Movie Review on “The Promise” Essay

The movie entitled â€Å"The Promise† by Chen Kaige is a depiction of love and truth that lies beneath different circumstances of the characters. The promise is love where two people will unite as one in the end as they unravel their past. The main characters in the story are general Guangming, Qingcheng, and Wuhuan. These characters mould the story into an enthusiastic construction that leads to tremendous ending. This movie has been recognized in the whole country of China as well as the different parts of the world. Its recognition became remarkable for it brought cultural tradition to the heritage of China with the concept of true love and fate.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The movie created huge effects for it shows the historical situation of China where territories are being built and dynasties are being produced. Though this movie is fictional, it shows the character of Chinese culture as it embodies the life of its people and the way how leaders utilize their powers and richness towards their region. This movie also shows that a man will fight in the battle to save his woman despite of all the risk and troubles that he may encounter.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Based on my understanding in this movie, I have seen that along with other Chinese movies, this movie discussed how love prevails in any circumstance of life. It is somehow the opposite in today’s culture when men and women have no time to love one another because of their social equality. From the time when women became recognized in their country, they wanted to hasten their richness and become powerful but they already forgotten their traditional values about love and how it justified their being and essence as Chinese. However, the movie showcased great talents and effects as well as technicalities as it depicts the social realm of China during the year of dynastical love. Reference Kaige, C. The Promise.

Alexander the Great from Macedonia Essay

The cuisine of th Middle East has the same similarities as that of the Greeks for many reasons. According to history, Alexander the Great from Macedonia which is also known as Greece of today’s world came to the Middle East in the 300 BC. This brought about many Greco influences into the lives of the Middle East people. Moreover, during the Roman Empire, the Greeks brought sweets and fruits to th region. As a matter of fact, there has been a continued trade of spices between the two regions that it has become a the spice center of the world. At the same time, the religion of the Middle east has a dominant role to play in their food traditions. Christianity in particular came from the Greek tradition. In Israel, the cuisine is considered to be international because of the diverse immigrants in the country. These immigrants range from countries like Greece to Turkey to Spain and to North Africa which influenced the way Israelites cook and prepare their food. At the same time, the North African cuisine such as that of Libya, Algeria, Morocco, and Tunisia share similarities with most the Arabic tradition because of the Islamic conquest that happened in the 7th century. Most of their cuisines are influenced by the Arabs and the aboriginal peoples of the the region which are called Berbers. In addition, Egypt has large influence geographically. It is situated in North Africa which carries with it an Arabic tradition and culture. North Africa has always been considered Middle Eastern and Mediterranean in nature because of its geographical location. 4. Four of the most famous food in West Africa are Yassa, Sauce Canny, Diebou Dien, and Yam. The Yassa is made out of chicken or lamb with a citrus or a lime in it as a flavoring. It could also be made with fish or vegetables. The saucy Canny is made out of onions, garlics, and shallots which is mainly used as an accompaniment to may of West Africa’s dishes. The Deibou Dien is composed of fresh and dried fish with onions and tomatoes. It also has as many vegetables as possible such as an eggplant, a manioc, turnips, white radish, cabbage, and carrots. In East Africa, the common foods are Niker Kebboh and Alecha. Niter Kebboh is made up of butter with spices like ginger, garlic, and cinnamon. Alecha on one hand is a stew made of chicken or beef or other kinds of meat. It is accompanied with bread. It is usually dipped into the spicy dishes and once its already soaked up the it is lifted into the mouth. 5.

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Evan Michel Mr. Rotolo Advanced Composition 31 August 2010 One of the most challenging parts about facing difficult times and hard ship is learning how to look past the adverse times to see the brighter side of your troubles and the lighter side of your struggles. President Gerald R. Ford made a speech to Washington’s Gridiron Club and stated just that. Americans are at their very best when they look at the brighter side of their troubles and the lighter side of their struggles,† the quote from President Ford’s speech is a perfect reminder that no matter what hardships you are going through it can always be made better by looking at it from a different perspective. By embracing the brighter side of the problem Americans are able to address the problem that is at stake and happening right now instead of being held back by past problems and hesitation.Americans go through times where it is extremely hard to put food on the table and many citizens can’t take t hat kind of stress. This is when President Ford’s advice can come into play. If only the Americans that are going through these hardships would look differently at them instead of struggling and trying to fight them their life would be made much easier because they could solve the problems and move on with their lives. Over the history of our country there has been many instances where these hard times are present not only to some but to all and many people just break down and give up.For example The Great Depression was a time when the stock market crashed and America as a whole was going through an adverse time. During this time there were a small handful of people who looked at the problem from a different point of view, as recommended by President Ford and helped pull our country out of that whole and back to its former self. If no one would have taken action during that time and everyone would have waited for someone else to do it for them then America would probably sti ll be in a depression.No matter what type of problems we face and how difficult they are they can all be overcome. This can be done by looking at the brighter side of life and remembering and other past hardships that were overcome and how you overcame them and putting that knowledge to use. Whether the problem is big or small Americans can overcome it together by trying. Overall President Gerald R. Ford’s speech to Washington’s Gridiron Club is all the advice needed to get through any hard time in life.

Should public policy be directed exclusively at growth promotion for Essay

Should public policy be directed exclusively at growth promotion for the attainment of overall societal goals - Essay Example Social goal responsibility is the art putting goals of a certain co-corporate, institution knowledge or prosperity to be of collective concern within the community or society. This is generally speaking out the message of ‘we’ and ‘us’ rather than ‘I’ and ‘me’. Since the public policy is centered at the needs of the majority, then social goals becomes of great concern within an organization. Just like in a classroom, pupils or students usually have a collective goal of passing exams through discussions and consultations. While the only way of ensuring collective success in a society or a business organization is through the involved individuals having a collective goal at the expense of targeted and non-targeted society (Kimberly & Tamar, 2009). On the other hand individualistic goal is centered on one’s interest and desire that all opportunities that come on the way are utilized individually. This is directly linked with per sonal development and success. Therefore, public policy has more to do with promoting societal goal oriented programs rather than individualistic. Methodology This research study was conducted using qualitative data from library written materials like journals and electronic research like websites. However, some organizations hold their internal information private and hence full information is not available. Literature review According to John Long & Nerida Aitken, individual agreement is works well for employers as compared agreements of collective interests. Citing an employee pay in Australia, the employees covered by workplace agreement earns much better that those guarded by federal enterprise agreements. In addition the individualistic goals lowers the cost concerning company activities like documentation, transaction costs e.tc. Hence it is a more efficient way. It is also noted that individualism is equal to flexibility. The term flexibility can be used in wide range of iss ues including remuneration, operational requirements implementation of change by a company. However, individual practices do not necessarily warrant flexibility or individualized activities (Diener, 2009)). Practically, flexibility is dependent on the nature of the company enterprise, the proposed form of flexibility, the way in which the management and the employees are related as we as the number of employees and their benefits. This means that sometimes some employees of the company may decline to cooperate or to sign workplace policies offered by the state (Long & Aitken, 2001). The way individual agreements discussed and formed, are just done on individual basis. In addition, within an individualistic agreement their may still exist a collective ideology. However, concerning the individual agreements by the top management team, they will all have uniform individualistic idea concerning all the entire employees with some disagreements on the payroll, description of job as well a s the length of working hours (Long. J & Aitken. N, 2001). Individualistic goals are important in fostering increased commitment at work places. The is usually increased interaction between the individual employees and the employer hence individualism strengthens the psychological contract at the work place (Brown, W. 1999). This usually explains the role the employees in the company as well direction and stability of the business. On the issue of societal goal within a company, the employees can create a sense of mistrust to the employer if the perceived societal agreements are

English - Global environment issue Essay Example | Topics and Well Written Essays - 750 words

English - Global environment issue - Essay Example Environment is a global concern globally because every individual contributes to the climatic changes in one way or the other. Even if, countries have been disagreeing over unequal distribution of natural resources, they are misusing the little that they have to the expense of the entire planet. The climatic changes are enormous; the planet is warming up, and there is an overpowering scientific harmony that is occurring and human-induced. With global warming on the rise and animals and their habitants on the decline, chances for ecology to adapt innately are diminishing. Many experts have agreed that climatic change might be one of the biggest dangers facing the earth. Individuals play a role in the global climate change. This is because they make wrong choices concerning what energy to use. For instance, they choose fuels, which emit poisonous gases. They also use cooking gases, which have elements harmful to the environment. Therefore, the first thing individuals ought to undertake is to evaluate their own devotion to sustainability. This involves trying to understand; what the effects of resource usage are, how ecosystems operate, and the knock-on impacts of activities in their daily lives like water, work, vehicle use, and entertainment activities. Devotion to sustainability involves sharing of common vision and goals for enhanced quality of life, instead of selfishness where people try to exploit recourses before other people can, until resources are consumed entirely, everybody suffers. Furthermore, corporations should be responsible for global environmental issues. Companies especially those in the production sectors emit gases which affect the environment. They are the main cause of the ever-changing climate and, therefore, they should take responsibility of preventing the environment from further damage. Corporate responsibility supports a vision of business responsibility to different stakeholders. The main areas are the welfare

Federalists and Jeffersonians Essay Example | Topics and Well Written Essays - 500 words

Federalists and Jeffersonians - Essay Example The Federalists were deemed conservatives and focused on industry building and addressing the needs of rich merchants and landowners. The party also tended to favour Great Britain in foreign affairs ("Columbia Encyclopedia"). On the other hand, the Jeffersonians, which later became known as the Democratic party, led by Jefferson were more concerned with the ideal of an agrarian society of yeoman farmers and adamant to expand the powers of the federal government. The party also sympathized with the French. (Wright) Hamilton's proposals including the funding of revolutionary war debt, federal assumption of the obligation of the states, creation of a national bank and federal encouragement of native manufactures were intended to emulate Great Britain's economic model. But then, such proposals leaned towards wealthy men and substantially indebted regions over others. Jefferson along with James Madison viewed these as contrary to republican morality, which promoted harmony among the different regions and closing the income gap between the rich and poor ("Encyclopedia of American History"). As each political leader attracted supporters, the national-level disagreements trickled down onto local issues.

Macroeconomic Policies Used by the Federal Reserve Essay - 5

Macroeconomic Policies Used by the Federal Reserve - Essay Example The alternative strategy actions that were set up intended to put more pressure towards the long-term interest rate achievement and to ensure that the overall monetary conditions of the country become improved. This includes bolstering the prices for residential properties and corporate equities (Kashyap & Stein, 2012, p. 266). Â  The Federal Reserve’s adoption of the open market operations involves buying of existing Treasury securities by the Federal Reserve in the secondary market (Bauer & Rudebusch, 2014, p. 234). The secondary markets are securities that have already been obtained and sold off to private investors. When buying the securities, the Federal Reserve ensures it does so but under the equivalence of an existing currency. This expands the Federal Reserve’s base and at the same time increases the ability of depository financial institutions to provide loans as well as expand their existing credit facilities (Bauer & Rudebusch, 2014, p. 234). Â  Normal open market operations involve functions are typically carried out through repurchasing agreements (D’Amico & King, 2013, p. 426). If the Federal Reserve wishes to remove liquidity or add the same liquidity during the normalization period. Repos, also known as repurchase agreements are contracts signed between two or more parties to purchase securities and then repurchase the same securities at a future date and price (D’Amico & King, 2013, p. 425). Repos are considered as an economic equivalent to a collateralized loan. Differences between the first and second transactions determine the interest rates accrued on the loan (Bauer & Rudebusch, 2014, p. 235). Â  

Critical Analysis of a Public Speech by Kevin Rudd Essay

Critical Analysis of a Public Speech by Kevin Rudd - Essay Example The speaker applies a number of stylistic devices during his speech to make the message as real and practical as possible to the audience. In addition, body language and movement is used to enhance the delivery of the message. This essay will analyze the speech by Kevin Rudd on the topic â€Å"Are China and the US doomed to conflict† on the effectiveness of the delivery of the message. The speaker was Kevin Rudd and the speech was delivered in March 2015. Kevin Rudd is a former prime minister of the Republic of Australia. As a growing young boy, Kevin did not gain interest in working in the fields, a thing that was the norm in his home country, Australia. In his speech, he narrates a story of how his mother, knowing that the son will not gain interest in working in the fields, gave him an idea that he took up (Rudd). He decided to study the Chinese language since according to the newspaper his mother gave him when he was fourteen, the headline stating that China was entering the United Nation (Rudd). By providing this information, the former prime minister was establishing the foundation of the success of the country of China. This informed the audience why China was rising and the inspiration for studying the Chinese language. By providing the newspaper title, the speaker was establishing his credibility (Jaffe), showing the audience how much informed he was on th e developments in China. The use of an allegory provided the attention he expected from the audience.

Reflective Journal Assignment Example | Topics and Well Written Essays - 1250 words - 1

Reflective Journal - Assignment Example I can contribute to sustainable development by changing my lifestyle in meaningful ways. I can monitor my use of water so that I do not waste it or use it unnecessarily. I can also dispose of recyclable material properly and dispose of all waste appropriately. I can reduce my use of energy and fossil fuels with a view to reducing carbon emissions. When possible, I can also donate to charities for feeding the poor to reduce their reliance on the exploitation on marine life and other natural food sources. Lecture 2: The three main points were: Sustainable development became a state obligation via the Rio Declaration of 1992; states’ obligation are contradicted by various UN Resolutions grants states sovereignty over their natural resources; and that climate changes now requires public participation via the UN Framework Convention on Climate Change 1992. Tutorial 2: I contributed to answering the various questions raised in Tutorial 2. These questions related to the role of the UN in international environmental law, identifying the principles of environmental protection contained in the Rio Declaration of 1992, and various questions relative to the definition and legal nature of treaties and conventions. I observed that there was a significant problem in the context of international environmental law. The various instruments were only binding on states and do not make provision for non-state actors. It can therefore be assumed that non-state actors’ effect on the environment are covered by national law. Alternatively, as a non-state actor, I can choose to take the initiative to responsibly use only environmentally friendly goods and ensure that my choices and behaviour do not contribute to a depletion of natural resources. Lecture 3: Three main points are: As the earth’s resources are decreasing the world population is increasing; in the meantime, the world is experiencing climate change and carbon emissions from fossil fuels is the

Cultural Transformation in Mississippi Article Example | Topics and Well Written Essays - 1500 words

Cultural Transformation in Mississippi - Article Example By the turn of the 19th century, the Mississippi was an Indian location. Indians were the most numerous residents. Indian villages also controlled passage down the river. Indian villages were governed by chiefs. Villages such as of those of Choctaw were autonomous and had a common language (Bradley 18). The Chickasaw had a great Chief who was consulted if community issues arose, or there were disciplinary problems that had to be met. The Indians had a unique way of designing their buildings, in addition to the mode of dressing (Bradley 18). Few of them still based their residences on molds, which had been a way of life since medieval times. Of the few white residents residing then, most were of French ancestry. Hence, cultural behavior and daily rules were derived from these two groups. Besides the particulars of French and Indian cultures, it is imperative to note that the Mississippi was a frontier. The culture of the region reflected a locality where people of diverse backgrounds collided. It also reflected a place where the systems of power and governance were uncertain. Colonial Mississippi was characterized by marked cultural differences from each kind of population. The cultural challenge during these times was to make the diverse population into a single nation. As migration mixed the population, and an improvement in communication and transportation technologies decreased the geographical barriers, the Mississippi culture began to homogenize during colonial times (Morris 22). New residents of Mississippi developed a cultural identity that was different from their ancestral lands. Attitudes towards social class, religion, manners, and slavery combined to make a distinct western culture and character (Ownby 38). The energy that drove cultural evolution in the region can be broadly categorized into two sources: local and global (Morris 6). One of the forces radiated from within the locale, where people confronted and continually changed their local enviro nment. The other force was as a resultant of the wide and always changing world. The culture of Mississippi was also a direct result of broader diplomatic and commercial factors (Wyne 4). In spite of everything, culture and commerce worked together to shape how residents negotiated with each other. Meanwhile, particular frontier circumstances were preserved due to the lack of clear resolutions in the struggle between the US, Europeans, and Indians for the control of Mississippi. In the 1820s, soil exhaustion and economic problems in the East forced tens of thousands of white Americans to seek fortune in the West (Wyne 3). The Mississippi region was deemed to offer a promised land of fertile, cheap land, where the river itself assured of speedy connections to the markets. By 1850, the Mississippi river was a thoroughfare through the increasing different cultures of South and North. The culture of lower Mississippi was rested on slavery (Ownby 54).  

Research writing Essay Example | Topics and Well Written Essays - 1000 words

Research writing - Essay Example According to Carr the internet alters the way our mind generally works and it has adverse effects on the functioning of our mind by changing the way we think (Carr, Is Google Making Us Stupid?). Carr promotes the idea that we should not take internet or any sort of technology at its face value but should be skeptical about it because of the negative consequences it might have on our way of thinking (Carr, Is Google Making Us Stupid?). Not only Nicholas Carr but also Christine Rosen expresses her concern for the growing technology and she is dubious of its use. In her article, â€Å"Our cell phones, Ourselves† she argues that people should not rely heavily on the use of cell phones. Rosen starts her argument by pondering over certain statistics over the last years that involve the use of phone and how they have become an inseparable part of our lives. According to her the level of privacy that was enjoyed by the individuals has diminished due to the latest technological advance s. The increasing numbers of cell phone have initiated inconsiderate use of the technology and have forced the society into losing its courtesy. Carr emphasizes on the various problems created by the internet by focusing on how he has problem in reading. According to him Google is creating a society suffering from a problem of paying attention. He proposes that, â€Å"Immersing myself in a book or a lengthy article used to be easy† (Carr, Is Google making us stupid? 603). He loses attention and starts to speculate after reading two or three pages. The close relationship between the text and its reader is lost. Carr says that he has to continuously find his way back to the original piece of writing because of the distractions available on the internet. The world of internet has transformed into a â€Å"universal medium,† (Carr, Is Google making us stupid?) even when one is not working; he/she is likely to be browsing, looking at emails, reading news articles or watching movies or listening to music. I can easily relate to this problem identified by Carr as being a student we have to make projects and have to work on internet but it is so difficult to focus and I usually end up facebooking rather than completing the project that I am supposed to. â€Å"Once I was a scuba diver in the sea of words. Now I zip along the surface like a guy on a jet ski† (Carr) which is quite true as today we switch from one website to the other instantaneously? The users do not read online in the traditional sense instead they are power browsing that is skimming swiftly through content pages and headings. The more one uses the Net, more the effort is required to focus attention. â€Å"The brain has the ability to reprogram itself on the fly† (Carr, Is Google Making Us Stupid?) â€Å"Altering the way it functions† (Carr, Is Google Making Us Stupid?) This helps Google in its de-concentration effect. Carr mentions a comment from a mathematician who st ates how any information processing device can be replaced with a computer. This aids in the amplification of the de-concentration effect as the computer today is also a TV, diary, radio, calculator and any other device that one can think of. Rosen in her article divulged the facts about the use of cell phones that were ahead of its time and are more prevalent in today’s society. The excessive use of cell phones has led towards the abuse of the cellular technology (Rosen).

Failure vs Success Essay Example for Free

Failure vs Success Essay

International Olympic Committee

International Olympic Committee Introduction: Now a day, to present and promote the national identity and cultures on a global scale, hosting the international games is the one of the greatest way. On 6 July 2005 the International Olympic Committee has given the right to stage the 2012 summer Olympic and Paralympics Games to London. Now its necessary to find out whether its good the Economy of UK or what affects will be on the UK. The pros and cons of the London 2012: [P1] As London is going to host the 2012 Olympic Games, we have to find out some advantages and disadvantages of hosting the 2012 Olympic Games. Even though its estimated that there will be  £2 Billion in tourism revenue and its predicted that the benefits of the game will be felt across the whole of the UK with becoming the centre of the worlds attention, there are so many disadvantages of the hosting of such a big games. Advantages of hosting the 2012 Olympic games: 1. Urban regeneration: Due to Olympic 2012, Government making a new stadium with setting capacity of 80000 and this will be the main focus area for Olympic. This East-end side is bit less developed area in comparison to other part of the London. So due to Olympic 2012 this area will be developing area very soon. 2. Housing: Government is building 5000 homes for the Olympic village which will be using for housing of the local people after the Olympic. It will increase the housing cost of the area. 3. Transport Improvement: As large number of visitor will be visiting during the Olympic, Government is improving the transport line rapidly. Following Improvements are mainly focused: a. Building a channel Tunnel which will connect Stratford with Kings Cross b. Increasing the jubilee line capacity by 45% c. Extending the DLR network d. Major improvement work in East London line which is costing around  £1bn. 4. Jobs: East end is known as a area where unemployment rate is very high. As this area has become the Olympic Zone, now there are lots of short-term jobs opportunity is there which may help to reduce the unemployment rate. 5. Tourism: UK is expecting the number of tourist will increase rapidly due to the Olympic. 6. Financial Benefits: A city may receive lots of benefits from Olympic games. If we look at previous Olympic history we can see that Barcelona was able to do vast urban renewal from the gained revenue of Olympic. Sydney was also able to generate huge revenue from the tourist and it also increase the number of tourist for the city. 7. Employment Effects: As we describe earlier Olympic creates lots of job which helps to reduce the unemployment rate.. 8. Intangible Benefits: There are lots of benefit for being host city of big event like Olympic. It could be tourist perspective, employment creation, development of particular area, improvement of transportation system, being the focus placed for the rest of the world. [http://olympics.pthimon.co.uk/londonadv.htm] Disadvantages of hosting the 2012 Olympic game: ïÆ'Ëœ Cost: Cost of hosting a big event is the main drawback. Government may need to spend around  £2.373bn for Olympic 2012 and it is predicted which may increase. There could be huge operating loss which is nearly  £500million. ïÆ'Ëœ Lakes of long term job: Olympic is creating short-term job but it is not creating any long term jobs. So that after the Olympic, unemployment rate may increase rapidly. ïÆ'Ëœ Olympic Debt: With the Olympic Games being of the scale that it currently is, there is a risk of ending up in huge financial deficit if preparations are not organised or overseen properly. The result is a debt that lasts for years, as happened at the 1976 Montreal Olympics. ïÆ'Ëœ Rising Consumer Prices/Rent: As we know that if demand increases, price will increase. So that price of product and rent may increase during the Olympic which will have a serious negative impact to the local poor resident. For example, is an area in which landlords will be able to charge 10 times their normal price during the surge of visitors to Athens in 2004. If too many prices shoot upwards in this way, a lot of poorer locals may find goods or services which they used to be able to afford are now out of reach. However, this change may not be affect larger cities. Cities such as Montreal and Los Angeles did not undergo any significant price surges around the Games, and price changes were consistent with those in surrounding cities. [[http://olympics.pthimon.co.uk/londonadv.htm]] Impact on Environment and Other stakeholder: [P2] The London 2012 Olympic and Paralympics Games will bring a wide range of positive impacts to the region. These include transport infrastructure, employment, skills, and economic, social and environmental impacts. Many benefits include opportunities to showcase the region through various Olympic-related media. It has to be monitored noise, dust which is around the Olympic park. The waterways which runs around the park must need to be protected so that storing chemicals, oils do not run into the water ways. Arrange a huge event like an Olympic can easily effect on environment. It can be effect environment in different way like Carbon emission: In this mega event its very possible to environment effected by carbon emission. But Olympic committee has set an inspirational goal ‘Towards a One Planet Olympic. They try to keep carbon emission as low as possible. London 2012 has pledged to undertake a study of the carbon footprint of the Games. The first draft of the carbon footprint and associated carbon management strategy, including a reference scenario and numbers quantifying emissions, is due to be published by the end of July 2008. This will then be revised in light of lessons learnt in Beijing Energy: For running this Olympic it needs a huge amount of energy. There is a possibility lots of energy can be waste as well. So London 2012 planning a proper energy plan for reduces waste of energy. Waste: In this Olympic game there will be lots of tourist who will come from all over the world. In this time London population going to be increase as well as waste. Because lots of people will dumps huge amount of waste every day. It can easily affect on environment. As further plans for waste infrastructure and minimising food packaging and other Games time waste are developed over the next few years it will become clearer whether the positive goals for waste management will be achieved [http://www.london2012.com/plans/olympic-park/getting-ready/environmental-monitoring.php] Other stakeholder: London Development Agency which is a subsidiary of the Mayor of London, its investing around  £15 million for games and improvement of Lower Lea Valley. [http://www.londonnet.co.uk/ln/guide/about/olympics2012_stakeholders.html] Comparison with other Olympic: [P3] First of all lets have look at the Beijing Olympic 2008. Beijing Olympic can be treat as a one of the successful Olympic. Chinese President Hu Jintao declared open the 29th summer Olympic Games of Beijing in the National Stadium in north Beijing. For the Olympic they have built 12 new stadiums with 11 existing stadiums and 8 temporary stadiums. On the other hand for London 2012 Olympic one of the biggest Olympic park construction going on where the setting capacity will be around 80000. To prepare for Olympic visitors, Beijings transportation infrastructure was expanded significantly. Beijing airport had a major expansion, adding the new Terminal 3 which is the worlds largest airport terminal. They reopened the Beijing south railway station after remodelling. They have introduced Beijing-Tianjin intercity train to connect with co-host city. On the other hand for London 2012 Olympic the government has already introduced major construction for London underground, and approximately 7.7 million tickets are available for sale for the London 2012 Olympic Games. An estimated 1.5 million spectators are expected to watch the Paralympics Games.. If you compare the investment, London 2012 Olympic are investing for then Beijing Olympic. London 2012 has got more sponsor then Beijing Olympic. House of common has approved budget of 5.3 billion pound for construction of venues [http://getsmaart.com/student-guides/index.php/student-life-advice/London_2012_Update] Impact on local business: [P4] The London 2012 Olympic and Paralympics Games will bring a wide range of positive impacts to the region. These include transport infrastructure, employment, skills, and economic, social and environmental impacts. Many benefits include opportunities to showcase the region through various Olympic-related media. Many small business premises have to move away due to manufacturing the main park. Its really worse to business owner, because they have been doing business for long time and when move to new place it will take long time to settle down. On the other hand, During the Olympic number of tourist will increase. They will come to London to visit and they will spend money over here. So that its a great opportunity for the local business to increase the profitability. For business people, 2012 London Olympics will not be just a gathering of sports events and countries—not just for entertainment—but more than that, it is going to be a huge potential business. Many people from different countries, various races and colours, will converge in one place and this just means, great business opportunity. There is a great deal of investment that is being pumped into the country and the area in particular and many are looking at the business opportunities that will come about as a result of this huge sports gathering. The London 2012 Olympics will be a great venue for the local United Kingdom based athletes as they look to showcase their talents to the country at large. There are also some potential negative impacts to the region as a result of the Games. The South West may experience a decrease in tourism as a result of displacement or negative effects on staging the sailing events. Research shows there are a number of ‘Olympic aversion markets that can increase tourism flows outside host cities. A number of national and international tourists may choose to not visit the region during 2012 because of perceived congestion and overcrowding. Through a structured and co-ordinated approach, the South West can plan accordingly for the tourism opportunities of people staying away or at home during the Games themselves. One such market will be London residents wanting to escape the Games, and the South West is one of the UK regions that has recognised the potential of this market, with the South West England Legacy Strategy for the 2012 Games noting the potential to capitalise on the displacement of UK citizens from London; this can be mitigated by d eveloping events (big screen, festivals etc.) to attract visitors. [http://blogstuck.com/sports-sports-more-sports/2012-london-olympics-jobs-why-should-england-host-the-olympics/3239/] Impacts on economy: The total cost of the hosting Olympic 2012 will be around  £736 million and if could affect in welfare of London around  £4003 million. So that Olympic 2012 will affecting significantly to the local economy which can help to recover the recession. There will a great opportunity for the economy to be stronger. For example, The Olympic 2012 games will impact in London economy because many tourist will come here, the hotel business will increase at that time, Food, drink business will increase. Because many people, tourist comes here and they will buy food, drink for them On the other hand we should also know that hosting of Olympic could be courses for huge loss. For example we can tell about Munich Olympics 1972. They made loses of  £178 million and in 1976 Montreal made losses of  £692. If we look at 1984 los angels Olympic and 1992 Barcelona Olympics they made around  £215 million profit as because of the increased economic performance , creation of large market, and broadcasting rights. So that Olympic 2012 could affect significantly to local economy. Micro and Macro Environmental Factors related with Olympic: [P7] There are some uncontrollable factors which has got impact on the business organisation. As like that Olympic Games could be affected by some micro and macro environmental factors and it could influence on the number of tourist. Factors or elements in an organizations immediate area of operations that affect its performance and decision making freedom. These factors include competitors, customers, distribution channels, suppliers, and the general public. Example for Olympic 2012: ïÆ'Ëœ Competitor- There is no competitor in London 2012 Olympic ïÆ'Ëœ Customer- Peoples who buy the Olympic events ticket. ïÆ'Ëœ Suppliers- Construction firms, workers. For macro environment we can say the economic factors, environmental factor political factors, technical factors, social environment and for micro environmental factors it includes the supplier, stakeholders, government, and competitor. These are the factors has got significant impact on the Olympic Games also. For example currently the political, situation of UK is satiable. So that tourist can visit UK without any fear. So that each an every factor has got significant impact. Marco and Micro environmental factors also has got affect on SMEs growth. To find out the macro and micro environmental factors on the SMEs growth we can have a look on the PESTAL and Potters five forces Analysis. PESTEL analysis: [P6] It is a part of the external analysis when doing market research and gives a certain overview of the different macro environmental factors that the company has to take into consideration. Political factors include areas such as tax policy, employment laws, environmental regulations, trade restrictions and tariffs and political stability. Political Factor: A political factor is one of the major factors which have got significant impact on SMEs. In UK political situation is stable and Politian appreciates small and medium business. All the existing rules regulation of business and the spending power of the customers are very good for SMEs. Economic Factor: As marketers need to consider the state of the trading economy in the state of a trading economy in the short and long tern. The economic condition of UK is much better then any other country for SMEs. In UK economic growth is very good; customer has got more spending power. So that its very helpful for the SMEs. Sericulture Factors: the social and cultural influence on business very from county to country. As UK is a multinational country it a good place to do business. Peoples already adopted with so many culture and they do respect each other. Here people would like to spend so that its good for SMEs. Also when customers do perceived that their cultural values are being respected by the business as evident in its market(ing) strategy and customer handling, they will respond more positively to the business and its revenues will increase. Technological Factors: Industry change is driving insurers to reinvent themselves by building new strategies and deploying new technologies. But it isnt easy in the tight economic market to fund new projects while prioritizing investments. It is more crucial than ever to know when to be an early adopter, and when to be a fast follower. Kimberly Harris-Ferranti, research vice president, Gartner, Inc., recently discussed opportunities to achieve a first-mover advantage, and others where it is acceptable to follow the crowd. As UK is technologically advanced it easy to get access to the new technology which is helpful for SMEs and its easy to get competitive advantage. Environmental Factors: climate changing, global warming, waste management could affect the business significantly. Sometimes its not easy to adopt with new environmental factors. In UK people are concern about environment. Its difficult to do business without concern about environment. It may increase the cost for small and medium business organisation as they have spend extra money for the waste management or recycling. Legal Factors: Current law and order in UK is very friendly for the business. Small and medium business organisation can get help for the local authority and police any time. The legal environment is secure and government has introduced business friendly law and regulation Affect on SME Growth: [P9] There will be certain affect on the SME growth. It has been shown through Porters Five Forces. Porters Five forces The model of pure competition implies that risk-adjusted rates of return should be constant across firms and industries. However, numerous economic studies have affirmed that different industries can sustain different levels of profitability; part of this difference is explained by industry structure. Michael Porter provided a framework that models an industry as being influenced by five forces. The strategic business manager seeking to develop an edge over rival firms can use this model to better understand the industry context in which the firm operates. Rivalry: In the traditional economic model, competition among rival firms drives profits to zero. But competition is not perfect and firms are not unsophisticated passive price takers. Rather, firms strive for a competitive advantage over their rivals. The intensity of rivalry among firms varies across industries, and strategic analysts are interested in these differences. It could create following cost for SMEs 1. A larger number of firms 2. Slow market growth 3. High fixed costs 4. High storage costs or highly perishable products 5. Low switching costs As there are large numbers of SMEs in UK the completive rivalry is very high which is affecting it. As because of London 2012 Olympic games the number of competitor will increase. Threat of Substitutes: In Porters model, substitute products refer to products in other industries. To the economist, a threat of substitutes exists when a products demand is affected by the price change of a substitute product. A products price elasticity is affected by substitute products as more substitutes become available, the demand becomes more elastic since customers have more alternatives. A close substitute product constrains the ability of firms in an industry to raise prices In UK the threat of Substitutes are very high. For SMEs they have to take quick decision regarding substitutes. Its also affecting SMEs. Buyer Power: The power of buyers is the impact that customers have on a producing industry. In general, when buyer power is strong, the relationship to the producing industry is near to what an economist terms a monophony a market in which there are many suppliers and one buyer. Under such market conditions, the buyer sets the price. In reality few pure monopolies exist, but frequently there is some asymmetry between a producing industry and buyers. The following tables outline some factors that determine buyer power. In UK the buying power of customers are more and they have got more choice. In order to get more customers all the SMEs has to provide excellent customer service. As London hosting Olympic 2012 games its good for the SMEs that the number of Buyer will increase. Supplier Power: A producing industry requires raw materials labour, components, and other supplies. This requirement leads to buyer-supplier relationships between the industry and the firms that provide it the raw materials used to create products. Suppliers, if powerful, can exert an influence on the producing industry, such as selling raw materials at a high price to capture some of the industrys profits. The following tables outline some factors that determine supplier power. Like other big business supplier has got some power to influence the SMEs. Due to Olympic London 2012 number of SMEs will increase and if the supplier has got more power they may increase the price of the produced which may seriously affect the SMEs. Threat of Entry: It is not only incumbent rivals that pose a threat to firms in an industry; the possibility that new firms may enter the industry also affects competition. In theory, any firm should be able to enter and exit a market, and if free entry and exit exists, then profits always should be nominal. In reality, however, industries possess characteristics that protect the high profit levels of firms in the market and inhibit additional rivals from entering the market. These are barriers to entry Lets have a look its easy to enter into the market what will happen to SMEs and its difficult then what will happen: Due the London 2012 Olympic the threat of new entry will increase significantly which may affect lots of SMEs. We can easily realise the situation of UK. From the analysis we can say that UK the Competitor rivalry is very high, so that every day lots of small business organisations are closing down. Also buying power of customer is very high and supplier power also involved with this. Due to London 2012 Olympic the buying power, supplier power and rivalry will be very high. Existing SMEs have to take preparation for that now onwards. They have take plan in order to maximise the profit during the London Olympic 2012. Reference ïÆ'Ëœ http://www.londonnet.co.uk/ln/guide/about/olympics2012_stakeholders.html ïÆ'Ëœ http://www.london2012.com/plans/olympic-park/getting-ready/environmental-monitoring.php ïÆ'Ëœ http://getsmaart.com/student-guides/index.php/student-life-advice/London_2012_Update ïÆ'Ëœ http://www.wirednewyork.com/forum/showthread.php?t=6580page=53 ïÆ'Ëœ http://www.dailymail.co.uk/sport/othersports/article-413426/Coe-London-wont-grind-halt-Olympic-Games.html ïÆ'Ëœ http://www.activedorset.org/site/index.php?/news/2012/transport_plan_for_the_london_2012_olympic_games_and_paralympic_games ïÆ'Ëœ http://blogstuck.com/sports-sports-more-sports/2012-london-olympics-jobs-why-should-england-host-the-olympics/3239/ ïÆ'Ëœ http://www.best-family-info.com/sports/4667-benefits-of-london-olympics-2012-london-olympics-2012-logo ïÆ'Ëœ http://www.bymnews.com/news/newsDetails.php?id=630 ïÆ'Ëœ http://www.tfl.gov.uk/corporate/media/newscentre/archive/5410.aspx ïÆ'Ëœ http://www.le.state.ut.us/interim/2000/html/20001017OCCM.htm ïÆ'Ëœ http://www.pm.gov.pg/speeches/52-33rdindependeceanniversay

Pain and pain management in the dying patient

Pain and pain management in the dying patient For many years there has been a question as to whether or not providing pain medication to a dying patient is ethical or not. This subject practices on what is considered morally ethical as well as medically ethical. Allowing a person to sit in pain at the end of life, hits as both medically and morally unethical. Especially, when health care professionals can manage and control the pain. There are many medical ethics principles as well as the directives that apply from the Catholic religion side of it. Some of the principles that will be discussed are the principle of double effect, informed consent, veracity, beneficence, non-malfeasance, extraordinary versus ordinary means, and proportionate and disproportionate means. This paper is going to discuss the ethical implications regarding the barriers that are encountered when administering pain medications to patients that are in the last part of the dying phase. It is my position that patients that are dying should receive pain medication as desired and expressed by the patient. The pain medications should be administered and titrated accordingly to maintain the appropriate therapeutic level to allow the patient to maintain his or her dignity. There are several barriers that arise when providing pain relief in the dying patient. The barriers include failure of clinicians to identify pain relief as a priority in patient care, insufficient knowledge among clinicians about the assessment and management of pain, fear of regulatory scrutiny of prescribing practices for opioid analgesics, failure of the healthcare system to hold clinicians accountable for pain relief, the persistence of irrational beliefs and unsubstantiated fears about addiction, tolerance, dependence, and adverse effects of opioids, and the resistance of patients and/or their family members to the use of opioid analgesics in the management of pain (Rich, 2000). The most common barrier is under treatment due to fear of hastening death. Assessing pain and the administration of pain medication in the dying client is very important. This nursing assessment is vital through all aspects of life but is also very important in the end of life to try and maintain as much of a persons autonomy and dignity as possible. AS in life people who are dying must also be able to have and make choices surrounding the way in which they choose to spend that last portion of their life. Before getting down to the ethical concerns of pain and pain management, it is important to define what pain is and how it is assessed. Pain and suffering is often linked together and some even use it interchangeably. However, there is a difference between the two. Pain is considered a negative and unpleasant sensory felt by the person that is inhibitory to the comfort of the person, it is considered to be mainly physical in nature (Kelly, 2004). Suffering is considered to be roughly the same as pain but the effects are more geared towards a persons spirituality and mentality (Kelly, 2004). The way in which people experience pain and suffering is different from person to person. Pain is a subjective experience and is to be assessed on an individual basis. There are many ways in which pain can be assessed. There are many different scales that are used to assess pain and each scale has different characteristics that allow health team members to be able to assess every type of person for which they care for. Some of the most common scales used are the descriptive scales in which you circle the word that best describes you ranging from none to excruciating, the numerical scale which is the most common scale used allows a person to say or circle a number that reflects the amount of pain they are in ranging from 0 being no pain to 10 being the worst pain they have ever felt. There is a also a visual analog scale that allows a person to mark a place on a line or pick out a face on a faces scale ranging from no distress/pain to worst pain ever. The last scale mentioned is one of the least used and it is the functional interference scale which allows a person to circle a word that best describes the persons degree of impairment ranging from n one to incapacitated. In addition to these subjective scales there has been evidence that has helped with the ability of healthcare professionals to be able to approach pain from an objective point of view. This approach has been divided up into four different categories: sympathetic discharge signs, positional relief signs, sensory avoidance signs, and common pain distraction signs. Some of the sympathetic signs associated with pain are tachycardia, high blood pressure, dilated pupils and vasoconstriction (Leavitt and Tennant, 2008). There are several more approaches but this is just a few that are used in healthcare. Positional relief signs include; walking imbalanced, leaning while sitting or standing, lying on the floor, and differences in temperature between sides of the body (Leavitt and Tennant, 2008). Sensory avoidance signs include; speaking slowly, delays answering questions, avoids noise, shallow breathing, and wont brush teeth (Leavitt and Tennant, 2008). Some of the common pain distraction s igns include; grinding of teeth, clenching of feet and hands, bites lips, gouges or squeezing of skin (Leavitt and Tennant, 2008). The other aspect to consider is the type of pain medication being administered. When pertaining to the end of life the typical drug of choice are the ones that fall into the opioid family. These drugs are chosen for people that have pain that is moderate to severe in intensity and is unrelieved by non-opioid drugs. These drugs provide pain relief and can cause some adverse effects such as constipation, nausea and vomiting, respiratory depression, fatigue and sometimes light sedation is amongst the most common effects. The amount and type is determined on an individual basis and prolonged use can lead to dependence and the need for increased dosages due to an increased tolerance for the desired therapeutic effect. The way in which drugs are chosen is divided into 3 steps as developed by the World Health Organization. Step one is when the pain is assessed as mild to moderate and has had no previous treatment and so non-opioid drugs are used such as tylenol, ibuprofen, and toradol (Cla sen, Jonas and Whitecar, 2000). Step two is when the pain is measured at a moderate level and has been treated previously but has not responded to the treatments from step one, the medications used in step two are weak analgesics such as Tylenol with codeine, and tramadol (Clasen, Jonas and Whitecar, 2000). Step three is considered when the pain is described as severe pain or pain that does not respond to one and two. In this instance the patients should be treated with strong opioids such as morphine, dilaudid, and Demerol (Clasen, Jonas and Whitecar, 2000). Morphine is one of the most commonly used opioids because there is no therapeutic ceiling and extremely large doses can be used safely and effectively if the drug is titrated properly (Clasen, Jonas and Whitecar, 2000). Part of treating every person as an individual and respecting them as an individual is being sure to respect their autonomy. This principle applies here because to be able to treat a person that is in pain, they have to be assessed individually and be treated according to their individual needs. Every person feels pain differently and every person has a different threshold for pain. What is considered mildly painful to one person may be severe to excruciating to the next. As a health care member you have to be able to allow the patient to express what they are feeling and to allow them to be involved in the decisions regarding their pain management. The ability for them to be able to make decisions allows the people that are dying the ability to be able to have some form of control of how they live the last part of their lives. Allowing the dying person to make small decisions such as whether or not they receive pain medication allows the person to feel as though they still have a voice and a place within the world that they are about to leave. The fear usually involved with giving dying patients pain medication is hastening the death process. However, as the health care members the opinions that we may have about whether or not it does hasten death does not matter because the patient has the right to make his or her own decisions regarding their personal healthcare interventions. Due to the fact that pain is mostly a subjective matter healthcare members do not have the authority to decide whether or not a patient is in fact in pain or not. Withholding pain medication in the dying patient would be a violation against the patients human rights by allowing that person to die in pain. Allowing a person to die in pain does not allow the person to be able to concentrate on their spiritual needs, psychological needs, and family needs at the time of death. Violation of the ethical principle of autonomy is a violation of ones human rights. â€Å"There will be times when it easier to surrender to the determination, decisions, and goals of influential parties such as the primary physician† (Andrews, Constantino, and Zalon, 2008, Pg. 94). Furthermore the ANA Code of Ethics for Nurses requires that nurses practice â€Å"with compassion, and respect for the inherent dignity, worth, and uniqueness of every individual† (ANA, 2001). As nurses we are obligated to do everything within our power to relieve the persons pain when the person is requesting pain relief. It is also our responsibility to reassess the persons pain without prompt by the patient. Another responsibility that nurses own is providing accurate information to the patient regarding the medications ordered for pain, so as to allow the patient to make informed decisions about receiving the medications or not. The next principle is veracity, veracity is when a person tells another person the truth without any form of deception. In this case it would be the health care member speaking truthfully to the dying patient. Under this principle the nurse has the obligation to provide the patient with accurate information about his or her right to effective pain relief. The nurse also has the obligation to provide information about the pain medication being administered. The other thing to remember when this principle is applied is that nurses need to be aware that people that experience chronic pain exhibit behaviors that are vastly different than those who are experiencing acute pain. This becomes a very important principle because there have been instances in which the nurse will just bring in a medication and just tell the patient that the medication is for pain. Little does the patient know that the medication the nurse is administering is tylenol or ibuprofen. The patient trusts the nurse and assumes that their pain will be taken care of. Instead without directly having to lie to the patient, the patient is deceived. Granted the medication given is for pain but, the type of pain being referred to in the end of life is usually moderate to severe and the medications listed above are not made for intense pain. Violation of this principle is what leads patients to distrust the healthcare providers and the care that they are given. From this, patients start to feel they need second opinions and the continuity of care for the patient is then lacking. As we know to be able to properly control pain in our patients it has to be done with trust between the patient and healthcare members as well trust between the nurses and other members of the healthcare team. According to the ANA Code of Ethics for Nurses, the nurses primary responsibility is to the patient (ANA, 2001). So, if the patient is not given the proper information about the pain medications being used and it isnt being treated effectively the patient then loses part of their dignity and we as the healthcare members just robbed the patient of any value they might have felt like they had left. Before a person can make a decision about accepting or denying an intervention of any kind, that person has to be completely informed. This begins the discussion of the principle of informed consent. This principle is very important because it allows the person that is dying to be able to continue to make decisions about their lives all the way to death. When administering pain medication to a person that is dying it would be unethical to not inform that person of the affects that the pain medication may have on them. If medication was given to the patient and it either sedated them or it did hasten their death, their dignity and autonomy would have been taken away from them. That person would not have been able to decide whether or not they wanted to make preparations for the remainder of their life. The ability of a person that is approaching death to be able to maintain a sense of belonging and still feel as though they have authority over themselves allows for a sense of calm. The patient is able to make amends if wanted or needed. By informing them of the affects of the pain medications that person can feel comfortable about taking them and as that person is passing they wont be wondering â€Å"what if† when it is time for them to pass. Every person has the right to decide how they are going to die. The benefit of doing it pain free or as close to pain free as they can get is that it leaves the person in a state where they are more able to concentrate on important things. Such things include their spirituality, family, and even death preparations. â€Å"Do unto others as you would have them do unto you,† this is a very important saying that we are taught and is reinforced throughout our entire lives. This word of advice rolls into the next principle I would like to talk about and it is beneficence. Beneficence requires that the duty is to help the patient by managing the pain effectively. This principle goes as far as to say that not only will the nurse not harm the patient but is obligated to take positive actions that will benefit the patient whenever applicable. It would be a violation of this principle if the nurse was to give the patient pain medication and did not follow up with the patient to see if the pain has been reduced or if the dosage of the medication needed to be titrated. Any nurse can give their dying patient pain medication but it takes follow through and communication with the patient to ensure that the pain is being managed. The act of giving the pain medication is the part that is considered not doing harm to the patient. The follow through and reassessment of pain as well as dosage of medication is what is considered taking positive actions to benefit the patient. The ANA Code of Ethics for Nurses states that nurses are responsible for their practice and are therefore required to provide a standard of care that takes an appropriate action to manage the pain in their patients (ANA, 2001). This can be stretched even further by stating that they are expected to take action when incompetence, unethical, illegal, and impaired practices are suspected. This goes back to the age old fundamental nursing practice of advocating for your patient. Nurses are to be the advocates as well as the educators for their patients. If a nurse is caring for a dying person that person may assume that after so much pain medication that they will not be able to experience relief and as said before it is then the nurses duty to educate that patient about the ability to switch drugs or to increase dosages in cases of increased tolerance. Non-Malfeasance has a lot to do with beneficence; you wont normally see one without the other. Non-malfeasance is just the simple task of doing no harm to your patient. In the dying patient the nurse has a duty to protect the patient from pain. Suffering plays a big role in this principle. As recalled from earlier in this paper suffering is more of the emotional and mental effects that pain has on the patient. The patient is most likely to suffer if they are not properly medicated for their constant pain. The suffering is what inhibits the patient from being able to enjoy and participate in the final moments of their lives. Allowing the patient to go under medicated and allow their mental capacity to reduce to a suffering state is a violation of the principle of non-malfeasance. This impacts their dignity by not allowing them to eat, dress themselves, helping with a transfer, or walking around if they are permitted to do so. This could result in the patients last and even most precious moments of their lives to be reduced to a non-significant and traumatic experience. By withholding or under treating someone for pain it is indirectly causing harm to the patient. Another way to look at it would be that under prescribing the pain medication is the same thing as inflicting pain on the person. Looking at it from this point has made it so that I look at my own practices and every time that I think about the times that I didnt ask patients if they were in pain I was consequently inflicting pain and suffering thereby doing harm which is a direct violation of the principle of non-malfeasance. The competence of the nurse plays a large role within this principle. To properly be able to prevent doing harm to the patient the nurse must be aware and competent regarding pain and the medications or techniques that are used to manage the pain. â€Å"Further, competence in pain management entails demonstrating a basic knowledge of the nature and action of the drug, proper dosages, the length of coverage, the time it takes for the drug to take effect, the variety of routes of administration, the recognition of drug tolerance, and dealing with problems with break-through pain† (Silverman, Croker, 2001, Pg. 185). When talking about the care of dying patients, it cannot be forgotten that even though the client that is dying needs care, usually that patient is not the only person that the nurse is caring for. Time is one of the worst barriers for most nurses and although everyone that is in the hospital and needs care deserves the undivided attention of the nurse, this is just not reality. According to the principle of justice every patient has the right to be given their â€Å"dues.† This doesnt mean just fairness; it is giving something to a person to which they are entitled. Every dying person is entitled to being as pain free as possible by the healthcare members, especially when it comes to providing pain medication. This can become an issue for nurses caring for these patients because there are not enough nurses to be able to adequately staff to be able to provide the closer one on one care that may be needed. This becomes a dilemma because the nurses then have to then make decisions that result in less care being provided to one or all of the other patients. Under treating for pain in the dying patient is a violation of the principle of justice because everyone is entitled to a pain free death. The technology and advancements are available to make this happen and again this allows the patient to be able to address other needs at the time of death other than concentrating on how much pain they might be in. A good way to help in this type of situation would be a PCA pump, which allows the patient to manage their pain, but also allows the nurse to concentrate more on the other needs of the patient. Allowing the patient the extra time and energy to spend with their families or to spend relaxing is a right that all people have and should be upheld to the very last breathe that the person takes. Although administering pain medication to dying patients that are in pain produces a good effect by relieving the patients pain, it can also produce a negative affect that was unintended such as hastening death. The principle that this relates to is the principle of double effect. The true definition of this principle is that the â€Å"action that is good in itself that has two effects, an intended and otherwise not reasonably attainable good effect, and an unintended yet unforeseen evil effect† (NCBC, 2006). This principle has to be considered when there is a question or a discrepancy between doing good (beneficence) and doing no harm (non-malfeasance). The problem with this principle is that most healthcare professionals believe in it and therefore giving higher dosages of pain medication does in fact hasten death. Studies have been performed and revealed that although 89% of physicians and nurses agreed that sometimes it is appropriate to give pain medication to relieve suffering, even if it may hasten a patients death (Fohr, 2005). Out of the 89%, 41% agreed that clinicians give inadequate pain medication most often out of fear of hastening a patients death (Fohr, 2005). â€Å"Fohr has found that there is little research to support the notion that increasing the dose of opioid analgesics for terminally ill patients hastens their death† (Fohr, 2005). The belief in this principle has in fact allowed and caused unnecessary suffering in the dying patients. There are also state by state statutes that have been developed to protect health care members in instances such as this. The Indiana statute states as follows: â€Å"This statute provides that a licensed health care provider who administers, prescribes, or dispenses medications or procedures to relieve a persons pain or discomfort, even if the medication or procedure may hasten or increase the risk of death, unless such medications or procedures are intended to cause death is not liable for assisting suicide† (Sexton, 2000). There are four criteria that pertain to the double effect principle and the action has to meet these criterions to make the action morally ethical. The first criteria is that the action has to be good and that the action can be acceptable by Gods standards and must be considered good to the other person as well as yourself (NCBC, 2006). The second criterion that has to be accomplished is that the act that is to be good cannot come from or be the effect of a bad act (NCBC, 2006). So, the act of providing pain relief cannot be as a result of hastening the patients death. Hastening the patients death is in fact the unforeseen effect of the good action provide pain relief. The third criterion states that there is an equal or greater proportion that exists between the good effect of the action and the bad effect of the action (NCBC, 2006). The last criterion suggests that the person the action was used upon has to be moved more towards the good effect of the act of giving the pain medicat ion in the dying person. The untoward effect has to be just tolerated and prevented as much as possible by the healthcare members. To administer the medication to a dying patient in severe pain would be acting morally ethical according to the principle of double effect. The action which would be administering the drug is considered to be a good action because it is relieving a persons pain and suffering. The intention of using the pain medication and administering it was to just relieve the pain of that person; the intention was not to harm or hasten death. Giving the medication to the patient achieves pain relief so that relief was brought about by mean of the good act not the bad effect of early death. Lastly the pain felt by most people that are dying is so severe that treating it is completely justifiable although a side effect could in fact produce an early death. If any of these criteria is violated then it can be considered as euthanasia or physician assisted suicide. Another question to be asked in this scenario is whether or not the action of giving pain medication is proportionate to the condition. In this case the condition is the severe amount of pain that the patient is feeling. There are two principles that are brought up here and they are the principle of proportionate and disproportionate means and the principle of ordinary and extraordinary means. These two principles are usually together and one is not usually applied without the other. These two principles are very important when making end of life decisions because they are about what is considered ethically acceptable when making end of life decisions and which ones are not according to Catholic ethics. These two principles generally refer to life sustaining actions by the health care staff but it can be expanded into what is considered proportionate or disproportionate interventions when caring for a patient that is dying and is in severe pain. In a situation in which a person is dying and is in severe pain, providing them with pain medication would not be considered disproportionate or extraordinary. Giving a person pain medication is not considered making a decision of whether or not that person should undergo or forgo a type of treatment. It is not making the decision of whether or not to sustain life. Providing the person in pain who is also dying is providing that person with a better quality of life for their end of life. The fact is, is that there has not been enough evidence to prove that administration of pain medication does promote an earlier death. It cannot be concluded that the giving of the persons medication and maintaining a persons pain by increasing the medication if needed does hasten death. There is no good or easy answer when tragedies occur. But to try and understand, we must step back and look at the big picture. God made everything perfect. When man sinned, that perfection was spoiled and our entire environment was tainted. The fact is we live in a world where evil abounds. It is rampant throughout every aspect of creation. We are subject to the actions of the people around us. God can and does intervene in some events, but why not others? Only he knows that answer, but the Bible teaches that there will be a time when he will end this world as we know it. In heaven, there will be no more death, sadness, pain, sickness, or suffering of any kind. One reason many of us suffer is because we do things that cause us pain. We dont eat right, so we have heart attacks. We drive carelessly or fast, so we have accidents. We smoke, so we get lung cancer. What about innocent children who are not responsible for their suffering? Why do they get sick? Maybe its because we do not live in a perfect world. God intended for us to have perfect bodies, perfect health, and freedom from pain and suffering. The world He created was originally perfect, just as he had planned it. But evil destroyed our perfect world. When sin entered the picture, it brought with it death, pain, and suffering. Dont misunderstand me, people do not suffer because of their own personal sins, necessarily; but because the world is changed because of sin being in the world. Jesus said, In this world, you will have tribulation. Just as in the case with Job, I believe that evil forces attack us and cause much suffering in an attempt to get people to blame God and turn away f rom Him. In order for God to preserve our rights as individuals (to choose for ourselves), he had to allow us the freedom to sin. He also had to allow the consequences of our behaviors. That means that he does not normally interfere with things which happen naturally in this world, such as sickness and disease caused by toxins in the environment, accidents as a result of risky behaviors, and natural disasters. God does not cause these natural consequences, but he does allow them. However, many times, he does intervene miraculously or work even in the worst of situations to bring about something good from them. Why would God allow anyone to suffer? Maybe so that people can increase their faith in him, increases their compassion for others, or be better able to encourage and help other hurting people (2 Corinthians 1:3-5). When reading through the Ethical and Religious Directives for Catholic Health Care Services, there is one important directive that particularly applies to this situation. Directive number 61 states that all patients should be kept as free from pain as possible. This again goes to say that people that are dying need to be able to die with their dignity intact. It also states that a dying person should not be denied pain medication even if the indirect action of shortening their life occurs. There is one stipulation that applies to this directive. If the medications being used cause sedation of any kind, the health care member has an obligation of informing the patient of the effect. â€Å"The dying person has the right to be able to prepare for their death while being completely conscious† (USCCB, 2005). If for any reason that person is not able to be conscious there has to be a legitimate medical reason behind the decision. Under treating has become a large ethical dilemma in the healthcare world. More often than not there are people that are living and dying in pain. The problem with this is that with the readily available drugs that are out there to treat this problem, they are not being utilized (Miller, 2009). One of the biggest problems that arises is the lack of education amongst the health care professionals. The insufficient knowledge base surrounding the different pain medications and the research surrounding the effects on death has not been incorporated into the plan of care. As stated above the principle of double effect creates a problem for the health care professionals. The belief in this principle prevents them from properly treating the patient who is dying and has a severe amount of pain. The dignity of the patient has to remain as the top priority when approaching death. Part of maintaining a persons dignity is allowing the patient to make the informed decision of receiving pain medication. Every person has the right to a peaceful and painless death. It is essential that patients are given the proper types of medication needed for the type of pain they might be experiencing. The type of pain most commonly referred to at the end of life is moderate to severe pain. This requires due diligence on all health care professionals side of it. If the medication that is prescribed is no longer providing effective pain relief then the drug needs to be titrated accordingly. If the medication being used is at its highest dosage amount, then the drug needs to be changed. If this is the case then the patient needs to be informed of the change and educated on the new drug. This again allows the patient to be able to make decisions in their care, and allows them the sense of belonging that is still needed at the time of death. When the pain is not being managed in a person that is dying it is taking away their ability to be able to have the calm, spiritual, and family and friend oriented passing that is usually needed amongst the dying. By administering pain medication the patient is then able to concentrate on more important aspects of their life. Health care professionals have the ability to be able to control pain and suffering. To allow someone to die in pain or suffer would be not only medically immoral but it woul

Definition essay on computers :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Many people in general have enough problems to deal with. Why should organization add to them? Computers are known to be the key factor of saving people from falling off the edge of their chair every time they were to have to think really hard. If an individual were to purchase a computer he/she should take the following into consideration: â€Å"Will this make my job easier? Do I need extra multimedia capabilities? Will I be using the Internet?† Many people go out and buy a computer without acknowledging what should be included in the purchase.   Ã‚  Ã‚  Ã‚  Ã‚  Many businesses and organizations use computers for projects such as graphs, calendars, calculators, word processors, and even filing tax returns online. When calling the doctors office to make an appointment the receptionist will ask for the name. Why is this? By telling a name, the computer automatically searches and pulls up the medical history, address, age, etc. Without this technology, people would have to file space consuming papers manually, and, in addition, try to read doctors’ handwritings. Computers in today's businesses allow us to make clerical work easier.  Ã‚  Ã‚  Ã‚  Ã‚   Getting down to really utilizing the PC consists of using Microsoft Office, including Power Point Presentations, Word, Excel, Outlook, Works, Frontpage, etc.. Networking the computers gives selective access to certain individuals such as: the President of Microsoft, store manager, or a janitor. If a company grants its employees access to a computer they may expand with certain accessories that can be installed, or plugged into your computer. If one were to go camping and take pictures, but wanted to post the Kodak pictures on the family web site, it wouldn’t be a problem using the computer. There now are picture scanners that make fully digitalized photos on the computer screen from normal camera film. Making a webpage is not a hard task. The computer includes a modem that is plugged into the PCI slot. It is used to connect the computer through the phone line to millions of other users that are signed on to the internet at the same time. Both of these computer accessories help make life a little easier.   Ã‚  Ã‚  Ã‚  Ã‚  The internet holds a vast amount of different topics to look up in its huge library of knowledge. One could find anything from how to make a bomb to geneology. There are many different types of search engines to look up these topics. Basically, one word is typed, and many related topics are pulled up on the screen to choose from. It saves a trip to library and looking up call numbers, and

HYPNOSIS :: essays research papers

METHODOLOGY †¢ CASE STUDY RESEARCHES  INTERVIEWS  QUESTIONNAIRES What is Hypnosis? Hypnosis is a specific and unusual form of verbal control that apparently enables one person to control another person’s behavior, thoughts and perceptions. Examples of hypnosis: Under hypnosis, a person can be induced to bark like a dog, act like a baby, or tolerate pierced with needles. Importance of Hypnosis Hypnosis is important to psychology because it provides insights about the nature of consciousness and has applications in the fields of medicine and psychotherapy. Uses of Hypnosis Hypnosis can play a useful role in medicine, dentistry and psychotherapy. Thus, it can be used to suppress the pain of the childbirth or of having one’s teeth drilled. It is also useful in reducing the nausea caused by the drugs used in chemotherapy for cancer. Hypnosis can also be used to help people break a bad habit such as smoking. Finally, hypnosis is often used in psychotherapy to help patients discuss painful memories whose inaccessibility is impeding progress. Reasons for Hypnosis, not being used in every day life: Not all can be hypnotized The induction of hypnosis takes some time Habits reside largely in the subconscious. Willpower alone can't reach the subconscious. Hypnosis can HOW HYPNOSIS WORKS TO HELP PEOPLE QUIT SMOKING? Hypnosis can be an astonishingly powerful tool for shifting a person into becoming a nonsmoker. For some people, the results are miraculous. They emerge from their hypnosis session permanently convinced in body, mind and emotions that they will never light up a cigarette again. There is, however, a catch: the person must be fully willing to become a nonsmoker. Sometimes a prospective hypnosis client believes that the hypnotist can get him/her to quit smoking. That is not the truth. No one can help you quit something but yourself. But...if you've already made the decision to quit, what hypnosis can do is reinforce that choice, and make it much easier and more comfortable for you. DOES BEING HYPNOTIZED FEEL WEIRD? No. Most people experience hypnosis as a pleasant and normal sensation of deep relaxation. In fact, all of us go in and out of light hypnotic states every day. An example of this is daydreaming. WILL I FORGET EVERYTHING THAT HAPPENS DURING MY SESSION? Although it's possible to relax so deeply that one doesn't remember her or his hypnosis session, most people remain fully aware of all that occurs. If this is a concern for you, ask your hypnotist to suggest to you that you will remember everything that has happened--and you will.

Computer Literacy Essay

Thou shall not vandalize Web pages. Thou shall not shut down Web sites. Thou shall not covet thy neighbor’s MP3s. FBI agents are spreading a new gospel to parents and teachers, hoping they’ll better educate youths that vandalism in cyberspace can be economically costly and just as criminal as mailbox bashing and graffiti spraying. The Justice Department and the Information Technology Association of America, a trade group, has launched the Cybercitizen Partnership to encourage educators and parents to talk to children in ways that equate computer crimes with old-fashioned wrongdoing. The nascent effort includes a series of seminars around the country for teachers, classroom materials and guides and a Web site to help parents talk to children. â€Å"In a democracy in general, we can’t have the police everywhere,† said Michael Vatis, director of the FBI’s National Infrastructure Protection Center, which guards against computer attacks by terrorists, foreign agents and teen hackers. â€Å"One of the most important ways of reducing crime is trying to teach ethics and morality to our kids. That same principle needs to apply to the cyber world,† he said. Recognizing Virtual Crime Vatis and other FBI agents attended a kickoff seminar, titled the National Conference on Cyber Ethics, last weekend at Marymount University in Arlington, Va. Part of the challenge: Many teens still consider computer mischief harmless. A recent survey found that 48 percent of students in elementary and middle school don’t consider hacking illegal. Gail Chmura, a computer science teacher at Oakton High School in Vienna, Va., makes ethics a constant in her curriculum, teaching kids about topics such as computer law, software piracy and online cheating. She has argued with students who don’t see that stealing from a computer with bad security is as wrong as  stealing from an unlocked house. â€Å"It’s always interesting that they don’t see a connection between the two,† Chmura said. â€Å"They just don’t get it.† The FBI’s Vatis tells students, â€Å"Do you think it would be OK to go spray-paint your neighbor’s house or the grocery store down the street? On a Web site, it’s the same sort of thing. It’s somebody’s storefront or an extension of themselves.† Chmura tries similar messages. For instance, she asks a budding composer how he would feel if his music was stolen and given away online. â€Å"They do sometimes realize that when they’re copying someone’s product, it’s not just that 5 cent disk, but someone’s work that they’re copying,† she said. â€Å"I think they do come to appreciate the fact that it’s somebody’s salary they’re stealing.† Driving Home Consequences Vatis cites a long list of cyber crimes perpetrated by minors, including attacks on defense department computers in 1998 and the February jamming of major Web sites such as Amazon.com and eBay. He tries to drive home the consequences of hacking — including the resources it drains from his center, as law enforcement scrambles to find who is responsible at the outset of an attack. Authorities â€Å"don’t know if it’s a terrorist or a foreign military,† Vatis said. â€Å"It diverts very scarce resources of people who are trying to focus on crime, warfare and terrorism.† And children aren’t the only ones in need of training. College students and parents also are frequently undecided about what crosses an ethical boundary in cyberspace, where anyone can download pirated musical recordings. â€Å"We had some discussion about the legalities of whether you’re sharing something with your friend or burning CDs to sell at your school,† said Deborah Price of Lewisville, N.C., parent of a 14-year-old daughter. â€Å"I’m not real certain about Napster ethics myself.† Price — whose daughter uses Napster, the music-sharing service considered a threat to the recording industry — feels that computer ethics are an important issue. â€Å"I think it should be part of the discussion at the school,† Price said. â€Å"It’s only going to get bigger.† References: ABC News W A S H I N G T O N, Oct. 10 FBI Pushes for Cyber Ethics Education By D. Ian Hopper http://abcnews.go.com/Technology/story?id=119369

Generally, there are 3 basic principles/processes of project quality management: Essay

Planning for quality involves identifying which quality standards are relevant to the project and how to fulfill those standards. Integrating quality standards into project design is a core portion of quality planning. For an IT project, quality standards include enabling system growth, planning a considerable response time, or making sure that the system produces accurate and consistent information. The core outputs of quality planning are a quality management plan, quality metrics, quality checklists, a process improvement plan, and project document updates. Performing quality assurance Performing quality assurance includes periodical evaluation of the whole project performance to make sure that the project will meet the desired quality standards. The process involves assuming roles of quality in the entire project life cycle. Senior management must take the lead in emphasizing the roles all employees play in quality assurance. The core outputs of this process are organizational process asset, project management, project document, and change requests updates (Kathy, 2008). 1. 1. 1 Performing quality control Performing quality control involves monitoring specific project results to make sure that they adhere to the desired quality requirements while identifying methods to enhance ultimate quality. This process is mostly linked to the technical techniques and tools of quality management, such as quality control charts, statistical sampling, and Pareto charts. The main outputs of quality control include quality control measurements, validated deliverables, change requests, validated changes, organizational process asset updates, project management plan, and project document updates (Kathy, 2008). This research seeks to: Incorporate the best practices in project quality management with quality leadership/ team work within a quality focused company, Evaluate the significance of project quality management for IT products and services, Understand the techniques and tools for quality control, and  Describe how leadership model relate to enhancing quality in information technology projects. 2. 0 Review of Literature In his book on quality control, Juran (2002) stressed the significance of top management commitment to continuous product quality improvement. In 2000, Juran published the fifth edition of his famous book. In both texts, Juran developed and built upon a trilogy involving quality improvement, quality control, and quality planning. Juran emphasized the difference between the manufacturer’s view of quality and the client’s view. He observed that manufacturer’s focused on adherence to requirements, but client’s focused on fitness for use. In this book, Juran developed 10 stages to quality improvement. These include; building awareness of the need and chance for improvement, set goals for improvements, organize to reach the goals, provide training, carry out projects to solve problems, report progress, give recognition, communicate results, keep ratings, and maintain momentum by establishing yearly improvement part of the regular systems and processes of the economy. Crosby (1979) wrote Quality Is Free and is best known for suggesting that firms struggle for zero defects. He stressed that the costs of low quality must include all costs of not doing the work right the first time, such as rework, scrap, wasted man hours and machine hours, customer ill will and wasted sales, and warranty costs. Crosby proposed that the cost of low quality is so misappropriated that firms can profitably spend unlimited amounts of money on enhancing quality. Like Juran, Crosby developed 14 stages for quality improvement; these include making it clear that management is committed to quality, organizing quality control teams with representatives from each section, establishing where current and potential quality problems lie, evaluating the cost of quality and explaining its use as a management tool, raising the quality awareness and personal concern of all employees, take actions to correct problems identified through previous steps, establishing a committee for the zero defects program, training supervisors to actively carry out their part of the quality improvement program, holding a-zero defects day-to allow all employees realize that there has been a change, encouraging individuals to establish improvement goals for themselves and their teams, encouraging employees to communicate to management the barriers they face in achieving their improvement goals, reorganizing and appreciating those who participate, establishing quality councils to communicate on a regular basis, and reworking to emphasize that the quality improvement program never ends. Crosby (1979) initiated the Quality Management Process Maturity Grid. Such a grid can be applied to a firm’s attitude toward product usability. For instance, the initial level in the grid is ignorance, where employees might think they do not have any difficulties with usability. The last level is wisdom, where employees have changed their attitude so that usability defect prevention is a routine part of their activities. Ishikawa (1976) developed the concept of quality circles and pioneered the utilization of cause-and-effect graphics. Ishikawa made notable contributions to quality management, the most important being Ishikawa’s total quality perspective, organization quality control and emphasizes to human based quality, the quality diagram, and the creation and use of his 7 basic quality tools. The tools are: Pareto analysis, stratification, cause and effect diagrams, check sheets, scatter charts, histograms, and process control charts. Ishikawa believed these 7 tools must be known in depth, if not by all, in a firm and used to evaluate problems and create enhancements. Used effectively the tools form a powerful quality kit. Genichi (1998) believed it is good to develop product that is stout and or insensitive to manufacturing process variation, rather than trying to control all variations during manufacturing. To practice this idea, he embarked on the already developed knowledge on design and made it more practical and usable for quality experts. Genichi’s idea was mainly about the routine maximization of process and product prior to actual processing rather than quality control through inspection. Reliability and quality are ensured at the designing stage. Genichi went on to break off-line quality into 3 core levels. These levels include; system design, tolerance design, and parameter design. Foster (2004) identified leadership as being core to the quality improvement process, assuming minimal difference between management and leadership. The role is of a facilitator, and the foundation is-managing by walking, allowing the leader to be in touch with clients, people, and innovation, the three primary sections in the expedition of excellence. Foster believes that, as the leader walks, three main operations are occurring: listening, facilitating, and listening; suggesting caring, able to provide instant help, and transmission of values respectively. Foster, having analyzed key American firms concluded that any smart concept to organizing had to take into account 7 variables, a framework that was designed to include both the software and hardware of a firm.

Assessing ecosystem health Essay

The simple summary of the article is shown below.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Metaphors drawn from human health can be applied in environmental assessment at ecosystem levels; hence the concept of ecosystem medicine may also be appropriate in trying to understand the environment.   By using metaphors one can understand a difficult concept into more known terms since a comparison as to what is common in medicine and in ecosystem. Human use science but they employ art also in appreciating and studying things. As a necessary consequence of using arts or even science   errors in treatment could also happen as there could also be cased of false alarms in diagnosing the environment.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   But for a successful application of the medical concepts in ecosystem, there could be a need have a greater-defined taxonomy of ecosystems to afford a better correlations and analysis of the different variables involved in ecosystems. Taxonomy will allow more definitions of technical terms in ecosystems which could be used by scientists and scholars to make a thorough investigation and analysis.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The health status of ecosystems in turn could also serve a good barometer to assess the present status or health of the environment. This must be so since the better the ecosystem , the better the environment. Question: 2.    Write a review of Section 1 (p-15: Introduction) and also indicate important points which the author has talked about to be discuss in the paper; any critique; anything missing?   Any important information we get from this section?   Any interesting thing we get from this section, and do we really find it in the following section? The simple introduction is shown below.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The author is saying that whatever the ecosystem now suffers is partly caused by human activity.   He is using a metaphor to convey his message.   That the environment’s health must also be determined like that of a human individual.   Like a human being who is subject to stress, the author illustrates that the ecosystem also suffers from effects of various stresses.   He cited as examples of stresses the following: harvesting, introduction of exotic species, generation of waste residuals, physical restructuring, and even extreme natural events which affect the environment. Question 3.   Write a review of Section 2 (p-16: Ecosystem: a nebulous concept?)   What do we learn from this Section?   What has author tried to communicate and how successful he has been to communicate?   And also indicate the significance of this section related to this article, if you see any critique to this section then write it with a complete logic? Is ecosystem a nebulous concept?   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The author is saying that while others my think that term ‘ecosystems’ may be indefinite of meaning   because   of difficulty of delimiting boundaries on the basis of conventional observations.   Ecosystems are not isolated, but intimately connected, or nested within adjacent or larger systems as seen in the continuum from rivers to lakes; from estuaries to the sea; from the sea to the world’s ocean.   The author agrees that for management and assessment, ‘ecosystem’ constitutes a relevant macro-level unit for describing the environment (Rowe, 1961, 1989; Bird & Rapport, 1986).   Ã‚  Ã‚  Ã‚  Ã‚     The author is very clear in describing the ecosystems as a dynamic, complex, and open systems that are in constant change over ecological, evolutionary, and geological time (Rapport & Regier, 1992), and such they exhibit chameleon-like properties; that is, they might exist in a number of alternative forms, the particular composition being very much influenced by internal dynamics and by interactions with neighboring systems (Holling, 1985; Rapport & Regier, 1992). Question 4.   Write a review of Section 3 (p-16: Towards an Ecosystem Health Model) what do we learn from this Section?   What has author tried to communicate and how successful he has been to communicate?   And also indicate the significance of this section related to this article, if you see any critique to this section then write it with a complete logic? The quest for understanding leads to quest for having health ecosystem.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The author is saying that in the quest for a more comprehensive understanding of the process of ecosystem breakdown and recovery, he has come to think that humans are engaged in some form of ecosystem medicine (Rapport et al., 1979).   He said that introducing the medical metaphor suggests that, like physicians, ecosystem practitioners are in need of systematic procedures by which to recognize illness, devise protocols to ‘rule-in’ or ‘rule-out’ possible causes, and prescribe treatment. (Rapport, 1992) (Paraphrasing made)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   When it comes to treatment, medicine suggests several options: following internal medicine, ecosystems may be treated by regulating the ‘blood chemistry’ of the system; following surgery, ecosystems may be treated by wholesale physical and biological restructuring.   The latter may involve both removal of undesirable elements and introduction (grafting) of desirable ecosystem components. I should hasten to add that we are concerned here with the application of scientific methodologies developed in medicine in order to assess the state of ecosystem health.   In so doing I neither subscribes to the view that ecosystems can be considered as organisms (for clearly there are not not not not substantive differences in both the mechanisms and degree of integration as well as in the dynamics of these two systems) nor do I suggest.   (Rapport, 1992) (Paraphrasing made) Question 5.   Write a review of Section 4 (p-17: The subjective nature of health assessments) what do we learn from this Section?   What has author tried to communicate and how successful he has been to communicate?   And also indicate the significance of this section related to this article, if you see any critique to this section then write it with a complete logic? Subjectivity is employed in assessing the ecosystem.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The author is equating the subjective judgment used in health assessment as to what is being done in assessing the ecosystem.   He said that clearly, in many cases, the diagnosis and treatment of sickness also uses gut feel or hunches in addition to the scientific way..   Inevitably, there enters a degree of subjectivity in evaluating the health status of an individual or an ecosystem. (Rapport, 1992) (Paraphrasing made)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The author mentioned some ecosystem transformations that are made without recourse to societal values or limitations of scientific understanding and cited as example the demise of the forest downwind of a smelter.   Nevertheless, he admits that more frequently   social value-judgments and the limitations of science appear   to mix as a form of art.   The author gave as an example the conversion to plantations of radiata pine (Pinus radiata) of highly diversified indigenous forests in New Zealand, where there are opposing view between conservationists and foresters. (Rapport, 1992) (Paraphrasing made) Question 6.   Write a review of Section 5 (p-18: Early Warning Signs of Pathological Ecosystems) what do we learn from this Section? What has author tried to communicate and how successful he has been to communicate?   And also indicate the significance of this section related to this article, if you see any critique to this section then write it with a complete logic?   (This section should cover all sub sections of the main section, one by one) Early warning signs of pathological ecosystems have obstacles.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The author mentioned three obstacles in providing early warning of ecosystem pathology and they are: Firstly, basic processes such as nutrient cycling and primary productivity, is highly cyclical and irregular, varying from year to year, seasonally and diurnally.   Such variability and seemingly random behavior raises havoc with detection of the onset of much pathology that beset aquatic ecosystems. Secondly, early symptoms of ecosystem degradation may be missed or discovered only after pathology is well advanced. Thirdly, false alarms are easily sounded owing to a still far from adequate understanding of the long-term dynamic behavior of ecosystems. Ecosystems have common systems of degradation.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Under section 5.1 on â€Å"Health indicators at the ecosystem level,† the  author is discussing the identification of common symptoms of ecosystem degradation.   These common symptoms are termed the ‘ecosystem distress syndrome’ (Rapport et al., 1985) and characterize a large number of ecosystems under stresses of various types.   The author citing Rapport, 1991, said that with reference to aquatic ecosystems, the ecosystem distress syndrome comprises the following symptoms: (1) alteration in biotic community structure to favor smaller forms; (2) reduced species diversity; (3) increased dominance by ‘r’ selected species; (4) increased dominance by exotic species; (5) shortened food-chain length; (6) increased disease prevalence; and (7) reduced population stability. (Rapport, 1992) (Paraphrasing made) Like human diseases, ecosystems have risk factors, too.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Under section 5.2   on â€Å"Ecosystem risk factors,† the author   Ã‚  supports the idea of identification of individuals at risk for certain types of diseases, as those found in coronary disease, which will shift man’s attention from treating illness to prevention.   The author argues that using the same principle of identifying risk in ecosystem, prevention of the ecosystem’s degradation could be prevented. (Rapport, 1992) (Paraphrasing made)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   He believes that this approach works best where a single dominant stress acts to transform ecosystems, such as may occur in the process of eutrophication or acidification of aquatic ecosystems.   He said that much is known about the actions of these two stresses and the vulnerabilities of the recipient aquatic systems (e.g., Minns et al., 1990). He then argued that combining the findings from case studies of impacts of such specific stresses on ecosystems with the knowledge of current stress loadings and sensitivities of recipient ecosystems enables one to arrive at an ecosystem level risk assessment. (Rapport, 1992) (Paraphrasing made)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   He was able to cite the development of various factor analyses similar to the manner in which risks of coronary disease are now assessed in ecosystem health evaluations. He cited the work of Minns et al. (1990) who have examined the impact of acid precipitation on the loss of fish species in vulnerable eastern Canadian lakes. (Rapport, 1992) (Paraphrasing made)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   With these studies the author is really looking forward for the prevention of ecosystem’s degradation. Validation of treatment for ecosystem is a problem, too.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Under section 5.3 on â€Å"Validation of treatment† the author also talks of validation of treatment which is considered the bottom line for medical practitioners. This premised on the idea that once an illness has been diagnosed, the question turns squarely to the most effective treatment. Treatment validation provides a basis for selection among alternative procedures.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In applying the medical terminology to the ecosystem, the author said that success rates for a given treatment cannot be evaluated without factoring out the influences of the other stress factors. He cited an example the evaluation of the effectiveness of harvesting regulations on restoring seal populations in the Baltic Sea. He said that it is necessary to take into account impairments to seal reproductive success owing to the presence of PCBs and related toxic substances (Helle et al., 1976). Here, just as in human medicine, he said, â€Å"we have the need to develop methodologies to factor out co-morbidities.†Ã‚   He mentioned the need for a far better taxonomy of ecosystem ills than we presently have. He said that one currently may describe ecosystem pathologies in terms of air pollution damage to forests, eutrophication of aquatic systems, acidification of aquatic and terrestrial systems, etc. but he said that these are very rudimentary categories. He therefore suggested that for each of these classifications there are many finer subdivisions which need to be categorized before one can readily compare case histories. (Rapport, 1992) (Paraphrasing made) Question 7. Write a review of Section 6 (p-21: Reporting on the state of environment from an ecosystem health perspective) what do we learn from this Section? What has author tried to communicate and how successful he has been to communicate? And also indicate the significance of this section related to this article, if you see any critique to this section then write it with a complete logic? Environment could be seen from the health of the ecosystems.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The author is trying to make a picture of the environment on the basis of the status of the ecosystem. He cited Canada as having subdivided its land areas into 15 ecozones, defined on the basis of Physiographic, vegetation type, soils/surface materials, climate, and human use. He reported that the forests of most ecozones are impacted by a combination of natural and cultural stresses (particularly in the Montaine Cordillera, Boreal Shield, and Atlantic Maritime ecozones). Included in the stresses is fire, insects and diseases, over-harvesting, conversion of forests to agriculture, construction of transportation and utility corridors, air pollution, and climate-induced stresses such as red belt and wind throw.   He then cited the relationship of increase disease in ecosystems which are more stressed. (Rapport, 1992) (Paraphrasing made)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The author also mentioned that the other sections of the 1986 Canadian State of Environment Report relate to aquatic ecosystems, both the Laurentian Great Lakes and other Inland Waters, as well as the three marine systems (Atlantic, Pacific and Northern). He also cited that the major stresses affecting these ecosystems include: over-harvesting, construction of dams and diversions, contaminants (including toxic substances), and the purposeful or accidental introduction of exotic species (particularly in the Great Lakes and inland waters). Further, in all but the Northern marine ecosystems, land use change (particularly the drainage of wetlands for agricultural and recreational purposes) and sewage inflows added significant additional stress. (Rapport, 1992) (Paraphrasing made) Question 8. What do we understand from the Conclusions written on p-23, are they appropriate; any critique; any thing missed in conclusion; any thing over emphasized. The simple conclusion could be done as shown below.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   We understand from the conclusion that ecosystem behavior under stress is complex and processes leading to degradation and recovery are only partially understood, nonetheless, ecosystem medicine is coming of age at least as a conjectural art. There therefore many challenges along the way. There also a combination of objective and subjective criteria is called into play in rendering judgments as to the health of ecosystems.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Another thing that   I did understand in the conclusion is that in talking about assessing the ecosystem from a point of view need not involve or borrow concepts from the medical sciences to understand the system but that the author argues that use of the metaphor suggests more systematic approaches to the diagnosis and treatment of ecosystem ills, underscores the importance of validation of remedial action interventions, and draws attention to the inherent subjective nature of health assessments. Further, the metaphor provides a language in which the concern for ecosystem health becomes a natural extension of the concern for individual health The conclusions drawn are appropriate and does not in any way insist that understanding how to manage the ecosystem be necessarily made reference to the medical science field.   It could be made from different points of view and the advantage of using a field of study to bring out the issues via use of metaphor may contribute much to information campaign. Question 9.   Is this article helpful in planning and managing environment, if yes how?   If no, why? What is the relevance of the article in planning and management of the environment?   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     I believe this article is helpful in planning and managing environment.   Different persons belong to different professions and different professions have their own languages.   By using metaphor in medicine to discuss ecosystem and the environment, would be getting the member of the medical profession to understand the issues more clearly and to get their support for the cause of the environment Question 10.   Is the title appropriate, if yes WHY?   if no then suggest some other title, and also justify the title with a logical reasoning. How show the article be titled appropriately?   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The title evaluating ecosystem health seems not to include treatment on ecosystem treatment.   Since it talks also of treatment the title could be modified as â€Å"Evaluating and Maintaining the Ecosystem’s Health.†Ã‚   By simply saying evaluating it the discussion on treatment should not have been part. Reference: Bird, P. M. & D. J. Rapport, 1986. State of the Environment Report for Canada. Ministry of Supply and Services.263 pp. Helle, E., M. Olsson & S. Jensen, 1976. PCB levels correlated with pathological changes in seal uteri. Ambio 5: 261–263. Holling, C. S., 1985. Resilience of ecosystems local surprise and global change. In: T. F. Malone & J. G. Roederer (eds), In Global Change, pp. 292–317. Cambridge Univ.Press, Cambridge. Minns, C. K., J. E. Moore, D. W. Schindler & M. L. Jones, 1990. Assessing the potential extent of damage to inland lakes in eastern Canada due to acidic deposition. 1V. Predicted impacts on species richness in seven groups of aquatic biota. Can. J. Fish Aquat. Sci. 47: 821–830. Rapport, D. J., & A. M. Friend, 1979. Towards a comprehensive framework for environmental statistics: a stressresponse approach. Statist. Can., Ottawa. Rapport, D. J., & H. A. Regier, 1992. Disturbance and stress effects on ecological systems. In: B. C. Patten & S. E. Rapport, D. J., 1991. Myths in the foundations of economics and ecology. Biol. J. Liimean Soc. 44: 185–202. Rapport, D. J., H. A. Regier & T. C. Hutchinson, 1985. Ecosystem behaviour under stress. Amer. Natur. 125: 617–640. Rapport, D., (1992), Evaluating ecosystem health, Journal of Aquatic Ecosystem Health, M. Munawar (ed.), Assessing Aquatic Ecosystem Health: Rationale, Challenges, and Strategies. KluwerAcademic Publishers. Printed in the Netherlands Rowe, J. S., 1961. The level of integration concept and ecology. Ecology 42(2): 420–427. Rowe, J. S., 1989. Implications of the Brundtland Commission Report for Canadian forest management. Forestry