Saturday, August 31, 2019

Black Rock Essay

Steven vidler, director of Blackrock use a number of cinematic techniques to the theme of risk. Teenagers are notorious for risk tasking behaviour which can have devastating consequence for the future. Blackrock is a 1997 film tells the story of Jared, a teenage boy who witness a rape and murder at a teen party, and must risk his social status (and safety) by coming forward. Vidler explores the theme of risk using film techhiguc such as montage, costuming, dialog, Montage: A montage in the film’s opening credits shows teenagers surfing and having fun on the beach. Shots of teens surfing successfully are mixed in with scenes of people falling off their boards and ‘wiping out’. Part of the appeal of surfing may be the risk involved; the teenagers are rejecting the safe, over-protective world established for them by their parents. Costuming: Jade arrives to meet her friends dressed in baggy, conservative clothes, but takes them off to reveal her party, clothes underneath. Jade is defying her mother’s orders, instead choosing to go to the party and have fun with her friends. By ignoring the wishes of her mothers, jade is taking great risk-teenagers often takes risks to be accepted by their peers, at the risk of upsetting their loved ones. Dialogue: Rachael’s father tells her â€Å"you’re not allowed to go (to the party†). Rachel’s father insists that she stay at work, and so she respects his decision (reluctantly). Risks often involve teens ignoring their responsibilities; by doing what she is obliged to do, Rachael avoids risk. Tracking shot: A series of tracking shots show Ricko ‘surfing’ on the bonnet of a fast car, as a crowed watch on. Ricko is loved by his friends for his willingness to take wild risks like this; being ‘wild’ makes him popular. The greatest the risk a teenagers is willing to take the greater the respect that they often get in return. Contrast: While the teenagers are seen drinking and partying, the adults including Jared’s mother; are shown at a local pub. The risks taken by Jared and his friends, including violent and sexual behaviour, are contrasted with the financial risk taken by the adults as they gamble their money. While adults discourage teens from risk-taking they too are guilty of taking similarly large risks, only in different ways. Silence/slow-motion: As Jared watches Tracey being raped, the scene plays in slow motion and the sound fades into the background. This helps the viewer feel Jared’s shock and confusing, as he feels helpless and unsure of what to do. This is the first scene in the film to show that risk-taking behaviour can have severe consequences Characterization: Jared’s father, Len, abandoned his family and is confronted by Jared’s mother at the gym where he works. Len is an older example of the same kinds of reckless and irresponsible behaviour that can be seen in the film’s teenaged characters. Parent’ attitudes to risk-taking and responsibility can be passed down to subsequent generations. Alliteration: Jared sees â€Å"dobbers die† spray-patting in large capital letters at his school. Obviously, the boys who murder Tracey are threatening anyone who knows about it to stay quiet and not informal the police. Jared now must take another, less enjoyable risk this time to his personal safety if he decides to come forward. Montage: A later montage shows Jared surfing alone; the scene is slower, quieter and darker than the previous surfing scenes. This reflects Jared’s changing emotional stat, as the rape and murder has changed his feeling about his friends and himself. The negative outcomes of risk-taking are not limited to physical danger, but can also include guilt, stress and regret Repetition: Talking to his girlfriend, Jared repeats, â€Å"I didn’t do anything†. Jared feels guilty about the fact that he did not step in to save Tracey as she was being attacked. The negative outcomes of risk-taking are not limited to physical danger, but can also include guilt, stress and regret. Flashbacks: Jared has a series of flashbacks to the night of the murder throughout the movie. This shows that Jared continues to feel guilty and conflicted about his role in Tracey’s death. Negative consequences of risks are a main deterrent from fisk taking behaviour.

Friday, August 30, 2019

Beautiful Things Essay

The poem A Thing of Beauty by John Keats conveys the message that Beauty is everywhere, and upon examination may be found. The theme of this work is largely centered on nature, as were many of Keats’ works. In this particular poem Keats describes the affects that beauty can have on a person. â€Å"Some shape of beauty moves away the pall / from our dark spirits† (12-13). According to Keats this beauty never diminishes and its affect is felt long after it is gone. Keats emphasizes that beauty is, â€Å"Made for our searching,† meaning that some people may find beauty in places that others may not (10). The theme of this poem is that beauty can be found anywhere, and when appreciated can be used to raise your spirits in times of gloom. One of the poetic elements Keats uses to express his theme is rhyme. One example of how rhyming can be helpful in conveying the meaning of the poem to the reader is found in the very first two lines of the poem. â€Å"A thing of beauty is a joy forever: / its loveliness increases; it will never† (1-2). Not only do these lines help the reader to understand the theme of the work, the fact that they rhyme makes them even more meaningful. Another example of how Keats used rhyme to express his theme can be found in the very last line of the poem. The poem was written using rhyming couplets; however the last line does not have another line after it with which to rhyme. â€Å"They always must be with us, or we die† (33). This line stands out due to the fact that every other line in the poem is part of a rhyming couplet. By purposely having this line is the last line and by stopping the rhythm that had flowed throughout the poem Keats emphasizes his theme of a need for beauty. Keats used many other poetic elements in this poem. One other poetic element used by Keats in this poem is imagery. Since the poem is about beauty it is important for imagery to be present in order to give the reader a mental picture of what the speaker feels is beautiful. â€Å"Such the sun, the moon, / trees old, and young sprouting a shady boon / for simple sheep; and such are daffodils / with the green world they live in; and clear rills† (13-16). Within these lines the speaker describes things which he finds beautiful. It is imperative that these lines be present so that the reader can imagine  this beauty and begin to relate with the speaker. Enjambment was also used by Keats in the poem. Through the use of enjambment Keats is able to keep his rhyme scheme in tact while still conveying his theme. â€Å"[un]till they become a cheering light / unto our souls† (30-31). The meaning of these lines are very important to the theme of the poem, however, without the use of enjambment Keats would have either had to sacrifice his rhyme scheme, or change the lines which could have potentially altered their meaning. Although much of the world has changed in the time between now and when the poem was originally written, the poems theme still holds true today. With the growth of cities, and urban areas it has become much more difficult to appreciate nature and its beauty. However, even in cities today people can find places to get away and appreciate the nature around them. Such is the case in New York City where residents can travel to central park to immerse themselves in the beauty of nature and open up their souls to the, â€Å"cheering light.† Although it is still possible for people to appreciate nature as Keats did years ago, many people today are lost in the hustle and bustle of the city. The communicative power of nature will always be present for those who wish to observe it, as Keats did, however many people have become oblivious to nature, taking it for granted, and becoming overly obsessed with technology and the man made world in which they live. It is understandable that this has happened in the almost two hundred years since Keats has lived because of the evolution of our society. Although much of nature may go overlooked by some people it will always be there for those who wish to immerse themselves in its beauty.

Thursday, August 29, 2019

Branding Essay

BRANDING ESSAY Subject: The brand as an aspirational and cultural agent 14/03/2013 According to Philip J. Kotler â€Å"a brand is a name, term, sign symbol or design, or a combination of them to identify the goods or services of one seller or a group of sellers and to identify them from the competitors†. This definition expresses the brand as the sum of the representations that we have, however, the brand is also a cultural agent. To remain permanently in the mind of the consumer brands must build a recognizable brand and offer their cultural role models to their customers.Thus it is necessary to include this cultural aspect to the marketing strategy of the brand. After explaining how this cultural and aspirational aspect is characterized in the minds of consumers and brands, it will be interesting to know its origins and consequences, finally understand why and how a brand builds a culture and a strong identity. The success of a brand depends not only on the functional value it offers to consumers, its reputation and good health depends heavily on the emotional value it adds through its products.And the brands gain momentum in today's culture, they seek to become mirrors of our personalities and that is why it is indispensable to build a distinctive brand image. The brand positioning is to place an image in the mind of the consumer. The success of the brand in the consumer's opinion is fundamentally dependent on its desire to appropriate the brand and express it as a part of his personality. This cultural dimension of the brand had been discussed by Jean-Noel Kapferer (French expert of brands) in his book â€Å"Les marques, capital de l’entreprise† in 1990. He expresses the cultural facet of the brand as a key element of brand identity.In the same vein he argues that brands around the products and services sold, build aspirational universe in order to stand out and sell their products. This universe consists of all intangible assets acting as symbols, references, lifestyles, emotions etc. †¦ feature of the brand. This set forms a specific imaginary that illustrates the values and the brand positioning to form a unique cultural heritage (Jean-Noel Kapferer et Vincent Bastien, Luxe Oblige, 2008) This heritage must be expressed and transmitted to the consumer to feel the desire to join and share.Even if this has a great value in brand equity, it is not enough to form a brand culture. The cornerstone of its creation is a major concept; which is distinct to the brand and based on an innovative aspect (e. g. Nike and culture transcendence). In this case there is a set of communication shared by a class of consumers relaying the brand culture. This research of brand culture is becoming more and more important, especially because consumers search meaning in their consumption and they need to be involved in this consumer society that is constantly evolving.Similarly, the development of the media and especially the intern et makes it fertile ground for the development of this cultural facet. We are part of a brands cultural bath influencing us in all our acts of consumption. The brand is a center of social identification of the individual, our consumption reflects our identity. Especially for brands that operate as social signs (car brands, clothing, food, telephone, etc. †¦ ). And brands have become cultural facts, when we consume we do not consume only the product but also the brand. Every act of consumption is symbolic and cultural; there is no longer a pure commercial consumption. The brand becomes a symbol, a materiel embodiment of the myth. So as customers drink, drive or wear the product, they experience a bit of the myth. † (Douglas B. How Brands Become Holt in Icons, The Principles of Cultural Branding, 2004). He explains this behavior like this: â€Å"Customers use iconic brands as symbolic salves. They grab hold of the myth as they use the product as a means to lessen their ide ntity burdens†. It means that the brand through its culture must convey specific models to achieve the desires and soothe the anxieties of consumers.The purpose of brands is to create moments of recognition that put images, sounds, feelings, on the deep desires of customers. Holt adds that a strong brand identity and a clearly identifiable culture have a positive effect on the brand and business: â€Å"When a brand delivers a powerful myth that customers find useful in cementing their identities, this identity value casts a halo on other aspects of the brand. Great myths enhance the brand’s quality reputation, distinctive benefits, and status value. † This halo effect shows brands cannot underestimate their cultural influence.The essential idea in this concept of culture is that it is an integral part of the brand, but she is not defined consistently. It is universal and timeless at the same time it must keep its customers at every change of generation. The succe ss of a brand lies in its ability to adapt to a given society, to know how to react when tensions and desires of consumers mutate. Or that Accordance must match the brand identity. Success comes once the brand has articulated the brand identity with market expectations through the establishment of a strong brand culture.For example Nike in its infancy based its marketing strategy on its philosophy of self-transcendence, a value in accordance with an aspiration of American society in the post-prosperity when the logic of the American dream seemed to have lost its splendor. The socio-economic changes constantly and attitudes of societies are transformed. Thus it is essential that brand can find what, in its identity, can meet the expectations of customers in the generational change. The consumer's desire is not focused on a specific good or service, this desire is by cluster (Gilles Deleuze, French philosopher, Anti-Oedipus, 1977).This means that when the customer is considering purch asing, the choice is not just the object itself but to all cultural, symbolic or historic associations attached to them. For example when I want this dress that is behind the showcase, I do not just want this dress, but the shoes that go with the silhouette, the style, the man, the romantic dinner and almost the lifestyle that goes with this dress. And brands need to rethink their communication model to know the consumer interest in all that associations of the product.They can no longer base their identity on customer insights; it must do so on a strong culture. The brand identity is not an element to be overlooked in a marketing strategy because the cultural and aspirational aspect it reveals is becoming increasingly important in the consumer's decision. Brands must know how to create interest and special recognition in his mind through communicating their values and their major concept. The customers’ expectations continually evolving, that is why it is important for bran ds to adapt through the establishment of a strong and sustainable brand culture. I hope you understand that as an Erasmus student I used for my research French theories to support my arguments. Well I apologize for any mistakes in English that I could commit. ) Bibliography * Jean-Noel Kapferer, Les marques, capital de l’entreprise (1990) * Jean-Noel Kapferer et Vincent Bastien, Luxe Oblige, Paris, Eyrolles (2008) * Douglas B. Holt, How Brands Become Icons, The Principles Of Cultural Branding, Harvard Business School Press (2004) * Gilles Deleuze et Felix Guattari, Anti- OEdipe, Editions de Minuit, 1977.

Wednesday, August 28, 2019

Researched essay on dining experience in advanced dementia care

Researched on dining experience in advanced dementia care - Essay Example â€Å"People who reach the advanced stage of dementia when food intake is curtailed have a low metabolic rate. Their resting metabolic rate is low because muscle wasting has shrunk their lean body mass and their brains are atrophic; their metabolic rate above basal is low because they are physically inactive.† (Aldridge 2006) Finally, they have a history of weight loss, which the body adapts to by diminishing its metabolic rate and retaining dietary protein more effectively. This adapted state can persist indefinitely. Hoffer writers, that â€Å"severely demented people may be thin and eat less food than seems appropriate to their physically active (and not infrequently overweight) doctors, nurses, and surrogate decision makers; but in many if not most cases they are not progressively starving. They are in a state of physiological homoeostasis.† (Hoffer 2006) Nevertheless, in some patients the weight loss profile shows that, without tube feeding, death by starvation is unavoidable. Thus, the problem of tube feeding is being discussed. Music therapy is a treatment which uses music and its components (melody, rhythm, vocal and instrumental performance, and so on) to make the patient heighten his perception, improve his â€Å"ability to use speech, motorics, socialization and, to open up to his unconscious self.† (Edwards 2002) â€Å"Musical stimuli like tones or melodies are known to be processed in the secondary auditory cortex in the right superior temporal gyrus.†

Tuesday, August 27, 2019

Music 100 Essay Example | Topics and Well Written Essays - 1000 words

Music 100 - Essay Example The Seattle Symphony is an important part of the Pacific Northwest cultural scene and is acknowledged for its extraordinary performances, recordings, programming, and community engagement. With a dedicated subscriber base of more than 30,000 patrons, the band presents over 200 performances annually to an audience of more than 300,000 music lovers. The Seattle Symphony made its first performance on December 29, 1903 and still holds an important place in the world of symphonic music. The Orchestra is currently under the mentorship of Ludovic Marlot, one of the leading conductors of his generation. The band performs at Benarayo Hall, where people of all ages come to explore the world of symphonic music through classes, exhibits, and live music presentation. Symphony orchestra uses a number of instruments depending on how big the symphony is. Seattle Symphony used violin, viola, flute, harp, violin, trumpet, double bass, cello, marimba, Piccolo, Timpani, piano and trumpet. The instruments that Seattle Symphony uses to play melodies include xylophone and marimba. They soloist plays only the melody instruments in the first movement. Generally, all instruments in an orchestra can play harmony, excluding unturned percussions. The instruments that Seattle Symphony uses to play include violin, piano, and cello. Instruments used in rhythm section usually vary, but Seattle symphony used bass, piano, drums, xylophone, timpani, snare drum, chimes, and guitar. The aim of these instruments is to provide the backing for melodic instruments such as saxophone. The orchestra mainly played major keys but deviated on the Symphony in G minor, resulting in a dramatic, expressive piece. Symphony music is quite better than any other type of performance. The concert opened with the track â€Å"Concerto Fantasy,† which opens brashly. It has interplay between two timpanists against strings on the

Illegal Immigration in America Essay Example | Topics and Well Written Essays - 1000 words

Illegal Immigration in America - Essay Example Throughout most of American history, America has portrayed an existence of invasion, and has stepped foot into almost every battlefield and continent in the world. Taking this aggressive stance towards diplomacy, America should not be able to forget its past, and say that after destroying so much land and taking over so many peoples, it is now not going to let immigration happen. After all, this country was built on immigrants, and to not allow immigrants into this country is simply against all past policies of the United States. To invade so many lands, and then turn the other check and not allow other people into our own country is hypocrisy, and should not be the stance America takes. Even at the start of our own history, Americans looked towards the West. The idea of Manifest Destiny grew up in popular opinion, and people began to push the boundaries of the United States further and further West. This feeling of territorial claim that the United States has to the rest of the fron tier was used to justify many of our territorial expansions. Manifest Destiny "has also been used to advocate for or justify other territorial acquisitions. Advocates of Manifest Destiny believed that expansion was not only good, but that it was obvious ("manifest") and certain ("destiny")" (Manifest, 2007). This idea is still relevant today, when people feel that America has the right, or even the calling to police other areas of the world. However, America tends to expand without thinking or care towards the native people of the land. When America was first being colonized for example, some historians estimate that up to 80% of some Native populations died due to European diseases"(Native, 2007). This apparent lack of disregard continued through American history, as we took over Native American lands and put them on reservations, all trying to further expand our power. But now, when other peoples look to move into this country, we are not allowing them to do so. Even if this country was one taken on behalf of other people. As America continued to grow, so did its outward policies of getting involved in other countries. However, today we will not return the favor by allowing other counties to send their immigrants to our land. For instance, in 1989 the United States intruded upon Panama, disposing a leader we did not approve of. The United States "incursion into Panama began on December 20, 1989, at 0100 local time. The operation involved 27,684 U.S. troops and over 300 aircraft -including the AC-130 Spectre gunship, OA-37B Dragonfly observation and attack aircraft, and the F-117A Nighthawk stealth aircraft and AH-64 Apache attack helicopter, the AH-64 and the F-117A both seeing their first combat deployment. These were deployed against the 16,000 members of the Panama Defense Force" (United,2007). We also set up a new President, a President we approved of. However, we were really justified in taking action in this region Or was the 'father' idea of the United States getting the best of us Either way, i f we were to invade a country, one would think that we would then allow immigrants from that country. However, one can see today that that is not the case, and that America is

Monday, August 26, 2019

Panera Bread business strategy Essay Example | Topics and Well Written Essays - 1500 words

Panera Bread business strategy - Essay Example Being the first to apply latest information technologies, while keeping in mind consumer perception and demand also defines the overall business of organizations. Many economic characteristics define a high technology industry. These are the overall technology consumption of a nation’s economy. It is seen that brand loyalty is less in developed countries compared to new emerging countries. Product life is also a factor which varies in different economies. Answer 2 Apple Inc. has placed itself in a premium position in the consumer electronics market. Most of its products are placed as premium and high priced owing to its superior technology and unique designs. As a result of its successes including the iPods, Apple Inc. has been able to increase its market share in United States as well as other parts of the globe. The competition in Apple Inc. can be understood through Porter’s five forces model analysis. Suppliers- the bargaining power of suppliers is low as Apple Inc. does not have too many suppliers in order to leverage the benefit. Music labels have started giving pressures to the company which might result in high cost Buyer- Those who are loyal to Apple Inc. do not see the price tag. To attract the rest of the segment, Apple Inc. will have to make strategies. Substitute products- Threat from substitute products is high. E-books and other reading gadgets such as Kindle and Nook, substitute models throughout tablet, PC and phone industry are making customer decision making difficult (Corrocher & Zirulia, 2010). New Entrants- Threat from new entrants is high. Threat from low PC and phone manufacturers is low as Apple Inc. has a niche set of customer with more specific demands. However, existing competitors have started making close copies of Apple Inc. products increase overall competition for Apple Inc. Rivalry among Sellers- Rivalry among sellers is the highest. Apple Inc. operates in multiple industries thus it has multiple competitors which results in fierce battles. While Apple Inc. is outright leader in tables and has a strong position in personal media, it faces stiff competition in the PC and smartphone category. Overall strength of competition in video game consoles can be considered as fierce. The gaming industry is filled with intense competitors like Sony, Xbox etc. though Apple Inc. has launched its own brand of gaming console, owing to its high price it is has still a long way to go in terms of market leadership. Answer 3 Business crisis The recent meltdown of major financial institutions and process is causing us all pain, and finally forcing change. Maybe we haven’t seen the results yet, but there are thousands of startup opportunities to offer new products and services, to replace those in crisis Global instability Unpredictable forces such as bubble bust, Middle East crisis can have a quick impact on cost or critical product’s availability. Riots and shutdown in various regions may also for ce Apple Inc. to change its strategies in these affected areas. Lack of effective coalition with government may also lead to change of strategies in Apple Inc. Organizational restructuring After the death of Steve Jobs, Apple Inc. has been though a lot of restructuring in the organization. With the appointment of new CEO, changes were likely to occur. This caused both positive as well as negative responses. It can be seen that these changes are making the competition more intense. Even though Apple Inc.

Sunday, August 25, 2019

Its midterm exam Essay Example | Topics and Well Written Essays - 750 words

Its midterm exam - Essay Example rthless if both the responsibility and authority are not equal to each other as the person may not be able to complete his responsibility as he did not have enough authority to obtain resources. 6. When a manager’s span of control is wide, he has a lot of subordinates reporting to him as compared to managers who have a narrow span of control. In such cases a manager may experience loss of control. 7. Empowerment of employees leads to increased employee engagement in the decision making process and this allows employees to bring in new ideas; this even motivates the employees as they gain a sense of responsibility. Empowerment may be viewed in a negative manner by employees as they may think that manager is just offloading his burden on their shoulders. 9. Exploitative Authoritative and Benevolent Authoritative System are two close approaches of management that are similar to theory Y as these two approaches states that decisions are made at the top and delegated to the lower section of an organization. 14. The theory of Fredrick Taylor fails to attain the goal of long term productivity as this theory is based on top down management rule where the instructions are obtained from the top and in such management scenario change is very hard to take place. 15. Delegation of authority takes place when a manager assigns his responsibility and authority to a subordinate to carry out a particular responsibility (Goetsch 120). The advantage obtained from this is that it increases employee’s involvement, but the downside is that the manager is held responsible if the subordinate fails to carry out the responsibility. 18. Electronic communication decrease the lapse time that used to be caused to make appointments and one particular message can be sent to several individuals at the same time. Electronic communication lacks face to face contact, it can lead to misinterpretation of information and electronic communication even contains lack of privacy. 21. It is

Saturday, August 24, 2019

Valuation of Firms in Mergers and Acquisitions Case Study

Valuation of Firms in Mergers and Acquisitions - Case Study Example Triumph is of the opinion that acquisition of Rustic, a competitor in the same industry but with a radically different market share, would significantly boost its market penetration, enhance quality in production, and give it immense benefits with regard to economies of scale. As of present, Triumph has a predominantly southern customer base while Rustic has a chiefly northern customer base. The premise for this presumption is the view by Triumph’s CEO that Rustic is underperforming and its shares are undervalued. Hopes regarding the merger and acquisition soar high, with the expectations that the deal will grow the combined business establishment by up to 10%. However, the operating costs will rise by an estimated 5% in the first year. The financing option under consideration involves the issuance of long-term bonds to buy out shareholders at Rustic. The bonds will be issued at the current borrowing rate of the two companies. This report analyses the merger and acquisition ca se for Triumph and Rustic Plc.  The first two valuation cases are highly similar, with the only difference being that the first method assumes a constant dividend in perpetuity while the other DVM option assumes a constant dividend growth in perpetuity. The slight difference, however, makes a considerable difference in the estimated value of the resultant business, 41,000,000 and 90,420,000 respectively. The use of DVM in valuation model is most relevant in cases where the dividend pattern for a company is predictable and highly estimable (Bayrak, 2010). The management at both companies can make use of the method since both companies are currently paying dividends to their shareholders.

Friday, August 23, 2019

Organizational Behavior Terminology and Concepts Paper Term - 2

Organizational Behavior Terminology and Concepts - Term Paper Example This created a positive vibe in everyone since the company believed that employees work hard for their family’s future. Because of this culture, employees were more open, honest, caring and committed to the company. Indeed, culture is one good motivator that a company must acknowledge so that management can design programs which would reflect a company’s culture. Case ( 1996 ) argues that culture plays an important role in influencing the behavior of employees, so much that it is given much attention in the workplace. Is this true? In my own experience, the culture of Family Day in my former workplace created a shared meaning that provides positive reinforcement to the employees in a non-monetary way. The employees cherish and nurture their working experience which tremendously manifested in terms of productivity. Once an employee finds his work and organization meaningful, he goes for the extra mile as a token of appreciation to the company. This rubs down on the customer service exemplified by the crew which customers can’t help notice. If an organization would look closely and find ways to boost employee’s morale without spending so much, it only needs to create a good and positive culture. Diversity, on the other hand, is comprised of â€Å"new ideas from variety of sources (that) likewise ensure that all the best ideas and practical knowledge is applied for corporate and organizational unit survival and growth. This is particularly relevant for companies now with the call for both incremental and revolutionary change to enliven the vision and mission† Segal (2001).Coupled with diversity, these individual personal expressions—creativity—can bring about innovative results that would be beneficial to organizations where they are utilized.Let us take again my workplace as an example. The company hired people from different ethnic backgrounds for very good reasons. The recent years saw the

Thursday, August 22, 2019

Situation Ethics Essay Example for Free

Situation Ethics Essay Situation ethics is not dissimilar from utilitarianism, in that it is a way a deciding upon the correct action that is to be taken in a given situation. It does however take an individualistic approach, with the emphasis being upon each person, rather than looking after the majority, as is the case in utilitarianism. It is a Christian principle, and so would not apply to those outside of Christianity. It revolves around what the most loving thing to do is. Joseph Fletcher, an American professor of ethics used his beliefs and concerns to come up with what he believed was a fair way of deciding what was the right action to take in a situation. He didnt like the way in which so many ethical theories, such as utilitarianism were based upon and around a basic set of rules, a legalistic approach. He believed that it was too rigid, and did not allow for exceptions. He also firmly disapproved of any antinomian, because it Rejects the idea that there are any authoritative laws, rules or regulations that you ought to obey in a decision-making situation.1 Instead he used love as a general rule in decision making; not storge, to love a country or place; not philia, to love a family member or friend; and not eros, to make love and to lust for someone; but instead agape, self-giving love, as is demonstrated by Jesus dying upon the cross. To Fletcher, agape was fundamentally sacrificing, without any reward or pleasure, as the teachings of Jesus are told in the Bible, and he took a lot of his ideas from this. The quote in Matthew saying, Love your neighbour as you love yourself,2 epitomises what agape is all about. He believed that something could be determined as good or evil, depending on whether or not love had been fully served. Fletcher used four different working principles before setting out his theory: i) Pragmatism the proposed course of action must work, and must work towards the end, which is love3 This is based around the idea of reaching a goal or the end. ii) Relativism in situation ethics Fletcher tries to avoid the absolute by not referring to words such as never, perfect and always. He also added that, all decisions must be relative to Christian love.4 iii) Positivism faith comes before reason and anything else. People must see for themselves that love is the most important thing. iv) Personalism a situationist believes you put people first, not laws, and that, There are no values in the sense of inherent goods value is what happens to something when it happens to be useful to love working for the sake of persons.5 He then worked out six fundamental principles about love and these were: The first proposition Only one thing is intrinsically good; namely love; nothing else at all The basic idea behind this lies in his thinking that only love can be good in all situations, and everything else is good or bad depending on the situation and are not properties of actions. Something can only be good if it brings about love. The second proposition The ruling norm of Christian decision is love; nothing else Fletcher believed you are only required to follow laws, rules and regulations if they serve love. Love replaces law and cannot be equalled by any other law. The third proposition Love and justice are the same, for justice is love distributed, nothing else Love is intellectual and Fletcher said, Owe no man anything except to love,6 categorising the two together. His reasoning behind this lies in his belief that Justice is agape working out its problems.7 The fourth proposition Love wills the neighbours good, whether we like him or not Agape doesnt have to be a matter of felling, but of attitude. It isnt sentimental or erotic, but, rather, a desire for the good of the other person.8 This applies to everybody, not just people we know or people we like, but universally, and nothing is required in return. The fifth proposition Only the end justifies the means, nothing else This is the same principle that applies within utilitarianism. You must consider what the consequences of moral actions will be, and the end must be the most loving result. The sixth proposition Loves decisions are made situationally, not prescriptively Something is right or wrong depending on the situation. b) I am now going to examine one moral dilemma relating to sexual equality, and apply some of the principles outlined in situation ethics in this argument, in order to work out what is The most loving thing to do. I shall also try to establish whether or not there are any problems with the ideas of situation ethics in deciding upon the outcome of the given dilemma. The dilemma is one which takes into account a number of moral issues regarding what is right or wrong and it is this: Two people, Mr A, a 25 year old father of one, and Mrs B, a 24 year old single woman have both applied for a vacant job working as a nurse in the accident and emergency department of a hospital. They have both graduated from universities with the same exam grades, and are both in desperate need of work in order to pay off their universities debts; Mrs. A also wants to help save lives after she saw her mother die in casualty, and Mr. B in order to support his family. They are the final two on the shortlist from over 20 applicants and the governing body at the hospital must now decide which one they shall employ. There is a stereotype that would say the Mrs. A is more likely to get the job as it is thought that nursing is a job for women, as building is a job for men, but is this taken into consideration when the choice is taken? There is also the question as to whether or not personal circumstances will be taken into consideration, as you may argue that Mr. B is more entitled to the job, and therefore the pay, because he has to support a family. If you argue from a situationists perspective you may reach one of a number of different conclusions based on your choice of argument. One that you would not come to however is that Mrs. A deserves the position on the grounds that she is female and nursing is a womans job. If you look at the argument from the perspective of why they want the position you may look at the different meanings of love and you could say that they both want the job in the sense of philia; Mrs. A because she is doing it for her mother, after witnessing her death, but this could also be seen as agape on the grounds that she wants to help people who are in a similar position to her mother so this raises a slight problem which is not dealt with within situation ethics. This is a criticism and quite an important one, because if there are numerous reasons for wanting to do something, such as apply for a job, which do you taker into consideration more, philia or agape, and if you choose one or the other, which one and why? Mr. B on the other hand seems to only want the job in order to support his family, and to pay off his debts. This once again raises a problem in the way in which you perceive his reasoning behind supporting his family. Is it because he loves them in the sense of philia and does not want them to leave him if he fails to support them? or is it because he loves them in the sense of agape and wants to be there for them and not for selfish reasons? This again raises a debate as to how you determine what somebody means when they say something. I shall now examine how each persons argument would be accepted or rejected by the situation ethics in relation to the consequences that would occur in giving each person the job, and the benefits of this. Firstly I shall look at Mrs. A and then Mr. B, to finally draw a conclusion to this ethical dilemma. There are a number of reasons for giving the job. Firstly Mrs. B is obviously a very clever person and would perform the job to a very highest standard but this is not one of the criteria which would be looked at from the view of a situation ethicist unless you thought that it would be the most loving thing to do on behalf of the patients who she would treat at the hospital because she would be able to help them in the best way possible. A good reason for her being appointed is that it looks as though she wishes to work from the perspective of agape and this is vital in making any decision within situation ethics. If she is prepared to work for the people you would believe she would not mind working double shifts, and would do the best she could all the time. If this was the case then she is beginning to build a string argument for her being appointed. It is unlikely that she is extrinsically motivated, and working only because of the benefits she will receive in wages, because the pay of nurses working on the NHS is very poor, but she does mention that she wants to pay off her debts. This could be taken as the main reason for her applying for the job, and if this is true she is unlikely to get the job on a situationist basis because this may not be seen as just, if the other applicants are prepared to work for the people not just the money. This may be thought of a reason she should not get the job but if you put it into context then it seems as though her argument of agape and wanting to help the people of her community outweighs her need for money, and it is not as though she wants the money to be greedy. She requires it in order to pay off her debts. The great majority of Mr. Bs argument from a situation ethics perspective lies in the interpretation of his need to support his family. In some ways this could be seen as wrong as he is not using agape, and wanting to help the patients, but on the other hand you could say that he is doing what he believes is the best and most loving thing for his family, not for himself. However, somebody may take a different approach to his actions and reasoning, and for this reason alone prevent him from getting the job. This is another problem that arises when arguing from situation ethics. The ideas are not precise enough to account for all of the possibilities that could arise, and every situation is different to the last one. If you did not give the job to Mrs. B you would have a young woman who does not have a steady income, in a great deal of debt, and unable to support herself, but you would have exactly the same problem if you did give her the job. You may then have a whole family who cannot support themselves, but it is unclear from the criteria, whether or not Mr. As wife is bringing in any sort of income. If she was then you may give the position to Mrs. B because she is unable to support herself, but this would really not be a situation ethics argument. In conclusion, you would not have as much of a dilemma if you were arguing from utilitarianism because for the greatest good of the greatest number you would give Mr. A the job, but you are not, and situation ethics is far broader than one simple statement. I believe you would give him the job however even from a situation ethics perspective but it is very difficult to decide because you have no way of telling the main reasons for each applying, but the fact that Mr. A loves his family and wants to support them appears to give him the edge, not to say that Mrs. B does not have a strong argument, but just not quite as strong as Mr. As. 1 Dialogue-Special Issue, Ethical Theory; p.47 2 The Holy Bible New International Version; Matthew 22:39 3 Ethical Studies; Robert A Bowie; Nelson Thornes Ltd; published 2001; p.102 4 Ibid; p.102 5 Situation Ethics- The New Morality; Fletcher; p.50 (Taken from ibid) 6 Situation Ethics; Fletcher; SCM Press Ltd; published 1966; p.89 7 Moral Responsibility; p.19 8 Ethical Studies; p.104

Wednesday, August 21, 2019

Expository research paper Essay Example for Free

Expository research paper Essay Minority students have been discriminated against for a very long time; many people think that minorities don’t have the same opportunities as others, but in reality they have many advantages. Minority students have opportunities to get into good colleges and getting more scholarships than other non-minority students. Colleges look for the obvious things like grades, and extracurricular activities and all those things but what most really want is to have diversity in the college and therefore colleges need minority students. Colleges read students’ applications thoroughly, so colleges’ look for stuff that sticks out, stuff that makes a student different than the rest one thing that might sticks out is race. In the article is says, â€Å"An applicants final determination of what to say about race is often made consultation with a college counselor. Many counselors may convey to families that a multiracial applicant has a better chance of being admitted to a highly selective college than those in any other racial or ethnic category. †(Saulny). This tells how a multiracial student may have a better chance of getting into a good college than those in other racial or ethnic categories. â€Å"Many private scholarships are geared toward minorities because they are looking for something in particular†(Borowski). The author talks about how private colleges seek at minorities, which tells that they consider race are when choosing students. Molina 2 Scholarships are used to help students get into college, but some scholarships are targeted to specific students, most likely minority students. This also could equal disadvantages to non-minority students. In this article the author says, â€Å"Some private scholarships are based on a students characteristics such as race, ethnicity, and religion, and some are based on professional affiliations or future career choices†(Borowski). Private scholarships look for very specific things in students which show how much of a disadvantage some students have in. The article talks about one student’s problem, â€Å"As Johnson found, private scholarships can extremely selective. â€Å"When I research all the grants and scholarships out there, they are all really specific, targeted towards everyone but me, he says, Are you a Pacific islander who plays tuba? There is a scholarship for you. Or a woman from an inner city who works with animals? There’s a grant for you. But a hard working boy from the suburbs? Nothing. †(Borowski). The author shows how very specific scholarships can be and how they affect other people who do not fit the description of what that scholarship wants. Another reason why minorities have an advantage is because of stereotypes even if it doesn’t apply to that student. In an article a student says, â€Å"I just realized that my race is something I have to think about,† she describes herself as having an Asian mother and a black father. â€Å"It pains me to say this, but putting down black might help admission. †(Saulny). This states how putting down a specific race might better or worsen someone’s chances depending on that particular race. A mother states, â€Å"My 17 year old son is a high B student and an excellent athlete, but we’ve been unable to find any scholarships for him because he’s white. † Elizabeth says, Johnson also says â€Å"We aren’t wealthy. We don’t take on fancy vacations and we do without a lot of things. Yet because I’m white, I don’t get a hand. There are all kinds or nationalities at Molina 3 my high school, whose families have a lot more money than we have, and yet they are getting scholarships. †(Saulny). This tells how stereotypes can give minority students an advantage by colleges stereotyping and giving help to those who don’t really need it instead of to the ones that do. Minority students also think that it is a disadvantage being a minority but in reality it can be an advantage against non-minority students. Minority students are what colleges look for. There are scholarships targeted towards minorities, and due to stereotypes there are advantages. These affect more than just minority students, it basically affects everyone because being a non-minority is at a disadvantage of getting a scholarship or getting into a good college. In today’s society someone’s race could affect their future. Saulny, Susan, and Jacques Steinberg. On College Forms, a Question of Race, or Races, Can Perplex. New York Times 13 June 2011: n. pag. The New York Times. Web. 13 Apr. 2014. http://www. nytimes. com/2011/06/14/us/ 14admissions. html? pagewanted=all_r=2. Borowski, Susan. Scholarships and the White Male: Disadvantaged or Not? Insight into Diversity. N. p. , n. d. Web. 13 Apr. 2014. http://www. insightintodiversity. com/ scholarships-and-the-white-male-disadvantaged-or-not-by-susan-borowski.

Tuesday, August 20, 2019

Medical Advances

Medical Advances Three of the most significant medical advances of the last two centuries are sanitation, vaccination, and antibiotics. Each of these advances has engendered enormous positive social and economic impacts in developed societies. Sanitation has successfully impeded pathogenic growth in human living spaces, vaccines have protected humans from historically prolific diseases such as smallpox, and antibiotics have also saved countless human lives through daily sanitation and disease cure. However, the impact of these three advances has not been fully realized because they have not yet reached substantial portions of the developing world, vaccines for several prolific diseases continue to elude researchers, and misuse of antibiotics has led to resistant bacterial strains and other health hazards. The rudiments of urban sanitation systems have been developed several times throughout human history but was nowhere near fully realized until the era of western industrialization in the 20h century. Once urbanization in the bronze age began to increase population densities in urban centers, increases in waste production required the use of outflowing systems like rivers to properly dispose of waste. The first documented system for sanitation was developed in the city of Mohenjo-Daro in 2600 BCE, and consisted of slits cut in the floors of houses to allow waste to drop into containers next to streets, and bath houses with covered channels that led to the nearby Indus River (â€Å"Mohenjo-Daro†). In addition, cities in the Roman Republic built the first documented sewer networks; for instance a massive combined sewer and storm drain called the Cloaca Maxima, or â€Å"The Great Drain† that carried waste and runoff water from Romes civilian houses, public buildings, and b ath houses to the Tiber River (Rich). However, the era that followed the fall of the Roman Republic saw a regression in sanitation technology in which most of the worlds civilizations operated without sanitation systems. For instance, the most common method to remove waste from living spaces in medieval Europe was to dump it into the street, where materials such as urine, feces, and wastewater from other domestic activities gathered and fostered bacterial, viral, and pest growth (Faria). Exponential growth of populations around industrializing centers without planned infrastructures made the immediate need for sewer systems evident. Citizens had heretofore relied either on dumping waste directly into waterways or simple cesspits, and the rapid growth of households using primitive sanitation methods increased the rate of contamination of groundwater, rivers, and other sources of fresh water. Stagnant sewage in cramped urban living conditions provided ideal conditions for growth of pathogens and caused outbreaks in many m ajor cities in the mid-19th century; the most common were those of cholera and typhoid fever. It was clear that the need for advances in sanitation was imminent. The most famous outbreak of the industrialization period is that of cholera linked to the London Broad Street water pump in 1854, in which a nearby cesspool had leaked sewage into groundwater and contaminated the well the water pump was drawing water from. The statistical analysis of cholera cases by physician John Snow that determined the connection between disease and contaminated water from the river provided irrefutable evidence that separating water resources and sewage is key to maintaining public health (Johnson). Outbreaks such as these in combination with the proliferation of the strong repulsive odor of sewage across all major industrialized cities prompted government authorities to take action and begin implementation of large sewer networks to isolate sewage from local water supplies. Arguably the greatest advance in sanitation came about in 1908, when Jersey City Water Works began to add chlorine to its water supply network in a practice now called chlorination. The process involves the addition of chlorine to water to form an equilibrium solution composed of chlorine, Hydrochloric acid and Hypochlorous acid, the last of which plays the main role of disinfection. Systemic chlorination drastically decreased the incidence of water-borne illnesses such as typhoid and cholera (Kitsap Public Utility District). The final major advance came in the 1950s, when the United States government provided funds for states to build wastewater treatment plants, which resulted in the majority of U.S. cities discharging treated water into rivers and oceans instead of raw sewage, an important component of sanitation that minimizes re-uptake of water harboring harmful pathogens and microorganisms. Development of modern sanitation systems has a significant effect on economic growth because its presence dramatically reduces the incidence of water-borne diseases and precludes their burden on worker productivity, student absenteeism, and medical costs. In addition, the reduction of sewage contamination in the developed world saves governments the cost of cleaning up environments to protect resources for human use. These benefits place in stark contrast the crude state of sanitation in parts of the developing world, who fail to reap these benefits because sanitation systems have not been implemented. In fact, according to the World Health Organization, investing in sanitation technology in developing countries is cost-beneficial and results in a â€Å"US$5 [to] US$11 economic benefit per US$1 invested† (Walter, and Hutton 39). Thus, cost-benefit analysis clearly favors investment by humanity for the whole of humanity. The social benefits of effective sanitation are not as tangible as economic ones but are no less significant. Accessible facilities for private and sanitary hygienic activities preserves human dignity and encourages sanitary habits. The relationship between cleanliness and moral purity has been culturally accepted throughout human history, and scientific support that clean environments promote moral behavior is presented in an upcoming paper in Psychological Science (Elton). The social harmony that proper sanitation promotes supports the idea of implementing sanitation in the developing world to deal with social unrest and violence. The second medical innovation, vaccination, is a more recent and specific advance in disease prevention. Its conceptual predecessor was inoculation, which was first documented credibly in 15th century China. The practice involved implantation of a disease agent such as pus from smallpox into a healthy individual who had never been infected to produce immunity (Needham 134). Vaccination replaced inoculation in 1796 when Edward Jenner used pus from a cowpox patient to inoculate a child; the child was then exposed to smallpox and subsequently did not exhibit infection with the virus. Shortly afterwards the British government mandated vaccination of children from smallpox, the first government push for mass vaccination in history; by 1800 â€Å"100,000 people had been vaccinated in Europe, and vaccination had begun in the United States† (Minna Stern, and Markel 613-614). In 1885, Louis Pasteur developed a rabies vaccine using samples obtained from dried infected rabbit tissue, wh ich was the first to be manufactured from weakened microorganisms. Further advances in biology and understanding of germs from the 19th century led to widespread research, development and implementation of vaccines to spread immunity from prolific diseases in the 20th century. A vaccine is now known as a preparation of attenuated or dead bacteria or viruses to stimulate production of antibodies in a patient. Although weakened pathogens carried a greater risk for infection than dead ones, they generally induce a stronger immune response and longer lasting immunity. A principal medical advance that allowed the production of durable vaccines is attenuation, the practice of passing the target virus through a nonhuman host to encourage adaptation through mutations when the virus replicated. Subsequent introduction into a human host to which the virus is not adapted to replicate allows the immune system to produce antibodies to recognize the same pathogen in future exposures. The development of consistently effective vaccines led to systematic mass immunizations against several worldwide diseases such as smallpox starting in the 19th century and polio in the mid-20th century. Government oversight in cooperation with the World Health Organization (WHO) was essential to these worldwide efforts, and smallpox was in fact declared eradicated by the WHO in 1979 . Polio and measles are currently in the process of eradication (â€Å"Smallpox†). However, not all viruses are created equal, and certain viruses have eluded attempts by scientists to engineer an effective vaccine. The HIV virus is one such example; its high mutability and genetic divergence complicate attempts to design a vaccine in the same fashion as that of historically successful ones. To address this need, research to develop new types of vaccines that utilize only protein subunits of pathogens or delivery of viral DNA is ongoing. The elimination of globally endemic disease has been key to lowering mortality and raising life expectancy around the world, but has also engendered an interesting array of social and economic developments. For instance, the unequivocal success of vaccines against globally prolific viruses has undermined the economic motive for further production for vaccines for diseases more prevalent in the developing world. Because citizens in poorer nations cannot come close to affording the price of a vaccine in developed nations, pharmaceutical and biotechnology companies lack the financial incentive to expand their markets. Solutions to lack of economic incentives include academic research and government incentives for vaccine development. Mass vaccination against the worlds historically endemic viruses has altered social attitudes in many ways. For instance, during the Middle Ages life expectancy was short due to the rampant disease and epidemics; death was accepted as a necessary part of life, and often as an act of God (Dumond). The drastic drop in mortality due to diseases such as smallpox in the late 19th and 20th centuries raised the life expectancy of the average human and replaced the cultural acceptance of death with a cultural appreciation of life. In other words, living longer and delaying death is now a universal goal because disease has dramatically improved the prospect of living up to biological potential. Thus, the success of vaccines has cultured a social ignorance of the danger of viruses because deaths due to disease are so much rarer than in previous historical eras. The last of the three medical innovations, antibiotics, has been used since humans have experimented with chemicals and substances from plants to discover remedies for diseases. Disinfection typically involved use of either plants believed to have healing properties or chemicals known to inhibit or kill organisms. Arsenic was one such remedy, and its broad toxicity meant that patients would also suffer serious side effects. Thus, the discovery of substances with high specificity and few side effects in humans was one of the great historical developments in modern medicine. The first discovery in modern antibiotics was of penicillin in 1928 by Alexander Fleming due to a coincidence now famous in science: a Staphyloccocus sample mistakenly left in the open had been growth-inhibited by a Penicillium mold. However, a German scientist named Gerhard Domagk was the first to develop a commercial antibiotic called Prontosil with broad action against Gram-positive cocci. Mass production of antibiotics was simple and relied on fermentation in large containers of growth medium for the target organism to produce the secondary metabolite. Modern development of partially synthetic or entirely synthetic antibiotics involves either chemical modification of metabolites after fermentation or synthesis from a naturally occurring skeleton. Unfortunately, the misuse of antibiotics is leading to increasing prevalence of resistant strains of bacteria around the world. Incorrect diagnosis, improper administration, improper disposal, and overuse in livestock often lead to antibiotic resistance because bacteria can perform horizontal gene transfer through plasmid exchange. Thus, resistance genes can rapidly proliferate in a population of bacteria once one has genetically mutated and become immune to a particular antibiotic. For example, if a patient using a prescribed antibiotic stops taking it before the infection is completely eradicated, horizontal gene transfer will allow the few bacteria who have developed resistance throughout the duration of the infection to pass on the resistance gene and prolong the infection. One of the most alarming cases of resistance is that of Staphylococcus aureus, or the staph infection; the bacterium has shown historically to be extremely adaptable. For example, 40% of patients with staph i nfections were resistant to administration of penicillin by 1950, less than 10 years after the antibiotic was introduced (Chambers 178). Staphyloccocus aureus is now also resistant to a variety of other antibiotics such as tetracycline and methicillin. Although this problem has traditionally been isolated to hospitals, Community-acquired MRSA is now expanding in urban communities, and is responsible for several fatal conditions such as necrotizing fasciitis, or flesh eating disease. The economic benefits of antibiotics, which are similar to vaccines because it deals with pathogens through a direct biological pathway, are complicated by the rise of bacterial resistance. However, this has also provided economic impetus to invest in development of synthetic antibiotics as demand for alternatives rises. More specifically, the threat of antibiotic-resistant bacteria like MRSA has spurred the development of oxazolidones, a newer class of antibiotics against Gram-positive bacteria. The first generation of this class of antibiotics is Linezolid, which disrupts the protein synthesis of Gram-positive bacteria; its mechanism for disruption occurs at a much earlier step than most other protein inhibitor antibiotics (Brickner 175). Linezolid is currently utilized as a last resort against MRSA and resistance has been low ever since its introduction in 1999 (Jones, Ross Castanheira, and Mendes 424). It is likely that research into synthetic drugs, the newest development in th e antibiotic industry, will continue as long as antibiotic resistance persists. The widespread use of antibiotics in medicines, soaps, and household cleaning supplies has created the social perception of a sterile domestic environment for human activities. This perception is partially justified in that regular use in daily routines and sicknesses has dramatically reduced illness and engendered a social paradigm shift away from the concept of death comparable to that of vaccination. In fact, use of antibiotics may have brought about a complacency towards bacterial threats to the human body because its use is ingrained in human hygienic habits. However, the recent revelation of superbugs like MRSA has also brought about a social awareness of antibiotic resistance, and this may result in another shift towards understanding how to handle antibiotics responsibly. In sum, sanitation, vaccination, and antibiotic implementation has drastically reduced the prevalence of classic diseases in modern society. Previous scourges of humanity such as smallpox, cholera, and the black plague that ravaged human life are now essentially historical footnotes in the chronology of human medical achievements. Medical advances have brought about generally positive economic and social changes through reduction of health care through prevention, and a culture less concerned with death on a daily basis. However, these advances have not been distributed equally among all peoples of the world; many citizens of developing countries without effective sanitation, medical supplies, and access to vaccines of antibiotics continue to be at the mercy of the aforementioned scourges of humanity. References Brickner, SJ (1996). Oxazolidinone antibacterial agents. Current Pharmaceutical Design 2 (2): 175–94. . Chambers, HF (2001). The changing epidemiology of Staphylococcus aureus. Emerg Infect Dis 7 (2): 178–82. . â€Å"Chlorination of Drinking Water. Kitsap Public Utility District. 005 2004. Department of Health, Web. 5 Nov 2009. . Development and Cooperation SDC, Web. 6 Nov 2009. . Dumond, Katie. Attitudes Towards Death: Past to Present. University of Maine at Machias. 12 005 2009. Web. 2 Nov 2009. . Elton, Catherine. Do Clean Smells Encourage Clean Behavior? TIME 23 010 2009: n. pag. Web. 5 Nov 2009. . Faria, Miguel A. Medical History Hygiene and Sanitation. Hacienda Publishing, Inc.. 2002. Association of American Physicians and Surgeons, Web. 5 Nov 2009. . Hodges, L. (1977). Environmental Pollution (2nd ed.). New York: Rinehart and Winston. p.189. Hutton, Gary, and Lawrence Haller. Evaluation of the Costs and Benefits of Water and Sanitation Improvements at the Global Level. Water, Sanitation, and Hygiene. 2004. World Health Organization, Web. 1 Nov 2009. . Johnson, Steven (2006). The Ghost Map: The Story of Londons Most Terrifying Epidemic and How it Changed Science, Cities and the Modern World. Riverhead Books. p.206. Jones RN, Ross JE, Castanheira M, Mendes RE (December 2008). United States resistance surveillance results for linezolid (LEADER Program for 2007). Diagnostic Microbiology and Infectious Disease 62 (4): 416–26. doi:10.1016/j.diagmicrobio.2008.10.010. Minna Stern, Alexandra, and Howard Markel. The History of Vaccines and Immunization: Familiar Patterns, New Challenges. Health Affairs 24.3 (2005): 612-614. Web. 1 Nov 2009. . Mohenjo-daro. Encyclopà ¦dia Britannica. 2009. Encyclopà ¦dia Britannica Online. 25 Oct. 2009 . Needham, Joseph. (1999). Science and Civilization in China: Volume 6, Biology and Biological Technology, Part 6, Medicine. Cambridge: Cambridge University Press. Page 134. Olesen OF, Lonnroth A, Mulligan B (2009). Human vaccine research in the European Union. Vaccine 27 (5): 640–5. doi:10.1016/j.vaccine.2008.11.064. Rich, Hamper. Roman Sanitation. The Rth Dimension. 20 001 2008. Rich Hamper, Web. 5 Nov 2009. . Smallpox. Armed Forces Institute of Pathology: Department of Infectious and Parasitic Diseases. http://web.archive.org/web/20071009141639/http://www.afip.org/Departments/infectious/sp/text/1_1.htm. Waksman, Selman A. (1947). What Is an Antibiotic or an Antibiotic Substance?. Mycologia 39 (5): 565–569. doi:10.2307/3755196.

Topology Essay -- Math Mathmatics

Topology The two main figures of Topology, the spheroid and the torus. Shown together like this, they create the symbol for the sun in ancient times (2, 1). The field of mathematics encompasses many different sub-fields which have been studied and researched for a very long time. One of the most intriguing divisions of mathematics is topology. Topology, the mathematical study of the properties of objects which are preserved through deformations, twistings, and stretchings (4, 1), is rooted far back in time; so far back that it outdates all recorded history (2, 1). Modern topological mathematics was introduced in the late 19th century by a mathematician named Henri Poincare` (2, 2). Poincare` Pictures Henri Poincare` was born in Nancy, France in 1854. He received his education at The Ecole Polytechnique and the Ecole Superieur des Mines in Paris (8, 1). Poincare` then spent from 1879 to 1896 lecturing and teaching an array of fields ranging from physical and mathematical mechanics to celestial mechanics at both the University of Caen and the University of Paris. Although Poincare` was considered a physicist, his greatest accomplishments came in the fields of topology, differential equations, and probability, all mathematical fields (8,1). Poincare`’s greatest exposure to the public came in 1887, when King Oscar of Sweden announced that he would award 2,500 crowns to any man who could prove the stability of the orbital dynamics of our solar system. This was a great problem for the mathematicians of the day, and a very significant problem for every being on our Earth (2, 2). If the stability of the orbits could not be proven, one could not rule out the possibility of Earth be ing hurtled into space by the influence of the other p... ...logy and its functions. Works Cited Fauvel, John. MÃ ¶bius and his Band, Oxford University Press, New York, 1993. Gilmore, Tom. Mathematics of Topology, http://www.tomgilmore.com/z_top.htm, 4 pp., 12/5/99. Klein, http://history.math.csusb.edu/Mathematicians/Klein.html, 2 pp., 12/9/99. MÃ ¶bius Strip, http://www.treasure-troves.com/math/MoebiusStrip.html, 4 pp., 12/9/99. Paper Strip, http://cut-the-knot.com/do_you_know/paper_strip.html, 5 pp., 12/14/99. Poincare, http://euler.ciens.ucv.ve/English/mathematics/poincare.html, 2 pp., 12/9/99. 7. Poincare, Henri, http://www.treasure-troves.com/bios/Poincare.html, 1 p, 12/9/99. 8. Poincare, Jules Henri, Microsoft Encarta 1999 ed., Microsoft Inc. 9. Tarot FAQ Version 2, http://lonestar.texas.net/~r3winter/tarotfaq.html, 12/10/99. Topology, http://www.treasure-troves.com/math/Topology.html, 3 pp., 12/9/99.

Monday, August 19, 2019

The Day I Found Joy Essay -- Personal Narrative, essay about myself

"We are all in the gutter, but some of us are looking at the stars." -- Oscar Wilde One of the things that has always puzzled me is human nature, our joys, fears and madness. The very source of the painful cramps of the soul that we call sadness, and the source of the multicolor soft parade that we call happiness. Those feelings have been with us since we saw the light, and are going to be there until the dark and graceful death decides to cover the light of life with her soft wings. They shape everything that makes us, our face, our expression, our spirit, our minds, our future and our past. Those feelings are what drive us to construct and to destroy, make us love something deeply, or with a little bit of poison (like one of the Borgias), make us hate something with passion. The source of happiness and sadness is the missing link that I've always looked for, something so strong that will wake up my senses and show me the mystery that surrounds life. And one day, I found IT. It happened almost a year ago, on a bright spring day. The name of the day was Saturday and the place was Smallville, the city where I was born and raised. I woke up early for a Saturday, around nine a.m. I had breakfast and decided to go downtown for a walk. It was a very beautiful morning, a very beautiful sky, birds singing over the trees, falling in love because of the spring. It was as good as it was going to get in a big town. Of course I wasn't alone; there were hundreds of people walking in those same streets. There were young people, businessmen, many different people, and they were all in a hurry, probably to go to work. I could hear short steps, TAP-TAP-TAP, and I could see many feet walking fast, very fast. Wh... ...all of that but the only thing I could say was, "Yes, brother, do it, dance, dance!!" We smiled together; the people around did too. It was glorious! I don't know if he was an angel, a dream, or a real person, I never will, but that Saturday morning he taught us all a lesson of life, of love, of all the beautiful things that exist in the world. He reminded me of the words of Jesus Christ: "Heaven is not here or there, it's inside of you." It's a state of mind, it's the ecstacy of breathing, is inner peace, is happiness. So you, whoever reads this, smile, hug a friend, go home and kiss your parents, the ones that gave you the great gift of life. Shake hands for no reason--maybe he needs it. Be thankful for everything that you have, for your eyes, for your legs, for your existence. Be joyful and be in peace. And have lots of faith, please.

Sunday, August 18, 2019

Andro & Steroids :: essays research papers

In the passed few years there has been an increase in the popularity of performance-enhancing supplements that are used by athletes. Some of the most popular of these supplements are creatine and androstenedione. They are used by some very famous athletes in professional sports. There are many problems that go along with using these supplements that are not only health-wise, but also the message that is being sent to children involved in youth athletics. Athletes today are not thinking of what kind effects will happen to them in the long run. However, they are looking for easier ways of training and enhancing their performance. They are under a great deal of pressure to succeed and win all the time that it must be easier to find a short cut to being an elite athlete. In this paper I will explore the risks with these supplements, some regulations that are placed on athletes to, and if they truly work. Also I will give an overview of what both creatine and androstenedione are.   Ã‚  Ã‚  Ã‚  Ã‚  For as long as I can remember I have been involved in athletics of all kinds and have always loved the atmosphere that sports provide. Being involved in both high school basketball and golf and now finally playing golf for Xavier, I have been subjected to rigorous training and conditioning. Never once did I have the aid of any type of artificial supplement or performance-enhancing drug helping me condition or build muscles faster. However, when I was in high school I was Griffith 2 aware of may guys who were taking these supplements such as creatine and androstenedione and getting very muscular, extremely fast. â€Å"Creatine and androstenedione† were common words used around the halls of my school. Hearing these words made me curious about what exactly they were, what the effects they had on athletes, and if they were illegal. I found it very interesting that these supplements were somehow all over the news and that some really famous athletes had used them. I wondered if they were safe to use and if they had any side effects. In researching this topic of artificial supplements and performance-enhancing drugs, I had many mixed feelings about how I felt about their use by athletes. However, after my research was completed I have a firm opinion that these supplements should be banned from athletics all together.   Ã‚  Ã‚  Ã‚  Ã‚  Many questions came up during my research of these performance-enhancing supplements. Among one of my first questions was, â€Å"What exactly are creatine and androstenedione?† This and many of the other questions I had about the supplements

Saturday, August 17, 2019

Covent Garden Essay

In this quadrangle the Abbey or Convent of St. Peter, Westminster, maintained a large kitchen garden throughout the Middle Ages to provide its daily food. Over the next three centuries, the monks’ old â€Å"convent garden† became a major source of fruit and vegetables in London and was managed by a succession of leaseholders by grant from the Abbot of Westminster. This type of lease eventually led to property disputes throughout the kingdom, which King Henry VIII solved in 1540 by the stroke of a pen when he dissolved the monasteries and appropriated their land. King Henry VIII granted part of the land to John Russell, Baron Russell, Lord High Admiral, and later Earl of Bedford. In fulfilment of his father’s dying wish, King Edward VI bestowed the remainder of the convent garden in 1547 to his maternal uncle, Edward Seymour, Duke of Somerset who began building Somerset House on the south side of The Strand the next year. When Seymour was beheaded for treason in 1552, the land once again came into royal gift, and was awarded four months later to one of those who had contributed to Seymour’s downfall. Forty acres (160,000 m? ), known as â€Å"le Covent Garden† plus â€Å"the long acre†, were granted by royal patent in perpetuity to the Earl of Bedford. [edit] 1600s to 1800s The modern-day Covent Garden has its roots in the early seventeenth century when land (â€Å"the Convent’s Garden†) was redeveloped by Francis Russell, 4th Earl of Bedford. The area was designed by Inigo Jones, the first and greatest of English Renaissance architects. He was inspired by late 15th Century and early 16th century planned market towns known as bastides (themselves modelled on Roman colonial towns by way of nearby monasteries, of which â€Å"Convent† Garden was one). The area rapidly became a base for market traders, and following the Great Fire of London of 1666 which destroyed ‘rival’ markets towards the east of the city, the market became the most important in the country. Exotic items from around the world were carried on boats up the River Thames and sold on from Covent Garden. The first mention of a Punch and Judy show in Britain was recorded by diarist Samuel Pepys, who saw such a show in the square in May 1662. Today Covent Garden is the only part of London licensed for street entertainment. In 1830 a grand building reminiscent of the Roman baths such as those found in Bath was built to provide a more permanent trading centre. [edit] Modern day period By the end of the 1960s, traffic congestion in the surrounding area had reached such a level that the use of the square as a market, which required increasingly large lorries for deliveries and distribution, was becoming unsustainable. The whole area was threatened with complete redevelopment. Following a public outcry, in 1973 the Home Secretary, Robert Carr, gave dozens of buildings around the square listed building status, preventing redevelopment. The following year the market finally moved to a new site (called the New Covent Garden Market) about three miles south-west at Nine Elms. The square languished until its central building re-opened as a shopping centre and tourist attraction in 1980. Today the shops largely sell novelty items. More serious shoppers gravitate to Long Acre, which has a range of clothes shops and boutiques, and Neal Street, noted for its large number of shoe shops. London’s Transport Museum and the rear entrance to the Royal Opera House are also located on the Piazza. The marketplace and Royal Opera House were memorably brought together in the opening of George Bernard Shaw’s play, Pygmalion, where Professor Higgins is waiting for a cab to take him home from the opera when he comes across Eliza Doolittle selling flowers in the market. In the mid 1950s, before he directed such films as If and O Lucky Man, Lindsay Anderson directed a short film about the daily activities of the Covent Garden market called Every Day Except Christmas. It shows 12 hours in the life of the market and market people, now long gone from the area, but it also reflects three centuries of tradition in the operation of the daily fruit and vegetable market. Alfred Hitchcock’s 1972 film, Frenzy, likewise takes place amongst the pubs and fruit markets of Covent Garden. The serial sex killer in Frenzy is a local fruit vendor, and the film features several blackly comic moments suggesting a metaphorical correlation between the consumption of food and the act of rape-murder. Hitchcock was the son of a Covent Garden merchant and grew up in the area; and so, the film was partly conceived (and marketed) as a semi-nostalgic return to the neighbourhood of the director’s childhood. Supermodel Naomi Campbell was also discovered by a model scout at the age of 15 whilst walking through the streets of Covent Garden.

Friday, August 16, 2019

How a Christian might apply their beliefs Essay

In this, my second piece of coursework I will be looking at how a Christian might apply the beliefs that I just outlined in A01 and will refer to specific situations of conflict to illustrate this. A Christian could apply the beliefs I recently mentioned in A01 through all different means. The most recent event of late to do with war conflict is the Iraq war. Saddam Hussian we were told and could see was not a particularly pleasant man. I heard in papers and through television what he was doing to people and how he treated them. As Christians then in one point of view from the Sermon on the Mount we should forgive this man for his wrong doings and let him repent his own sins. This belief of forgiveness decelerates that should he recognise his wrongs and change his behaviour he could then be forgiven of his previous sins. Unfortunately Saddam was tolerant of the pain and suffering caused under his regime and unwilling to recognise a need to change his behaviour. However once captured Saddam was not subjected to the torture that he imposed but treated in a Christian and humane manner. Though as the passage states we should still maintain our Christian values and be forgiving, `to turn the other cheek`. An issue closer to home regarding conflict and Christianity is the fighting in Northern Ireland regarding the Catholics and Protestants. The two communities are constantly at war with one another over their faiths and in doing so are abandoning the core values of their religions. These two sets of people are following the `eye for an eye, tooth for a tooth`, way of dealing with their problems and issues, which has proven itself through twenty years of conflict to be ineffective and destructive. As again the passage from the Sermon on the Mount comes into effect and the two sides should realise that when a person of one side is killed they should not seek revenge and to kill, but to `live and let live`. Then this may result in an end to the violence and tragedies that are so often occurring. In the other effect towards Saddam Hussian issues we as Christians could most notice the quote of `An eye for and eye and a tooth for tooth`, from the Old Testament and do to Saddam the horrific things that we hear of him doing. Not many Christians, today I believe see this way of dealing with things. More to the point would not be really able as out generation of law and order would just not allow it. When people saw Saddam Hussian damaging an empire and country most I would have believed that they were angry and human instinct gets the better of belief. It is a natural feeling to become angry and upset with something or somebody. And this combining with believing that it is right to acknowledge the passage from the Old Testament results in terrible effects to peoples lives. Also this relates to the Wars going on around Northern Ireland. The two religions are constantly battling each other. We have seen the results of this situation and there is no justice to the trauma and deaths that are carried out.

Thursday, August 15, 2019

Health In Society Unequally Distributed Health And Social Care Essay

This essay will concentrate on the inequalities that exist around Cardiovascular Disease, specifically that of Coronary Heart Disease. Harmonizing to the British Heart Foundation ( 2010 ) incidences of decease attributed to Coronary Heart Disease are far more likely to happen within the lower socio-economic category. The British Heart Foundation ( 2010 ) besides report that those populating in the most disadvantaged countries of Wales, have a fifty-percent more opportunity of deceasing from CHD than those populating in the least disadvantaged countries. Furthermore, they claim that persons who undertake manual and unskilled employment have a 10 per centum more opportunity of enduring from Coronary Heart Disease than those employed in managerial places, despite those persons populating in the same country ( ibid ) . First, a brief definition of CHD will be offered in order to help apprehension of how this disease develops, and how unhealthy behaviors can lend to its oncoming. Second, an account of a wellness inequality will be given. Then, assorted studies that have been published in relation to wellness inequalities will be examined in order to offer an account for this inequality. This will include analyzing assorted facets of the lives of persons that are placed in the lower socio-economic category in an effort to explicate behavior that is harmful to wellness. Finally, the function of the Multi Disciplinary squad and the nurse will be discussed, this will include authorities schemes for societal policy, in order to place countries of enterprises to better cases of decease from CHD. CHD is a term used to depict the effects of impaired or absent coronary blood flow to the myocardium, by and large caused by fatty plaques known as atheroma developing within the interior liner of the coronary arterias ( Porth 2004 ) . NHS Choices ( 2009a ) province that cases of CHD are far more likely to happen if an single fumes, is corpulent or has a diet that has a high content of concentrated fat. The National Office of Statistics ( 2008 ) reported that in 2007 there were 2951 deceases under the age of 75 in Wales straight linked with CVD, and that 1662 of these were due to CHD The wellness of the state has shown marked betterment throughout the old ages. Harmonizing to the House of Commons ( 2008 ) the life anticipation in 1948 for work forces was 66.4 old ages and 71.2 old ages for adult females. In 2000 they had risen to 75.6 old ages and 80.3 old ages severally. However, despite these betterments, wellness inequalities still exist amongst specific groups within society ( ibid ) .According to the World Health Organisation ( WHO 2010 ) a wellness inequality constitutes a pronounced difference in the distribution of wellness between changing societal groups. These societal groups can run from societal category, age, gender, ethnicity, disablement, geographics gender or linguistic communication ( ibid ) . Historically, those included in the lower ranks of employment and hence placed in the lower socio-economic category, are far more likely to endure sick wellness and higher morbidity rates than those at the top of the societal graduated table ( WHO 2010 ) . Harmonizing to Black ( 1980 ) poorness has ever been a major factor in high mortality rates amongst the lower socio-economic categories, peculiarly in cases of famishment, infection and respiratory unwellness. However, Black acknowledged that the nexus between poorness and circulatory disease was less straightforward ( ibid ) . In an effort to mensurate the extent of these inequalities, during 1977 the Labour authorities commissioned The Working Group on inequalities chaired by Sir Douglas Black to measure the deductions of wellness and societal policy, and to garner information about differences in wellness position amongst changing societal categories ( Townsend and Davidson 1992 ) . The findings were presented to the Secretary of State of the new Conservative authorities in April 1980 ( ibid ) . Black ( 1980 ) concluded that despite the general betterment in wellness across Britain, marked differences in the wellness between those in societal category I and those in societal category V have remained, and in some cases increased. Black ( 1980 ) suggested that one of the grounds for this could be due to the displacement in occupational position across the UK. He explained that those undertaking traditional semi-skilled or unskilled employment tended to be older than those from the mean work force. However, Townsend and Davidson ( 1990 ) argue that despite the age disparity between societal categories, the likeliness of an single death before the age of retirement in societal category IV is dual that of those in societal category I. Furthermore, they go on to state that mortality is a characteristic of category across the life span and non merely during old age, with persons from the lower categories enduring higher morbidity rates during childhood, adolescence and maturity ( ibid ) . A follow on from the Black Report was commissioned in 1986 by the Health Education Council before its death in 1987, and was updated in 1992 ( Whitehead 1992 ) . The Health Divide published grounds which revealed serious inequalities in wellness had continued throughout the 1980 ‘s and into the 1990 ‘s ( ibid ) . During the 1990 ‘s the work of Sir Douglas Black was acknowledged and built on in a study by Sir Donald Acheson, who was invited by the Secretary of State for Health to place a scope of countries for future policy development in order to cut down wellness inequalities ( DOH 1998 ) . Black ( 1980 ) suggested that the high proportion of incidences of certain diseases, including that of circulative disease in the lower socio-economic categories could be attributed to the complete indulgence of merchandises that are harmful to the organic structure, and non to want and poorness. Black ( 1980 ) specifically highlighted the significance of the ingestion of baccy merchandises in the aetiology of diseases such as circulative disease. He questioned the impression that the usage of baccy merchandises is a strictly voluntary pre-occupation by and large undertaken by the irresponsible and highlighted the fact that the authorities makes huge sums of money out of its production and sale. However, Black besides acknowledged that the usage of baccy merchandises could non be blamed for the cause of sick wellness, but suggested that it should be viewed as a secondary phenomenon caused by underlying characteristics of society. He raised concerns for the hereafter, admiting that although pre-conceptions sing the usage of baccy were altering, this alteration had finally taken topographic point within the higher socio-economic categories, and would go on to make so, doing the wellness spread to turn even wider. Acheson ( DOH 1998 ) found, that as Black had predicted there was a clear societal category gradient in both work forces and adult females sing the ingestion of baccy merchandises. He found that 12 % per centum of professional work forces and 11 % of professional adult females were reported to be tobacco users, compared with 41 % of unskilled work forces and 36 % of unskilled adult females go oning to smoke. Furthermore, those in the higher socio-economic category who professed to smoking consumed fewer coffin nails than their opposite numbers in the lower socio-economic category ( ibid ) . Acheson ( DOH 1998 ) besides found that those in the lower categories had lower surcease rates than tobacco users in the higher categories. Similarly, the category gradient had widened in regard of deceases from CHD ( see appendix 1 ) . Acheson concluded that smoke is a clear component in mortality differences between societal categories, doing deceases from assorted malignant neoplastic diseases, respiratory unwellnesss and CHD ( ibid ) . The Wanless Report ‘Securing Good Health for the Population ‘ was published in 2004, and besides highlighted smoke as a major cause of high mortality rates under the age of 70 in the lower socio-economic category ( Wanless 2004 ) . Wanless called for smoke to be banned in public topographic points, particularly within the workplace, faulting inactive smoke for cases of malignant neoplastic disease ‘s and bosom disease amongst both tobacco users and non tobacco users ( ibid ) . Harmonizing to Acheson ( DOH 1998 ) the wider socio-economic factors of an person ‘s life style should be taken into consideration when explicating wellness inequalities. Marmot ( 2010 ) concurs, saying than unhealthy behaviors entirely, can non be responsible for the serious wellness inequalities that exist in today ‘s society. As a consequence, Acheson ( DOH 1998 ) implemented a socio-economic theoretical account of wellness, which examined an person ‘s exposure to inequalities from before birth and throughout the full life span. Acheson ( DOH 1998 ) acknowledged that an person ‘s age, sex and constitutional position did so impact their wellness, as did their personal wonts such as smoke and hapless diet. However, Acheson argued that wider influences such as friends, household, community, instruction, lodging, work environment and entree to wellness attention besides had a bearing on an person ‘s wellness position ( ibid ) . Therefore, in order to understand the relationship between low socio-economic category and CHD, it is necessary to look into the psychological and societal influences that are experienced by persons within this group. Harmonizing to Acheson ( DOH 1998 ) unemployment rates amongst unskilled workers are four times higher than those from professional groups. Acheson goes on to state that employment is a major constituent in an person ‘s position within society ; it determines their income, societal standing and their ability to take part within society. Furthermore Acheson states that being unemployed can hold damaging effects in both physical and mental wellness, being linked to a sedentary life style and increased ingestion of baccy and intoxicant ( ibid ) . However, the nexus between unemployment and sick wellness is hard to turn out, as it is non clear whether the ground for the unemployment is due to ill wellness that is already present, or whether being unemployed is the cause of the sick wellness ( Schurring et al 2007 ) . Acheson besides suggests that those persons who are in employment tend to be engaged in work that is low paid, insecure and of hapless quality and that offers little, or no chance of publicity ( DOH 1998 ) . Johnson ( 2004 ) argue that those from the lower categories constantly experience high degrees of physiological emphasis, and low degrees of control in the workplace, coupled with low wagess in footings of occupation security, publicity chances, money and regard. However, Stansfield and Marmot ( 2002 ) point out that despite grounds to propose that psychological emphasis at work can be a conducive factor in cases of CHD, it is besides of import non to undervalue the consequence of other nerve-racking constituents of an person ‘s life that are non work related. Persons that are unemployed or have low paid occupations constantly face poorness and adversity. They are more likely to brood in unsuitable lodging, that is frequently moist, overcrowded and in an country that has hapless entree to comfortss ( Acheson DOH 1998 ) . Harmonizing to Siegrist and Marmot ( 2006 ) those from the lower socio-economic category tend to populate in vicinities that experience high degrees of offense, and physical impairment. Skogan ( 1990 ) concurs, saying that persons that reside in these countries have, non themselves, chosen to make so ; hence, they have no existent motive to keep their belongingss or that of their vicinity. This in bend discourages commercial investing in the country, doing it to drop further into want ( ibid ) . Due to miss of fundss these persons are less likely to have any signifier of private conveyance ( DOH 1998 ) . This can hold a direct impact on entree to low-cost food markets, health care, and employment chances. WHO ( 2010 ) suggest that hapless lodging and location non merely do physical wellness jobs but that they are besides a direct cause of emphasis, depression and associated psychological unwellnesss. Harmonizing to Stansfield and Marmot ( 2002 ) nerve-racking life conditions, including those of employment and lodging have marked associations with coffin nail smoke. They go on to province that the prevalence of coffin nail smoke is closely linked with the experience and direction of emphasis. Many people use smoking as a self-medication to assist them get by with the emphasis they experience in their mundane lives ( ibid ) . However, harmonizing to Parrott ( 1999 ) , baccy ingestion is in fact a cause of emphasis, and non the emphasis stand-in that many tobacco users believe it to be. NHS Choices ( 2009b ) agree, saying that tobacco user ‘s may experience a diminution in emphasis degrees once they have smoked a coffin nail, nevertheless this lone occurs because they have satisfied their craving for nicotine. Once the nicotine has worn of the person will one time once more experience stressed ( ibid ) . Harmonizing to Stansfield and Marmot ( 2002 ) both emphasis and baccy ingestion are both clear markers in morbidity rates for CHD, and could take some manner to explicating high cases of this disease within the lower socio-economic category. In an effort to undertake emphasis caused by work, the authorities introduced the ‘Fairness at Work Act ‘ in 1999 ( House of Commons 1999 ) . This measure was introduced in order to guarantee that employees have specific rights at work, including occupation security ( ibid ) . Harmonizing to Acheson ( DOH 1998 ) , employment jurisprudence in the United Kingdom is highly under regulated, compared to that of other industrialized states. Assorted policies sing lodging have been introduced since the Acheson Report, the most recent in Wales being ‘Improving Lifes and Communities ( Welsh Assembly Government 2010 ) . This policy aims to supply Wales with more societal lodging, and to give prospective renters more pick with respects to the countries in which they live. It pledges to better the criterion of lodging offered, to better the visual aspect and feel of communities, and to supply persons shacking in the country entree to services and installations ( ibid ) In a command to undertake happenings of diseases, including that of CHD, the authorities announced a 10 twelvemonth committedness through a white paper, Salvaging Lifes: Our Healthier Nation ( DOH 1999 ) . To run into this committedness the National Service Framework for Coronary Heart Disease was implemented and included 12 criterions to better wellness and prevent disease ( DOH 2008 ) . These rules are reflected in public wellness policy in Wales through the debut of a policy papers â€Å" Tackling Heart Disease in Wales: Implementing Through Evidence ( Welsh Assembly Government 2001 ) . As portion of the 10 twelvemonth program, they advised that local marks should be implemented in order to forestall, and cut down the ingestion of baccy merchandises. It was advised that the sale of illegal coffin nails and baccy should be closely monitored and reduced, that media coverage and national runs should be encouraged and that smoking surcease services should be implemented at local degree. In peculiar, mention was made to cut downing smoke in those on low incomes, with peculiar attending being made to pregnant adult females and their spouses ( ibid ) . The authorities pledged that by the twelvemonth 2010 deceases attributed to CHD would be reduced in the under seventy-fives by 40 % . This mark was in fact met five old ages early, with deceases rates falling by 44 % ( DOH 2008 ) In order to cut down disease caused by smoke, and to protect non tobacco users from passively inhaling baccy, a smoke prohibition was initiated on 1st July 2007 ( BBC News 2007 ) . This policy prohibits smoking in any public topographic point, including saloons, eating houses and topographic points of work. Since the smoke prohibition, research carried out by the Department of Health claim that cases of Myocardial Infarctions have reduced by 10 per centum ( Times Online 2009 ) . However, curates and anti-smoking groups think the authorities should travel farther, and are naming for smoking to be banned in autos, in order to protect kids from 2nd manus fume ( ibid ) . Despite the smoke prohibition some persons continue to smoke, harmonizing to Nice ( 2008 ) the multi disciplinary squad has a cardinal function to play in encouraging and authorising these persons to give up. Harmonizing to the Royal College of Nursing ( 2004 ) wellness publicity is the duty of every nurse. The NMC Code of Professional Conduct ( 2009 ) concur, saying that nurses are personally accountable for safeguarding and advancing the involvements of all patients and clients, irrespective of age, gender and societal fortunes. Harmonizing to Youdan and Queally ( 2005 ) nurses have a cardinal function to play in encouraging patient ‘s to give up smoke, they are ideally placed, and should enter the smoke position of all in and out patient ‘s, and where appropriate offer advice and smoke surcease options. In 2008, the National Institute for Clinical Excellence, acknowledged that smoke is a major contributory factor in the wellness spread that exists between the higher and lower socio-economic categories ( Nice 2008 ) . As a consequence, NICE published its first elaborate counsel on smoking surcease ( ibid ) . Harmonizing to these guidelines all persons that come into contact with a wellness professional should be questioned on their smoke position ( ibid ) . Harmonizing to Thomas ( 2007 ) brief oppugning on the topic of smoke has become the foundation of national smoke surcease policy. Nice ( 2008 ) besides stipulate that wellness professionals should utilize as many avenues as possible to make tobacco users, saying that links between birthrate clinics, ante-natal groups, station natal assignments, tooth doctors, infirmaries and GP surgeries should be made in order to aim as many person ‘s as possible. If an single professes to smoke, the wellness professional should offer suited advice and nicotine replacing therapy ; this should be given in concurrence with continued support and a referral to the local NHS Stop Smoking Service ( Nice 2008 ) . Behavioral guidance should besides be offered where appropriate ; this can take topographic point on a one to one footing or in group Sessionss ( ibid ) . Nice ( 2008 ) acknowledges that an person ‘s societal fortunes can be hard to change in the short term ; nevertheless, they believe that behaviour alteration on an single degree is more accomplishable. Evidence has shown that category is a cardinal determiner of wellness. Those in the lower socio-economic category suffer higher degrees of CHD than those in the higher socio-economic category. It has besides been shown that they consume more tobacco merchandises and are more susceptible to emphasize. As antecedently discussed, emphasis and baccy ingestion are both clear markers in cases of CHD, therefore policy aimed at cut downing the emphasis related facets of these persons lives demands to be addressed. Similarly, the ingestion of baccy by this group besides needs to understood. This fact has been recognised by the authorities, who have introduced societal policies related to employment, lodging and smoke in an effort to cut down mortality rates within the lower categories from diseases such as CHD. Nurses and the multi disciplinary squad besides have a portion to play, peculiarly within the community. It is the duty of every wellness professional to oppugn an person with respects to their smoke position, by making so, advice, support and encouragement can be offered, in a command to alter the person ‘s attitude towards this wellness damaging behavior.Mentions:BBC News ( 2007 ) Smoking Ban Takes Effect. ( online ) . Available at: hypertext transfer protocol: //news.bbc.co.uk/1/hi/uk/6258034.stm ( Accessed 16 April 2010 ) . Black ( 1980 ) The Black Report: Inequalities and Health.Socialist Health Association. ( online ) . Available at: hypertext transfer protocol: //www.sochealth.co.uk/Black/blackintro.htm ( accessed 15 March 2010 ) British Heart Foundation ( 2010 ) UK Coronary Heart Disease Statistics. Department of Health. ( online ) . Available at: www.bhf.org.uk/plugins/PublicationsSearchResults/idoc.ashx? †¦ 1 ( Accessed 25 April 2010 ) . DOH ( 1998 ) Independent Inquiry into Inequalities in Health Report. Chair Sir Donald Acheson. London: The Stationary Office. DOH ( 1999 ) Salvaging Lifes: Our Healthier Nation. ( online ) . Available at: hypertext transfer protocol: //www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4118614 ( Accessed 19 April 2010 ) . DOH ( 2008 ) The Coronary Heart Disease National Service Framework: Building on Excellence keeping Progress. ( online ) . Available at: hypertext transfer protocol: //www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_096556.pdf ) . ( Accessed 9 April 2010 ) . House of Commons ( 2008 ) Health Committee Third Report – Health Inequalities 2008-2009. Health Committee Publications. ( Online ) . Available at: hypertext transfer protocol: //www.publications.parliament.uk/pa/cm200809/cmselect/cmhealth/286/28602.htm ( Accessed 4 March 2010 ) . House of Commons ( 1999 ) Fairness at Work. House of Commons Library. ( online ) . 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( online ) . available at: hypertext transfer protocol: //books.google.co.uk/books? id=ASrAMJh7LngC & A ; printsec=frontcover & A ; dq=skogan+disorder+and+decline & A ; source=bl & A ; ots=_-DBYsfGXN & A ; sig=kPSCk3NGusegOJ_B ( Accessed 18 April 2010 ) . Stansfield A Marmot G ( explosive detection systems. ) ( 2002 ) Stress and the Heart Psychological Pathways to Coronary Heart Disease. London: BMJ Books. Timess Online ( 2009 ) Heart Attacks Plummet After Smoking Ban. ( online ) . Available at: hypertext transfer protocol: //www.timesonline.co.uk/tol/life_and_style/health/article6832384.ece ( Accessed 18 April 2010 ) . Townsend P and Davidson N ( 1992 ) The Black Report. ( 2nd edn. ) London: Penguin Group. Thomas S ( 2007 ) Smoking Cessation Part 1: Brief Interventions. Nursing Standard. 22 ( 4 ) pp 47-49. WHO ( 2010 ) Developing the EvidenceBase for Tackling Health Inequalities and differential Effectss. ( online ) . Available at: hypertext transfer protocol: //www.who.int/social_determinants/resources/esrc_document.pdf ( Accessed 19 March 2010 ) . Wanless D ( 2004 ) Procuring Good Health for the Whole Population. Department of Health. ( online ) Available at: hypertext transfer protocol: //www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4074426 ( Accessed 17 April 2010 ) . Welsh Assembly Government ( 2001 ) Undertaking CHD in Wales: Implementing Through Evidence. ( on-line. ) Available at: hypertext transfer protocol: //www.wales.nhs.uk/publications/coronary-heart-disease-e.pdf ( Accessed 12 March 2010 ) . Welsh Assembly Government ( 2010 ) Bettering Lifes and Communities. ( Online ) . Available at: hypertext transfer protocol: //wales.gov.uk/docs/desh/publications/100421housingstrategyen.pdf ( Accessed 17 April 2020 ) . Whitehead M ( 1992 ) Inequalities in Health – The Health Divide. London: Penguin Group. Youdan and Queally ( 2005 ) Nurses ‘ Role In Promoting and Supporting Smoking Cessation. The Nursing Times. 10 ( 10 ) pp 26-28.