Wednesday, December 25, 2019

Ludwig Van Beethoven s Life - 987 Words

Ludwig van Beethoven Ludwig van Beethoven was a tremendous musician and composer with a awfully long and tough life.He had a challenging childhood, but he used his music as his outlet. He moved from his home town in Bonn, which is now a museum, and became well known throughout the world. He lived in Europe when everything was changing, there were a lot of new wars and new rulers. He used a great deal of emotions in this music and because of all the time that he had spent practicing, when his hearing was lost his music was still considered to be incredible. People from his time and the present time see him as a genius. Beethoven was born in Bonn, Germany approximately in December of 1770.There is no recorded date of Beethoven’s exact birth, but it is known that it is in December. This was an appropriate time for Beethoven to be born, it was receptive and ready to welcome a genius who would change everything. His parents produced seven children, but only four of them lived to adulthood. Only Ludwig and his two younger brothers remained. In school it is said that he was a shy, taciturn, serious young man. That he was â€Å"enclosed in himself† and extremely â€Å"peevish with people†(Marek 39). School turned out to not be so clear for young Beethoven as he chose to drop out when he was eleven, this resulted in him never learning to spell, do math, or write well. Although, he did learn French, Latin, and Italian. This was around 1780 and was when he began to compose pieces, one ofShow MoreRelatedBiography Of Ludwig Van Beethoven s Life On All Levels Of The Greatest People That Eve r Walked The Earth1228 Words   |  5 PagesDecmber 16th 1770 in Bonn Ludwig Van Beethoven was created to be soon form into one of the greatest people that ever walked the earth. As a composer, Ludwig Beethoven can be considered the equivalent of any of today’s stars of popular music. His trend setting compositions made music an integral part of life on all levels of society from the royal courts to the general population. His mass appeal can be attributed to his standard defying compositions that forcibly modernized the 18th century musicRead MoreMusic Compare and Contrast1570 Words   |  7 Pageshave it easy. Neither did Ludwig van Beethoven who grew to be one of the most successful composers of all time. Taking in the world and challenges around them, both of these artists overcame many obstacles to become what they are known for. Their fans have followed and have been inspired by them. The band Thirty Seconds to Mars and Ludwig van Beethoven came from two different eras and have rough times in their youth but overcame to succeed in the music world. â€Å"[Ludwig] Beethoven’s father, JohannRead MoreThe Music Of Ludwig Van Beethoven1600 Words   |  7 PagesLudwig van Beethoven is known for much of his musical accomplishments. One of his most famous is that he is deaf and yet one of the best musical composers of the classical and romanic area. Beethoven has always been one of my personal favorite composers. When I grew up and started taking piano, Beethoven s Fur Elise was my first large classical piece. Ever since that point on I insisted that when we were in Germany we see his home, and that we did. In this essay I will be explaining Ludwigs YouthRead MoreBeethovens Life Outline1208 Words   |  5 Pages1. Intro: Composer Ludwig van Beethoven was an innovator, widening the scope of sonata, symphony, concerto, and quartet, and combining vocals and instruments in a new way. His personal life was marked by a struggle against deafness, and some of his most important works were composed during the last 10 years of his lif e, when he was quite unable to hear. He is an crucial figure in the transition between the Classical and Romantic eras in Western art music, a pianist, a composer who remains one ofRead MoreLudwig Van Beethoven : The First Four Notes1432 Words   |  6 PagesLudwig van Beethoven Do you think you could identify a composer’s work is the first four notes of their piece? A note sequence of short, short, short, long describes one of the most iconic classical symphonies of all time. For most people in the world this German composer has made that possible with the amount of success he achieved in his career. This composer has influenced generations of music makers and listeners from the 1800’s to today. Undoubtingly one of the most influential, well-knownRead MoreThe Classical And Romantic Eras Of Classical Music999 Words   |  4 Pages Ludwig Van Beethoven served as an important link between two important periods of time, the classic and romantic eras of music, and his compositions still stand today as a famous memorial of the past. Many people say, ‘Music never dies!’, and that statement has proven true by Beethoven’s Legacy, a creation of many famous compositions of classical music that still stand, untouched by history today as a sound, a true monument that represents the golden age of classical music, a trip into the ever-growingRead MoreJohann Van Beethoven And The Greatest Composer Of All Time955 Words   |  4 PagesTest Part 1 Beethoven Due 11/19/14 Ludwig Van Beethoven lived a very complex life. When Beethoven was a young boy he suffered the abuse of his alcoholic father. He later lost who he thought to be â€Å"the only one who ever loved him†, along with his hearing which due to his passion for music made him feel less important. Beethoven went through struggle after struggle making a name for himself. But despite all of the heartache and despair in his life his music overcame it all. Beethoven used his musicalRead MoreLudwig Van Beethoven, Pianist And Composer1381 Words   |  6 PagesDuring the late 18th century, Ludwig van Beethoven, pianist and composer, began to his glorious rise to fame in the world of music. After moving to Vienna and becoming a pupil of the celebrated Joseph Haydn, Beethoven commenced his period of compositional productivity and creativity, as known as the â€Å"Heroic Phase† or â€Å"The Middle Period†. Beethoven’s musical style and productivity were heavily based o ff Romanticism, the idea of expressing one self’s thoughts and emotions freely through the artsRead MoreThe Most Beautiful Pieces Of Music1345 Words   |  6 Pages Mozart, Chopin, and Vivaldi, but none has as amazing a story as Ludwig Van Beethoven. â€Å"His life played out like one of his beautiful symphonies, with unimaginable highs, lows, victories, and defeats,† (Viegas 5). Ludwig Van Beethoven was an 18th century classical composer famous for his nine symphonies, and is also recognized as one of the cornerstones of Western civilization through the legacy of his music. Ludwig Van Beethoven was born in Bonn, Germany. He was the son of Johann, a tenor of theRead MoreBiography of Ludwig van Beethoven746 Words   |  3 Pagescontributions brought by Ludwig van Beethoven. He was one of the most influential German composer and pianist of all time. Ludwig van Beethoven was born in Bonn, Germany on December 16, 1770. His mother was a singer in the service and his father was a court musician. His father noticed that Beethoven had a skill at a young age, and began teaching him piano and violin. Beethoven was a hard learner, self-involved and impatient. Gottlob Neefe, become young Beethoven’s mentor, he thought Beethoven was the next Mozart

Monday, December 16, 2019

Behind the Fences The History of Japanese Americans Essay

Between the years of 1942- 1945, the lives of many Japanese Americans were changed. The attack on Pearl Harbor by the Japanese military made the United States concerned about national security. The US was also made wary of Japanese people living in America, even though they were legal citizens. This fear of the Japanese immigrants put into motion the document that would forever leave an impact on the unsuspecting Asian foreigners. The Japanese were often lead away from their homes, mistreated, and in the end they were released after years of imprisonment, but the effects of the tragedy were too great to ignore. The order that would lead to the change in the lives of Japanese Americans was issued on February 19, 1942. It was signed by†¦show more content†¦They were forced to receive identification numbers and new housing inside a small, dingy, and poor camp. They were also given vaccines, to protect them from diseases that they might encounter while in the camp. The living sp ace inside the camps was very small, and most people were forced to live in small shacks or stables. After they got to the camps, they were forced to face unsanitary living conditions. People were shocked to see the conditions of the camps. Many people actually died because of the unsanitary conditions. There were also many health issues that were the result of the conditions of the camps, one author says, â€Å"Long-term health consequences included psychological anguish, as well as increased cardiovascular disease† (Gwendolyn M. Jensen). One reason that the conditions were so terrible was because of the amount of people that were being stuffed into the camps. There were over 122,000 Japanese Americans being shoved into only ten camps around the country. These camps were located in California, Colorado, Texas, Utah, Wyoming, Idaho, Arizona, and Arkansas. The daily lives of the Japanese Americans consisted of many of the same things that they would normally do, except in har sher conditions. For the most part, the children were given an education; although it was not aShow MoreRelatedPersuasive Essay On Pearl Harbor1475 Words   |  6 PagesWhen the Japanese had economic success for a long time, also with an American fear of WWII, the Nazis, and a long-standing anti-Asian racism turned into disaster when Japan attacked Pearl Harbor on December 7, 1941. The bombing killed more than 2,300 Americans. It completely destroyed the American battleship U.S.S. Arizona and capsized the U.S.S. Oklahoma. The attack sank or beached a total of twelve ships and damaged nine others. 160 aircraft were destroyed and 150 others damaged. Lobbyists fromRead More Snow Falling on Cedars Essay1129 Words   |  5 Pagessince history was recorded. Even the most open-minded people and enlightened organizations can be blamed as being prejudice sometime or another. However, prejudice always takes its toll from these people who form opinions beforehand or without any facts. The novel, Snow Falling On Cedars, take place during a time in which Americans are prejudice towards Japanese people. David Guterson’s novel takes place several years after World War II when hatred towards the Japanese filled Americans’ heartsRead MorePresident Franklin Roosevelt and Pearl Harbor705 Words   |  3 PagesAmerica by the Japanese because they weren’t able to get aid from Japanese Americans because they were tested for their loyalty (Takagi).Disloyal Japanese Americans no longer had a way to assist the Japanese (Sonia). By testing the Japanese Americans Roosevelt protected the USA from any more attacks. Another main justification for the creation of internment camps is that Americans were paranoid that Japanese Americans were aiding the Japanese and they constantly felt unsafe, so Japanese being in internmentRead MoreWhy Mine Okubo Was An American Citizen Of Japanese Descent1117 Words   |  5 PagesMine Okubo was an American citizen of Japanese des cent, artist, and writer who was one of over a hundred thousand Japanese people that were forced into internment camps for â€Å"protective purposes† during World War II. In her graphic novel Citizen 13660, which was named after the number designated to her family unit, Okubo documents her journey from her initial relocation to Tanforan Assembly Center after the Pearl Harbor attack, up until she is finally granted release from the Central Utah RelocationRead MoreJapanese Internment Camps718 Words   |  3 PagesJapanese interment camps, if youre like me, are unheard of. The camps happened during World War II. It was a sad situation that America seems to hide because there is no way to justify what they did. American citizens had their rights stripped away before their eyes. They were treated awful despite what the Constitution said. Japanese interment camps began after the 1941 attack on Pearl Harbor. The repercussions of Pearl Harbor stereotyped Japanese people as untrustworthy. In February of 1942,Read MoreJapanese-American Internment Camps In Nisei Daughter By Monica Sone940 Words   |  4 PagesAfter Japanese terrorist attacked Pearl Harbor on December 7th, 1941, Americans have discriminated Japanese- Americans after their tremendous incident. Since the U.S. proclaimed a war zone, they decided to send Japanese-Americans to internment camps to keep themselves â€Å"secure†. The U.S. also sent Japanese-Americans to internment camps to make it accessible for the military to find Japanese spies. Some people accepted the execution the U.S. took to clarify this situation and some disagreed withRead More Japanese Alien and Japanese-American Poets In U. S. Relocation Camps4710 Words   |  19 PagesOn February 19, 1942, Franklin Delano Roosevelt issued the infamous Executive Order 9066, which resulted in the internment of 110,000 Japanese Aliens and Japanese Americans in concentration camps because of the so-called military threat, they posed. In 1945, poet Lawson Fusao Inada wrote the following poem, titled Concentration Constellation, which refers to the various relocation camps that were used to contain these people: In this earthly configuration, We have, not points of light, butRead MoreThe Threat Of The Atomic Bomb1131 Words   |  5 PagesThere have been many wars the United States of America have fought in since World War I to the ruthless naval sea battle in World War II with the Japanese. There is no question about it that war is a great catastrophe, which leads to death of soldiers, destruction, butchery, but the worst kind of all the atomic war. One only has to think of the havoc this nuclear war would cause Capio mentioned in the article Airpower Journal (68). Just like when the United States Air Force dropped the Atomic bombRead MoreRhetoric Of A World War II Political Cartoon Essay1551 Words   |  7 Pagesdrawn by Theodor Seuss Geisel knew now as Dr. Seuss, famous for writing children’s books. This 1942 World War II cartoon depicts Japanese Americans living on the West Coast as guilty for having helped convict the treacherous act of the bombardment of Pearl Harbor on December 7, 1941. As well as this image depicts Japanese Americans a s untrustworthy forcing Japanese Americans to be relocated and interned after. 2. This ad appeared in 1942, a year later after the attack on Pearl Harbor. Before the attackRead MoreJapanese Internment Camps during WWII1584 Words   |  7 PagesIn many times throughout history groups of people have been discriminated against based on race or religion. These people receive inferior rights because of the discrimination. In some cases they do not get citizenship, in others they are segregated from others, and physically harmed. Two groups of people that faced discrimination near World War II (WWII) were the Jewish people and Japanese Americans. Both groups faced very different types of discrimination by different oppressors with different

Sunday, December 8, 2019

Optimal Health Outcomes For People With Asthma- myassignmenthelp

Question: Discuss about theOptimal Health Outcomes For People With Asthma. Answer: Given the challenges that most asthma patients as well as medical practitioners face in their bid to manage the condition, it is imperative that a correct diagnosis be established prior to administration of care or treatment to the patient. As studies reveal, correct diagnosis is critical in assessing poor symptom control and as such, physicians would be inclined to undertake comprehensive history of the patient, physical examination and lung function measurement when necessitated. In this light, it is advocated that barriers that contribute to sub-optimal asthma control should be identified and eradicated (Barton et al, 2009, p. 103). Some of these factors include; smoking, poor inhaler technique and disregarding patients views (Dima, Bruin Ganse, 2016, p. 867). Hence, it is suggested that clinical trials should be administered among diverse patient populations so as to determine a wide range of these barriers and distinguish effective ways in which they can be controlled. To successfully improve the well-being asthma patients, primary care and specialist care have been supplemented with non-clinical interventions that are specifically tailored to suit the needs of the patient. Such interventions may include; environmental assessments where the patient is residing, in-depth education of asthma inclusive of the preventive measures that may be initiated by the individual, and mitigation of the risks or rather exposure of the individual to factors that may trigger asthma. Evidence reveals that such strategies have been found to be essential in decreasing urgent medical encounters as well as improving the quality of life of the patient in a process that facilitates speedy recoveries (Hoppin, Jacob Stillman, 2010, p. 2). An integrated information system for patient centered monitoring of asthma patients has also been advocated for as an appropriate measure for providing care to asthma patients. Ideally, the implementation of automated systems in healthcare settings has proved to be pivotal in hastening the provision of care by reducing the time that patients get access to physicians. On the same note, such systems have also been effective in reducing the work load for medical practitioners as well as promoting patient safety by reducing errors in the provision of care (Cano et al, 2009, p. 373). In this light, research has revealed that by implementing a model information system that is capable of integrating patient health information for asthma patients, medical practitioners will realize an improved level of connectivity for health information that specifically supports the care of patients with persistent asthma (Adams, et al, 2003, p. 2). Finally, the Asthma Model of Care developed in Western Australia provides a number of best practices that can be instituted among patients suffering from asthma. The model basically focuses on optimal pathways of care and the management of long-term conditions in a way that enhances self-management as well as disease and case management. In this light, the model proposes a number of practices including; reducing asthma related risks, early or prompt diagnosis, asthma self-management, assessment of severity of asthma, management of transition care, and asthma education (Department of Health, 2012). In this plan, it has been articulated that physicians ought to implement these plans in an attempt to help prevent or rather mitigate the prevalence of asthma as a chronic condition that affects all patient populations regardless of their age. Policy and Relevant Information Ideally, people suffering from asthma incur huge medical costs in their attempts to treat the condition. Furthermore, they lack sufficient education as evidenced by their inability to access comprehensive asthma education especially in during the home environmental interventions. Also, services being accorded to asthma patients are not adequately paid for by insurance companies thereby making it even the more expensive to treat the condition (Hoppin, Jacob Stillman, 2010, p. 2). Thus by providing access to education where patients become well acquainted with the risk factors and the measures that they may take to help prevent the condition from escalating or rather, to facilitate recovery, becomes critical in the provision of care for asthma patients. Physicians in their practice have also been cautioned on the need to conduct comprehensive patient assessments so as to be able to understand the exact symptoms of asthma and subsequently prevent poor controls of asthma (Hoecke Cauwenberge, 2007, p. 706). In such cases, a simple question regarding the medical history of the patient has been found to be effective in achieve such objectives. Moreover, physicians have also been inclined to respect patient autonomy thereby taking their time to appreciate individual patient views relating to their health (Haughney et al, 2008, p. 1682). Hence, discussions between medical practitioners and patients have been guided under such facets thereby ensuring that patient receives care that is well suited to their needs. In various medical organizations, technology has been incorporated for the better management of health for patients. For asthma patients in particular, an integrated information system comprising of three main components has been implemented to improve the monitoring of patients with asthma. The technology comprising of patient centred telephone linked communication system and an internet-based alert that facilitates reporting and nurse case management system has proven to be efficient in supporting customized monitoring of patients while at the same time transferring critical data that facilitates timely provision of care to patients (Adams et al, 2003, p. 1). Thus, the inclusion of technology in medical practice has proven to be critical in the management and provision of care to asthma patients. Additionally, given the financial challenges faced in health care as well as the economy in terms of the costs incurred in treating asthma, it has become essential for medical practitioners and patients alike to develop strategies under the model that are specifically suited in controlling the health, social and economic burden that is presented by this condition (Watson, Turk Rabe, 2007, p. 1885). Thus it has become essential to develop coordinated plan that addresses smoking especially among aboriginal communities since they comprise the target population that is deemed to be at the most risk. Asthma action plans for children and adolescents should also be implemented and distributed across different regions (Mogasale Vos, 2013, p. 206). Early diagnosis should also be facilitated through identification and training of spirometry providers who are caters for patients with respiratory conditions (Department of Health, 2012). Management of asthma should also be centered on access to integrated and coordinated services with more emphasis being placed on consumer education. Similarly, workforce education should be provided to medical practitioners at all levels of the organization (Rhonda et al, 2012). An Appropriate Person Centred Plan of Care A comprehensive asthma management program should ideally look to incorporate in-home environmental interventions as well as invest in asthma education for the patients. Most of the patients suffering from asthma are not well aware of the risk factors that could trigger an attack. Furthermore, the care that they receive in other environments should ideally be insufficient to cater for the needs of the patient (Jones, 1999, p. 16). For instance, in the case of Jean, she continues to smoke while ignoring the risk that this behavior has on her health. Her dietary habits are also not healthy as it should be. These factors indicate that Jean could be ignorant of her well-being. Hence, instigating a care plan that incorporates interventions in the environment of the patient would ideally be critical in revealing such aspects of Jeans life thereby necessitating prompt actions to mitigate them (Kuipers et al, 2017, p. 889). Furthermore, Jean could further be educated on the important measures that she needs to undertake in order to facilitate quick recovery. In such a case therefore, the program would be successful in ensuring that the unhealthy habits such as poor dietary habits and smoking are eliminated in the life of Jean thereby facilitating quick and full recovery of the patient (Smiley, 2011). Even so, smoking has been touted as one of the leading causes of poor management of asthma, and as such, education could help Jean keep abreast with such facts thereby deterring her from smoking and further exacerbating her condition. In the provision of care, it is also essential that the medical practitioners such as nurses guide their patient related discussions with an open mind that takes into account the patients perspective concerning the matter. In this light, it would be worthwhile for the practitioner to ensure that they have conducted a comprehensive test that would identify how exactly the condition impacts on the patient (Haughney et al, 2008, p. 1682). In relation to Jean, she detests hospitals primarily because she is not listened to and there has been an ongoing lack of privacy. At this thought, she becomes deterred from seeking medical assistance a factor which contributes to her health deteriorating even further. It therefore becomes apparent that physicians in this medical facility exhibit ignorance to patient autonomy and they seem utterly oblivious of how their neglect and ignorance impacts negatively on the well-being of their patients. To rectify this malpractice, it is imperative that the medical practitioners to return to the basics of history taking and consider that the possible ramifications that may occur as a result of their behavior (Smiley, 2011). As such, the care plan should look to ensure that the medical practitioners take into account the input being given by Jean, the patient in this case, if the care plan is to be effective in achieving better health outcomes for the patient. The inclusion of technologically based medical systems could prove to be pivotal in the provision of care for patients. As evidence reveal, technology has facilitated timely and accurate delivery of data in various decision making points within a healthcare organization thereby promoting better patient outcomes and ultimate delivery of quality care (Adams et al, 2003, p. 2). Hence, the inclusion of information based system that maintains communication between the physician and the patient could enhance patient monitoring thereby improving on the quality of care. In Jeans case for example, there is need to maintain constant communication between the nurse and the patient (Cano et al, 2016, p. 373). This is mainly because Jean is finding it difficult to keep track of her medication and the care plan thereby failing to adhere to the stipulated care plan. Notably, a patient centred telephone-linked communication can enable sufficient communication between Jean and her nurses when she is at her home. In this case, the nurse and the patient can communicate frequently in the process reminding the patient of the care plan. As such, this process enhances the monitoring of the patient and ensuring that the care plan is effective (Rhonda et al, 2012). In addition, this patient monitoring can enable the medical practitioner to distinguish the care plans that are proving to be fruitful and those that provide minimal or no benefits to the patient (Turner, 2016, p. 33). Consequently, necessary changes can be made in a bid to improve the care being provided. It is also In addition, management of asthma plan should incorporate smoking cessation program especially among high risk patient populations such as pregnant women, people with mental health issues and among economically disadvantaged communities (Turner, 2016, p. 34). Similarly, Jean is at high risk of asthma considering the number cigarettes she smokes in a given day. Thus, such a program could be pivotal in guaranteeing Jean a smooth road towards recovery. Implementation of the Plan of Care Given the prevalence of asthma among children across the globe, the implemented plan should coincide with the services and the available health professionals found in Sydney Childrens Hospital Network. With a strong and committed workforce coupled with the fact that the institution is also research based, it is highly likely that the development and implementation of the technologically based communication system will be achievable. The high quality health services accorded to children should therefore make an inclusion of support to communication technology that should incorporate telehealth for the benefit of the patient (SHCN, 2018). Notably, this incentive will enhance the monitoring of children diagnosed with Asthma. In addition, this offers a new level of connectivity of health information that supports monitoring. Also, the system will ensure that the parents or caretakers of these patients have easy access to and control of health care information which may comprise of elect ronic health records (Turner, 2016, p. 33). Hence, this would guarantee that the patients have been accorded the best possible care. References Adams et al., 2003. TLC-Asthma: An Integrated Information System for Patient-Centered Monitoring, Case Management, and Point-of-Care Decision Support. Annual Symposium Proceedings Archive, 2003, pp. 1-5. Barton et al., 2009. Management of Asthma in Australian General Practice: Care is still not in Line with Clinical Practice Guidelines. Primary Care Respiratory Journal, 18, 100-105. Cano et al., 2016. Application of Telemedicine for the Optimal Control of Asthma Patients. Journal of Pulmonary Respiratory Medicine, 6(5), pp. 372-377. Department of Health, Western Australia, 2012. Asthma Model of Care. Available at: https://www.healthnetworks.health.wa.gov.au/modelsofcare/docs/Asthma_Model_of_Care.pdf. Dima, A. L., Bruin, M., Ganse, E. V., 2016. Mapping the Asthma Care Process: Implications for Research and Practice. The Journal of Allergy and Clinical Immunology, 4(5), pp. 868-876. Haughney, et al., 2008. Achieving Asthma Control in Practice: Understanding the Reasons for Poor Control. Respiratory Medicine, 102(12), pp. 1681-1693. Hoecke, H. V., Cauwenberge, P. V., 2007. Critical Look at the Clinical Practice Guidelines for Allergic Rhinitis. Respiratory Medicine, 101(4), pp. 706-714. Hoppin, P., Jacobs, M., Stillman, L., 2010. Investing in Best Practices for Asthma: A Business Case. Available at: https://kresge.org/sites/default/files/Investing%20in%20Best%20Practices%20fo%20Asthma-A%20Business%20Case%20%20August%202010%20Update.pdf Jones, C. A., 1999. Best Practices for Pediatric Asthma: Improved Clinical Management for the Inner-City Patient. Journal of the National Medical Association, 91(8), pp. 16-25. Kuipers et al., 2017. Self-Management Research of Asthma and Good Drug Use (SMARAGD Study): A Pilot Trial. International Journal of Clinical Pharmacy, 39(4), 888-896. Mogasale, V., Vos, T., 2013. Cost-Effectiveness of Asthma Clinic Approach in the Management of Chronic Asthma in Australia. Australian and New Zealand Journal of Public Health, 37(3), pp. 205-300. Rhonda et al, 2012. Asthma Management: Implementation of Short-Acting Beta Agonist Guidelines in Western Australia: A Unique Collaboration. The Australian Journal of Pharmacy, 93(1104). Smiley, E. 2011. Determining Evidence Based Practices in Asthma Management. Available at: https://corescholar.libraries.wright.edu/cgi/viewcontent.cgi?article=1051context=mph. The Sydney Childrens Hospitals Network (SCHN), 2018. Information for Professionals. Available at: https://www.schn.health.nsw.gov.au/professionals. Turner, S. 2016. Predicting and Reducing Risk of Exacerbations in Children with Asthma in the Primary Care Setting: Current Perspectives. Pragmatic and Observational Research, 7, pp. 33-39. Watson, L., Turk, F., Rabe, K. F. (2007). Burden of Asthma in the Hospital Setting: An Australian Analysis. International Journal of Clinical Practice, 61(11), 1884-1888.

Sunday, December 1, 2019

Iran-Contra Essays - Nicaraguan Revolution, IranContra Affair

Iran-Contra The Iran-Contra affair is not one scandalous incident, but rather two covert operations started under Reagan's administration. In the beginning, these two operations were independent of each other, but eventually became linked though funds received from the sale of arms to Iran for hostages and then given to the Contras fighting to overthrow a Marxist government in Nicaragua. The scandal began with Nicaraguan politics. After the Marxist Sandinista regime took over Nicaragua in 1979, the government was faced with a growing communist threat to US interest in Central America. When President Reagan took office in 1981, he was vehemently determined to halt the spread of communism, especially in Central America (Arnson 1989, 8). Seeking to bolster US prestige and military power, Reagan took a tough stand against communism in the Western Hemisphere. In Nicaragua, he gave the Central Intelligence Agency the approval to help organize and aid a group of Contrarevolucionarios or Contras who were in opposition to the Sandinista regime (Arnson 1989, 6). Congress, unwilling to fight in another country's war after the devastating loss in Vietnam, began restricting the use of government funds for rebel guerrillas in Central America. The CIA, concerned that soon Congress would cut off the funding for their program, began to stockpile arms for the contras (Walsh 1997, 18). Their fears were realized when Congress enacted the second Boland Amendment which stated: No funds available tot he Central Intelligence Agency, the Department of Defense, or any other agency or entity of the United States involved in intelligence activities may be obligated or expended for the purpose of which would have the effect of supporting, directly or indirectly, military or paramilitary operations in Nicaragua by any nation, group, organization, movement, or individual (Arnson 1989, 167-8). The Reagan administration interpreted the Boland Amendment as not covering the activities of the National Security Council (NSC). The NSC was established in 1947 with the explicit purpose of advising the President on all matters relating to national security. Beginning with the Eisenhower administration, the NSC was given a small staff that ultimately grew and turned into a vital arm of the presidency. As years went by, the NSC staff began controlling the policy-making output of both State and Defense Department, as well as the activities of the CIA (Draper 1991, 11). When the CIA was banned from acting in Nicaragua by the second Boland amendment, President Reagan surreptitiously bypassed Congress and employed his NSC staff instead. National Security Council staffer Oliver North became the central coordinator supplying aid to the Contras. After Reagan's reelection in 1984, he began an additional covert operation. This time, it was the effort to release seven American hostages being held in Lebanon by a radical Islamic group called the Hezbollah. The operation included trading arms for hostages, which clearly violated the Arms Export Control Act, the National Security Act, and stated US policy not to deal with terrorists (Walsh 1997, 3). Iran, in the middle of a war with Iraq, was desperate for weapons. Many Iranians approached US officials offering t help free the hostages in Lebanon in exchange for arms. National Security Adviser Robert McFarlane was approached by Israeli intermediaries and was persuaded to ask the President about negations with the Iranians. Reagan approved a shipment of 96 wire-guided anti-tank missiles to be delivered to Iran on August 30, 1985, and another 408 to be delivered on September 14. After the secret exchange of these weapons, the Iranians released only one hostage. In an effort to release more hostages, a second large shipment of weapons was to take place in November. The Israeli aircraft intended to ship the weapons could not fly directly to Iran. The plan was to fly to a European air base, transfer the cargo to another plane and then fly to Iran, but they were not able to obtain the necessary clearance to do so. From that point on, Oliver North began arranging for CIA planes to carry the shipment of weapons to Iran (Walsh 1997, 5). The President then decided to drop the Israelis as middlemen and negotiated the direct sale of arms from the United Stated to Iran. HE also decided to keep these actions secret from Congress. North subsequently began selling the Iranians missiles at marked up prices. He negotiated low purchase price with the Department of Defense and the surplus funds were then used to pay for aid to the Contras (Walsh 1997, 20). Two unrelated incidents that revealed Iranian and Contra covert operations occurred within one month of each other. On October 5, 1986, Sandinista troops shot down an

Tuesday, November 26, 2019

20 Tips for Success in School

20 Tips for Success in School Your high school years should be filled with great experiences. Increasingly, students are finding that high school is also a time of stress and anxiety. It seems that students are feeling more pressure than ever before when it comes to performing well. There are some things you can do to make sure the high school experience is enjoyable and successful. Embrace a Healthy Life Balance Dont stress about your grades so much that you forget to have fun. This is supposed to be an exciting time in your life. On the other hand, dont let too much fun get in the way of your study time. Establish a healthy balance and dont let yourself go overboard either way. Understand What Time Management Really Means Sometimes, students assume theres some magical trick or shortcut to time management. Time management means being aware and taking action. Be aware of the things that waste time and reduce them. You dont have to stop them, just reduce them. Take action to replace time wasters with active and responsible study habits. Eliminate Those Time Wasters Find Tools that Work for You There are many time management tools and tactics, but youll find that you are more likely to stick with a few. Different people find different methods that work for them. Use a big wall calendar, use color-coded supplies, use a planner, or find your own methods of managing your time. Choose Extracurricular Activities Wisely You may feel pressured to select several extracurricular activities that might look good on a college application. This can cause you to overextend yourself and get swamped in commitments that you dont enjoy. Instead, select clubs and activities that match your passions and your personality. Appreciate the Importance of Sleep We all joke around a lot about the poor sleep habits of teens. But the reality is that you have to find a way to get enough sleep. Lack of sleep leads to poor concentration, and poor concentration leads to bad grades. Youre the one who pays the price if you dont sleep enough. Force yourself to turn off the gadgets and go to bed early enough to get a good nights sleep. Do Things for Yourself Are you the child of a helicopter parent? If so, your parent is not doing you any favors by saving you from failures. Parents who monitor every bit of a childs life, from waking them in the morning, to monitoring homework and test days, to hiring professionals to help with college preparations; those parents are setting students up for failure in college. Learn to do things for yourself and ask your parents to give you space to succeed or fail on your own. Communicate with Your Teachers You dont have to be best friends with your teacher, but you should ask questions, accept feedback, and give feedback when your teacher asks for it. Teachers appreciate it when they see that students try. Practice Active Study Methods Studies show that you learn more when you study the same material two or three ways with a time delay between study methods. Rewrite your notes, test yourself and your friends, write practice essay answers: be creative and be active when you study! Give Yourself Plenty of Time to Do Assignments There are so many reasons you should get an early start on assignments. Too many things can go wrong if you procrastinate. You could come down with a bad cold on the night before your due date, you can find that youre missing some needed research or suppliesthere are dozens of possibilities. Use Smart Test Prep Studies show that the best way to prepare for a test is to create and use practice tests. For best results, use a study group to create test questions and practice quizzing each other. Eat Well to Feel Better Nutrition makes a world of difference when it comes to brain function. If you feel groggy, tired, or sleepy because of they way you eat, your ability to retain and recall information will be impaired. Improve Reading Habits In order to remember what you read, you will need to practice active reading techniques. Stop every few pages to attempt to summarize what youve read. Mark and research any words that you cant define. Read all critical texts at least twice. Reward Yourself Be sure to find ways to reward yourself for every good result. Make time to watch a marathon of your favorite shows on the weekends, or take time to have fun with friends and let off a little steam. Make Smart College Planning Choices The goal of most high school students is to gain acceptance into a college of choice. One common mistake is to follow the pack and select colleges for the wrong reasons. Big football colleges and Ivy League schools might be great choices for you, but then again, you might be better off at a small private college or a middle-sized state college. Think about how the college you pursue really matches your personality and your goals. Write Down Your Goals Theres no magical power to writing down your goals, except that it helps you identify and prioritize the things you want to accomplish. Turn your ambitions from vague thoughts to specific goals by making a list. Dont Let Friends Bring You Down Are your friends seeking the same goals as you? Are you picking up any bad habits from your friends? You dont have to change your friends because of your ambitions, but you should be aware of the influences that might affect you. Be sure to make choices based on your own ambitions and goals. Dont make choices just to make your friends happy. Choose Your Challenges Wisely You may be tempted to take honors classes or AP courses because theyll make you look good. Be aware that taking too many challenging courses can backfire. Determine your strengths and be selective about them. Excelling in a few challenging courses is much better than performing poorly in several. Take Advantage of Tutoring If you have the opportunity to receive free help, be sure to take advantage. The extra time you take to review lessons, solve problems, and talk over the information from class lectures, will pay off in your report cards. Learn to Accept Criticism It can be disheartening to find lots of red teachers marks and comments on a paper you spent hours crafting. Take the time to read the comments carefully and consider what the teacher has to say. Its sometimes painful to read about your weaknesses and mistakes, but this is the only way to really avoid repeating the same mistakes over and over. Also notice any patterns when it comes to grammar mistakes or wrong word choices.

Friday, November 22, 2019

Overview of Life Expectancy

Overview of Life Expectancy Life expectancy from birth is a frequently utilized and analyzed component of demographic data for the countries of the world. It represents the average life span of a newborn and is an indicator of the overall health of a country. Life expectancy can fall due to problems like famine, war, disease and poor health. Improvements in health and welfare increase life expectancy. The higher the life expectancy, the better shape a country is in. As you can see from the map, more developed regions of the world generally have higher life expectancies (green) than less developed regions with lower life expectancies (red). The regional variation is quite dramatic. However, some countries like Saudi Arabia have very high GNP per capita but dont have high life expectancies. Alternatively, there are countries like China and Cuba that have low GNP per capita have reasonably high life expectancies. Life expectancy rose rapidly in the twentieth century due to improvements in public health, nutrition and medicine. Its likely that life expectancy of the most developed countries will slowly advance and then reach a peak in the range of the mid-80s in age. Currently, microstates Andorra, San Marino, and Singapore along with Japan have the worlds highest life expectancies (83.5, 82.1, 81.6 and 81.15, respectively). Unfortunately, AIDS has taken its toll in Africa, Asia and even Latin America by reducing life expectancy in 34 different countries (26 of them in Africa). Africa is home to the worlds lowest life expectancies with Swaziland (33.2 years), Botswana (33.9 years) and Lesotho (34.5 years) rounding out the bottom. Between 1998 and 2000, 44 different countries had a change of two years or more of their life expectancies from birth and 23 countries increased in life expectancy while 21 countries had a drop. Sex Differences Women almost always have higher life expectancies than men. Currently, the worldwide life expectancy for all people is 64.3 years but for males its 62.7 years and for females life expectancy is 66 years, a difference of more than three years. The sex difference ranges from four to six years in North America and Europe to more than 13 years between men and women in Russia. The reasons for the difference between male and female life expectancy are not fully understood. While some scholars argue that women are biologically superior to men and thus live longer, others argue that men are employed in more hazardous occupations (factories, military service, etc). Plus, men generally drive, smoke and drink more than women - men are even more often murdered. Historic Life Expectancy During the Roman Empire, Romans had an approximate life expectancy of 22 to 25 years. In 1900, the world life expectancy was approximately 30 years and in 1985 it was about 62 years, just two years short of todays life expectancy. Aging Life expectancy changes as one gets older. By the time a child reaches their first year, their chances of living longer increase. By the time of late adulthood, ones chances of survival to very old age are quite good. For example, although the life expectancy from birth for all people in the United States is 77.7 years, those who live to age 65 will have an average of almost 18 additional years left to live, making their life expectancy almost 83 years.

Thursday, November 21, 2019

Porter's five forces models Essay Example | Topics and Well Written Essays - 750 words

Porter's five forces models - Essay Example Porter`s five competitive forces include the bargaining power of buyers, the bargaining power of suppliers, threat of new entrants, potential substitute products and the level or extent of rivalry among the competitors. The model of five forces can also be used to analyze the bread making industry of the UK (Daft, R. et al 1991). The bread making industry of UK is one of the largest markets of the entire food industry and is worth approximately ?3.4 billion. The UK baking industry is divided into three sectors, large plant bakers which control 78% of the market, the in-store bakeries produce around 17% of bread and the master bakers or the craft bakers produce the remaining which is 7% of the bread produces in UK. These three sectors of the industry are competitive and there is competition within each of these sectors as well which results in a high level of competition in the entire bread making industry of UK. The large plant bakers, for example, include three large plant manufactu res and the largest of these is the Warburtons and together all of these control almost 3/4th of the large plant bakery sector. ... The three main manufactures of bread in UK are Premier foods (Hovis), Allied Bakeries (Kingsmill) and the largest producer, Warburtons. These companies produce 80% of the bread sold in UK and therefore, the level of competition between these industries is also high as they compete to cater to the larger portion of bread market in UK. Another force is threat of substitute products which is also high in this industry. According to the Federation of Bakers, everyday almost 11 million loaves of bread are sold in UK with a total volume of fewer than 4 billion units with a variety of almost 200 different bread products available for the consumers. Therefore, there are a lot of substitute products available for the consumers of this market. As far as the bargaining power of suppliers is concerned, most of the bread sold in this market of UK is produced by local or domestic companies. As there are a number of dominant suppliers in the market (Premier foods, Allied Bakeries, Warburtons), they have a certain level of power over the market as together they control more than half of the market. They can exercise this power by collaborating and dividing the market amongst themselves. As a result, they could even stop new companies to enter the market and could even set prices to earn high profits. Therefore, it is quite difficult for new companies to enter this industry as the market share of the industry has already controlled by the three dominant suppliers. As a result, new entrants would have a limited margin for expansion. Also that they might not be able to compete with these dominant suppliers as they already have positioned themselves

Tuesday, November 19, 2019

Impact Of Music File Sharing On The Production Of New Music Essay

Impact Of Music File Sharing On The Production Of New Music - Essay Example The modern trend of business provides a great deal of importance to capitalize over cultural aspects that are integrally associated with social upbringing of an individual. Music is one such medium that incorporates within its scope diverse aspects of the social existence and acceptance, popularity or support for an artist or for a particular form of music varies according to the extent of using cultural traits and their commercialization in the modern business scenario. Compared to the earlier time, though music and various forms of performing art remained as a source of income or doing business since time immemorial, it never took form of an organized business industry as that of the recent situation. The post Industrial Revolution era witnessed a general trend provided a spontaneous impetus to the humankind to find all possible means to accumulate financial capital and encourage capitalism. Such capitalist aggression also blocked the natural right of common people to enjoy and con sume the products of their respective cultures and it also suggested that if such rights are to be obtained, an individual is required to pay certain amount of price. Interestingly, the process of such prohibition also received legal acknowledgment in terms of protecting rights of an artist and encouraging the production of cultural artifacts: â€Å"Cultural production, like other areas of production, underwent a transformation as the Industrial Revolution gathered steam. It became possible to mass-produce cultural artifacts† (Giese, 2004, p. 348).

Sunday, November 17, 2019

Film Analysis Update Essay Example for Free

Film Analysis Update Essay I have selected the film â€Å"Elizabeth: the Golden Age† because I became extremely fascinated on why of all the monarchs who have ruled England, she is the monarch that has been included in various forms of literature as well as having an era in England’s history named after her. After selecting the film for this paper, I first watched the entire movie without pausing and just noting down scenes that I considered as the most important. After that I watched the film again carefully so much so that I would pause the film once in a while in order to note down important parts of the film. My next step was to go to the Library and began to study the book â€Å"England’s Elizabeth: an Afterlife in Fame and Fantasy† by Michael Dobson and Nicola J. Watson in order to get a better understanding how authors, poets and filmmakers have depicted Queen Elizabeth I in various forms of literature and productions. The best resource materials I came across were â€Å"Behind the Mask: the Life of Queen Elizabeth I† by Jane Rush Thomas since it gave a very objective outlook on the life of Queen Elizabeth I. In the paper, the summary of the film would first be presented on the paper followed by the presentation of information from resource materials which would either support or challenge certain scenes in the movie, specifically the role of Mary Stuart in the attempted assassination of Queen Elizabeth I and the war between Spain and England. From there a comparison on the accuracy of the depiction of this chapter in the life of Queen Elizabeth I in the film will be analyzed since there were some events shown in the film that appear to contradict historical documentations.

Thursday, November 14, 2019

Essay --

Inequality refers to the differences in living conditions in a society; it could also be defined as an unequal distribution of a country’s resources across its population. Inequality is obviously an important issue, since higher levels of inequality will usually translate into higher levels of poverty, crime and social unrest. However, it is often ignored by society. This is because people have many misconceptions about inequality and it’s origins. Some argue that there is an equality of opportunity and that it’s people’s fault if they earn less than they should. However this is a myth, since most hard working low-income students rarely attend college and when they do, they usually attend public universities. Which leaves them at a great disadvantage, so the idea that poor people are poor because they ‘haven’t worked as hard’ or because they are ‘lazy’ is a very ignorant one, which people choose to believe in ord er to justify inequality. I decided to explore inequality further because it is deeply rooted in Egyptian society; it is one of the few places where you can find luxurious, five-star hotels right next poverty-stricken slums and since the revolution the problem of inequality has been a hot topic in Egyptian society and politics. Egypt’s Gini coefficient, which is the most commonly used measure of income inequality, stands at around 30.7 (World Bank 2009). Inequality is seen as limiting to both Egypt’s potential economic growth and to the desired reduction in poverty. Agricultural economics expert Nadia Belhaj Hassine sums up inequality perfectly in the World Bank review of inequality of opportunity in Egypt: Inequality of outcomes, such as in income or education, reï ¬â€šects differences in effort an... ...reasing trade liberalization. This includes policies such as tarrif reductions, which have lead to expansions of many economic sectors, which in turn have reduced inequality for urban and rural skilled men, as well as for women (gender inequality) and has seen increased employment opportunites for women. However, the success of such policies in reducing inequality had its limitations, as at the same time there has been an increase in inequality for unskilled men and for skilled women in rural areas (Chahir & Zaki 2012). It can be said that such trade liberalization policies are partially responsible for Egypt’s declining income inequality as the expansion of certain sectors has reduced gender inequality and inequality between rural and urban areas, while increasing inequality for men who are unskilled and skilled women in rural areas.

Tuesday, November 12, 2019

CRITIQUE OF CURTIS’ A NOTE TO STUDENT ART DIRECTORS

Hal Curtis’ â€Å"A Note to Student Art Directors† is an inspirational, simple to read article about the need for greater creativity in the advertising world.   The author believes that there are formulas that are already in place and known to sell.   The art director’s job is to add more originality to the simple formulas.   To put it another way, the author advises the budding art director not to forget about the word, ‘art,’ once he or she has managed to land a dream job in an advertising agency used to selling advertisements created with standard formulas.  Ã‚  Ã‚  Ã‚   The most essential portion of the article driving the point home begins and ends thus: â€Å"Here’s the thing†¦. But not the art part.†[1]   To encourage art directors to remain connected to originality and creativity – central to being an artist – Curtis offers several pointers toward the end of the article.   He mentions â€Å"execut ion† before this.[2]   According to him, art directors must not only remain focused on fine arts but also able to convey their originality and creativity in the advertisements that they play a role in creating.   These portions of the article persuade the reader to believe in the message of the author.  Ã‚  Ã‚  Ã‚   Although the author does not provide evidence of lack of creativity in the world of advertising, nearly everybody in the worlds of art and business is aware of the importance of creativity and innovation.A formula that sells does not ask for anything else unless an art director has risen above mediocrity to help in the creation of an advertisement that is entirely unique.   Even though Curtis does not mention this – it is quite possible for the art director’s originality to be rejected at first.   Then again, as the author would advise, it is for the art director to remain loyal to art.BibliographyCurtis, Hal. â€Å"A Note to Student Art Di rectors.†[1] Hal Curtis, â€Å"A Note to Student Directors.† [2] Ibid.

Saturday, November 9, 2019

Abolitionism and the Uplift Movement

Justin Schenck March 7, 2013 Abolitionism Prof. Price The Uplift Movement and Origins of the â€Å"Black† Church In the late 18th century after the end of the revolution many new opportunities and hopefully thinking caused African Americans to start fighting for equality through the Uplift movement. This was an era where the Great Awakening and Enlightenment were becoming much more popular nationwide. Secret abolition societies and organizations were sprouting up all across the new Republic.These free thinkers and new anti-slavery organizations called for the need of a place to gather without racial discrimination and where the members could feel comfortable. I believe that the solution for this problem was the development of African American churches where racial segregation was not present and the black community along with white activist could gather comfortably for worship, opportunity, social/scholastic education, and held as a place for various activist meetings.The firs t of the churches was founded by two former slaves, Richard Allen and Absalom Jones. The African Methodist Episcopal Church was established in 1792. These churches created many leaders in the fight for racial equality and the abolishment of slavery. The churches were open to both free blacks and slaves. White slave owners would bring their slaves to church with them and justified slavery by saying that the church is teaching them Christianity even though they experienced very little access to a quality service.These new â€Å"black† churches gave African Americans the chance to decipher the bible in their own way and spiritual traditions which have carried on still to this day. Along with these new traditions created leadership roles in the church which were nonexistent in the mainstream churches. Not only were these churches a place for comfortable worship but also served as a â€Å"headquarters† for meetings among the anti-slavery and racial equality groups. Without these places for opportunities like jobs, petition rives, activist meetings, and schools the racial discrimination wouldn’t have gotten any better any faster. The schools created the knowledge to understand how to make it as a free person in the white society. Freed blacks were becoming much more literate which helped them learn how to fight for equality along with the religious side of equal rights for all men. Of course there were struggles along the way. The churches suffered violence from white denominations but the â€Å"black† churches would not fail under strong leadership.These preachers encouraged economic growth through community member’s donations and drives. This economic growth funded the schools and literacy programs. Also, Black leaders began to focus on politics and setting political goals. This was a time of growth all across the board and was the foundation of building a strong community, economic growth, and possibly most of all creating oppor tunity for leadership that had not been seen before.

Thursday, November 7, 2019

Privatization of Health Care System in Canada Essays

Privatization of Health Care System in Canada Essays Privatization of Health Care System in Canada Paper Privatization of Health Care System in Canada Paper Arguments both for and against the privatisation of Canada’s health care are plentiful. There is evidence by looking at any Canadian newspaper, television news program, or news oriented website on the Internet. Election polls consistently rank health care as Canadian voter’s number one concern (Wickens, 2000, 26). Reasons for supporting a two-tier system include reducing line-ups in the so called â€Å"cash? strapped† system (Fennell, 1996, 54), and to allow Canadian doctors a financially viable alternative to the United States by presenting the option to set your own wages as well as the luxury of more flexible working hours. Supporters of the blended private? public system insist that privatisation is required to advance technology and decline government budgets (Vanagas, 1995, 24). However, those worried about a change in the way this country delivers its health care feel a two-tier system would be â€Å"unCanadian† (26). In this paper I will attempt to discover for the positives and negatives of an implementation of a two? tier health care system in my home province of New Brunswick as well as the rest of Canada. Two? tier health care can be simply defined as a health care plan that will allow for a private or for? profit system to operate along side Medicare (Marshall, 200, 48). The system will allow the opportunity for those people who are willing to pay for health care to do just that. Ideally, it will take pressure off the current Medicare system by shortening waiting lists and generating revenue. The form of two-tier being proposed in New Brunswick involves a private system that will operate parallel to the current public system and will allow people to purchase private insurance if so desired (Deber et al, 1999, 539? 43). Some politicians like to define two? tier health care in different terms. BC Health Minister Paul Ramsey says, â€Å"I cannot think of a clearer definition of a two? tier health system than having one set of services available to those who have large bank accounts and can afford to just go to it and another public system for the rest of us. † This politician is obviously voicing his negative opinion of the proposed system by constructing this biased definition. I believe politicians try to appeal to voters by voicing emotional tirades about proposed alternatives to Medicare. Dr. Edwin Coffey, a past president of the Quebec Medical Association and a well-known supporter of two tier health care explains the system in this way, â€Å"In a parallel, non-competitive health insurance system, everyone pays into the universal public system also has the option of paying for private health insurance. † Before presenting the arguments that push for the implementation of a two-tier system, there is evidence that two-tier health care already exists in this country. Dr. Coffey brings to our attention that, â€Å"thanks to money, connections, influence, geographic location, level of intelligence, and availability of highly trained physicians and up-to-date technology, (some) get served first or better. † A good example of this already existing two-tier health care is the ironic case of Allan Rock, the present Federal Minister of Health. It is suspected that Rock was able to use his influence, whether directly or indirectly, to speed his wait to receive treatment. Another example supporting this theory is how our health system takes full advantage of a private system by paying and insuring â€Å"medically necessary† services such as physiotherapy, MRI tests, massage therapy, etc. (Deber et al, 1999, 539). Why is there so much controversy hovering around this issue now? Is there an alarming trend that is occurring that is making our government nervous about the integrity and stability of our health care system? Or are people beginning to notice a subtle emerge of private health care into our system? There is evidence to suggest both hypotheses. To support the latter you have to look no further than Bill 11. The controversial bill was passed in May 2000 in the province of Alberta to set new standards for private clinics by allowing publicly funded minor surgeries to be contracted to them (Palmer, The Edmonton Sun, 2001). With a passing of a bill like this I can see why some people might suspect that a trend toward two-tier is beginning. Actually, since 1975, health care purchased privately has reached above 28 per cent from less than 24 per cent (Fennell 54). You do not have to research for very long to realize that our system is riddled with problems. Our government is struggling to save money that is being spent on Medicare. Since 1993, 6,000 hospital beds have been closed across the country (54). In Ontario, health care funding has been cut from $707 million to $407 million (Turner, 1999, 13). There is also the problem regarding a doctor shortage. A recent college paper has indicated the decline of family physicians (FP’s) in the province of Ontario (Sibbald, 1999, 561). The report explains that in 1980, about one thousand doctors became FP’s in the province of Ontario, in 1997, only 187 moved into this field. I believe a private system would make it more appealing to a young medical student to practice in Canada where they will be able to set their own wages, their own hours, and other benefits seen in private clinics. Finally, there is growing concern among the people of this country about the stability and integrity of our health care system. This was clear in a 2000 MacLean’s conducted poll, which revealed for the second year in a row that the issue of health care is the main concern of Canadians (Marshall, 2000, 48). An article in the British Medical Journal revealed that the percentage of Canadians satisfied with the health care system dropped from 56 per cent to 20 per cent between 1987 and 1997(Spurgeon, 2000, 1295). There are many problems plaguing our current health care system among them waiting lists seem to be a major concern among Canadians. A survey reported in an article in the Canadian Medical Association Journal (Sanmartin et al, 2000, 1305), claimed that almost two-thirds of those surveyed felt that waiting times for surgery had grown over the previous 12 months, and half felt that access to specialists had become more difficult. Daniel Doyle, a cardiovascular surgeon from Laval University described how patients are dying while on waiting lists for bypass surgery. This was reiterated by an article in Canadian Business (Turner, 1999, 13), which described the unfortunate death of a 59-year-old Toronto machinist who died of a heart attack while waiting for an angiogram. An angiogram is a test done to determine if a heart condition is present. Also in this article it is apparent that doctor’s concerns are rising dramatically. I feel that waiting lists will be reduced if people have an alternate parallel system to seek their health care. There is also some concern among doctors that their ability to provide quality health care in this country is reduced because of our system. This was demonstrated in the case of Dr. Jacques Chaoulli, a FP in the province of Quebec. His case was reported in a 1999 article in the Canadian Medical Association Journal by Susan Pinker. He has created a mobile emergency room in a van that is equipped with an X-ray machine, a darkroom, a portable electrocardiograph, intravenous equipment as well as other medical equipment. His plan was to charge people for his emergency medical care. However, under the Quebec Health Care Act, it is illegal for him to sell his private medical service. In pure Hippocratic Oath style, Chaoulli has retorted, â€Å"I have a duty to provide a good service to my patients. No one should interfere. No one should block me when I want to help my patients and alleviate their pain. † Embedded in the Hippocratic Tradition is Percival’s Code of 1803 which describes the duty a physician must fulfil to benefit the patient (Veatch, 2000, 6). It seems that because of the current health care system, Chaoulli feels that he is being prevented to completely fulfil his duty to benefit the patient. By allowing the doctors the option to work in a private health care setting, we are allowing them more of an option to fully benefit their patients by removing the confines of long waiting lists and legal issues about the degree of health care they can provide (I. E. , providing a medical emergency van which would be extremely useful to those people confined to their homes). There is evidence that private health care already exists to some extent in this country. Former president of the Canadian Medical Association, Judith Kazimirski explains, â€Å"We are allowing passive private medicine to move in . . . in an unregulated and unplanned way. † This statement was made in 1996, and only Bill 11 passed in Alberta is all the significant action that has taken place. I believe that if something is introduced into society laws and regulations must be placed on it. For example a new drug finds its way into our society, it has healing powers but if used in alternate ways, it is a very appealing recreational drug. It would be expected that laws would be put into place to help regulate its use. The above mentions notions are ones that paint the possibility of a Two-Tiered system in a positive light. There are however, many countervailing arguments on this topic. Firstly it is the argument of whether or not we are morally obligated to prevent the transition of health into a buyable commodity. People feel that it is unfair to profit from vulnerable families or individuals when they are ill (Weir, The Telegraph Journal, 2001). People also see the danger in health care becoming a commodity with risk of costs going up and up just to see what the market will stand. Another argument is one, which is bounded in the legalities of the Canada Health Act (1984). The claim is, the Act was explicitly designed to prevent the birth of a two-tier system (Shortt, 2000, 1291). The Canada Health Act (1984) is based on five words: pubically administrated, comprehensiveness, universality, equality, and portability (Kluge, 1999, 48). Kluge argues that part of the foundation of the Act is prevention of the ability to pay to improve your access to health care. The argument exists that private clinics by symbolizing inequality are not following the principle of universality in the Canada Health Act (1984), (Vanagas, 1995, 24). However, arguments to help defend against this stand are quite present. Most notably, an article included in the Kluge text written by John K. Iglehart. He makes comparisons between the Canadian health care system and systems used in the US and UK. Firstly what needs to be acknowledged here is the tremendous pride many Canadians take in our health care system. Al Yarr, a retired physical education professor in Halifax says that, â€Å"Our health care system is one of the things that make Canada great†. Iglehart replies to this â€Å"romantic† idea of a health care system making your country great by explaining how the system is outdated and is not able to cope with rising costs. He points out that: In the face of a large deficit, the national government continues to reduce its financial commitment to the plans; patients and practitioners are demanding access to the latest forms of medical technology; the supply of physicians continues to increase at a rate out-stripping the growth of the population; and doctors are restive as provinces work more aggressively to stem the rise in health expenditures. Another countervailing argument that has been documented is the inability of a two-tier system to reduce waiting lists. As well, the question of whether there really is a waiting list problem in our country. Studies published between 1996 and 1998 reported no significant increase in waiting time for most surgical procedures (Spurgeon, 2000, 1295). Another argument I have come across, is the possibility that a private sector will have the capacity to drain talent from the public sector (Marshall, 2000, 48). Is there a possibility that there could be regulations put in place to reduce the chance of a trend like this occurring? For example, perhaps a doctor must work for so long in the public sector before being able to earn the â€Å"right† to work in the private sector. Throughout the articles I have researched those are the main countervailing arguments. That is to say, they appeared most throughout the articles. In conclusion, I would like to state that when I took on this topic I was relatively impartial. I have always considered myself quite conservative and naturally envisioned myself writing a paper opposed to a proposed two-tier health care system in this country. As I continued reading articles, I realized that many of the arguments against such a system were lacking. Several were based on the idea of making our country a wonderful place to live. I realized now that there is nothing great about a health care system that is not financially viable in the ever-increasing technology base health care society we are now emerged.

Tuesday, November 5, 2019

Gurus and other Teachers

Gurus and other Teachers Gurus and other Teachers Gurus and other Teachers By Maeve Maddox A reader expressed her disappointment when I left guru off my list of English words that end in u. I’ll endeavor to make up for the omission with this post about guru and other terms for teachers. 1. teacher I’ll begin with the generic word teacher, an Old English word related to token. A token is something that serves to indicate a fact. â€Å"To teach† is to show in the sense of â€Å"to guide, to show the way.† To teach something is to convey knowledge or give instruction. 2. tutor The Latin noun tutor derived from a Latin verb meaning â€Å"to watch or guard.† A tutor was a protector. In Roman law, a tutor was the guardian of a legally incapable person. The English word has been used in the sense of â€Å"custodian of property,† but its most familiar use is as â€Å"a person in charge of looking after or instructing a young person.† In modern American usage, a tutor is a paid or unpaid teacher who provides one-on-one instruction. Tutor is also used as a verb. 3. mentor The word mentor is an eponym, a word derived from the name of a person. When Odysseus left for the Trojan War, he placed his son Telemachus in the care of a wise old friend named Mentor; the goddess Athena, disguised as Mentor, guides and counsels Telemachus. A mentor, therefore, is a person who guides and advises another–usually younger–person. In American usage, the word is often used to refer to an experienced person in a company who trains and counsels new employees. College students are assigned mentors to help them settle into academic life. Mentor is also used as a verb. 4. sage A sage is a person of profound wisdom. The word derives from a Latin verb meaning â€Å"to be wise†; the verb’s present participle, sapiens, means wise. The noun sage is not much used in modern English, but the adjective sage is often seen, especially in the clichà © â€Å"to offer sage advice.† 5. maestro English has its own version of this word: master. A master or maestro is one who has achieved eminence in a skill or a profession. Taken from the Italian, maestro [MY-stro] usually refers to an eminent musician. Note: Several words borrowed by English to denote a wise person–including guru– derive from Sanskrit. 6. pundit This word for â€Å"a person who makes authoritative comments or judgments† is from a Sanskrit word meaning learned or skilled. In modern India, the word survives as pandit: â€Å"a learned person; a Hindu priest or teacher.† In modern American speech, the word pundit is usually applied to people who comment on current affairs or specialized fields. 7. guru Originally an adjective meaning â€Å"weighty, grave, dignified,† Sanskrit guru came to mean a Hindu spiritual teacher or head of a religious sect. In modern American usage, the word is used loosely to refer to just about anyone who knows a lot about some subject. 8. swami The Hindu word swami translates as â€Å"master, lord, prince† and is used by Hindus as a term of respectful address. Swami can also refer to a Hindu temple, idol, or religious teacher. 9. sadhu If you’ve read Kim by Rudyard Kipling, you’ve seen this word spelled saddhu. A sadhu is an Indian holy man or saint. The word comes from a Sanskrit adjective meaning â€Å"effective, correct, good.† 10. rishi A rishi is a holy seer, specifically one of the holy poets or sages credited with the composition of the Veda writings. 11. maharishi A maharishi is a â€Å"great rishi,† a Hindu sage or holy man. In the late 1960s and early 1970s, the Maharishi Mahesh Yogi achieved worldwide fame as guru to  the Beatles,   Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:20 Computer Terms You Should KnowWhen to Form a Plural with an Apostrophe20 Slang Terms for Law Enforcement Personnel

Sunday, November 3, 2019

Compare and contrast the views of Howard Zinn's presentation of the Essay

Compare and contrast the views of Howard Zinn's presentation of the Vietnam War to the American Promise text - Essay Example both Zinn and the American Promise text begin by describing the combatants, the American Promise text seems to tacitly cast their communist leanings as irrational and in-direct opposition to freedom. Conversely, Zinn elevates their position to equal footing with the United States. Zinn describes North Vietnam as, â€Å"a nationalist revolutionary movement in a tiny, peasant country† (Zinn). One can easily argue that Zinn is even romanticizing the North Vietnamese movement, casting them in the mythic role as David in a battle with the United States’ Goliath. Zinn’s historicism goes on to explore the perspective of the North Vietnamese in more sympathetic details than the American Promise text. Where the American Promise text identifies the promise Kennedy made in fighting against Communist aggression, Zinn’s history notes the Atlantic Charter which promised the people the right to choose their own government. It shows that despite such a document, pleas by the North Vietnamese to President Harry Truman went unrecognized. The American Promise also focuses predominantly on the Vietnam War once it was started, and not the factors that ultimately caused the United States’ participation. While of this is surely attributed to the fact that it focuses on American History, key facts are left out, which Zinn includes. One of the most notable of these is that after the French left Vietnam there was scheduled to be an election that would unify the country. It was the United States that stepped in and prevented these elections from occurring, and placed a Vietnamese man who had previously resided in New Jersey in office. Quoting the Pentagon papers, Zinn states, â€Å"South Viet Nam was essentially the creation of the United States" (Zinn). When considering the Gulf of Tonkin incident the two textbooks have slightly different perspectives. While the American Promise acknowledges that there might be more to the attacks than was initially reported by the United States