Tuesday, August 6, 2019

Why Interracial Dating is still not accepted Essay Example for Free

Why Interracial Dating is still not accepted Essay The representatives of different races have always been founding shelter and new home for them on the U. S territory, but in the last hundred years the quantity of immigrants has increased. Thus, it is no wonder that nowadays dating and marriages between the representatives of different races have also become more often. The main racial groups that live on the U. S territory, White Americans, African Americans and Asian Americans nowadays enter mixed marriages much more often than forty or thirty years ago, as nowadays the impact of social norms that disapprove of interracial relationship has become much weaker. Thus, the Black vice White, and Asian vice White couples with kids can be seen in every American city. Nevertheless, while racial discrimination has diminished its influence in the marital aspect, new problems have appeared for the interracial couples, and new societal attitudes developed, which complicate the life of those, who decided to tie the knot with the representative of the race different than his or hers. The number of people who strongly disapprove of interracial dating has declined since the middle of the 20th century, but still there are citizens, who insist that marriages between the representatives of different races should be banned. They explain their viewpoint by the fear for the future of children born in these kinds of marriages, and by the imbalance in the social and cultural levels of people of different races. Nevertheless, it is not the main reason for the negative attitude towards interracial dating that still exists in the American society. The main cause of disturbance about interracial dating and marriages nowadays is statistical. The history of this phenomenon shows that with the outspread of this kind of marital relationships, the married/single ratios for the representatives of most races that live on the U. S territory has changed dramatically. The roots of this change lie in the lop-sided distribution of people in the interracial marriages. Statistics says that if we talk about marriages between the representatives of different races, than White vice Black and White vice Asian marriages are the most widespread. The problem is that in most White vice Black marriages black men marry white women, and in White vice Asian couples those are white men who have Asian wives. In the 1990 Census, 72 per cent of black-white couples consisted of a black husband and a white wife. In contrast, white-Asian pairs showed the reverse: 72 per cent consisted of a white husband and an Asian wife (Sailer, 1997). The 1992 Sex in America study of 3,432 people found that ten times more single white women than single white men reported that their most recent sex partner was black. In 1990, 1. 46 million Asian women were married, compared to only 1. 26 million Asian men. It is obvious that this distribution creates severe problems among African-American women and Asian males, who feel the scarcity of partners within their own race, and have little possibility to find them outside of it. The reason is that marriages between white man and African-American women, as well as between Asian males and white women are rare. African-American vice Asian marriages are even harder to found. Thus, every year the U. S society gets a considerable quantity of African-American women, and Asian-American men who are unable to find a partner. No wonder that African-American and Asian American communities arent silent about this problem. Numerous talk shows, books, and movies acquainted the American society with the problems African-American women have. The Afro-American activists created a feeling in most of the female representatives of this race that white women steal black man from Afro-American women. This attitude provokes hostility towards white women among the Afro-American ones, and also worsens the attitude towards interracial marriages in the whole society. Asian-American males are also downtrodden by the existing situation. They, in their turn, develop negative attitudes towards white men, who deprive them of the possibility to create families with Asian women. Some researchers propose that to solve this problem white males should be encouraged to marry Afro-American women, and white women be keener on having relationships with Asian males, but the other prove it would be ineffective for purely biological reasons. The thing is that, as the researchers proved, those are mostly hormonal reasons for which black males and Asian females are seen as the most attractive partners. The scientists found out that black men are on average more masculine than the white and Asian ones, while Asian females are the most feminine. In the same time, most men see Afro-American women as less feminine than white females, and Asian males, due to their build, are considered to be less masculine. In addition to the biological reasoning, these images are supported and promoted by the media stereotypes, where Afro-American males are depicted as hyper masculine, and Asian women – hyper feminine. Nature and society dictates that a person should choose a heterosexual partner with the most prominent features of the representative of the opposite gender, thus the Afro-American women and Asian males have problems finding partners, which, in its turn, creates strained attitudes towards interracial dating and marriage in the whole U. S society. The attitudes towards interracial dating and marriages have become much more tolerant in the past forty years, but the strain concerning this question still exists in the society. It is mostly caused by the fact that due to social and biological reasons Afro-American females, and Asian males experience problems trying to find a partner, as the considerable part of males and females who belong to their races prefer to have white partners. Works Cited 1. Sailer, S. Is love colorblind? public opinion about interracial marriage. National Review, 1997

Monday, August 5, 2019

Diabetes Mellitus in the emergency services

Diabetes Mellitus in the emergency services Diabetes mellitus is one of the most common medical issues affecting people today. There are two types of diabetes. The first is type one, it is often referred to as juvenile diabetes or insulin dependent diabetes. Patients with this type of diabetes are often diagnosed with the disorder early in life but in rare occasions it can be diagnosed as late as forty years of age. People with type one diabetes make up between ten and twenty percent of all diabetics. Men are also more common to be diagnosed with type one diabetes. While it is not fully known why people develop diabetes it is know that it is a genetic disorder and can be passed down from generation to generation. People with siblings with this disorder increase there chance of developing type one diabetes by six percent. The reason it is often called insulin dependent diabetes is because the body does not form any insulin from the beta cells of the pancreas, so there for the patient need to take daily insulin shots to keep the ir blood sugar low. Type two diabetes is often referred to as adult onset diabetes or non-insulin dependent diabetes and make up the remaining eighty to ninety percent of diabetics. Patients with this form of the disorder often do have some type of insulin production by the beta cells in the pancreas but just do not produce enough to maintain in their body. Also in some cases the patients develops a type of insulin resistance where their body does not use the insulin that in naturally produced by their body correctly or efficiently. In most cases this type of diabetes can be controlled by a strict diet or use of oral medications. The diet of a patient with type two diabetes often includes fruits, vegetables, whole grains and low-fat dairy products. Patients with type two diabetes what to avoid high amounts of sugars, trans-fats and sodium. When a patient eats large amounts of calories and fat, their body then causes a spike in their blood glucose level. Type two diabetes can sometim es also be reversed with exercise to lose excess weight. People with family members with type two diabetes have a ten to fifteen percent increased risk of developing this disorder. Two types of issues arise with diabetes. Sometimes the patients blood glucose level is too high and sometimes it is too high. When it is too low it is call hypoglycemia. A patient is usually determined to be suffering from hypoglycemia when their blood glucose level is below 60mg/dL. When the body is in a state of hypoglycemia the body automatically slows insulin production and increases glucagon production by alpha cells. Often times hypoglycemia in both type one and type to diabetics is due to over medication of injected insulin. It can also be caused by exercise, malnutrition and alcohol consumption. Over time the pancreases ability to produce glucagon is sometimes decreased making it harder to raise blood glucose levels during hypoglycemia. When a patient has a high blood glucose level it is called hyperglycemia. A patient is usually considered hyperglycemic if their blood glucose level is above 300 mg/dL. Hyperglycemia occurs because the body is unable to produce insulin to prom ote uptake of glucose from the cells. There are two sub-types of hyperglycemia. The first is diabetic ketoacidosis or DKA. This type of hyperglycemia is most often found in patients with type one diabetes because DKA occurs when there is little or no insulin in the body causing the blood glucose level to soar. It can be caused by untreated type one diabetes or excess glycogen production due to stress. Patients in DKA often present with a blood glucose level above 350mg/dL. Due to the lack of insulin the body then uses fats as metabolic fuels and ketoacidosis is developed. The other type of hyperglycemia is called hyperosmolar hyperglycemic nonketotic coma. This occurs most often in patients with type two diabetes. Because patients with type two diabetes still produce some insulin, unlike in DKA the body is still able to move sugar into the cells and not have to use the fatty tissue from the body. Patients experiencing hyperosmolar hyperglycemic nonketotic coma usually have blood glu cose levels of 600 and above. Diabetes has a large impact on pre hospital emergency medicine because often when people are having hypoglycemic or hyperglycemic emergencies paramedics are the first to treat these patients. Sometimes when paramedics are dispatched to these calls the caller may not know what is exactly wrong with the patient. Patients in a hyperglycemic or hypoglycemic crisis may present in a variety of ways. The key with these kinds of patients is to keep a high index of suspicion. Like previously stated patients having diabetic issues may present in a variety of ways. Patients suffering from hypoglycemia will often present with hunger, nausea and weakness. Due to poor cardiac output of the body the patient will often present with a rapid and weak pulse. The patient will also present with seizures or small twitches. Lastly the most common symptom is altered mental status. The patient can present in total unconsciousness, drowsiness, confusion or even aggravated and violent. Change in mental status usually comes with a quick onset because once the body is insulin deprived the brain is the first body structure to suffer because the brain uses glucose as an energy source. When the patient present with the altered mental status it can mimic many other conditions. The patient can look as if he or she is intoxicated because of their lack of coordination and aggravated attitude. They are sometimes so combative that it may be difficult to effectively assess them. Hypog lycemia can also mimic a stroke. Due to its effect on the nervous system the patient may present with weakness on one side for no apparent reason. Lastly the patient may present like a person experiencing epileptic seizures. The seizures are also a result of the brains lack of glucose. These seizures can be all types; they can be full body grand maul seizures or partial seizures that only affect certain parts of the body. It is very important that paramedics indentify that these symptoms are underlying symptoms of hypoglycemia and treat the true problem correctly. Patients who are experiencing hyperglycemia have some similar symptoms to hypoglycemia but also distinguishing symptoms that are different. One of the distinguishing groups of symptoms is the polys. These symptoms include polyuria, polydipsia and polyphagia. Polyuria is defined as excess urination, polydipsia is extreme thirst and lastly polyphagia is the feeling of extreme hunger. Like patients experiencing hypoglycemia these patients will present with tachycardia and altered LOC. One symptom that is specific to DKA is kussmaul respirations with fruity smell to their breath. This type of breathing is when the patient had rapid and deep respirations. The reason for this is because the body is breaking down fats due to the lack of insulin the body enters into a state of metabolic acidosis. The deep respirations is the bodys way to blow off carbon dioxide to make the body more alkolidic and return the bodys pH level to normal. The patient will also present with a fruity smell on their breath when experiencing DKA. This is due to the ketones being broken down in the body. HHNCs only distinguishing factor is the lack of kussmaul respirations and the fruity breath odor. Many social and ethical issue can and do arise when treating patients with this condition. One social issue is that this problem occurs quite often with homeless and improvised persons. This is because they are often not able to get the proper medications and also not eat proper meals to keep their blood sugar at a normal level. Also these types of patients are sometimes known to drink alcohol and skip out on meals. The combination of malnutrition and alcohol consumption will cause diabetes to worsen significantly. One social and ethical issue is seeing through the symptoms that sometimes indicate other medical problems and determining that the patient is suffering from a diabetic emergency. Patients sometimes present identically to how a person who is severely intoxicated would. These patients can often be rude and violent. It could be very easy to mistake a hypoglycemic patient with an intoxicated individual and have the police transport them to the jail without ever obtaining a BG L check to determine the true problem. This mistake could cause the patient further internally injury and even death. The key with these types of patients is to keep a high index of suspicion. Lastly a common ethical issue is when to let these types of patients refuse care. Often times EMS will arrive and treat the patients symptoms and bring them back to their normal state of consciousness. For many patients it is not the first time the rescue squad has had to respond to their home to reverse their hypoglycemia and do not see a need to go the hospital. The paramedic should try to convince the patient that they should go to the hospital and explain to them the risks of refusing care, but if they still refuse and are alert and oriented the paramedic needs to respect their decision to refuse care and document the event accordingly. One positive thing about encountering a patient with hypoglycemia prehospitaly is that this issue is usually easily reversed. When treating hypoglycemia you want to first asses the patients Airway, breathing and circulation. Patients in hypoglycemia may have decreased respirations so assisting ventilation with a BMV may be necessary. If the patient is breathing at a normal rate they should have oxygen administer to them via a nasal canula or non-rebreather to combat hypoxia. Once ABCs are taken care a blood glucose reading needs to be obtained from the patients finger to confirm that the patient is indeed experiencing hypoglycemia. If the patients BGL is below 60mg/dL first consider 15-30g of oral glucose to be administered only if the patient is conscious and is able to swallow. If IV access can be obtained then 25g of D50 should be administered via IV or IO. If IV access cannot be obtained 1mg of glucagon should be administered IM. The patient should also be hooked up to cardiac mo nitor to rule out cardiac dysrhythmias. In the case of a patient experiencing hyperglycemia first asses the patients Airway, breathing and circulation. Patients in hyperglycemia may have decreased respirations so assisting ventilation with a BMV may be necessary. If the patient is breathing at a normal rate they should have oxygen administer to them via a nasal canula or non-rebreather to combat hypoxia. Once ABCs are taken care a blood glucose reading needs to be obtained from the patients finger to confirm that the patient is indeed experiencing hyperglycemia. If the patient is found to be experiencing hyperglycemia with a BGL of 300mg/dL attempt to obtain IV access and admitter a 250ml/hr fluid bolus with normal saline. This will help combat dehydration associated with hyperglycemia and help thin out the glucose enriched blood. In conclusion diabetes is a true medical emergency. It should be taken very seriously but can often be treated effectively in a pre-hospital setting. Paramedics need to keep a high index of suspicion to make sure they do not misdiagnose patients that are actually having diabetic emergencies.

Disciplines In Health Promotion Health And Social Care Essay

Disciplines In Health Promotion Health And Social Care Essay In the past years there has been an increasing expectation of new strategies and ideas concerning Public Health and Health Promotion with regards to effectiveness, efficiency and the importance of a wide range of various disciplines contributing to enhance the uses of resources and the practice of health promotion (Macdonald and Bunton 2004). This assignment will explore with critical reflections and throw more light on the importance of the various disciplines such as psychology, sociology, economics and ethics that contribute to improve the practice of health promotion. Discussions will include the relevance of economics, sociology and ethics to the practice of health promotion and ways in which these can contribute to understanding and evaluating health promotion. Finally it is expected that this assignment will highlight the problems and challenges identified, address them and make recommendations for professional practice. CONCEPT OF HEALTH The most acceptable known definition of health, states that health is a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity (WHO 1946). However, although this definition has been accepted widely as a holistic and positive interpretation of health, it has been criticised for not including the spiritual and emotional aspects of health (Ewles and Simnett 2003 cited in Bennett et al 2009 p. 48). The question is what really informs the understanding of health and ill health considering the lay people and the practitioner is that, the definition of health is entirely personal to the individual and his/her life styles. This has become necessary that healthcare professional should understand that the interpretation of health is highly understood differently from one person to the other with regards to issues militating against them from one point of time such as self-esteem, social support, individual control and social status (Laverack 2007), so that in an attempt to address these issues one should be ready to consider to embrace and undertake interventions of health promotions to achieve realistic goals. Blaxter (1990) identified five main concepts of health as follows, health as a physical fitness, health as social relationships, health as a function, health as psychosocial well-being, that prevails with young men of higher socioeconomic groups and lastly, health as not ill that is the absence of symptoms or medical effort widely used by all group. The term health promotion describes a multidimensional approach to encouraging health related lifestyle changes among individuals and communities (Laverack 2007). Health promotion aims to allow people to increase their control over their health and the factors that affect it, with the ultimate aim of enhancing health and its determinants (WHO 1986, 2005). Naidoo and Wills (2000) described three levels of health education as follows, Primary prevention for example immunisation, Secondary prevention for example screening. Then Tertiary prevention which aims to limit complications associated with irreversible conditions, for example cardiac rehabilitation. However, an individuals approach to health promotion will be influenced by their own health beliefs and that of the profession they represent. Ewles and Simnett (2003) outlined a framework of five approaches that demonstrate a range of values and beliefs that are commonly held. A value is an idea or concept that is regarded as worthy, desirable or useful (Moore 2001). And according to Fishbein (1976), a belief is a probability judgement that links some object or concept to some attribute The five approaches are; Medical approach to prevent disease, Behaviour change approach that is persuasive education, Educational approach that provides patients right to make an informed choice, Empowerment approach, this is patient-centred approach that helps patients to identify their own learning needs and, facilitated by a health educator, gain the knowledge and skills they require to make decisions about their health needs and the Social change approach this does not focus on the individual but on society as a whole (Ewles and Simnett 2003). Similarly health promotion interventions can be achieve by adopting the downstream approaches to tackle health behaviours that give rise to problems and upstream approaches to tackle the causes of such behaviours such as alcohol and smoking problem that leads to social exclusion and poverty. To alleviate this problem taxes should be imposed on such items and local employment programmes set up at the upstream to tackle the cause. Health info rmation and behaviour programmes should be provided to solve this problem at the downstream (Mckinlay 1979). THE DISCIPLINES For health promotion to be effective and efficient, it is important to explore a variety of disciplines as well as the use of an available resources and the appropriate evidence base practice (Macdonald and Bunton 2004). The question is which discipline ideas, concepts or theories inform us in promoting health? But generally it has been said that psychology has played an important role in formulating strategies (Bennett and Murphy 1997; Bennett et al. 1995), identifying aims and objectives and suggesting effective approaches for health promotion (Bunton et al. 1991; Bennett and Murphy 1997). Psychology therefore is concerned with the scientific study of the processes of the mind and behaviour and how human and other animals relate to one another with the environment (Colman 1988). It has been found that psychological theories by using communication model of behavioural change has proved successful and reported of positive outcomes for example, according to Boots and Midford (1999), suggested that females were used in campaigning in mass media activities to raised awareness of drivers to stop drinking when driving in Australia. Similarly Petty and Cacioppo (1986) by the use of Elaboration Likelihood Model explained how pre-existing beliefs and interest of an individual as well as the message content (how it is package) has a positive impact in changing behaviour that is the likelihood of a known HIV positive person who is involve in a campaign of promoting National AIDS awareness programmes can effect an increase knowledge, less risky attitudes and a safer behaviour chang e than somebody without the disease (Scollay et al. 1992). It has also been found that the use of the health belief model has given an in-depth understanding about low rates of compliance to screening and prevention recommendations. This type consist of five models, more common are the approaches that increase the barriers to unhealthy behaviours that is by use of increasing taxation in tobacco or alcohol that serves as an effective deterrent with young adults who are more affected by price changes than older adults (Lewit et al. 1981). But Brownson et al. (1995) also affirmed that by imposing restrictions on such items on alcohol without licencing, renders it ineffective that poses political issues and controversy. Also through Social learning theory (SLT), that states behaviour is the product of a relationship between perception and environmental events (Bandura 1997). It has been realised that, behaviours are influenced by two sets of expectancies, the first being the action-outcome that explains the fact that if an individual believes th at a particular action will cause disastrous health problems like smoking causes cancer then the individual sees the outcome as a value. The second being the self-efficacy expectancy, that is if the individual realises that giving up of smoking will reduce the risk of getting cancer then the person places a high value on the behavioural change. These two expectancy beliefs have been found to be effective in helping to resist peer pressure to smoke or the use of drugs (Stacy et al. 1992) and engaging in safer sex practices (OLeary et al. 1992). However it has been argued that behaviour comes as a result of a formal decision making and seems to be habitual and thoughtless (Hunt and Martin 1988). Conversely economics as a discipline has also contributed to health promotion either in a positive or negative way globally. Health economics according to Santerre and Neun (2009) studies the supply and demand of health care resources and the impact of health care resources on a population (p.4). It can also be used to access the impact of tax changes on smoking behaviour, for instance increasing taxes on such item like cigarette would be very effective. Because it will increase the cost of cigarette which will in turn correspond to a reduction in the number of young adult smokers and at the same time reduce the amount of consumption. Similarly the changes in tax do not actually affect the number of adult smokers. On the other hand if taxes are imposed on cigarettes, the disadvantage is that tobacco duty is going to go up which will affect the poor more the rich (Grossman and chaloupka 1997). Economic policies has also threaten the developments of interventions globally for instance, the Millennium Development Goals (MDG) which was hailed as a new frame work for development that would have propelled and directed change in the spheres of hunger, health and human right, equality and education is being threaten by economic problems of soaring commodity prices, government decisions of misdirecting funds and global slowdown to bring it to reality. For example this will affect the UN population fund, whose agency focuses on maternal and reproductive health which is a major public health issue for instance it has been estimated that, in India the number of women dying during childbirth is highest anywhere in the world that is one woman dying every three to six minutes from preventable causes, yet the country spends less than 0.9% of gross domestic product on public health. On the other hand it would cost the world $6bn to stop women dying during childbirth less than the amount s pent in a day and a half on the military. Also sound economic investment could go a long way to bring success in countries across Asia pushing down the poverty levels. At the same time political priorities, if geared towards health-related MDGs will help save women from dying, reduce child mortality rate, combat HIV/Aids, promote gender equality and eradicate extreme poverty and hunger globally (Holmes 2008). Another discipline of importance is sociology which has also played an effective role in promoting health. Sociology enables us to understand the structure and dynamics of society, it attempts to analyse the patterns of human behaviour and individual life changes. It also examines the different forms of social structures like groups, organisations, communities and social categories such as gender, age and race and various social institutions like kinship, political, economic or religious groups that affect human attitudes, actions, values and beliefs as well as opportunities (Thorogood 2004 cited in Macdonald and Bunton 2004). The significance of this has highlighted an understanding into how health and illness affect our everyday life and has also criticised medicine as a tool to support capitalist development and exploitation (Navarro 1974; Doyal and Pennell 1979). According to Illich (1976), medical dominance has done a lot of harm than good for example the practice of biomedicine has created a lot of sicknesses as a result from the risk of surgery, anaesthesia, effects of drugs and immunisations. This has also open ways to examine and to improve ways of different factors of health issues that is beyond the field of medicine and which the medical world does not have an adept opinion, and sociology can offer an insight into how and why these progressions occur. These also include the family structure, housing problems and employment issues as well as policies and suggest ways to address them (McKeown 1979; Kennedy 1983; Townsend and Davidson 1982). The adoption of health promotion strategies has come under scrutiny in a sense that not only does the approach of information-giving is enough to change a person but then the issue of empowerment model that is gaining greater control and making a free choice (Tones 1986 ). For example health promotion campaign in recent times has not been successful to address the issues relating to educational responses to HIV/AID. There has been various criticism in the approach with regards to norms and values that has been associated to targeted groups and more importantly the ideas and values that binds the campaign which were not expressed (Watney 1988a).The issue of impasse facing government-sponsored programmes between agencies have been emphasised, on one hand and need for appropriate information on a vital public health issue on the other as well as a political and social unwillingness to support the profile of sex (Wellings 1988; Watney 1988b). The reasons for this tension is perhaps the s ensitivity of undertaking any public educational activities which addressed forms of sexual relationship that might misinterpreted and could damage the traditional family values (Jessopp and Thorogood 1990). This can be achieved by carefully adopting a skilful decision-making strategy of acknowledging the individual social and political views as well as the structure of the community and their pre-existing values and beliefs. This will influence the ways in which information is perceived and operated on, decision-making and choice (Thorogood 2004 cited in Macdonald and Bunton 2004). Another area that has been criticised is the concept of evidence-base to inform health promotion policy and practice for achieving health outcomes (Bowen and Zwei 2005). Programmes designed to support evidence-base health promotion (EBHP) are being investigated and discussions are on-going to find out which mechanism could be most effective to support the evidence into policy practice and relevance of practice guidelines. Even though resources can be found in large organisations that are responsible for making sure the implementation of policy and supporting EBHP practices and decision making processes (Davies 2005; Speller et al. 2005), there are well documented barriers that include lack of aptness, lack of relevance of research, mutual mistrust and lack of personal contact between researchers, policy-makers and practitioners, poor quality research, political instability, resource limitations and lack of expert opinion to explain evidence. Though many organisations are making sure to develop strategies to alleviate these barriers, there is still limited published research discovering the experiences of practitioners in the interest of evidence-based resources to inform practices. But in seeking to improve the evidence-base for health promotion and public health a multi-dimensional approach is required (Nutbeam 1999; Tang et al. 2003). CONCLUSION This essay to a large extent has given an insight into understanding the concepts, principles and models of health as well as public health and health promotion as being applied in a national and global context. It has also highlighted in a broader perspective understanding as to the way in which psychology has contributed effectively in a more rigorous application of psychological theories within health promotion interventions and evaluation designs (schaalma et al. 1996). And more also as a discipline to a large extent the contribution made in economics to health Promotion in identifying which forms of health promotion are worthwhile and which is not and therefore provided a framework which enables identification of where the benefits of health promotion justify the cost and to what extent. Lastly understanding the relevance of sociology for health promotion which has helped to outline the broad basis of sociological methods, considering the contribution this method has made or mig ht make and the criticism of health promotion, both in its methods and in its goals and objectives. 2,502

Sunday, August 4, 2019

The Schoolmaster in Albert Camuss The Guest Essay example -- The Gues

In Albert Camus's "The Guest," an idealistic schoolmaster, Daru, is forced to make many unsettling decisions when ordered to deliver an Arab prisoner to higher authorities in Tinguit. From the beginning, after the prisoner is transferred into his custody, Daru chooses to treat him as a guest rather than a prisoner. Also, Daru decides not to cast judgment on the Arab for the crime of killing his cousin. Lastly, Daru chooses not to play God and assume the awesome responsibility of deciding another man's fate. Thus, when Daru is faced with a series of confusing and complicated situations he chooses to be himself and make his own decisions rather than be influenced by others. The mere thought of keeping a prisoner in one's home is quite troubling, but when Daru is forced to keep the Arab as his "guest," he is compelled to act as a good host. From the beginning, Daru demonstrates compassion, sensitivity, and humanely acts in many different ways. Daru insists that the prisoner should be untied. "Once his hands were free... he held out a glass of tea." Daru also feeds, cooks for, a...

Saturday, August 3, 2019

Galactosemia :: essays research papers

Galactosemia   Ã‚  Ã‚  Ã‚  Ã‚  Galactosemia is a genetically inherited metabolic disorder. This disorder leaves the disabled with a partial or complete lack of the enzyme Galactose – 1 – Phosphate Uridyl Transferase (GALT). This enzyme is found in the bloodstream and it is used for breaking down the sugar galactose. This disorder comes in two different variations. Though there is more than one type, it is still rare, having only 1 in 80,000 births being affected by the disorder.   Ã‚  Ã‚  Ã‚  Ã‚  Classic Galactosemia is the first and more common form of the disorder. This is the form when the affected has a complete loss of the enzyme. Both parents must contribute a galactosemic gene for a child to receive this very deadly form of the disorder. Because the body has none of the enzyme needed to turn galactose into glucose an accumulation occurs that is like a poison and is highly fatal. Classic Galactosemia is treatable through a strict diet of absolutely no lactose or galactose. Some common foods containing these are dairy products, legumes, breast milk, and many other foods. A test for galactosemia is done at the time of birth with other tests. If left untreated 75% of infants will die. Some effects of having classic galactosemia include: an enlarged liver, kidney failure, cataract, and brain damage.   Ã‚  Ã‚  Ã‚  Ã‚  Duarte Galactosemia is the second form. This form is when there is only a partial loss of the enzyme. The activity is usually 25%-50% that of a normal child. A child can get this form of galactosemia by inheriting a classic galactosemia gene from one parent and a duarte gene from the other. Much like classic galactosemia, duarte is found through a test done soon after birth. A strict diet is not needed for this form of the disorder. Instead a diet, it is recommended that lactose be slowly introduced untill normal consumption is accepted by the body. Because the affected can still process the foods, just not as well as a fully functional body.   Ã‚  Ã‚  Ã‚  Ã‚  A person with no galactosemia receives two normal genes for production of the GALT enzyme in the bloodstream. This persons genotype is N/N and they have normal fully functioning enzyme activity. A carrier of classic galactosemia inheriets one affected gene and one non, this persons genotype is G/N. This person has less than normal enzyme activity, but nothing that requires a diet or medical treatment. A classic galactosemic has two classic galactosemia genes.

Friday, August 2, 2019

Inventory System

A perpetual inventory tracking system is a method of immediately accounting for inventory sales in the inventory account, if there is no theft or spoilage. It is an inventory management system where store balances of inventory are recorded after every transaction. It eliminates the need for the store to close down constantly for inventory stock-taking as perpetual inventory systems allow for continuous stock-taking. Perpetual inventory systems keep a running account of the company's inventory. Perpetual inventory systems involve more record-keeping than periodic inventory systems.Every inventory item is kept on a separate ledger. These inventory ledgers contain information on cost of goods sold, purchases, and inventory on hand. Perpetual inventory management systems allow for a high degree of control of the company's inventory by management. Perpetual inventory management is generally used by companies who have the ability to scan the inventory items sold and who use  point-of-sal e inventory systems. Perpetual inventory systems provide the business owner with a record of what is sold, where it was sold from, when it was sold, and for what price it was sold.As a result, it allows for businesses to have more than one location with one centralized inventory management system. Even with a perpetual inventory management system, the company still needs to shut down at least annually to do a periodic, or manual, inventory count. The scanned data should tell the business owner exactly what inventory should be on hand. The major advantage of doing a periodic inventory count is to determine how much inventory has been lost, stolen, or subject to spoilage.What is a Periodic Inventory System? A periodic inventory system does not require day-to-day tracking of physical inventory. Purchases, cost of goods sold, and inventory on hand cannot be tracked until the end of the accounting time period when a physical inventory is performed and ending inventory is compared against the sum of beginning inventory and purchases. Cost of ending inventory can be calculated by using the  LIFO or FIFO inventory accounting methods, or other less common methods. Inventory System Janes (2001) stated that computers are extremely reliable device and very powerful calculators with some great accessories applications like word processing problem for all of business activities, regardless of size, computers have three advantages over other type of office equipment that process information because computer are faster, more accurate more economical Reyes (2005) task would be time consuming to accomplish manually and more practical with the aid of computers field in cabinet.Dioso (2001) stated    that computer assist    careful intelligent planning, organizing, actuating and controlling . This maybe observed from the past that they monitor production activities, solve scientific problem and help arrive in tentative answer to a multitude of involve conditions. Ralph M. Stair (1999) emphasized that the development of technology through the years have enabled us to do more with less effort. From the orientation of the light bulb to the industrial revolution and beyo nd, we have continuously tried to in a more efficient means of doing tasks.Lewis (2002) stated that the reason for using computers vary from person to person. Some of the computers in business are to perform accuracy, to be as productivity, to decrease bottle necks or hassles to alter cash flows or to simples elevate your status. Sybex    Inc (1999) stated that visual basic provide a graphical environment in which the users usually designed the forms and control that become the building block of tour application . Visual Basic support many useful tools that will help the user more productivity. Computerize sales and inventory systemComputers began from a wild imaginative idea to the world’s highly prioritized tool. Computers today are now used as a substitute to manual processes and other past inventions like the radio, television, etc. It is now used by people for much simpler, easier and faster way to do things. Some used it as a hobby, and some use it as a job. Technolog y has never stopped from advancing through the years. Its new innovations helps answer the people’s further complex questions. Why not use these advantages to benefit ourselves? Many people use computers in their daily lives.Some use it for transactions, some use it for educational purposes and others use it for data storage. Though it might sound unnecessary but in some cases when storing a file for such a big company, can you manage it properly? Organizing, finding a file, etc. With computers, it can help you simplify the process of storing and managing the files you need for future use and make finding files easier than the manual process. A Proposed Sales and Inventory System In business like merchandising, Sales and Inventory system plays an important role.It is used to track all the transactions made by the business and responsible for monitoring the items supplies. All the business transactions must be properly recorded and must be fully secured by password. A Computer ized system is the best solution and most innovative answer for their needs. The researchers had been motivated to do a study on this topic according to the above observation. The result may help others to understand more about computer-generated data processing, especially on how to deal with computers in terms of speed, accuracy and data security Inventory System This chapter of a thesis commences a brief statement and enumerating the main topics that are to be covered in it; namely;1) Research Design; 2) Sources of Data (Locale of the Study and Population/Sampling); 3) Instrumentation and Data Collection; and 4) Tools for Data Analysis.Research DesignThe appropriate research design should be specified and described.A research design encompasses the methodology and procedure employed to conduct scientific research. The design of a study defines the study type (descriptive, correlational, semi-experimental, experimental, review, meta-analytic) and sub-type (e.g.: descriptive-longitudinal case study), research question and hypotheses, independent and dependent variables, experimental design if applicable, data collection methods and a statistical analysis plan.Sources of DataDescribe the locale of the study and the research population.Locale of the Study Describes the place where the study was conducted and the rationale behind its choice. Popu lation/Sampling Describe the population of interest and the sampling of subjects used in the study. Instrumentation and Data CollectionDescribe the instrument, what it will measure, how to interpret, to whom it will be administered and if it is necessary, describe how it will be administered. Discuss how the validity and the reliability will be established. Specify the level of reliability (probability). Give details of instruction given to assistants if persons other than the researcher gather data. State qualifications of informants if used in the study.Tools for Data Analysis Determine and justify the statistical treatment for each sub-problem Determine and justify the scales of values used and the descriptive equivalent ratings, if any.In thesis writing, the most difficult part to defend is Chapter 4 because it is inthis section where you will present the results of the whole study. Here is a sample thesis format.In thesis writing, the most difficult part to defend is Chapter 4 because it is in this section where you will present the results of the whole study. Here is a sample thesis format.CHAPTER 4: PRESENTATION, ANALYSIS AND INTERPRETATION OF DATAPresentation of DataPresent the findings of the study in the order of the specific problem as stated in the statement of the Problem. Present the data in these forms: Tabular Textual Graphical (optional) The ZOOM LENS approach may be used for purposes of clarity in the presentation of data, i.e. general to particular, macro to micro or vice versa.Analysis of the DataData may be analyzed quantitatively or qualitatively depending on the level of measurement and the number of dimensions and variables of the study. Analyze in depth to give meaning to the data presented in the data presented in the table. Avoid table reading. State statistical descriptions in declarative sentences, e.g. in the studies involving:Correlation State level of correlation State whether positive or negative Indicate the level of significa nce Make a decision Differences of Measures State the obtained statistical results Indicate the level of significance of the difference Make a decision Interpretation of Data1. Establish interconnection between and among data 2. Check for indicators whether hypothesis/esis/are supported or not by findings. 3. Link the present findings with the previous literature. 4. Use parallel observations with contemporary events to give credence presented in the introduction. 5. Draw out implications.In thesis writing, the Chapter is simply a summary of what the researcher had done all throughout the whole research. The following format serves as a sample:CHAPTER 5: SUMMARY, CONCLUSIONS AND RECOMMENDATIONSSummary of Findings This describes the problem, research design, and the findings (answer to the questions raised). The recommended format is the paragraph form instead of the enumeration form. For each of the problems, present:The salient findings, The results of the hypothesis tested Conclusions These are brief, generalized statements in answer to the general and each of the specific sub-problems. These contain generalized in relation to the population. These are general inferences applicable to a wider and similar population. Flexibility is considered in making of conclusions. It is not a must to state conclusions on a one-to-one correspondence with the problems and the findings as all variables can be subsume in one paragraph. Conclusions may be used as generalizations from a micro to a macro-level or vice versa (ZOOM LENS approach).Recommendations They should be based on the findings and conclusion of the study. Recommendations may be specific or general or both. They may include suggestions for fu rther studies. They should be in non-technical (skilled) language.They should be feasible, workable, flexible, doable, adaptable. An action plan is optional. Inventory System A perpetual inventory tracking system is a method of immediately accounting for inventory sales in the inventory account, if there is no theft or spoilage. It is an inventory management system where store balances of inventory are recorded after every transaction. It eliminates the need for the store to close down constantly for inventory stock-taking as perpetual inventory systems allow for continuous stock-taking. Perpetual inventory systems keep a running account of the company's inventory. Perpetual inventory systems involve more record-keeping than periodic inventory systems.Every inventory item is kept on a separate ledger. These inventory ledgers contain information on cost of goods sold, purchases, and inventory on hand. Perpetual inventory management systems allow for a high degree of control of the company's inventory by management. Perpetual inventory management is generally used by companies who have the ability to scan the inventory items sold and who use  point-of-sal e inventory systems. Perpetual inventory systems provide the business owner with a record of what is sold, where it was sold from, when it was sold, and for what price it was sold.As a result, it allows for businesses to have more than one location with one centralized inventory management system. Even with a perpetual inventory management system, the company still needs to shut down at least annually to do a periodic, or manual, inventory count. The scanned data should tell the business owner exactly what inventory should be on hand. The major advantage of doing a periodic inventory count is to determine how much inventory has been lost, stolen, or subject to spoilage.What is a Periodic Inventory System? A periodic inventory system does not require day-to-day tracking of physical inventory. Purchases, cost of goods sold, and inventory on hand cannot be tracked until the end of the accounting time period when a physical inventory is performed and ending inventory is compared against the sum of beginning inventory and purchases. Cost of ending inventory can be calculated by using the  LIFO or FIFO inventory accounting methods, or other less common methods. Inventory System Janes (2001) stated that computers are extremely reliable device and very powerful calculators with some great accessories applications like word processing problem for all of business activities, regardless of size, computers have three advantages over other type of office equipment that process information because computer are faster, more accurate more economical Reyes (2005) task would be time consuming to accomplish manually and more practical with the aid of computers field in cabinet.Dioso (2001) stated    that computer assist    careful intelligent planning, organizing, actuating and controlling . This maybe observed from the past that they monitor production activities, solve scientific problem and help arrive in tentative answer to a multitude of involve conditions. Ralph M. Stair (1999) emphasized that the development of technology through the years have enabled us to do more with less effort. From the orientation of the light bulb to the industrial revolution and beyo nd, we have continuously tried to in a more efficient means of doing tasks.Lewis (2002) stated that the reason for using computers vary from person to person. Some of the computers in business are to perform accuracy, to be as productivity, to decrease bottle necks or hassles to alter cash flows or to simples elevate your status. Sybex    Inc (1999) stated that visual basic provide a graphical environment in which the users usually designed the forms and control that become the building block of tour application . Visual Basic support many useful tools that will help the user more productivity. Computerize sales and inventory systemComputers began from a wild imaginative idea to the world’s highly prioritized tool. Computers today are now used as a substitute to manual processes and other past inventions like the radio, television, etc. It is now used by people for much simpler, easier and faster way to do things. Some used it as a hobby, and some use it as a job. Technolog y has never stopped from advancing through the years. Its new innovations helps answer the people’s further complex questions. Why not use these advantages to benefit ourselves? Many people use computers in their daily lives.Some use it for transactions, some use it for educational purposes and others use it for data storage. Though it might sound unnecessary but in some cases when storing a file for such a big company, can you manage it properly? Organizing, finding a file, etc. With computers, it can help you simplify the process of storing and managing the files you need for future use and make finding files easier than the manual process. A Proposed Sales and Inventory System In business like merchandising, Sales and Inventory system plays an important role.It is used to track all the transactions made by the business and responsible for monitoring the items supplies. All the business transactions must be properly recorded and must be fully secured by password. A Computer ized system is the best solution and most innovative answer for their needs. The researchers had been motivated to do a study on this topic according to the above observation. The result may help others to understand more about computer-generated data processing, especially on how to deal with computers in terms of speed, accuracy and data security

Thursday, August 1, 2019

The Sister Brothers

Peter DeWitt novel â€Å"The Sister Brothers† is set in western frontiers of America in 1850’s. Eli and Charlie Sisters are notorious professional killers, are on their way to California to kill a man named Hermann Kermit Warm. Charlie makes money and kills anyone who stands in his way. While Eli on the other hand has doubts about what they do for a living and falls in love easily. In â€Å"The Prince† by Niccolo Machiavelli he says the best way to manipulate people and gain power is through Intelligence, fear and emotion.In the novel â€Å"The Sister Brothers† Charlie the eldest brother employs all of these tactics to control his brother and those around him. â€Å"The wise man does at once what the fool does finally†- Niccolo Machiavelli Charlie uses his intelligence to trick others into thinking that he is a gunslinger that plays by the rules. In one instance, Charlie and Eli are cornered by a group of trappers. The trappers plan to kill the brot hers to gain fame and fortune. So Charlie proposes the idea of a fair duel between him and the leader.As Eli counts to three Charlie turns around and shoots all the trappers in the head killing all of them. Charlie was able to dominate the situation and live by using intellect. â€Å"It is better to be feared than loved, if you cannot be both†- Niccolo Machiavell Charlie though has the best of both worlds. His brother loves him devotedly while others around him fear him. Charlie has killed so many men that he has become infamous and when people hear his name they tremble with fear. For example when Charlie and Eli trap Hermann he lays his gun down and gives up without a second thought.He knows that they could kill him before he even moved to pull the trigger. â€Å"A wise prince should establish himself on that which is in his own control and not in that of others† â€Å"I was not an efficient killer. I was not and had never been and would never be. Charlie had been a ble to make use of my temper was all; he had manipulated me, exploited my personality†-Eli Sister. During their days as assassin Charlie had tempered Eli into a killer through his personality. All Eli wanted to do was protect his brother from those who wished to hurt him.Charlie understood this and used his brothers protective emotions to advance himself in criminal underworld. In all of the violent situations that occur in the novel Charlie and Eli always come out on top through intelligence, fear and emotion. Niccolo Machiavelli would call Charlie â€Å"The Perfect Prince†. Charlie has used all of the techniques that Niccolo would advise someone to gain and maintain power in their lives. So by using the techniques the Machiavelli suggest isn't it possible for anyone to gain and maintain power?