Family Interview Essay Example | Topics and Well Written Essays - 250 words

Family Interview - Essay Example nter with a close relative like an aunt in this case gives an insight into the effect of the colonial socio-political and economic structure that has remained to define Haiti society to date. Critical assessment of the Haiti history shows significant cultural homogeneity with emphasis on religious practices that is dominated by Christianity. Of sensitive interest is the voodoo religion which can be traced back to the central African natives blended with American natives during the slavery period. It is therefore in the interest of the scholars and general public to understand the series of social reconstruction that Haiti has gone through in order to attain its current identity. Even the name was changed and some events are undertaken to date in commemoration of the French departure in the era of Marcus guvey.A family interview forms an important primary source of data in as far as the history and contemporary culture of Haiti is concerned. Besides, the information obtained reflect s ignificant overall socio-economic and political trend across Latin America. My Aunt who was the respondent in this interview used the concept of health as being based on the equilibrium and balance between hot (cho) and cold (fret). She holds the strong belief that sadness, excessive anger and fear are key health contributors. She believes that the spiritual well being i.e. being prayerful is an indication of spiritual good while illness is a result of a wrong doing and disrespect to the deity. Growing up in the Port au Prince Haiti, my Aunt had three sisters and four brothers. Her parents were raised in Haiti though moved to the US in their late twenties. She went to the United States when she was twenty eight and grew up together with her siblings, which strengthened the family bond between them. They are so close that a day barely passes without the siblings meeting. My Aunts mother was born in Ouanaminthe which is a small town in the Northern part of Haiti, with an approximated

The Accumulation of Capital Essay Example for Free

The Accumulation of Capital Essay Joan Robinson (1903-83) is one of the leading economists of the 20th century and the only woman among the great economists. Her writings on economic development show a strong sense of the historical context of social change and a concern with economic organization and institutions rather than resource allocation. The existence of al living beings has the character of certain economic relationships. For example, in her work The Accumulation of Capital (1956) Robinson shows how from the economy’s point of view a human being can practice the behavior of an ordinary robin, and proceeding from this comparison she notes that economic life of humans is incomparably more complicated and needs very profound analysis. According to Robinson a group of people who specialize and co-operate are more likely to produce far greater results than the sum of their independent efforts. Basing on this simple fact, she continues, human economies develop into very intricate complexes of specialized activities. The method of distribu ¬tion of the product of interlocking activities then becomes important. After the distribution of the products the notion PROPERTY comes to light. There are a great number of societies on the planet, which live in accord with different types of economies. For example, there is slave economy, capitalist economy, socialist economy, etc. The methods of distribu ¬tion of the product of interlocking activities in each of these economies are cardinally different. Robinson claims that no actual economy conforms to a pure type. For example when she speaks about the economies, which are predominantly capitalist, she states that they contain many elements of production for home consumption, many elements of artisan production and many elements of socialism. This book deals predominantly with capitalist economy. It explicates certain capitalist rules, under which anyone who has suffi ¬cient purchasing power, or finance, and knows how to set about it, can become an employer of labor or entrepreneur. Then on the explanation of what entrepreneur is and how entrepreneurship developed is provided. For example, she compares the historical and modern notion of entrepreneur – in the early days of capitalism the typical entrepreneur was an individual who had invested his own finance in a business which he managed himself and bequeathed to his heirs as a going concern. The entrepreneur in modern conditions is a very amorphous conception; in brief, it is decision-taking entity, embodying the policy of a firm. The capitalist rules of the economy encourage large-scale produc ¬tion and the use of elaborate techniques. This raises output per man much above what an artisan can achieve. Thus, one of the tasks of entrepreneur is, in fact, to organize his employees in such a way to reach the highest possible output. In the following chapters Robinson presents the traditional categories in which the sources of income are usually divided like wages, rent, interest and profits. She also provides very clear and complete explanation of each of these categories. According to Broadly, economic wealth is the command over goods and services that are desired, or consuming power for short. The significance of production lies in the consumption, which it makes possible. The motive of each individual is to get command over money, and a flow of goods and services suitable to meet human wants emerges as a by ¬product of their efforts to do so. Thus the purchasing power of individuals and groups is the major influence on their consuming power. The purchasing power in real terms of a sum of money consists in a list of all the possible goods and services that it might buy. Purchasing power must be examined, so to say, in two layers the command of an individual or group over money, and the command given by a unit of money over goods and services. She states her position that the marginal productivity theory is not appropriate to explain the distribution of the national income between capital and labor, because, as she explains it is impossible to measure capital independently of labor. When assessing purchasing power we cannot do without such notion as money. Generally, money and its function is one of the central notions of economy. The economy is monetary, because there is specialization and exchange between different groups. Robinson underlies the importance of presenting the price level in terms of money, but she does not leave aside the importance of labor invested in the product. As she observes, many contracts besides the wage bargain are made in terms of money, and changes in the purchasing power of money bring about opposite changes in the real benefit and the real cost of the payments concerned so long as the contract holds. But in the long run all contracts are revised, so that a change in the real value of money becomes just a change in words. Over the long run the important price level is the price level in terms of labor time, for this expresses the distribution of the total product of the economy between work and property. Robinson concludes her book with the chapter which deals with the importance of equilibrium in economic relations. She presents different models of economic cooperation and comes to conclusion that an economy, which existed in a state of tranquility, lucidity and harmony, would be devoted to the production and con ¬sumption of wealth in a rational manner. She emphasizes the necessity to describe these conditions to see how remote they are from the states in which actual economies dwell. Traditionally she resorts to the showing the real example on capitalist model, which could never have come into existence in such conditions, for the divorce between work and property, which makes large-scale enterprise possible, entails conflict; and the rules of the game have been developed precisely to make accumulation and technical progress possible in conditions of uncertainty and imperfect knowledge. Yet too much disturbance, deception and conflict would break an economy to pieces. The persistence of capitalism till to day is evidence that certain principles of coherence are imbedded in its confusion, concludes Robinson in her work. The models of economic concepts in Joan Robinsons The Accumulation of Capital are very easy to understand and provide insight into the fundamental elements of an extremely complex process of economies. By concentrating on the purely economic strands in the process of development we can provide a practical guide to understanding history, and indicate to people how best they might set about their task. The Accumulation of Capital deals with money, credit, finance, interest rates, and banks. Joan Robinson exhibits her clear comprehension of the complexities of the financial world. Moreover, she appears to be able to provide a novelty of comprehensive view of the relations between the financial system and the macroeconomy. This book is a perfect source of valuable information on money, credit and finance. Reference: Robinson, Joan (1956), The Accumulation of Capital, Macmillan, London.

Insight into milan kunderas narrative Essay -- essays research papers

Insight into Milan Kundera’s narrative This essay is specifically based on the narrative technique used by Milan Kundera in his book The Unbearable Lightness of Being. It is mostly focused in a personal critic supported with comments and critics made by important and distinguished authors. To sum up, it is an essay which main point is directed to the description of Milan Kundera’s narration as well as a personal opinion supported by critics of experts. The Unbearable Lightness of Being is a work of fiction, that it is also combined with facts of history. Works of fiction can be told from the point of view of one of the characters, that means first person narration or it can be told by the author as narrator, that would mean third person narration. Most of the time, when the author is telling the story, he tries not to be perceived or to be noticed as less as possible. There is an exception to this rule called â€Å"the intrusive narrator†. This narrator addresses the reader and talks about issues concerning the narration. He tries to make his presence visible. (O’Brien 1). Milan Kundera uses in his narrative technique the intrusive narrator. He interrupts the reading with his authoritarian voice that most of the time fell into disfavour for the reader because it distracts the mind and reduces the emotional intensity of the experience of reading by interrupting and calling attention to the act of narrating. Mostly, this type of technique employed by Kundera leads to a different perception of the narrator. He gains power by interrupting the narration with his opinions, controlling the presence of the characters, his authoritarian voice and so on. The author has influence in the reading experience. The reader can drastically change his experience by getting to know the author and feeling his unwanted presence in the novel. Furthermore, Kundera’s work in the narrative is constantly analyzed and questioned from a philosophical point of view (Corbett 1). However, it would be wrong to regard Kundera as a philosopher. He enjoys playing with his storylines and while analysing them rationally, he opens up an infinite way of interpreting the presented facts. Here is an example of how he plays with the storylines in the last pages of the book : â€Å" And therein lies the whole of man’s plight. Human time does not turn in a circle; it runs ahead in a straight line. That is w... ...ive technique. To conclude, Kundera’s narrative technique is very complex and unusual, it is also very rich in history and fiction. It might being difficult the easy flowing of the reading, but I have to accept that he is a very good author, who knows what is doing. He uses the â€Å"intrusive narrator† technique, because he does not want to be a dissident writer. (Contemporary Literay Criticism-Select 1). References: Corbett, Bob. â€Å"The Unbearable Lightness of Being†. New York. October 2001. Retrieved from WilsonWeb, FSU libraries. Doctorow, E.L. â€Å"Four Characters Under Two Tyrannies†. New York Times Book Review. April 29, 1984: 1. FSU Libraries. Literature Resource Center. Kussi, Peter. â€Å"Milan Kundera: Dialogues with Fiction†. World Literature Today, Vol.57, No. 2, Spring 1983, pp. 206-209. FSU libraries. Literature Resource Center. O’Brien, John. â€Å"Milan Kundera: Meaning, Play, and the Role of the Author.† Critique. Vol. XXXIV. No. 1. Fall, 1992: 3-18. FSU Libraries. Literature Resource Center. â€Å"Milan Kundera: The Unbearable Stardom†. New Statesman. London England: 1996. WilsonWeb, FSU libraries. â€Å"Milan Kundera†. Contemporary Literary Criticism-Select. WilsonWeb, FSU libraries.

Electronic Health Record Implementation Health And Social Care Essay

The passage from paper records to electronic wellness records has been a challenge in the province of Mississippi. This research survey will concentrate on electronic wellness record ( EHR ) preparedness of ague attention infirmaries in the province of Mississippi. The survey will turn to the factors associated with execution every bit good as the benefits, barriers and hazards. The survey will besides supply information as to the position of EHR execution in the province of Mississippi. Introduction. The Bush disposal mandated a call to action for the execution of electronic wellness records within a decennary in 2004. Healthcare suppliers were given a timeline for execution and the confidence that the authorities would be an active protagonist. In 2009, the Obama disposal outlined funding in the American Reinvestment and Recovery Act for EHR support. Suppliers must choose a system and seller that is certified by the Certification Commission for Health Information Technology ( CCHIT ) in order to measure up for federal support. With the 2014 deadline looming, some installations have non started the procedure of EHR choice and execution. In 2008, a comparable survey was performed measuring EHR preparedness in the province of Alabama. A self-completed study was mailed to 131 managers in the wellness information direction ( HIM ) section of Alabama infirmaries. Harmonizing to the research provided in the survey, of 91 reacting infirmaries ( 69 per centum response rate ) , merely 12.0 per centum have completed execution of EHRs ( Houser & A ; Johnson, 2008 ) . Background of the Problem. In 2004, President Bush called for widespread acceptance of the EHR within 10 old ages. Traveling from paper to EHRs has been a challenge for many infirmaries and doctors ‘ offices. Although attempts toward EHR execution started about two decennaries ago, the procedure has been slow ( Amatayakul, M. K. , 2007 ) . Harmonizing to a recent study on EHR advancement, the acceptance of EHRs â€Å" is non happening every bit quickly as hoped, † and the U.S. is dawdling in acceptance of EHRs ( Robert Wood Johnson Foundation, 2006 ; Powell, A. , October 12, 2006 ) . Recent studies suggested that EHR execution was between 17 to 24 per centum in doctors ‘ offices in an ambulatory attention puting ( Robert Wood Johnson Foundation, 2006 ; A Jha, A. K. , T. G. Ferris, K. Donelan, C. DesRoches, A. Shields, S. Rosenbaum, and D. Blumenthal, October 2006 ) . EHR usage in any format in hospital scenes was estimated to be 20 to 25 per centum, and the usage of computerized physician order entry ( CPOE ) was about 15 per centum ( Blumenthal, D. , March 2006 ) . Compared to urban infirmaries, EHR usage in rural infirmaries was less common ( Bahensky, J. A. , M. Jaana, and M. M. Ward. 2008 ) .Ward ‘s survey indicated that more than 80 per centum of urban infirmaries reported utilizing computing machines to roll up basic clinical information for possible usage in an EHR and CPOE system, while merely 30 to 40 per centum of rural infirmaries were making so ( Ward, M. M. , M. Jaana, J. A. Bahensky, S. Vartak, and D. S. Wakefield,2006 ) . Purpose of Study. The intent of the proposed survey will concentrate on the figure of healthcare organisations in Mississippi that have implemented electronic wellness records. The survey will place barriers and benefits to execution and buttocks preparedness province broad. Significance of Study. A survey done in April 2009 entitled â€Å" Use of Electronic Health Records in U.S. Hospitals † stated that of responses from 63.1 % of infirmaries surveyed, merely 1.5 % of U.S. infirmaries have a comprehensive electronic-records system ( i.e. , present in all clinical units ) , and an extra 7.6 % have a basic system ( i.e. , present in at least one clinical unit ) . Computerized provider-order entry for medicines has been implemented in merely 17 % of infirmaries. Larger infirmaries, those located in urban countries, and learning infirmaries were more likely to hold electronic-records systems. Respondents cited capital demands and high care costs as the primary barriers to execution, although infirmaries with electronic-records systems were less likely to mention these barriers than infirmaries without such systems ( Jha, 2009 ) . The EHR has several distinguishable advantages over paper wellness records. One definite advantage is the fact that there are increasing storage capablenesss for longer periods of clip. Besides, the EHR is â€Å" accessible from distant sites to many people at the same clip â€Å" ( Young 99 ) and retrieval of the information is about immediate. The record is continuously updated and is available at the same time for usage everyplace. Information is instantly accessible at any unit workstation whenever it is needed. Presently the paper record represents â€Å" monolithic atomization of clinical wellness information. † ( Schloeffel et al. 1 ) This non merely causes the cost of information direction to increase but besides â€Å" atomization leads to even greater costs due to its inauspicious effects on current and future patient attention † ( Schloeffel et al. 1 ) . The EHR can besides supply medical qui vives and reminders. EHR systems have some â€Å" constitutional intelligence capablenesss, such as acknowledging unnatural lab consequences, or possible dangerous drug interactions † ( Koeller 11 ) . Research findings back uping diagnostic trials and the EHR â€Å" can associate the clinician to protocols, attention programs, critical waies, literature databases, pharmaceutical information and other databases of health care cognition † ( Young 100 ) . Computer systems should non take the topographic point of doctors ‘ critical judgements nevertheless, â€Å" a well-designed EHR supports accountable liberty, roll uping and circulating information to help the medical professional in determination devising † ( Wellen, Bouchard, and Houston 2 ) . Another benefit to an EHR is that it allows for customized positions of information relevant to the demands of assorted fortes. The EHR is â€Å" far more flexible, leting its users to plan and use coverage formats tailored to their ain particular demands and to form and expose informations in assorted ways † ( Dick, Steen, and Detmer 46 ) . As a direction tool, the EHR can supply information to better hazard direction and appraisal results. Today, reimbursement is based on results hence healthcare organisations â€Å" must seek advanced ways to better quality of attention and results while pull offing costs † ( Dray 3 ) . An EHR can diminish charting clip and charting mistakes, hence increasing the productiveness of health care workers and diminishing medical mistakes due to illegible notes. â€Å" Reduction of medical mistakes is the concern of the populace at big, province legislators, health care suppliers, and many other wellness professionals † ( Waegemann et al. 11 ) . There have been legion narratives about fatal errors happening because of illegible notes written by doctors. EHRs â€Å" address a job that has plagued medical staff really perchance since the first physician put pencil to paper [ aˆÂ ¦ ] ( Dobias 3 ) . Since â€Å" script is natural, and hence hard to alter † ( Dobias 3 ) automated systems can assist extinguish this job. Although some systems may look dearly-won, the additions in efficiency far offset the costs. Chart chasing is eliminated, as is duplicate informations entry of the same information on multiple signifiers. â€Å" Highly paid, skilled clinicians no longer are delayed by the hunt for elusive paper charts, and useable result information becomes available without several yearss of informations digest † ( Wellen, Bouchard, and Houston 3 ) . Financially, the EHR will supply more accurate charge information and will let the suppliers of attention to subject their claims electronically, hence having payment quicker. The patient is even happier, because old information is available so the patient does non hold to go on to supply the same information over and over once more ( Gurley, 2006 ) . The completion of this survey will add to the organic structure of cognition by detailing the grounds for or against partial or full electronic wellness record execution in Mississippi. Chapter 2 – Reappraisal of Literature Reappraisal of the Literature A literature reappraisal for this topic has provided many relevant articles covering the subject of electronic wellness record execution. After choosing articles that were more closely aligned with the range of this research, I examined the mark population ( infirmaries in Mississippi ) , research intent ( designation of factors, barriers, and benefits of execution ) , the differing research methods, the information analysis method, variables, demographics every bit good as sample size. The literature systematically reflects positive benefits of utilizing this engineering. The study survey design was most normally used in the literature and seems to bring forth more measureable consequences. Sample sizes varied depending on the geographic part. The first article was entitled, â€Å" Percepts Sing Electronic Health Record Implementation among Health Information Management Professionals in Alabama: A State-wide Survey and Analysis. † The intents of this survey were to measure the position of execution of EHRs among Alabama infirmaries ; the factors that are associated with EHR execution ; and the benefits of, barriers to, and hazards of EHR implementation.A A self-completed study was mailed to 131 managers in the wellness information direction ( HIM ) section of Alabama infirmaries. Of 91 reacting infirmaries ( 69 per centum response rate ) , merely 12.0 per centum have completed execution of EHRs. The cardinal factor driving electronic wellness record ( EHR ) execution was to better clinical procedures or workflow efficiency. Lack of equal support and resources was the major barrier to EHR execution. Rural infirmaries were less likely to implement EHRs when compared with urban infirmaries ( p = .07 ) . Adoption of EHRs should be evaluated in deepness for infirmaries, and peculiarly for rural infirmaries. Wayss to seek appropriate support and supply equal resources should be explored ( Houser, 2006 ) .A The 2nd article, â€Å" Use of Electronic Health Records in U.S. Hospitals † is sing the usage of electronic wellness records from a national position. The research workers surveyed all ague attention infirmaries that are members of the American Hospital Association for the presence of specific electronic-record functionalities. Using a definition of electronic wellness records based on adept consensus, the research workers determined the proportion of infirmaries that had such systems in their clinical countries. We besides examined the relationship of acceptance of electronic wellness records to specific infirmary features and factors that were reported to be barriers to or facilitators of acceptance ( Jha et.al, 2009 ) . The research workers collaborated with the American Hospital Association ( AHA ) to study all ague attention general medical and surgical member infirmaries. The study was presented as an information engineering addendum to the association ‘s one-year study of members, and like the overall AHA questionnaire, was sent to the infirmary ‘s main executive officer. Hospital main executive officers by and large assigned the most knowing individual in the establishment ( in this instance, typically the main information officer or equivalent ) to finish the study. Non-responding infirmaries received multiple telephone calls and reminder letters inquiring them to finish the study. The study was ab initio mailed in March 2008, and their in-field period ended in September 2008 ( Jha et.al, 2009 ) . The research workers found that less than 2 % of ague attention infirmaries have a comprehensive electronic-records system, and that, depending on the definition used, between 8 and 12 % of infirmaries have a basic electronic-records system. With the usage of the definition that requires the presence of functionalities for doctors ‘ notes and nursing appraisals, information systems in more than 90 % of U.S. infirmaries do non even run into the demand for a basic electronic-records system ( Jha et.al, 2009 ) . These articles focused on information which will turn out to be good as I move frontward with this research undertaking. There is a demand for extra literature hunt in order to study/research extra stuff related to this peculiar survey. Chapter 3 – Methodology Methodology Research Design. The research worker will utilize study research design and analysis. Each HIM manager was sent a validated study comprised of multiple pick and open ended inquiries. The information for the survey will be collected anonymously via study mailed to infirmaries in Mississippi. A random control figure will be assigned to each study and envelope. There will be no linkage to individuality of establishments, merely aggregated informations will be published. Population and Sample Design. The choice of sample size was based on the figure of infirmaries in the province of Mississippi. This survey will measure perceptual experiences sing electronic wellness record execution in assorted types of infirmaries in Mississippi. The sample will be a convenience sample of all HIM managers in the province of MS, consisting all major geographic locations and/or hospital size. Data Collection Procedures. In September, 2010, the research worker mailed self completed studies to infirmaries in Mississippi. Participating installations had 4 hebdomads from the day of the month they received the study to return it in the ego addressed stamped envelope provided. Addresss and contact information for the installations was gathered from the American Hospital Directory, the Mississippi Department of Health, and the Official State of Mississippi web sites. By December 2010, the thesis will be complete and ready for presentation. Research Questions. Each participant was asked inquiries sing demographics alone to their installation. The study inquiries we focused on sensed hazards and benefits of implementing an EHR wholly and in portion. The participants were besides asked inquiries sing their degree of instruction, certificates, and age scope. Profile of Sample Population A missive and ego completed study was mailed to 90 managers of wellness information direction in Mississippi infirmaries. Data Analysis. A quantitative research method will be used as the method of analysis. The information will enable a graded comparing of infirmaries in Mississippi that have non-implemented, partly and to the full implemented electronic wellness records. We will utilize descriptive statistics to supply a sum-up of the informations collected. Chapter 4- Consequences Features of Respondents Of a sum of 46 study respondents, a big bulk ( 96 per centum ) were HIM managers, and the staying respondents ( 4 per centum ) were hospital administrative forces ( Figure 4 ) . 35 of the 46 respondents ( 76 per centum ) were between the ages of 40 and 59, 6 respondents ( 13 per centum ) were 22 to 39, 4 respondents ( 9 per centum ) were over 60, and one participant chose non to react ( Figure 13 ) . 55 per centum ( 25 respondents ) held Registered Health Information Administrator ( RHIA ) certificates, 12 respondents ( 26 per centum ) held Registered Health Information Technician certificates ( RHIT ) , 1 respondent ( 2 per centum ) held Certified Professional Coder ( CPC ) enfranchisements, 4 respondents ( 9 per centum ) were dually certified keeping RHIA certificates and a Certified Coding Specialist ( CCS ) enfranchisement, 1 respondent ( 2 per centum ) held an RHIT certificate and Certified Coding Specialist ( CCS ) enfranchisement, and the staying 3 respondents ( 6 per centum ) chose non to react ( Figure 14 ) . The highest degree of instruction attained by the HIM professionals was besides included in the information aggregation. 61 per centum ( 28 respondents ) had obtained a unmarried man ‘s grade, 26 per centum ( 12 respondents ) had obtained an associate ‘s grade, 5 respondents ( 2 per centum ) had obtained certifications, 1 respondent ( 2 per centum ) had obtained a maestro ‘s grade, 2 respondents ( 4 per centum ) had obtained other grades in topics non related to HIM, and 1 respondent did non take part in this inquiry ( Figure 15 ) . While 28 per centum of the reacting HIM professionals have strong input, another 56 per centum have small or merely some input on determinations sing EHR execution in the infirmary. Eleven per centum of the respondents had no input sing EHR execution. Of the full pool of respondents, there were no HIM Directors or administrative forces who held the concluding decision-making power related to EHR execution in their infirmaries ( Figure 5 ) .A Among these study respondents, 54 per centum of their infirmaries have less than 100 beds, 31 per centum had 100-400 beds, and 13 per centum had more than 100 beds at their installation ( Figure 1 ) . Of the 46 study respondents, 61 per centum were from non profit/not for net income infirmaries while 24 per centum were for net income infirmaries ( Figure 2 ) . Of the respondents, 76 per centum were from rural infirmaries and 20 per centum were in urban countries ( Figure 3 ) . From a sum of 90 possible infirmary respondents, 46 ( 51 per centum ) responded and 44 ( 49 per centum ) did non react. Status of EHR Implementation When asked about the position of EHR execution in their infirmaries, merely 8 ( 17 per centum ) of the 46 study respondents reported that their infirmaries had implemented an EHR system. Twelve infirmaries ( 26 per centum ) of the infirmaries had non implemented an EHR system when the study was conducted, with the staying 26 infirmaries ( 57percent ) being in the execution procedure ( Figure 10 ) .A Of the 8 infirmaries with to the full implemented EHRs, 3 ( 38 per centum ) are in rural countries, 4 ( 50 per centum ) are in urban countries, and 1 did non react to location. All 12 ( 100 per centum ) of the installations without an EHR or any timeline regarding execution are in rural countries. Of the 26 staying installations with EHRs in advancement, 20 ( 77 per centum ) are in rural countries, 5 ( 19 per centum ) are in urban countries, and 1 is in a suburban country. Harmonizing to the informations collected, rural infirmaries are more likely non to hold a timeline for execution. Of those infirmaries who had implemented an EHR system, merely one had completed the procedure before the twelvemonth 2000, and another seven had implemented it between 2000 and 2006. The figure of EHRs implemented between 2000 and 2006 mirrors the statistics reported in a comparative survey completed among HIM professionals in the province of Alabama. Of the 46 respondents, 32 per centum of the infirmaries with enforced EHRs and in execution advancement, want both inmate and outpatient capablenesss for EHR support.A Of the infirmaries that had non implemented or were in the procedure of implementing an EHR system, 30 per centum indicated that they would implement EHRs within a twelvemonth. Another 14 per centum stated that they would implement EHRs in the following two old ages, and 17 per centum of respondents reported that they were non certain when EHR execution would take topographic point ( Figure 10 ) . Factors Driving the Need for EHR Systems When asked â€Å" What factors drive the demand for the EHR systems within your infirmaries? † 36 ( 86 per centum ) of the 46 respondents felt that the two major demands or concerns were to better the quality of health care and the demand to portion patient record information among healthcare professionals ( Figure 6 ) . Other factors were the demand to better clinical procedure or workflow efficiency ( 34 respondents or 74 per centum ) and regulative demands of JCAHO or HCQA ( 22 respondents or 48 per centum ) . When asked â€Å" what is the greatest factor that drives the demand for EHR systems? † the most of import drive factor was to better health care quality ( 33 per centum ) . Benefits of Implementing EHRs The respondents were asked, â€Å" What would be the benefit of implementing the EHR system? † 42 of the respondents ( 91 per centum ) indicated that bettering work flow would be the major benefit of implementing the system ( Figure 7 ) . Some other benefits were stated as cut downing medical mistakes ( 70 per centum ) , and cut downing cost ( 43 per centum ) , cut downing intervention clip ( 17 per centum ) , increasing gross ( 17 per centum ) , and minimising malpractice claims ( 13 per centum ) . The major benefit, as indicated by the respondents, is the betterment of work flow and efficiency. Barriers to Implementing EHRs The figure one perceived barrier for implementing an EHR system was deficiency of equal support and resources ( 39 per centum ) ( Figure 8 ) . 14 respondents in rural countries and 4 in urban countries cited fundss as a major barrier. Some other barriers were deficiency of support from medical staff ( 37percent ) , deficiency of cognition of EHRs ( 33 per centum ) , deficiency of employee preparation ( 28 per centum ) , and deficiency of structured engineering ( 20 per centum ) . Vendor issues and deficiency of corporate organisation and action were besides stated as barriers to EHR execution. The respondents identified the deficiency of equal support as the major barrier to EHR execution. Chapter 5- Conclusions and Recommendations As the deadline for electronic wellness record transition nears, there are still several Mississippi installations that have non begun or completed the execution procedure. Harmonizing to the informations gathered in this study, EHR execution is mostly uncomplete. Merely 17 per centum of the reacting sites have to the full implemented records. Another 57 per centum are in the procedure of implementing and 26 per centum have no clear timeline as to when execution will get down. There are restrictions sing this study. Without the staying 49 per centum of the studies completed and returned, there is no manner to measure the stage of execution at those installations. However, the figure of respondents that did take part indicates the demand for an immediate call to action in order to run into the 2014 end. Educating clinical and administrative staff and parties with vested involvement will help in undertaking the obstructions impeding EHR execution. Nationally, EHR acceptance rates among infirmaries vary widely. Jha ‘s survey reviewed 36 different studies conducted between 1995 and 2005 and recorded a scope between 4 per centum and 21 per centum for execution of computerized patient order entry among infirmaries ( Jha, 2006 ) . The slow advancement of execution can be mostly attributed to fiscal restraints. Lack of support in fiscal resources is the major factor that contributes to fewer Mississippi infirmaries, rural and urban, holding completed EHR execution. In add-on, deficiency of cognition sing EHRs and a deficiency of bargain in from clinical and administrative staff besides play a major portion in the slow execution procedure. While fundss are a hinderance, there are funding chances through federal statute law to back up EHR execution. The American Reinvestment and Recove ry Act ( ARRA ) of 2009 included the Health Information Technology for Economic and Clinical Health Act ( HITECH ) which seeks to better American wellness attention bringing and patient attention through an unprecedented investing in wellness information engineering. The ARRA developed an Electronic Health Record Incentive plan that authorizes the Centers for Medicare and Medicaid Services ( CMS ) to do incentive payments to eligible infirmaries to advance the acceptance and meaningful usage of interoperable certified EHR engineering ( ( IHS Office of Information Technology, 2010 ) . These incentive programs offer funding to healthcare suppliers who implement an EHR that is certified through the Certification Commission for Healthcare Information Technology ( CCHIT ) . These inducements will countervail the fiscal load of the installations as the passage into an electronic wellness record. HIM professionals play a major function in EHR execution. There is a great demand for persons with cognition and instruction in IT and EHR application and engineering. The 10,000 Trained by 2010 act was introduced in the House of Representatives in 2009 would authorise the National Science Foundation to present grants to establishments of higher instruction to develop and offer instruction and preparation plans. This would include instruction in the field of wellness information sciences. The debut of this measure indicates the turning demand for trained HIM professionals and the built-in portion they will play in EHR transition and execution. In order to accomplish the end of countrywide execution by 2014, there must be a greater push and increased support for health care suppliers. Government statute law and execution inducements are major paces in a positive way but there are still barriers that hinder EHR execution. It is necessary for suppliers to place the hazards, benefits, and factors driving EHR execution in order to cognize where and how to get down the procedure. Increased community consciousness, a good trained work force, support, and support from the clinical and administrative staff are all imperative in the successful execution of electronic wellness record engineering.

Case Study on Pneumonia

Case Study: Pneumonia and Pressure Ulcer Prevention in an Elderly MICU Patient June 6, 2012 Case Study: Pneumonia and Sepsis in an Elderly MICU Patient L. M. is a 75-year-old female who suffers from severe dementia and lives in a SNF. She was diagnosed with lung cancer in 2005 and as a result had a right upper and middle lobectomy. She also has a history of severe emphysema. L. M. has had several pneumonic infections and has an allergy to Pneumovax. She has a recurrent aspiration risk and received a tracheostomy and a PEG tube in January 2012. On Aril 25, 2012, L.M. was found to be increasingly fatigued, somnolent, and had shortness of breath accompanied with tachycardia as witnessed by the staff at the SNF. When she arrived at the emergency department, she was tachycardic with a heart rate in the 130-140’s and tachypnic with a respiration rate in the 30-40’s. L. M. , who normally depends on 2 liters of oxygen at home, desaturated to 88% requiring oxygen support increas ed to 4 liters. Her baseline systolic blood pressure is 100-110 and it was measured in the low 90’s in the ED. She also had an increased temperature of 38. degrees Celsius. As a result of L. M. ’s increase in temperature, heart rate, and respiratory rate accompanied with pneumonia, the emergency department treated her for sepsis. Labs drawn showed an increase in white blood cells and lactic acid, as well as an increase in PC02 and a decrease in PO2. She was aggressively resuscitated with IV boluses as necessary followed by maintenance normal saline. She was also administered Vancomycin, Cefepime, Azithromycin, and Metronidazole. In addition, her chest x-ray illustrated a near complete opacification of the right lung field.She was diagnosed with sepsis secondary to pneumonia complicated by a right lower lung collapse due to mucus plugging. I assumed care of L. M. in the MICU ten days after her admission in the ED. She had been intubated and put on a mechanical ventilato r. She was put on pressure support mode at a rate of 10, PEEP of 5, Fi02 of 40%, and her tidal volumes averaged around 230. She had three bronchoscopies, however, there was still evidence of mucous plugs and L. M. was unable to clear lung secretions. Respiratory therapy attempted to decrease the pressure support on the ventilator but L.M. showed increased signs of respiratory distress. At the point that I took over care for the patient, my goals were: prevent aspiration and further spread of infection and improve ventilation and perfusion. Interventions for my patient to prevent aspirations and decrease risk of further infection included suction contaminated secretions, raise the head of the bed, and use of Chlorexidine wash. Protocol for suctioning an intubated patient in the MICU is every 4 hours or more frequently if necessary depending on the patient. L. M. ad a history of recurrent aspirations and was at risk for increased infection because she was on a ventilator. â€Å"Closu re of the glottis prevents aspiration of oropharyngeal secretions. When a patient is intubated with an endotracheal tube, the glottis remains open, leaving only the inflated cuff for protection against aspiration (Bennett, Bertrand, Penoyer, Sole & Talbert, 2011). † Therefore, routine suctioning helps to eliminate the pooling of secretions above the cuff of the endotracheal tube, where aspiration is most likely to occur.In addition, raising the head of the bed to 30-45 degrees decreases aspiration and the risk of ventilator-associated pneumonia. â€Å"The single most cost-free intervention found to reduce the incidence of VAP is elevation of the HOB (Stonecypher, 2010). † Although my patient was already diagnosed with pneumonia, it was important to prevent the spread of the infection to the healthy portion of her lungs or have a recurrence of sepsis. Chlorehexidine is an antiseptic that has been proven to inhibit dental plaque formation and gingivitis.I swabbed my patie nt’s mouth with Chlorhexidine once a shift as a protocol in her plan of care. The use of an antiseptic solution helps to decrease the amount of bacteria in the oral mucosa and thus prevents the colonization of bacteria in the respiratory tract (Institute for Healthcare Improvement, 2012). Another important intervention was to maintain the head of the bed at 30-45 degrees and position L. M. ’s left lung into a dependent position to improve ventilation and perfusion. L. M. ’s O2 was decreased to 63 and her CO2 was increased to 50.According to the IHI, it is recommended to elevate the bed to 30- 45 degrees to improve ventilation. Patients that lay in the supine position have lower spontaneous tidal volumes on pressure support ventilation compared to those laying at more of an angle (Institute for Healthcare Improvement, 2012). In regards to positioning, when the least damaged portion of the lung is placed in a dependent position it receives preferential blood flow. This redistribution of blood flow helps match ventilation and perfusion, therefore, improving gas exchange (Lough, Stacy & Urden, 2010).Implementing these interventions combined with respiratory therapy, significantly improved the blood gas values for oxygen and carbon dioxide levels. â€Å"Pressure ulcers are key clinical indicators of the standard and effectiveness of care (Elliott, Fox & McKinley, 2008). † L. M. was at high risk for pressure ulcers for multiple factors such as immobility, poor nutrition, age, and health. Therefore, I used the Braden Scale as a quality indicator in order to assess the risk of pressure ulcers and also to initiate prevention.The Braden Scale assesses pressure sore risks by examining certain criteria: sensory perception, moisture, activity, mobility, nutrition, and fiction and shear. Each category is rated on a scale of 1-4, with the exception of the friction and shear category that is rated on a scale of 1-3. There is a possible score of 23. If a patient has a higher score, they are less susceptible to development of a pressure ulcer and vice versa. In the category of sensory perception, I rated L. M. at a 2 because she only responded to painful stimuli but could not communicate discomfort with the exception of restlessness.I scored her at a 2 in the moisture criteria because she was often diaphoretic because of increased heart rate, increased respirations, and her linens had to be changed once a shift. In terms of activity, she was a 1 because she was confined to a bed both at the hospital and at the SNF she lived in. L. M. was very limited in her mobility and would only make occasional slight changes in her body position; therefore, I assessed her to be a 2. I rated her nutrition at a 2 because she weighed 84 pounds and was on tube feeding that seemed inadequate o meet her nutritional needs. In the last category, friction and shear, I gave her a 1 since she required maximum assistance in moving. She would frequently slide down in her hospital bed and required frequent repositioning. L. M. ’s cumulative score was a 10, which is considered a high risk for developing a pressure ulcer. â€Å"Prevention of pressure ulcers is a fundamental aspect of intensive care nursing, and quality improvement methods are arguably the most cost-effective and intuitive approach to addressing this potentially serious problem (Elliott, Fox & McKinley, 2008). One of the interventions I implemented in order to prevent pressure ulcers in my patient was the use of support surfaces. The use of a pressure-redistributing mattress and pillow supports under bony prominences, assist in relieving pressure that the patient’s body weight has on the skin when lying in bed for a pro-longed amount of time. If the pressure is not alleviated it can lead to impaired circulation, damage to the skin, and eventually tissue death (Gill, Reddy & Ronchon, 2006).In order to further promote patient care, it is necessary to educa te the patient, family, and/or caregivers. There are several different factors that could help to ensure a better quality of life for L. M. Consistent trach care and good oral hygiene can reduce the risk of bacteria entering the airways and causing recurrent respiratory infections. It is important for L. M. to maintain an elevation of the head of the bed to prevent aspiration and improve ventilation. Furthermore, frequent repositioning and the use of supportive devices is imperative to maintain skin integrity.It will also be crucial to monitor L. M. ’s vital signs to be able to recognize a recurrence of pneumonia or sepsis. References Bennett, M. , Bertrand, M. , Penoyer, D. A. , Sole, M. L. , & Talbert, S. (2011). Oropharyngeal secretion volume in intubated patients: The importance of oral suctioning. American Hournal of Critical Care, 20(6), 141-145. Elliott, R. , Fox, V. , & McKinley, S. (2008). Quality improvement program to reduce the prevalence of pressure ulcers in an intesive care unit. American Journal of Critical Care, 17(4), 328-334.Retrieved from http://ajcc. aacnjournals. org/content/17/4/328. full Gill, S. S. , Reddy, M. , & Ronchon, P. A. (2006). Preventing pressure ulcers: A systematic review. The Journal of the American Medical Association, 296(8), Retrieved from http://jama. jamanetwork. com/article. aspx? volume=296&issue=8&page=974 Institute for Healthcare Improvement. (2012). Ihi ventilator bundle: Daily oral care with chlorhexidine. Institute for Healthcare Improvement, Retrieved from http://www. ihi. org/knowledge/Pages/Changes/DailyOralCarewithChlorhexidine. spx Institute for Healthcare Improvement. (2012). Ihi ventilator bundle: Elevation of the head of the bed. Institute for Healthcare Improvement, Retrieved from http://www. ihi. org/knowledge/Pages/Changes/ElevationoftheHeadoftheBed. aspx Lough, M. E. , Stacy, K. M. , & Urden, L. D. (2010). Critical care nursing. St. Louis, MO: Mosby Elsevier. Stonecypher, K. (2010). Ventilato r-associated pneumonia: The importance of oral care in intubated adults. Crtitical Care Nursing Quarterly, 33(4), 339-347.

China Civilization essays

China Civilization essays China is an East Asian country with a large territory, a huge population and an ancient history. With written records dating back 4,000 years, it is recognized as one of the four great ancient civilizations of the world, together with ancient Egypt, Babylon and India. Moreover, it is the only ancient civilization that has continued to this very day. China was one of the cradles of the human race. The Chinese nation is not only the most populous but also one of the oldest in the world. Fossils that have been found in Chinese territory include those of Yuanmou Man, the first Homo erectus, who lived 1.7 million years ago, those of Lantian Man, who lived 750,000 years ago, and those of the Peking Man, who lived at Zhoukoudian in today's suburban Beijing 600,000 years ago. The fossils of Shu Ape, a primate that lived 45 million years ago, which is known as the first anthropoid were discovered in China in 1994. The first light of Chinese civilization revealed itself 7,000 to 8,000 years ago, as indicated by the ruins of the Daxi Culture in Sichuan and Hubei provinces, the Majiapang Culture in Jiangsu and Zhejiang provinces, the Hemudu Culture in eastern Zhejiang and the Yangshou Culture along the middle reaches of the Yellow River and its main tributaries. According to legend, the primitive tribes that inhabited the middle and upper reaches of the Yellow River were unified into two powerful tribes under the Yellow Emperor and Fiery Emperor, and began their push southward 5,000 years ago. After years of warfare, they conquered the Sanmiao and Jiuli tribes active in south China under the leadership of Chi You. Part of the defeated tribe was incorporated into the tribes under the Yellow and Fiery emperors to become a component part of the Han people, which marked the beginning of the Chinese nation. This history has also given rise to the term descendants of the Yellow and Fiery emperors that Chinese often use to re...

Research Paper-Family Life 1930s Essays

Research Paper-Family Life 1930s Essays Research Paper-Family Life 1930s Paper Research Paper-Family Life 1930s Paper Family Life in the 1930’s As the roaring twenties captivated the lives of American families with its great profits, big business, and optimism, the thirties altered the nation’s economic dreams, values, fashion, and everyday life. After ending an abundant decade in the twenties, the 1930’s brought forth pain, poverty, and hardships. Because of the stock market crash in the late 1920’s, it strongly affected families in the 1930’s in many ways. Everyday life was profoundly affected by the hard times. Marriages were delayed; birth rates dropped, contraceptive sales soared, and divorce rates were down (Reeves 115). Families at this time knew that money was not readily available, so getting married or having more children was not something the average family was looking forward to. Not to mention that getting a divorce would result to being stigmatized as single, and not being able to live on their own without the support or income of their spouse. Parents rarely went anywhere without their children; if they did, the older children took care of the younger ones. Each child had specific chores and responsibilities such as helping with washing, ironing, cooking, cleaning, or dressing and bathing the younger children (Press 27). By 1933 things had gotten so bad that thousands of desperate unemployed men and women in American cities were reduced to selling apples on street corners (Press 11). The income from selling apples definitely could not have been enough to pay bills and support families, therefore many people began losing their homes. The hard times of the Great Depression began to be too much for some to deal with so suicides became so routine that they often went unreported (Congdon 8). Most families in the 1930’s were experiencing the worst economic depression of their history, but luckily there were things to do that helped them cope with the hard times they were facing. Family Life during the Great Depression of the 1930’s was not at all austerity and gloom. A remarkable number of inexpensive diversions besides radio provided Americans with a temporary escape from personal problems (Press 87). Going to the movies, listening to the radio, and playing games as a family was some of the inexpensive things families did to keep their minds off the struggle they ere facing economically. Movies were a common source of escape for people plagued by the Depression. Some 85 million Americans went to the nation’s 17,000 movie theaters each week. Admission prices were as low as a nickel (Reeves 116). Families listened to baseball games and wrestling matches on the radio, and played games in the evening together (Press27). American families probably spent m ore time together at this period of time due to the fact that a very large amount of people were broke and couldn’t afford to spend the extra money. At this point in time women opted for a more feminine and practical image than in the days of the flapper. Skirt length fell well below the knee, busts and waists reappeared, and hair styles became softer and more graceful (Reeves 118). Women often smoked cigarettes, drank, and gambled with men in public. Women, for the first time, wore slacks, revealed bathing suits, and participated in sports such as softball, roller skating, and bicycling (Reeves 115-116). These trends showed that women were ready for a change, not only in fashion, but in everyday life in the 1930’s. In the first one hundred days of Franklin D. Roosevelt’s presidency one out of every three wage and salary earners- 12. 5 million men and women- were out of a job. Many American children had not had milk in months; in New York it was estimated that at least a fifth of the children in public schools were suffering from serious malnutrition (Simon 14). Although Roosevelt’s presidency was off to a bad start, it did not stop him from quickly trying to develop programs to help the people in America financially. F. D. R’s decisive legislation would be a New Deal for America’s forgotten working men and women. It was sparked by the three R’s: Relief, Recovery, and Reform. Government relief agencies were set up to make sure the unemployed could feed their children and save their homes from fore closure. Recovery programs created government works projects to provide people with jobs, and reform legislatives reorganized banks, the stock market, and guaranteed workers right to unionize (Press 6). Roosevelt’s ideas to put an end to the Great Depression of the 1930’s strongly made a positive impact on millions of families at this time. Furthermore, the real story of family life in the 1930’s is how individual families endured and survived, whether battling the despair of hunger and unemployment, or the fear of unending drought and forced migration (Press 6). It is the story of people fighting for the right to earn a decent wage in safe working conditions.

Why recruiters are not paying attention to what youre saying in interviews

Why recruiters are not paying attention to what youre saying in interviews I have a confession to make. Years ago, 34 to be exact, at the start of my professional career I was an employment representative for a local university. Today, the position title would more likely be Recruiter or Talent Acquisition Specialist. The job title may have evolved, and the technology employed is now far more advanced. But the fundamental responsibilities of the position remain unchanged even today. Find candidates. Screen candidates. Interview candidates. When I say interview candidates, I mean a lot of interviews. Six to 8 interviews a day. Five days a week. Two years. That is more than 3,000 interviews if my math is correct. Now the confession. Not every single one of those interviews was gripping, edge of your seat theatre! Some of the interviews were mind numbing boring. At least once a day, in an interview, I would ask a question and then immediately â€Å"zone out†. By zone out, I mean my brain went to another place and time. It would return a few minutes late r when the candidate had finished the answer to the question. I, of course, had no idea what they had said or what valuable information they may have shared about themselves and their value to our organization. You can relate if you have ever been driving a car and several minutes go by when you find yourself at the next stoplight with no idea how you got there.I would like to tell you that my problem was unique, a symptom of life in the 1980’s and that the probability of â€Å"recruiter zone out† in today’s day and age is non-existent. But I would be lying. It’s just human nature. We are not built with an infinite attention span. We need mental stimulation and active participation to stay mentally engaged in any activity. Specific to job search and interviews, research from Monster.com indicates that:The average interviewer’s attention span looks something like this:As you begin speaking, the interviewer is listening with nearly full attention.Aft er about 10 seconds, he begins listening with less intensity.After 60 seconds, his mind begins to wander and he’s devoting less than half his attention to you. After you’ve been speaking for 90 seconds without interruption, the interviewer is barely listening at all.So, if maximizing engagement and attention span with your interviewer is a critical element of a successful job search, what’s the secret to being interesting in an interview? The answer is conversation. More specifically, you need to turn your interview into an actual conversation. We define a conversation as: â€Å"the informal exchange of ideas by spoken words†. That definition might run counter to your view of an interview as a series of formal questions and answers. If you don’t learn how to master the art of the conversational interview, then you run the risk that your interviews will always be a series of formal, dry, zone out inducing questions and answers.In today’s worl d of electronic communication, email and text messaging, it is possible that we are a little out of practice when it comes to informal conversation. That is not an indictment of any specific age group. We all, regardless of age, now have our heads buried in our smartphones. The good news is that conversation is like muscle memory and riding a bike. You never forget how to maintain a conversation. It’s human nature. You just need a few tips and techniques to adapt conversation to a job interview. Here are a few essential tips.Above all else, be interested in and inquisitive about your interviewer, the company and the position. Interest is best fueled through preparation. Research your interviewer on LinkedIn to identify areas of common interest and career experiences about which you would like to explore in greater detail. Research the company beyond the standard tour of the company website. Read articles from industry trade publications, postings from industry-specific groups on LinkedIn and the standard Google topic search.Take the time, before the interview begins, to build some rapport with your interviewer. Small talk and informal questions as you are getting settled will both ease your nerves and put your positive personality on display. Your pre-interview research gives you the building blocks for the small talk. For example: â€Å"I saw in your LinkedIn profile that you are fluent in three languages. That is a fascinating skill. How did you become so proficient in each language?†Be a storyteller. Every question you are asked is an opportunity to tell an engaging story that highlights your personality and value proposition. Work to formulate your answers to most of the behavioral interview questions using the standard STAR technique. What was the Situation? What was the Task that you performed? What was the Action that you completed to resolve the situation? And what was the quantifiable Result of your action?Keep the conversation going. En d every one of your answers with a related question designed to amplify your research and your value proposition. For example, after answering a question about how you facilitated a successful team project, you might ask: â€Å"I see that you use an open concept office design here. How do you use the open office space to leverage greater team collaboration?†And finally, have big ears and laser sharp eyes. By that I mean listen, really listen to what your interviewer is saying in response to your questions. And maintain eye contact. Don’t fake it. Stay engaged, have fun and view the interview as an opportunity to learn. Your best will shine through in an engaged conversation.The art of conversation just takes a little practice. And it makes life more interesting.I love to watch penguins. They all look the same, sound the same and pretty much do the same things every time I see them. I just don’t want to be one in an interview.Dan Troup is the founder of the Advan tEdge Careers coaching service. If you are interested in learning more about how a certified career coach can assist you in your job search, please contact AdvantEdge Careers at: https://www.advantedgecareers.com/

Violence, Surveillance & Power Assignment Example | Topics and Well Written Essays - 500 words

Violence, Surveillance & Power - Assignment Example The training gives the soldiers the mentality to control, conduct surveillance, and cause crisis which leads to violence. The society is framed in such a way that male species are considered dominant over their female counterparts, possessing the ability to kill, albeit emotionally. Even with revolutions caused by modernity and feminist unions, the aspect of male dominance still exists today. Men are trained to kill psychologically, by exerting emotional intimidation to their subject. Violence is a form of expressing dominance over weaker subjects, which may cut across the gender line. This is why government focuses on putting soldiers in extremely difficult situation to revenge, by exerting his presence just by just the way they conduct their business. The society is always watching out, and this controls behavior. As O’Brien observes in â€Å"Speaking of Courage†, men can use intimidation; either through imposing silence on what he feels is not pleasing him or threatening the speaker. Although killing physically is what is considered real killing, the emotional killing men have been trained to adopt has become their trademark. However, it is not always the best solution to exert power because it is only temporary. Examples of those exercising violence are dictators who feel they must force subjects to comply with their decisions. Violence is exercised and not possessed. Most men have abused their superiority over women and violated women’s rights. Females, on the other hand exercise emotional and mental violence to assert their prowess over men. However, this is not as devastating as emotional violence is to men. When the government trains its soldiers to go to the battlefield, images of combat gears is enough to kill the fearful individuals. In the film Full Metal Jacket, a soldier is wearing â€Å"Born to Kill†

Summary Essay Example | Topics and Well Written Essays - 500 words - 132

Summary - Essay Example The study is conducted in a single Congress; it is the reason why Clinton does not apply it to all states. The results may differ depending on the party of the representative and geographic factor. In the opposition of party constituency and geographic constituency, conservative wings tend to care more about party constituency while progressive forces pay more attention to local preferences. Rivalry between Republicans and Democrats results in the fact that policies of the House become more radical than people want them to be. Voters who belong to different parties are expected to have opposite points of view on the same issue. It results in radical solutions offered by both of them. Even though it seems that such radicalism negatively influences representative function of the House, all policies need to be approved by the Senate and the President. This approach mediates differences in party-correlated behavior. The limitations of this study give a clue for further research where the true causes of differences of party correlated behavior are identified and studies. The study by Butler and Nickerson examines how legislators tend to react when they are informed about public opinion. Since their main function is to represent people, they need to act in line with what people expect from them. At the same time, many legislators remain uninformed and their decisions do not represent the interests of their voters. Butler and Nickerson conducted a survey of New Mexicans regarding 2008 summer session and shared their findings with a randomly-selected half of legislators. Those legislators who were informed about the results of the survey, were more likely to vote in support of public opinion. At the same time, legislators who were in the control group were less likely to guess what people expected from them. This study supports the idea that legislators want to act in line with public opinion; however, the authors warn that the information about public

Immanuel Kant Moral Theory Essay Example | Topics and Well Written Essays - 1000 words

Immanuel Kant Moral Theory - Essay Example Emotions and desires should not hinder one from doing what is morally right. Such a stand raises several questions that Kant failed to state clearly. By emphasizing the superiority of reason, Kant seems to underrate the influence of emotions in decision making (Haidt 93). In some instances, it is difficult to separate emotions from reasoning. To understand this, other critics use an example of a situation where Kant's ambiguous claim is shown. The example goes that if one was to find their mother and another complete stranger drowning, Kant's moral duty theory fails to explain why one would choose to save their mother first. The theory is also not in a position to provide insight as to why that would not be the proper thing to do. Kant’s claim leads to another question. Which between emotion and reason is superior? Plato was of the opinion that the reason was the greater of the two, claiming that the reason was the king of the soul and the controller of passions (Haidt 189). O ther philosophers and psychologists however differ with Plato. David Hume claimed that the reason was the slave of passions whose sole role was to serve continually and obey them (Hume 173-196). Reasoning was just rationalization whereas the ego was the servant of the id. More researchers took to investigate the matter with differing results and findings. According to (Kagan 304), there existed a set of states in a society that formed the basis for various moral categories in which moral judgment and reasoning is embedded.

The Dangers Of Cell Phones For Human Health Essay

The Dangers Of Cell Phones For Human Health - Essay Example Supporters of cell phones say that cell phones provide us with a number of facilities, such as ease of communication, neighborhood crime watch, use in emergencies, and use as reminders. However, there also exist some risks regarding the use of cell phones. Some of the risks include road accidents, increased number of crimes, and weakening of eardrums. Today, almost every person keeps a cell phone in the car while traveling because a cell phone has become one of the major necessities of life. Use of cell phone while driving may result in slower braking reactions, slower reactions to traffic signals, and difficulties in making quick decisions. If we compare the ratio of road accidents that used to occur in a year before the 2000s with today, we come to know that the ratio of road accidents due to use of cell phones during driving has been increased by 75 to 80 percent approximately. â€Å"In a study done in April 2006, it was found that 80% of car crashes involved the driver not paying attention right before the accident† (Russell). The reason is that cell phones distract the driver’s attention, which results in road accidents. â€Å"According to several resources, every year, about 21% critical vehicle crashes happen due to cellphone use and require teens among age party 16 to 19 ages† (He). Supporters of cell phones say that cell phones do not take much attention of the users; rather they make people more responsible as they have to take care of themselves and other people while on road. However, this viewpoint is very illogical because accidents just need a little negligence to occur and that negligence can take place at any stage of cell phone use. Cell phones also create risks for health. Excessive use of cell phones can affect our eardrums and can cause skin cancer as well. Today, a large number of young adults use a hands-free system to hear songs from their cell phones.

World War I Essay Example | Topics and Well Written Essays - 1250 words

World War I - Essay Example Firstly, no other war has involved governments, societies and populations of the participating nations in its service to such an extent. It was truly a war of nations marked by tremendous enthusiasm, youthful volunteerism, and industrial mobilization, a mixture of anxiety and elation and nationalism (Bartov, n.p). The war demonstrated the power and intellect of the modern and industrialized states and accompanied drastic political and social changes. It brought the whole nation to the home front; men, women, soldiers, government, and ministers everyone was involved in it. The war evoked the sense of patriotism no other war had been able to bring out, and it reorganized societies to participate in it in an economic, social and spiritual sense (Bartov, n.p). People believed and supported their nations at the cost of their lives because they believed that the victory of their country was worth the cost. â€Å"All the horrors of all the ages were brought together; not only, armies but w hole populations were thrust into the midst of them.† (MacElroy 16). Second most important reason for it being called a total war was its impact on the industrial revolution. It was the first global industrial war which was dominated by industrial weaponry, tanks, machine guns and militarism. As Omer Bartov has described in the first few pages of chapter 1 of his book, â€Å"Mirrors Of Destruction† that World War I brought with itself a new style of warfare not even perceived by the people who were fighting it (Bartov, n.p). The war had in itself an extraordinary expression of devotion not just to the nationalism but also to the notion of the war itself (Bartov, n.p). 2. Why World War I was considered different than conflicts in previous decades? World War I was considered different because it changed the tactics used by all countries earlier. It was the first time modern machinery, trenches and poison gas was used on the battlefield (â€Å"World War I†). This wa r was marked with an era of change brought by it as everything was changed from uniforms to training of soldiers. Particular battalions were used to fight this special battle, and it was the first conflict in which attrition was used against the enemy. Field's artillery was used to defend the enemy. The entire way of fighting battle was changed. Even the international system was completely transformed. On one side, dictatorship emerged out of the war, whereas on the other side, a communist movement emerged backed by the Soviet Union. It was at this time that America became a world power, and the British Empire lost its status from being the world power to the second-class power (â€Å"World War I†). Moreover, the war brought with it the break of the major participators when it was decided at the peace conference of 1919 to break the defeated central powers (â€Å"World War I†). WWI was marked with an industrial revolution faced by no other war before and was fought on such a huge scale that no other war had incorporated so many participators as world war I did. The consequences and effects of this war outspread to every corner of the land, and the specialized armies at the front contained members of every social group and region of the country. 3. WHY WAS THIS WAR CALLED TO BE A WAR WITHOUT END? World War I was a war colossal by its very nature. The war never ended in its real essence but gave birth to many unfinished stories. It brought with it massive destruction, killing of millions of people, collapse of four major empires and devastation of many continents, and its repercussions spread to many nations. It is called a war without end because it paved the road to World War II

Confidentiality as a Nurse Essay Example | Topics and Well Written Essays - 750 words

Confidentiality as a Nurse - Essay Example However, these cannot be considered as separate entities as confidentiality is interlinked with privacy and trust and most of the time means that the information should be kept a secret from others (Butts & Rich, 2005). Breach of confidentiality in the nursing practice leads to an encounter with ethical dilemmas, however, different circumstances call for unique decisions. The code of ethics includes confidentiality as an important and significant part of the nursing practice to ensure a trustworthy and open relationship between the clinician and the patient. The ANA Code for the Nurses states: â€Å"Associated with the right to privacy, the nurses have a duty to maintain confidentiality of all patient information.† The ANA Code for Nurses also states: â€Å"The patient’s well-being could be jeopardized and the fundamental trust between patient and nurse destroyed by unnecessary access to data or by the inappropriate disclosure of identifiable patient information† (Benjamin & Curtis, 2010). These principles of confidentially and respect to other people’s information establish the confidential nature of the communication between the patient and the nurse and the duty of the nurse to maintain the trust and privacy. If a nurse shares information about the patient during her nursing practice, she not only creates breach in confidentiality but also fails to respect the patient. Nevertheless, the nurses are encountered with a plethora of circumstances which place them in a dilemma about whether to preserve the confidential relationship or disclose the information for the patient’s benefit. An ethical case presented by Pamela G. Nathanson discusses the case of nurse Carol Hathaway where she promises her two young patients to keep their information a secret and will not disclose the patient’s information to the parent’s or any other person. The sole reason of her act was because the adolescents were reluctant to enter int o care thus she ensured them of privacy and secrecy. The two girls were suspecting sexually transmitted diseases (STDs) and one of the girls is diagnosed with human papillomavirus and later she also tests positive for cervical cancer. The girls had been a part of various â€Å"sex parties† with multiple partners which led to the current circumstances and, therefore, are reluctant in telling their parents. This is an ethical dilemma for the nurse Hathaway as she is obligated to keep the information a secret. However, she is advised by the physician to report the parents as the treatment for the cancer requires parental consent as well as their support for the adolescent girl. Moreover, the physician also advised the nurse that the school authorities should be informed of the girl’s condition so that action could be taken about the sexual activities prevalent among the students (Nathanson, 2000). The case represents a complicated situation faced by the nurse where ethics of confidentiality have to be questioned or compromised for a better good. Confidentiality specifically in cases of adolescent or young patients is an important subject as most of them are hesitant or reluctant to share their information, fearing disclosure of their condition to friends, family or social circle. In such circumstances, the nurses have to gain the trust of the patients and show

World War I Essay Example | Topics and Well Written Essays - 1250 words

World War I - Essay Example Firstly, no other war has involved governments, societies and populations of the participating nations in its service to such an extent. It was truly a war of nations marked by tremendous enthusiasm, youthful volunteerism, and industrial mobilization, a mixture of anxiety and elation and nationalism (Bartov, n.p). The war demonstrated the power and intellect of the modern and industrialized states and accompanied drastic political and social changes. It brought the whole nation to the home front; men, women, soldiers, government, and ministers everyone was involved in it. The war evoked the sense of patriotism no other war had been able to bring out, and it reorganized societies to participate in it in an economic, social and spiritual sense (Bartov, n.p). People believed and supported their nations at the cost of their lives because they believed that the victory of their country was worth the cost. â€Å"All the horrors of all the ages were brought together; not only, armies but w hole populations were thrust into the midst of them.† (MacElroy 16). Second most important reason for it being called a total war was its impact on the industrial revolution. It was the first global industrial war which was dominated by industrial weaponry, tanks, machine guns and militarism. As Omer Bartov has described in the first few pages of chapter 1 of his book, â€Å"Mirrors Of Destruction† that World War I brought with itself a new style of warfare not even perceived by the people who were fighting it (Bartov, n.p). The war had in itself an extraordinary expression of devotion not just to the nationalism but also to the notion of the war itself (Bartov, n.p). 2. Why World War I was considered different than conflicts in previous decades? World War I was considered different because it changed the tactics used by all countries earlier. It was the first time modern machinery, trenches and poison gas was used on the battlefield (â€Å"World War I†). This wa r was marked with an era of change brought by it as everything was changed from uniforms to training of soldiers. Particular battalions were used to fight this special battle, and it was the first conflict in which attrition was used against the enemy. Field's artillery was used to defend the enemy. The entire way of fighting battle was changed. Even the international system was completely transformed. On one side, dictatorship emerged out of the war, whereas on the other side, a communist movement emerged backed by the Soviet Union. It was at this time that America became a world power, and the British Empire lost its status from being the world power to the second-class power (â€Å"World War I†). Moreover, the war brought with it the break of the major participators when it was decided at the peace conference of 1919 to break the defeated central powers (â€Å"World War I†). WWI was marked with an industrial revolution faced by no other war before and was fought on such a huge scale that no other war had incorporated so many participators as world war I did. The consequences and effects of this war outspread to every corner of the land, and the specialized armies at the front contained members of every social group and region of the country. 3. WHY WAS THIS WAR CALLED TO BE A WAR WITHOUT END? World War I was a war colossal by its very nature. The war never ended in its real essence but gave birth to many unfinished stories. It brought with it massive destruction, killing of millions of people, collapse of four major empires and devastation of many continents, and its repercussions spread to many nations. It is called a war without end because it paved the road to World War II

Journal Entry 3 Assignment Example | Topics and Well Written Essays - 750 words

Journal Entry 3 - Assignment Example In most situations, a manager often analyze the task at hand and then determine the skill necessary to per take on the task. Studies have shown that most individuals have a better understanding or rather quicker understanding of tasks and hence per take then faster than others. It is for this sake that some tasks end up stalling because the team to undertake the task was not scrutinized or analyzed properly by the management. Other than stalling the process, this also slows down many processes and in turn might not only affect that department but the whole organization. When this happens, then the organization is likely to suffer a loss. In reality, a manager is meant to use the available resources for the undertaking of the task assigned. If the manager picks a task and the resources for the task are not available, then the process will be slow. At such instances, the employees under that manager also get frustrated because of lack of work and resources. At the same time, the employees are supposed to have the ability to understand the task at hand as they are part of the resources of an organization. There are various ways of determining the human behavior model. One of them is cognition. It is the process in humans which describe how information which is constantly acquired is transformed and stored for later use as knowledge in decision making. It includes a range of mental processes such as visual images, problem solving, languages and decision making. The task an employee is meant to be assigned depends on how this model has been analyzed and how quickly the employee works. The interpersonal process depends on how well the employees in the organization work and relate to each other. The grouping of employees during tasks also depends on their speed of working and the chemistry that exists between them. At the same time, the groups have to be put in manageable ways. One of the issues experienced is the grouping of

Water Conservation Essay Example for Free

Water Conservation Essay Will there be enough water for a more crowded world? The adult human uses on average about 100 gallons of water a day. Only about 2.5% of earth’s water is fresh and only 1% is actually attainable for usage. The available water on earth has not changed. The same water we have today has been recycled for millions of years, we are not gaining any more. The time to do something is now. In this essay I would like to remark on the past, present, and future of water conservation. We use much more water today than we ever did in the past. With new technologies and fashions, we use more and more water every year. Not only do we have luxuries that we didn’t have a hundred years ago, our world population has more than tripled since then. Yet our supply of water is not changing. Water has gone through the same replenishing cycle since our world began, and we are using more then ever. Now is the time to make sure we conserve. We have an obligation to our future. With world population growing at the rate it is, we must take precautions that those ahead of us don’t suffer because of our negligence. Water is life; the number one necessity for survival. Not only must we conserve now to prevent future problems, we need to teach the coming generations the importance of our water, that they in turn can make sure nothing will ever happen to bring about disaster in the form of water shortage. As we can see, water conservation is a much larger issue now than it ever was in the past. What we do now makes a difference. We must do all we can to make sure our future is safe. Water conservation is a practice in which people, companies, and governments attempt to reduce their water usage. The goal of water conservation may be to address an ongoing water shortage, or to make lifestyle modifications to be more environmentally friendly. In the late 20th century, water emerged as a major issue, especially in the developing world, where many people lack access to safe drinking water, and the issue of water conservation began to attract a great deal of attention. One of the most obvious reasons to practice water conservation is in a situation where water supplies are limited. An ongoing drought can restrict supply, as can a change in water policy, especially in an area where people are dependent on water from other places. Desert regions, for example, rely on water which is shipped, trucked, or moved through aqueducts, so distant policy decisions can directly impact the amount of water which can be accessed in these areas. Water conservation may also be practiced in response to rising water prices. The cost of water is usually contingent on how easy it is to access, how far it must be transported to reach the end consumer, and how much it needs to be processed in order to be rendered safe. Water treatment can get extremely expensive, causing water prices to rise, and water prices also grow when water supplies are tight. From an economic standpoint, water conservation keeps water bills down to a manageable level, and it frees up water for other uses. Some people encourage the practice of water conservation because they would like to promote the sustainable use of water. While water is a renewable resource in a sense, every time fresh potable water is used, it takes a long time for that water to re-enter the water supply, as it may become contaminated by chemicals, bio hazardous materials, and so forth, requiring extensive cleanup before it can be re-used. Using water for things like gardens, car washing, and industrial production may be frowned upon in some communities where people would prefer to reduce the overall amount of water they use so that clean water will be available to future generations and other regions of the world. A water conservation order may be issued to oblige citizens to conserve water in some communities. Conservation orders are often issued when water supplies are low, and officials are worried about running out. They may also be used to mandate water conservation for environmental reasons. Typically, water conservation orders restrict water use by setting rules about how and when water can be used.

Puritan Culture :: essays research papers fc

The Puritan pilgrims as a society based many of their practices and customs on religion. Once in America and away from the prejudices they faced in England they were able to freely practice their beliefs as they saw fit. This led to a very strict society in which members were expected to live and behave according the theological rules which they had set for themselves. This strict society also directly influenced the way children were brought up and educated in New England.   Ã‚  Ã‚  Ã‚  Ã‚  Since the pilgrims followed the writings and teachings of John Calvin they believed all men have predetermined destinies set for them at birth by God. In order to be â€Å"saved† in the afterlife they must live their lives according to God’s will and in a sense, fulfill his plan for them. Another strong factor as to why their society must be so reformed is the fact that they were in a new world. They must create a â€Å"new† England for themselves and build an uncorrupted society for their people. They saw themselves as â€Å"a ‘saving remnant’ chosen by God to preserve the true faith in America and inspire religious change in England† (Henretta et. al. 53). To achieve these ideals the settlers must instill the same values they held true in their children so that future societies could lead faithful lives in New England.   Ã‚  Ã‚  Ã‚  Ã‚  Since the children were highly educated in religion this directly affected the way they behaved. Even the laws of their communities were deeply rooted in religion. The Bible was established as a legal guide and instances where there was no law, local magistrates should rule â€Å"as near the law of God as they can† (Henretta et. al. 54). So, to live properly in this society according to its laws a child must live in a Godly fashion.

The Joy Luck Club :: essays research papers

Please refer to the book, â€Å"The Joy Luck Club† by Amy Tan. Turn to page 35(for those with the red cover version by the series editor, Judith Baxter) and refer to the story ‘Scar’. Extract: â€Å" I was sitting at the top of the stairs when she arrived. I knew it was my mother†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦She cried with a wailing voice that was so sad. And then I remembered the dream with my mother’s voice.† (till page 37) Question 1: EXPLAIN CLEARLY WHAT FEELINGS IN THIS PASSAGE AROUSES IN YOU TOWARDS AN-MEI AND HER MOTHER. YOU SHOULD REFER CLOSELY TO THE EXTRACT IN SUPPORT OF YOUR ANSWER. I am saddened by the relationship between An-mei and her mother. â€Å" I knew it was my mother even though I had not seen her in all my memory†, this shows us that, despite being mother and daughter, they did not have the opportunity to establish a close bond. An-mei had no memories of her mother, even though she â€Å"knew it was my mother†. An-mei’s mother is foreign and strange to her as her mother looked â€Å"strange too, like the missionary ladies at our school, who were insolent and bossy in their too-tall shoes, foreign clothes, and short hair†. I am touched by An-mei’s mother’s perseverance and determination to go to her dying mother. An-mei’s aunt â€Å"quickly looked away†, â€Å"did not call her by name† and â€Å"offer her tea†, which is the Chinese traditional way of treating visitors. Even the servant looked down on her as she â€Å"hurried away with a displeased look†. Despite the aunt’s protest, â€Å"Too late, too late†, it â€Å"did not stop my mother†. In spite of the humiliation and disrespect given by the aunt and servant, An-mei’s mother did not leave as she tolerated all this for the sake of Popo, her own mother. I feel sorry for An-mei as her mind has been greatly influenced by her grandmother. She observed her mother and â€Å"saw that she had a long white neck†, â€Å"just like the goose that had laid me† (one of her grandmother’s stories). She knew she â€Å"was the girl whose belly held a colourless winter melon†. â€Å" Popo told me not to speak her name†, thus An-mei â€Å"stood there, mute†, not daring to address her mother. This is pitiful of An-mei as she does not deserve this treatment from her grandmother, making her confused and hesitant towards her mother. I have pity for An-mei as she â€Å"did not look for fear my head would burst and my brains would dribble out of my ears†, scared as she laid in her mother’s arms.

Blind people on China Essay

There are 5 million blind people in the whole world. And China is taking the first place of this problem. China accounts about 18% of blind people. Most of them can’t live independent; they all need someone’s help. Also we can know that 90% of blind people are living in modern cities. For example: Beijing (capital), Shanghai and etc. Ð ¢he total number of blind people in China at any given time expressed as a percentage of the total population — is around 0. 4%. According to the facts from internet, the country’s ever-increasing blind population has already exceed the total population in such countries as Denmark, Finland or Norway. In the whole world main problem ob blindness is cataract. Because of only the cataract blindness accounts 2. 5 million people in the world. Each year about 400,000 people become blind in one moment because of it. Cataract predominantly a disease associated with ageing. According to the famous Chinese websites, we can know that the reason of blindness in China not only cataract but also it include cornea diseases, trachoma, glaucoma. I took some interviews from 2 Chinese people. When I talked to my Chinese teacher from high school I was pretty surprised. First she told me about problems of blind people. It started past years ago, when with time there are more and more blind people was with the same objects to government. Chinese population doesn’t respect blind people. They are behaving to them very bad. Population doesn’t see any personality in them. They are acting to blind people like to animals. And every time people’s words were such a: â€Å"Blind people-they are not independent, they can’t help to our country. They can’t do anything. They are not useful for China. † So in my mind first thought was government in China need people only for useful thing? It’s so selfish and not correct. I think everyone will agree with me. Nowadays there’s so many ways to cure blind people. According to the facts from the Internet 80% of blindness possible to cure. It was many accidents when even young people didn’t help to blind old person. And with years there are more and more problems. How my teacher said government first didn’t take it such a big problem, but with time when there are more people with objects and arguments to them, they started to pay more attention to blind people. In 2011 many of them were really angry to the government. Hundred blind people want government to allow them come with dogs to public places. Because how I said before they all need help. They thought if they can’t come with dogs, they couldn’t even come inside of any places. Some of them can’t do it only with walking stick or every time hope to theirs hearing. And till now they are trying to get an access for that. Only part of public places allowed them come with dogs. But they are also good people who are trying to make blind people’s life easier. For example my guardians Chinese friend said that, one Chinese scientist developed a cheap e-notebook for blind people. He told me only that information, without any details, so I searched in Internet more about that e-notebook. The e-notebook, called B-Notes, allows people to take notes or memos using Braille or by recording speech. It is similar in size to a mobile phone. B-Notes makes use of technologies developed by the Chinese Academy of Sciences’ Institute of Computing Technology (ICT), including translation software. Prototype e-notebooks were trialed on ten blind people last month. Wang Xiangdong, technical leader of the ICT team that developed the device, says that Braille can be conveniently input using a panel on the e-notebook. â€Å"And when [B-Notes is] connected to a computer, the Braille-Chinese translation software can be used to convert Braille into Chinese characters automatically†, he says. Currently, there are almost 39 million blind people in the world, according to the WHO. And according to the China Disabled Persons’ Federation, there are more than 12 million visually disabled people in China. Wang said that the basic technological research for the e-notebooks has been completed and they are expected to be available in China later this year at a cost of 500 to 800 RMB. The e-notebook has three main features. First is the Braille input. The e-notebook’s input panel has an array of mini keys that allows users to type. Second is the intelligent translation system, which is up to 95 per cent accurate. When the e-notebook is connected to a computer, pre-installed software moves all Braille in the device over to the computer and translates it into Chinese characters. Third, the e-notebook has a voice interface. There are voice prompts to guide users through the device’s various operations. Currently, the notebook can only translate Chinese Braille to Chinese characters. But Wang says that if other countries express an interest in the device, it will be possible to produce e-notebooks that translate other versions of Braille into other languages. The blind people who tested the prototype notebooks told developers that they found them portable and easy to use. According to WHO website The goal of the Chinese Ministry of Health over the coming years is to reduce the prevalence of blindness in the country to less than 0. 3%, i. e. almost by half. And it really makes happy that, government paying more attention to blind people nowadays. How I read with every year they are opening more school for blind people. Also it is increasing accounts of hospitals where people can help to this nondependent people and make theirs life easier. They were some accidents when some of them cured of blind. Also I heard that most professional people who are doing massage all are blind. China has some hospitals with this course. Where they are teaching them. In my opinion, they have to pay more attention to blind people. And give them more good conditions. Make rules that everyone should respect each other, especially blind people. Government should ask them what they need, what help they want from government. China should open more clinics and hospitals for poor people. Who can’t pay to theirs treatment. They also need help from others. They should allow to blind people come with dogs in public places. And I can make conclusion from all of it that government should heed to them.

Legal Rational Authority Essay

Rational-legal authority (also known as rational authority, legal authority, rational domination, legal domination, or bureaucratic authority) is a form of leadership in which the authority of an organization or a ruling regime is largely tied to legal rationality, legal legitimacy and bureaucracy. The majority of the modern states of the twentieth century are rational-legal authorities, according to those who use this form of classification Authority Types Traditional authority is legitimated by the sanctity of tradition. The ability and right to rule is passed down, often through heredity. It does not change overtime, does not facilitate social change, tends to be irrational and inconsistent, and perpetuates the status quo. In fact, Weber states: â€Å"The creation of new law opposite traditional norms is deemed impossible in principle.† Traditional authority is typically embodied in feudalism or patrimonialism. In a purely patriarchal structure, â€Å"the servants are completely and personally dependent upon the lord†, while in an estate system (i.e. feudalism), â€Å"the servants are not personal servants of the lord but independent men† (Weber 1958, 4). But, in both cases the system of authority does not change or evolve. Charismatic authority is found in a leader whose mission and vision inspire others. It is based upon the perceived extraordinary characteristics of an individual. Weber saw a charismatic leader as the head of a new social movement, and one instilled with divine or supernatural powers, such as a religious prophet. Weber seemed to favor charismatic authority, and spent a good deal of time discussing it. In a study of charisma and religion, Riesebrodt argues that Weber also thought charisma played a strong – if not integral – role in traditional authority systems. Thus, Weber’s favor for charismatic authority was particularly strong, especially in focusing on what happened to it with the death or decliAne of a charismatic leader. Charismatic authority is â€Å"routinized† in a number of ways according to Weber: orders are traditionalized, the staff or followers change into legal or â€Å"estate-like† (traditional) staff, or the meaning of charisma itself may undergo change. Legal-rational authority is empowered by a formalistic belief in the content of the law (legal) or natural law (rationality). Obedience is not given to a  specific individual leader – whether traditional or charismatic – but a set of uniform principles. Weber thought the best example of legal-rational authority was a bureaucracy (political or economic). This form of authority is frequently found in the modern state, city governments, private and public corporations, and various voluntary associations. In fact, Weber stated that the â€Å"development of the modern state is identical indeed with that of modern officialdom and bureaucratic organizations just as the development of modern capitalism is identical with the increasing bureaucratization of economic enterprise. Inter-relationships Weber’s theory of authority is very rich and intricate. Weber and others have detailed many interesting relationships and processes occurring between the types. Blau’s â€Å"Critical Remarks on Weber’s Theory of Authority† explains two of these in particular, components that either strengthen or weaken an authority type in regards to another. The three authority types may be re-enforced by traits that differentiate them from other types. Traditional authority is impersonal (unlike charisma) and non-rational (unlike legal-rational). Charismatic authority is dynamic (unlike tradition) and non-rational (again, unlike legal-rational). Finally, legal-rational authority is dynamic (unlike tradition) and impersonal (unlike charisma). Conversely, Blau means to say that traditional is un-dynamic, charisma is personal, and legal-rational is rational. The likelihood of retaining a particular type of authority may depend on the ability of that authority system to retain the traits that make it unique and reject the traits that make it more conducive to another authority type. LEGAL-RATIONAL AUTHORITY IS RATIONAL In charismatic authority Weber considers charisma to be a driving and creative force which surges through traditional authority and established rules. The sole basis of charismatic authority is the recognition or acceptance of the claims of the leader by the followers. While it is irrational, in that it is not calculable or systematic, it can be revolutionary, breaking traditional rule and can even challenge legal authority. Weber notes that traditional authority is irrational. It blocks the development of rational or legal forms of authority or acts as a barrier to the development of more rational or legal forms of authority characteristic of western societies. traditional authority a means by which inequality is created and preserved. Where no challenge to the authority of the traditional leader or group is made, then the leader is likely to remain dominant. Legal-rational authority is a particular system containing humans, like e.g. organizations, there is some authority acting as a stabilizing factor making e.g. employees follow the directions of the leaders. Authority helps to prevent anarchy, and help to define a clear hierarchy of decision-making. A clear hierarchy will potentially lead to an effective organization, consisting of strong and legitimate authority relations between leaders and followers. This authority is only granted leaders if followers find his or her authority legitimate. This illustrates the fictitious believe that leaders automatically posses authority. Instead, leaders are given authority by their followers to e.g. inspire, control and command. If authority is to be seen legitimate, the relation between authority and followers must be balanced, so that the authority relation is accepted by the followers. Legal-Rational authority rests on the belief in the â€Å"legality† of formal rules and hierarchies, and in the right of those elevated in the hierarchy to posses authority and issue commands. This type of authority is often seen as legitimate in bureaucratic systems, which enables impersonal, specific and formal structures of modern companies. People will hence find this type of authority legitimate, if the authority is distributed to leaders based on e.g. rationality and capability. Particular authority types can lose their power to – and thus transition into – other types by some of the following ways. Revolutionary ideals can be advocated by a charismatic leader or the rational pursuit of ends via abstract formal principles can both weaken traditional authority. Revolutionary charismatic movements can be crystallized into a traditional order or bureaucratized into a rational formal organization. Finally, the irrational forces and powers of tradition In traditional authority, the  legitimacy of the authority comes from tradition. Charismatic authority is legitimized by the personality and leadership qualities of the ruling individual. Finally, rational-legal authority derives its powers from the system of bureaucracy and legality. Legal rationality and legitimacy Under rational-legal authority, legitimacy is seen as coming from a legal order and the laws that have been enacted in it. Weber defined legal order as a system where the rules are enacted and obeyed as legitimate because they are in line with other laws on how they can be enacted and how they should be obeyed. Further, they are enforced by a government that monopolizes their enactment and the legitimate use of physical force. The Legal Mode of Authority (Legitimate Domination) This is Weber’s typology of the modes of legitimate domination. The actors can ascribe legitimate validity to an order in a variety of ways. The order can be recognized as legitimate, first, by virtue of tradition, valid is that which has always been. Second, the order may be treated as legitimate by virtue of affectual,especially emotional, faith; this situation occurs especially in the case of the newly revealed or the exemplary. Third, the order may be treated as legitimate by virtue of value rational faith: valid is that which has been deduced as absolutely demanded. Fourth, legitimacy can be ascribed to an order by virtue of positive enactment of recognized legality. Such legality can be recognized as legitimate either because the enactment has been agreed upon by all those who are concerned; or by virtue of imposition by a domination of human beings over human beings which is treated as legitimate and meets with acquiescence. Orders based on tradition, affect, and value rationality can be reinforced by enacted law. Weber states from another source that what distinguishes legal rational authority, from charismatic authority and traditional authority on the one hand and leadership, persuasion and influence on the other hand, is legitimacy. Superiors feel that they have a right to issue commands; subordinates perceive an obligation to obey. Social scientist agree that authority is but one of several resources available to incumbents in formal positions For example, a Head of State is dependent upon a similar nesting  of authority. His legitimacy must be acknowledged, not just by citizens, but by those who control other valued resources: his immediate staff, his cabinet, military leaders and in the long run, the administration and political apparatus of the entire society. Emergence of the modern state Rational-legal authority is rational among the three types of authority in the sense that it brought about the Emergence of the modern state. Weber wrote that the modern state based on rational-legal authority emerged from the patrimonial and feudal struggle for power .The prerequisites for the modern Western state are: 1.monopolization by central authority of the means of administration and control based on a centralized and stable system of taxation and use of physical force 2.monopolization of legislative 3.organization of an officialdom, dependent upon the central authority Weber argued that some of those attributes have existed in various time or places, but together they existed only in Occidental civilization. The conditions that favored this were emergence of rational-legal rationality (various status groups in the Occident promoted that emergence) emergence of modern officialdom (bureaucracy), which required 1.development of the money economy, where officials are compensated in money instead of kind (usually land grants) 2.quantitative and qualitative expansion of administrative tasks 3.centralisation and increased efficiency of administration. Modern state According to Max Weber, a modern state exists where a political community has: * an administrative and legal order that has been created and can be changed by legislation that also determines its role * binding authority over citizens and actions in its jurisdiction * the right to legitimately use the physical force in its jurisdiction An important attribute of Weber’s definition of a modern state was that it is a bureaucracy. The vast majority of the modern states from the 20th century onward fall under the rational-legal authority category Bureaucracy. Bureaucracy is â€Å"the existence of a specialized administrative staff†.  According to Weber, beaucracy is a particular type of administrative structure developed through rational-legal authority. Weber noted that bureaucracy resolves some of the shortcomings of the traditional system. His view view of bureaucracy was a system of power where leaders exercise control over others — a system based on discipline. Weber stressed that the rational-legal form was the most stable of systems for both superiors and subordinates — it’s more reliable and clear, yet allows the subordinate more independence and discretion. Subordinates ideally can challenge the decisions of their leaders by referring to the stated rules — charisma becomes less important. As a result, bureaucratic systems can handle more complex operations than traditional system. RATIONAL LEGAL SYSTEM Another source reveals that legal-rational authority brings about the development of a rational legal system, there is likely to be a political system which becomes rationalized in a similar way. Associated with this are constitutions, written documents, established offices, regularized modes of representation, regular elections and political procedures. These are developed in opposition to earlier systems such as monarchies or other traditional forms, where there are no well developed set of rules. As a political or legal system develops in this rational manner, authority takes on a legal form. Those who govern or rule either have, or appear to have, a legitimate legal right to do so. Those who are subordinate within this system accept the legality of the rulers, believing they have the legitimate right to exercise power. Those with power then exercise power based on this right of legitimacy. REFERENCES * Max Weber’s Sociology in the Genealogy of the Contemporary Mode of Western Legal Thought- Duncan Kennedy * Wikipedia, the free encyclopedia- Rational-legal authority * Ashley, David and David Michael Orenstein, Sociological Theory: Classical Statements, third edition, Boston, Allyn and Bacon, 1995. * Cohen, Ira J., â€Å"Theories of Action and Praxis,† in Bryan S. Turner, editor, The Blackwell Companion to Social Theory, Oxford, Blackwell, 1996.. * Hadden, Richard W., Sociological Theory: An Introduction to the Classical Tradition, Peterborough, Broadview Press, 1997. * Ritzer, George, Sociological Theory, third edition, New York, McGraw-Hill.. * Blau, P. M. (1963). â€Å"Critical remarks on Weber’s theory of authority†. The American Political Science Review, * Crass, C. (2003). Collective liberation on my mind. Montrà ©al: Kersplebedeb. * Max Weber-Traditional, Rational –Legal and Charismatic Authority –By Dana Williams