Wednesday, November 27, 2019

Analytical Essay Sample on Master Harold and the Boys by Athol Fugard

Analytical Essay Sample on Master Harold and the Boys by Athol Fugard The play Master Harold and the Boys, by Athol Fugard, illustrates life in South Africa under the apartheid rule. It would mean nothing has been learnt in here this afternoon, and there was a hell of a lot of teaching going on one way or the other, (p.59) quoted by the Black servant Sam, demonstrates the differences in mentality, opinion and social relationship the inferior Black racial group held compared with the dominant White race. Racial prejudice was very common and constantly relevant during apartheid rule. The consequences were enormous for the Black society, who were basically kept in prison on native land. The Whites determined their lives, educated and passed down laws for Blacks. Thus the relationship between the two controversial racial groups in most cases was not very good, because life of a Black native South African was oppressed. The three most significant characters of the play are Master Harold, member of the White race and also referred to as Hally, secondly the B lack Sam and thirdly also a Black servant named Willy. Both Sam and Willy are servants working for Harolds family. The relationship between Hally and his servants, Hallys childhood experience, White mentality towards Black society and true friendship will be discussed throughout the following paragraphs. The typical relationship between a Black and a White during apartheid rule was very distant. The Whites were the dominant people, acting as masters while the Blacks were seen as naturally inferior and thus were oppressed. The relationship between Hally and Sam, however, does not follow the typical pattern. Their relationship is a more friendly and open one. Sam, unlike his colleague Willy who calls Hallly Master Harold, refers to the White teenager simply as Hally. This was obviously not very common during apartheid rule, with most Blacks finding themselves in the same position as Willy. Like most Blacks Sam is uneducated. However, he is interested in learning and gains his personal education from Hallys textbooks which he brings home after school. Their friendly relationship can be exemplified by their dialog held throughout various educational topics and world significant figures (p. 16-24). Throughout this dialog both Sam and Hally set forward arguments trying to check the other and both characters succeed in winning over one argument over the other person. This illustrates their friendship, because Hally accepts SamÐ ¢s choice of Alexander Fleming as a man of magnitude. First of all, most Blacks would probably never know who Alexander Fleming was and his significance in contribution to medical advancements and secondly at all it was through Hally that Sam gained such knowledge. This example underlines the significant difference in communication relevant in Sam and Hallys relationship compared to other White-Black relationships during apartheid rule. Throughout his childhood, Hally spent a lot of time at the servants quarter after school when he was bored or when his parents did not have time to occupy themselves with him. Also, he used to hide there from his mother. At the servants quarter, both Sam and Willy used to occupy themselves with Hally, entertain and play games with him. During this time the three experienced many things together, such as their interest in boxing, dancing, and checker games. Hally enthusiastically recalls this period and describes the environment in great detail. This underlines the fact that Hally did enjoy the spent time with Sam and Willy. It is given the impression that Hally in reality did not mind having Blacks as friends and did not see them as his familys servants. However, throughout the plot of the play, Hallys attitude takes a change and illustrates the White dominant racial mentality towards the Blacks. The White mentality can best be demonstrated and described by the kite story told (p.28-30). Hally as a young boy once again was spending time in the servants quarter one afternoon when Sam had built him a kite out of a Tomato-box, wood, brown paper, glue made from flour and water and two of his mothers old stockings for a tail. Even though Hally had a brotherly, friendly and open relationship towards Sam, he was embarrassed and concerned about being seen flying this kite built by a Black. His worries were simple. If a kite was built by a White and it didnt fly properly, nobody would say anything. However, if a kite built by a Black failed to rise high up in the sky and fly, White society would criticise the unintelligent Black. It can be assumed that Hally trusted Sam, be he simply did not want to admit it in front of the Whites and risk being embarrassed by his race. However, in the end Hally does choose to fly the kite and overcomes the social barrier dividing the White from the B lack race. This concept becomes more relevant towards the end of the play. Another example illustrating White mentality could be Sams comparison of a beautiful life with a dancer (p. 45). Sam describes his illusion of two champions dancing on the stage, which he considers as a beautiful sight. He says that Blacks simply want their lives to be beautiful, even thought they are aware that reality demonstrates the opposite. Hallys final responds to Sams desire is brutal (p. 51). Hally forces Sam to live in reality and to accept the fact that in reality there are no illusions, since there will always be a dance couple making mistakes and tearing apart the image of a perfect beautiful dance. The plot in the play is followed by a quarrel between Sam and Hally, in which Hally reveals the typical White racial side of his character marked by the society he has grown up. However, even though Hally discriminates against Sam and treats him wrongfully towards the end of the play, Sam reveals himself as a true friend and a fighter for justice. Sams lecture (p. 56-58) confronts Hally with the reality and Sams true friendship is being offered to him. At the end of the day, Sam wanted to prevent Hally from being ashamed of so many things, such as his ill father and in fact of himself. Sam never wanted Hally to be ashamed of himself. The audience or reader is later acquainted with the fact that the bench Hally sat himself on holding Sams kite was a Whites Only bench. As a child Hally was happy sitting on that bench with something giving to him from a Black servant. Later in his life this is no longer the case and that is something Sam had always tried to prevent. Sam brings back peace between Hally and himself by offering him another kite flight and assuring Hally that he will be waiting for him to come back to him whenever he wishes. You dont have to sit up there by yourself. You know what that bench means now, and you can leave it at any time you choose. All youve got to do is stand up and walk away from it, (p. 60). This illustrates the idea that Hally in reality cannot be categorised as a member of the Whites Only group. Hally does respect Sam, who as a Black man at the end of the day has taught the White boy a lesson. In conclusion, Master Harold and the boys, by Athol Fugard illustrates different concepts and discusses several themes relevant throughout the apartheid rule. The author illustrates the Black society in a different light than the common categorisation made by the dominant White group. This is done through the illustration of a Black-White friendship led by Hally and Sam, which however is somewhat marked by prejudice from the White side. However, in the end it is the White who has learnt a lesson from the Black, contradicting the usual constellation that Blacks are educated by Whites.

Saturday, November 23, 2019

Free Essays on Confucius_Analects

In the Analects, Confucius gives readers certain guidelines regarding how government and kingship should conduct itself. Through his descriptive text Confucius breaks down many aspects of the expectations of ruling forces. Confucius embodies a sense of traditional and moral values that shine through in his writings. His conservative view appears throughout the Analects as Confucius outlines his guidelines regarding a legitimate, successful government, and the qualities of a good king. Confucius outlines the government as consisting of three major practices: filiality, humaneness, and ritual decorum. These practices which Confucius describes traditionally contain very conservative and moral ideologies. All three practices stress the importance of moral values such as peaceful, egalitarian interactions, respect and concern for others, and dignity. Confucius stems out to expand his definitions of the three practices, but the main traditional concepts remain the same. Filiality involves placing great importance on the care one has of their family members, and treating non-family members as if they were part of their family. Confucius found this practice extremely important in society, and believed that if everyone was â€Å"filial and friendly toward one’s brother†, it would have its effect on the government and influence it in a positive way ( 47). Filiality, according to Confucius was a very important key to a harmonious government. As Confucius wrote â€Å"A young man is to be filial within his family and respectful outside it. He is to be earnest and faithful, overflowing in his love for living beings and intimate with those who are humane† (45). This idealistic view embraces the moral ideologies that Confucius sought after. While some governments rely on enforcing strict, unfair rules to achieve a successful government, they often result in unrest and violence. Confucius promotes ethical goodness for a perfect go vern... Free Essays on Confucius_Analects Free Essays on Confucius_Analects In the Analects, Confucius gives readers certain guidelines regarding how government and kingship should conduct itself. Through his descriptive text Confucius breaks down many aspects of the expectations of ruling forces. Confucius embodies a sense of traditional and moral values that shine through in his writings. His conservative view appears throughout the Analects as Confucius outlines his guidelines regarding a legitimate, successful government, and the qualities of a good king. Confucius outlines the government as consisting of three major practices: filiality, humaneness, and ritual decorum. These practices which Confucius describes traditionally contain very conservative and moral ideologies. All three practices stress the importance of moral values such as peaceful, egalitarian interactions, respect and concern for others, and dignity. Confucius stems out to expand his definitions of the three practices, but the main traditional concepts remain the same. Filiality involves placing great importance on the care one has of their family members, and treating non-family members as if they were part of their family. Confucius found this practice extremely important in society, and believed that if everyone was â€Å"filial and friendly toward one’s brother†, it would have its effect on the government and influence it in a positive way ( 47). Filiality, according to Confucius was a very important key to a harmonious government. As Confucius wrote â€Å"A young man is to be filial within his family and respectful outside it. He is to be earnest and faithful, overflowing in his love for living beings and intimate with those who are humane† (45). This idealistic view embraces the moral ideologies that Confucius sought after. While some governments rely on enforcing strict, unfair rules to achieve a successful government, they often result in unrest and violence. Confucius promotes ethical goodness for a perfect go vern...

Thursday, November 21, 2019

Xerox Corporation - Cause of Failure Competition Essay

Xerox Corporation - Cause of Failure Competition - Essay Example These factors increased competition enhancing the need of new technological innovations and new ways to compete. "In the 1980s, Xerox Corporation's revenue share of the copier business declined from 90 percent to 43 percent as a result of increased competition from Ricoh, Sharp, and Canon in Japan and Kodak and IBM in the United States" (Contemporary Trends in Human Resources Management, n.s.). The industry of competition can be characterized as follows: "Xerox compete in the market for service of Xerox high volume copiers" (Xerox Corporation. Creative Copier services. 2004). In general, competition theory has been developed, described and analyzed by such gurus as M. Porter, C.K. Prahalad and G. Hamel, R.M. Hodgetts, H. Mitzberg, R. D'Aveni. They describe that to be effective, competition should not always be a formal process. Studies of the planning practices of actual organizations suggest that the real value of competition may be more in the future orientation of the planning process itself than in any resulting written strategic plan. The failure Xerox Corporation proves the fact that competition is not always "a safe" way to obtain a strong market position. Michael Porter contends that a corporation is most concerned with the intensity of competition within its industry. "The collective strength of these forces," he contends, "determines the ultimate profit potential in the industry, where profit potential is measured in terms of long-run return on invested capital." (Porter, 1980). The stronger each of these forces is, the more companies are limited in their ability to raise prices and earn greater profits. According to the case study "started from year 2000, Xerox's share price had fallen below $4, from a high of $64 a year earlier. Moreover, the copying and printing giants around the world were taking chunks of its market share" (Case Study: Xerox Corporation, n.d.). This failure was caused by the fact that intense competition and management strategy aimed to overcome "temporal" decline resulted in failure. A strong market position obtained by Xerox Corporation resulted in "less concern for US competitiveness" (Kato, n.d.). Globalization and international integration presents Xerox Corporation with enticing opportunities and challenges to reconfigure itself. New horizons allowed Xerox Corporation to maximize its global sales, in the belief that those that offer a global service and have a worldwide success through regional policy will be in the strongest competitive position (Xerox Corporation, 2005). Nevertheless, Xerox Corporation paid less attention to such important issues as technological changes and innovations. In his book "Competitive Advantage" Porter identifies five forces that drive competition within an industry: 1. The threat of entry by new competitors. 2. The intensity of rivalry among existing competitors. 3. Pressure from substitute products. 4. The bargaining power of buyers. 5. The bargaining power of suppliers (Porter, 1985). It is important, that a strong force can be regarded as a threat because it is likely to reduce profits. In contrast, a weak force can be viewed as an opportunity because it may allow the company to earn greater profits. In the short run, these forces act as constraints on a company's activities. In the long run, however, it may be possible for a company, through its choice of strategy, to change the strength of one or more of the forces to the company's advantage. The company states that: "We developed a comprehensive process

Wednesday, November 20, 2019

Stress-Effects on the Immune System and Psychological Disorders Dissertation

Stress-Effects on the Immune System and Psychological Disorders - Dissertation Example The author of the essay "Stress-Effects on the Immune System and Psychological Disorders" begins with a short introduction chapter. The authors assumes not all stress is bad. The right amount of stress is beneficial to the body but when the body is constantly exposed to negative stressors, it affects the health of the individual. Stress causes changes that weaken our immune system and as a result, health can be negatively affected. In this scenario, infections and illnesses can flare up. In people who have been diagnosed with psychological disorders, stress seems to have a detrimental effect and knowledge regarding measures to avoid stress and manage the different external stressors should be imparted to the caregivers as well as the sick themselves. The word ‘stress’ has different implications for different people. The layman defines it as tension, unpleasant external force or an emotional upheaval. Psychologists have defined stress in different ways. The most commonly used definition of stress was developed by Lazarus and Launier who regarded stress as a transaction between people and the environment with interaction between stressor and distress. Cannon’s fight or flight model was one of the earliest models which proposed that external threats elicited a fight or flight response which was accompanied by physiological changes. Seyle’s General Adaptation Syndrome had three stages in the stress response, the first being the alarm stage, the second the resistance stage and the third being the exhaustion stage.

Sunday, November 17, 2019

War on Terrorism and the Effect on Muslim Americans Essay Example for Free

War on Terrorism and the Effect on Muslim Americans Essay The American led war on terrorism has brought numerous concerns among human rights activists across the globe. This is because the war has been perceived as a tool for victimizing and discriminating individuals of the Islamic religion and nationality. Such have been closely attributed to the fact that the American nation blames Al-Qaeda and other Islamic terrorist groups of responsibility in many terror attacks in the world. Due to this reason, members of the Muslim American community are living in constant fear of discrimination, racial profiling and harassment by law enforcement since the September 11th 2001 terrorist attacks on the Twin Towers (Elaasar 93). In addition, increased publicity of organized crime group affiliated to the Islamic religion being involved in terrorism has evident discriminative attitude of Muslim Americans by other members of the society. This attitude is worsened by the provisions of the Patriotic Act of 2001 giving the government more power to identify and mitigate terrorism, most of which contradict the constitutional provisions on civil rights in America (Elaasar 93). This has denied Muslim Americans their rights to freedom of movement, privacy and free association. Despite the fact that the American government owes its citizens a duty to security against the disastrous social and economic effects of terrorism, such should not be taken as an excuse for victimizing members of the community simply due to their religion and nationality of origin. This paper identifies and discusses the effects brought by the war on terrorism to members of the Muslim American community. War on terrorism War on terrorism is a concerted effort by nations led by the United States to identify and eliminate members of organized crime groups which are engaged in executing terrorist activities across the globe (Sides and Gross). Although terrorism has for long been a major threat to security in countries particularly the US, the new struggle to combat was triggered by the bloody terrorist attack of the New York-based World Trade Center on September 11th 2001. True from available literature, the war on terrorism involves almost all aspects of sustainable social, security, political, and economic development strategies (Sides and Gross). Such are evident from the American led invasion in both Iraq and Afghanistan which witnessed the overthrowing of leaderships purported to promoting terrorist activities. On the other hand, numerous intelligence efforts have been engaged by respective law enforcement agents across the globe to identify terrorist group cycles and eliminate them. This also serves in enhancing the process of detecting, possible terrorism threats, target, and time of a planed attack to ensure adequate preparedness of the force in preventing and responding to such incidences. In addition, corporation among governments on the fight against terrorism has been on the increase. This has been closely attributed to the fact that terrorism threats are increasingly spreading to unexpected regions. As an emphasis to this claim, numerous attacks have been perpetuated by terrorists groups against their own members. Available information linking terrorist activities to Muslims claim of declaration of western civilization as the number one enemy to the Muslim community by Osama led Al-Qaeda terrorist group. thus, the numerous reported incidences of terrorist attacks in Muslim dominated nations is an indicator of the changing approach of terrorist, thus making every nation potentially vulnerable to terrorist attacks (Sides and Gross). On the other hand, the war on terrorism has taken a new approach as terrorist groups shifts attacks to cyber terrorism. This is one of the mainly purpose of the 2001 Patriotic Act which allows for increased government surveillance over the internet to help identify terror suspects executing crime activities online. The war on terrorism also covers the economic dimensions of the groups across the global society (Maira, and Jamal 12). Just to appreciate is the fact that executing a terrorist attack is highly involving financially. On the other side, available information from intelligence agencies has established that most individuals engaged in implementing terrorist attacks are funded by sponsors of terrorist groups. This has the implication that mitigating free flow of financial support to terrorism group serves an instrumental role in compromising their capacity to threaten security in the security. It is due to this reason why the American government has put in place checks and balances for qualifying the authenticity of transferring huge amount of money to individual (s) across the border. In addition, criminal activities like money laundering are perceived as a potential factor to the success of terrorist groups in the globe. Moreover, reports from the FBI has indicated a close link between organized crime groups in the nation and potential collaboration with terrorist groups to execute terrorists attacks in the US (Maira, and Jamal 27). This report claims that currently the American nation has an estimated over 31,000 organized crime groups spread across its numerous states. It is due to this reason why the American government is strongly involving its resource on the war on drug cartels and other violent organized crime groups. ? Effects of War on Terrorism on Muslim Americans The war on terrorism has many negative implications on the social and economic sustainability of the Muslim American community members. True to the letter, it is no doubt clear that terrorism activities in the western world are closely associated with members of Islamic religion or nationality of origin (Elaasar 20). This can be evident from historical claims which shown a longstanding conflict between Christianity and its western civilization and the Arabic world civilization. This is further complicated by the fact that all major terrorist attacks which have occurred in the world find claims of perpetuation by Islamic oriented terrorist groups. Muslim Americans have become victims of denied constitutional rights following the intensification of the war on terrorism since late 2001. According to available information, law enforcement agents have been granted legal authority to conduct unwarranted search and seizure on based on reasonable suspicion under the anti-terrorist war platform (Malkin 67). It is worthy noting that due to racial profiling by the law enforcement, most victims of terrorism suspicion are from the Islamic community. This has the indication that the war on terrorism has compromised the ability of the Muslim American community members to enjoy their constitutional rights to privacy and warranted search and seizure (Al-Marayati). In addition, the existing laws on terrorism find much contradiction to the provisions of the due process clause of the constitution. Unlike suspects of other crimes who enjoy their right to a legal counsel as well as speedy trail, victims of terrorism suspicion do not. Anti-terrorism laws allow for the putting terrorists suspects in custody for long period before taking them to court (Pew Research Center 35). In addition, the laws allows for deporting of terrorism suspect without giving them opportunity for a court trail. All these contradictions of the constitutional rights against the defendants of terrorism are inhuman, a factor which significantly affect the Muslim Americans for being the main victims of terrorist suspects in the nation. Another effect of the war on terrorism on Muslim Americans is increased social stigmatization and discrimination in the local community. Terrorism threats remain one of the most feared security threats among citizens of the United States. On the other hand, the population has been overwhelmed by the claim that Muslims are the major perpetuators of these dangerous activities. Due to this perception Muslim Americans find limited appreciation by other members in the social and economic fronts of the community (Pew Research Center 49). Such are no doubt a negation of their constitutional right to equal opportunity in the US. This can also be seen as a source of violence and hatred against this minority group. Some opponents of the war on terrorism claim of its effects in compromising commitment of the Muslim believer to effectively practice their religion. The enforcement of anti-terrorism laws in American has limited the ability of the Muslim Americans to engage in charitable works; a crucial religious requirement in the Islamic faith. According to the laws, transferring large sums of money to other nations by Muslims should involve verification from the law enforcement (Shah). Still, these members find much government resistance to engage in organized group contributions to help fellow Muslims in poor nations. It is worth noting that the threat posed on Muslim Americans by the war on terrorism is to be blamed for the reluctance by some members to fully commit to the faith to avoid harassment. Muslim Americans before/after 9/11 vs. Japanese Americans after WWI The relationship between the western and the Middle East has never been without conflict. However, such were not evidently affecting the social and economic aspects of Muslim American until the September 11th 2001 terrorist attacks in the US (Maira, and Jamal 26). This was due to the perception brought to the local against the Islamic community given the damage that was caused by the attack. On the other hand, the engagement of the government in intensive efforts to combat terrorism across the global is also to be blamed for worsening the lives of Muslim Americans (Menchik, and Payam). It is worthy appreciating that the war on terrorism has so far only identified members of Islamic community as the cause of threat to the community. Indeed, this relationship current problem facing Muslim Americans can be related to that of Japanese Americans during the WWI. According to historical information, Japan was perceived as a major enemy of the United States following their attack of an American submarine in the peril harbor (Arat 67). The information indicates that this attack was the driving force to America’s entering into the Second World War. Such enmity is no doubt evident from the later use of atomic bombs against the Japanese nation by the Americans during the WWII. Conclusion It has been established that the war on terrorism has negatively affected the Muslim American community. This is because it has led to the formulation and enforcement of laws which are discriminative to suspected or perceived members of terrorist groups. In addition, these laws have led to racial profiling and encouraged arrest of individual based of the principles of guilty by association. All these contradict the fundamental constitutional and universal human rights of terrorist suspects; most of who are Muslims.

Friday, November 15, 2019

Assisting In Endotracheal Intubation Nursing Essay

Assisting In Endotracheal Intubation Nursing Essay An ETT is an advanced measure of airway management, where a catheter is inserted in the trachea generally through the mouth. This creates a direct passage between mechanical ventilator, which simulates breathing, and the lungs, where gaseous exchange occurs. ETT is most commonly used in unconscious or sedated patients, where the patient may lose spontaneous breathing, also bringing about benefits like protection from aspiration of gastric contents into the lungs, which lead to infection and complications. Considerable amount of attention is given to the intubation procedure, avoiding trauma and infection. Preparing a patient for intubation requires the patient to be positioned in the sniff in the morning, that being body straight with head slightly tilted to the front to obtain a straight airway. An anaesthetist will perform this procedure and the nurse prepares the necessary: an intubation set including an Ambu with face mask and other connectors and a laryngoscope with different blade sizes and muscle relaxant (Atracurium) and sedation (Propofol) medication are prepared. Once everything is checked that is in perfect working order, the anaesthetist, positioned behind the patients head, starts by giving the first IV bolus of Propofol later followed by the Atracurium. From this point onwards sedation will be administered by the nurse, and the anaesthetist will keep the head in position to maintain an open airway and bag the patient for 1-minute using the soft Ambu attached to the mask with 100% oxygen at 10-15l/min to hyper-oxygenate. After this 1-minute the first try for intubation is began and this should be no longer than 30secoonds. A laryngoscope is then inserted from the right side pushing the tongue to the side and lower, this will create physical space to see the epiglottis and the laryngoscope will be advanced slightly more to see the larynx. Once identified, the ETT is carefully advanced from the right side over the laryngoscope and straight between the larynxes. Then the tube is advanced up to 21-24cm from its markings, laryngoscope withdrawn and the soft Ambu is now connected with a specific connector to attach to the ETT. The anaesthetist will now bag and auscultate over the chest to check position of ETT, and to check that air is going into both sides of lung, or only a single side or worse the stomach. During the process the nurse may be requested to give more boluses of sedation, depending on what the anaesthetist encounters. Once the position is confirmed, the ETT is secured using a tie or a facial adhesive. The patient is then connected to the ventilator, where the anaesthetist gives the initial setting and liaises with the nurse on the aims and guidelines needed to safeguard the patients health and especially avoid unnecessary complications. Continuous sedation is as well started as now the patient is preferably left unconscious to stabilise, as a patient may extubated once semi-conscious and agitated. Parameters post-intubation are checked and charted, blood gases are taken and analysed. Shortly after insertion a chest X-ray is performed to verify positioning thanks to the radio-opaque strip incorporated in the ETT. Indications for intubation may vary from hypoxemia, loss of consciousness, airway obstruction or manipulation of the airway. In one of the cases I had the opportunity to observe clearly, the patient was suffering from pneumonia and was losing consciousness as she could not maintain a decent pO2 via a non-rebreather mask and started to get agitated and therefore continue lowering her oxygen saturation level. I took a blood gases sample and it resulted in a low enough result that the nurse decided to advise the anaesthetist to try intubation, apart from the fact that she was definitely in need to be sedated to reduce her agitation. In a pneumonia case a sedated patient may benefit more from care and obtain a healthier outcome as consciousness is then resumed when infection has started to clear. Intubation as like all the other invasive procedures carries numerous risks for the patient. To start with is the high risk of infection, which may come from lack of attention to asepsis during the procedure, and there can even be trauma to the lungs if the anaesthetist goes in too far with the ETT, or can even cause trauma to the buccal cavity, where with the use of the laryngoscope, leverage over the teeth may be exerted leading to the breaking of teeth. Moreover, if the patient takes too long to be intubated hypoxia may result, since the patient is not breathing at all. Single-sided or stomach intubation may occur as well. In the intubation procedure, precautions to prevent complications include patient sedation and muscle relaxation at the start of the procedure to avoid movements of any muscles. The patient is positioned to help the anaesthetist have an improved visualization of the larynx while using the laryngoscope. A measurement of the length of the airway is taken, to avoid inserting the ETT too much further down into the lungs. A patient is bagged for 1-minute prior to trial of intubation and no try takes longer than 30seconds, and ultimately a chest X-ray is performed to confirm ETT position. Blood sampling through an arterial catheter An arterial catheter is one of the most common lines required in ITU, indispensable for continuous intra-arterial blood pressure which is essential in a critically ill patient supported by vasoactive drugs. Moreover it aids in arterial blood sampling, being routines or ABG of an intubated patient, where if a patient doesnt have an arterial line would be pricked countless times during a single day, therefore is a benefit for the patient as well. Taking a blood sample through an arterial line requires following step by step instructions, while always keeping in mind asepsis, as although it is not actual invasive procedure, we are dealing with arterial blood and colonising a cannula imposes great risks of infection. To start with, perform hand hygiene and prepare essentials within easy reach, including alcoholic 2%chlorohexidine wipes (clinell), a packet of sterile non-woven swabs, pair of non-sterile gloves, luer lock stopper, 5ml syringe, ABG syringe, appropriate vacutainers and luer lock adaptor. Once everything is prepared and patency of line is checked by using the flushing device, perform hand hygiene once again and wear gloves. Place the open packet of sterile swabs under the area you will be working around, i.e. the 3-way tap on the arterial line. Wipe the stopper locked port at the 3-way tap for 15seconds using a clinell wipe. Now the 3-way tap OFF position should be facing the port that has just been disinfected, remove the stopper and attach 5ml syringe using a non-touch technique, turn the 3-way tap to OFF from flushing device and aspirate the first 3-5ml which will contain mostly heparinised saline. Turn the tap back to OFF from the port being used. Now, remove the 5ml syringe and start from collecting blood sample for ABG, using the same non-touch technique attach the syringe to the port, turn the stopper OFF from the flushing device. Withdraw small sample of blood (up to half of ABG syringe, approximately 1ml), if you require more blood samples turn the tap OFF to port again and remove ABG syringe while attaching its stopper at its end, connect luer lock adaptor for vacutainer use. Now turn the tap OFF to flushing device and start pressing each vacutainer until it stops filling, always changing the vacutainers using non-touch technique. It is suggested to leave for last any blood test sample that its result is affected by the amount of heparin in the sample, eg. APTT/INR. Once finished from taking the necessary blood samples, turn tap OFF to patient and flush using flushing device onto the packet of swabs. Once clear from blood, close with luer lock stopper using non-touch technique. Now turn the tap OFF to port and flush the remaining part of the arterial line. Avoiding leaving blood traces in the lines will ensure longer lifetime and patency of the arterial line itself. Patients in a critical care setting most often need several blood sampling every day, one indication may be ABG monitoring due to the patient being supported by a mechanical ventilator. ABG sampling is also needed in the weaning off process, but can also be used to monitor any acidosis or alkalosis the patient may be suffering from, due to his admitting condition. Other blood samples are mostly taken routinely in the morning and more investigations may be required throughout the day. The withdrawal of blood via an arterial line is not an invasive procedure, though it is still a manipulation of a catheter leading to the bloodstream, therefore it exposes the patient to a high risk of acquiring a nosocomial infection through the line if asepsis is not maintained throughout the procedure. The colonisation of the line without adequate disinfection may eventually lead to life-threatening septicaemia. Prevention of infection was applied using universal precautions like hand hygiene, disinfection using alcoholic 2%chlorohexidine wipes (clinell) and non-touch technique. This minimised drastically the chances of nosocomial infections. Section B INTERPROFESSIONAL COLLABORATION IN THE CRITICAL CARE SETTING Describe the role of the nurse in each of the following units: Intensive Therapy Unit (ITU) Neonatal and Paediatric Intensive Care Unit (NPICU) Burns and Plastic Surgery Unit Renal Unit Intensive Therapy Unit (ITU) An Intensive Therapy Unit (ITU) nurse is required to work in a setting where patients are experiencing or at-risk of experiencing life-threatening conditions, thus require complex assessment, high-intensity therapies and interventions, continuous nursing care and high-tech monitoring. Critical care nurses trust upon a particular organization of knowledge, skills and experience to provide care to patients and families and create healing, humane and caring environments. Patient advocacy is a major role in ITU nursing, as usually the conditions of a patient may be poor to the extent that the patient is unconscious or else is induced into unconsciousness. Therefore the nurse has to act on behalf of and in the patients best interest as the patients advocate and ensuring that the patients family are well informed about the care that the patient is receiving. The necessary information needs to be given to help make highly personal decisions about the patients care, and that the patient and familys decisions are respected in the development of any treatment plan for the patient. Advanced and continuous assessment needs to be carried out to verify patients health status; physical assessment may include Glasgow Coma Scale, eye sensitivity test, cardiac auscultation, abdominal palpation and more. Leading then to high-tech monitoring from highly specialised bedside monitors, requires critical nurses to be trained in telemetry. Telemetry is a computerized monitoring system that transmits essential information about the condition of the patient (heart and lung activity), and the nurse using this information can make healthcare judgements. Therefore with the help of telemetry in conjunction with the extensive knowledge of pathophysiology of illnesses, nurses assess the need to perform any intensive interventions that the patient might need. For instance, take arterial blood gases of a patient if oxygen saturation are getting lower, or perform suctioning if certain breathing sounds are noticed. More assessment may be done after certain interventions and therefore prevention of degrading in the patients condition is another main responsibility of the ITU nurse. This requires the nurse to be able to interpret any result and respond with an appropriate intervention, these may include; titration with inotropic substances to maintain a pre-determined arterial pressure, increase oxygen supply through the mechanical ventilator or change the mode it is set to wean off from extra support. ITU nursing in certain large-scale hospitals may be split in specialized sectors, like for instance the Cardiac Intensive Care Unit (CICU) in Mater Dei Hospital is a post-surgery intensive unit mostly dedicated to open heart surgery, leaving the ITU to take care of mostly post-laparotomy patients, serious trauma and other life-threating cases, including severe infections. Neonatal and Paediatrics Intensive Care Unit (NPICU) Nurses working in Neonatal and Paediatrics Intensive Care Unit (NPICU) require being extremely careful and vigilant, as this field requires working with neonates which may have some sort of complication from birth (or even before) to kids up to four years. As with all patients of this age group, symptoms and conditions change drastically, due to the frailty of the neonates, therefore continuous assessment is of extreme importance. As cases can differ from premature babies to post major operation neonates, the care is split into three: Intensive, High-Dependency, and Special Care. Caring for this type of population, care is adopted to support the patient medically and physically, assess and monitor but a great input in supporting psychologically the parents is a major requirement in these cases as they will be going through a really rough period, especially in the most serious cases like complications. Necessary time and information is given to the parents to understand what is going on with their child, involvement in the babys needs in special care. In intensive and high dependency cases, the patients will be connected to high tech bedside monitors; monitoring vital signs like arterial blood pressure, ECG traces, respirations, oxygen saturation and pulse. Most often patient with such frailty will be in a temperature controlled and humidified incubator to keep a stable environment, promoting recovery. The need of certain accesses may be essential as well, an umbilical line (usually arterial) is needed in cases of drug and fluid therapy, intubation may be needed in some of the cases as well. Inputs and outputs are strictly monitored throughout all levels of care provided in the unit, but as blood gases and other blood investigations may also be essential in certain intensive cases, keeping the blood volume withdrew as low as possible is of extreme importance as too much blood withdrawal in neonate may lead to serious complications. For special care there is more the usual care of a baby, therefore involving basic feeding, bathing and nappy changes, but need some extra care especially in calculation and handling due to the their small structures. Naso-gastric or oro-gastric tubes may be necessary in patients premature enough not to have a fully developed swallowing reflex or those too frail to suckle all the milk they need to maintain themselves. In this type of care, parents (especially the mother) are encouraged to handle and take care of the baby themselves as this has positive effects on both the mother and babys health. The nurse is responsible to liaise with the mother to set appointment regarding washing her baby or nappy changes which the mother may wish to do herself. Monitoring of daily weight, measurement of Occipitofrontal Circumference (OFC) and nappy weighting are some of the documentation taken by the nurse apart from the regular vital sign like temperature and heart rate. Plastic Surgery and Burns Unit Nurses working on the Plastic Surgery and Burns Unit (PSBU) may encounter the extremes of wounds through skin layers, since those present in burns cases could involve from only skin to muscles, nerves, blood vessels and even bones. On the other hand, plastic surgery is more related to the surgical grafts done post-recovery from a burns accident, or superficial level surgery like the removal of melanomas and other skin disorders. Burns nurses are responsible in fluid resuscitation given through wide-bore IV lines in severe cases of burns. In conjunction with fluid resuscitation, is a strict input and output charting to assess renal perfusion due to large volume loss from interstitial spaces due to loss of skin. Haemodynamic monitoring is another essential role, as the fluid loss from wounds may lead to hypotension, inotropic substances may be needed to support the heart muscle in extreme cases. Furthermore, the importance to keep sterility over wound and to aseptically cover using a special type of dressing containing paraffin oil, which does not allow water to transpire, is stressed in burns cases, as once the skin layer is lost, all the infection and water loss prevention which the integumentary system was responsible for, are now absent. In the plastic surgery cases, nurses are mostly responsible in post-op wound reviews and change of dressings. The nurse also advises the patients to protect fresh wounds and prevent infections. Renal Unit Dialysis Nurses on the Renal Unit work with a patient population of solely End Stage Renal Disease (ESRD), therefore their insight into the illness and its treatment needs to be well-defined. Dialysis treatment, which is the process of removing waste from the blood of a patient whose kidneys lost this function, is available in two modalities, namely; Haemodialysis (HD) and Peritoneal Dialysis (PD). Nurses in charge of PD patients conduct periodical reviews to collect blood, peritoneal fluid and swabs for investigations. Their main responsibility though, is to check progress from the personal log that the patient is encouraged to keep from the start of the treatment, this includes daily weight, oral intake, dialysate input (type and amount), dialysate output (colour/consistency and amount). Since PD is a self-care treatment at home, a high-quality nurse-patient relationship is required to assess for adherence to treatment. The nurse is responsible to liaise with patient and relatives if they are encountering any challenges during treatment. Advices about the necessity of any treatment changes and the importance of asepsis during treatment, to avoid unnecessary exposure to infection, i.e. peritonitis, are one of the key responsibilities of a PD nurse. On the other hand, nurses responsible of HD patients, unlike PD, have a more direct responsibility with the patients infection prevention. The nurse first responsibility is to inspect equipment, ensuring it is in perfect working order before use and all lines are new and sterile to minimize chance of infection. Review of the patients previous session handover and preparation of any treatment needed during the dialysis is carried out by the nurse. A typical dialysis treatment starts with morning weighting and then, the nurse, using strict aseptic technique, inserts two wide bore cannulas into the patients AV access. Finally the patient is connected to an HD machine for 4 hours, set to target weight calculated by the physician, to remove excess water and waste products from the bloodstream. Before, during and after these 4 hours, vital signs are checked and charted. Routine blood investigations are also taken and any indicated medications from previous investigations are administered and documented. The patient is advised of the possible complications and suggested to notify as soon as any abnormal feelings set on. Any pain complaint reported by the patient during the dialysis is reported in the documentation for hand over and physicians are contacted in view of treatment changes requirements. Moreover, as HD patients have to attend these sessions 3-4 times weekly, the need of a quality nurse-patient relationship is essential. The dialysis nurse spends time with the patient assessing any psychological or physical ill effects of the illness and documents an adequate handover to obtain successful treatment of this condition. Compile a list of the different types of health care workers whom you encountered during this entire placement. Physiotherapists Anaesthetists Midwives Nurses Nursing Aides Care workers Radiographers Speech Language Pathologists Occupational Therapists Audiologists Electrocardiogram (ECG) Technicians Describe the role of THREE other (non-nursing) members of the ITU team. Include key responsibilities of these persons for the patient. From your observation, what is the nature of their interaction, if any, with the critical care nurse? Physiotherapists Physiotherapists in an intensive care setting are mainly responsible for clearing secretion from chest walls using positioning, percussion, manual hyperinflation and vibration. These methods clear the peripheries of the lungs and mobilize secretions to the central airways to be easily suctioned and therefore re-establish a larger lung capacity. Apart from chest-physio, they also work with conscious patients on the early movement of limbs to resume physical function and avoid muscle waste due to being sedated and bed-bound. Whilst encouraging the patient to do these exercises on his/her own initiative as needed, the physiotherapist reports to the nurse any result of his/her actions and reminds the nurse to encourage and observe the patient doing the exercise needed for further improvement in recovery. Radiographers Radiographers in the ITU setting are not mainly responsible for diagnosis, as in critically ill patients usually the underlying conditions of illness are discovered prior to admission. Though, with the use of portable X-ray machines, their help is essential in confirming the positions of any tubes or lines inserted in the unit or theatre, whilst minimizing discomfort of unnecessary transport to the Medical Imaging. Moreover through radiography any degradation of the ITU admission health insults may be identified, for example comparisons of previous chest x-ray to analyse if consolidations increased or decreased. The radiographer-nurse relationship is usually more concerned in helping to position the patient well to get a clear shot, giving the possibility to take the most out of the X-ray taken. Once published, X-ray are seen by medical staff to verify placement of any newly inserted central venous line or endotracheal tube, and the progression of the condition is also assessed. Electrocardiogram (ECG) Technicians ECG Technicians are indispensable in cardiac related admissions in ITU, this usually would be a post-MI patient with recurrent arrests. Their main responsibilities are into attaching leads at specific sites on the patients body to the ECG machine, which in turn prints the signal it receives onto an ECG strip. Although patient in an ITU setting are generally attached to a continuous ECG monitor, this type of ECG gives a better picture of any arrhythmias and axis deviations of the pulse. The technician then analyses the result, identifies any emergencies and liaises with nursing staff and medical staff. Most often this involves cardiology staff as well, since decisions regarding treatment are usually deducted from these types of ECGs. Section C DOCUMENTATION Why is documentation important in a critical care area? Documentation in critical care, as in the all nursing field, is an essential role which enables a better continuation of care and assessment of progression or regression of the patients condition. That said, the importance of precise information in the critical area is exponential to the fragility of the critically-ill patient, therefore this gives a valid reason for the necessity of hourly vital signs, urine output, continuous IV pump rate and more. Along the various types of documentation, comes in the rationale for certain actions taken leaving a pattern to be followed and leave good ground for recommendations to be given during handover. For instance, low oxygen saturation is monitored and the nurse decides to perform suctioning and an improvement is visible in the forthcoming readings, therefore one can suggest the following nurse to try this method as it has shown good results. Moreover, importance of documentation increases as the risks for the patient increase leading to a more responsible practice. This helps to improve quality of care provided and safeguard the patient from malpractice. Documentation is critical not only for nurses in this setting, but plays quite an enormous part in any of the doctors actions, as strong and consistent rationale is needed to back up certain decisions taken in critical life-threatening moments to improve care given and obtain healthier outcomes. List all forms of documentation which nurses perform in each of these units: Intensive Therapy Unit (ITU) Neonatal and Paediatric Intensive Care Unit (NPICU) Burns and Plastic Surgery Unit Renal Unit Intensive Therapy Unit Chart (incl. Hourly Parameters, Investigation Results, I.V./Oral Intake, Ventilation (via type of Mask or Ventilator Mode (SIMV, CPaP, BiPaP) FiO2), Continuous I.V. Treatment, Output via N.G./Drains/Urinary Catheter), Handover Sheet Neonatal Abstinence Scoring System, Investigation Flow Chart, Parameters + Intake/Output Chart, Fluid Prescription Chart, Apnoea Chart Parameters + Intake/Output Chart, Chart for Estimating Severity of Burn Wound, PSBU 24hrs. Drain Output Chart Haemodialysis Chart (incl. Parameters, Actual + Target Body Weight, Blood Test Results, Handover for next session) Section D ITU PROCEDURES During your ITU placement, select one of the following procedures which you have observed and in which you have taken part: Admission of a patient to ITU Transport of a patient to the operating theatre or the medical imaging department Discharge of a patient to another ward/unit (a) DESCRIBE the nursing observations, actions and documentation during the procedure. Include a rationale for these activities. (b) How did YOU participate in this event? (c) REFLECT on what was done properly and what could have been done better. Transport of a patient to the operating theatre or the medical imaging department The transport of a critically ill patient is one of the most challenging and requires a lot of preparation, but thanks to the portable X-ray and Ultrasound (US) technology this occurs in only a few cases like Magnetic Resonance Imaging (MRI) or Computed Tomography (CT) scan, or else an essential need to transfer back to the operation theatres in case of complications. In a case I had the opportunity to take part in; we had to take a patient to MRI for a brain and C-spine scan. The nurses I was with started from contacting an anaesthetist as the patient was intubated, contacted a radiographer to take girth measurements, since the patient was obese, to check if the patient would go through the scanner and contacted the family that their relative will go for a scan and may not be there when they come. Afterwards the nurse extended IV tubing to obtain enough length during the scan, while I started to collect all the portables needed for the transport including; oxygen cylinder, portable ventilator, crash pack, Ambu bag and monitor stand. Preparation of extra sedation, other IV treatments and necessary flushing solutions was done to prevent running out of medications during this transportation. The nurse checked that the patient was stable enough on the current inotropic support and sedation. The nurse also checked the oxygen tank pressure, ventilator function and just before we left connected to portable machinery and evaluated condition of the patient again and charted the parameters. The anaesthetist gave a dose of muscle relaxant to avoid any unexpected movements from the patient while doing the transportation, which could lead to lose the airway if the patient would extubate. Extra muscle relaxant was prepared as well. Leaving off from the ITU, we continuously monitored the patients parameters on the monitor, arrived securely at the medical imaging and started discussing what needs to be removed or replaced from the patient before we enter the MRI room. Certain machinery is not MRI-compatible, therefore the exposure to that magnetic field would damage it or cause malfunction. Following advises given by the radiographer, anything that needed to be removed was removed, leaving only essential monitoring to be removed and re-attached to appropriate machinery once in the MRI room. Patient was then transferred from the bed to the MRI table going straight into the MRI room, back on essential monitoring assessment of condition was done and we aligned MRI table to the scanner to start the procedure. During all this time the nurse and anaesthetist gave necessary amount of sedation and muscle relaxation bolus to prevent accidental alertness of the patient and unexpected extubation. The moment when we were getting the patient inside the scanner, we realized he wouldnt get in because of his hands had to pass over his already enormous girth and he simply wouldnt fit. At that point we realized we made a lot of effort, but unfortunately we were still unsuccessful. Therefore all the process had to be reversed, and once out from the MRI room, settled the patient with adequate monitoring for transportation back to ITU. Once back in ITU, we removed any unnecessary tubing, placed all transport equipment back in place and documented parameters post-transportation. A note was added in the documentation regarding the failed MRI; the family was let in to see the patient and was given an explanation of what was done during the day. Looking back and reflecting on the event, I realise the amount of things that are taken in consideration prior to leaving the ITU. The importance given to sedation and muscle relaxation to avoid extubation, Ambu bag for manual ventilation in case portable ventilator stops working or needs to be disconnected. The extension of the IV tubings was something, that actually didnt even cross my mind and though so important. Preparation of extra medication, not too run without during transport. These are all things that require effective thought as if omitted, the repercussions can be terrible. I dont consider the unsuccessful try of getting the patient into the MRI has anything to do with being unprepared or unaware of something, as this fact was taken in consideration from the beginning. I do consider it as an unfortunate event, which left us all with another important lesson learned. I believe it is imprinted enough that, from now onwards when I hear that a patient is for MRI will be the first I will consider. Section E PATIENT CARE IN A CRITICAL CARE SETTING In this account I will be focusing on a case I followed during my placement on the Renal Unit at Mater Dei Hospital. The case study involves an interview with a 27-year old male patient suffering from End Stage Renal Disease (ESRD). This gentleman is to date known to have lost renal function due to Focal Segmental Glomerulosclerosis (FSGS) with onset of illness symptoms started at 17 years of age. Due to ethical reasons the patient involved in this account will have the pseudonym Mr. Frank Abdilla. Mr. Abdilla has been treating this illness for slightly more than 10 years now and is currently following haemodialysis (HD) 3 times a week. I started this interview with getting to his medical history, and to tell me more about the onset of the illness and its treatment to date. Frank expressed that he suffered from nothing prior to the onset symptoms, which he referred to them as a silent killer symptoms. I only know that I started to feel less the urge to urinate and my breath had a foul smell, then after a couple of days I had an episode of loss of consciousness,

Tuesday, November 12, 2019

Core issues in ethics Essay

Humankind can’t continue their lives without desires. If one wants to be happy, surely, he has to discover his best desires that provide him a happy life. Some of these desires that help to continue our lives can be acceptance in our relationships, a good family life and strong social relations. Trying to satisfy these desires has a great meaning to achieve happiness for me. To start with, however embarrassed I am about this desire of mine, I have an obsession to expect people to accept my thoughts and manners in every situation. Yes, this is not a good characteristic and sometimes makes me an antipathic person but trying to be accepted by someone can give you happiness, too. Besides, if you can manage to make someone love you knowing and accepting all about you, I think that is the absolute happiness. Furthermore, it seems to me that family is the basic source of happiness. Certainly, I can’t always be a good guy and sometimes I make them upset but I can’t stand seeing them upset. Therefore, I try to do whatever necessary to make them happy. Consequently, when I see happy family faces, I feel deeply happy. Thirdly, to have friends is one of the most meaningful aspects of life. I believe that one should have three very warm friends at least. For example, I can’t bear loneliness and if I couldn’t share all my heart with these warm friends, I believe that I could never be happy. As a consequence, if you feel like me, it will be worth improving your close relationships in order to be happy. To recap, humankind has a short life but he is given a lot of desires to be happy. Moreover, if one wants to discover the meaning of his short life, he should look for it in desires. Whether he finds it or not, he will taste happiness just by looking for it.

Sunday, November 10, 2019

Child Marriage Research Paper Essay

Child Marriage: Why is the Act Performed Throughout Countries Around the World? According to the International Center for Research on Women, â€Å"if present child marriage trends continue, more than 142 million girls worldwide will be forced to marry adult men during the next decade-the equivalent of 38,000 girls every day.† Child marriage is defined as marriage before the age of eighteen (International Center for Research on Women, 2012). This marriage is usually forced and comes as a shock to the young girl. Any day, at anytime, a young girl can be taken from her home, sold, married off, and forced to live a life full of threats, violence, and abuse. When I first heard of child marriage I assumed that it happens in countries that aren’t that well off, whom are still living in poverty. I was taken aback when I found out that child marriage is a practice affecting women all over the world: Asia, Africa, the Middle East, and in some communities in Europe and the America ns (Worden, 2010). I want to find out all the usual questions one would ask about a problem in the world today: how, when, who, where, and WHY does child marriage even happen in all of these countries?! After researching these questions in depth, amongst a few of these countries I want to look into what child marriage may have in common in these different countries. In Afghanistan, statistics show that an estimate of 67 percent of all marriages are forced and approximately 57 percent of girls are married before the age of 16. (The Afghanistan Independent Human Rights Commission, 2010). Child marriage occurs in Afghanistan despite certain laws that have been made, due to culture and traditions, protection of the child, and economic problems families may face. Child marriage has been part of Afghan culture for thousands of years, and trying to rid a country of a culture event angers a lot of the people living in Afghanistan. Child marriage is known to be apart of Afghan culture as a form of protection. W hen one tries to put an end to child marriage in Afghanistan, the Afghans view this as going against the culture and traditions of the community (Yousef, 2013). Parents of a young girl, believe they are doing the right thing by selling, giving away, or exchanging their child because they know she will be clothed, fed, and sheltered from the violence and sexual abuse that the country of Afghanistan is faced with. Under Afghanistans  constitution, the minimum age for females is 16, but in rural and urban areas the tradition of marrying off daughters while young in order to receive money remains common among the poor. (Irinnews.org) Families living in poverty is one of the reasons child marriage is so high in Afghanistan. Some Afghan families can’t afford to take care of their children once they are born, so their best solution is marrying off their daughters. They view this as â€Å"if she gets married, she will have something for herself†. (Yousef, 2013) As if child marriage isn’t a problem already, a huge problem arises once the marriage is in effect. The problem that arises is childbirth in young girls who aren’t mature enough to carry a child to full term. This results in the baby not making it to full term, or the young girl dying while trying to give birth. In Afghanistan, it is said that every hour, two women die while giving birth- the highest maternal mortality rate in Asia. (Irinnews.org) This all comes as a shock to me as I read that â€Å"most harmful practices are crimes under Afghan law and inconsistent with Sharia law†. Under Islam, marriage is said to be a mutual contractual agreement and consent is required by both the woman and the man for a marriage to be valid. The marriage of girls before the age of sixteen, is against Afghan law. (Gangon, 140) So why are all these marriages occurring?! Well, it is said that â€Å"the police and judiciary in Afghanistan often fail to enforce laws that respect women’s rights, and tend to take a selective rather than impartial approach to administering justic e†. (Gagnon,142) Even some community and religious leaders are prolonging the issue of child marriage because they are uneducated, without any training on women’s rights. Child marriage: a â€Å"practice that robs millions of girls of their childhood, their rights, and their dignity† (Hedayat, 2011). This a quote from Girls Not Brides global initiative that launched in Africa, and made it’s way over to India. Statistics show that 40% of the world’s child marriages take place in India (Hedayat, 2011). Even though child marriages are illegal in India, priests still conduct child weddings, and guests still attend with happiness and excitement. The legality doesn’t seem to affect the people in India, even though one would be charged with a fine of Rs100,000 ($1,600 in US currency) for not preventing or stopping a child marriage. These marriages are still being performed in India, more or less â€Å"secretly†. Child marriages are supported by villages in India, so when these marriages are performed,  nobody informs the police. A difference between India and Afghanistans child marriages, is that once the young couple gets certified as husband and wife, they don’t end up living with each other until they are older (Around 15 or 16). It seems to me in India child marriage is opposed by the Indian government, and largely tolerated by the families, and young girls of India. One young girl says: â€Å"Had I been married later, I’d have learned to read and write† (Hedayat, 2011). The young girls are expressing that one of the biggest struggles with child marriage, is not being able to receive an education. If I was forced into marriage at any age before 16, I’m not even sure I would have the emotional stability to even think about an education because I would be traumatized. This culture shock really intrigued me. The main reason why child marriages are being performed throughout India, is directly similar to Afghanistan. The two main reasons are due to culture, and parents wanting their daughter to be better provided for by an older man, because they can’t provide the type of life they want for their daughter. Which absolutely makes no sense to me! Yes, they maybe getting all the necessary essentials to be surviving, but these young girls are barely even living when they have to suffer through the traumatizing effects of being a child bride. Of course, many young girls in India also are forced into having a baby, resulting in deaths of the young girls and their soon to be child. In India, out of every 1,000 children born due to child marriage, 31 die before they are one year old (Resource Centre for Participatory Development Studies, 2011). These statistics make me cringe, because in reality so many young girls and newborn babies deaths can be stopped, if this horrible acceptable view of child marriage is put to an end. When researching child marriage in Africa, statistics showed that 42% of girls were married before turning 18 (PBS, 2010). As I was reading an article, I came across a horrid sentence that literally broke my heart. I read that in Africa, parents â€Å"consider their daughters second-class citizens and see them as potential sources of income.† (Kamba, 2013). In Central and West Africa, 2 out of every 5 girls are married before they reach the age of eighteen (Kamba, 2013). According to Kambas article, child marriages are being performed in Africa due to parents wanting to protect their young girls from pre-marital sex and unwanted pregnancy, â€Å"which tarnish a family’s honour and  may diminish the value of a future dowry.† South Sudan is known to have the world’s highest mo rtality rate, â€Å"with about 2,054 deaths per 100,000 live births.† The young women having these babies, also don’t have a good chance in living, where as one in seven girls die due to pregnancy at such a young age (Kamba, 2013). Just like Afghanistan, and India, traditional practices play a huge part of why child marriage is still performed in Africa. Child marriage is engraved in Africa as an â€Å"ancient tradition†. Even though tradition plays a huge role on child marriage, the economic struggle of Africa also comes into play. Child marriage can be blamed on â€Å"the country’s poorly-defined and contradictory laws as well as the government’s weak execution and enforcement of them† (Kamba, 2013). Overall, I can find some sense into child marriage being blamed on the government’s weak enforcement, because if the country is facing economic difficulties, how can they have enough money and support to have a strong forceful government? After researching Afghanistan, India, and Africa, I wanted to see if child marriage is performed throughout the European and American nations. European and American nations don’t deal with as much poverty as these other countries do, which made me curious to find out if child marriage is actually performed in these nations. I did some research, and even though there isn’t much on the internet of child marriage in European and American nations, I came across a few sources. In Europe child marriage is practiced in Georgia (rate of 17%), Turkey (rate of 14%), and Ukraine (rate of 10%). Ten percent of young children marry before the age of eighteen in Britain and France (United Nations Population Fund, 2012). According to Dr. Lisa Dana, child marriages are most common in the Southern part of the United States, because laws on marriage are more lenient there. In the United States, statistics found that 8.9% of children were married off young, which is dramatically lower than the other countries that I’ve researched. All but two states in the United States require both the members of a partnership to be at least eighteen years of age or older to be allowed to marry without parental consent (Strat, 2011). I was surprised with how little information on child marriage I came across while researching Europe and Latin/Northern America. I came to the conclusion that a lot of child marriages aren’t reported from these nations, or as sad as it is, it doesn’t happen that  often because these countries aren’t in severe poverty. So, after researching all these different countries, I asked myself two questions: Why does child marriage even happen and are there common reasons of why this is happening throughout the world? I came to the conclusion that child marriage is practiced due to culture/tradition, poverty, security, and failure for authorities to enforce laws. Throughout all these countries, besides the European nations, I found that these four main factors play a common role in why child marriage happens. Culture and tradition is definitely the main reason why child marriage is prevalent in these countries. Culture places strong social pressures on families to conform to everything the culture expects. If families decided to go against tradition, they face the consequences of facing disapproval or family shame. (Equality Now 2010). Culture plays a huge roll in families from these countries, and it is purely unacceptable to go against the culture that you’re from. Poverty is another reason why child marriage happens. Families that can’t afford to raise a child due to low income, look at the child as an economic burden (United Nations Population Fund 2012). If the girls aren’t seen as a burden, they are â€Å"valued as capital for their exchange value in terms of goods, money, or livestock† (Equality Now, 2010). How horrific! I can’t even imagine the emotional insecurities these young girls face when being bargained off to random men who are much older than them. Security also plays a big role on why child marriage occurs around the world. Many of these countries don’t have a secure home base for their children to be safe. Parents want their child to have a safe future, so they turn to child marriage as a secure base. This goes back on the poverty aspect, if parents can’t afford to take care of their daughter, they sell her off to a man whom can. Even though he really isn’t â€Å"taking care â€Å" of her. In my opinion the child would have a â€Å"safer future† if she just stayed with her family, because she doesn’t have the risk of being abused, or dying due to young pregnancy. Lastly, failure to enforce laws that have been made for women, and the issue of child marriage plays a huge roll on why child marriage is still occurring to this day. In most of these countries, there are laws that don’t allow marriage until the age of eighteen, and many laws that are protecting women. Some families aren’t aware that they are breaking the law, while others just don’t care to stop because nobody is strictly enforcing these laws. â€Å"In some  countries early marriage is so prevalent, prosecutions are seldom brought†(United Nations Population Fund, 2012). If authorities went into these countries, and tried to pin point exactly where child marriage is happening, even in the â€Å"secret villages†, and prosecuted the individuals performing in this act, we might see lower statistics. â€Å"According to the Convetion on Elimination on All Forms of Discrimination against Women (CEDAW)- marriage before the age of 18 shouldn’t be allowed since children don’t have the ‘full maturity and capacity to act’ (United Nations Population Fund, 2012). I couldn’t even imagine being forced into a marriage at a age where I am barely able to read and write. Marriage is ones personal decision, not a forceful requirement. How could anyone force their two year old child into wedlock and ten years down the road force the child out of their home? The concept of child marriage makes me sick to my stomach and leaves me with an uneasy feeling. I am infatuated with children, and the thoughts and images that run through my mind about child marriage, utterly break my heart. Whether the concept of child marriage is due to culture/tradition, poverty, security, or failure for authorities to enforce laws, there is really no excuse for this act being performed! Young girls deserve to be educated and grow to be the best possible women they can in the future. Every girl, deserves the opportunity to reach their full potential. Child marriage needs to be put to an around the world, but what can you do? The most important action to take in order to stop child marriage, is to educate and empower girls. â€Å"Education is one of the most powerful tools to delay the age at which girls marry as school attendance helps shift norms around child marriage† (Girls Not Brides, 2013). I encourage each and every girl to educate another women they know about child marriage. Do research, find answers, make your voices heard. One thing you can do is sign UK’s Take the Vow petition. As I was researching, I came across this petition that is urging the UK’s government to take action and early and forced marriage around the world (United Nations Population Fund, 2012). You can take this vow, just like I have, and the world could just be one step closer to the world ban of child marriage. Works Cited â€Å"Child Marrriage: Facts, Causes and Consequences.† About.com Middle East Issues. N.p., n.d. Web. 22 Nov. 2013. â€Å"Child Marriage in America:a Health Risk.† BabyCenter Blog. N.p., n.d. Web. 22 Nov. 2013. â€Å"Child Marriage in the United States and Its Association With Mental Health in Women.† Child Marriage in the United States and Its Association With Mental Health in Women. N.p., n.d. Web. 22 Nov. 2013. â€Å"Early and Forced Marriage – Facts, Figures and What You Can Do.† Early and Forced Marriage. N.p., n.d. Web. 21 Nov. 2013. Gagnon, George. The Unfinished Revolution: Voices from the Global Fight for Women’s Rights. Ed. Minky Worden. New York: Seven Stories, 2012. Print. Hedayat, Nel. â€Å"What Is It like to Be a Child Bride?† BBC News. BBC, 10 Apr. 2011. Web. 22 Nov. 2013. â€Å"How Can We End Child Marriage?† Girls Not Brides How Can We End Child Marriage Comments. N.p., n.d. Web. 22 Nov. 2013. â€Å"Humanitarian News and Analysis.† IRINnews. N.p., n.d. Web. 22 Nov. 2013. â€Å"Navigating Interracial Borders: Black-White Couples and Their Social Worlds [Paperback].† Navigating Interracial Borders: Black-White Couples and Their Social Worlds: Erica Chito Childs: 9780813535869: Amazon.com: Books. N.p., n.d. Web. 22 Nov. 2013. Ryan, Rebecca M. â€Å"Martial Birth and Early Child Outcomes: The Moderating Influence of Marriage Propensity.† 83.3 (2012): 1085-101. Meriam Library. Web. 20 Nov. 2013. â€Å"The Dangers of Child Marriage in India.† ChildFund International. N.p., n.d. Web. 22 Nov. 2013. Wondie, Yemataw. â€Å"Early Marriage, Rape, Child Prostitution, and Related Factors Determining the Psychosocial Effects Severity of Child Sexual Abuse in Ethiopia.† Journal of Child Sexual Abuse (2011): n. pag. Meriam Library. Web.

Friday, November 8, 2019

The Misfortune of a Woman Essays

The Misfortune of a Woman Essays The Misfortune of a Woman Essay The Misfortune of a Woman Essay Essay Topic: The Heart Of a Woman The beginning of the story describes Madame Eloise as discontent yet visually appealing, but throughout the story she ruinations from a satisfied and eminent woman into an appreciative, hardworking, and aged woman. Before Madame Lose attends the lavish party. Her attitude towards her financial situation and social status can be described as discontent and ungrateful. Madame Eloise owned,no evening clothes, no Jewels, nothing. But those were the things she wanted; she felt that was the kind of life for her, (Unpleasant Lines 35-36). Since she was a middle class woman she only has enough money to afford necessities like food ND water, not novelties Like fine linen or gold. This Inconvenience caused Madame Lose to beg her poor husband for money and made him believe she should be pampered Like the wealthier women. She then dedicated her life to Ralston her social status equal to or above that of the wealthier women in the city. During the extravagant party Madame Eloise is commemorated as an eminent woman praised by the upperclassmen and upperclassmen and finally content with her life for the first time. At the party she, She danced madly, ecstatically, drunk tit pleasure, with no thought for anything, In the triumph of her beauty, in the pride of her success, In a cloud of happiness made up of this universal homage and admiration, of the desires she had aroused, of the completeness of a victory so dear to her feminine heart, (Lines Madame Eloise was so proud of herself that she disregarded every aspect of her life other than the party. She didnt care what was going on with her husband, rather fooling around with the other guests, particularly men. She finally felt that this exciting, expensive, care-free lifestyle is the one she was destined to live In. Once Madame Lose carelessly misplaces the diamond necklace, her whole life flips upside down and she comes to grips with reality. Madame all day long, in the same state of bewilderment at this fearful catastrophe. [Mr.. ] Eloise came home at night, his face lined and pale; he had discovered nothing, (Lines Madame Eloise finally began to develop a sense of what a real life is like, one with trials, mistakes, and disadvantages. At this point she drops all of the glamour of the nights previous, and worries that she may disappoint her friend and Is no longer proud and full of herself. This realization of the truth pushes Madame Lose on her journey into a transforming personality aimed at gratitude and fulfillment. Before Madame Eloise attends the party she feels downcast about her social class, while she is at the party she feels satisfied and loved, and after losing the valuable necklace she transitions into a humble and content middle class housewife. In the ginning of the story Madame Eloise is only worried about materials such as gold the party she is the center of attention and blissfully accepts all of the compliments about her 400 franc dress and expensive borrowed Jewelry. Finally she loses the necklace and all of her pride and carelessness along with it, her attitude had changed for the better. Readers should take this as a lesson to appreciate what you have while you still have it, because one simple mistake can mess up everything. Gratitude and humbleness can take a person farther than blind greed and pride.

Wednesday, November 6, 2019

3 Questions To Guide Your Marketing Program With Michael Brenner

3 Questions To Guide Your Marketing Program With Michael Brenner Successful marketing takes more than just running ads, publishing articles, and designing newsletters. With so many moving parts, running a successful marketing program can be elusive. So, use a thoughtful and simple framework to cut straight to the heart of what it means and what it looks like to get consistent results. Today, we’re talking to Michael Brenner, the CEO of Marketing Insider Group and co-author of The Content Formula. He shares his global perspective and the secret to success when it comes to content marketing. Michael discovered that he had an aptitude for helping customers at scale Counter-intuitive nature of life applies to marketing; there’s a lot more to marketing than just advertising, which we hate and tune out We perceive marketing in the wrong way; it’s a two-way communication between a company and its customers What type of marketing works? Things that are not selfish, promotional, and interruptive, but aligned to what customers are wanting and what helps them Marketing starts with culture, and growth equates to the amount of empathy a company has for its customers, employees, and world Mission Statement: What is your purpose? Meaning? What do you achieve for the people you touch? Step 1: No matter what you are working on or what role you play in the company, always ask: What’s in it for the customers? Do less promotion in advertising and more content marketing or education Identify the amount of integration and interaction that occurs across the company Step 2: What’s in it for your colleagues? Marketing goes beyond the marketing department; it’s a collaborative and magical effort Step 3: What’s in it for the company? Conversions and ROI of content marketing Culture, empathy, and performance lead to effective and successful marketing Michael tries to do 2 things every day: Be thankful and show empathy (T E) Links: Michael Brenner Michael Brenner on Twitter Marketing Insider Group The Content Formula Jim Stengel’s Grow AMP on iTunes leave a review and send screenshot to podcast@.com If you liked today’s show, please subscribe on iTunes to The Actionable Content Marketing Podcast! The podcast is also available on SoundCloud, Stitcher, and Google Play. Quotes by Michael Brenner:: â€Å"If you just help your customers, or help your buyers buy, and answer the questions that they have in that journey, then you can really succeed.† â€Å"There’s a lot more to marketing than just advertising.† â€Å"Selling is helping buyers buy, and marketing is helping buyers buy, as well, but at scale.†

Sunday, November 3, 2019

Ford Australia Essay Example | Topics and Well Written Essays - 3500 words

Ford Australia - Essay Example Next in scheme of things lies Cost and Market analysis, which probe into questions such as the resources FPV has at its disposal, and how well it's able to use them. The key metrics identified are: differentiation of markets, closeness of substitutes, barriers to entry and modes of competition. This presentation is helpful in building a macroeconomic risk assessment module looking into the impact of factors such as inflation, CPI, interest and exchange rates, examining various risk factors, thereby understanding FPV's business development plan. At a micro-level, the analysis would entail studying of internal forces such as manpower, growing opportunities, etc. The ultimate aim of our research is to develop a competitive strategy model, which is done through Porter method. FPV is a force to reckon with, in Australia's segment of high performance cars, with brands such as GT, GT-P, Pursuit, Super Pursuit, F6 Typhoon, F6 Tornado and Force (FPV website, 2006). Its major competitor is Melbourne-based HSV. The current FPV range is a mix of turbocharged inline 6-cylinder and V8-powered Falcons. Each brand has its own conceptual framework and design, and the constant focus of the brand FPV, is to maintain benchmarks set by V8 racing cars. At this point, it is important to lay emphasis on the genetic makeup i.e. the internal structure of the corporate entity called FPV. Initially owned by the UK-based Prodrive company Tickford, FPV joined hands with Ford Australia, as its tuning division to develop itself into the niche category called Motorsport. The major aim of any business organisation is to create and sustain value, through profits. FPV is no different. In very simplistic terms, Value, for any economic entity is measured by a parameter called Economic Value Added, which is defined as the value of an activity that remains after subtracting from it, the cost of opportunity of investing consumed resources, and sovereign debts that accumulate (Stewart III, 1991). In the field of corporate finance, this translates into the following equation (Stewart III, 1991): Return on capital = Net operating profit after Tax / Weighted Average Cost of Capital. As of 2004, Ford Australia recovered a Net profit after tax of $136 mn (Porter, 2004) on shareholder equity of $592 million, and the corresponding return on capital was 26.1% which is a fairly high value in medium-growth automobile industry (Porter, 2004). Thus, it is clear in no uncertain terms, that Ford Performance Vehicles is an enterprising segment in the Performance Cars category, and there is enough scope for organic, and balanced growth in future as demand for faster cars escalate, and infrastructure develops to keep pace with the surge in demand for these vehicles. In upcoming sections, we will elaborate more on the economic analysis of our case study company. Dimensions of the Market FPV has won the 2006 Australian Performance Car of the Year award. For FPV, "diversity" is an essential ingredient in its zeal to retain excellence as laid out by its fraternal organization (FPV website, 2006), for the fiercely competitive Australian business environment. Diversity encompasses its mission-critical drive to transform the

Friday, November 1, 2019

Linguistics- Language Acquisition Essay Example | Topics and Well Written Essays - 1250 words

Linguistics- Language Acquisition - Essay Example In the sense, they will imitate every aspect and word more like how they observe than what is the exact. While imitating, almost all the children reflect a tendency to make errors, these errors could be explained as general among all children, who may belong to any origin. Some of the common errors or overgeneralizations that could be identified among children are applying the meaning of a universal statement to all exceptions. This is a behavioural mistake realised among all children. For example if â€Å"dog is explained in terms of an animal having four legs, and birds in terms of all that flies†, the child will associate all animals with four legs as dogs, and all that flies as birds, including an insect. The simplest example would be that, children suggesting the past tense of verbs in a generalized way, the past tense of â€Å"come† might be guessed as â€Å"comed†. As they would have registered their mind according to what they have been taught as rules, â€Å"all verbs end with an â€Å"ed† while changing to past tense. This might be referred to as one of the simple examples of overgeneralization. From this we could understand that As far language acquisition is concerned, overgeneralizations occur in those who are in the beginning stage of learning, for example children who learns their first language at home, and adults who learn their second or non native language on condition. It is the stages involved in the process of learning a language by understanding the linguistic and grammatical rules of the particular language. A child learns by distributing the various things that exists and analyse them on the basis of communicative ideas taught by the elders. For example if an elephant is described and explained as huge in size, the child might associate this explanation with any other animal [which it might see in a book]. This is called overgeneralization. As already said language acquisition is the course of learning a language by