Monday, September 30, 2019

Instruction †Learning Environment Essay

The surroundings in which children learn can greatly influence their academic performance and well-being in school. The architecture, layout, dà ©cor and facilities of their school all play a vital role in shaping the learning environment, yet the importance of this particular aspect of school life can often be overlooked. Does your school have difficulty creating surroundings and facilities which complement teaching and learning in the twenty-first century? Read on to find out about some of the current initiatives helping schools raise achievement through creating an inspirational education environment. A number of schools around the country are still languishing in the Victorian era, with crumbling walls and limited resources. It seems that many schools in the twenty-first century — particularly secondary schools — have to shoehorn modern-day learning and up-to-date resources into nineteenth-century surroundings. Only a tiny proportion of today’s schools have been built since the mid 1970s, and with a few generations of children stampeding through their relatively modern facilities, many of these buildings are also edging towards the end of their natural life span. More schools could benefit from a lateral approach to environmental design with its users as the prime focus  Ã¢â‚¬â€ preferably in consultation with them.

Sunday, September 29, 2019

Interpretation of the poem, “Sa Aking mga Kabata“ Essay

The first stanza speaks that Rizal wants us to love our own language and it is a gift from above that was given onto us to be grateful of. It is a blessing that like any other nationalities we were gifted of. We are aware that Rizal was motivated to write this poem during the time of Spanish supremacy because we were under their colony. He addresses us to love our language for it is our step towards liberty. As Rizal correlated it to a bird that can freely fly up in the sky, it has a will to fly wherever it wants to go and whatever it wants to do. But if this bird is in a howl like us, Filipinos, who cannot stand for what we believe is right, we will never experience independence. The next stanza implies that a nation that loves a God-given language also loves freedom. â€Å"For language is the final judge and reference upon the people in the land where it holds and sway.† A Filipino who loves his native tongue will definitely fight for his freedom seemingly like a bird â€Å"lumilipad nang pagkataas-taas para sa mas malawak na liliparan†, a person who preserves the marks of its liberty, as man preserve his independence. Language is not merely a communication tool but as an expression of one’s identity, of one’s individual and social consciousness. Without a common identity, there could be no real sense of nationhood. Love and use of one’s native tongues was one of the badges of a true patriot . In the succeeding stanza, Rizal compared the person who doesn’t love his native tongue from a putrid fish. Just like a fish which originally lives in water, stinks every time it goes out of its place. Like some of the Filipinos that we could observe, we could see that when they have reached a foreign country and adapted the foreign language and culture, they tend to forget their own. And as they have adapted that culture, they will be so haughty to despise and scorn their own fellowmen. They hide and cover their identity for being a Filipino even though it’s very discernible. They just make themselves look foolish and shameful. And with the last two lines from the third stanza, Rizal addressed to us that our own language must be cherished and should not be forgotten because it’s a very valuable possession of our own country. Fascination when we discovered that Rizal was just an eight-year-old lad when he wrote this poem. At a very young age and a boy who grew up speaking several languages, it is very inspiring to hear someone say these lyrics with such great nationalism with great love of his own tongue. Reflecting our past, we saw ourselves unconsciously patronizing foreign languages. We wanted to be those whites who have slang tongues. Where have our native tongues has gone? We were gaining colonial mentality without our awareness. The bad news is, we allow it to happen. And what Rizal was trying to resound is that even our very own Finally, the last stanza implies that we, just like the other nations existing, have its own exceptional characteristics that we can be greatly proud of, those distinct qualities of being a Filipino such that the blood itself that runs through your veins, the culture, and your innate YOU is a certified Filipino that you can never obliterate. Sad to say, the cornerstones established by our forefathers to come up with a better country is now into annihilation†¦Annihilation caused by the influx of challenges doomed to spoil what we have Reason: Jose Rizal was then eight years old when he wrote this poem because he wanted to reveal his earliest nationalist sentiment. In the poetic verses, he proudly and pompously asserted that a people who trully love their native language will definitely srtive for liberty like the bird which soars to freer space above. Indeed, he is a great hero! was dedicated to the Filipino Youth. Interpretation of â€Å"My first inspiration† The word â€Å"inspiration† has two levels of meaning: the conventional one we use every day and the root meaning rarely used in modern language but always present as a connotation of the other: (1) Stimulation of the mind or emotions to a high level of feeling or activity, and (2) The act of breathing in; the inhalation of air into the lungs. This poem speaks to (2) in the first stanza: the breathing in of sweet aromas on what is declared to be a â€Å"festive day.† The second stanza moves to the sweet, musical sound of birds singing in the woods and vales on such a day. The third stanza, of course, begins to merge the two images in a subtle way: the birds â€Å"start† to sing (or are startled into singing) by the sound of the wind blowing. The wind would supply them breath for singing, but it also seems to â€Å"inspire† their singing, as in (1) above; that is, it stimulates them to a high level of activity. In the fourth stanza, the spring of water tunes its murmur likewise to the sound of the breezes (zephyrs) as it flows along among the flowers. Hence, in this first half of the poem we have music of birds and brook â€Å"inspired† by the wind; that is, the very air we breathe. And also we breathe the fragrance of the flowers (among which the brook flows), for it is borne on the wind. The imagery of these first four stanzas is, thus, neatly tied together, giving us a sense of the festivity of a beautiful spring day in nature. The poem could be complete at this point; it would be a sweet little nature poem, a song. But the poem moves in a different direction now. Why does this day seem so much brighter, more beautiful than others? Why is morning brighter today? The next two stanzas answer this question. The poem, it turns out, is addressed to the speaker’s mother, and it is her day of â€Å"blooming† (birthday, probably). The perfume of the flowers, the songs of the birds, and the sound of the bubbling brook all celebrate her day, they â€Å"feast† in her honor. They wish her all the best: â€Å"Live happily ever after.† Now the poem becomes more fragile, more understated. For one’s â€Å"dear mother† is also one’s inspiration–there at one’s first breath in life, there to move one toward creative acts or ideas. But to say that in so many words would be trite and sentimental. So in the last stanza the speaker acts out the feeling. Joining the music of the brook (and of the birds and the winds), the speaker will play upon a lute. The mother is asked to turn from Nature to Human art, from the birds and the brook to the sound of the lute expressing emotion wordlessly. And what is the â€Å"inspiration† that moves the lutist to play? Why, â€Å"the impulse of my love.† The speaker’s love for the mother. The mother’s love reflected in her child. This is the first sound of music, which is inspired by the mother/child love; but, indeed, the whole poem–the music of its verses–has already been inspired also in the same way. I think you should be warned, however, that is not THE interpretation of Rizal’s poem (indeed, it is an interpretation of a translation, which may or may not accurately reflect the original–especially with its carefully, but somewhat laboriously rhymed stanzas, ABBA). Therefore, this is MY interpretation. There will be as many as there are readers, and one’s written interpretation never adequately conveys one’s experience of the poem–which will always be beyond words. It is, furthermore, merely AN interpretation. There will be as many others as there are readers. I am curious: what is YOUR interpretation. That’s what’s important to you. I hope mine may have been helpful to you, but it cannot be definitive. Reason: Mi Primera Inspiracion (My First Inspiration)-was dedicated to his mother on her birthday.He was delighted to see his mother, Doà ±a Teodora Alonso, released from prison that same year so he dedicated the poem to her. Interpretation of â€Å"My last Farewell† Interpretation The first stanza speaks about Rizal’s beautiful description of his Fatherland. He used the biblical Eden to describe the Pre-Hispanic Philippines which is an imaginary time of purity and innocence. He adores the beautiful country that he and others are fighting for. He said that he is glad to give his life to Filipinas even though his life was brighter, fresher, or more blest than it is now – pertaining to the time when he wrote the poem. The second stanza speaks about the men who gave their life to his beloved country. Rizal said that their dedication and patriotism to the country is without second thoughts. It doesn’t matter how one struggles, that all struggles, all deaths, are worth it if it is for the good of the country. The third stanza speaks about Rizal’s love of liberty. The image of dawn that Rizal used in the first line signifies the liberation that he adores. In the third and fourth line, he says that if the colour of liberation lacks his blood, he must die for the country to attain freedom. The fourth stanza presents the flashback of Rizal’s love for the patria that started when he was young. He was young when he saw the martyrdom of the GOMBURZA and promised that he would dedicate himself to avenge one day for those victims. His dreams were to see his country in eminent liberation, free from sorrow and grief. The fifth stanza repeats Rizal’s dream of complete liberation. â€Å"All Hail!† signifies that he is positively welcoming the dawn of freedom after his death. He also repeats what he has said in the third stanza that it is his desire to dedicate his life to the Patria. The sixth stanza describes the image of Rizal’s grave being forgotten someday. The grassy sod may represent the country’s development, the growth of liberty, and that with the redemption of the country, he becomes forgotten. Rizal does not say here that he wants monuments, streets, or schools in his name, just a fond kiss and a warm breath so he could feel he is not forgotten. In the seventh stanza, Rizal says he wants to see or feel the moon, dawn, wind, and a bird over his grave. The moon’s beam may represent a night without its gloom like a country without its oppressors. The imagery of dawn has been repeated here and its radiant flashes represent the shining light of redemption that sheds over his honour. Only the wind will lament over his grave. The bird does not lament him but sings of peace, the peace that comes with liberation and the peace with which he rests below. In the eighth stanza, the metaphor of the sun drawing the vapors up to the sky signifies that the earth is being cleansed by the sun like taking away the sorrows and tears that has shed including his last cry. Line 3 reminds us to remember why he died – for the redemption of the country. And he wants to hear a prayer in the still evening – evening because he may also want to see a beam of light from the moon which he stated in the stanza 7, and that it is before the dawn. Prayers he stated that will make him rest in peace in God’s hands. Rizal said in the ninth stanza that he also wants his fellowmen to also pray for others who also have died and suffered for the country. Also pray for the mothers, the orphans and widows, and the captives who also have cried and have tortured, and again, for his soul to rest in peace. The tenth stanza says that Rizal’s tomb is on the graveyard with the other dead people. Rizal says that in the night, he does not want to be disturbed in his rest along with the others and the mystery the graveyard contains. And whenever we hear a sad song emanating from the grave, it is he who sings for his fatherland. In the eleventh stanza, Rizal says a request that his ashes be spread by the plough before it will no longer take significance. His ashes represent his thoughts, words, and philosophy making it his intellectual remains. The symbolic ashes should be spread all over Filipinas to fertilize the new free country long after he is forgotten. The twelfth stanza again speaks about being forgotten but Rizal does not care about it anymore. Oblivion does not matter for he would travel far and wide over his beloved fatherland. He keeps his faith with him as he sings his hymn for the nation. Rizal says goodbye to his adored Fatherland in the thirteenth stanza. He gives goodbye to his parents, friends, and the small children. He gives everything to Filipinas. Now, he satisfies his death by saying he will be going to a place where there is peace – no slaves, no oppressors, no killed faith. He is going to a place where God rules over – not the tyrants. Finally, in the last stanza, Rizal cries his farewell to all his fellowmen – his childhood friends, and his sweet friend that lightened his way. In the last line, he repeats that â€Å"In Death there is rest!† which means that he, being ready to be executed, is happy to die in peace. Reason: As the name (which Rizal himself did not give) suggests, this patriotic poem was Rizal’s final farewell to the land he so adored before being executed by firing squad. Since he arranged to have it delivered to his sister Narcisa he did intend that it should be published. Presumably it was intended to serve as a rallying cry to his fellow patriots who opposed the Spanish subjugation. Rizal dedicated this poem to his dear fatherland Jose Rizal talks about his â€Å"Goodbyes† to his dear Fatherland where his love is dedicated to. He wrote it on the evening before his execution. Interpreation of to â€Å"the Filipino youth â€Å" In the poem Rizal praises the benefits that Spain had bestowed upon the Philippines. Rizal had frequently depicted the renowned Spanish explorers, generals and kings in the most patriotic manner. He had pictured Education (brought to the Philippines by Spain) as â€Å"the breath of life instilling charming virtue†. He had written of one of his Spanish teachers as having brought â€Å"the light of the eternal splendor†. In this poem, however, it is the Filipino Youth who are the protagonists, whose â€Å"prodigious genius† making use of that education to build the future, was the â€Å"Bella esperanza de la Patria Mia!† (beautiful hope of the motherland). Spain, with â€Å"Pious and wise hand† offered a â€Å"crown’s resplendent band, offers to the sons of this Indian land.† In the poem Rizal praises the benefits that Spain had bestowed upon the Philippines. Rizal had frequently depicted the renowned Spanish explorers, generals and kings in the most patriotic manner. He had pictured Education (brought to the Philippines by Spain) as â€Å"the breath of life instilling charming virtue†. He had written of one of his Spanish teachers as having brought â€Å"the light of the eternal splendor†. In this poem, however, it is the Filipino Youth who are the protagonists, whose â€Å"prodigious genius† making use of that education to build the future, was the â€Å"Bella esperanza de la Patria Mia!† (beautiful hope of the motherland). Spain, with â€Å"Pious and wise hand† offered a â€Å"crown’s resplendent band, offers to the sons of this Indian land.† â€Å"A la juventud filipina† was written by Rizal when he was only eighteen years old, and was dedicated to the Filipino Youth. Dr. Jose Rizal composed the peom, To The Filipino Youth, to the youth of the Philippines. He wanted the Filipino youth to use their abilities and skills to excel not only for their success but also for the success of the country. Dr. Jose Rizal wanted us to develop our talents and use them to help those who are in need. Interpretation of â€Å"They ask a verses† He wrote this because he was actually asked for verses. He reminisced his childhood days. It can be seen in the poem how he missed the Philippines very much and how painful it is for him to leave his motherland.

Saturday, September 28, 2019

Characteristics Of Heavyweight Methodologies Information Technology Essay

Characteristics Of Heavyweight Methodologies Information Technology Essay Software is part of modern society for over 50 years. Software development began as a chaotic business and is often cited as the code and fix. The software program was written without much of the plan and design of the system. Also, it was set with many short term decisions. That’s fine for small systems, but as systems grow it turned out as increasingly difficult to add new features and bugs were harder to fix. This style of development was used for many years until this was replaced by an alternative: Methodology. This imposed a disciplined process for software development in order to make software development more predictable and efficient. Traditional methods are based on the work plan and begin to extract a complete set of documentation requirements, the architectural and high level of project development and control. Because of these serious aspects of this method has become known as heavy. Some practitioners realized this software development process frustrating. As a result, several consultants have independently developed methodologies and practices to adopt and respond to inevitable changes they have experienced. These methods and practices are based on multiple components, a technique that was introduced in 1975 and which became known as an agile methodology. Agile methodology is gaining popularity in the industry, although they compromise a mix of accepted and controversial software engineering practices. Software industry is likely to prove that the specific features of the project, such as the purpose, scope, requirements, resources, architecture and size will determine the methodology that fits those best. Dynamic and heavy or perhaps a hybrid of the two. In the past few years, anecdotal evidence and success of practicing professionals suggests that effective methods are effective and suitable for a variety of situations and environments. However, empirical studies are urgently needed to assess the effectiveness and possible use of agile software development methods. Heavyweight methodologies Heavyweight methodologies are considered the traditional way of software development. These methods are based on the following series of steps such as defining requirements, solution building, testing and deployment. Heavyweight methodology requires defining and documenting a stable set of requirements at the beginning of the project. Waterfall approach emphasizes a structured progression between certain phases. Each stage consists of a term set of activities and tasks that must be met before the next stage can begin. The phases are always named in different ways, but the basic idea is that in the first phase tries to capture what the system will do, its system and software, in the second phase determines how it will be designed. The third stage is where developers start writing the code; the fourth step is testing the system and final phase focuses on tasks such as training and documentation. However, in engineering practice, the term waterfall is used as the generic name for all subsequent methods of software engineering. Waterfall Model Life Cycle Unified Process All  activities,  including  modeling, is  divided into  workflows  in the  Unified Process  (UP) and takes place  in an  iterative  and  incremental manner. In this process the process is divided into four phases. The below diagram depicts the stages of this process:

Friday, September 27, 2019

Ecomomic Regulation or competition policy Research Paper

Ecomomic Regulation or competition policy - Research Paper Example The relationship between Competition policy and Economic regulation will also be discussed. Comparison of the two approaches and the synergies that it will bring if both are used by the same agency. We also discuss some other concepts which include AJ effect and rate of return regulation. Literature Review In this literature review we will discuss in detail various concepts related to the topic. Economic Regulations George Stigler was the pioneer of the theory of economic regulation. He suggested that as rule regulations are designed in such a way that they benefit the industry who acquire them rather than protecting or benefitting the public. (Vane) He integrated the economics of regulation and economics of politics. According to him same analysis tools should be applied to both because both of them display self interested rational behavior. Economic regulation is a form of antitrust law in traditional economics through which concentration of wealth is controlled. The major objectiv e was that private motives of accumulation of wealth do not hurt the public interest. It was introduced to safeguard public interest. The intension was to protect public from economic abuses such as unreasonable prices, anticompetitive activities, to protect from sale of unethical products which are hazardous for health and safety of the public. The basic role of regulators was of the watchman of the public interest. In addition to that the role of regulators is of preventing monopoly and preserving competition. (Cochran) Background The regulatory scene which we witness today is significantly different from what it was in 1980’s. This phenomenon is due to massive privatization which gave birth to new regulatory apparatus. This process of privatization is now an international affair. Hence many countries and regions are now following this deregulation by trying to implement the best practices in other systems and avoiding the worst mistakes. A major problem with the deregulati on is that it is based on very weak logical foundation of improving efficiency. In the absence of competition this may not be the case. (Michael A Crew) Economic Regulation Theories It is important to note that study of regulation cannot be done in isolation. It has to be studied in the social, political and economic context in which it exists. The relative powers of different interest groups play their part in formulating and shaping the regulations. Different regulatory mechanisms interact with each other and once implemented they play an important role as the motives of decision makers. A thorough understanding of regulatory process is thus not possible without considering specific institutions, political structures and actors. Two major theories of government behavior about economic regulations are public interest approach and self interest theory or public choice theory. (Jan) Public Interest Approach According to this theory government intervention or regulation is required on ly to in case of market failure, when market is unable to achieve a particular social objective such as equality. Government intervention is needed to correct this failure. This approach is

Thursday, September 26, 2019

Coursework on HgbA1C control diabetes Example | Topics and Well Written Essays - 250 words

On HgbA1C control diabetes - Coursework Example The infrequent laboratory blood glucose may be the most common use of these tools If the value of HbA1c is adequate, clinicians rely on the therapy without much questioning. The most authentic assays of HbA1c are those performed in a high quality clinical laboratory, one standardized to the National Glycohemoglobin Standardization Program (NGSP) The intake of food which contains a relatively high level of glucose results into increase glucose concentration in the blood. The level of HbA1c increases. In this way, the chances of catching diabetes increases. Diabetic patients get enveloped in major diseases which include heart attack, blockage in vein, and many other micro-vascular diseases. A person without diabetes will have a haemoglobin A1c test of around 5%. The A1c level should be less than 7% in a health human. Level above 8% is dangerous and needs to be medicated. The HbA1c has some targets which need to be met in order to decide whether the person has a high or low level of glucose concentration in the blood. The targets as are follow; People are recommended to measure their glucose level constantly. This test involves a small volume of blood and can be performed at home or in a doctor’s office. The sample of blood tested is taken to lab which is later presented to the doctor. Home testing is also done easily though a few professionals consider it less accurate. However, home testing is inexpensive so is widely common. (Gilles,

Stereotypes in Advertising Essay Example | Topics and Well Written Essays - 1750 words

Stereotypes in Advertising - Essay Example This paper shall now discuss stereotyping in advertising. It will first explain what stereotyping means; second, it will show two different examples of stereotyping (gender and age); and third, it will discuss the role of stereotyping in future advertising. Stereotyping is about sharing beliefs and values, based on personal qualities, personalities, behaviour, and traits distinct to a specific group of people (Gafencu-Bandiul, 2006). Stereotype was first used by Lippmann in 1922 in psychosociological applications where he evaluated images of the mind needed in order to sift through complicated and objective realities (Gafencu-Bandiul, 2006). At present, most researchers in psychology declare with the definition used on Leyens and colleagues (1994) who suggest implicit discussions on personality seen for specific groups of people. In terms of personalities, stereotyping relates to associated variables, mostly visual and unique, variables which assist cognitive functions. In the same vein, the direction of data from the environment supports these stereotypes (Gafencu and Bandiul, 2006). Expressing stereotypes is based on premises where behaviour is based. However, as pointed out by Cuddy and colleagues (2009) this often is not confined to behaviour alone, but on the way people express and support stereotypes within groups. Language used to describe what is observed may sometimes be different from the abstract concepts. Speech is sometimes applied to image, not so much on the written language; however stereotypes can also be manifested through written speech, film, sports, concerts, and advertisements where the stereotype would impact significantly on utterance (Gafencu and Bandiul, 2006). There are numerous gender stereotypes across the world. Due to globalization trends around the world, consideration unification of these stereotypes has been seen. Social trends like women’s emancipation, feminism, and the thirst for human rights have

Wednesday, September 25, 2019

Corrections Module 4 Writing Coursework Example | Topics and Well Written Essays - 750 words

Corrections Module 4 Writing - Coursework Example This is where the defendants are screened and interviewed to determine who is eligible for a pre-trial release. The other is the supervision function. At this stage, the defendants are supervised after their release into the community. A jail can be defined as a confinement facility that usually operates under city or county regulations. They are, however, managed by the government’s law enforcement agency in that area. There are some differences that exist between jails and prisons. One is the authority that governs each. Jails are operated by local governments while prisons by the federal government. The second being the type of people they hold. Prisons hold convicted felons whose sentencing is of more than one year, while the jail is people with minor sentences. The detention functions of jail include housing suspected criminals from going back into society to cause more harm. This is after screening has been done to determine if they are qualified for release. The confinement functions require much more than the detention. This is because in confinement, the defendants need more attention and more care, while the facilities need to be more secure. The mental and physical needs of the defendants must also be catered for. There have been improvements that have led to the better supervision of inmates in jail. This is by improving the living conditions of inmates in jail. The security and safety of inmates has also become a priority to the correction system. Much more attention is given to inmates arriving in jail so as to better understand who the system is dealing with. This is usually carried out by the jail staff. This redesign has led to the better supervision of defendants who range from the most dangerous to the least. The system has been designed to take in fingerprints, photos, and even allow phone calls to the defendants’ friends, and immediate contact. This enables the staff to determine the defendant’s security

Tuesday, September 24, 2019

HCM631-0901B-01 Systems in Health Care - Phase 1 Discussion Board Essay

HCM631-0901B-01 Systems in Health Care - Phase 1 Discussion Board - Essay Example Alternative capital analysis involves assessing the various options available to raise funds for investment. This is very essential as there are a number of factors to be considered before making a decision about the source of funds. Alternative capital analysis focuses on the risks associated with each source. Also there are other non-financial factors to be considered when analyzing the sources of finance, such as ownership of the company, voting rights, decision making, etc.., In the case of Cactus Health Inc., it is essential to consider the risks associated with the capital scenarios, as the company does not have a clear risk management and there are no expenditure guidelines. Hence it is essential to choose a low risk option (Weston and Copeland, 1988). The two most appropriate capital sources for Cactus Health Inc., are Equity Shares and Debentures. As the operations of Cactus Health are diversified and there is a lot of opportunity for development, the effective way to raise additional capital is through an initial public offering and entering the stock market. An equity share represents a share of the company’s assets and a share of earnings after the claims are met. Equity shareholders are the owners of the business and have a right in the company for the percentage of shares owned by them. Also, the risk is borne by the shareholders who invest in the company. Cactus can either sell some of the existing shares or can issue new shares in order to raise some surplus finance for investing in other ventures (http://financial-dictionary.thefreedictionary.com/Equity+securities). Debentures are bonds issued to the investors in exchange for finance lent to the company. Cactus can borrow money in the form of debentures from the public, by agreeing to repay the sum by some future date. Also, Cactus has to pay an interest to the creditors (debenture bond holders) before paying out dividends to the shareholders. Hence, in this

Monday, September 23, 2019

Effective strategies in dealing with DUI offenders - Incarceration and Research Paper

Effective strategies in dealing with DUI offenders - Incarceration and Treatment - Research Paper Example This essay analyzes the traditional model of solving the issues of driving under the influence (DUI) is that the offender is incarcerated or fined. However, with increasing frequency, the traditional model of incarceration of fines has been supplanted by other ideas. Specifically, one of the ideas is that DUI offenders are amenable to treatment. Treatment programs have been around at least since the early 1970s, with the innovative for its time pilot project instituted by the City of Phoenix. Additionally, programs were also aimed at schoolchildren. These programs, unlike later programs, were geared towards individuals who had not yet offended, in hopes that they never would offend. The program which worked the best in this context was a â€Å"shock† program – students were shown grisly pictures of accidents. These programs were aimed at the primary audience. Other programs were aimed at a secondary audience, which consisted of individuals who had already offended. Thes e programs had limited success, according to Ross. However, other programs which concentrated on a variety of approaches have had success. These programs are considered to be DUI court programs. These programs typically require the offender to complete some kind of treatment protocol, check in with the judge on a regular basis and be intensely monitored. One program, in South Dakota, only monitored the offenders, on a continuous basis. These programs all showed a great degree of success, as indicated below. Less successful are traditional incarceration programs, according to Weinrath & Gartrell. (2001). They found that those sentenced to incarceration generally had a very high rate of recidivism. Incarceration treatment programs are a hybrid of incarceration and treatment programs, and this has had success, too, in reducing recidivism. Another aspect which has long been overlooked, however, and could be the key to long-term remission of alcohol-related problems, especially drunk dri ving, is the existence of psychiatric problems in persistent DUI offenders (Shaffer et al., 2007). Up until recently, this is a factor which has been rarely studied and is not generally made a part of typical DUI rehabilitation programs. That said, this article will go into detail about this aspect, because it is such a new factor which has been studied with regards to DUI treatment protocols. The hypothesis regarding the high prevalence of psychiatric comorbidities with DUI offenders is that these psychiatric problems are going untreated, even in a typical DUI rehabilitation program. Because of this, long-term prospects for DUI offenders are limited. After all, the treatment programs listed in this paper do not posit about long-term effects of their programs, only short term ones of up to two years after the program has ceased. Incorporating psychiatric screening for every DUI offender might be the most effective program in the long run. TREATMENT The idea of treatment of the persi stent DUI offender has been around for a long time. For instance, in 1970, authors Ernest Stewart and James Malfetti wrote a book called Rehabilitation of the Drunken Driver. In this book, they advocated for the Phoenix DWI curriculum. The Phoenix DWI curriculum acknowledges that DWI violators can be helped if they â€Å"understand the foregoing assumptions [that 'Alcohol reduces the skills needed in driving: vision, perception, judgment, motor response] and to consider and adopt ways to improve their own DWI behavior† (Stewart & Malfetti, 1970, p. 25). In other words, the Phoenix program during this time was geared towards helping individuals understand the effects of alcohol consumption upon driving, and how alcohol consumption is detrimental to driving. This pilot program included a class which had the stated purpose of helping the students of the class understand how alcohol affects driving skills. The students are also reinforced that their behavior

Saturday, September 21, 2019

Concept Application Project Essay Example for Free

Concept Application Project Essay Throughout the semester I have explored many topics in sociology. While exploring these topics, three main theoretical perspectives were used. I will briefly illustrate each of the main theoretical perspectives of functionalism, conflict theory, and symbolic Interactionism. During this semester I have watched two films, Food Incorporated and The Vernon Johns Story. I will describe how a theoretical perspective is used in each of these examples. Then I will provide my own two examples where concepts and theoretical perspectives can be illustrated. My First example is the Boston Marathon Bombings and the second is the Mass Media’s coverage of the Boston Bombings. The Functionalist Perspective is a sociological perspective that emphasizes each part of society contributing to the survival of that society. In Sociology in Modules, they define the functionalists perspective as, â€Å"A sociological approach that emphasizes the way in which the parts of a society are structured to maintain its stability (Schaefer 15). Read more:  Conflict Perspective on Social Media † The functionalist perspective can be compared to the human body model. Each part of the body performs specific tasks. For example, our legs allow us to walk or run and our lungs allow us to breathe. Without each and every body part, one simply cannot perform to the maximum potential. Now when a functionalist is looking at a society, they may see different social groups that contribute to a larger population. The Conflict Perspective is a sociological perspective that views the world as a constant struggle. In our textbook, Sociology in Modules, they define the conflict perspective as, â€Å"A sociological approach that assumes that social behavior is best understood in terms of tension between groups over power or the allocation of resources, including housing, money, access to services, and political representation (Schaefer 15). † There are many areas where conflict can arise in today’s society. Religious groups, political parties, and different social classes, may all have conflicting views with other or opposite groups. Examples of the conflict perspective include means of production versus labor and the concentration of wealth. In recent history, the conflict perspective is becoming more popular. With, â€Å"The widespread social unrest resulting from battles over civil rights, bitter divisions over the war in Vietnam, the rise of the feminist and gay liberation movements, the Watergate political scandal, urban riots, and confrontations at abortion clinics have offered support for the conflict approach (Schaefer 16). † Groups in society with different viewpoints often pose a great threat to conflicting parties. The Interactionist Perspective is the third main sociological perspective where the traditional way of thinking comes from typical human interaction between groups. Sociology in Modules defines the interactionist perspective as, â€Å"generalizations about everyday forms of social interaction in order to explain society as a whole (Schaefer 17). † The interactionist perspective is also know as symbolic interactionism. I believe it is much easier to look at it from a symbolic interactionism perspective because symbols are easier to understand. From a symbolic interactionist perspective, one may see the world we live in as full of objects. These objects can come on the form of people, places, things, thoughts, feelings, or symbols. Symbolic interactionism looks at these symbols to characterize groups by their symbol. Each symbol may be different. For example, a symbol could be the type of color of car you drive, what you wear to work or school everyday, or even tattoos. Groups in society are often characterized by their symbols. These symbols allow people with similar symbols to communicate with ease. Food Incorporated is a documentary film that portrays the corporate farming industry in the United States as unhealthy, harmful, abusive, and inhumane. Food Inc. the movie really gave me something to think about, it only reinforced my beliefs to eat healthy and support organic and free-range grass fed meats. The most meaningful thing to me was when one of the contributors said the corporate farming industry only wants to grow their products â€Å"bigger, fatter, cheaper, faster†. This agribusiness in only in it for the sake of business and they don’t see the other side. On the other side there are these products that are being mass-produced in factory farms. This seemingly only affects the lower class Americans who can only afford the cheapest of food products at the super market. From a financial standpoint, it only makes sense that people are forced to consume such low quality products at their demise. As the conflict theory would describe it, this is a constant struggle between the producer and the consumer. The producers are producing animal products in close quarter factory farms and feeding them corn, which is not a naturally occurring meal. Specifically cattle and chickens are given hormone shots to make them grown bigger, fatter, and faster. These farms do not treat the animals well at all. The animals live in horrible conditions, often times in their own manure. This causes disease to reach to food that eventually people eat. There are cases that come up all the time where products need to be pulled from the shelves in stores because of contaminated foods. The Vernon John’s story is a true story turned into a movie that portrays a Minister, Vernon John, who leads the African Americans in the fight for civil rights. This film demonstrated the development of social change in the south. First, the blacks do not measure up to the whites in social class. They often held position in social that were not important of looked down upon. For example, the position that Vernon John holds is viewed as a conflict by white law enforcement officials. During the early 1900s, Black Americans were being segregated from society. Secondly, During this time, African Americans were not recognized by society as having any value other than slavery. Race and ethnicity played a large role in society during this time. African American Racial groups formed and they were discriminated against. Vernon John is a leader of social change. He stepped up and faced the danger in speaking his views. The movie illustrates two great examples of hate crime in the 1920s. The first is when Vernon John was driving in his car late at night to bring a girl who had been raped to the hospital. The white policemen pulled Vernon John over and just antagonized him for no reason. Another example is when part of Vernon John’s church was set on fire. This was obviously planned by the white Americans out of hatred for Vernon Johns following and community. The blacks were heavily being discriminated against. Third, the government used force and power to exercise their will against Vernon John and the Black Americans. The movie demonstrates a great example of what goes on in society today. Although the United States may not be going through the exact same situation of discrimination as the 1900s, we are still facing sorts of discrimination and hate crimes today. Which leads me into my next example, the recent Boston Marathon bombings. The Boston Marathon bombings is an alleged terrorist attack that happened during the finish of the 2013 Boston Marathon. On April 15th, 2013, two Muslim brothers from Massachusetts detonated two explosives near the finish line of the Marathon, killing three people and injuring more than 200 people. The 2013 Boston Marathon Bombings display the conflict some people have with society. I am not in the head of the bombers or the investigators so I am only speaking from an outside perspective. With that being said, I cannot imagine what they were thinking when setting off these two explosions in front of thousands of people. From the suspects point of view, they must have seen the world from a conflict perspective. They must have believed that they didn’t fit into society. In a Wall Street Journal article, one suspect claims â€Å"he and his brother were angry about the U. S. wars in Afghanistan and Iraq and the killing of Muslims there† (Authorities Say Bomb Suspects Planned NYC Attack). My only guess is that their hatred for the United States is so fierce that they concluded in carrying out these horrible acts. It appears that other groups from over seas heavily influenced the suspects. This is just one example of how government, religion, and cultural differences can become conflicting in society. The mass media can influence the coverage of any story by the time it reaches the public. The mass media is defined by Sociology in Modules as, â€Å"print and electronic means of communication that carries messages to widespread audiences† (Schaefer 153). The leverage they have is huge in what information/sources they have and what they release. In the coverage of the Boston Bombings, the media helped the public understand of what precautions they should take around the threatened area. The media also helped people from across the country understand what was happening in Boston. In this case, I believe the media did a good job in providing accurate information to the public. However, this is not always the case. The conflict view states that gatekeeping can control what information reaches the public. For example the media can choose on which pieces of news to report on, leaving out specifics that could totally twist the story. They can also choose which sources they want to use which may also have an affect on the outcome of the story. Not all social classes have access to certain news sources. Many sources are behind a pay wall, which prohibits some potential viewers from accessing the information. The functionalist view would say that the mass media plays a role in society that keeps it moving forward. Sociology in Modules says, â€Å"the mass media is to occupy our leisure time—from newspaper comics and crossword puzzles to the latest music releases on the Internet. While that is true, the media have other important functions. They also socialize us, enforce social norms, confer status, and promote consumption† (Schaefer 154). This is all very true and it reinforces our viewpoints of the media. Overall, multiple theoretical perspectives can portray the mass media. Indeed, concepts and theoretical perspectives learned in class are used to illustrate events in society today. First, the example of the Vernon John’s story gives one the ability to see the upbringing of social change through the civil rights movement. The second example of the Food Inc. production is one that produces for profit without taking into consideration all the ethical and health needs of American citizens. Third, my example of the Boston Marathon Bombings illustrates conflict and hates crimes in our culture today. Lastly. The mass media acts as an agent between information and the public through print and electronic versions. The conflict and functionalists theoretical perspectives can be used to analyze the mass media. Therefore, social concepts and theoretical perspectives are used throughout the society we live in today. ? Works Cited Authorities Say Bomb Suspects Planned NYC Attack. WSJ. com. Associated Press, 26 Apr. 2013. Web. 26 Apr. 2013. Food, Inc. Dir. Robert Kenner. Movie One, 2008. DVD. Schaefer, Richard T. Sociology In Modules. New York: McGraw-Hill, 2011. McGrawHills Connect. Web. 4 Apr. 2013. The Vernon Johns Story. Dir. Kenneth Fink. 1994. DVD.

Friday, September 20, 2019

Advantages and Disadvantages of the Epidural

Advantages and Disadvantages of the Epidural Is epidural the best of all words – no pain but full consciousness? (Yerby, 2000). Discuss During pregnancy many women give some thought on what they will do to cope with labour pain. Some women aim to have the most natural type of birth, with the least possible pharmacological interventions. Others request a pain free labour, such as opting for an epidural anaesthesia as a type of pain relief. But do women actually know about the risks epidural anaesthesia can create for them and their baby? Or do they opt for it just because they heard other mothers say that it was the best? Epidural anaesthesia is a type of regional anaesthesia which is rapidly increasing in its popularity. Epidural works by blocking nerve conductions from the lower spinal segments, resulting in a decreased sensation in the lower half of the body, while at the same time the mother is still awake and conscious (Fraser Cooper, 2009). The drug is administered in the lower back, into the epidural space, specifically in the lumbar region between lumbar 1 and 4. This is achieved by cautiously inserting a Tuohy needle through the lumbar intervertebral space. Once the epidural space is reached, a catheter is threaded through the needle, which will facilitate the administration of the drug either by bolus top ups or continuous infusion. Once epidural is injected, it will start to exhibit its effect within approximately 20 minutes (Johnson Taylor, 2011). Indications for using epidural anaesthesia There is no absolute indication for opting for epidural anaesthesia, however clinical instances may include: Maternal request: mothers now acknowledge the fact that they can give birth with the least possible amount of pain. Today the majority of parents already have a plan in mind of what they wish and request for their birth experience. Having ongoing accessibility to internet encourages parents to search for types of pain relief, allowing them to make their own choices of what they think is best for them. Upon searching and from what they hear from other mothers, they are actually believing that epidural is one of the best choices of pain relief medication (Johnson Taylor, 2011). Pain relief: prolonged labour can be very tiring and stressful for the mother. Having an epidural can help in reducing the continuous stress of contractions and can possibly help the mother to relax, making her able to conserve energy for later use during the active phase of the second stage of labour (Johnson Taylor, 2011). Hypotension: epidural has the potential to lower down the blood pressure. This can be used as an advantage for women who suffer from high blood pressure. Thus this anaesthesia can possibly stabilise the blood pressure during labour, aiming to reduce complications (Johnson Taylor, 2011). Preterm labour: epidural aims to decrease the sensation of powerful contractions and so can be opted for to possibly lower the desire to push during a preterm labour. Use of such anaesthesia depends on the specific condition of the mother and the baby (Johnson Taylor, 2011). Side effects of epidural anaesthesia on the mother Opting for an epidural can deliver a good experience amongst many women. Mothers are able to rest and relax from the painful contractions while at the same time they are awake and conscious. However, opting for this anaesthesia is very likely to be the beginning of a cascade of interventions. This means that birth can be transformed into a very medicalised experience, ending up with the mother feeling that she has lost control over her own birth experience. In fact, the World Health Organization states that, â€Å"epidural analgesia is one of the most striking examples of the medicalisation of normal birth, transforming a physiological event into a medical procedure.† Generally, decision of opting for such a pain relief is made without the mothers awareness of the possible complications it can create. Hypotension: Studies show that epidural can be the cause of a sudden drop in blood pressure. Although the drug is injected around the spinal cord, there can be a degree of the anaesthesia that passes into the maternal blood stream, with the consequence of lowering the blood pressure (Healthline Editorial Team, 2012). This in turn would require, prompt venous access in order to administer fluids to quickly correct the blood pressure. Low blood pressure will result in less oxygen reaching the baby, which upon prolonged exposure can result in hypoxia of the baby. In much more severe cases, medications and oxygen may also be required in order to maintain a stable condition (Mehl-Madrona Mehl-Madrona). Delayed labour: Studies have shown that epidural anaesthesia, can be the cause of slowing down labour process. This is mainly due to the interaction of the drug with the birthing hormones. Epidural anaesthesia tends to decrease the production of oxytocin (Rahm, Hallgren, Hogberg, Hurtig Odlind, 2002). Oxytocin is one of the main hormones of labour, that is episodically released from the posterior Pituitary gland in order to stimulate the uterine myometruim to contract and retract, facilitating the foetal ejection reflex of birth (Fraser Cooper, 2009). Moreover, epidural also lowers the production of prostaglandin. This uterotonic hormone is essential for cervical ripening, effacement and dilation during labour (Kresser, 2011). As a result to this reduction of birthing hormones, the process of labour is hindered and thus upon medical decision, synthetic oxytocin known as Syntocinon is given in attempt to accelerate labour process, aiming to strengthen and increase the frequency of contractions (Fraser Cooper, 2009). Prior to the administration of Syntocinon, amniotomy is to be performed, unless membranes were previously ruptured. Having Syntocinon infusion, requires continuous electronic foetal monitoring in order to accurately observe the foetal heart and uterine activity. This in turn restricts mobility. The rate of Syntocinon infusion should be carefully observed in order to exclude uterine hyperstimulation. This is when having four or more contractions in a ten minute period, which in turn causes poor placental perfusion ending up with the foetus getting compromised, as blood flow between the mother and the foetus tends to decrease during contractions (Royal Cornwall Hospitals NHS Trust, 2012). In addition, if uterine hyperstimulation is ignored, it can ultimately cause uterine rupture or placental abruption. It is the role of the midwife to continuously monitor the state of the mother. Palpation of the fundus is one of the skills used to determine the strength, frequency and length of contractions, altogether with electronic foetal monitoring (Buckley, 2005). Moreover, Syntocinon can create a feeling of lack of breath, confusion, fast and irregular heartbeats, severe headaches and chest pains. In-coordination of Pelvic Floor Muscles: Epidural also negatively affects the strength and coordination of the pelvic floor muscles. These muscles guide the foetal head to enter the pelvis in the best position for the delivery of the baby. Lack of such coordination results in foetal malposition (Mander, 2011). Changing labour positions aids in the rotation of the foetal head, however if malposition persists, instrumental delivery is next in choice. The decision to proceed with an instrumental delivery would increase the likelihood of performing an episiotomy, in order to enlarge the pelvic outlet to provide the necessary room for the clinicians hands to deliver the baby (Fraser Cooper, 2009). Episiotomy on itself can be very detrimental to the mother. Not only can it be a bleeding point, but also a source of pain and discomfort especially during urination and rest. Moreover, lack of hygiene further increases the risk of acquiring an infection (Enkin ,Keirse, Neilson, et al., 2000). Having an episiotomy, may also instigate a feeling of uncertainty and fear of when to resume to sexual life, which ultimately may create unnecessary conflict between partners. It is the midwifes role to give the mother advice on perineal care in order to reduce such negative incidences. Urination Difficulties: Epidural anaesthesia may cause numbness of the bladder, this is exhibited as decreased sensation to urinate. Inability to pass urine during birth can possibly impede the rotation of the foetal head with the consequence of inadequate foetal descent (Baston Hall, 2009). During birth, the midwife is to encourage the mother to urinate frequently. If she is unable to do so, the midwife should look for other signs that may indicate a full bladder. Abdominal palpation is one of the skills that can be carried out to indicate such a measure. In urinary retention, the mother may require catheterisation. A urinary catheter is inserted through the mothers urinary orifice. This is temporarily situated in the bladder, and allows the mothers urine to drain freely (Johnson Taylor, 2011). The procedure of catheterisation itself may make the mother feel uncomfortable. Moreover, the catheter pipe provides the perfect pathway for the entry of bacteria possibly ending up with a urinary tract infection, especially if there is a poor level of hygiene (Fraser Cooper, 2009). Pyrexia: If epidural anaesthesia happens to be in place for more than 5 hours, there is an increased tendency to a rise in maternal temperature, resulting in the foetus getting compromised which is generally manifested as tachycardia. An increased maternal temperature altogether with a raised foetal heart rate could be an indication of a possible infection such as chorioamnionitis. This would require prompt action, so as to reduce the risk of adverse morbidity to the foetus. Usually an emergency caesarean section is the option (Mander, 2011). Having to follow such a procedure may create a lot of anxiety and fear amongst the parents, as suddenly they are receiving an unexpected news which leaves them confused on the health of their baby. Caesarean section is one major operation, which on its own carries a lot of risks. In fact there is a greater tendency of bleeding. Also, the mother has to cope with a lot of after pains following the procedure. Furthermore, following delivery the baby is most probably admitted to the neonatal intensive unit for investigations regarding the possibility of infection. This early separation surely creates a lot of fear and uncertainty in the newly parents. Limited Mobility: Since epidural numbs the body from the waist down, it creates a lot of restrictions in mobility. Nevertheless, it is very likely that continuous foetal monitoring is required to monitor the baby and uterine activity. This restricted mobility does not help in the physiology of normal labour (Baston Hall, 2009). Other side effects of epidural anaesthesia may include: pruritus, generalised itching of the skin, nausea, vomiting, shivering, headache, permanent nerve damage, heart and breathing difficulties. Side effects of epidural anaesthesia on the baby As discussed earlier, epidural can be the cause a variety of side effects on the labouring women, nonetheless, the baby is also very likely to be negatively effected. When epidural is injected, there may be a degree of the drug that enters the maternal blood stream. Blood eventually passes through the placenta, with the consequence of drug components ending up into the foetal circulation. Studies show that the degree of drugs in the foetus can reach levels that are equal to or even higher than that in the maternal blood stream. In addition, the elimination process of a newborn is still quite immature, with the consequence of taking longer for the drug to be eliminated from the body. Foetal distress: this is the commonest side effect of epidural. As discussed earlier, epidural tends to lower down the maternal blood pressure with the consequence of decreasing the amount of oxygen and nutrients that reach the foetus. This phenomena is better known as foetal distress. This is commonly manifested as bradycardia as well as abnormal variations in the foetal heart rhythm (Lohse, 2015). This distress puts the baby and the mother at greater risk of intervention, which may include opting for instrumental or operative delivery. Such choice depends on the explicit condition of the mother and baby. Furthermore, the baby is also prone to experience difficulties after birth, which may include: Breastfeeding difficulties: Epidural drug components are likely to interfere with the release of oxytocin. This hormone plays an important role in the let down reflex of breastfeeding; when the baby sucks, oxytocin is released which positively feedbacks to release even more oxytocin which in turn altogether with the aid of other hormones, milk is released (Amis Green 2008). Epidural anaesthesia also has the tendency to effect the babys neuro-behavior. The newborn may show signs of drowsiness, difficulty in latching and sucking which will make breastfeeding far much more difficult to establish (Amis Green 2008). This will require more intensive care and time to acquire efficient breastfeeding, which may put the mother under great stress and anxiety. Poor condition: as stated earlier, epidural anaesthesia may cause maternal fever during labour. This in turn affects the babys condition in having poor muscle tone, may require resuscitation immediately after birth, and to a greater extent may experience seizures. This all sums up to a low apgar score at birth (Buckley, 2010). Having said that, the baby may be admitted to the neonatal intensive care for more intensive observation in order to stabilise and maintain his/her condition. This early separation from the parents surely interferes with bonding. It may even create a sense of anxiety and stress in the parents; being greatly concerned on the heath of their child. It is the role of the midwife to inform the parents on the daily condition of their baby and as much as possible find measures and ways to make them feel reassured and closer to their child (Buckley, 2010). Other side effects seen in infants are: rapid breathing and low blood sugar levels. As we midwives are knowledgable of all the risks this pharmacological pain relief brings with it, it is our role that during labour we suggest other methods of pain relief, possibly non pharmacological ones. If the mother happens to request for pharmacological ones, we should make her aware of all the benefits and risks, and in this way we enable the mothers make an informed choice. Reference List Amis, D., Green, J. (2008). Prepared childbirth the family way (Revised ed.). Family Way Publications Inc. Baston, H., Hall, J. (2009). Midwifery essentials: Labour: Volume 3 (1sted.). Churchill Livingstone. Buckley, S. J. (2005). Epidurals: Risks and concerns for mother and baby. Buckley, S. J. (2010). The hidden risk of epidurals. Mothering the Home for Natural Family Living. Enkin,M., Keirse, M., Neilson, J., Crowther, C., Duley, L.,Hodnett, E., Hofmeyr, J. (2000). A guide to effective care in pregnancy and childbirth (3rd ed.). Oxford: Oxford University Press. Fraser, D.M., Cooper, M.A. (2009). Myles textbook for midwives (15th ed.). London:Churcill Livingstone. Healthline Editorial Team. (15 March 2012). Risks of epidurals during delivery. Johnson, R., Taylor, W. (2011). Skills for midwifery practice (3rd ed.) London:Churcill Livingstone. Kresser, C. (2011). Natural childbirth IV: The hormones of birth. Lets Take Back Your Health — Starting Now. Lohse, M. (2015). Epidural side effects for a baby. Livingstrong.Com. Mander, R. (2011). Pain in childbearing and its control (2nd ed.) London:Wiley Blackwell. Mehl-Madrona, L. Mehl-Madrona, M. (2008). Medical risks of epidural anaesthesia during childbirth. Rahm, V., Hallgren, A., Hogberg, H., Hurtig, I., Odlind, V. (2002). Plasma oxytocin levels in women during labor with or without epidural analgesia: A prospective study. Acta Obstet Gynecol Scand 81. Royal Cornwall Hospitals NHS Trust. (2012). Use of oxytocin. Clinical Guideline for the use of Oxytocin (Syntocinon) in the First and Second Stage of Labour, Danica Chetcuti