Tuesday, August 6, 2019

Fathers and Sons - The Quarrel - Chapter 10 Essay Example for Free

Fathers and Sons The Quarrel Chapter 10 Essay Chapter ten begins with Arkady and Bazarov discussing Nikolai and his outdatedness, Nikolai consulting his brother Pavel about the same issue follows this. These two events barely fit into the same chapter as the quarrel that occurs next. Bazarov and Pavel have not gotten along since they met and share different views on basically everything. Pavel loathes Bazarovs nihilist attitude and Bazarov, being a nihilist doesnt care much for Pavels aristocratic nature either. They have both been burning to have an argument, especially Pavel who was just waiting for a spark to start a flame. When the conversation drifted to one of the neighboring landowners Pavel noticed his chance and uses this as a catalyst to start the conversation about nihilism and their different viewpoints. As the two men begin dueling it is noticeable how both seem to be trained advocates. Their questions are brief and their answers to the point and dont give away too much. Bazarov seems to not care less about what is happening whereas Pavel seems to be dripping with enthusiasm. Pavel acts as more of an interrogator than Bazarov and begins the argument by stating his opposing viewpoint of aristocratism which Bazarov mocks so plainly. Both men have their dignity at this point and although Pavel seems pressured not much tension is in the atmosphere. I do not share the same opinion, said Pavel igniting the debate. Bazarov then asks Pavel what can be proved about the supposed superiority of the aristocrats. Though Pavel does answer the challenge I feel Bazarov is trying to change the subject when he chooses to personalize the argument and begins to talk about what the point of all of Pavels trouble is. He implies that Pavel doesnt achieve anything in his life and so his aristocratic way of life has been a useless one with no progress. Although this is clearly personal to Pavel I dont feel as if Bazarov was purposely trying to attack Pavels life and ridicule it. Unsurprisingly Pavel is offended and retorts, losing some of his dignity. He makes another personal statement towards Bazarov saying that only ignorant or stupid people would live without the principals that aristocrats preach; he is directly implying that Bazarov is ignorant and stupid. This argument I feel was more of a personal statement made towards Bazarov rather than a good argument to debate over, however Bazarov retains his dignity and moves to another topic, naming a few words used in aristocracy and labeling them as utter nonsense. At this point I think Bazarov is winning the argument, as Pavel seems confused and temporarily overwhelmed by Bazarovs questions. But Pavel does do the right thing next by asking Bazarov what he feels should be done about the situation, but again Pavel adds another personal statement at the end of his argument saying that if Bazarovs views were put into effect the Russian people shall find ourselves beyond the pale of humanity, outside human laws. Next more of Pavels dignity is stolen as they describe to him exactly what a nihilist does and does not do. Turgenev clearly states that Pavel is overwhelmed by the definition of nihilism and what plans they have for Russia. In his view it is as if Pavel underestimated their ignorance. Bazarov says that at present time the most useful thing that can be done by the Russian people is to deny. To deny authority, principals, art, everything. I fail to understand how much can be gained by this, Bazarovs theory is that all that has been built must be destroyed in order to construct a new life which the people want. Although I feel Bazarov is running a better argument I dont agree with his philosophy and feel that instead of denying everything an attempt can be made at just trying to change what has been built instead of destroying it and reconstructing it from scratch. Pavel continues to lose his temper and his arguments get worse as he loses his dignity and begins acting childlike. To reply to Bazarov and Arkadys description of the Russian people he says No, no! I cant believe that you young men really know the Russian people, that you represent their needs and aspirations! No, the Russian people are not what you imagine them to be. They hold tradition sacred, they are a patriarchal people, they cannot live without faith . . . This sentence with its abundance of nos sounds very childlike and most of it seems as if Pavel is trying to tell himself rather than the others that what they say is not true. Bazarov still contains full dignity and as adultly as possible agrees to ease Pavel, but he still refuses to admit if he is wrong. Then he states that although Pavel may be right it still proves nothing. His next argument is basic, but effective, Pavel says that in that case Bazarov must be going against his own people and Bazarov replies with an analogy that implies that according to Pavel if the majority of the people do something utterly stupid he must do so as well. Pavel ignores the last argument made by Bazarov and instead chooses to retaliate by attacking Bazarov by saying he is not part of the Russian people after he opposes them in so many ways. Bazarov handles this argument simply by referring to the most Russian people he knows, the peasants, who have knowledge of the past peasants who have risen and become of higher status now. Bazarov, as we have seen earlier in the book, talks to the peasants and doesnt mind answering their questions and talking to them. Although he may look down on them and not think much of them he still treats them like people and so they will obviously support him on this one so Pavel made bad move by challenging how Russian Bazarov is as he has more to show for it than Pavel. But again I do feel that comparing Pavel to himself was unnecessary and just made the argument more personal again. There is a short break in the chapter as Nikolai stands up and tries to cool the two down asking them not to make this personal. He is a bit late. With Nikolais interference Pavel has a chance to compose himself and regain some of the dignity he had had before. They start to discuss nihilism once again with a cooler and less tense atmosphere. Bazarov gives another definition for nihilism, this time focusing more on their actions as a group. They then begin to talk about the strength of the nihilists, which Pavel is proved to have underestimated. I agree with Bazarovs view here that a large number is not needed, but rather a stronger faith or force in what they are doing as the truth to be stronger then a large number. Although slightly irrelevant Bazarovs analogy to a single candle burning down the whole of Moscow, I feel was a strong argument. Pavel seems to lose his dignity along with the argument as he again starts acting restless and angered. Pavel then loses all dignity when he starts to be sarcastic saying Bravo, bravo! and trying to make what Bazarov is saying foolish by pretending to acknowledge it. His loss of dignity is made clear with Bazarovs statement You have departed from your praiseworthy sense of personal dignity and with this Bazarov chooses to close the argument, but not without his closing sentence in which he asks Pavel to think of institutions where the aristocracy has had an outcome of no problems. Pavel attempts to name a few but is proven wrong by Bazarov for his attempts. Bazarov once again asks Pavel to take his time and think about it; with this he takes his leave and the discussion comes to an end. Bazarov is clearly a powerful advocate who can maintain his dignity even when he is criticized and although many people oppose his views he has managed to keep his views alive. Pavel, although a good attempt would make a weaker advocate, his weaknesses lie in his quick temper. Maintaining your cool is very important and Bazarov proved that, he left the argument with all his dignity and my vote as the winner whereas Pavel was left tongue-tied and labeled as the loser.

Monday, August 5, 2019

Practical Barriers to Healthcare Provisions in New Zealand

Practical Barriers to Healthcare Provisions in New Zealand 5. Write a comparative analysis about the practical barriers that exist in the healthcare provisions in New Zealand and in those of one overseas country of your choice through using the following determinants: a. Safety issue New Zealand According to the organization of GNS Science, as faults lines are running under New Zealand, more than 15,000 earthquakes happened per annum. Therefore, New Zealand is threatened by the risk of several magnitude 6 earthquakes once a year, which might cause a lot of damages to inhabited areas. J.K. Mclntosh et al (2012), reported the 22nd February 2011, Mw 6.3 Christchurch earthquake in New Zealand caused major damage to not only infrastructures, but also to the healthcare system of Canterbury region. It is often said that big natural disasters will bring confusions and disorganizes to healthcare system, for example, damaging to facilities, shutting down of lifeline, running of medicine, shortage of human power, and increasing of patients, consequently, it is one of the major safety issue in New Zealand. India According to the website of Indian Journal of Occupational Environmental Medicine, the lack of amenities, in particular, sanitation is a major public health issue in India. Inadequate sanitation system causes public health issue, for example, diarrhoeas and respiratory infections. Additionally, a person whose immune system is weak is easily to be infected by these diseases, and areas where are not urbanised are more lacking of infrastructures. Generally, once they are in sick, they tend to be in critical conditions, and take long time to be recovered. In India, some inhabitants suffer from unavoidable disease, because of lacking of sanitary conditions. b. Geographical barriers New Zealand In New Zealand, some regions, such as the Far North District and Southland District, a variety numbers of inhabitants need more than 30 minutes to visit GP. Therefore, it is possible to say that some remote rural areas have a difficulty to access to GP due to geographical isolation. This barrier is revealed to The New Zealand Health Survey, which is conducted by the Ministry of Health in 2011/12. According to this survey, 3.4% of New Zealanders did not visit GP, because of lacking of transportation, consequently, the distance to GP prevents from visiting GP. Furthermore, some people would visit GP after symptoms and the stage of illness become worse, and as a result, some of them might not be received effective treatments. India Looking at geographical feature of India, the safety of India is threatened by new clear weapons, which Pakistan and China posse, and to make the matter worse, the relationship between India and Pakistan is intense. Moreover, India has 19 nuclear plants, so it obtains a highly risk of nuclear power both inside and outside of country. Therefore, if there will be an explosion of nuclear weapons at outside of country or some damages to nuclear plats will occur accidentally in India, the land will be contaminated. Furthermore, not only inhabitants, but also healthcare providers will be exposed to radiation. When these situations will happen in the future, hospitals will be the frontline of treatment, and it will affect huge impact to provision of healthcare in India. c. Cultural barriers New Zealand According to the website of Ministry of Social Development, the ethnic diversity of New Zealand’s population will continue to increase, and, in particular Asian population is projected to have the largest growth, averaging 3.4 %, annually. Therefore, the number of people whose first language is not English is increasing in New Zealand. For non-English speakers, language is the biggest barrier to communicate when they have medical treatment. For international patients, it is difficult to tell details of symptoms and to use medical terminologies when they need to talk to healthcare providers. Therefore, for both patients and healthcare providers, language is the biggest barrier to receive effective treatments. India In India, people, particularly living in rural areas generally have their own beliefs and practices pertaining health, and some tribe groups still believe that disease comes from violation of taboos and breach of spirits. Furthermore, some of them follow treatment, which has no evidence and inherited mouth by mouth. Therefore, it might have difficulty to intervene for healthcare providers if people strongly follow their own thoughts and beliefs. d. Socioeconomic barriers New Zealand The New Zealand Health Survey, which is conducted by the Ministry of Health in 2011/12 revealed that 14% of New Zealanders did not use GP service, although they had medical issues. In addition, 7% of adults did not used after-hour services, and 8% of adult did not collect prescription items. The main reason of this is especially for people from low socioeconomic group, it is difficult to afford medical cost. However, medicines are subsidized for people only need to pay relatively small amount for each prescription. Moreover, to compare to the percentage of above percentages between Maori and non-Maori, Maori registered highly percentages in each category. The root of this result is because of lower income and highly unemployment rate of Maori compared with other ethnic groups, and it becomes obstacles of visiting GP and collecting necessary medicines. To sum up, financial issue is the biggest barrier for people who are necessary to visit hospital and to take medicines. India In India, there is a huge gap of the number of medical facilities between urban areas and rural areas. Aust. J. (2002) indicated that 69% of hospitals are located in urban areas, however, the population of rural areas are three times than that of urban areas, and in urban are the majority of inhabitants are people from low socioeconomic groups. Aust. J (2012) insisted that ‘the basic nature of rural health problems is attributed also to lack of health knowledge and awareness, poor maternal and child health services and occupational hazards.’ Additionally, the rural area, their living and working conditions are abysmal, so that they are relatively straightforward to become victims of pandemics of diseases. To make the matter worse, even if they become a sick, they are not able to afford medical cost. In India, the socioeconomic gap is the big barrier, which exists in healthcare practice, and some causes of death are preventable. e. Organizational barriers New Zealand In New Zealand, ambulance service is mainly operated by St John, which is not fully funded by the government. According to the article of The Press (2014), ‘St John is being forced to reshuffle its limited ambulance resources in an attempt to shoulder ballooning demand and multimillion-dollar funding shortfalls.’ The background of this issue is that New Zealand is an aging society, therefore, a lot of elderly people have conical illnesses, and, then, demands of ambulance has been increasing. However, St John is a charity organisation, their funds and resources are limited. Therefore, it might cause the slower response to arrival time of an ambulance, in particular, rural areas. It is often said that in case of emergency, how quickly patients are received medical services is vital to be rescued, so, slow response affects directly to city dwellers’ lives. India Dr. Mohammad Akram (2013) mentioned the situation of sanitation in India at the conference of Sociology of Sanitation National Conference. According to him, 55% of population has no access to toilet in India, and most of them are living in slums and rural areas. In many developed countries, the sanitation is the first priority that the authority organized. However, in India, the interest of public health system was weaker than to be grown up economically, and the policy makers of government were not attracted by sanitation. The government has a power to make policies but if members of the government are not aware of importance of it, it becomes obstruct to improve the satiation and condition. (1254 words) References: Website: GNS Science. (n.d.). Earthquakes and Faults. Retrieved from http://www.gns.cri.nz/Home/Learning/Science-Topics/Earthquakes/Earthquakes-and-Faults Map of India. (n.d.) New Clear Plants in India. Retrieved from http://www.mapsofindia.com/maps/india/nuclearpowerplants.htm Ministry of Social Development. (2010). Ethnic composition of the population. Retrieved fromhttp://www.socialreport.msd.govt.nz/people/ethnic-composition-population.html Sociology of Sanitation National Conference. (2013). Sanitation, Health and Development Deficit in India: A Sociological Perspective. http://www.sociologyofsanitation.com/honble-guests/sessionspeakers/sanitation-health-and-development-deficit-in-india-a-sociological-perspective/ The Press. (2014). Ambulance service short of millions. http://www.stuff.co.nz/the-press/news/9627350/Ambulance-service-short-of-millions Books: Aust. J. (2002). Current Health Scenario in Rural India. http://www.sas.upenn.edu/~dludden/WaterborneDisease3.pdf Ganesh,S. K, Sitanshu Sekhar.K,andAnimesh.J. (2011). Health and environmental sanitation in India: Issue of prioritising control strategies. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299104/ Health and environmental sanitation in India: Issues for prioritizing control strategies Health and environmental sanitation in India: Issues for prioritizing control strategies Health and environmental sanitation in India: Issues for prioritizing control strategies Health and environmental sanitation in India: Issues for prioritizing control strategies J.K. McIntosh, C. Jacques, J. Mitrani-Reiser, T.D. Kirsch, S. Giovinazz, and T.M. Wilson. (2012). The Impact of the 22nd February 2011 Earthquake on Christchurch Hospital. Christchurch, New Zealand: University of Canterbury Ministry of Health. (2012). The Health of New Zealand Adults 2011/12: Key findings of the New Zealand Health Survey. Wellington, New Zealand Ministry of Health Lars Brabyn, Ross Barnett. (2004). THE NEW ZEALAND MEDICAL JOURNAL Vol 117 No 1199 ISSN 1175 8716. http://researchcommons.waikato.ac.nz/bitstream/handle/10289/2019/Brabyn%20population%20need.pdf?sequence=1 Pakistan Institute of Legislative Development and Transparency. (2003). Pakistan India relationships. http://www.millat.com/democracy/Foreign%20Policy/brief3eng.pdf

An Overview of Surgery

An Overview of Surgery Surgery Overseas Surgery is an antique medical specialty, which uses operative labor-intensive and influential procedures on a patient to look into and treat a pathological state such as injuries or diseases. Surgery is an expertise consisting of a corporal intervention on muscle, and tissues. A surgery helps in improving bodily function and appearance and also to repair unnecessary ruptured areas for instance a perforated ear drum. A surgical procedure is an act of performing a surgery. Human beings and animals are subjects or patients on which a surgery is performed. A person who practices surgery is known as a surgeon. People described as surgeons are usually podiatrists, veterinarians, dentists (usually referred to as maxillofacial and oral surgeons) and physicians. A surgical team consists of a surgeon’s assistant or a surgical assistant, a circulating nurse, a surgeon, a surgical technologist and anesthesia provider. A surgery process spans minutes to hours. However, it’s naturall y not a continuing or cyclic treatment or type. A surgical process that can be programmed in advance because it doesn’t include a medical emergency is known as elective surgery. Some of the common elective surgeries or procedures include plastic surgery and cosmetic surgery. As a universal rule, a process is well thought to be surgical when it includes closure of a formerly sustained wound or cutting of patient’s tissues. . Nations such as Argentina and South Africa present the same high standards of surgery as hospitals back in the United States, although with important differences in price- charge savings can be enormous, the surrounding can be more comfortable and there’s also less arguing with the insurance company to cover up the costs of surgery. Procedures such as endoscopy or angioplasty may be deemed as an operation if they include common surgical settings or procedure. These procedures include anesthesia, use of sterile environment, typical surgical instruments, suturing or stapling and antiseptic conditions (Bhatia 21). There are many types of surgeries. Surgical processes are normally characterized by procedural types like invasiveness degree, unique instrumentation and urgency; Principle Based:The type of surgery that is exploratoryis usually performed for confirming or aiding diagnosis. Previously diagnosed condition is treated by a therapeutic surgical treatment. Through organ of body: The performance of s surgery on the organ of structural systems, this could be cashed out involving the system’s organ and the involvement of tissue of the organ. For instance; surgery through gastrointestinal (which is done within the region of digestive and the organs that are accessory), surgery of orthopedics (which is conducted on bones and muscles) and cardiac surgery (which is performed on the heart) Through invasiveness scale:modestly surgery that is invasive includes external little incisions that are to be included in the objects that are miniaturized inside the structure of the body and cavity, like laparoscopic or surgery angioplasty. By differentiating to that, a laparotomy or process that is open surgicalneeds a great incision for the area of interest to access (Bhatia 9). Through procedure type: amputationincludes cutting off body parts, usually a digit or limb; castration is also an instance.Resectionis the elimination of part of or all internal organs or body parts.Replantation includes reattaching the severed parts of the body.Reconstructive surgical treatmentinvolves restoration of a deformed, mutilated or injured or body area.A surgerywhich is Cosmetic always is initiated to advance a usual and otherwise structure. Deletion comprises of the cutting out or removal mainly of an organ, tissue or the other patient’s body parts. A surgery of Transplantation comprises of the body organs substitution with that of different inclusion from other dissimilar being i.e. of human (other living things also) within the patient. It also includes the removal of animals or human beings body organs to conduct a kind of surgery that utilizes organ transplantation (Sullivan 10). Through timing basis:The surgery named ‘elective’is done to repair the situations of a threatening i.e. non-life, and is conducted by the consent and patient’s appeal to the doctors matter of subject and facilities of surgical availability.Another surgery named ‘Emergency’ is a type of operation, which must be implemented without delay to, limb, lifesaving and capacity functionality. Apartially surgery i.e. electiveis the only type that must be conducted to evade death and disability that can be permanent. This type of surgery, for a little time, can be postponed. By using equipment and tools: The surgeryinvolving the use of lasersis known as Laser surgery. Laser can be used for the cutting of tissue as a scalpel substitute or instruments of surgery related to it. The surgery by the name of ‘Microscopic’ involves utilization of microscope i.e. functional for the basic partitioning. This functional microscope is used to see structures that are very tiny. The surgerynamely ‘Robotic’ utilizes a robot for surgery such as the surgical system ‘Zeus’ in which the devices are governed under the surgeon’s sway (Aston, Douglas and Jennifer 12). Modern surgery is always completed in an operating theater. It is done using an operating table, surgical instruments for patients and other equipments at the hospital. The theory of aseptic technique governs the procedures and environment used in surgeries. The aseptic technique includes the strict severance of sterile (which is free of microorganisms) instruments from contaminated or unsterile instruments (Klingensmith, 6). This means that there is average-quality proof that usage of many gloves layers compared to only a single gloving during a surgery process reduces blood stains and perforations on the skin, representing a decline in percutaneous spotlight incidents (Earle 45). The surgery process is always long. The process includes; an opening is made in order for accessing the spot surgically. The vessels of Blood are perhaps being clamped or cauterized for the prevention of bleeding. The usage of retractors helps to keep incision open and to expose site. Due to advancement in the spot surgically can include a number of abdominal surgery incisions and dissection layers (Norton 67). To skin traverse, incision is used within muscles three layers, peritoneum and from that the subcutaneous tissue. Considering sure instances, bones are further amputated always to contact further the bodies inside portion; for instance sternum cutting for surgery of to unlock up rib cage or cutting the cranium for brain surgery. While in surgery safety and health are used to prevent further distribution of the diseases and also prevent infection. Using a head hat, the surgeon is able to remove hair from the eyes and hair. In order to prevent germs from getting into operated bo dy, wrists, forearms and hands are always washed thoroughly. Gloves are always placed onto the hands. To stop any contamination, a PVC apron is always worn. On the situated region of the sick person’s body, a yellow substance- normally an antiseptic iodine result is coated lightly. This stops diseases and germs infecting regions of the body performed on (Jarrell 23). . The surgery work may well involve: Excision – cutting out a tumor, organ, or other tissue. Ligation– tying off blood tubes, vessels, or ducts. Resection– fractional elimination of any organ or other physical structure. Realignment reduction – It is the body’s components movement or the realignment for bringing it back to its original shape. For instance, broken nose diminution includes the manipulation of body cartilage and from their shape displacement of the bone restoring to inventive position of it to normally repair airflow and aesthetics; Tissues, organs reconnection etc. predominantly detached if. Organs and tissues reconnection like reconnection of intestine inclusively. Stapling internally and may be suturing applied. Correlation surgically between various vessels of blood or tubular or void components for example, an intestine loop is referred to asanastomosis. Prostheticinsertion sections required when. Screws and pins used for holding and bones may be used to set. Bone parts may well be reinstated involving the various body parts or shaft prosthetic. The insertion of plate sometimes used for the replacement of the spoiled skull part. Hipnon-natural substitution universally has become common. Heart or valves pace makersperhaps may be included. Different other types of prostheses are most of the times considered. Grafts–Tissue scratch pieces may perhaps be detached involving the different or the same flaps or still tissue of body partially attached risen to a body but for restructuring or rearranging of the site of query of the body. Even though in surgery of cosmetics grafting is used time and again. It well may be gotten from single site sick persons of the body to place it within the body of another. The example issurgery of bypass. It is the surgery where a vessel of blood that is closed and implant bypasses tubes from other body parts. On the other hand, grafts may well be from other animals, persons or cadavers. Stoma construction, opening of a permanent or a half body stable opening The surgery of transfer, the organ contributor (fetched out from the body of the giver) is transferred into the body of the receiver and reassigned to the receiver in all essential ways (ducts, vessels of blood). Arthrodesis– it is a bones adjoining surgical relationship so that the bones can be able to grow collectively into lone.Fusion Spinalis an example of vertebrae adjoiningjoined which allows joining with a single part to grow. Digestive regionmodificationinsurgerybariatric forweight reduction of ahernia refurbishment,prolapsed or fistula Various other treatments include: clearance of blood, ducts clogged or different vessels subtraction of (stones) calculi removal of fluids accumulated damaged, diseased or tissue (dead) by debridement- removal Sex change operations Sometimes surgery is conducted to conjoined twins split Blood or expanders of blood are linked administratively to blood reimburse loss all through the process of surgery. When the action course is completestaples or suturesare used to cease openings. Once the cut is clogged, the agents of anesthetic are reversed and closed, and the patients are discharged for extubation and aeration (if it was administered anesthesia commonly). In the United States, the enlightenment era that starts from the (1680 circa to 1800) is the age of life of the Westerns wars. In this era, the thinkers and writers reject precedent superstitions. Apart from that the writers and thinkers chose to put emphasis on the scientific, cultural life and the intellectual that rolls in the 18th century center. For this the main reason of the legitimacy and authority is the main source of ad vocation. The enlightenment philosophers have envisioned a scientific sense. As the U.S constitution reflects itself the encouragement and desire for the innovation of science and scientific creations. Thus, the U.S has the power and support of Congress that helps develop full art of science by safely securing for limited to inventors and writers the rights exclusive related to their discoveries and writings. This has influencedAmerica to have the most advanced technology on medicine (biology). The expenses of Healthcare in the United States have climbed up gradually. Majority of Americans have preferred to travel overseas for elective processes or have at least considered going overseas as a possibility. In relation to the Times New York book, regarding the citizen of U.S who journeyed Belgian to undergo a hip replacement due to the lack of U.S insurers to cover this claim, this has influenced hundreds of America’s citizens to consider the same path. Earle (1983) tells that, â€Å"In 2007, Shopenn’s Michael surgery cost amount of U.S dollars closes to $100,000. Actually the cost came around to be $ 13,700 including all the fares, fees, medicine and hospital cost. This hospital was in Belgium, Tourhout.’’ Governments abroad regulate fees of medicine, despite the fact that majority of hospital and offices of doctors are managed privately. Some few days past living days, Americans are most agreeable more than willing to travel abroad since they ap preciate the quality found there, whereas several years ago they did not have that opinion. This is supported by the medical tourist association, which is the industry in the United States that facilitates and supports such travel (Hardin and Roberta 34). The increasing amount of American medical tourists and the United States citizens tend to be individuals who don’t have insurance or people whose insurance doesn’t adequately cover the process they need. Their target time and again depends on their literary ties. For instance, Spanish speaking patients and citizens might support Latin America. Ten years ago, many Americans who travelled overseas for less prices concern went to nations like Thailand, Mexico and over the boundary to India. A number of patients are now to Europe travelling, where better care at great hospitals often costs a portion of what is paid in the United States. This is made easy by the private facilitators. The private facilitators help in making arrangements, pairing doctors with patients and hospitals and organizing travel plans (Schumpelick 21). In the most recent years, hospitals and their respective governments in Europe have joined the field and are currently promoting their services. This idea is applied so as to make it simpler for citizens and patients from abroad- whether from Russia, Africa, North America or Middle East to view Europe as a solution due to its reasonable prices and high quality. Thompson 2012 says that â€Å"The East Coast people head from the coast of east to Europe, whereas the coast of west people travels to Asia like Thailand and Korea. There numbers are growing and they go there for the treatment as the U.S healthcare costs are exorbitant. The main factor to drive this is common background and quality.† A consortium of health care providers and hospitals in Europe is considering setting up a plan to magnetize and care for foreign patients. Surgery costs are about one fifth as much in Europe as in the United States. The doctors and the patients agree on a price and must sign an agreement be fore surgery according to the law. Hospitals and clinics in Europe offer an evident advantage for Americans (Thompson 21). Several programs are in line to minimize the cost of surgeries in the United States. This should be considered by the victims who are willing to travel to Europe for surgery process. With a massive increase in demand for mutual replacements as baby boomers period, holding down costs is significant to hospitals as well as patients. But before the readers start booking tickets to overseas, they ought to know that numerous programs are in line to lower the price of joint substitution surgery in the United States. With a huge boost in demand for joint substitution as baby boomers age, holding along costs is vital to hospitals as well as patients. A study by Norton, in the article of basic science and clinical evidence that was published in 2008 found that the programs were two-pronged success: a number of patients if not all choose hospitals that meet their prices. More significant, many hospitals decide to reduce their prices so that patients would be more than likely to choose them. Th e program in the United States includes services like BidMedi that allows lower cost medical care online for patients shopping, whether same or in different country. Surgery is a technology comprising of a physical involvement on muscles and tissues. As a common rule, a procedure is well thought-out as surgical when it involves closing of a formerly continued wound or cutting of patient’s tissues. Whether the surgery that one requires is an urgent medical process such as a gastric bypass or a hip replacement; cosmetic surgery like rhino-plastic or breast implants, there is always a definite advantage and benefit to looking towards surgery overseas. Surgery abroad is made easy by the private facilitators. Works Cited Aston, Sherrell J, Douglas S. Steinbrech, and Jennifer L. Walden.Aesthetic Plastic Surgery. Philadelphia: Saunders Elsevier, 2009. Print. Bhatia, Shivani.The Surgery Book: For Kids. Bloomington: AuthorHouse, 2010. Print. Earle, A S.Surgery in America: From the Colonial Era to the 20th Century. New York u.a: Praeger, 1983. Print. Hardin, Sonya R, and Roberta Kaplow.Cardiac Surgery Essentials for Critical Care Nursing. Sudbury, Mass: Jones and Bartlett Publishers, 2010. Print. Jarrell, Bruce E.Nms Surgery Casebook. Philadelphia: Lippincott Williams Wilkins, 2003. Print. Norton, Jeffrey A.Surgery: Basic Science and Clinical Evidence. New York, NY: Springer, 2008. Print. Klingensmith, Mary E.The Washington Manual of Surgery. Philadelphia, Pa: Lippincott Williams Wilkins, 2007. Print. Schumpelick, Volker.Atlas of General Surgery. Stuttgart: Thieme, 2009. Print. Sullivan, Deborah A.Cosmetic Surgery: The Cutting Edge of Commercial Medicine in America. New Brunswick [u.a.: Rutgers University Press, 2001. Print. Thompson, Lana.Plastic Surgery. Santa Barbara, Calif: Greenwood, 2001. Print.

Sunday, August 4, 2019

Free Essays on Whartons Ethan Frome: A Timeless Novel :: Ethan Frome Essays

Ethan Frome: A Timeless Novel  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚      The writing in the novel, Ethan Frome is fantastic. The love of Ethan Frome is crystal clear. Ethan and Mattie are both believably in love and Ethan's desperation grips the reader. Zeena, I think, is the most well described of them all. She is reality itself--beyond love, beyond fate, and it is she who outlasts them all. Although I think I fell in love with both Mattie and Ethan in this story and was feeling that intense love and pain of impending separation in their last moments together, the realist in me loved the ending! Zeena, the old witch, the nagging and cunning negative hag, is the one who is the rock in the moving stream. It's so 20th century. There is something black about the ending that you have to like. I like the way Zeena's image keeps popping up for Ethan: Zeena's empty rocking-chair stood facing him. Mattie rose obediently, and seated herself in it. As her young brown head detached itself against the patch-work cushion that habitually framed his wife's gaunt countenance, Ethan had a momentary shock. It was almost as if the other face, the face of the superseded woman, had obliterated that of the intruder. And as he's trying to enter into eternity with his beloved . . . But suddenly his wife's face, with twisted monstrous lineaments, thrust itself between him and his goal, and he made an instinctive movement to brush it aside. Here are some example of the accurate description that I love in this story: Through the obscurity which hid their faces their thoughts seemed to dart at each other like serpents shooting venom. Ethan was seized with horror of the scene and shame at his own share in it. It was as senseless and savage as a physical fight between two enemies in the darkness. All the long misery of his baffled past, of his youth of failure, hardship and vain effort, rose up in his soul in bitterness and seemed to take shape before him in the woman who at every turn had barred his way. She had taken everything else from him; and now she meant to take the one thing that made up for all the others. For a moment such a flame of hate rose in him that it ran down his arm and clenched his fist against her.

Saturday, August 3, 2019

The Horrific Holocaust :: World War II History

The Horrific Holocaust Nearly six million Jews were killed and murdered in what historians have called "The Holocaust." The word 'holocaust' is a conflagration, a great raging fire that consumes in its path all that lives. In the years between 1933 and 1945, the Jews of Europe were marked for total annihilation. Moreover, anti-Semitism was given legal sanction. It was directed by Adolf Hitler and managed by Heinne Himmler, Reinhard Heydrich and Adolf Eichmann. There were many other great crimes and murders, such as the killing of the Armenians by the Turks, but the Holocaust stood out as the "only systematic and organized effort by a modern government to destroy a whole race of people." The Germans under Adolf Hitler believed that the Jews were the cause of all the German troubles and were a threat to the German and Christian values. Dating back to the first century A.D. the Jews and Christians were always at war. The Jews were considered the murderers of Christ and were therefor denounced from society, rejected by the Conservatives and were not allowed to live in rural areas. As a result, the Jews began living in the cities and supported the liberals. This made the Germans see the Jews as the symbol of all they feared. Following the defeat of the Germans in WW1, the Treaty Of Versailles and the UN resolutions against Germany raised many militaristic voices and formed extreme nationalism. Hitler took advantage of the situation and rose to power in 1933 on a promise to destroy the Treaty Of Versailles that stripped Germany off land. Hitler organized the Gestapo as the only executive branch and secret terror organization of the Nazi police system. In 1935, he made the Nuremberg Laws that forbid Germans to marry Jews or commerce with them. Hitler thought that the Jews were a nationless parasite and were directly related to the Treaty Of Versailles. When Hitler began his move to conquer Europe, he promised that no person of Jewish background would survive. Before the start of the second world war, the Jews of Germany were excluded from public life, forbidden to have sexual relations with non-Jews, boycotted, beaten but allowed to emigrate. When the war was officially declared, emigration ended and 'the final solution to the Jewish problem' came. When Germany took over Poland, the Polish and German Jews were forced into overcrowded Ghettos and employed as slave labour. The Jewish property was seized. Disease and starvation filled the Ghettos. Finally, the Jews were taken to concentration camps in Poland and Germany were they were

Friday, August 2, 2019

Effects of Advertising on Children Essay

Overall view on advertisingAdvertising is the communication relayed from companies to persuade an audience to purchase their products. This communication is usually through various forms of paid media — TV and radio commercials, print ads, billboards and more recently, product placement. Ads are placed where advertisers believe they will reach the largest, most relevant audience. Commercial businesses use advertising to drive the consumption of their product, while non-profit organizations may place ads to raise awareness or encourage a change in behavior or perception. Advertising is the form of communication by fresh ways that the ad-filmmakers used to encourage, persuade or entice the consumers to buy their products. If an advertisement for a product attracts the consumers, they tend to purchase it frequently or at least give it a try. If a company has to survive in this competitive world, it has to project the image of its products in such a way that, they pick up the maximum sales. Nowadays, advertising plays an important role in the society, and since children form the major parts of the target group for advertisers, many advertisements focused on children are a proof of this fact. Today, children are watching more television than years ago, and thus viewing more advertisings. Many books have been written and many studies and reports done on the effects of TV advertising on children. In this presentation, we will look at some different positive and negative effects of TV advertisement on children, and give some suggestions as a solution to lim it negative effects of advertising on children. I. Positive effects of advertising on children – Advertising makes the kids aware of the new products available in the market. It increases their knowledge about the latest innovations in the field of technology. – Alive and flashy images with short messages like a motto, and charming models stimulate children’s imagination and their intelligence. – Certain advertisements, with strong messages motivate the kids in chasing their future prospects such as becoming a doctor, scientist or an engineer. They generate the passion in children, regarding their future and makes them realize the importance of education. – Some advertisements inculcate good habits in children, as all the toothpaste companies create strong awareness regarding dental hygiene in kids. II. Negative effects of advertising on children -Children may make excessive demands on their parents for the products they see in the advertisements. At times, they cry, pinch, pull and will not keep quiet till the parents purchase the product. Some parents who cannot control their children may fall in anger with them. -Junk food advertisements influence children greatly, leading to an increased demand for junk food by children. When children watch young adults eating junk foods in the advertisements they assume that it is good for the health. They are unaware of the fact that junk food does not contain nutritional value. They may even think that by eating these junk foods they might become like the thin and fit models in the advertisements. These unhealthy eating habits lead to diseases, such as obesity, heart diseases, high-blooded pressure. It even influences the way the kids think about the actual taste of food. – Children often tend to misinterpret the messages conveyed in commercial advertisments. They end up having wrong believes about many problems. Sometimes, they imitate the acts of models in the ad-films. For example, they can try smoking, drinking wine or beer. – As more and more advertisments are becoming animated, children are unable to understand the difference between real world and fantasy. They tend to have difficulties in doing tasks such as solving puzzles and reading. III. Solutions to limit negative effects of advertising on children – Parents play a major role in this case. Parents should teach their children of how to be critical of ads and how to become less influenced by the messages in the ads. Parents need to teach their children the importance and value of money. – Parents also need to instill good habits and help children to differentiate between right and wrong – Parents should limit the time of watching television of their children and spend more time playing with them or organize more outdoor activities for them. – Solutions from government: A few countries have banned marketing and advertising targeted at children below the age of twelve. One country has banned advertising of toys before 10 p.m. as it is at this time that children are mostly awake. Previously advertisers marketed children’s products towards parents. Parents were their target audience for these products. But nowadays, marketers aim their messages directly at children. Advertisements are made specifically in such a way that they draw the attention of children. The marketing messages are aimed directly at the children. – Advertisers on the other hand, can also try to put their message across creatively and target the entire family rather than just children. With a balanced approach, the negative effects of advertising can surely be controlled. I.Overall view of advertising 1. What is the advertising? – A form of marketing. – A method of mass promotion. – Purposes of advertising: + To introduce new products + To persuade the audience to purchase the product. + To cultivate brand identity 2. How does the advertising affect to people’s mind? – By the language – By the design – By the image and music II. Positive effects of advertising on children – Making the kids aware of the new products available in the market. – Stimulating children’s imagination and their intelligence. – Generating the passion in children and making them realize the importance of education. – Inculcating good habits in children. III. Negative effects of advertising on children -Making excessive demands on their parents for the products in the advertisements. – Increasing demand for junk food in children. – Misinterpreting the messages conveyed in commercial advertisments and imitating the acts of models. – Hardly differentiating the difference between real world and fantasy in the ads. III. Solutions to limit negative effects of advertising on children – Solutions from parents: +Teaching their children of how to be critical of ads and how to become less influenced by the messages in the ads and the importance and value of money. +Instilling good habits and helping children to differentiate between right and wrong. +Limit the time of watching television of their children and spending more time being with them. – Solutions from government: + Banning marketing and advertising targeted at children (related to time and the age of children) + Asking advertisers to target their messages to the entire family rather than just children. Advertising is all around us, it is an unavoidable part of everyone’s life. Some people say that advertising is a positive part of our lives while others say it is a negative one. Discuss both views and include your own opinion. Give reasons for your answer and include any relevant examples from your own knowledge or experience. You should write at least 250 words. Advertising is all around us, it is an unavoidable part of everyone’s life. Some people say that advertising is a positive part of our lives while others say it is a negative one. Discuss both views and include your own opinion. Give reasons for your answer and include any relevant examples from your own knowledge or experience. You should write at least 250 words. Of Course for several reasons: firstly, it motivates the psychological point in everyone, especially women. They will run to buy this advertised product especially if it’s from cosmetic roof, just to show their beauty to men, which will lead to more offender and raped cases. Secondly, you can sit comfortably with your family and suddenly the telephone is ringing, but it’s nothing important, it’s just another company try to convince you to buy one of their products. It is a real intrusive example of advertisement. Lastly, sometimes you do not have the financial ability to buy something, but with these new methods of advertisement, you will run to buy it, which will affect your budget. On the other hand, there are some good sides to advertising. For instance, it compares the prices of many companies which benefitthe consumer. Besides, it really opens our vision to see more products which we do not knowit unless the TV or Radio advertised them. In addition to, it breaks our daily routine and allows us to see new faces and learn the language better with the help of the daily updates they deliver through advertisement. In conclusion, as we can see there are many aspects to this essay. I feel that we gain no benefits at all from advertisement, it playson minds of people buy more things that they do not need it at all. Advertisements are all around us, and they vary greatly in their attempts to attract consumers. Some ads highlight the product’s features, while other ads’ content seems to be completely unrelated to the product they’re trying to sell. It’s the latter type of ads that shoppers need to be most wary of, according to a new study. Researchers at the University of California, Los Angeles, and George Washington University focused on two different types of advertisements. The first type of ad, called â€Å"logical persuasion,† or LP, presents facts about the product, such as, â€Å"This car gets 42 miles to the gallon.† The second type of ad is referred to as â€Å"nonrational influence† (NI) because it circumvents consumers’ conscious awareness by depicting a fun, vague or sexy scene that seems to have nothing to do with the product. In the study, researchers showed advertising images to 11 women and 13 men while recording the electrical activity in their brains using electroencephalography (EEG). Each participant viewed 24 ads that had appeared in magazines and newspapers. The ads contained either LP or NI images. LP ads showed a table of facts and figures in a cigarette ad and suggestions about selecting food for dogs on the basis of their activity level in an ad for pet food. The NI advertisements included a liquor ad featuring an image of beading water and a cigarette ad showing a woman leapfrogging over a fire hydrant that is spraying water as a man grins behind her. The researchers found that the brain regions involved in decision-making and emotional processing (including the orbitofrontal and anterior cingulate regions, the amygdala, and the hippocampus) experienced significantly higher activity levels when participants looked at the LP ads. These brain regions have been shown to help inhibit a person’s response to certain stimuli, such as preventing an impulse purchase. When participants viewed the NI advertisements, however, these regions of the brain did not show activity levels that were as high as what the individuals experienced when they viewed the LP ads. â€Å"Watch your brain and watch your wallet,† study researcher Ian Cook, a professor of psychiatry at the Semel Institute for Neuroscience and Human Behavior at UCLA, said in a statement. â€Å"These results suggest that the lower levels of brain activity from ads employing NI images could lead to less behavioral inhibition, which could translate to less restraint when it comes to buying products depicted in the NI advertisements.† The study is published in the current edition of the Journal of Neuroscience, Psychology, and Economics.

Thursday, August 1, 2019

Example of Interpersonal Communication

Concept Application Paper Aside from food, water, oxygen and other practical needs, communication with the people around us has proven to be essential for our own well-being. The different types and styles of communication allow ourselves the opportunity to create and build relationships with the people around us. It is also the basis on how we define ourselves through self-image and self-esteem. Through social, inflated, and deflated comparison we shape ourselves into the image in which we feel would satisfy the people around us; how we think others want to see us.In more cases it is a negative thing as the true soul inside a person is usually too ashamed or scared to reveal themselves to the public. We then force ourselves to shape into an image we feel will please the people around us. Evolved from our life experiences, we set an imaginary guideline in our mind for people to be considered ‘normal’ based on our perception of how society should behave. We automatically isolate anyone who deviates from these â€Å"guidelines†; they might include a person from a different culture or someone who simply wants to express themself.It was our responsibility to investigate how society reacts to an adjustment in the social norm. In this experiment I wore a tank top, board-shorts, and flip-flops in which I enacted in unordinary verbal and non-verbal communication with the people around me. As a male in the American culture, I dress myself according to what I suppose is ‘trendy’ in my sub-culture. By observing a person’s patterns in the way they dress and how they act, it is possible to discover a person’s personality. An identity is created through our manners, appearance, and the environment we associate ourselves around.We pick and choose how we want others to see us in different situations, so of course no one would ever think of dressing out of their usual pattern for no apparent reason. However, the purpose of the expe riment is not to continue to carry on with daily procedures, but to deviate and record reactions and changes in behavior of bystanders. I devised a theory that I would be able to observe two sets of reactions, one from the people whom I share relationships with and random students whom I have never met before.People who have knowledge about my existence would be able to detect a change in behavior while a stranger would just consider their encounter simply as something out of the ordinary. I chose to wear clothing not typically suited for the weather; Corvallis was reaching mid 40os and I had decided to be dressed in clothes one would wear to the beach. I felt this was an appropriate change in behavior because it would not be following the usual guidelines of the social norm. Everyone had one or two jackets and long pants, setting the basic social code to follow.However, since I was not abiding to this ‘system’, I was considered an outcast or placed in an out-group of t he current social culture. Even if I were not doing an experiment and intentionally dressing this specific way, I would be relaying non-verbal codes to whoever saw me which in their opinion would be interpreted much different than what I may have meant them to be. It would all be a matter of opinion or relational communication between me and the people in the environment. The channels of communication would be through non-verbal/ non-vocal communication.Other channels would be invalid because I would not be communicating through other means including spoken or written words. However, fewer available channels did not result in any less interaction. In the experiment, it was interesting as the deviation from the social norm sparked two reactions in people whom either allowed this contact to prohibit them from verbally communicating with me or on the contrary, the change actually was a catalyst and started verbal communication as the main topic of discussion.This occurred in both group s of people whom I was acquaintances with and people I did not know. A friend who had happened to see me first as I left my room was slightly shocked and warned me about the weather. Although their tone wasn’t hostile, more trying to help, the message that I interpreted was â€Å"If you’re not going to change clothes you’re going to look really weird wearing that type of clothing and secondly, you’ll be cold for the rest of the time until you decide to change your mind. My reaction to this conversation was close to emotionless because I would have reacted the same and produced similar responses because we interpret any change in behavior as ‘not normal’. Walking to a dining hall outside in public, my first observation was receiving numerous stares from the people passing me. Through my analysis this was a form of intrapersonal communication because I decoded their body language with a certain meaning and message.By simple gestures of staring and changes in body language, it encoded a message of ‘out casting’ to the receiver solely based on the type of clothing I wore. I am thankful that I was not dramatically influenced by any of the responses and reactions I observed between my friends and the public. My analysis is these responses were forms of communication which easily could have been affected by culture and perception. People’s different interpretations would eventually lead to the shaping and defining of one’s identity through their behavior and appearance based on how they want others to see themselves.Although it apparent that media has a large influence on choosing how we present our public self, it may seem that the people around us also have a large influence as well. They might include significant others or just ordinary people whom we compare ourselves to in social comparison. This experiment was a great understanding of how some people automatically separate someone just by expr essing themselves. Society defines certain things such as fashion or behavior attached with the message, â€Å"follow the same guidelines or beware of being put in an out-group. Majority of people will be high-self monitors and follow the norm. Personally, I feel I am this way because of the need to feel belonging to a particular group or something. I learned that it is much harder to express one-self based on our own intuition of being ‘judged’ for what we do. By investigating how society reacted to an adjustment in the social norm, it was evident when I wore different clothing; the results when engaged were rather un-warming incidents of unordinary verbal and non-verbal communication.