsis or chronology of relevant events provided and is disputed, Healthcare provider’s version of events provided. . Additional documents, for instance, internal protocol, copies provided. k. If patient made an offer to settle at this stage as a counter-offer by supporting medical evidence, and/or other evidence in addition to claim in healthcare provider’s possession. l. If parties reach agreement on liability, but time is needed to resolve claim, then aim to agree a reasonab le period. Witness Evidence: The witnesses concerned in this case include: 1. Claimant’s family members and colleagues concerning the accused loss of function in daily activities of living. . Healthcare providers beside the medical doctor in Accident and Emergency Department, including accident and emergency doctors and consultants, radiologists, orthopaedic specialists, nurses, family doctors, etc, who have treated the Claimant. 3. The Claimant himself. Where a witness statement or a witness summary is not served, the party will not be able to call that witness to give oral evidence unless the Court allows it. Matters to be covered in the witness’s statement will include: 1. Occupation and working ability of the Claimant, if this has changed, since the injury, previous occupation of the Claimant. 2. Brief description of marital and family circumstances including dates of birth of all the family members of the Claimant. 3. The Claimant’s amount of the sequence of events relating to the treatment in question. Care should be taken to avoid importing text and phraseology from medical records or reports that the Claimant would not use in the normal course of discussing the case. 4. If the witness’s factual recollection of events differs in any important respect from the medical records, or from the version of facts set out in the Defendant, the statement should acknowledge this and comment upon these differences. 5. The witness should describe the effects of the injury; this will include the effects on his physical condition, emotional condition, the practicalities of everyday life, the Claimant’s financial affairs, family life, and future plans and projects. Additional witnesses should state their relationship to the Claimant. If a amily member is providing a statement which is collaborative of the Claimant’s amount of events, the witness should confirm that he or she has read the Claimant’s statement and state that he or she agrees with its contents, insofar as those within his or her knowledge. The statement should then deal with issues of which the witness can give primary evidence. Where a party is required to serve a witness st atement and he is unable to obtain such a statement, for example because the witness refuses to communicate with the Defendant’s solicitor, he may apply to the Court for the permission to serve only a witness summary instead. This application should be made without notice. The witness summary is a summary of the evidence which would otherwise go into a witness statement, or if the evidence is not known, matters about which the party serving the witness summary will question the witness. Expert Evidence: 1. In clinical negligence disputes, expert opinions may be needed: a. On breach of duty and causation. b. On the patient’s condition and prognosis. c. To assist in valuing aspects of the Claims. The main expert witnesses to be considered include: a. Orthopaedic specialists. b. Accident and Emergency specialists. c. Radiology specialists. 2. The new Civil Procedure Rules will encourage economy in the use of experts and a less adversarial expert culture. It is recognized that in clinical negligence disputes, the parties and their advisers will require flexibility in their approach to expert evidence. Decisions on whether experts should be instructed jointly; and on whether reports might be disclosed sequentially or by exchange, should rest with the parties and their advisers. Sharing expert evidence may be appropriate on issues relating to the value of the Claim. However, this protocol does not attempt to be prescriptive on issues in relation to expert evidence. 3. Obtaining expert evidence will often be an expensive step and may take time, especially in specialized areas of medicine, where there are limited numbers of suitable experts. Patients and Healthcare providers, and their advisers, will therefore need to consider carefully how best to obtain any necessary expert help quickly and cost effectively. . Assistance in locating a suitable expert is available from a number of sources. Here the NHSLA has already supplied a number of experts for this case. 5. This is a case of missed fracture of the waist of the scaphoid, for a patient initially seen in the Accident and Emergency Department, is often a clinical diagnosis rather than a radiological diagnosis, because this fracture may not become apparent on an X-Ray until often a period of 10 days, and some times konger, has elapsed. . Tenderness in the anatomical snuffbox at the base of the dorsal aspect of the thumb, or pain produced by proximal pressuring on the wrist joint in radial deviation by comparison to the unaffected side, together with diminished power of grip, is an indication for the forearm to be put into a scaphoid plaster of Paris. 7. The patient must have the plaster checked the following day and will need to be X-Rayed again in 10 to 14 days if a fracture line was not initially visible. 8. When a fracture of the scaphoid is suspected, â€Å"scaphoid views† should be asked for. 9. The doctor at Accident and Emergency Department must ensure that 4 views have been carried out: Anterior-Posterior, Lateral, Supination oblique, and Pronation oblique. 10. If there is doubt about the diagnosis or the fracture is displaced, then a more senior or orthopaedic opinion must be sought forthwith, otherwise a scaphoid plaster must be applied, and the patient referred to the next Accident and Emergency review clinic or fracture clinic. 11. There is a component of contributory negligence by the Claimant who insists to remove the plaster in the follow up clinic despite he was strongly advised not to do so. The effect of this contributory negligence on the Claims should be further explored and evaluated. Quantum of damages: The means to calculate the quantum of damages made in this case of clinical negligence include various heads of the following damage: 1. Pain, suffering and loss of amenity; 2. Loss of earnings; 3. Care and assistance; 4. Travel and parking; 5. Miscellaneous expenses. The Claims on items (1), (3), (4) and (5) are measured quite subjectively by the patient affected. The calculation of loss of earning could be done by using the Ogden tables, which are involving a set of statistical tables for use in Court case in the United Kingdom. Beside the age of this patient (Date of Birth=08/04/1969) being 41 years old on the date of claim (that is 12-11-2010) is known, we still need to know about the patient’s earning per annum, what is his occupation, whether he had any disability resulted, his qualifications, and his planned age for retirement. In case where the period of loss of earnings will continue for many years into the future, it is particular important to ensure that amount is taken of likely periodic changes to the Claimant’s income. The Claimant will want to point to anticipated career progression. In such cases, the Court will either: 1. Determine the average multiplicand, based upon the likely earnings throughout the period of loss, which will be applied to the full period of the loss, or; 2. Use stepped multiplicands for each stage of the Claimants career. Generally, this will result in a lower multiplicand at the beginning and possibly at the very end of the period of loss, with one or more higher multiplicands to represent the likely career progression that would have been followed. There is a need to interview the Claimant in more details to decide these uncertainties for a more comprehensive evaluation. Last but not least, the importance of expert evidence in such a case is vital. Medical evidence can provide an indication as to what work the Claimant will be capable of undertaking, both at present and in the future. This, together with evidence of the Claimant’s employment prospective, will assist the Court in determining what will happen to the Claimant in the future. Another means to calculate for the approximate quantum of the damage in this patient is to look into common laws and journals for similar cases for comparison and a rough estimation of quantification of similar claims. In Johns v Greater Glasgow Health Board1, a 44 years old lady broke her scaphoid bones in both wrists in a fall. The fractures were only diagnosed three months later. As a result the fractures would not unit, causing continuous incapacity and pain. Bone grafting was contemplated, despite an earlier unsuccessful attempt. Held, that solatium was properly valued at 11,000 pounds with wage loss to date and for a further 4 years. In W v Ministry of Defence2, which is a case of failure to diagnose fractured scaphoid from Clinical Risk 2010; Volume 16: p. 198 (by Collier et al). The case was settled concerning damages awarded to the Claimant pursuant to the delay in the diagnosis of the fracture of his hand, without which the Claimant could have avoided undergoing surgery and regained his complete and normal wrist function. W made an offer to settle in the sum of 15,000 pounds. The amount awarded to the Claimant was reduced to 9,000 pounds after further negotiation. 1. Johns v Greater Glasgow Health Board (1990) SLT 459. 2. W v Ministry of Defence (2009) MLC 1652 In B v Norfolk & Norwich University Hospital3, the Claimant, a male nurse aged 29 years, had attended the Norfolk & Norwich University Hospital NHS Trust after falling off his bike in July 2004. His left fractured scaphoid bone wad missed and a non-united scaphoid fracture with humpback deformity and associated ligament damage had occurred. The Claimant thus made a Part 36 Offer for the sum of 14,000 pounds that was agreed with the Defendants in March 2006. In N v Pontypridd & Rhona NHS Trust4, the Claimant injured his right wrist in a fall whilst ice-skating on March 14, 1998. He attended the Hospital’s Accident and Emergency Department and was noted as having a tender scaphoid. An X-Ray of the wrist was taken which was interpreted as disclosing no fracture. Nonetheless the wrist was set in plaster of Paris and the Claimant released. On March 19, 1998, the Claimant re-attended the Hospital’s Accident and Emergency Department still in pain. The cast was removed; no X-Ray was repeated. The Claimant was given tubi-grip dressing and told to exercise the wrist. On April 29, 1998, the Claimant attended a different Hospital complaining pain and swelling over scaphoid region. X-Ray showed a fracture of scaphoid bone in his right dominant hand. On May 29, 1998, the fracture showed sign of delayed union. As a result, a settlement of total damage of 12,500 pounds; general damage of 8,000 pounds, and special damage for income loss and care of 4,500 pounds were awarded. In P v United Bristol Healthcare NHS Trust5, the Claimant was involved in a fracas at nightclub in Bristol and arrested for punching security camera. The Claimant attended Accident and Emergency Department at the Bristol Royal Infirmary on 27 May 2000 and he experienced problems relating to his right wrist. The SHO treated the injury as being a sprain and no X-Ray was taken. The Claimant’s GP then identified tenderness in anatomical snuffbox. An X-Ray confirmed fracture through scaphoid being missed by Accident and Emergency Department. The Claim was finally settled for 40,000 pounds with causation proved. 3. B v Norfolk & Norwich University Hospital (2006) MLC 1350 4. N v Pontypridd & Rhona NHS Trust (2003) MLC 1031 5. P v United Bristol Healthcare NHS Trust (2004) MLC 1159 QBD Settlement Where a Claimant has received State Benefits as a result of a disease and is subsequently awarded compensation, the Department for Work and Pension (DWP) will seek to recover these benefits from the Defendant via a system operated by the Compensation Recover Unit (CRU). The CRU is also responsible for collecting from a Defendant the cost of any NHS treatment that a Claimant has received following a clinical negligence. Notifying the DWP: Section 4 of the 1997 Act requires the compensator to inform the DWP not later than 14 days after receiving the Claim. The Notification should be made on Form CR1 which is sent to the DWP. On receipt of Form CRU1, the CRU will send Form CRU4 to the Defendant. The Claim then progresses to the settlement stage. When ready to make an offer of compensator, the compensator submits form CRU4 to obtain a Certificate. The CRU acknowledges receipt of form CRU4 within 14 days. The CRU sends the Certificate to the compensator- a copy will also be sent to the Claimant’s solicitor. The compensator will then settle the compensation claim and pay the relevant amount to the DWP within 14 days of the settlement. The compensator will also complete and send to the DWP Form CRU102 detailing the outcome of the Claim. The rules relating to recovery of benefit apply to clinical negligence claims. Due to their complexity, especially relating to causation, the CRU has set up a specialist group to deal with the claims, and makes a special request their compensators inform the CRU about clinical negligence claims as soon as the pre-action correspondence is received. Part 36 Offer: A party who wishes to make a Part 36 Offer must first apply for a Certificate of Recoverable Benefit from the CRU. Although Part 36 does not spell it out , guidance from case law suggests that the offer should therefore particularize the various heads of damage, and indicate the amount of benefits to be deducted against each head. Mediation: The parties should consider whether some form of Alternative Dispute Resolution Procedure would be more suitable than litigation, and if so, endeavour to agree which form to adopt. Both the Claimant and Defendant may be required by the Court to provide evidence that alternative means of resolving their dispute were considered. The Courts take the view that litigation should be a last resort, and that claims should not be issued prematurely when a settlement is still actively being explored. Parties are warned that if the protocol is not followed, then the Court must have regard to such conduct when determining costs. Mediation is one option for resolving disputes without litigation: it is a form of facilitated negotiation assisted by an independent neutral party. The Clinical Disputes Forum has published a guide to mediation which will assist, available at www. clinicaldisputesforum. org. uk The Legal Services Commission has published a booklet on â€Å"Alternatives to Courts†, CLS Direct Information Leaflets 23, which lists a number of organizations that provide ADR services. It is expressly recognized that no party can or should be forced to mediate or enter into any form of ADR. (Total: 3000 words) Bibliography: 1. Lewis: Clinical Negligence: A Practical Guide, 6th edition, Tottel Publishing. . Khan M, Robson M, Clinical Negligence, 2nd edition, Cavendish Publishing. 3. Powers and Harris: Clinical Negligence, 3rd edition, Butterworths. 4. Woolf S (1995) Access to Justice – Interim Report HMSO. 5. Woolf S (1996) Access to Justice – Final Report HMSO. 6. (1999) The Civil Procedure Rules HMSO. 7. â€Å"Making Amends†, at www. dh. gov. uk 8. †NHS Redress Bill† at www. publications. parliment. uk 9. Civil Litigation Handbook by Woolf, Lord Justice; Burn, Suzanne; Peysner John (2001), The Law Society. 10. A. A. S. Zuckerman, Ross Cranston (1995), Reform of Civil Procedure- Essays on â€Å"Access to justice†, Oxford University Press. 11. The Judicial Studies Board, Guidelines for the Assessment of General Damages in Personal Injury Cases, 9th edition, Oxford University Press. 12. Personal Injury & Clinical Negligence: Tough Conditions – The Lawyer 10/10/05, www. lexisnexis. com 13. Opinion: Edwina Rawson: The Lawyer 26/09/05, www. lexisnexis. com 14. Butterworths: â€Å"Risk Assessment in Litigation: Conditional Fee Agreements, Insurance and Funding†, David Chalk 15. The Law Society: â€Å"Conditional Fees: A survival Guide†, Napier and Bawdon 16. The Law Society: â€Å"Civil Litigation Handbook†, Peysner. 17. â€Å"Mediating Clinical Negligence Claims†, Roger Wicks, www. medneg. com articles 18. â€Å"Guide to Mediation†, www. clinical-disputes-forum. org. uk 19. â€Å"Guide to Mediating Clinical Negligence Claims†, www. clinical-disputes-forum. org. uk 20. Kemp and Kemp The Quantum of Damages, Sweet and Maxwell. 21. Medical Litigation Online, www. medneg. com 22. AvMA Medical and Legal Journal 23. â€Å"General Damages – the NHS Case†, Philip Havers Q. C. and Mary O’Rourke, Quantum, Sweet & Maxwell (2000) 24. Practice Direction at www. justice. gov. uk 25. NHSLA website www. nhsla. com 26. Civil Procedure Rules at www. justice. gov. uk 27. Pre-action Protocol for the Resolution of Clinical Disputes and Practice Direction – Protocols, www. justice. gov. uk 28. â€Å"Guidelines on Experts’ Discussions in the Context of Clinical Disputes†, Clinical Risk (2000) 6, 149-152 29. The â€Å"Draft Guidelines On Experts’ Discussions in the Context of Clinical Disputes† (published by the Clinical Disputes Forum) 30. Part 36 and its Practice Direction, www. justice. gov. uk. 31. The NHS Redress Act 2006 can be found online at www. legislation. gov. uk/ukpga/2006/44 32. Johns vs Greater Glasgow Health Board, (1990) SLT 459, www. medneg. com 33. W v Ministry of Defence, (2009) MLC 1652, www. medneg. com 34. B v Norfolk & Norwich University Hospital (2006) MLC 1350, www. medneg. com 35. N v Pontypridd & Rhona NHS Trust (2003) MLC 1031, www. medneg. com 36. P v United Bristol Healthcare NHS Trust (2004) MLC 1159 QBD, www. medneg. com