Tuesday, March 17, 2020
The Cultural Revolution of the 1920s Essays
The Cultural Revolution of the 1920s Essays The Cultural Revolution of the 1920s Essay The Cultural Revolution of the 1920s Essay The 1920s were times of cultural revolution.The times were changing in many different ways.Whenever the times change, there is a clash between the old and the new generations.The 1920s were no exception. In Dayton, Tennessee, 1925, a high school biology teacher was arrested.He was arrested because he taught the theory of evolution. The teacher, John T. Scopes, was accused of having violated the Butler Act.This was a Tennessee law that forbade the teaching of the theory of evolution in public schools.The Tennessee legislature felt that teaching evolution was wrong because it contradicted the creation theory of the Bible.The Scopes trial received worldwide publicity.The press nicknamed it the Monkey Trial because, people believed that the theory of evolution meant that humans were descended from monkeys. Clarence Darrow was the defense lawyer.Former U.S. secretary of state William Jennings Bryan was the prosecutor.The defense argued that the Butler Act was unconstitutional.They did n ot deny that Scopes had broken the law. He was convicted and fined $100. Darrow was quoted as saying, Scopes isnt on trial, civilization is on trial.The world was changing and scientific advances made it harder to fully accept the Bibles interpretation of creation.The older generation seemed set in their ways.It would seem that a science was on trial defending itself against traditional beliefs. The Red Scare was the result of wartime tensions.There was a growing fear of communism during the 1920s.The Red Scare became like a witch-hunt.Everyone was suspicious of each other.U. S. Attorney-General Palmer planned a round up of communists.January 2, 1920, he ordered department raids on meeting halls and homes in thirty cities nationwide to gather all suspected communists.Twenty seven hundred people were arrested without being charged with a specific crime.In all, more than 6,000 people were arres
Sunday, March 1, 2020
Mauvais - French Expressions
Mauvais - French Expressions The French word mauvais literally means bad and is also used in many idiomatic expressions. Learn how to say mean trick, weed, ill repute, and more with this list of expressions with mauvais. French Expressions Using Mauvais avoir mauvaise mine to look unhealthy La balle est mauvaise. (tennis) The ball is out. faire un mauvais coup to play a mean trick (on someone) se faire du mauvais sang to worry en mauvais tat in bad condition un mauvais contact faulty connection un mauvais coucheur awkward customer une mauvaise excuse poor excuse la mauvaise graine bad seed, bad lot une mauvaise herbe weed une mauvaise langue a gossip un mauvais lieu place of ill repute le mauvais il evil eye Les mauvais ouvriers ont toujours de mauvais outils. (proverb) A bad workman always blames his tools. mauvais rapport qualit-prix poor value le mauvais temps bad weather regarder lil mauvais to look threatening, to fix someone with a threatening look recevoir un mauvais coup to get a nasty blow
Friday, February 14, 2020
Non infectious diarrhea or hemorroids Annotated Bibliography
Non infectious diarrhea or hemorroids - Annotated Bibliography Example Dearterialization by THD Doppler method and DG-HAL entails the joining of haemorrhoidal arteries, which has proven successful. Persistent bleeding is not evidenced in most of the patients. Patients undergoing this procedure did not complain of fecal incontinence and every patient reported progress in symptoms after a follow up of between 3 and 17 months. This procedure was used on patients with bleeding hemorrhoids who failed to respond to office or medical treatment methods. The patients underwent the Distal Doppler-guided dearterization (DDD) with an enema and anesthetic with propofol given as a painkiller in every patient before the procedure. During the operation, breathing was sustained through a laryngeal mask and no antibiotics were administered. Patients were laid in lithotomy positions and only one surgeon carried out the procedure. Using proximal Doppler-guided dearterialization alone could be unsuccessful in identifying the haemorrhoidal arteries at various places because of the possibility of extending further downward below the submucosa, especially the frontal rectal wall. This theory is sustained by the increased number of patients reporting persistent bleeding after proximal Doppler-guided dearterialization was used alone. Therefore, haemorrhoidal treatment using Distal Doppler-guided dearterization (DDD) was found t o be an effective and safe method of treatment with bleeding being rare. Ratto, C., Donisi, L., Parello, A., Litta, F., Zaccone, G., & Simone, V. (2012). Distal Doppler-guided dearterialization is highly effective in treating haemorrhoids by transanal haemorrhoidal dearterialization. Colorectal Disease, 14 (11),
Saturday, February 1, 2020
Possibility of developing voice recognition system in an aircraft Research Paper
Possibility of developing voice recognition system in an aircraft - Research Paper Example But with an increase in air traffic, thanks to the continued technological innovation in the world today, new methods of communication in aircrafts have been devised in order to curb increased traffic along with the errors that occurred with voice radio and the need to incorporate even the disabled into the profession of piloting (Adams, 2009). Able Flight is a non-profit organization, which offers scholarships to people who have desire to training in the aviation industry. This organization works in conjunction with institutions that offers pilot training. Since it is non-profit, Able flight thrives on the generous donations of well wishers, corporate sponsorships and funding from the foundation. The IRS principles and policies are the ones that govern this organization. Its objective is, to help the handicapped and disabled to get the attitude and knowledge and ability to fly a plane. This is because the disabled need distinct solutions in aircrafts that will help them become pilot s just like others. An instance would be the use of voice recognition systems in aircraft. This would ensure that the hands of the pilot are not need in order to communicate with air traffic controllers. Important to note is that, the Able flight program does not only assist the disabled but also looks to help those who are normal and have a passion to fly planes along with the interest but then lack the ability. The main aim is to look into how able flight tries to help the disabled fly planes along with offering solutions to the difficulties that come by during flight training. In the end, this paper will look at the process of implementing voice recognition technology in a pilot's communication with air traffic controllers as argued by (Chen, 2006). Able flight helps disabled people to fly airplanes in several ways. This organization however does not offer flight training classes but teaches life lessons to the disabled, which helps them become good pilots and flight attendants. Able flight works with different schools of flying such as the Purdue University. This organization has been working with the said university for the past two years and two students have been taken to the university and taught to fly. Each of the two students has a disability which to date has been a hindrance to them become pilots or looking into the aviation industry. Regardless of this, with help from the scholarships from Able flight and the special aircrafts, the two have gotten light sport pilot certificates after a 5-week training period. Jacky (2008) argues that the most interesting part of the whole program is that, scholars can cover the whole package in a month while the flight scholars at Purdue take about six months to finish the course. Due to the density of the schedule at Purdue, the scholars and flight instructors take most of their time at the airport, in the classroom and in their specially modeled aircraft (Jacky, 2008). A partial day engross an early morning arr ival, 90 minutes of flying, debate, more flying and landings, lunchtime meals, even intense flying and ground institute lessons. Note that, all of these things take place at the Purdue University campus flight school, which does not mean that, Able Flight has no role that it plays. As far as those disabled scholars are concerned, Able Flight must participate or take part in ensuring that they obtain exactly what they went to acquire. The organizational program is developed in a way that, it has to follow up the studentsââ¬â¢
Friday, January 24, 2020
Reality and Illusion in Death of a Salesman :: Arthur Millers play Death of a Salesman
Reality and Illusion in Death of a Salesman In Arthur Miller's play, Death of a Salesman, the major theme as well as the main source of conflict is Willy's inability to distinguish between reality and illusion. Willy has created a fantasy world for himself and his family, a world in which he and his sons are great men who "have what it takes" to make it in the context of business and free enterprise. In reality, none of them can achieve greatness until they confront and deal with this illusion. Willy's most prominent illusion is that success is dependant upon popularity and personal attractiveness. Willy builds his entire life around this idea and teaches it to his children.Ã When Willy was young, he had met a man named Dave Singleman who was so well-liked that he was able to make a living simply by staying in his hotel room and telephoning buyers. When Dave Singleman died, buyers and salesmen from all over the country came to his funeral. This is what Willy has been trying to emulate his entire life. Willy's need to feel well-liked is so strong that he often makes up lies about his popularity and success. At times, Willy even believes these lies himself. At one point in the play, Willy tells his family of how well-liked he is in all of his towns and how vital he is to New England. Later, however, he tells Linda that no one remembers him and that the people laugh at him behind his back. As this demonstrates, Willy's need to feel well-liked also causes him to become inten sely paranoid. When his son, Biff, for example, is trying to explain why he cannot become successful, Willy believes that Biff is just trying to spite him. Unfortunately, Willy never realizes that his values are flawed. As Biff points out at the end of the play, "he had the wrong dreams." In many ways Biff is similar to his father. In the beginning of the play we see that Biff shares many of the same ideas as Willy. He values being well-liked above everything else and sees little value in being smart or honest. One of Biff's main flaws is his tendency to steal. Early in the play we learn that he has stolen a football from the school locker. When Willy finds out about this, instead of disciplining Biff, he says that the coach will probably congratulate him on his initiative.
Thursday, January 16, 2020
Ethical Principles and Codes of Practice Essay
Ethical principles and codes of practice can provide guidance in day-to-day practice. Analyse Peterââ¬â¢s situation in the case study and come to a conclusion about what would be an appropriate response. This essay will analyse the ethical principles and code of practice in relation to the case study of Peter, a man suffering from Alzheimerââ¬â¢s disease and will suggest a course of action for Peterââ¬â¢s situation based upon the application of these principles and the code. It will do this by examining the term ââ¬Ëethicsââ¬â¢ and will focus on four ethical principles found to be relative to the kinds of ethical issues and challenges met within health and social care settings, these will be applied to the case study. Peterââ¬â¢s situation is that of a man, who, at the request of his family, unhappily (but apparently necessarily), moved to Parkside Manor, a small residential care home. Of late Peterââ¬â¢s condition of Alzheimerââ¬â¢s disease has advanced and he has become progressively uninhibited. His behaviour has caused the staff to question Peterââ¬â¢s placement at the care home, as some of the other residents are beginning to become troubled and distresse d by his behaviour. Some staff feel that with the number of residents needing attention, Peterââ¬â¢s needs require more time than they have to give. However Peterââ¬â¢s family are resolute in their decision for him to remain at Parkside. ââ¬ËEthicsââ¬â¢ are defined as ââ¬Ëthe philosophical study of the moral value of human conduct and of the rules and principles that ought to govern itââ¬â¢ (Collins, 2006, p535). Individual values develop over time through socialisation, upbringing and experiences. These values when viewed on a personal level, guide individual actions. Individuals working in the health and social care setting also hold professional values derived from professional training and ideology. Decisions are made using both personal and professional values and all decisions will have an ethical dimension. Historically health and social care practitioners have been directed by principles and guidance, enabling them to develop what is described as a professional morality. Codes of practice have long been seen as regulations guiding practice, with clear standards of conduct (General Social Care Council, 2010, p 4). These usually include some exclusionââ¬â¢s such as disclosure of information but they mainly describe expected forms of conduct. In areas of health and social care ethical principles are used along with codes of practice to guide and enhance the decision-making process. These principles are related to a sense of doing the right thing or that which is moral and with ideas of what is good and bad practice (K217, Book 4, p28).This idea can be problematic and can be viewed both objectively and subjectively. If viewed from an objective point of view, who should be trusted to know what is the objective truth? If subjective, who is the one whose opinion should be listened to? Questions such as these are often at the core of dilemmas. Professionals working within health and social care environments do not just deal with decisions based upon the right and good. Consideration should also be given to ââ¬Ëethical dilemmasââ¬â¢, these are situations when two choices are apparent, both eq ual in morality and ethics (K217, Book4, p29). Pattison and Heller (2001) suggest, ethics and value issues thread their way through normal, daily health care practice, the interpretation of which is open to more than one explanation (K217, Offprints, p131). Although principles guide actions, there is still a need to assess a situation and devise an appropriate response. This assessment and response derive from an individualââ¬â¢s values and training as much as from principles. Ethical principles are important in the field of health and social care. Practitioners need to have the ability to make informed, ethical and justifiable decisions relating to the individuals in their care. This can be difficult when faced with a challenging case. Using a framework to develop a structured way of thinking through a particular ethical situation or challenge can be helpful. The ETHICS framework was developed to assist people working in care settings and offers a structured way of assessing a course of action in order to come to an ethically informed decision. It emphasizes the need to be able to select a course of action based upon guidance, information and established principles, as well as the individualââ¬â¢s beliefs. The framework requires practitioners to firstly, Enquire about the relevant facts of the case, Think about the options that are available to all involved, Hear the views of everyone (including service user, family members and relevant providers), Identify any relevant ethical principles and values which may help to guide the decisionââ¬âmaking process, Clarify the meaning and consequences of any key values and finally Select a course of action offering supporting arguments (K217, Book4, p32). When taking into account the case study, four ethical principles will be examined. These are: respect for autonomy, non-malfeasance, beneficence and justice. The principles are seen as the starting points for the development of ethical approaches to care practice, providing a practical set of principles, which rather than offe ring direct answers to ethical dilemmas, set out useful guiding principles for practitioners when faced with controversial decisions (K217, Book 4, p34). In Peterââ¬â¢s situation, Autonomy or self-determination is complex. Respect for Autonomy refers to a commitment to respect the decision-making capability of an autonomous individual. Autonomy is the freedom to act as a person wishes, to be able to make decisions about their own life and not to be controlled by others. The case study points out that Peter ââ¬Ëunhappilyââ¬â¢ left his home, at the request of his family to move into Parkside Manor, indicating that Peter had no control over this situation. This lack of right to choose where he lives, directly impinges on Peterââ¬â¢s ability to be autonomous and make reasoned informed choices. Beauchamp and Childress (2009) identify two areas necessary for autonomy: Liberty or independence from control and Agency, the capacity for deliberate action (K217, Book 4, p39). When applying this principle to Peterââ¬â¢s case, it could be argued that a diagnosis of Alzheimerââ¬â¢s limits his capabilities to make decisions for himself, limiting capacity for intentional action and so reducing Peterââ¬â¢s ability to function as an autonomous individual. The codes of practice for social care workers (2010) state: ââ¬Ëa social care worker must respect the rights of service users while seeking to ensure that their behaviour does not harm themselves or othersââ¬â¢ (General Social Care Council, 2010, p9, 4.2). This causes a conflict of interest between Peterââ¬â¢s rights to act in a manner that he chooses and that of the other residents, who deserve to be able to move freely about the home without the risk of being upset or distressed by Peterââ¬â¢s actions. Staff may wish to take steps to minimise the potential risk of Peterââ¬â¢s behaviour causing mental harm and upset to other residents and by following risk assessment policies could asse ss the potential risks in this situation (General Social Care Council, 2010, p9, 4.2). Identifying harmful behaviour is multifaceted and open to interpretation. The assessment of risk could have serious consequences for Peter perhaps leading to a limiting of his rights and liberty in the interest of protecting others from harm (K217, Book 4, p60). Therefore over protection or unnecessary limitation could be considered an infringement upon Peterââ¬â¢s human rights (K217, Book 4 p65). The case study does not accurately point out if Peter has the mental capability to understand that his actions could be disruptive and upsetting for others. This being the case it may also be appropriate to talk to both Peter and his family about the situation in order to find a solution. As the code of practice maintains, ââ¬Ëcare workers must promote the independence of service users and assist them to understand and exercise their rightsââ¬â¢ (General Social Care Council, 2010, p8, 3.1). It is suggested, that in cases where decision making capacity is deemed to be impaired, respect for autonomy may involve the care worker acting appropriately in an in dividualââ¬â¢s ââ¬Ëbest interestsââ¬â¢ (K217, Book 4, p40). The difficulty here is that Peterââ¬â¢s best interests cannot be viewed without taking into account the best interests of other residents, care workers and relatives. This shows the limits of the code of practice in taking a narrow ââ¬Å"ethicalâ⬠view rather than trying to take a wider and more balanced perspective. Beneficence and the promotion of welfare are concerned with the provision of benefits and the balance of these against risk in the care and treatment of service users. It requires that care providers make a positive contribution to help others, not just refrain from acts of harm. It could be argued that in Peterââ¬â¢s case, moving into a residential setting may be seen as ââ¬Ëdoing goodââ¬â¢. The theory of beneficence or ââ¬Ëdoing goodââ¬â¢ is embedded in health and social care practice. Although, rather than being straightforward in its attempts to solve ethical dilemmas, beneficence can be viewed as being rather vague (K217, Book4, p34). The application of beneficence in Peterââ¬â¢s situation could be seen as a controversial one. The need to ââ¬Ëdo goodââ¬â¢ in this situation could be seen to be against Peterââ¬â¢s best interests, as in the case of consent. The case study alludes to the fact that Peterââ¬â¢s family are making decisions on behalf of Peter and that the diagnosis of Alzheimerââ¬â¢s disease means that he is incapable of contributing to decisions around his care and wellbeing. It could therefore be argued that this results in a paternalistic approach to care, whereby the family (who are making decisions on behalf of Peter) may be guided by practitioners views of what is in Peterââ¬â¢s ââ¬Ëbest interestsââ¬â¢ and in doing so may neglect the choice and personal responsibility of the individual (K217, Book 4, p36). However paternalism may be viewed as acceptable if it is proved that Peterââ¬â¢s autonomy or decision-making capacity is compromised. In this case it may be advisable to initiate an assessment of Peterââ¬â¢s mental health capacity in order to justify the familiesââ¬â¢ involvement in the decision-making process. Beauchamp and Childress (2009) claim, the philosophy of non-malfeasance is an obligation to do no harm. Unlike beneficence, which promotes welfare and concentrates upon positively helping others, non-malfeasance focuses upon guiding health and social care practitioners to avoid harm-causing activities, this includes negligence. Having a duty of care for a person or persons in care is an ethical concept, neglect is an absence of ââ¬Ëdue careââ¬â¢ the lack of which would be seen as falling below the standards expected by the law and code of practice. The principle of non-malfeasance can be difficult to apply in practice (K217, Book 4, p37). Peter has not been physically harmed himself, although it could be disputed that his behaviour around Parkside Manor could be having a detrimental effect on the wellbeing of the other residents who are beginning to be upset by Peterââ¬â¢s uninhibited behaviour. Section 3 of the codes of practice for social care workers may guide staff in pr omoting the independence of other service users (residents) in assisting them to understand and exercise their rights to autonomy. Also for staff to use the appropriate procedures and protocols in which to keep other service users safe from harm (General Social Care Council, 2010, p8, 3.1). As stated, Peterââ¬â¢s ability to make decisions about his care could be impaired, as in the right to choose where to live (which was made at the request of his family). However, maintaining Peter in his own home, as was his wish, would require extra resources such as daily social care help. If this was unavailable, Peterââ¬â¢s wish to remain in his home could be seen as detrimental to his health and wellbeing as his condition deteriorated and this would not uphold the principle of non- malfeasance. The moral principle of justice according to Beauchamp (2006) is fairness in the distribution of benefit and risk (K217, Book4, p42). It can be viewed as fair, impartial and suitable treatment for the autonomous individual. This suggests that everyone has the right to participate in the decision-making process surrounding the ir own treatment. This clearly is not the case for Peter, as he may no longer be classed as an autonomous service user and may not be able to articulate his needs or desires in respect of his care. In this case the staff may wish to assign a person as an advocate to represent and support (where appropriate) Peterââ¬â¢s views and wishes (General Social Care Council, 2010, p6, 1.2). The case study also identifies the staffs growing concerns about their own abilities to be able to give Peter the care that he requires, with some suggesting that his needs demand more time than they have available. The code of practice sets out clear guidelines for staff in Section 3, stating that any resource or operational difficulties experienced by the care worker is to be brought to the attention of the employer or the appropriate authority (General Social Care Council, 2010, p8, 3.4). Staff working within the care home are under increasing pressure to cope with the demanding behaviour that Peter displays and in this case may feel that they are neglecting the other residents because of Peterââ¬â¢s growing needs. This highlights the problem staff have in distinguishing fairly between those that are seen to need support and those that are not. Discrimination such as this all be it without intention of causing harm, raises questions of inequality. As highlighted, codes of practice and other ethical guidelines are not without their limitations. These limitations are often down to an individualââ¬â¢s freedom of choice and their views of what is right and wrong. Codes of practice deal in respect of that is the ââ¬Ënormââ¬â¢ not the ââ¬Ëusualââ¬â¢ and at this point common sense and a corporate view are necessary. Using the four principles to analyse Peterââ¬â¢s situation is far from simple as the principles themselves are open to individual interpreta tion. The task for those directly involved in Peters care, such as family, professionals and the care workers at Parkside, is to ascertain their legal, professional and ethical positions and balance these against the need to protect and care for other residents and staff within the care setting. This may involve identifying ways to reduce the risk to others and to Peterââ¬â¢s dignity and privacy. As the code of practice states ââ¬Ëa social care worker must respect and maintain dignity and privacy of service usersââ¬â¢ (general Social Care Council, 2010, p6, 1.4). Some of the staff at Parkside have begun to question if the placement is an appropriate one given Peterââ¬â¢s growing needs. Staff at Parkside Manor could begin to examine ways of improving the care and support on offer to both Peter and the other residents by firstly initiating an assessment of Peterââ¬â¢s mental health capacity, in order for staff to better comprehend Peterââ¬â¢s level of understanding and to further meet his needs. This will form part of a support plan that will identify resources necessary to meet his growing requirements. The case study does not adequately highlight if Parkside Manor is equipped to deal with mental health problems such as Alzheimerââ¬â¢s or if the population is that of older residents with general care needs. One solution for the family may be to investigate the possibility of an alternative placement for Peter. Placing Peter in a more suitable setting where the staff are more used to dealing with conditions such as Alzheimerââ¬â¢s disease could enhance quality of care and increase Peterââ¬â¢s quality of life. Bibliography Collins, 2006, Collins Concise English Dictionary. Glasgow, HarperCollins Publishers. Open University (2010) K217, Adult health, social care and wellbeing, Chapter 14, Ethics in health and social care. Milton Keynes,The Open University Open University (2010) K217, Adult health, social care and wellbeing, Offprints, Swimming in a sea of ethics and values. Milton Keynes,The Open University General Social Care Council, 2010, Codes of Practice for social care workers. Available at: http://www.gscc.org.uk/cmsFiles/Registration/Codes%20of%20Practice/CodesofPracticeforSocialCareWorkers.pdf [Accessed 25/02/12] Gillon Raanan, 1994, Medical ethics : four principles plus the attention to scope. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2540719/pdf/bmj00449-0050.pdf [Accessed 09/03/12]
Wednesday, January 8, 2020
Subscribe to:
Posts (Atom)