Where Were You November 22, 1963 Any And Every American Old Enough To

Where were you November 22, 1963? Any and every American old enough to mourn, to feel sorrow remember where they were and what they were doing when they received the news that President John F. Kennedy had been murdered. My mother was only three and she remembers the day. She was in the living room of her childhood home when a weeping neighbor called my Grandmother and broke the news. The telephone call was the beginning of a chain reaction that sent the entire house into uncontrollable sobbing. The event had that effect on the entire nation. Men and women, Democrats and Republicans, adults and children mourned the loss of their fallen leader. President Johnson, the Warren Commission, and every fascinated watcher-on in the world would closely scrutinize that day and the following events. The facts of the day are still hotly contested even now. Politicians have made their careers on the case. Conspiracy theorists have had a field day writing books, accusing anyone and everyone of planing the assassination. This paper's purpose is to inform you on the known facts of the event, including the reason for President Kennedy's visit, the parade through down-town Dallas, and the emergency trip to the hospital. The Warren Commission's report to the President will be summarized and many conspiracy theories will be established. President and Mrs. Kennedy arrived in Dallas at 11:40AM CST on Friday, November 22, 1963. The couple had been in San Antonio, the first leg of a two day trip through the state, where they met with Vice-president Johnson and Texas Governor Connally. The Texas trip was planned in hopes of reviving the President's popularity in Texas after it was hurt during the election of 1960. Until midmorning, cloudy skies had threatened to cancel the motorcade-style parade that was planned for the day. The motorcade would travel from Love Field, where the President's plane had landed, through Dallas on a previously publicized route to the Trade Mart where a luncheon in honor of the President had been planned, (The Warren Commission, pg. 2). The motorcade consisted of the president's car, followed by a car designate the "Presidential follow-up" which carried secret service members. Behind that was another open roofed car carrying Vice-president Lyndon Johnson and Texas Governor Connally and their wi ves. Following the vice-president's car was another follow-up car and several cars and buses with dignitaries and press representatives. The motorcade followed its designated route, first passing through a residential area of Dallas, and then making its way through the middle of the downtown area. The parade traveled west on Main Street and then made a right on Houston. The motorcade went one block and then made a left-turn on Elm. On the corner of Elm and Houston was the large, ominous Texas School Book Depository, where the fatal shots were later accused of being fired from. When the President's car turned west on Elm and crossed the Depository, three shots were fired at the motorcade. The President was struck by a bullet that entered at the base of his neck, just right of his spine and exited under the lower left portion of the knot in the President's tie. A second bullet struck Kennedy in the rear base of his head, causing the fatal wound. Texas Governor Connally, riding two cars behind the President, was also hit. The bullet hit the Governor on the extreme right side of his back, just below the armpit. The bullet exited below his left nipple and hit him again on the left wrist. Secret Service Agent Roy Kellerman saw that the President had been hit and instructed the driver to get the President to a hospital immediately. Parlkand Memorial Hospital was the closest hospital, just 4 miles away. Awaiting Doctors met the presidential car and immediately began an attempt to resuscitate the dying President. At 1:00PM, just 30 minutes after the President had been shot, Kennedy's heart had stopped and was pronounced dead. Vice-president Johnson left Parkland Hospital after being notified of the President's death and traveled back to the Presidential Plane at Love Field under close guard. Mrs. Kennedy and the President's body followed and boarded the plane shortly after Johnson. At 2:38PM, with the plane on

Policy Analysis on Dementia Care The WritePass Journal

Policy Analysis on Dementia Care Abstract Policy Analysis on Dementia Care ). This policy aims to increase diagnosis rate, improve health and care services in hospitals, care homes, communities and homes, create dementia-friendly communities and widen research on dementia care. This brief will only focus on improving health and care services in communities and homes and relate these to the DNs role in providing care to patients in their own communities and homes. Implications of the Policy on Current Practice The policy on dementia care has an important implication in my practice as a district nurse. Providing holistic interventions to improve the quality of care in community settings require collaborative efforts of health and social care professionals (National Collaborating Centre for Mental Health, 2007). As a district nurse, I take the lead in provision of healthcare in community settings. On reflection, patients with dementia have complex needs that require collaborative care from nurses, physical and occupational therapists, dieticians, social care workers and other healthcare professionals. My role extends from planning care to coordinating care with other professionals. The King’s Fund (2012) explains that multidisciplinary teams are needed to provide quality care to patients. However, the quality of care could be affected if there are fewer nurses caring for patients. I observed that the number of registered nurses in my practice is declining. This observation is similar in a survey conducted by the Royal College of Nursing (2011), which reported that almost 70% of district nurse respondents claimed that registered nurses in their staff have dropped out. In my current caseload, a third of my patients in our team suffer from dementia. The incidence of dementia in Hackney is four times higher compared to the UK’s average (Public Health England, 2013). However, due to the nature of the condition, the care of this group of patients requires a disproportionate amount of time and resources. One of the duties of DNs in addressing the policy on dementia care is to ensure that carers also receive appropriate support. Carers have the right to h ave their needs assessed under the Carers and Disabled Children Act 2000 (UK Legislation, 2000). In my experience, CBT has been show to be effective not only in reducing anxiety in my patients but also depression in the carers. It has been shown that joining support groups has been associated with reduced incidence of depression (NICE, 2006). Implications of the Policy on Future Practice With the increasing focus on community care, there is a need to strengthen the district nurse workforce. Based on my experiences and observation, the quality of care could be compromised due to the decreasing number of DNs (Queen’s Nursing Institute, 2010). There is increased pressure to provide quality care at the least cost and with reduced number of nurses (Queen’s Nursing Institute, 2010). Establishing a therapeutic relationship is difficult when the continuous decline of healthcare workforce in the community is not addressed. Sheehan et al. (2009) argue that a positive relationship between healthcare professionals and the patient is needed in order to make healthcare decisions that would dictate the future of the patient. Based on these observations, the policy on dementia care would require additional workforce of registered nurses who would be willing to work in community settings. At present, the issue of sustainability of the DN workforce in meeting the present and future demands of elderly patients has been raised (Royal College of Nursing, 2013, 2011). Unless the issue of reduced workforce is not addressed, meeting the demands of the dementia policy would continue to be difficult. The policy would also require additional education and training for nurses. The Royal College of Nursing (2013) has acknowledged that the present DN workforce is highly qualified. Many have met the qualifications of nurse prescriber or district nurse while the rest of the staff either have completed qualifications for nursing first or second level registration or at least hold a nursing degree. However, the Royal College of Nursing (2013) also notes that the workforce number is still low. A small workforce could not adequately meet these needs. Further, the ageing population in the UK would mean that the NHS would continue to see a rise in the incidence of dementia in the succeeding years. The issue of recording performance data is also raised with the recent policy on dementia care. This would be a challenge since a community or a home does not present any safeguards commonly found in a controlled environment such as wards in hospital settings (Royal College of Nursing, 2013). There is also a need for DNs to be trained on how to give education and training to caregivers. In a systematic review conducted by Zabalegui et al. (2014), suggest that the quality of care of patients with dementia living at home could be improved if caregivers receive sufficient education and training from healthcare providers. Political, Economic and Philosophical Context The Alzheimer’s society (2014) states that in the UK, approximately  £23 billion is spent annually to manage patients with dementia. However, the same organisation is quick to observe that a large portion of this cost is borne by carers of the patient rather than social care services or the NHS. To date, there is only one study (Alzheimer’s UK, 2007) that investigated the cost of managing patients with dementia in community settings. The report shows that in 2007, the cost of managing one patient with mild dementia within one year in a community setting amounts to  £14, 540. For an individual with moderate dementia, the annual cost is  £20,355. This increases to  £28,527 for a patient with severe dementia. If a patient is sent to a care home, the annual cost of managing the condition amounts to  £31,263. It should be noted that all these costs were calculated almost 7 years ago. The individual cost of treatment is now higher. The same survey also shows that majority of the costs of dementia care is channelled to the carers. However, these costs do not account for the informal carers. Alzheimer’s UK (2007) estimates that the number of hours informal carers devote to caring run up to 1.5bn hours each year. This translates to  £12bn in cost, which is higher than the combined health and social care cost for dementia. Patients with severe dementia living in their homes or communities need at least 46 hours of paid carer support within a week (Alzheimer’s UK, 2007). However, the changing dynamics of families, with children living far from their parents or loss of spouse due to divorce or death could limit the pool of family carers. This issue could all influence the impact of the service provided by informal carers of dementia. The ageing population of the UK (Office for National Statistics, 2013) could further drive up the cost of caring for patients with dementia. The policy on dementia care increasingly depends on homes and communities to support the care of patients with dementia. Since many informal carers manage patients with dementia, the burden of caring is now channelled to the patient’s family. The main stakeholders then for this policy include informal carers, patients, DN staff and multidisciplinary team. This increasing reliance on home care and management could even be viewed as a strategy of the NHS to reduce the cost of caring for patients with dementia. There is also a concern on whether the quality of care is maintained at home, especially with fewer DNs supervising the care at home. Apart from the economic cost, politics could also influence DN practice. As with other policies, the policy on dementia (Department of Health, 2013) bring care close to home and care at home. These gradual changes are projected to empower patients, lower costs of healthcare while empowering communities to take care of their own health (Department of Health, 2013). The withdrawal of the state in providing minimum services for patients with dementia in favour of care at home should be evaluated on whether this would cause harm to the patient. If care at home would be possible with supportive carers, my role as a DN would focus on coordinating care with other healthcare professionals. However, if the patient does not receive sufficient support, the Mental Health Act 2007 (UK Legislation, 2007) mandates the appointment of a carer for the patient. The consequences of the political context of moving care closer to home for patients with dementia would be felt in the succeeding years. On re flection, making this policy work would require DNs to provide adequate support to the informal carers. The philosophical underpinning of this policy focuses on tackling health inequalities. Social determinants of health (NHS, 2012) have long known to influence the health outcomes of many individuals. In the London Borough of Hackney, incidence of dementia is higher amongst the older black elderly compared to the general white population (Office for National Statistics, 2013; Public Health England, 2013). Yaffe et al. (2013) argue that genetics do not account entirely on the disparity of incidence between black and white older populations in the UK. Instead, Yaffe et al. (2013) maintain that socioeconomic differences appear to have a greater influence on the higher incidence of dementia amongst black older people. Related risk factors for dementia such as poorer health, less education and literacy are higher in the black elderly and might account for the variation in dementia incidence. A number of earlier studies (Haas et al., 2012; Thorpe et al., 2011) have pointed out the relationsh ip between socioeconomic status and cognitive outcomes. The dementia policy not only brings care closer to home but also addresses socio-economic disparities of patients with dementia by allowing DNs to provide care in home settings. However, this is still challenging since carers and family members would provide care on a daily basis. The limited financial capacities of families with lower socio-economic status could have an effect on the nutritional status and physical health of the patients (Adelman et al., 2009). It has been stressed that poor nutrition and health could increase the risk of cognitive decline (Adelman et al., 2011). Ethical and Moral Implications of the Dementia Policy for Practice Approaches to ethics include the Deontological approach, Justice, Virtue and Consequentialism. Fry (2010) explain that in deontology, individuals should perform an action because it is their duty to do so regardless of the consequences of the action. The Dementia Policy in the UK is underpinned by ethical approaches. Using deontology, it is moral for nurses and carers to provide care for patients with dementia. In rule-deontology, decisions regarding the care of patients become moral when these follow the rules. Fry (2010) emphasise that the actions of individuals following deontology is usually predictable since it follows set of rules. A second approach to ethics called the Results of Actions (Fry, 2010) is opposite to deontology. In this ethics approach, an action becomes moral when its consequences produce more advantages for the patient than disadvantages. The third approach to ethics or the virtue approach states that there is an ideal that should be pursued by individuals in order to develop their full potential (Jackson, 2013). This approach is more encompassing than the deontological approach since it seeks to make a person moral by acquiring virtues. A review of the policy reveals that the virtue approach is followed since it seeks to provide holistic care to the patients. The policy emphasises providing psychological, social and emotional support not only to patients but also to their carers. Meanwhile, Beauchamp and Childress (2001) have set out four principles of ethics. These are autonomy, non-maleficence, beneficence and justice. The Nursing and Midwifery Council’s (NMC, 2008) code of conduct has stressed that patient autonomy should always be observed in all healthcare settings. A review of the dementia policy reveals that allowing patient’s to be cared in their home settings would likely increase patient autonomy. Patients in the early stages of dementia or those with moderate forms of the condition could experience cognitive impairments but still have the capacity to decide for themselves (Department of Health, 2009). The Mental Capacity Act 2005 (UK Legislation, 2005) states that only when patients suffer significant cognitive impairments should representatives of the patients be allowed to make decisions in behalf of the patient. Since the policy focuses on patient-centred care even in home settings, patients or their family members are allowed to decide on the best treatment or management for the patients. District nurses are encouraged in the policy to always seek for the patient’s interest. The emphasis of the policy on allowing patients to decide about their care is consistent with the ethical principle of autonomy. It is also important that nurses should first do no harm to the patients as embodied in the ethics principle of non-maleficence (Beauchamp and Childress, 2001). The policy supports this principle since DNs are available to provide support and lead the care of patients in home settings. However, there are several barriers in implementing the full policy. Although the policy specifies that DNs should rally the support of patients in home settings, there is the growing concern that the standards of care seen in hospital settings might not be transferred in home settings (King’s Fund, 2012). For instance, DNs could not regularly supervise carers on a daily basis on how they provide care to individuals with dementia. These patients need to receive sufficient nutrition, engage in exercises that increase their mobility or regularly receive pharmacologic medications for their conditions (Casartelli et al., 2013; Hopper et al., 2013; Cole, 2012; Bryon et al., 2012). It would be difficu lt to determine on a regular basis if all these tasks are carried out according to standards if patients are cared in their own homes. In a recent King’s Fund (2013) report, the quality of care received by patients from their nurses is highlighted. This report observes that not all nurses are compassionate to their patients and often, basic care such as feeding or giving water to the patients are often neglected. While this report was based on a study in only one hospital setting, the results are important since it showed that basic care might not be observed. In contrast, DNs would only visit the patients in their homes and would not be around to provide long hours of care. If patients receive poor quality care, this could result to poorer health outcomes and faster deterioration of the patient. The ethics principle of non-maleficence might not be observed if the volume of DN staff in the community remains low. There has been an association of high volume of work and low staffing amongst nurses with poor quality care (King’s Fund, 2013, 2012). The policy also observes the principle of beneficence since its primary outcome is to improve the quality of care received by older patients with dementia in their own homes. Although providing care in home settings would drastically reduce healthcare costs for dementia care, it is still unclear if this would benefit the family more. The cost of informal carers remains to be high, and yet is often discounted when approximating the cost of care for dementia (Alzheimer’s Society, 2014). This policy might put undue burden on families who lack the capacity to provide care for patients in advanced stages of dementia on a 24 hours basis (Alzheimer’s Society, 2014). Despite this observation, the policy is beneficial to patients with moderate dementia. A home setting might provide them with the stability and familiarity that is absent in hospital settings (Sheehan et al., 2009). It has been shown that when patients are admitted in hospital settings, they often manifest aggressi ve behaviour that is suggested to be a response to the changes in environment (Sheehan et al., 2009). The ethics principle of justice is also observed since the policy requires all patients, regardless of race or gender and socio-economic status, to receive equitable healthcare (Department of Health, 2013). On reflection, the moral implications of the policy might come into conflict with the state’s increasing reliance on informal carers or family members to provide care for patients with dementia. The issue lies on whether it is moral to delegate most of the care to informal carers who might also need additional support when caring for patients with progressive chronic conditions. The National Collaborating Centre for Mental Health (2007) stress that informal carers also need support to help them manage depression, stress or burnout from providing care to patients who would never recover from their condition. While the NHS continue to practice innovation in delivering care, an evaluation on whether there are enough resources to implement the innovation should be made. Conclusion In conclusion, the recent policy on dementia in the UK sets the direction of care in community or home settings. District nurses are in the position of following this direction since they lead patient care at home and in the community. However, this brief highlights some issues that should be addressed. These include the decreasing workforce of DN and their staff and their need for additional training and education. The political and economic context influencing the dementia policy should also be taken into account. Finally, this brief illustrates the role of DNs in providing quality care to patients in community and home settings. They could lobby for the patient’s rights and coordinate collaborative care between healthcare professionals and those involved in social care. References Adelman, S., Blanchard, M., Rait, G., Leavey, G. Livingston, G. (2011). ‘Prevalence of dementia in African-Carribean compared with UK-born white older people: two-stage cross-sectional study’, British Journal of Psychiatry, 199, pp. 119-125. Adelman, S., Blanchard, M. Livingston, G. (2009). ‘A systematic review of the prevalence and covariates of dementia or relative cognitive impairment in the older African-Carribean population in Britain’, International Journal of Geriatric and Psychiatry, 24, pp. 657-665. Alzheimer’s Society (2014). Financial cost of Dementia [Online]. Available from: alzheimers.org.uk/site/scripts/documents_info.php?documentID=418 (Accessed: 12th March, 2014). Alzheimer’s Research UK (2013) Dementia Statistics [Online]. Available from: alzheimersresearchuk.org/dementia-statistics/ (Accessed: 19th February, 2014). Alzheimer’s UK (2007). Dementia UK: The Full Report. [Online]. Available from: alzheimers.org.uk/site/scripts/download_info.php?fileID=2 (Accessed: 12th March, 2014). Beauchamp, T. Childress, J. (2001). Principles of biomedical ethics. 5th ed. Oxford: Oxford University Press. Bryon, E., Gastmans, C. de Casterle, D. (2012). ‘Nurse-physician communication concerning artificial nutrition or hydration (ANH) in patients with dementia: a qualitative study’. Journal of Clinical Nursing, 21, pp. 2975-2984. Casartelli, N., Item-Glatthorn, J., Bizzini, ., Leunig, M. Maffiuletti, N. (2013). ‘Differences in gait characteristics between total hip, knee, and ankle arthroplasty patients: a six-moth postoperative comparison’. BMC Musculoskeletal Disorder, 14:176 doi: 10.1186/1471-2474-14-176. Cole, D. (2012). ‘Optimising nutrition for older people with dementia’. Nursing Standard, 26(20), pp. 41-48. Department of Health (2013). Improving care for people with dementia [Online]. Available from: https://www.gov.uk/government/policies/improving-care-for-people-with-dementia (Accessed: 19th February, 2014). Department of Health Public Health Nursing (2013). Care in local communities- district nurse vision and model. London: Department of Health. Department of Health (2009). Living Well with dementia: A National Dementia Strategy. London: Department of Health. Fry, S., Veatch, R. Taylor, C. (2010) Case studies in nursing ethics, London: Jones Bartlett Learning. Haas, S., Krueger, P. Rohlfsen, L. (2012). ‘Race/ethnic and nativity disparities in later physical performance: the role of health and socioeconomic status over the life course’, Journal of Gerontology Series B: Psychological Sciences and Social Sciences, 67, pp. 238-248. Hopper, T., bourgeois, M., Pimentel, J., Qualls, C., Hickey, E., Frymark, T. Schooling, T. (2013). ‘An evidence-based systematic review on cognitive interventions for individuals with dementia’. American Journal of Speech and Language Pathology, 22(1), pp. 126-145. Jackson, E. (2013) Medical law: Text, cases, and materials, Oxford: Oxford University Press. King’s Fund (2013). Report of the Mid Staffordshire NHS Foundation trust Public Inquiry by Robert Francis QC. London: The King’s Fund. King’s Fund (2012). Integrated care for patients and populations: improving outcomes by working together. A report to the Department of Health and the NHS Future Forum, London: King’s Fund [Online]. Available from: www.kingsfund.org/uk/publications (Accessed: 12th March, 2014). National Collaborating Centre for Mental Health (2007). Dementia: The NICE-SCIE Guideline on supporting people with dementia and their carers in health and social care. London: The British Psychological Society and Gaskell and Social Care Institute for Excellence and NICE. National Institute for Health and Clinical Excellence (NICE) (2006). Dementia: Supporting people with dementia and their carers in health and social care. London: NICE. National Health Service (NHS) (2012). Health and Wellbeing Profile 2011/12. London: City and Hackney and NHS East London and the City. Nursing and Midwifery Council (NMC) (2008). The Code: Standards of conduct, performance and ethics for nurses and midwives. London: NMC. Office for National Statistics (2013). Ageing in the UK Datasets [Online]. Available from: statistics.gov.uk/hub/population/ageing/older-people (Accessed: 19th February, 2014). Public Health England (2013). Hackney: Health Profile 2013. London: Public Health England [Online]. Available from: www.healthprofile.info (Accessed: 12th March, 2014). Queen’s Nursing Institute (2010). District nurse is becoming an endangered species (press release, issued 26 March 2010), London: QNI [Online]. Available from: www.qni.org.uk (Accessed: 12th March, 2014). Royal College of Nursing (2013). District Nursing- harnessing the potential: The RCN’s UK Position on district nursing. London: RCN [Online]. Available from: www.rcn.org.uk/publications (Accessed: 12th March, 2014). Royal College of Nursing (2011). The Community nursing workforce in England, London: RCN [Online]. Available from: www.rcn.org.uk/publications (Accessed: 12th March, 2014). Sheehan, B., Stinton, C. Mitchell, K. (2009) ‘The care of people with dementia in general hospital’, The Journal of Quality Research in Dementia, Issue 8 [Online]. Available from: alzheimers.org.uk/site/scripts/documents_info.php?documentID=1094pageNumber=5 (Accessed: 12th March, 2014). Thorpe, R., Koster, A., Kritchevsky, S., Newman, A., Harris, T., Ayonayon, H., Perry, S., Rooks, R. Simonsick, E. (2011). ‘Race, socioeconomic resources, and late-life mobility and decline: findings from the Health, Aging, and Body Composition Study’, Journal of Gerontology. Series A, Biological Sciences and Medical Sciences, 66(10), pp. 1114-11123. UK Legislation (2007). Mental Health Act 2007 [Online]. Available from: legislation.gov.uk/ukpga/2007/12/contents (Accessed: 12th March, 2014). UK Legislation (2005). Mental Capacity Act 2005 [Online]. Available from: legislation.gov.uk/ukpga/2005/9/contents (Accessed: 12th March, 2014). UK Legislation (2000). Carers and Disabled Children Act 2000. [Online]. Available from: legislation.gov.uk/ukpga/2000/16/notes/contents (Accessed: 12th March, 2014). Yaffe, K., Falvey, C., Harris, T., Newman, A., Satterfield, S., Koster, A., Ayonayon, H. Simonsick, E. (2013). ‘Effect of socioeconomic disparities on incidence of dementia among biracial older adults: prospective study’, British Medical Journal, 347: f7051 [Online]. Available at: bmj.com/content/347/bmj.f7051 (Accessed: 22nd March, 2014). Zabalegui, A., Hamers, J., Karrison, S., Leino-Kilpi, H., Renom-Guiteras, A., Saks, K., Soto, M., Sutcliffe, C. Cabrera, E. (2014). ‘Best practices interventions to improve quality of care of people with dementia living at home’, Patient Education and Counseling, pii: S0738-3991(14)00044-5. doi: 10.1016/j.pec.2014.01.009 [Online]. Available from: ncbi.nlm.nih.gov/pubmed/24525223 (Accessed: 12th March, 2014).

A Comparison Study of Brutus and Antonys Speeches and Their Rhetoric

A Comparison Study of Brutus' and Antony's Speeches and Their Rhetoric Antony’s speech at Caesar’s funeral in Shakespeare’s Julius Caesar was more effective than Brutus’ because Antony used a multifaceted emotional argument, instead of relying on one assertion, as Brutus had. Because of this, Antony was able to sway the crowd to his side, against Brutus and the Conspirators. â€Å"[Antony] does not†¦ show the insufficiency of any one approach†¦ Rather, his different rhetorical devices play into and strengthen one another† (Wills 46). The main flaw in Brutus’ speech at Caesars funeral was that his argument had only one source of proof, his reputation. â€Å"Brutus’ speech at Caesars funeral hammered home one argument- that his own honor had to be relied on† (Wills 79). During his speech, Brutus gave no tangible proof that Caesar was ambitious: no examples, witnesses, or letters proving that what he was saying was fact. The main weakness to this kind of argument is that if that one source of proof, in this case Brutus’ honor, is disproved, the entire argument falls away. Another flaw in Brutus’ oration was his failure to ‘read’ the crowd correctly, and because of this, he presented the wrong type of argument, a logical one, when he should have projected a more emotional one, as Antony did. While planning his speech, Brutus did not realize that the crowd would be more reactive to emotional prompts. While presenting a logical argument to more educated people usually has the desired effect, lesser educated people are almost always more responsive to emotional cues. During his address, Brutus only tries to emotionally involve the crowd once, when he tells them he loved Caesar, and was Caesars good friend, but he loved Rome more, and had no choice but to slay him. Although it is a good tactic, he did not emphasize it enough, and seeing that it was the only emotional point in his entire dialogue, the pathos part of his argument left much to be desired. â€Å"[Brutus’ oration] is all very cut and dried, pedantically so† (Wi lls 53). Overall, Brutus uses to much logos, logical points of an argument, for a uneducated mob. They agree with him and cheer him on, and want to crown him king, proving that they do not understand Brutus’ real reason for killing Caesar. Brutus did not want a king. But Brutus’ most intriguing flaws are the flaws in his personality that blocked him from understanding the crowd. â€Å"Brutus is a vain man†¦ an impractical idealist†¦ and lacks the saving sense of humor that springs from an understanding of his fellowman† (Matthews, Web). The way he acts and thinks gives him a terrible disadvantage, because he does not understand or know how to talk to the people. Since Brutus is from the upper class, he didn’t have much interaction with the lower classes of society, and did not realize that common men are not logical, idealistic creatures. If they were, his speech would have been very effective. Antony, on the other hand, had several examples that Caesar was not ambitious. â€Å"[Caesar] hath brought many captives home to Rome,/ Whose ransoms did the general coffers fill† (3.2.90-92 Shakespeare). Antony reminds the people of Rome that Caesar was not ambitious because he gave his war spoils to the people of Rome instead of keeping them for himself. â€Å"When the poor have cried, Caesar hath wept;/ Ambition should be made of sterner stuff† (3.2.93-94 Shakespeare). He also tells them of Caesar’s compassion and empathy for the common people. â€Å"I thrice presented to [Caesar] a kingly crown,/ Which he did thrice refuse† (3.2.98-99 Shakespeare). He then goes on to say that if Caesar had been ambitious, he would have taken the crown that Antony had presented to him. Caesars refusal proves Antony’s point that Caesar was not ambitious, and Antony begins to gain the approval of the common people as they think about what he has said. One of the other techniques used by Antony to sway the people was deceit. He lied or talked about things he never could have known to reach the crowd on a more emotional level. For example, Antony tells the crowd how he remembered the first time Caesar put on the cloak that he died in. Antony was not an associate of Caesar during the military campaign that overcame the Nervii, when he said Caesar first put on the cloak. Also, Caesar probably would not be wearing an old cloak he had fought battles in to a ceremony at which he expected to be crowned. Later, Antony points out the various wounds on Caesars body, and assigns each one to a specific conspirator. But how could Antony, who didn’t witness Caesars murder, know who caused the individual wounds? The individual conspirators probably could not find the individual wounds they had caused because of the frenzied way they attacked him. But although it us untrue, this is a very good tactic employed by Antony because it ‘put s a face’ on the conspirators, and gives the now angry mob people to hate. Antony triumphs because his skills and are strong in every area that Brutus’ are weak, and he has the advantage of speaking after Brutus, he knows what he’s going up against. â€Å"The psychology of the crowd that [Brutus] ignored or was ignorant of Mark Antony understands and applies† (Matthews, Web). Antony is able to understand the mob, and tailor an argument full of emotional prompts that involve the mob, and make them feel pity and empathy for Caesar, like when he points out the holes in Caesars cloak. His other advantage, speaking after Brutus, makes Antony’s job easier because now he knows exactly what he has to disprove, and has already seen how the crowd reacted to Brutus. With Brutus gone, Antony can disprove everything Brutus said without interference, and he does so with great ease, citing Caesars past actions and proving his lack of ambition. The many-pronged attack of Antony was what made his address to the mob much more effective than Brutus’. This was because he only had to disprove Brutus’ reputation as an honorable man to destroy Brutus’ entire argument. He did that easily by proving to the mob that Caesar was not ambitious, and therefore that Brutus was not honorable. Antony has lots of different examples to prove Caesar was not ambitious, and lied to get the audience more emotionally involved. He also figured out that he should focus more on pathos because the crowd was uneducated and very emotional. In the end, Antony was more effective because he used so many different advantages, proof, and various emotional ‘props’ in such a masterful way that they tied in with each other and mutually supported each other, making him virtually invincible. Works Cited Delaney, Bill. Shakespeares JULIUS CAESAR. Explicator 60.3 (2002): 122. MAS Ultra School Edition. Web. 11 Apr. 2014. Wills, Gary. Rome and Rhetoric: Shakespeares Julius Caesar. New Haven, CT : Yale University Press, c2011. Book. Matthews, Brander. The Plays from Plutarch. Shakespeare as a Playwright. Brander Matthews. Charles Scribners Sons, 1913. 254-263. Rpt. in Shakespearean Criticism. Ed. Mark W. Scott. Vol. 7. Detroit: Gale Research, 1988. Literature Resource Center. Web. 28 Apr. 2014. Harley Granville-Barker, â€Å" ‘Julius Caesar’,† in his â€Å"Prefaces to Shakespeare, first series, Sidgwick Jackson, Ltd., 1927, pp. 51-132 Stopford A. Brooke, â€Å" ‘Julius Caeser’,† in his â€Å"Ten More Plays of Shakespeare, Constable and Company Ltd., 1913, pp, 58-90 Shakespeare, William. Julius Caesar. Lastname, Firstname. Title of Book. City of Publication: Publisher, Year of Publication. Medium of Publication.

W7 As Merck Serono Essay Example | Topics and Well Written Essays - 500 words

W7 As Merck Serono - Essay Example As such, they should have a wealth of competent and qualified set of human resources who could undertake roles and responsibilities which cater to the diverse needs and demands of the organization. On the other hand, in terms of technical competencies, the acquisitions of organizations, especially from diverse fields of discipline, enable DuPont to develop technological competencies, applications, human resources, infrastructure, and skill set to fit currently entrenched technology to match the newly acquired organizations. In addition, when new products have been added to their product lines, DuPont benefits through the opportunity of catering to a wide range of clientele, depending on the products or services offered, the geographic location, as well as the competitive advantage exhibited over their competitors. Gaining organizations with different product lines necessitate additional research to be undertaken by the executive management team of DuPont to ensure that they are qualified and competent to operate new businesses and develop strategies accordingly. Besides the potential benefits discussed, one strongly believes that DuPont probably gained maturity in discerning which ventures and acquisitions contributed most to meeting the organization’s mission, vision, and goals. The organization, through its executive management team and leaders, probably gained exemplary acumen in determining which ventures would be most lucrative in providing financial gains with the amounts that are to be invested in each endeavor. There are potential losses in terms of opportunity losses where the organization could have pursued some ventures that proved to be unprofitable or those which significantly mismatch their current organizational thrusts and directions. As such, instead of focusing on areas, fields of discipline, or core competencies on currently held and evidently productive ventures, the time, resources, and efforts spent locating other

Falls Prevention in Australia Essay Example | Topics and Well Written Essays - 3250 words

Falls Prevention in Australia - Essay Example Unintentional falls are common risks mostly among elderly individuals who may experience non-fatal injuries from these falls. Fall-related injuries are common among these older adults, hip fractures being one of them. Mortality rates in relation to falls are also high in this age group, and death is even a major possibility among those 85 years and above (Currie, 2007). This is also the case in Australia where the common sufferers of falls belong to the above 65 age group (Department of Health and Ageing, 2012). Fall-related injuries mostly include hip fractures and wrist fractures. Some patients have also been known to suffer head injuries from their falls. The older the patient, the risk of death is also higher, especially among the above 85 years old age group (Department of Health and Ageing, 2012). The cost and health impact of these falls are also significant, sometimes leading to other health problems and issues (Currie, 2007). For the elderly individuals, the recovery period from their falls is usually longer. Due to prolonged healing, they may also develop pressure ulcers which can further delay the healing process (Currie, 2007). Falls management cost the government millions of dollars, with costs amounting to 170 million dollars for fall-related injuries. Moreover, the risk of re-injury or future falls is also an ever-persistent risk for patients (Currie, 2007). In effect, falls are a significant public health issue which needs to be addressed by health authorities. Throughout the years, various studies have been undertaken on the problem of falls and related injuries, including interventions to prevent and manage their occurrence. This study seeks to evaluate the clinical question: How significant is lighting in the prevention of falls among the elderly? This study shall first evaluate the literature on falls prevention, critically evaluating such literature and assessing their formal and structural validity and reliability. This review shall also d iscuss the search strategy applied in order to establish studies to be reviewed. Then, it will identify the critical assessment tool to be used to evaluate the data. A critical review of the validity of the study findings will also be discussed. Potential barriers and facilitators to the implementation and/or maintenance of the strategy shall then follow. This paper shall end with a conclusion which is based on the quality of the studies and relevance of the findings. Body There were six studies retrieved for this study, and most of them were quantitative studies. Five of the studies had a prospective experimental design. One study had a correlational design. All of the studies were quantitative studies, in other words, they are an empirical assessment of phenomena using numerical and statistical analysis and frameworks (Bruce, Pope, and Sanistreet, 2008). Five of the studies were prospective studies as they were carried out on respondents who would be recruited and who were to be s ubjected to various procedures and processes. Experimental studies are those which evaluate cause and effect relations among respondents which are studied under controlled settings (Bruce, et.al., 2008).

The Lord of the Flies Novel Essay Example for Free

The Lord of the Flies Novel Essay The Lord of the flies is one of the greatest pieces of literature of the last century. After reading the novel, the reader is left with a multitude of sensations that amount to a feeling of awe at the masterpiece they haven just read. This novel works so well because is a multi-layered book that works remarkably well on each echelon of meaning. The novel succeeds as an amazing adventure of a group of schoolboys stranded on an island, having to fight to survive an escaping from a terrible Beast. It is difficult to read a page of the novel without wondering what tragic events will unfold next. Golding does not relent in the constant flashes of action and description even at the calm beginning of the novel, when the reader studies the book with a feeling of interest and intrigue as they wonder how the boys will respond to their own island. On another level, Golding brilliantly depicts the boys swift decline into savagery. Golding seems to make astounding observations on what makes humans different human and provides profound description on the way a civilized human becomes a mere savage. Golding seems to suggest that Human characteristics come from the influence of society and civilization and when removed from society, refined humans transcend into barbarians. Civilization is a main theme in the novel. Golding also uses symbolism and metaphors to make statements on the potential and the success of different factors of society. Golding chooses an island as the setting for an island because he wishes to create a microcosm of the world. The novel also relies on the boys being left to their own devices, without the intervention of adults. Golding chooses a group of children rather than adults because children represent innocence and they are also unchanged by society much like humankind was when it first started life on earth. Different types of society are represented on the island. There are two boys fighting for power on the island Ralph and Jack. They represent democracy and totalitarian dictatorship respectively. Ralph aims to lead the island fairly- through voting. He is elected by a vote just like a democratic election. Where as jack rebels against the others, disobeying Ralphs authority and starting his own tribe. Ralph makes rules but doesnt physically enforce them- he wants people to do what he likes but he really bases his rules on the wants and needs of others. Jack on the other hand, makes his tribe do exactly what he wants. He is a complete despot. Ultimately, neither tribe succeeds on the island. The message that Golding seems to be given to the reader is that no society can succeed on earth- democracy is no form of government because it is based almost entirely the wants of the people and the country, therefore is actually being run by the people and not the government. Totalitarianism and fascism are an effective form of government as the country is being run entirely by those in power but ultimately the people will rebel, as they are not getting what they want. This is another profound and intelligent opinion that makes the Lord of the Flies such an excellent novel. The Novel seems to be essentially a book about power and the struggle between Ralph and jack but also the struggle between good and evil. Golding implies that all people have good and evil within them. The boys start off as innocent, good people. From an early point in the novel, the boys fear a Beast. There is actually no physical Beast but as the messianic figure- Simon says, Maybe its only us. In the novel Simon is entirely correct. The boys simply fear the evil that they capable of throughout the beginning of the novel the boys seem to want to hide from, or fight the beast showing that are against evil. Later in the novel, Jack attempts to appease The Beast proving that he has become evil. The subject of religion permeates the whole of the novel. The theme of good vs. evil in the novel ties in with the religious theme. Simon seems to be a messianic, Christ-like figure. Several biblical moments appear to have been recreated within the novel. The island itself represents the Garden of Eden. The beast on the island represents evil but also the Devil. Jacks tribe reverts to a form of devil worship towards the end of the novel. Simon is the one who mainly confronts the beast; Simons meeting with the beast represents Jesus temptation by the devil, in the bible. This is such an excellent novel because it integrates a collection of complicated but comprehendible themes. Certain metaphors and symbols appear after reading the novel for a second time. It is an exciting and mentally engaging novel on many levels.

Essay on Hamlet and its Ophelia -- Essays on Shakespeare Hamlet

Hamlet and its Ophelia  Ã‚        Ã‚  Ã‚   In Shakespeare’s Hamlet there is an innocent young lady who comes to an undeserved and unbecoming end. She is Ophelia, the subject of this essay.    Bryan N. S. Gooch in "Review of The Shapes of Revenge: Victimization, Vengeance, and Vindictiveness in Shakespeare," presents Ophelia as the powerless victim:    Harry Keyishian [. . .] clearly presents in Chapter I, "Victimization and Revenge: Renaissance Voices," a useful survey of the problem, drawing from books on the passions and moving on to consider not only the power of the revenger but the powerlessness of victims, e.g., the Duchess of Gloucester, Ophelia. . . . (1).    Helena Faucit (Lady Martin) in On Some of Shakespeare's Female Characters comments on the misunderstood character of Ophelia:    My views of Shakespeare's women have been wont to take their shape in the living portraiture of the stage, and not in words. I have, in imagination, lived their lives from the very beginning to the end; and Ophelia, as I have pictured her to myself, is so unlike what I hear and read about her, and have seen represented on the stage, that I can scarcely hope to make any one think of her as I do. It hurts me to hear her spoken of, as she often is, as a weak creature, wanting in truthfulness, in purpose, in force of character, and only interesting when she loses the little wits she had. And yet who can wonder that a character so delicately outlined, and shaded in with touches so fine, should be often gravely misunderstood? (186)    Ophelia enters the play with her brother Laertes, who, in parting for school, bids her farewell and gives her advice regarding her relationship with Hamlet. Ophelia agrees to ab... ...-30.    Lehmann, Courtney and Lisa S. Starks. "Making Mother Matter: Repression, Revision, and the Stakes of 'Reading Psychoanalysis Into' Kenneth Branagh's Hamlet." Early Modern Literary Studies 6.1 (May, 2000): 2.1-24 <URL: http://purl.oclc.org/emls/06-1/lehmhaml.htm>.    Pennington, Michael. â€Å"Ophelia: Madness Her Only Safe Haven.† Readings on Hamlet. Ed. Don Nardo. San Diego: Greenhaven Press, 1999. Rpt. of â€Å"Hamlet†: A User’s Guide. New York: Limelight Editions, 1996.    Pitt, Angela. â€Å"Women in Shakespeare’s Tragedies.† Readings on The Tragedies. Ed. Clarice Swisher. San Diego: Greenhaven Press, 1996. Reprint of Shakespeare’s Women. N.p.: n.p., 1981.    Shakespeare, William. The Tragedy of Hamlet, Prince of Denmark. Massachusetts Institute of Technology. 1995. http://www.chemicool.com/Shakespeare/hamlet/full.html No line nos.   

Against School Uniforms Essay

I understand that many schools around the nation wear uniforms for a good reason. Such as if kids could not purchase enough clothes normally. I completely respect that and the schools which choose to do so. However, I do strongly believe that children have the right to wear whatever they want to school as long as it is appropriate. I myself have never attended a school in which uniforms are required. But I do know kids who have and a lot of them say they don?t like it. I mean I can see why. Who wants to wear a school uniform every day? For kids who go to schools that require uniforms, there is no style present. Everyone looks the same. In a normal school where kids can where whatever they want, sometimes you can tell if someone is having a good day or not. You can learn things about people just by looking at how they dress themselves. Someone?s personality is represented by their outward appearance. I bet that whoever decides to make a school have uniforms went to a school that did have uniforms as a kid and just never realized how much better it would have been without uniforms. If that person went to a school without uniforms as a child, they never would have made a school have it required. Seriously, for all you people that thinkschools should have uniforms, think back to when you were in high school or grade school. Did you really want to have a uniform to wear to school? Did you really hope that everyone wore the same exact thing every day? Did you wish back then that when you woke up in the morning to go to school, everyone would look and act and be the same? No, I don?t think so. You wanted to express yourself and see what people were wearing each day. You liked style. But now that your job makes all the employees wear the same thing, you want to drag everyone else down with you. Just because you have to suffer, doesn?t mean everyone else has to as well. I mean think about it. Other than a few exceptions, school is basically the only time in your life when you can dress freely in a work environment. I want to make that count and express myself while I still can. For me at least, that right will be taken away in a few years. But for kids who have always had to wear uniforms, they never even had that right. So I say if you don?t give kids the right to wear what they want while they learn. Then you don?t have the right to teach them.

A Character Analysis

One of the most significant characters within Shakespeare’s Julius Caesar is that of Brutus, a very complex individual whose actions have significant impact upon the events on the play. This paper examines the character of Brutus and assesses both the good and bad elements of his character. A critique of how these qualities present inner conflict within Brutus is offered together with an explanation of the ways in which these conflicts manifest themselves.It is the intention of this paper to prove that despite the fact that Brutus was able to murder his closest friends, he is essentially a moral man who maintained his honor to the end. One of the most significant elements of Brutus’ character is his strict ideals. He is a nobleman, â€Å"the noblest of Romans† (V. v. 75) who is strongly guided and influenced by matters of honor. He demonstrates a continual obsession with acting in a way that is right and just and speaks regularly of the need to create a republic in Rome that is ruled by the votes of the senate as opposed to a single dictator.This creates a problem in his relationship with Caesar. Despite their close friendship, Brutus is concerned that Caesar will rise to power and then commit an act of betrayal by enforcing a dictatorship on the people of Rome, â€Å"climber-upward†¦ He then unto the ladder turns his back†¦ † (II. ii. 24,26). It is clear that, for Brutus, his moral and ethical ideals are of higher importance than his friendship and love for Caesar and thus he is able to commit the inhumane act of murder.However, whilst the murder itself is wrong, the fact that Brutus himself believes so strongly in the fact that his actions are for the good of Rome, entails that he does, to an extent, maintain his honor. Brutus’ single minded obsession with morality entails that he can be easily persuaded by others to carry out their will, provided it is presented as being for the good of Rome. This reveals a furthe r, negative, element to his character; he is naive. Cassius is able to manipulate Brutus’ obsession with honor in order to persuade him to murder Caesar, an ironic turn of events that on face value is anything but honorable.Brutus fails to recognize that he is being used by Cassius and Antony and seems to accept everything on face value, failing to question facts or consider the possibility that he could be deceived. This can be seen in the way he blindly accepts the letters from Cassius as being sent from the people of Rome and thus demonstrative of their will for Cesar to be removed. His nativity entails that he allows others to play upon his ideals in order to convince him to perform the act of murder. Despite the fact this murder causes him anguish, â€Å"Our hearts you see not; they are pitiful; and pity to the general wrong of Rome†¦Ã¢â‚¬  (III, i, 185-186), he allows Cassius and Anthony to convince him that committing such acts will win the hearts of the people of Rome, â€Å"If then that friend demand why Brutus rose against Caesar, this is my answer: not that I loved Caesar less, but that I loved Rome more. † (III. ii. 21-24). Brutus’ gullibility is something that he carries with him to the grave, even on his deathbed he believes that he has shared his life with true and honorable men, â€Å"My heart doth joy that yet in all my life I found no man but he was true to me† (V. v. 38-39). Such a naive and trusting nature allows the audience to perceive Brutus as honorable.He is innocent and trusting and truly believes that he is acting on behalf of the people of Rome. A further negative element of Brutus’ character is his poor judgment. He believes that he will win the support of the people of Rome because he acts in their interests. This is evident when he addresses the Roman citizens in the forum and in his general treatment of the Roman crowds. He incorrectly perceives them as intelligent individuals who will b e able to understand his reasoned approach to the murder of Caesar. However, the reality is that the crowd is not able to understand his intellect and is thus left vulnerable to the words of Antony.Here, despite Cassius’ advice to the contrary, he allows Antony to have the last word at the funeral and is thus once again betrayed as a direct result of his naivety. Antony is able to utilize Brutus’ words and actions against him and generate hatred and animosity in the crowd. The same crowd that Brutus judged to be reasonable and intellectual. A further significant component of Brutus’ character is that of his philosophical nature. He is a believer in Stoicism, a philosophy that dictates living side by side with nature and existing in a carefree and indifferent manner. Such a philosophy manifests itself in an unemotional manner.This can be observed when Brutus hears of the death of his beloved wife and simply replies, â€Å"Why farewell Portia, We must die, Messal a† (IV. iii. 218). His stoic nature can be seen as a possible explanation for the way in which he is able to restrict his focus to the political and ethical reasons for his murder of Caesar. Brutus’ stoic nature is further enhanced by the fact that he is able to put the good of the public before his own personal feelings. He does not think of Caesar as a man or a friend, but as a political entity, a future dictator, who threatens the good of Rome.This is one possible explanation for why he appears to show no grief for the acts he has committed or for his dead friend; he is too entrenched in his political objectives. The political focus of Brutus’ character proves to be a further flaw that allows others to use him to their advantage. His apparent lack of emotion is something that Cassius is able to utilize when he addresses the crowd and convinces them that Brutus is inherently bad. As readers though we have an insight into Brutus’ actions and understand th e causes for his lack of emotion.He is so intent on doing what he believes to be right that, in our eyes, he maintains an honorable image. One of Brutus’ biggest faults is his inflexible nature. His stubbornness and inability to adapt to the events that occur ultimately leads to his downfall. Despite the fact that he is so politically focused, he fails to play the game of politics himself and thus leaves himself open to manipulation. Unlike Antony and Cassius, he is unable to strategically plan the best means of achieving his intentions, instead acting upon his blind faith that what he is doing is what the people want.However, although this is a flaw, it is something that maintains his honor; he is not a cheat or a conspirator at heart. This paper has discussed a number of Brutus’ character traits, both good and bad. A number of his qualities both serve in his favor and lead to his downfall. Whilst he is trusting, true to his beliefs and resolute, his naivety, poor jud gment and single mindedness entail that he leaves himself vulnerable to the dishonest actions of those around him.However, it is such naivety that allows the readers to maintain an image of Brutus as an honorable man, who tries to act in the best interests of his people. The last word on the character of Brutus is expressed extremely well by the words of Mark Antony: â€Å"This was the noblest Roman of them all:? All the conspirators, save only he? Did that they did in envy of great Caesar,? He, only in a general honest thought? And common good to all, made one of them† (V,V, 68-72) For the characters in the play, and for the reader, Brutus maintains an element of honorability that even his most disgraceful acts cannot eradicate.

Analysis of the prospect of Entering Iraqi Oil Market essays

Analysis of the prospect of Entering Iraqi Oil Market essays Iraq holds the world's third largest oil reserves base after Saudi Arabia and Canada, with 112 billion barrels of proven reserves and an estimated 100 billion barrels of undiscovered reserves, which provides great opportunities for western oil companies like Chevron. In this paper, we analyze the Iraqi oil industry in perspective of Chevron's plans to invest in the region. The paper is organized into three sections: history of Iraq oil industry, its current state after American and British invasion and the direction its likely to head in the next couple of years. Looking back at the history of Iraqi oil, reports before April 2003 show that modernization was really needed. According to the Middle East economic survey, problems at Iraqi oil fields include: years of poor oil reservoir management; corrosion problems at various oil facilities; deterioration of water injection facilities; lack of spare parts, materials, equipment, etc.; and damages to oil storage and pumping facilities. 60% of Northern Oil Companys facilities in the northern and central Iraq were damaged during the Gulf War. Iraq utilized sub-standard engineering techniques, obsolete technology, and systems in various states of decay in order to sustain production. The legal status of business contracts was also up in the air, increasing the uncertainty level for companies interested in doing business with Iraqi companies. Besides legal issues, companies had been looking up for a relatively stable security situation, a functioning government and other conditions to be in place before they move heavily into the country. Iraqs oil export infrastructure such as pipelines, ports and pumping stations were seriously disrupted by the Iran-Iraq war of 1980-1988, the 1990/1991 Gulf War, and looting and sabotage since then. The pipeline built through Saudi Arabia during the Iran-Iraq war, to the Red sea port of Muajiz was closed after Iraq invaded Kuwai...

Global Warming and the Climate Change Essay Example | Topics and Well Written Essays - 500 words

Global Warming and the Climate Change - Essay Example Human activities have led to exacerbated changes in climate than natural forces. The contribution of natural forces to climate change remains insignificant in comparison to human activities. The cause and effect factor of global warming poses critical social, economic and environmental needs that have to be accounted for at all costs. The central point in this pursuit is industrialization process, which seems to take advanced and sophisticated positions every single day. Therefore, human activities have been and still are the driving force behind global warming (Maslin, 2007). Greenhouse effects are primarily held accountable for the persistent global warming. Greenhouse gases are said to play a major role in the ever-rising global atmospheric temperatures. The extent to which these gases cause global warming varies across global warming debates. For instance, the persistent rise in global temperatures is attributed to the depletion of the ozone layer. On the same note, there are arguments that what the globe is experiencing is a mere natural cycle of climate change (Handmer & Dovers, 2010). This means that the role played by greenhouse gases in the global context is limited, and thus climate change is a course of nature. Carbon dioxide has been named as the primary greenhouse gas that enormously contributed to the presently experienced persistent global warming. Scientists have differed in this debate, arguing for and against the link between carbon dioxide and global warming. Regions that have considerably low emission levels have been at least as worse off as the rest of the world, supporting the bid for debaters against linking carbon dioxide to global warming. This has further been advanced to the trade of emissions, although the world remains divided on the rationale behind the practice.

Complementary therapies in the health care system Essay

Complementary therapies in the health care system - Essay Example [3] According to the National Center for Complementary and Alternative Medicine (NCCAM), CAM is defined as "a group of diverse medical and healthcare systems, practices, and products that are not presently considered to be part of conventional medicine". [4] Complementary medicine suggests treatments in conjunction with Western medicine, for example, aromatherapy can be used to lessen patients discomfort after surgery, and eucalyptus can complement antihistamines for allergic rhinitis. Alternative therapies suggest replacements for western medicine, for example, when a special diet is used for cancer patients instead of chemotherapy, radiation, or surgery. [2] Integrative medicine combines conventional Western medical therapies and CAM, for which there is some high-quality substantiated evidence for safety and efficacy. A very popular form of integrative medicine is seen in immune enhancement products, such as vitamins A, B6, C, zinc, Echinacea, and eucalyptus oil. [2] Cassileth (2001) initially observed that only 8% to 10% of patients with biopsy-diagnosed malignancy use alternative treatments. [6] However, the growth in the nutritional supplement industry indicates that there is a significant rise in the use of complementary/integrative nutritional therapies (CINTs) for disease treatment as well as for prevention in general. [7]CINTs are being sought by 30% to 80%of cancer patients during cancer treatment and for prevention. The most frequent users are those with breast cancer (80% to 85%)[8][9],pediatric cancers(46%)[10],prostatic cancer(27% to 43%)[11][12],and head and neck cancer(25%)[13]. A study reported by Kao and Devine (2000) observed that 37% of prostate cancer patients were using complementary nutritional modalities concurrently with radiation treatment. These ongoing studies indicate that complementary medicine use is much more prevalent among cancer patients than has been previously believed. Although patients,