Does Affirmative Action Make Moral Sense - 1084 Words

Does affirmative action make moral sense? A moral being is one capable of conforming to the rules of right conduct, but a big question that follows concerns the idea if there even is such a thing as â€Å"right conduct.† â€Å"Whatever can be proved to be good, must be so by being shown to be a means to something admitted to be good† (Mill 6). In John Stuart Mill’s book, â€Å"Utilitarianism,† he states this notion where an individual assumes good things are good without knowing why they’re good. Defined from the National Conference of State Legislatures, Affirmative action policies are those in which an institution or organization actively engages in efforts to improve opportunities for historically excluded groups in American society. Mainly focused†¦show more content†¦Taking a look at certain racial or ethnic groups often with financial disadvantages are not exposed to the resources individuals from higher socioeconomic stand points. The same opportunities withheld in the higher education atmosphere also apply to the employment atmosphere. Affirmative action overall offers opportunity to the groups that have a lesser chance do to specific factors like finances, social class, language barriers, population percentage in the establishments, etc. â€Å"The creed which accepts as the foundation of morals, Utility, or the Greatest Happiness Principle, holds that actions are right in proportion as they tend to promote happiness, wrong as they tend to produce the revers e of happiness† (Mill 9). In Mills view, the key concept of which the foundation of morals accepts are actions that promote happiness, and when institutions and establishments offer opportunities of a lifetime, happiness is bound to be found. Which in the view of the question, Affirmative action does make moral sense. On the other hand, Affirmative action has a vice that creates negative tension. The National Conference of State Legislatures states that affirmative action was created to ensure fair admission practices and to rectify a long period of racial discrimination. The policy is outdated, however, and causes a form of

African Americans And The New State Constitution - 1836 Words

In Birmingham, Alabama between 1957 and 1962 seventeen black churches and homes had been bombed, racial tension continued to grow, and more and more African Americans were being killed. Although the population of Birmingham was 40% African American, there seemed little hope for a political solution to the racial divide; of 80,000 registered voters, only 10,000 were black due to a barrier that was placed on the new state constitution of Alabama. One of these barriers was an annual poll tax that had to pay for two years before the new election season. African Americans in Mississippi could barely afford the necessities in order to live such as food, clothes, and a roof over their head. African Americans were the poorest part of Mississippi’s population. The other barrier that was placed in the new state constitution was a literacy test. It required a person seeking to register to vote to read a section of the state constitution and explain it to the county clerk, a white man, w ho processed voter registrations. This new law was setup for African Americans to fail. Along with many other civil rights leaders and members of the Southern Christian Leadership Conference, Dr. Martin Luther King traveled to Birmingham, Alabama to lead and participate in several boycotts, marches, and picketing leading up to Dr. Martin Luther King’s arrest. While being incarcerated, Dr. King wrote an open letter more known as The â€Å"Letter from Birmingham Jail†. In this letter, King highlights manyShow MoreRelatedThe Constitution And The American Constitution1141 Words   |  5 Pagestheir mistakes and promptly followed up by making quite possibly the most successful constitution ever in 1776. To ensure that American citizens would enjoy their new freedom, our founders kept in mind what John Locke had said in his An Essay Concerning Human Understanding â€Å"life, liberty, and property,† by coining â€Å"life, liberty, and the pursuit of happiness† into the final draft of the constitution. The constitution is important because it â€Å"exists to protect the rights of all citizens, and has noRead MoreThe Reconstruction After The Civil War977 Words   |  4 Pagesoutcome of America’s future. As history takes its course, most of the most have the same ending of coming to an end to start something new. One such movement was the Reconstruction. Reconstruction was a time period between 1865 and 1877 following the Civil War, during which people of the United States worked to put the country back together again, introducing a new set of significant challenges. Though, like all things in life, it did come to an end, the resulting outcome had been labeled both a successRead MoreThe Principles Of Slavery And Discrimination1517 Words   |  7 Pagesof slavery and discrimination actually a part of our nations birth and protected by the Constitution? Well, we live in a time where the topic of racial discrimination and things such as white privilege are a mainstay on the covers of many well-read newspapers all over the United States. Many people are torn on these issues and everyone is talking about it, and rightly so. Everyone knows that the United States was founded on the ideas of justice, fairness, and freedom – or was it? Of course ourRead MoreThe Reasons For The American Revolution992 Words   |  4 PagesAlthough the outcomes of the American Revolution only affected rich, white landowners at the time, it unknowingly provided the stepping stones that will later create equality and liberty for all people in the United States. This historic revolution provided a representative democracy in which future generations may pass or amend laws based on the people’s needs; a radical thought at the time. Other countries since then, such as France and Haiti, have followed the footsteps provided by America inRead MoreThe Reconstruction Era Was A Success1490 Words   |  6 PagesThe Reconstruction Era was a Success Shortly after the Civil War ended in 1867, President Abraham Lincoln’s new objective was to unify the union and the confederate states into what was formerly known as the United States of America. This time period is known as the Reconstruction Era, starting with the surrender of Robert E. Lee at Appomattox Court House in 1865 and ending with the implementation of the Compromise of 1877. The Reconstruction Era was a time period full of political, economicRead MoreThe Civil War : America s Second Revolution1658 Words   |  7 Pagesmarked the beginning of the Civil War, often dubbed as America’s â€Å"Second Revolution.† This war ushered in a new political landscape in which the federal government reclaimed political power over the states allowing it to commence a revitalization of the Constitution. This revitalization, which fell under the Era of Reconstruction, granted a large- scale social development for African Americans initiating this social revolution . Such a dramatic advancement for the â€Å"inferior race† sparked oppositionRead MoreFreedom, Liberty, And Democracy1025 Words   |  5 PagesFinal Essay Since the founding of America, ideas of freedom, liberty, and democracy have been the priorities of Americans. Many people have sought religious freedom in the colonies which led to the founding of other colonies which turned into states. The new world was supposed to be a land of freedom, but many African Americans faced hard lives here. The revolutionary war helped bring an end to slavery and it caused the many whites to challenge black slavery because of revolutionary principles ofRead MoreSouthern Voting Barriers Essay1174 Words   |  5 PagesThe Fifteenth Amendment to the United States Constitution was passed saying that every man would have the right to vote regardless of their race. It was meant to give the right to vote to the African American citizens. Even after this was passed however, states in the South were still able to find ways to keep African Americans from voting. It was easy to still deny their right to vote because the amendment only says that laws cannot be m ade making race a requirement for voting. The most effectiveRead MoreThe Civil Rights Movement : Thurgood Marshall Law1501 Words   |  7 PagesMarshall blazed the trail for the Civil Rights Movement from two sides of the American Legal System, both as a lawyer, and as a Justice of the Supreme Court. Marshall’s initial rise to fame came as a result of his success as the head lawyer for the Brown family in Brown vs. The Board of Education. Later, Marshall was appointed to the Supreme Court, making him the first ever African American Supreme Court Justice in American history. Overall, Marshall’s impact as a lawyer, a judge, and an activist,Read MoreThe Between Federalists And Anti Federalists, Separation Of Powers And The Federal Government1508 Words   |  7 Pagesthat all Americans should recognize being in the United States Constitution; As supreme as it may portray out to be yet it comes with many imperfections that unsettles the states and greatly affected African Americans, leading future decisions to more disagreements throughout the course of history. The United States were beginning to form itself up since the Constitution was created, it granted the people the power to rule themselves without the federal government getting too involved in State affairs;

Jehovah’s Witnesses Free Essays

There are various Christian sects that deviated from the Roman Catholic religion. One of them is the organization of Jehovah’s Witnesses. The organization was formally established around 1870’s in Allegheny, Pennsylvania (Watchtower, 1984, p. We will write a custom essay sample on Jehovah’s Witnesses or any similar topic only for you Order Now 203). â€Å"At first they were known only as Bible Students, but in 1931 they adopted the Scriptural name Jehovah’s Witnesses†¦ Their beliefs are†¦ a restoration of first-century Christianity† (Watchtower, 1984, p. 203). Jehovah’s Witnesses base their beliefs in accordance to the New World Translation bible. Thus, they refrain from celebrating popular, pagan practices such birthday celebrations and holidays. They also remain neutral in government affairs and abstain from blood transfusion. Witnesses do not partake in pagan festivities and activities that humans have decided for themselves. This is because they firmly believe that it contradicts bible principles and teachings. They also desire to have an everlasting life and live under God’s kingdom. In order to do this they have to disassociate from anything that is not in relation to the bible. In addition, Witnesses’ concept of soul, hell and baptism are also derived from the bible. Witnesses immerse themselves in religious activities such as regular bible study, publication study, and attendance meetings to gain more knowledge about Jehovah. This enables them to effectively vindicate his name, which they do by actively participating in service-also known as door to door preaching. Witnesses have thoroughly researched the origin of birthdays. In their publication, Reasoning from the Scriptures, it states that [t]he various customs with which people today celebrate their birthdays have a long history. Their origins lie in the realm of magic and religion. The customs of offering congratulations, presenting gifts and celebrating- complete with lighted candles- in ancient times were meant to protect the birthday celebrant from the demons and to ensure his security for the coming year†¦ (Schwabische Zeitung [German magazine] cited in Watchtower, 1989, p. 69). Also, [t]he custom of lighted candles on the cakes started with the Greeks†¦ Birthday candles, in folk belief, are endowned with special magic for granting wishes†¦. Birthday greetings have the power for good or ill because one is closer to the spirit world on this day (The Lore of Birthdays cited in Watchtower, 1989, p. 69-70). In addition, holidays such as Christmas, New Year and Easter also come from pagan traditions. Christmas was set on December 25 because it correspond[s] to pagan festivals that took place around the time of the winter solstice, †¦ to celebrate the rebirth of the sun†¦ The Roman Saturnalia (a festival dedicated to Saturn, the god of agriculture, and to the renewed power of the sun), also took place at this time†¦ Encyclopedia Americana cited in Watchtower, 1989, p. 176). Also, â€Å" ‘[d]uring the Saturnalia†¦ feasting prevailed, and gifts were exchanged. ‘† (Encyclopedia Americana cited in Watchtower, 1989, p. 178). Moreover, the early Christians considered the celebration of anyone’s birth to be a pagan custom†¦. [This is because] [b]irthday celebrations were held in hono r of pagan deities. For example, on May 24 Romans celebrated the birthday of the goddess Diana. On the following day, they observed the birthday of their sun-god, Apollo. Hence, birthday celebrations were associated with paganism, not with Christianity (The World Book Encyclopedia cited in Watchtower, 2005, p. 157). This does not mean that Witnesses do not engage in gift-giving. Witnesses give gifts to other people but they just practice this throughout the year, when it is not expected, instead of just a couple of occasions in a year such as Christmas and birthdays. To put it in line with the scriptures, 2 Corinthians 9:7 states â€Å"Let each one do just as he has resolved in his heart, not grudgingly or under compulsion, for God loves a cheerful giver† (New World Bible, 1984, p. 447). Thus, occasions such as Christmas and birthdays forces a person to get something for another individual even though they may not want to. Generally, people are expected to do this because the occasion expects them to do so. Likewise, New Year was established by Julius Caesar on January 1 in 46 B. C. to dedicate a day to the Roman god Janus- deity of gates, door s, and beginnings (The World Book Encyclopedia cited in Watchtower, 1989, p. 180). Besides, the eggs associated with Easter â€Å"is the emblem of the germinating life of early spring†¦ The rabbit is a pagan symbol and has always been an emblem of fertility† (Watchtower, 1989, p. 179). Easter in fact â€Å"bears its Chaldean origin on its very forehead. Easter is nothing else than Astarte†¦ the queen of heaven†¦ [also] the dyed eggs of†¦ Easter Sunday, figured in the Chaldean rites just as they do now† (The Catholic Encyclopedia cited in Watchtower, 1989, p. 180). In short, Witnesses do not condone merry-making, gathering of family members and close friends and even gift-giving. The only thing that they have a problem with is in regards to the origin of birthdays and holidays. To stress the importance of the fact that origins do matter, [s]uppose you saw a piece of candy lying in the gutter. Would you pick up that candy and eat it? Of course not! That candy is unclean. Like that candy, holidays may seem sweet, but they have been picked up from unclean places (Watchtower, 2005, p. 159). Another matter that Witnesses do not engage in is political affairs and anything that is related to it such as saluting the flag, singing the national anthem and being enlisted in military service. Witnesses emphasize the scripture in John 18:36 to support this belief. John 18:36 states what Jesus said when he was on trial before the Roman ruler Pilate, â€Å" ‘My kingdom is no part of this world, [because if it is] my attendants would have fought that I should not be delivered up to the Jews. But†¦ my kingdom is not from this source† (New World Bible, 1984, p. 1356). This clearly shows that earthly kingdoms of any government entity do not deserve utmost devotion because they will not be able to provide eternal salvation (N. Sarmiento, 2008). In addition, Witnesses avoid blood transfusion at any cost. Abstaining from blood is stated in Acts 15:28, 29 The holy spirit and we ourselves [the governing body of the Christian congregation] have favored adding no further burden to you, except these necessary things, to keep from abstaining from things sacrificed to idols and from blood and from things strangled and from fornication. If you carefully keep yourselves from these things, you will prosper†¦ (New World Bible, 1984, p. 1383). Notice that blood is in the same category as idolatry and fornication. Therefore, [i]n God’s eyes, our doing that [abstaining from blood] is as important as our avoiding idolatry and sexual immorality†¦ w]e are wise, then, to put our trust in the rightness of God’s law†¦ [Witnesses] are sure that the Creator of blood knows what is best for them† (Watchtower, 2005, p. 130-131). Thus, the gravity of the matter is considered a very serious offense once it is committed. In addition, the only proper use of blood is to atone for one’s sins. Leviticus 17:11 states,  "For the soul of the flesh is in the blood, and I myself have put it upon the altar for you to make atonement for your souls, because it is the blood that makes atonement†¦ † (New World Bible, 1984, p. 159). Hence, Israelites used to sacrifice animal blood to atone for their sins. In earlier times, people have refrained from eating animal’s blood. Considering this is the case, how much more so should people avoid human blood? â€Å"Minicius Felix (third century C. E. ) [says that]: ‘So much do we shrink from human blood, that we do not use the blood even of eatable animals in our food. ‘† (Watchtower, 1989, p. 72). Thus, Witnesses reason that In a hospital, when a patient cannot eat through his mouth, he is fed intravenously. Now, would a person who never put blood into his mouth but who accepted blood by transfusion really be obeying the command to ‘keep abstaining from†¦ blood’? Acts 15:29) To use a comparison, consider a man who is told by the doctor that he must abstain from alcohol. Would he be obedient if he quit drinking alcohol but had it put directly into his vein? (Watchtower, 1989, p. 73). Witnesses stick to their convictions because they follow what the bible says. Thus, they deem that â€Å"beliefs and practices of true religion are not based on human views and tradition. They originate in God’s inspired Word, the Bible† (Watchtower, 2005, p. 146). Also, by observing God’s word they know that they will gain everlasting life and will be there to be apart of God’s Kingdom. This is an appealing concept to them because in God’s Kingdom â€Å"humans will no longer get sick and die†¦ under Kingdom rule they will be able to live forever. The earth will be made into paradise† (Watchtower, 2005, p. 84). Equally important is that Witnesses do not abide by popular notions about the soul. Based on research, Witnesses found out that the soul’s â€Å"immortality† started with the â€Å"Babylonians [who] believed that humans have an immortal soul that survives the body after death and can suffer in a place of torment† (Watchtower, 2005, p. 52). As for the concept of hell, scriptures such as the one in Ezekiel 18:4 mentions that â€Å"†¦The soul that is sinning-it itself will die† (New World Bible, 1984, p. 1079). Romans 6: 23 also states â€Å"The wages sin pays is death†¦ † (New World Bible, 1984, p. 1411). And 1 Thessalonian 1:8-9 says â€Å"those who do not obey the good news about our Lord Jesus. These very ones will undergo the judicial punishment of everlasting destruction from before the Lord and from the glory of his strength† (New World Bible, 1984, p. 1476-77). These scriptures just illustrate the fact that the concept of hell, which most people perceive as a fiery place of torment, is not really stated anywhere in the bible as the punishment of people who constantly go against bible principles. The only outcome of their disobedient act is that they will perish. Hence, they will not be able to live in paradise earth for eternity and enjoy the wonderful blessings that will be bestowed upon the people who make it to this place. In addition, hell does not reflect God’s true personality. Witnesses further explain this by saying, What would you think of a parent who held his child’s hand over a fire to punish the child for wrongdoing? ‘God is love’ [according to 1 John 4:8] Would he do what no right-minded parent would do? Certainly not! † (Watchtower, 1984, p. 174). Another argument that is used to support this can be found in Jeremiah 7:31 which states, They [apostate Judeans] have built the high places of Topheth, which is in the valley of the son of Hinnom, in order to burn their sons and their daughters in the fire, a thing that I had not commanded and that had not come up into my heart (New World Bible, 1984, p. 75). Also, the other plausible reason is that In ancient Babylo[n] and Assyri[a,] beliefs [about] the ‘nether world†¦ is pictured as a place full of horrors, and is presided over by gods and demons of great strength and fierceness’†¦ Early evidence of the fiery aspect of Christendom’s hell is found in the religion of ancient Egypt (Religion of Babylonia and Assyria cited in Watchtower, 1984, p. 175). While Witnesses take the idea of baptism very seriously. The Reasoning from the Scriptures publication of the Watchtower defines baptism as â€Å"an outward symbol that the one being baptized has made a complete, unreserved, and unconditional dedication through Jesus Christ to do the will of Jehovah God† (Watchtower, 1984, p. 54). Hence, the decision to dedicate one’s life to Jehovah requires mature thinking even by children. Witnesses have certain requirements before a child can be baptized. First of all, the child has to study the bible and Witness publications. This is because the child has to understand and accept Christian teachings and beliefs so he or she will know how to serve Jehovah properly. The child also has to talk to an elder-an adult Witness who carries numerous religious responsibilities- to discuss his or her desire to be baptized. The elder will then ask the child, when the child is ready, questions regarding Christian teachings and beliefs to see if the child can take on the responsibility of serving Jehovah. After baptism, the child is formally apart of the congregation. Witnesses go through this process because they have strict and demanding spiritual activities. Witnesses do not take spiritual activities lightly. People who have been baptized as a Witness know all too well that being a Christian becomes their main priority. They are responsible to do the will of â€Å"Jehovah God [and] it must be [their] main purpose in life† (Watchtower, 2005, p. 179). Thus, people make sure that they are living their life in accordance to bible principles. In addition, baptism â€Å"publicly indicates your desire to serve God. It shows that you are delighted to do Jehovah’s Will† (Watchtower, 2005, p. 175). Being a true Christian is not easy because the world is full of temptations. To maintain strict adherence to bible principles, studying the bible and Witness publications reinforces what they know so that they can keep themselves grounded. This enables them to self-police themselves† (N. Sarmiento, 2008). While meetings-scheduled during a weekday and one every Sunday- allow Christians to know more about God through the bible (N. Sarmiento, 2008). Thus, attending meetings helps a person spiritually because it â€Å"increase[s] your knowledge of God† (Watchtower, 2005, p. 176). Finally, the extensive knowledge that they have accumulated is used to preach the word of God. Witnesses stress the importance of service because as â€Å"true followers of Jesus Christ [Witnesses] proclaim God’s heavenly Kingdom as the only hope for mankind† (Watchtower, 2005, p. 151). Also, â€Å"most Witnesses are excited to share what they have learned and can’t wait to share it to everyone they know† (N. Sarmiento, 2008). Thus, Witnesses naturally â€Å"find it hard to keep what [they] have learned to [themselves]†¦ † (Watchtower, 2005, p. 177). Therefore, service is a way to impart what one has learned to others. Engaging in service also shows that a person is following God’s teaching. Acts 10:42 states, â€Å"he ordered us to preach and to give a thorough witness† (New World Bible, 1984, p. 1376). In addition, people will not hear the good news of the kingdom if they do not go out there and preach it to people everywhere (N. Sarmiento, 2008). Jehovah’s Witnesses is an organization that has been misunderstood by most people. Indeed, most people will act indifferent-even discriminate-towards Jehovah’s Witnesses because they do not partake in birthdays, holidays, political affairs and even accept blood transfusion for their own health. Many people also think that their door to door preaching is their way of imposing their belief upon others. However, even though these people are targets of ridicule; they remain strong in their beliefs and active in their religious activities because they know that it is in accordance with bible principles. They also know that obeying God’s teachings will enable them to have everlasting life and be apart of God’s Kingdom that will come. How to cite Jehovah’s Witnesses, Papers

Role of a Paramedic Practitioner-.com

Question: Does the administration of subcutaneous injections of Low Molecular Weight Heparins (LMWHs) prevent Venous Thrombo-embolism (VTE) in hospitalised patients? Answer: Introduction The role of a paramedic practitioner in a clinical setting is a valuable one that entails adequate knowledge and practical skills. Continual professional development is essential for this group of professionals to address the evolving trends of healthcare services. The primary strategy to enhance skills and knowledge is to carry out primary research that addresses any clinical concern. Through such research one can gain insights into a clinical topic that has drawn the attention of practitioners and researchers with the aim of improving patient outcomes (Bledsoe et al., 2016). The present paper is on a proposed research on the topic of prevention of Venous thromboembolism in clinical settings. Venous thromboembolism (VTE) has been indicated as a major and adverse complication arising in clinical settings among adult patients that this group of professionals is to address (Agnelli et al. 2013). Low molecular Weight Heparin (LMWH) are anticoagulant molecules that are used in clinical p ractice to address different patient complications (Szummer et al., 2015). The relation between LMWH and VTE has been the topic of interest at present. The study is proposed in this regard that is based on principles of research study methods. The significance of the study, research question, study design and methodology are discussed in details in the following sections. Background Venous thromboembolism (VTE) is the disease including both pulmonary embolism (PE) and Deep vein thrombosis (DVT) that is lethal and affects hospitalised as well as nonhospitalised patients. The disease is more common in hospitalised patients and recurs frequently. It leads to long-term complications such as post-thrombotic syndrome and chronic thromboembolic pulmonary hypertension (Heit et al., 2016). As opined by Grosse et al., (2016) VTE is most common cardiovascular disease after stroke and acute coronary syndrome. Schulman et al., (2017) explained the pathophysiology behind VTE. Venous thrombi are made up of red blood cells, leucocytes and platelets that are found to be present in bound condition by fibrin. Such thrombi are formed in the locations within the body where damage has been suffered to the vessels. Thrombi might be remaining in the peripheral veins or might be embolisingto the pulmonary arteries. In peripheral area it undergoes recanalisation after endogenous fibrinol ysis. Risk factors for VTE include surgery-related factors, trauma and patient-related factors. Some of the noteworthy patient-related factors include thrombophilia, obesity, respiratory failure and cardiac failure. Some of the other factors that increase the risk of VTE include fracture of the femur, blood transfusion, injury to the spinal cord and shock suffered due to admission to hospital. Low molecular weight heparin (LMWH) is a category of anticoagulant medications are being used widely for preventing blood clots. Heparin is a polysaccharide occurring naturally that is capable of inhibiting coagulation, the process leading to thrombosis. Since administration of heparin can be done subcutaneously, it permits treatment of patient conditions related to diverse conditions (Laubli et al., 2016). One example of LMWH is Enoxaparin that acts as an anticoagulant and research is going on to understand the applicability of this molecule against various diseases. The molecule acts by binding to the antithrombin for forming a complex molecule. This molecule then acts by irreversibly inactivating clotting factor Xa. Enoxaparin can be metabolised into unfractionated species with lesser weights by depolymerisation in the body (Rodger et all., 2016). A rich pool of research has highlighted the effectiveness of low molecular weight heparins (LMWH) in addressing medical complications. There has been a growing amount of interest to point out and understand the conditions that can be prevented with the suitable administration of LMWH. One such area has been Venous thromboembolism the draws attention at present. Clinicians have considered intravenous unfractionated heparin (UFH) as the standard treatment for VTE. Though the effectiveness of this treatment has been established across studies, the effectiveness of such heparin as a preventive medication for VTE has not been given much prominence. With the emergence of LMWH, its efficacy and safety has been time and again compared to that of UFH. Statement of the problem Whether Low Molecular Weight Heparins (LMWHs) when administered as subcutaneous injections prevents Venous Thrombo-embolism (VTE) in hospitalised patients is the concerned research problem in the present case. The proposed study is therefore based on this context and puts forward a PICO question to gain insights into this research topic. The PICO research question that would be addressed in the proposed study is as follows: Does the administration of subcutaneous injections of Low Molecular Weight Heparins (LMWHs) prevent Venous Thrombo-embolism (VTE) in hospitalised patients? The details of the PICO elements are as follows- Population: Hospitalized adult patients Intervention: Use of low molecular weight heparin, Enoxaparin Comparison: No treatment Outcome: Reduced incidence of VTE Significance of research Though there has a considerable research to understand the link between administration of heparins and patient complications in a healthcare setting, there is a lack of suitable studies that establish the relationship between heparins and VTE. After an analysis of the present research articles, it can be stated that there has been no specific study that has studied whether heparin of low molecular weight can prevent VTE. Since VTE is a serious concern in the medical domain, the possibility of LMWH to act as a preventive agent for the same is to be exploited optimally. The proposed research has been thought of against this background that would predominantly carry forward research in this direction. The aim of the proposed study is to carry out an evaluation of administration of LMWH in adult hospitalised patients for preventing Venous Thrombo-embolism. On the basis of the research and further studies in this line, reforms can be brought about in the clinical guidelines for prevention of VTE in clinical settings. The study would, therefore, act as significant one that would change the course of preventive care provided by nurses to patients admitted to hospitals for preventing adverse outcomes. If found effective, LMWH can be considered as a real therapeutic advance made in the long-term prevention of VTE. Methodology Panneerselvam (2014) highlighted that methodology of any research is a crucial dimension that determines the effectiveness of the study. The methodology acts as the systematic plan for carrying out research which can be either quantitative or qualitative. The proposed study would be a prospective, nonblinded, active, randomised, controlled trial in any clinical setting where around 1000 surgical procedures are carried out in a year. As opined by Miles, P and Fisher (2016) a randomised controlled trial is the form of scientific experiment that has the aim of reducing bias while testing a new form of treatment. In such a study, participants are allocated to the treatment group or the placebo group as a control in a random manner. The purpose is that randomisation eliminates chances of selection bias and permits the researchers to understand the impact of the treatment as compared to no treatment with constant variables. The method is highly reliable and acts as the most rigorous scient ific evidence in the hierarchy of evidence (Panneerselvam, 2014). A nonblinded study is the one in which the researchers are aware of the treatment that is to be given to the participants. In addition, the participants are also aware of the treatment that is given to them (Hulbk et al., 2016). Prospective studies are those which observes for outcomes during the study, relating them to any factor that is considered for the study (Parkin et al., 2017). Study Design Participants Patient data would be collected for physical examination, medical history, blood sampling and duplex examination. Patients above the age of 18 and below the age of 80 years would be considered for the study. The patients would further required to be undergoing surgery. The risk assessment model for the study to require the assignment of each patient to a total risk factor score. This coud be then categorised into low, moderate, high and highest scores. Subjects would be found to be having low, high and higher risk for VTE would be excluded from the study. Patients will be excluded from the study if they are found to be bleeding. Other exclusion criteria would include significant liver disease, need for anticoagulation therapy, pregnancy and breastfeeding, use of fibrinolytic therapy and use of HIV protease inhibitors. Statistical calculation would be done for deciding upon the sample size with an equal number of male and female participants. The study participants would be divided in to two groups. In the first group, participants would be given Enoxaparin, a commonly used LMWH, subcutaneously once daily for ten days. The participants would be considered for postoperative thromboprophylaxis consisting of compression stockings and early mobilisation. For the second group, no Enoxaparin would be administered; this group would act as the control group. Each participant would be randomised to the single treatment with the help of randomly permuted blocks. Preoperative evaluation Gender, age and medical comorbidities of the patient, such as renal insufficiency, diabetes, congestive heart disease, active malignancy, the chronic pulmonary disease would be entered into a particular database. Presence of risk factors for VTE, such as recent surgery, tobacco use, trauma, postpartum site and hormonal therapy would also be recorded appropriately. The patients would be considered for diagnosing superficial venous insufficiency preoperatively as per the duplex ultrasound (DUS). A basic protocol would be used that aids in DUS-directed vein mapping. This would consider a bilateral lower limb duplex venous compression ultrasonography scan that uses 3-7.5 MHz transducers. It is to bee noted that the veous ultrasound examination would use imaging equipment that is of high definition and would consider imaging the venous segments without and with compression. The bilateral iliac, profunda femoris, inferior cava, femoral, common femoral, and popliteal veins would be checked in the supine position. Further, the bilateral calf veins, encompassing peroneal, posterior tibial, soleal and gastrocnemial would be studied in the sitting position. Thromboembolism prophylaxis Thrombophylaxis would consist of thigh-length compression stockings together with early mobilisation. In addition, a daily injection of LMWH, Enoxaparin would be given at the dose of 2500/3500 IU/day. Compression bandages would be used as the form of mechanical prophylaxis at 25mmHg. This would be done for the initial one week after which stockings would be used at 12-15mmHg. The participants would be required to wear thee compression devices in a continuous manner for three months after they have undergone the surgery. The heparin administration would start six hours after closure of the wound. Postoperative followup The proposed study would entail follow-up visits at one month, three month and six months. For each case of followup visit, an interview is to be carried out for understanding the outcomes of the given intervention. This would include cases of VTE. These interviews would be face-to-face and as per the convenience of the patients. All details are to be recorded appropriately. The primary end point for the study. Episodes of VTE would be confirmed when he following conditions would be present; signs and symptoms of VTE together with diagnosis through proper diagnosis procedure encompassing compression ultrasonography. Laboratory examination would include international normalised ratio (INR), partial thromboplastin time (PTT), haemoglobin, D-dimer, platelet count, creatinine level and hemotocrit. Platelet control is to be performed after one week for excluding thrombocytopenia type II induced by heparin. End points The primary end point of the study would be the absence of VTE as proven sonographically. Primary safety end points and secondary efficacy would be superficial venous thrombosis, major bleeding, hematoma formation and other bleedings. Some other efficacy outcomes would be a determination of D-dimer at one, three and six months follow up. The primary safety outcome would be incidences of major bleeding starting after the first administration of heparin and at six months follow up. The definition for major bleeding would be that which are fatal and into any critical organ such as cranial, retroperitoneal, intraspinal and intraocular. Bleeding requiring reoperation and those which would be clinically overt and at the extrasurgical site would also be determined as major bleeding. The secondary safety outcomes would include non-major and on treatment bleeding, wound complications related to haemorrhage, postoperative bleeding, adverse events and mortality (Chai-Adisaksopha et al., 2017). Statistical analysis The basis for the calculation of sample size would be assumed event rate of 15% in the moderate risk group and a risk reduction of 10% with LMWH. Differences between research outcomes and patient characteristics would be calculated with the help of the Mann-Whitney U-test. In addition, two-sided Fishers exact test would be done. A value of P 0.05 would be statistically significant. An interim analysis would be done at three months. The Mann-Whitney U test is a commonly used nonparametric test that determines whether a randomly selected value from one sample would be lesser than or greater than a randomly selected value from another sample. It does not need the basic assumptions of normal distributions though the efficiency is as that of the t-test. The utility of the test lies when two samples that are independent from each other are to be selected from a population with same distribution (Beins McCarthy, 2017). Two sided Fishers exact test is a test of statistical significance that is used in case of categorical data (Connelly, 2016). Implementation The protocol for the study is to be approved by the institutional review board at the hospital and in accordance with the local regulations. Ethical considerations remain when human participants are considered for a study. In this view it would be necessary to obtain informed consent from patients who would take part in the study. Informed consent refers to the process of agreeing to take part in any research procedure after understanding the benefits and risks of the such participation. The process entails explaining the participants the purpose and objective of the research and outlining the potential risks and complications. Informed consent is primitive on the basis of legal and moral premises of the patients autonomy. The patients would not be influenced in any manner to take part in the study (Panneerselvam, 2014). The primary outcome measure of the trial would be postoperative VTE over a followup period of six months. The secondary outcome measure would include superficial ven ous thrombosis, postoperative bleeding complications. Conclusion Research is significant for paramedic professionals that enables them to focus on clinical issues related to their practice. Development of more in-depth understanding of clinical strategies enhances clinical decision making. Critical thinking is also augmented in this process. The proposed research would be suitable to highlight whether VTE can be prevented by LMWH such as enoxaparin in adult patients who are hospitalised. The study would be valuable in bridging the gaps in existing studies in this context. The research would further add valuable information to the already existing pool of literature of wide application of LMWH. Based on the results of the study, clinical guidelines can be modified so as to incorporate the novice finding. Further trials can also be conducted taking insights from the proposed research that can further bring into light novice concepts. The overall objective would be to allow better delivery of care to patients who are hospitalised in different setting s and present the risk of suffering VTE. Timely implementation of the proposed research with the help of adequate funding would be highly warranted. It is to be hoped that the research would be praiseworthy in the field of paramedicine. References Agnelli, G., Buller, H. R., Cohen, A., Curto, M., Gallus, A. S., Johnson, M., ... Weitz, J. I. (2013). Oral apixaban for the treatment of acute venous thromboembolism.New England Journal of Medicine,369(9), 799-808. Beins, B. C., McCarthy, M. A. (2017).Research methods and statistics. Cambridge University Press. Bledsoe, B. E., Porter, R. S., Cherry, R. A. (2016).Paramedic Care: Principles Practice(Vol. 1). Pearson. Chai-Adisaksopha, C., Linkins, L. A., ALKindi, S. Y., Cheah, M., Crowther, M. A., Iorio, A. (2017). Outcomes of low-molecular-weight heparin treatment for venous thromboembolism in patients with primary and metastatic brain tumours.Thrombosis and haemostasis,117(3), 589-594. Connelly, L. M. (2016). Fisher's exact test.MedSurg Nursing,25(1), 58-60. Grosse, S. D., Nelson, R. E., Nyarko, K. A., Richardson, L. C., Raskob, G. E. (2016). The economic burden of incident venous thromboembolism in the United States: A review of estimated attributable healthcare costs.Thrombosis research,137, 3-10. Heit, J. A., Spencer, F. A., White, R. H. (2016). The epidemiology of venous thromboembolism.Journal of thrombosis and thrombolysis,41(1), 3-14. Hulbk, M., Kaysen, K., Kesmodel, U. S. (2016). Group training for overactive bladder in female patients: a clinical, randomized, non?blinded study.International Journal of Urological Nursing,10(2), 88-96. Lubli, H., Varki, A., Borsig, L. (2016). Antimetastatic properties of low molecular weight heparin.Journal of Clinical Oncology,34(21), 2560-2561. Miles, P., Fisher, E. (2016). Randomized Controlled Trial.American Journal of Orthodontics and Dentofacial Orthopedics,150(6). Panneerselvam, R. (2014).Research methodology. PHI Learning Pvt. Ltd.. Parkin, L., Balkwill, A., Sweetland, S., Reeves, G. K., Green, J., Beral, V., Million Women Study Collaborators. (2017). Antidepressants, Depression, and Venous Thromboembolism Risk: Large Prospective Study of UK Women.Journal of the American Heart Association,6(5). Rodger, M. A., Phillips, P., Kahn, S. R., Bates, S., McDonald, S., Khurana, R., ... Konkle, B. A. (2016). Low molecular weight heparin to prevent postpartum venous thromboembolism.Thrombosis Research,142, 17-20. Schulman, S., Singer, D., Ageno, W., Casella, I. B., Desch, M., Goldhaber, S. Z. (2017). NOACs for treatment of venous thromboembolism in clinical practice.Thrombosis and Haemostasis,117(7), 1317-1325. Szummer, K., Oldgren, J., Lindhagen, L., Carrero, J. J., Evans, M., Spaak, J., ... Jernberg, T. (2015). Association between the use of fondaparinux vs low-molecular-weight heparin and clinical outcomes in patients with nonst-segment elevation myocardial infarction.Jama,313(7), 707-716.

The Woman who Had Two Navels by Nick Joaquin Essay Example

The Woman who Had Two Navels by Nick Joaquin Paper p> This novel by Joaquin is a literary assessment of the influence of the past to the time encompassing events in the Philippines after World War II, an examination of an assortment of legacy and heritage and the questions of how can an individual exercise free will and how to deal with the shock after experiencing epiphanic recognition. Main characters: Among the characters conjured by Joaquin are the Manolo Vidal and his family, Connie Escobar, Esteban and Concha Borromeo, Father Tony, Paco Texeira, and Doctor Monson, a former rebel hiding in Hong Kong to avoid postwar trials. Connie Escobar, the lead female character, was described by literary critic Epifanio San Juan as a sufferer of her mothers estrangement from a world where unconfident males take advantage of women by violating them or by venerating them. Connie is married to Macho Escobar, a man who had an affair with Connies mother, a past incident that serves as an umbilical cord or umbilicus, a remnant connected to her present and future because of her refusal to leave the issue in the ast. According to Epifanio San Juan, the character of Manolo Vidal is the embodiment of the Filipino nationalistic bourgeois who were once critical of the theocracy of the Spaniards but became transformed puppets and servants of these colonialists. While, on the other hand, Macho Escobar is not a revolutionary but a member of the dehumanized clan of hacenderos or landlords of sugar plantations. Paco Texeira was a survivor between the behaviors of the Monson and Vidal families, and also acted as Nick Joaquins conscience, an observer who could have enetrated the existing rituals and ruses. We will write a custom essay sample on The Woman who Had Two Navels by Nick Joaquin specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Woman who Had Two Navels by Nick Joaquin specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Woman who Had Two Navels by Nick Joaquin specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Texeira had the capacity to apprehend and break the class barrier depicted in the novels society, but refused to do so. STORY Nick Joaquins The Woman Who Had Two Navels revolved around the upper middle class expatriates consciousness during the American period of colonization. It portrayed every characters struggle to maintain their selves in a foreign setting like Hongkong. It can also be defined as coming to terms with the political consciousness during that period. The novel also contained mixtures of hatred, love, anger, nsecurities, and sufferings that manifest in the realities of life making the flow of the story more provocative and appealing to the audience. The title of the novel excited my curiosity; thats why it took me a long time to analyze and think the interpretations that I have to use to show its significance. The story started with Connie, a daughter of a wealthy politician. Connie portrayed herself as a person with two navels. Literally, when a woman has two navels, this means that she has two umbilical cords. The navel is the shortened umbilical cord usually removed when a person is orn. But it is not possible because if a person has two umbilical cords, he is a preternatural being a mutant. Connie, pretending that she has two navels may refer to the rebirths that she underwent. The first rebirth was escaping from her mothers evil clutches since she was an unwanted child always ostracized and continously suffered from the ghosts of the past that haunted her. Let us not also affair of her husband Macho and her mother that made her feel miserable at some points in her life. The second rebirth refers to her awakening, her self realization and mancipation as a woman. She learned to face reality and accepted the truth. In my point of view, her reason why she pretended to have two navels is that she wanted to forget everything about her, to be different so that another personality will reside and dwell on her. Looking from another perspective, in this case coming from a historical vantage point, the two navels may signify Hongkong and the Philippines. Even if the story was set in Hongkong, still, Filipino culture is present in its context. Furthermore as the novel progressed, it presented the Filipinos need to bond ogether and attempted to reestablish their roots; however musch as when they, as exemplified by Paco, were made unaware of the Filipino culture. The novel also portrayed an interlocution between Chinese and Filipino consciousness. An example of this was Rita who dresses up in dragons and pagan Jewels to meditate on the Virgin. The sense of nationalism and being Filipino was depicted in Connies character that made her symbolize the country. The fact that she was born in Hongkong, she still longed for her native land the Philippines. And like most of us Filipinos, she tried to laugh at every problem and pretended that everythings fine. This trait refuted the positive notion of being Filipino. In relation to the stories title, a lot of Connies exist in our present realm. Up to this time, it is obvious that some of our mother-daughter relationships fail. As individuals, we are afraid to admit the truth within ourselves. We usually deny the mistakes that we commit. We try to live a world of lies. We want to escape from our realities and always make excuses. Let us not forget that even if it is painful to face the truth, this will gradually help us in ccepting ourselves more and be better persons. Though we may encounter some unexpected instances, the fact that we resign ourselves to certainty and veracuty is more than enough. Joaquin presented the novel without the consistency of a normal narrative presenting the story in a non-linear manner and focused first on the present and unfolded the numerous settings as every character was introduced on several parts. It revolved around the concern of the little people and of the metanarratives that were expounded on as the story was completed.

Social Learning Theory and TV Violence essays

Social Learning Theory and TV Violence essays DON-RAY TV Violence on Children In the United States children watch an average of three to fours hours of television daily (Cantor and they identify with certain characters, good or bad. Therefore, extensive viewing of television violence by children causes greater aggressiveness (Rosenthal, 1986). Typically, children begin watching television at a very early age, sometimes as early as six months, and are fervent viewers by the time that they are two or three years old (Murray, 1997). The amount of time that American children spend watching TV is remarkable, an average of four hours a day, 28 hours a week, 2,400 hours a year, nearly 18,000 hours by the time they graduate from high school (Chen, 1994, p.23). In comparison, they spend a mere 13,000 hours in school, from kindergarten through twelfth grade (Chen, 1994). It appears children spend more time watching TV than any other activity. Studies have shown that children, in the hours between school and dinnertime, spend nearly 80 percent of the time watching television (Chen, 1994). Children living in poverty watch even more television than average some up to seven hours a day. By the time a poor child graduates from high school, he or she may have watched as many as 22,000 hours of TV (Chen, 1994). Bandura, (1973) indicates that sometimes, watching a single violent program can increase aggressiveness. Children who watch television shows in which violence is very realistic, frequently repeated or unpunished, are more likely to imitate ...

Fair trade Essay Example | Topics and Well Written Essays - 750 words

Fair trade - Essay Example This implies that national sovereigns can be more hesitant to handle occurrences of non-conformity with internationally agreed rules and regulations by private companies. Countries and governments have the obligation to establish paradigms for co-existence, including the deference of principles such as the protection of worker’s rights in the global labour market (Hayes 2006). Globalization of production is generating a broadening irregularity in the international marketplace; there is an unparalleled level of technology transfer as well as capital mobility across national borders. Alternatively, labour mobility is under numerous constraints, from requirements for visa to work-related authorization. The sovereignty for monetary flows in financial markets does not qualify the labour market. As capital markets are being internationalized, labour markets, on the other hand, are becoming sterile and turning out to be ever more dysfunctional. Unregulated monetary flows can create distresses and insecurity, such as East Asian currency crisis 1997 and the Mexican Peso crisis of 1994. Nonetheless, there is one more, less acknowledged instability in the form of increasing exploitation, inequity and prejudiced employment practices in international labour markets. Some have proposed a ‘race to the bottom’ in which high capital mobility looks for cheap labour in administrations and eagerly evades social norms and labour codes. This pattern can merely be stopped and countered through a universal recognition of and conformity to central labour standards, guaranteeing that every market, comprising labour markets, operate efficiently and even-handedly. A trade structure founded on capital-labour irregularity puts off equitability in employment as well as in income prospects among the ‘stakeholders in the Global Family.’ (Bauder 2006). It creates instability, and most importantly, inequality. The core

Working with Federal Reserves Publications Essay

Working with Federal Reserves Publications - Essay Example In the past Central Bankers have traditionally been close-mouthed and the Federal Reserve was often reluctant to state publicly what its current policy directive is; what its idea about future monetary policy actions including its predictions in relation to general economic conditions or interest rates (Ehrmann et al 2007). Hence periodic or regular publications may provide some detailed analysis of monetary policies for the preceding moths or years but does not divulge any information details regarding current of future polices. The conventional or common practice of the Federal Reserve in keeping quiet about present and future monetary policies have change recently becoming more transparent such that after meetings the Federal Open Market Committee (FOMC) publicly relates monetary policy decisions and central bank forecasts, which also includes justifications for any changes that were or are made (Ehrmann et al 2007). The justifications include considerations taken that resulted to the decision over the changes done on the said monetary policies. The trend of the economy and financial markets generally rely on the monetary policy standpoint and balance-of-risks appraisal of the Federal Reserves or Central Bank’s public statements in connection to inflation and other forms of economic circumstances. The transparency adopted by the Federal reserve lessens market uncertainty with respect to any future monetary policy. However, the Federal Reserve has an option to change its perception and views after making a public announcement regarding its policies. But even with the data or information made available on prior and future monetary policies, a precise determination of the effects of such policies on the general economy and its financial markets can be hard to identify mainly due to other economic factors that can change overtime. 2. Explain the Federal Reserve’s current view about inflation Inflation usually occurs when there is an excess demand, when prices rise when total spending made by consumers, business firms and the government go beyond the value of the total amount produced within a given economy (Roberts 2006). In relation to this, changes in monetary policies as well as fiscal policies contribute greatly to the level of demand which is affected by government purchases, total consumption and investments made (Roberts 2006). However, this has no actual connection to the price level that is similar to the actual price of a single commodity; especially if all other changeable factors are constant like income (wages) and the prices of other goods. The collective price level normally indicates that all other prices are shifting as well. Therefore, incomes usually rise and fall with the level of prices because income is obtained from the price and quantity of goods sold (Roberts 2006). Issues regarding shifts or changes in the economy are quite complicated sine in real terms output in answer to demand cannot increase bey ond the full level of employment which triggers an increase in spending that can merely be attained at higher prices. This can be illustrated in the Philips curve where total demand can be slimmed down or increased in tandem with supply in order to attain full employment output with supply in order to attain full employment output with stable prices. Reality wise, demand is affected by difference in government spending and taxation (fiscal policy) or by the variation s in monetary factors that affects business investment spending. As a whole, it is difficult for the Federal Reser

International leadership and HRM Essay Example | Topics and Well Written Essays - 2500 words

International leadership and HRM - Essay Example The connotation of innovation with technological advancements has been made by several researchers due to the extravagant usage and dependency of organizations (Perrin, 2010). The eradication of human workforce is also deeming to be happening in the coming days. The products and services oriented organizations strive to optimize their business endeavors by the induction of innovation and originality (Kobayashi, Booth and Gaul, 2012). The essence of innovation is to transform business expeditions into trouble-free and uncomplicated mechanisms, which would result in increased productivity and profitability. Organizations such as Wal-Mart, Nike, Marks and Spencer and Dell have transfigured their operations splendidly by introducing innovative features in their business processing units. The revolutionizing of organizational practices into more productive and dynamic ways requires specific environment, culture and atmosphere to act in (Tidd and Bessant, 2011). Leadership styles play pivo tal role in the organizational development and expansion phase. The change intervention strategy in the firm is highly dependent on the way leader performs his activities. In this regard, distinct leadership styles can be followed. The following of a particular leadership style escorts the path of performing activities precisely. The enactment of jumble leadership styles cannot be constructive as direction determination can be trembling and employees would be puzzled about the orientation and performance of duties. The leadership style deployment should be made wisely by acknowledging ground realities and competency of employees (Shriberg, 2011). Purpose and Objectives: The purpose of this essay is to exemplify about the global economic conditions rampant and highlight about the measures to make business processing viable. The commencement of innovation and creativity in the firms is discussed in this paper. The objective is to present in-depth concrete analysis about the virtue and caliber of innovation strategies and how come they would benefit the organizations. The impact factor of innovation and creativity on the organizational outcomes has been elucidated. Examples of the leaders and organizations, where certain leadership styles were followed are presented. Furthermore, classification of leadership styles and their effectiveness is listed too. The objective remains to present comprehensive details about international human resource management and the role of leadership in the transformation of organizations. Innovation and Creativity Definition and Theme: According to Hokanson and Miller (2000), the term innovation can be defined as incepting something new and unique, which creates value and has not been urbanized yet. Innovation can be brought into the manufacturing of a product or in the services exceptionality segment. Creativity is stated as the temperament of thinking out of the box and generating distinctive ideas which would help individuals, org anizations and masses. The creativity element can be helpful in solving problems and issues too (Sawyer, 2012). Innovation and creativity side by side in the organizations. The role of both these objects cannot be sidelined. The inauguration of innovative and creative themes in the organization helps to achieve mission and vision of the firm in the respective time

Joubert Syndrome with Orofaciodigital Defects

Joubert Syndrome with Orofaciodigital Defects A report of Joubert syndrome in an infant, with literature review ABSTRACT Joubert Syndrome and related disorders (JSRD) are a group of rare autosomal recessive disorders with a hallmark molar tooth sign (MTS) visible on axial magnetic resonance images of the brain. Joubert syndrome with Oro-facial-digital defects (JS-OFD) represents a rare subtype of JSRD. This syndrome is often difficult to diagnose because of its wide range of genotypic-phenotypic variations. Despite its profound oro-facial manifestations, dental literature describing the syndrome is scarce. This is a case report of an 8-year-old boy who reported to the out-patient department of pediatric dentistry with the chief complaint of abnormal front teeth. The child exhibited facial dysmorphism, strabismus, polydactyly of hands and feet along with oro-dental features of a high arched palate and high lingual frenum attachment. MRI report stated the presence of molar tooth sign. Key Words: Joubert syndrome and related disorders, Oro-facial-digital syndrome type VI, molar tooth sign INTRODUCTION Joubert syndrome (JS) was first described by Marie Joubert in 1968 in four siblings with agenesis of the cerebellar vermis who presented with episodic hyperpnoea, abnormal eye movements, ataxia and intellectual disability [1,2]. Several years later, it was discovered that JS results from maldevelopment of the midbrain and cerebellar vermis, producing a pathognomonic MTS on MRI [3]. The common term Joubert Syndrome and Related Disorders (JSRD) was then coined for the group of conditions presenting with the MTS [4]. The incidence of this clinical entity has not been precisely determined, however, it may range between 1/80,000 and 1/100,000 live births [2] with only about 200 cases that have been reported worldwide[5]. CASE REPORT An 8 year old boy reported to the outpatient Department of Pedodontics and Preventive Dentistry at the Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bangalore for the evaluation of abnormal front teeth. History revealed that he was a second child of a second degree consanguineous marriage. Figure I is the pedigree chart depicting the patient’s family history. The mother reported delayed attainment of developmental milestones and the child being a â€Å"slow-learner†. On intra-oral examination, the child was in the early mixed dentition stage; the teeth present were first permanent molars, permanent mandibular central incisors, erupting maxillary permanent central incisors , primary left central incisor, primary canines of all the quadrants, primary mandibular lateral incisors and first and second primary molars of all the quadrants. The crown of the primary left central incisor (61) was conical in shape and a developing anterior cross-bite was noticed due to palatally erupting 11 and 21. A high-arched palate and high lingual frenum attachment were also seen. Extra-orally, the patient exhibited facial dysmorphism in form of depressed nasal bridge, broad nasal tip, upper lip notch and his upper lip was short compared to the broad and thick lower lip. Prominent bilateral epicanthal folds, widely spaced eyes (hypertelorism) and a unilateral squint (strabismus) of the right eye were profound facial characteristics. His cranial morphology and hair were apparently normal. Bilateral post-axial polydactyly of both the hands and feet were noticed. The remainder of the systemic evaluation was insignificant. However, the patient showed poor muscular control due to delayed gross as well as fine motor development. On review of the patient’s medical records, it was seen that the possibility of Joubert Syndrome was considered on detection of inferior vermian agenesis and polydactyly on antenatal ultrasonography performed at 28 weeks of intra-uterine life. Eye movements and respiration were reviewed and found to be normal. Foetal MRI was done at another medical center and they considered the possibility of Dandy-Walker anomaly. At 5 months of age, neurologic evaluation was conducted and nystagmus along with very brisk deep tendon reflexes (DTRs 3+ category) was noticed; following which, magnetic resonance imaging (MRI) of the brain was advised. The MRI reports indicated complete agenesis of the cerebellar vermis which resulted in median approach of the two cerebellar hemispheres. Superior cerebellar peduncles appeared thin and distinctly defined across the pontomesencephalic cisterns giving the characteristic â€Å"molar tooth sign†. Also the 4th ventricle was slightly dilated and h ad assumed a â€Å"bat-wing† appearance. Inspite of the all the MRI findings being suggestive of â€Å"Joubert sydrome†, neither was any definitive diagnosis made nor any neurological follow-up maintained. With respect to dental treatment rendered, the patient was found to be lacking cooperative ability, but keeping in mind the extreme sensitivity to the respiratory depressant effects of anesthetic agents, sedation and GA was ruled out. Considering this inability, after extraction of his primary central incisor (61), a lower inclined plane appliance was planned to correct the developing cross-bite. Patient did not cooperate for fabrication of a fixed appliance. Upper and lower primary impressions were made, a removable lower inclined plane appliance with Adams clasps on 75 and 85 was fabricated and delivered to the patient. However, the patient showed poor compliance with the appliance and refused to wear it beyond the third day. Following this, we considered the correction of the cross-bite by constructing a bonded resin-composite inclined plane [6, 7]. The labial surface of the mandibular incisors was etched with 37% phosphoric acid (Scotchbondâ„ ¢ Multi-purpose Etchant, 3M, USA) for 15 seconds, rinsed and dried. An adhesive system (Adperâ„ ¢ Single Bond 2, 3M, USA) was applied and cured for 20s using a visible light cure unit (_______). Composite resin (Filtekâ„ ¢ Z350XT, 3M, USA) was formed into an inclined block 45 degree to the longitudinal axis of the teeth. The height was adjusted so as to maintain the only contact between both arches at the level of these incisors. The inclined plane was polished using a polishing disc. The child was motivated to maintain good oral hygiene and the parents were instructed regarding the maintenance of a soft diet. The child was recalled after 1 day and then 1 week to clinically evaluate the treatment progress. At 1 week interval, edge-to-edge bite was achieved while complete correction of the crossbite took place in 2 weeks. Following this, the composite inclined plane was removed using a diamond point at low speed, the enamel surface was polished and topical fluoride application was done. The child is under regul ar follow-up at our hospital. DISCUSSION The spectrum of Joubert Syndrome and Related Disorders (JSRD) comprises all disorders presenting the molar tooth sign (MTS) on brain imaging. JSRD include Joubert syndrome [OMIM#213300], along with any related condition(s) presenting with the MTS, like Varadi-Papp syndrome (or Orofaciodigital type VI, [OMIM%277170]), COACH syndrome [OMIM#216360], Dekaban-Arima syndrome [OMIM%243910], Malta syndrome and a few cases with Senior- Loken syndrome [OMIM#266900]. Till date no major gene has been consistently associated with Oro-facio-digital Syndrome type VI (OFD VI) however, mutations in the TMEM216 gene are known to be seen occasionally[]. All JSRD genes isolated so far, encode for proteins of the primary cilium and thus these disorders fall in the â€Å"ciliopathies† group of disorders [9]. Previously in literature, JS-OFD has also been referred to as Oro-facio-digital Syndrome type VI (OFD VI) or Varadi-Papp Syndrome [10, 11,12]. However, recently, Brancati et al. have discouraged the continued use of such eponyms in favor of a more practical, clinical-genetic classification. They have proposed a classification of JSRDs into six subgroups based on the main organ(s) involvement and the established genotype-phenotype correlates [2]. They classified JSRDs into: Pure JS JS with ocular defect (JS-O) JS with renal defect (JS-R) JS with oculorenal defects (JS-OR) JS with hepatic defect (JS-H) JS with oro-facio-digital defects (JS-OFD) . A diagnosis of JSRD should be suspected in all infants presenting with hypotonia, abnormal eye movements (in particular oculomotor apraxia, but also nystagmus) and developmental delay. The occurrence of abnormalities in the respiratory pattern, i.e. hyperpneas alternating with periods of apnea, reinforces the clinical suspicion of the disease. In these children, a brain MRI is sufficient to confirm or exclude the diagnosis, based on the detection of the MTS. Once a diagnosis of JSRD has been made, children should enter a diagnostic protocol to assess the possible multiorgan involvement[2]. Presence of MTS is considered pathognomic for diagnosis of JS-OFD (or OFD VI). MTS is characterized by presence of a hypoplastic or completely absent cerebellar vermis, which is indicated by the hallmark â€Å"Molar Tooth Sign† found on axial view of brain MRI scan. MTS has not been described in any other type of oro-facial-digital syndrome and its presence allows differentiation of OFD VI from other types [9]. In addition, several other oral, dental and digital malformations are typical of JS-OFD. These have been enlisted in Table I. Recently, Poretti et al. [9] have suggested a diagnostic criterion for OFD VI. The criterion being MTS and one or more of the following: tongue hamartoma(s) and/or additional frenula and/or upper lip notch; mesoaxial polydactyly of one or more hands or feet; hypothalamic hamartoma. These criteria allow the diagnosis to be made even in the absence of oral findings and/or polydactyly. The validity of these criteria needs to be reassessed in additional cohorts of patients and after the identification of major genetic determinants of OFD VI. Along with presence of the pathognomic MTS, our patient showed bilateral postaxial polydactyly of hands and feet. Mesoaxial hand polydactyly is extremely rare and specific for OFD VI among the JSRD phenotypes, but not consistent in OFD VI because different forms of polydactyly have been previously reported [13,14,15,16]. Moreover, it is to be noted that the syndrome is known to show a high degree of genotypic-phenotypic variations and it’s often difficult to arrive at a conclusive diagnosis. Thus, it can be said that the reported case probably represents variability within OFD VI. Compared with other JSRD subgroups, the neurological findings and impairment of motor development and cognitive functions in OFD VI are significantly worse, suggesting a correlation with the more severe neuroimaging findings [9]. Steinlinet al. [17] suggested that outcomes in JS can be divided into three courses: first, children who die young; second, patients who survive but have severe developmental delay with the development quotient (DQ) being less than 30 along with a variety of visual and motor handicaps; and third, patients whose developmental quotients fall within the mildly delayed range (60-85). A remarkable finding in the case reported was, the level of cognitive development; with intelligence quotient (IQ) being 90 which falls in the â€Å"average† IQ range according to the Stanford-Binet Intelligence Scale: Fifth Edition (SB5)[18]. So far, normal cognitive functions (without formal IQ assessment) have only been reported in one patient, attending a regular school [ 19]. Despite the fact that Joubert syndrome is very rare in India, an early diagnosis is necessary for genetic counseling and treatment planning. Treatment is mainly symptomatic and includes possible medico-surgical supportive interventions. Also, the diagnosis is important for future procedures that require anesthesia. Of particular caution is that these patients are sensitive to respiratory depressant effects of anesthetic agents like opiates and nitrous oxide. Hence, anesthesia using inhalational induction, controlled ventilation, avoidance of opioids, and close postoperative monitoring is recommended 20]. The prognosis is almost always poor, leading to early death and those who survive usually require supportive care throughout life. Annual evaluation of the growth status, vision and general wellness is recommended. Periodic neuropsychological follow-up should be maintained. REFERENCES Joubert M, Eisenring JJ, Andermann F: Familial dysgenesis of the vermis: a syndrome of hyperventilation, abnormal eye movements and retardation. Neurology 1968, 18:302-303. Brancati F, Dallapiccola B, Valente EM. jJoubert Syndrome and related disorders. Orphanet J Rar Diseases 2010 5:20. Maria BL, Hoang KB, Tusa RJ, Mancuso AA, Hamed LM, Quisling RG, Hove MT, Fennell EB, Booth-Jones M, Ringdahl DM, Yachnis AT, Creel G, Frerking B: Joubert syndrome revisited: key ocular motor signs with magnetic resonance imaging correlation. J Child Neurol 1997, 12:423-430. Gleeson, J. G., Keeler, L. C., Parisi, M. A., Marsh, S. E., Chance, P. F., Glass, I. A., Graham Jr, J. M., Maria, B. L., Barkovich, A. J. and Dobyns, W. B.. Molar toothsign of the midbrain–hindbrain junction: Occurrence in multiple distinct syndromes. Am J Med Genet 2004, 125A:125–134. Choh SA, Choh NA, Bhat SA, Jehangir M. MRI findings in Joubert syndrome.Indian J Pediatr.2009; 76:231–5. Bayrak S, Tunc ES. Treatment of Anterior Dental Crossbite Using Bonded Resin-Composite Slopes: Case Reports. Eur J Dent 2008; 2:303-307. Sari S,Gokalp H,Aras S. Correction of anterior dental crossbite with composite as an inclined plane. Int J Paediatr Dent2001 May; 11(3):201-8. Edvardson S,Shaag A,Zenvirt S,Erlich Y,Hannon GJ,Shanske AL,Gomori JM,Ekstein J,Elpeleg O. Joubert syndrome 2 (JBTS2) in Ashkenazi Jews is associated with a TMEM216 mutation. Am J Hum Genet. Jan 8, 2010; 86(1): 93–97 Poretti A, Vitiello G, Hennekam RCM, Arrigoni F, Bertini E, Borgatti R, Brancati F, D’Arrigo S, Faravelli F, Giordano L, Huisman TAGM, Iannicelli M, Kluger G, Kyllerman M, Landgren M, Lees MM, Pinelli L, Romaniello R, Scheer I, Schwarz CE, Spiegel R, Tibussek D, Valente EM, Boltshauser E. Delineation and Diagnostic Criteria of Oral-Facial-Digital Syndrome Type VI. Orphanet J Rar Diseases 2012, 7:4. 10. Patra S ,Purkait R,Samanta T,Bhadra R. Varadi Papp syndrome, an unusual variant of oral-facial-digital syndrome: Report of a rare case. Ann Indian Acad Neurol. 2013 Apr-Jun; 16(2): 289–291. Z Adà ¡m, Z Papp Prenatal diagnosis of orofaciodigital syndrome Varadi-Papp type.JUMOctober 199615:714. Atahan Guven, M., Ceylaner, S., Prefumo, F. and Uzel, M. (2004), Prenatal sonographic findings in a case of Varadi–Papp syndrome. Prenat Diagn, 24:989–991. Rabah M. Shawky,Heba Salah Abd-Elkhalek Elabd,Shaimaa Gad,Radwa Gamal,Shaimaa Abdelsattar Mohammad. Oral–Facial–Digital Syndrome type VI with self mutilations, Egypt J Med Hum Genet (2014), http://dx.doi.org/10.1016/j.ejmhg.2014.05.006 Mauceri L, Greco F, Baieli S, Sorge G. Varadi-Papp syndrome: report of a case. Clin Dysmorphol 2000; 9:289–90. Al-Gazali LI, Sztriha L, Punnose J, Shather W, Nork M. Absent pituitary gland and hypoplasia of the cerebellar vermis associated with partial ophthalmoplegia and postaxial polydactyly: a variant of orofaciodigital syndrome VI or a new syndrome? J Med Genet 1999; 36:161–6. Haug K, Khan S, Fuchs S, Ko ¨ nig R. OFD II, OFD VI, and Joubert syndrome manifestations in 2 sibs. Am J Med Genet 2000; 91:135–7. Steinlin M, Schmid M, Landau K, Boltshauser E. Follow-up in children with Joubert syndrome. Neuropediatrics 1997, 28(4): 204-11. Kaufman, Alan S.IQ Testing 101. Ed. Springer Publishing, New York; 112,2009. Munke M, McDonald DM, Cronister A, Stewart JM, Gorlin RJ, Zackai EH. Oral-facial-digital syndrome type VI (Varadi syndrome): further clinical delineation. Am J Med Genet 1990, 35:360-369. Habre W, Sims C, D’Souza M. Anaesthetic management of children with Joubert syndrome.Paediatr Anaesth1997; 7:251–3.

Hacker Crackdown :: essays research papers

The Hacker Crackdown: Law and Disorder on the Electronic Frontier by Bruce Sterling is a book that focuses on the events that occurred on and led up to the AT&T long-distance telephone switching system crashing on January 15, 1990. Not only was this event rare and unheard of it took place in a time when few people knew what was exactly going on and how to fix the problem. There were a lot of controversies about the events that led up to this event and the events that followed because not only did it happen on Martin Luther King Day, but few knew what the situation truly entailed. There was fear, skepticism, disbelief and worry surrounding the people that were involved and all of the issues that it incorporated. After these events took place the police began to crackdown on the law enforcement on hackers and other computer based law breakers. The story of the Hacker Crackdown is technological, sub cultural, criminal, and legal. There were many raids that took place and it became a sym bolic debate between fighting serious computer crime and protecting the civil liberties of those involved. In this book Sterling discusses three cyberspace subcultures known as the hacker underworld, the realm of the cyber cops, and the idealistic culture for the cyber civil libertarians. At the beginning of the story Sterling starts out with discussing the birth of cyberspace and how it came about. The Hacker Crackdown informs the readers of the issues surrounding computer crime and the people on all sides of those problems. Sterling gives a brief summary of what cyberspace meant back then and how it impacted society, and he investigates the past, present and future of computer crimes. For instance he explains how the invention of the telephone led to a world that people were scared of because the telephone was something that was able to let people talk to one another without actually being in the same area. People thought that it was so strange and so different because they didn’t understand all of the information behind it. Back then people thought of the telephone as a tool tha t allowed others to talk to them in a way that was so personal yet impersonal. Sterling then goes on to explain how â€Å"phone phreaks† played such an important part in relating the telephones to computer crimes and how they were so closely related back then.

Csr Essay

â€Å"It takes 20 years to build a reputation and five minutes to ruin it. If you think about that, you’ll do things differently. † Warren Edward Buffet, Entrepreneur. Social responsibility of business is a very contradicting topic and there clearly can be no perfect answer as to what extent corporations should employ it. Milton Friedman and Ivar Kolstad have contrasting opinions on the issue, and both of them listed weighty arguments for their positions. In this essay I would like to express my view on the problem presented in the articles.The argument can in fact be called â€Å"shareholders vs. stakeholders†. Management is bound to be responsible to shareholders; otherwise there will be some other management who will be responsible to them. In this respect, management does not have a choice. But they do have a choice whether or not to be responsible to other stakeholders as well, that is, employ some general and non-legislative principles of doing business. Sh areholders are central in Milton Friedman’s opinion. He believes that a company exists in order to satisfy the shareholders and give them the most possible out of it.I cannot agree with this view and I think that it is quite narrow, because most companies are so much more than just profit-generators for stockholders. Of course companies need to make profit – otherwise they cannot survive, but owners should indeed feel the difference between fair profits, fair return on their money, and unlimited profits created at someone’s expense. Let’s look at managers’ choice between maximizing profits and caring for stakeholders from the perspective of different schools of normative ethics.Kantian deontology states that there are actions that are always good and actions that are always bad, and humans should act according to their moral duties, not to selfish motives and wishes. In the world of capitalists, this theory is quite hard to apply, since businesses inherently pursue the goal of profit generation, which is selfish by its nature. However, an idea of universal law can be used to evaluate moral actions: if one manager chooses to deceive his customers, let’s assume that all managers choose to deceive their customers. What would the result be?All customers would be deceived and would no longer trust the companies. So when making decisions, Kant suggests thinking in terms of universal laws. The opposing theory – consequentialism, suggests that the moral value of an action only depends on its consequences. However, let’s imagine that an employee of a nuclear power station decides to talk to his friend on the phone instead of controlling the process. If everything goes right and no catastrophe happens, can his action be considered ethically good? In this sense, the theory is not very useful.However, if we are talking about managers’ decisions, they should always think about consequences that their actions ca n cause. Another theory is utilitarianism, which evaluates the moral value of an action in terms of the summed happiness of all members of society that resulted from it. Shareholders make themselves â€Å"happy† by maximizing profits at any expense, but a whole lot of stakeholders are left â€Å"unhappy†. Therefore, owners of the company minimize the good in society by maximizing profits. On the other hand, a company can make a lot of people deliriously happy by giving out its products for free, and soon go bankrupt.So where does the thin line lie between maximizing customers’ value while staying financially sound and giving up profit opportunities for ethical motives, getting no or a very moderate return? It’s a very hard question, but in my opinion, companies should try to avoid doing harm to customers, employees and environment whenever they can. Another school is called classical school, and it states that the moral value of an action depends on its n ature, motives and consequences. In my opinion, this theory is the most sensible one, because it comprises all other theories and does not look at actions from a narrow perspective.As long as customers are concerned, CSR is integral when dealing with them. If customers are dissatisfied with the quality of a product or service they get, or a company somehow deceives them, thus maximizing its profits, it receives a bad reputation and as a result can lose all of its customers and the shareholders would not get any returns. However, all too often companies cut costs at the expense of their customers’ well-being: for example, feed chickens with hormones that can have adverse effect not only on an individual, but also on his genes; or use low-cost resins in the production of furniture that poison humans’ breathing system.Frequently customers do not know about these hazards and assume that the product is of decent quality. I am not saying that companies should openly declare that their products are harmful, but rather that from the ethical point of view it would be right if the customer could have an overall image of the product that he is purchasing. It makes sense to also mention the billboards advertising make-up products where all women seem perfect and consumers subconsciously think that if they buy the product, they would be closer to the perfect image presented to them.However, it appears that most of these photos are heavily photoshoped and there is no way a real woman can look like this. However, these images do affect the overall standards of beauty, and make many women depressed about their appearance and many men to admire not the real natural beauty, but a fake photo of a woman he might never notice in the real life. In this sense, Dove has made quite an ethical move and launched a â€Å"Campaign for Real Beauty† (although it may as well be that this so-called â€Å"responsible† campaign was nothing but a fresh marketing move) .However, it attracted attention to the topic and made more people aware of it. From Friedmanian point of view, can good quality goods be seen as a deviation from maximizing profits? Or should a company’s managers strive to cut costs, but so that it is not so evident to customers, in order to get more money? For example, a manager of a food company knows that he can substitute one ingredient for another, cheaper one, which may cause cancer if often consumed, and the customers most probably won’t realize it, because the appearance and the taste of the product will not change.Should he maximize profits in this case? According to Friedman’s view, if a manager knows about the possibility but decides not to use it, he taxes the shareholders who would not get this additional profit. In the end it all comes down to the agent-principal theory, which states that managers have skills and knowledge that the shareholders do not themselves possess, therefore owners often can not estimate, whether or not the management is doing a good job, so they need to trust the management.It follows that the management indeed has a choice, because shareholders do not really know to what extent management acts in owners’ interests. And again, shareholders most often can go away, sell their shares and have nothing more to do with the company, so they are likely to involve with strategies that damage other stakeholders. If we talk about employees, would it be fair to use child labor or underpaid labor in some third world?Kolstad says that companies have bigger responsibility in poor countries than in rich countries because poor countries’ governments cannot guarantee their citizens’ rights. I agree with him and I believe that there should be some sort of a moral code for companies, which defines that a company cannot exploit these unethical means of getting profits and involve in such â€Å"dirty† operations. Also, if we talk about layoffs, w ould it be fair to dismiss employees who have worked in a company for many years and who actually created its image and reputation?Shareholders are sort of blank in this sense – they are not involved in the development and production and often they do not put anything personal into the company, nor are they loyal – if the company does not promise good returns, they simply invest their money somewhere else. It is rather an ethical question whether these people need to be a priority for the management. Sure, their expectations need to be met, otherwise management will be dismissed, but a company is not its shareholders – in fact, they can be anyone.I believe that the main principle a company can adopt in relation to its employees is guaranteeing that everyone involved in the process gets a fair return. This means that there should be no miniscule salaries, regardless of where a company does business. However, if we talk about countries’ differences, surely a salary of a worker in China would be lower than that of the same worker in Finland. The point is that a company should not aim to just exploit the labor force of the country it chooses for its production, but rather think about how to make life for the workers better as well.If workers in a China are prepared to work for 100$ a month, but in this case it only gives them a chance to get by and not die, it would be very ethical from a company’s point of view to pay them 140$ a month. It would still be many times cheaper than hiring the same worker in Finland, but at least a company would give Chinese workers a chance to live decently. So all in all I believe that a company should not aim at employing people at the lowest possible salary in order to cut costs, but instead respect employees and ensure they get a fair return on their work. Another dimension of corporate responsibility is environment.It is special because the environment cannot cry for help, and if not enough att ention is paid to it by the state or people, and a company does not treat it healthily, it becomes absolutely insecure. European and American companies that have factories in the third-world countries have no pragmatic interest in caring for the environment. Governments of these countries have to make a difficult choice between food and goods for its citizens and pollution caused by First World companies that choose Third World because environmental laws are much less strict there than in developed countries.So how should a company behave in regard to the environment? I believe that it is integral that a company does not just exploit it and leave the state and the population of the country dealing with the negative consequences. For example, managers are frequently tempted to cut costs by not installing waste filters and pouring unfiltered dump into rivers, lakes and soil. They can foresee that the consequences of this negligence can be disastrous, but they just do not care because they can always move their factories to another poor country with loose environmental legislation.This behavior is morally ill from the point of view of classic school of normative ethics. The nature of an act in obviously damaging – they pollute the environment. Their intention is to cut costs by involving in this negligence, and is by no means noble. The circumstances are bad and the managers actually could foresee it, but they are either too happy themselves with the stream of money or shareholders make the decisions for managers and make them behave in an environmentally harmful way.In this case managers become â€Å"Dams† and the organization can be considered ethically ill. However, who could directly punish companies for such actions? Their customers in the First World may have some idea of this irresponsibility, but they like the cheap product and most of them still are not so environmentally conscious. Home government does not really care what the company does in some Third World country. So in the end it all falls down on the Third World country, its government and especially people.It also has to be said that all environmentally irresponsible decisions are relatively short-term from the whole mankind’s point of view, because for now we have only one planet with the fixed amount of non-renewable resources. However, the safety and sustainability of nature is always dependent on numerous individuals who face trade-offs between clean environment and their own advantage, and people are generally prone to choose what is best for them. In conclusion, it has to be said that there are no perfect companies – each business inevitably pursues its own selfish aims.However, in modern globalized world, where corporations have a lot more influence and power than ever before, they also have a lot more responsibilities to the society. Unfortunately, managers all too often forget that they are the ones who can make all the difference to a c ompany that is avoiding its responsibilities. â€Å"It is easy to dodge our responsibilities, but we cannot dodge the consequences of dodging our responsibilities† Josiah Charles Stamp, English Economist and President of the Bank of England

Important Time in My Life Essay

There comes a time in our lives where we all have to face important decisions and challenges maybe taking examinations or starting a new job. For me, going to secondary school was an important time and was a big challenge. This can be a stressful and nerve racking experience for any eleven year old, unlike most of the people that started my school I didn’t know many people from my previous primary school, so they already had foundations and memories and did not really have to make new friends as importantly as I did. There was only 9 people in my year 6 and 7 went to the same school as I did. Before I knew it the six weeks holiday was over and the morning arrived with the new shoes and the shiny black blazer. Then I had to be walked to school by my Mum. I was reluctant to leave the comfort of knowing somebody but somehow found that extra confidence to walk into the school hall full of strangers. Luckily for me I attended football on Fridays and Saturday mornings and there was a boy from there. I straight away went and sat next to him and was very relieved. Little did I know we were sectioned off into forms and I had humiliated myself by walking into the other form’s turf instead of my own heroic Miss Watson form. After having a sixth form girl come show me the correct way in front of everyone and show me to my rightful place, I found that people started to come and talk to me and one girl especially called Jasmine who was also alone, started making conversation. I thought I would be able to stick with her the rest of the day, especially when our names were called out together for being in the same form. We spent the morning meeting our tutors and taking part in activities and games in order to get to know each other. As we were learning more and more about each other, I was fairly confident by lunch time I had made a friend in Jasmine, and got over being alone on my first day. Although, as I soon found out, Jasmine had got friends in other houses and forgetting me she soon ran off to go meet and play with them. I was too shy to go after her and introduce myself to a whole new group of people, instead I just stood against a wall by myself as I did not know what else to do or where to go. Looking back on this now I would never just stand against a wall by myself watching everybody making friends and enjoying their lunch time but at the time my shyness took over and that was it. Time passed slowly and there was still half an hour to go before I could be in the comfort of the classroom with the people I recognized again. I then got through the first day of an  important time of my life. Why was it important? Because it kick started my road to getting a higher education and making friends.

Martin Brian Mulroney Essays - Brian Mulroney, Free Essays

Martin Brian Mulroney Essays - Brian Mulroney, Free Essays Martin Brian Mulroney Martin Brian Mulroney became the 18th prime minister of Canada on September 17, 1984, after his party, the Progressive Conservatives won the greatest parliamentary victory ever in Canadian history. Mulroney was born in 1939, the son of an electrician, in the paper mill town of Baie Comeau, Quebec. Mulroney attended a very strict military type all boys school until the age of 16 when he entered Saint Francis Xavier University in Antigonish, Nova Scotia. There he earned an honor degree in political science. While at St. FX he was active in on campus politics. During his first year he became a member of the youth wing of the P.C. Party of Nova Scotia. Before he graduated he was to become the Prime Minister of St. FXs famous mock Parliament, a position that had been held for years by Liberal students. After graduation he studied law at Dalhousie in Halifax and later at Laval University in Quebec, from which he graduated in 1962. It was during these years in Quebec that Mulroney became known as the life of the party. He frequented most Montreal nightclubs and was quite a ladys man. Mulroney also became a slightly more than social drinker. After becoming a lawyer in 1965 he joined a prestigious law firm known as Cate Ogilvy, later becoming a partner in that firm. In May 1973 at the age of 34 he married a beautiful 20 year old Mila Pivnicki, daughter of Yugoslav immigrants. The Mulroneys would go on to have three children. Mulroney worked energetically for the Progressive Conservative Party as a young lawyer, serving on the party's finance and policy committees and on its 1968 and 1972 campaign committees. He first came into the public eye in 1974 as a member of the Cliche Royal Commission, which investigated corruption and violence in the Quebec construction industry. Also involved in this commission was Mulroneys friend and future Quebec premier Lucien Bouchard. Although Mulroney had not yet held public office, he ran for election as Conservative leader at the party's 1976 national convention. He waged a vigorous and expensive campaign but lost to Joe Clark after being critisized as the Cadillac Cantidate for spending so much money. Following this failure, Mulroney became very depressed and bitter. This was a very bleak time in his life. His drinking and his tongue often got him in trouble. During this period he would often attend social events, get very drunk, and make an ass of himself. He took the Leadership loss very personally and it almost ruined him. A few years after taking the job of President of the Iron Ore Company of Canada in 1977 he decided that he would clean himself up. He went to special Alcoholics Anonomous meetings for famous people who didnt want the world to know they had a problem. After this time in his life he almost never had a drink and never repeated his drunken outbursts at any social functions. During his years a s a corporate executive, Mulroney remained active in politics, taking every occasion to increase his visibility among the public and to gain support from within the party for his upcoming leadership bid. In 1982, because of an economic depression, the Iron Ore Company of Canada was forced to close one of its mining and milling towns in Quebec. At first this appeared to be a disastrous political setback for Mulroney. However, he turned it into a public relations triumph by making the people of the town in question believe that there were other alternatives when there were none and by negotiating generous settlements for the workers who had lost their jobs. This earned him respect and won him general support and his reputation as an expert labor lawyer and industrial relations specialist was enhanced. After the election most of his promises were shown to be false hopes but by that time the people had already decided. In mid-1983 Clark's leadership of the Progressive Conservative Party was being questioned, forcing him to call a national party convention and leadership review. Brian Mulroney was again a candidate, and he campaigned more shrewdly than he had done seven years before. He actually had been paying people to ruin Clarks chances