Sunday, October 13, 2019
Global Warming Merits Widespread Moral Outrage Essay -- Climate Change,
Global Warming Disaster Merits Widespread Moral Outrage à Global warming will take its toll of human life to the tune of hundreds of thousands every year. According to John Broome--the Chair of Moral Philosophy at Oxford--these unfortunate victims of society's next big challenge will die by three main causes: heat waves, expansion of tropical diseases to temperate latitudes, and increased flooding. And yet many of my fellow EEB (ecology and evolutionary biology) grad students felt that the direct loss of life was a pittance in comparison with the indirect effects of global warming, such as the loss of ecosystem services caused by the devastation of the natural world and the social turmoil associated with the inundation of the many millions of homes by the rising oceans. à There are three paradoxes to the politics of global change, which together can only lead to the conclusion that the US government's stance is horrendously unjust. The Bush stance to which I'm referring is the recent decision to withdraw completely from negotiations for the implementation of the Kyoto Protocol. By this international treaty, the Clinton administration had agreed to limit US emissions of CO2--the largest anthropogenic contributor to global warming--to 7% less than 1990 levels by 2007. Bush's decision directly contradicted an explicit campaign promise to limit national emissions of air pollutants including carbon dioxide. This monumental decision enraged EU leaders and humiliated EPA director (ex-NJ Governor) Christie Whitman, who had just stated publicly that Bush would implement the Kyoto Protocol. à The first paradox is that Bush's justification of the decision is that the Protocol is unfair to US because it does not explic... ... spend thousands of dollars to prevent their children contracting malaria as the plasmodium-carrying mosquitoes spread North? And what are we going to tell the many millions of Bangladeshis who will soon lose their lowland communities? I am going to tell them that I am deeply sorry, and that I fought the good fight. I will tell them that I refused to act as an apologist for indefensible American policies. I will tell them that I refused to partake in discussion of the finer points of emissions trading or carbon sink credits without first pointing out that the very basis for discussion is deeply unjust. This Earth Day, I am making a resolution not to legitimize Bush's despicable climate change position by accepting the paradoxical assumptions upon which it is based. I invite you to join me--for the sake of future generations and disenfranchised people everywhere.
Saturday, October 12, 2019
Plato and Aristotle: Their Contributions to the Development of Western
The philosophies of Plato and Aristotle and their contributions to the development of western philosophy. Plato was a classical Greek philosopher and one of the top 5 contributors to Western philosophy, educator after his mentor, Socrates and teacher of Aristotle. His sophistication as a writer started while under the tutelage of Socrates, continued through his establishing of his own academy, (The Academy of Athens which has been labeled as the first institution of higher learning in the Western World) and throughout his many years as an open minded author. Many of his works in early adulthood displayed his willingness to ask questions of any type, no preference to scope, difficulty withstanding, political and intellectual current issues. Plato had such an authentic feature to his writings that made him so much more distinctive among any other of the great philosophers and that literary way stands alone but has been referred to many of his contemporaries and close followers through the centuries. That specific style is the ââ¬Å"dialogueâ⬠form, not as many of the other brilliant ...
Friday, October 11, 2019
Evidence Based Practice Aseptic Technique for Peripheral IV Insertion Essay
The significance of asepsis in the intravenous IV therapy is integral in the modern patient care because of the increased patients number requiring IV therapy due to changes in patterns of prescription and the todayââ¬â¢s illnesses which has acute nature (Bofah et al, 2012). Peripheral Intravenous Cannulation according to Bofah et al (2012), is a procedure in which patentââ¬â¢s skin is punctured with a needle allowing a device to be temporarily inserted into the hand or forearm veins in administering intravenous medications or fluids, although other body sites can be used. It is vital to use intravenous drugs in the management of the patients who are hospitalized. The infections linked to the intravenous therapy may affect the blood stream or the skin around the insertion site of the catheter (Bofah et al, 2012). For this reason, Bofah et al (2012) suggested that general infection control and universal precautions measures need to be taken into considerations when undertaking a clinical procedure. However, specific measures need to be taken into consideration when administering intravenous therapy especially those in the home setting and the vulnerable patients. Kampf et al (2013) conducted an observational intervention study on ââ¬Å"Improving Patient Safety during the Insertion of Peripheral Venous Catheters. The aim of the study was to determine the application of specific steps for peripheral venous catheters insertion in clinical practice and implementation of a multimodal intervention with an aim of improving both optimum order and compliance with the steps. Results indicated that 202 insertions were observed during the intervention period and 207 in the control period (Kampf et al, 2013). Compliance significantly improved for 4 to 5 steps that are 11.6% ââ¬â 57.9% for disinfection of hand before contact with the patient (Kampf et al, 2013). Skin antisepsis of the site of puncture compliance was high after and before intervention (99% after and 99.5% before). Specific steps performance in the correct order also improved, which is from 7.7% ââ¬â 68.6% when 3-5 steps were done. From the description of the intervention by partici pants, 46.8% said it was helpful, 46.8% as neutral and 6.4% as disruption (Kampf et al, 2013). This indicated that a multimodal strategy, of improving compliance with peripheral venous safety steps of insertion of catheter and optimum procedure performance, was effective and regarded as helpful by the health professionals. Bofah et al (2012) conducted a study, ââ¬Å"Peripheral Intravenous Therapy: Focus on Asepsis Systematic Literature Review.â⬠The aim of the study was to describe the principles that are involved in the preparation, management and administration of peripheral IV in the clinical setting. Systematic literature review was conducted on the published studies describing asepsis principles involved in the preparation, management and administration of peripheral IV in the clinical setting from the year 2005 to 2012 January (Bofah et al, 2012). The findings from the 1135 publications suggested that the healthcare professionals should consider the patients always as being susceptible. Additionally, practices of standardizations will help in a reduction of infection risk. Lastly, all healthcare professionals must be educated to ensure procedures and practices are consistent and are adhered to with the day-to-day practices (Bofah et al, 2012). Oââ¬â¢Grady et al (2011) developed guidelines for healthcare workers who insert the intravascular catheters and also for the people responsible for control and surveillance of infections in outpatient, hospital and healthcare hoe settings. The report was compiled by members of professional organizations that represent the disciplines of infectious diseases, critical care medicine, surgery, healthcare infection control, interventional radiology, anesthesiology, pediatric medicine, pulmonary medicine and nursing (Oââ¬â¢Grady et al, 2011). The guidelines are to provide recommendations that are evidenced based for preventing infections related to intravascular catheter. The major areas of emphasis by the guidelines include (1) training and educating healthcare workers who maintain or insert catheters;(2)using sterile barrier precautions maximally during central insertion of venous catheter; (3) using alcohol with >0.5% chlorhexidine skin preparation for antisepsis; (4) avoiding the routine central venous catheters replacements as a strategy of preventing infection;(5)using sponge dressing that are impregnated by chlorhexidine and short-term central venous catheters that are impregnated by antibiotic/antiseptic if the infection rate is not reducing despite adherence to strategy 1 to 4 (Oââ¬â¢Grady et al, 2011). The strengths of the current research of Kampf et al (2013)was that the methodology of observations applied provided direct access to the variables under consideration rather than relying on some form of self-report like asking questions in questionnaires and interviews. The strength of Bofah et al (2012) was that it used 1135 publications that were a good sample size. The guidelines recommended by Oââ¬â¢Grady et al (2011) had a strength of the input from different professional bodies and expert hence reliable. The weaknesses of Kampf et al (2013) research is that might be having observer bias hence undermined its validity and reliability. The weakness of Bofah et al (2012) was that systemic review was not done under a set of guideline and standards hence could be unreliable. The weakness of Oââ¬â¢Grady et al (2011) is that with the presence of many professionals, coming to a common ground in scenarios of disagreements affects the validity of the recommendations and guidelines. Future research should address pediatric infections and resistant organisms in Aseptic Technique for peripheral IV insertion. There are much evidence supporting current nursing practice on different techniques of IV insertion including aseptic technique. Moreover, guidelines have been provided by a collection of all relevant heath professional and organizations. In addition, the current nursing practice is the best since it is widely used, it is supported by many different researches, and it is standardized. Meaning all healthcare professionals have a standard procedure of practicing as elaborated in the guidelines agreed by all professionals and healthcare bodies. Conclusion In conclusion, the essay discussed the evidenced based Aseptic Technique for peripheral IV insertion. The essay defined Peripheral Intravenous Cannulation before detailing what the paper will analyze. Three studies has been analyzed, and their strengths and weakness discussed. The paper then provided an area for future research before elaborating that there is enough evidence supporting current nursing practice. Lastly, the paper elaborated why the current practice is the best practice. References Bofah, Metropolia Ammattikorkeakoulu, Josephine Adu-tutu, & Lay, Albert Alexander. (2012). Peripheral intravenous therapy : focus on asepsis : Systematic literature review. Metropolia Ammattikorkeakoulu. Retrieved from https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=5&cad=rja&uact=8&ved=0CD8QFjAE&url=https%3A%2F%2Fwww.theseus.fi%2Fbitstream%2Fhandle%2F10024%2F42656%2FBofah_Josephine.pdf%3Fsequence%3D1&ei=hJ_AVKnGHaTV7QagyoCwBA&usg=AFQjCNHQcdW7lEuoXASBbH-A3ZNVZ7-nvQ&sig2=hCJEBzRL69lu8TtTSNFDHQ&bvm=bv.83829542,d.ZGUKampf, G., Reise, G., James, C., Gittelbauer, K., Gosch, J., & Alpers, B. (January 01, 2013). Improving patient safety during insertion of peripheral venous catheters: an observational intervention study. Gms Hygiene and Infection Control, 8, 2.). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3850230/Oââ¬â¢Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Lipsett, P. A., â⬠¦ Healthcare Infection Control Practices Advisory Committee (HICPAC) (Appendix 1). (January 01, 2011). Summary of recommendations: Guidelines for the Prevention of Intravascular Catheter-related Infections. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 52, 9, 1087-99. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3106267/ Source document
Thursday, October 10, 2019
Chinaââ¬â¢s One Child Policy is said to have created a generation of ââ¬ËLittle Emperorsââ¬â¢. Assess the consequences of most families having only one or two children Essay
Chinaââ¬â¢s one-child family policy has had a great effect on the lives of nearly a quarter of the worldââ¬â¢s population for a quarter of a century, after it was introduced in 1979. One of the effects is often referred to as ââ¬Å"Little Emperorââ¬â¢s Syndromeâ⬠, which is when the only child received excessive amounts of attention from relatives causing a ââ¬Å"spoilt bratâ⬠generation to occur. This puts both social and economic pressures on the families and children. By only having one child per family it allows the family to solely use its resources on that child; thus allowing the child to often fulfill their potential, as English lessons, music lessons and an additional range of extracurricular activities are normal. Although this has positive outcomes such as a rise in the number of Chinese children going to university, it has still mainly had the negative effect of the ââ¬Å"Little Emperorsâ⬠having large expectations of everyone else, with the government now being worried about a slump in the economy, being one of the many reasons why China may drop the one child policy. One of the main issues with the one child policy is that 336 million abortions in the time of the policy have taken place, which has caused a few moral issues throughout the world, with many people questioning the policy. Although many people in China have said that it has been a positive as a way to maintain the resources in the country and stop a large increase in the population. The number of abortions is paired with the issue of gendercide in China being at an all time high, people want a ââ¬Å"Little Emperorâ⬠and not ââ¬Å"Little Empressâ⬠due to traditional preference, this again presents a moral issue with the policy and may lead to future problems. Over 20 million girls are aborted each year and with over 50 million Chinese girls currently missing, there is a problem brewing in that there will be a shortage of women in comparison to men which may see the population and economy of China drop. The one child policy is also a costly program for the Chinese Government with over 400,000 people currently working for the policy and annually costs $708.8 million. This is not helped by the fact that the one child policy is creating a generation of youngsters that is not as good a working force compared to the current one; this is due to the fact that the ââ¬Å"Little Emperorsâ⬠are spoiled and do not expect to work for themselves (especially in urban areas, where there are wealthier families). It is thought that with the population (Fig 1) stagnating the economy may stagnate also, due to a smaller working force and one that is less willing to work, an example of the ââ¬Å"Little Emperorââ¬â¢s Syndromeâ⬠is that there has been a doubling in the number of platinum jewelry sales in China, an expensive gift usually given to children. Although the parental expectations are high, only 2% of Chinese children are able to go to university, which many Chinese scholars suggest may be a sign of the future of the stagnation of the Chinese economy. This all shows that the one child policy may not be aiding the economy that has currently been one of the fastest growing in the world, causing a few people in China to question it. The policy has also affected the children themselves, as surveys have suggested that children born during the one child policy are significantly less trusting, less trustworthy, more risk-averse, less competitive, more pessimistic, and less conscientious individuals. All these characteristics are due to the fact that many of these children are born as an only child, and they now have present implications for the nation. These consequences include the number of criminal incidents to increase by 7.2% in the past 3 years and over $17 billion being spent on illegal drugs; this is because many young people create groups or gangs as close relationships in the place of ones with their siblings; but also due to the fact that a surplus of men has caused an increase in violence due to the increase in young males not marrying and becoming restless. This is not going to be beneficial for the country as it is causing youngsters to be misled into crime and will also be expensive for the government to try and expel from the country. It is also a thought that in the future there will be fewer people of a working age to support a growing number of elderly dependents, meaning that China has an ageing population. (Fig 2) Unfortunately, ageing populations have significant social and economic effects on countries, and with Chinaââ¬â¢s fertility rate being predicted to be as low as 1.5 [a 2.1 fertility rate is needed in China in order for sustainability] the long term effects of the One-Child policy are likely to have detrimental effects for the future; including a stagnating economy. This is made worse by the fact that there are 60 million more men than women in China, which, is only going to lead to more social problems, such as a decrease in population in the future. (Fig 1)Which is shown by a recent census, Chinaââ¬â¢s population grew 5.8% since 2000, from 1.27 billion to 1.34 billion ââ¬â a significant difference from the previous census, which indicated a rate of 11.7%. (Fig 1) Finally, a positive effect of the one child policy is that it has severely reduced the population of the China by roughly 400 million. This has created an abundance of resources for China, which was under some pressure for necessities such as drinking water. However, China has dealt with that through projects such as the Three Gorges Dam, but also through the one child policy allowing for the surplus resources to exist due to the decline in population growth. The lack of 400 million people has also helped reduce global warming, because, by stopping these births China has averted over 1.3 billion tons of carbon dioxide being released into the atmosphere. Overall, it is clear that there are many negative consequences that have occurred or that will occur due to the one child policy, which is why it is thought that by 2020 the one child policy will no longer exist and that it will become the two child policy. The problems are economic and social problems that revolve around the idea of an ageing population that will need financial support from a spoiled generation; yet, the only environmental factors are positive- with global warming being reduced and the resources in China lasting longer and there being surplus. However, it is obvious that the ââ¬Å"Little Emperorsâ⬠are going to have to support China in their time of need, which is due to the one child policy, and it is whether they can do it or whether they have been spoiled to the extent that they are unable to run one of the biggest economies in the world. Lastly, the one child policy has probably been good for China itself, but the way that other nations now perceive China after the ââ¬Å"brutalâ⬠one child policy, may cause them future problems.
Wednesday, October 9, 2019
Language and form Essay
In chapter three, Dracula begins by describing his countries people and boasts of his family name to Harker. It then goes on to when Dracula quizzes Harker about England and forces him to write letters to his relatives informing them of his extended stay. One of the more startling events in the chapter involves Harker spotting Dracula crawling down the wall of the castle which makes him think of the predicament he finds himself in. Towards the end of the chapter, Harker goes against Draculaââ¬â¢s advice and falls asleep in a foreign room only to find himself with three voluptuous women but just as one puts her lips on his neck, Dracula disturbs them ordering them to leave with the ââ¬Å"smothered childâ⬠he provided them. Harker is still not sure if they were a figment of his dream or not. From the very beginning of the chapter, Harker seems to have found himslef in a very much more hostile environment then he was previously in as he has recently found himself in ââ¬Å"a veritable prisonâ⬠himslef as the ââ¬Å"prisonerâ⬠. From this moment on the tension seems to grow in the oevrall plot as Harkerââ¬â¢s ââ¬Å"wild feelingsâ⬠and ââ¬Å"helplessnessâ⬠is portrayed in his actions of desperately trying to find an escape. By far and away, one of Stokersââ¬â¢ greatest techniques in building up the tension is by hinting at the things we know will develop later. A great example of this technique is the moment when Harker himself realises that the castle has no servants and the coach driver who controlled the wolves with such fearless power was actually the Count himself, all along the reader knew this however was kept in suspense as they wanted to see how Harker would react to this, in Chapter three they finally get to see his reaction and this adds instant suspense to what he will do and gives another twist as he tries to ââ¬Å"keep his knowledge and his fears to himselfâ⬠. Tension also builds up increasingly as the chapter continues as refrences back to Dracula and his brutal and vicious strength are made all the more frequent such as the simple yet very powerful gestour of ââ¬Å"laying a heavy hand on my shoulderâ⬠which almost single handedly frightened Harker into writing the letters to notify his relatives about his extended stay. Not only does the chapter describe Draculaââ¬â¢s strength but it also touches on his attributes and one of them being the moment in which Harker saw the Count crawl down the sheer of the castle in a ââ¬Å"lizard-likeâ⬠way. These such instances create an eery feeling and again relates back to Stokersââ¬â¢ technique of hinting at the things we know will develop later as readers all know about draculaââ¬â¢s special skills yet just little hints like this rather then being blunt about it makes the reader really get the feel of Harkers emotions and develops dracula more effectively as the figure of fright in the story. Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Bram Stoker section.
Civil Rights Sermon Is Mislaid but Not Forgotten Essay
Civil Rights Sermon Is Mislaid but Not Forgotten - Essay Example Many of the accomplished white elites and clergy in those times were resorting to distorted interpretations of the sacred text to justify racism and prejudice. It was amidst these trying times that Bishop Clay F Lee delivered a sermon that boldly criticized and challenged the bigotry he witnessed. Bishop Leeââ¬â¢s act of coming heavily on racial intolerance was indeed really courageous and bold, considering the times and place amidst which he delivered this sermon. There is no denying the fact that during times when intolerance and prejudice command social recognition and support, it is possible even for the most well intentioned people to get swayed in favor of the majority opinion. However, it is the duty of religious leadership in such times to not to give in to popular opinion and sentiments and to uphold the voice of sanity and love. The primary duty of the religious teachers is to lead the people from darkness towards light, irrespective of the opposition and intimidation they are to contend with, as was rightly done by Bishop Clay F
Monday, October 7, 2019
CLASSICAL CULTURES (GREEK MYTHOLOGY) Essay Example | Topics and Well Written Essays - 750 words
CLASSICAL CULTURES (GREEK MYTHOLOGY) - Essay Example However, one of the big problems in trying to live this way is the problem of temptation which sometimes thwarts our best efforts. In this essay, I will explain what I mean by this statement. The Odyssey is a great story to examine issues such as ethics and values. It is the story of a man trying desperately to return home after many years away fighting in a terrible war. But he is being punished and his journey is very dilatory. He must constantly deal with obstacles. Each obstacle presents in its way a moral or ethical challenge that will try Odysseus. Although my own life is very different that Odysseusââ¬â¢, and much less straightforward, nevertheless, I too have been challenged by obstacles that have made me think hard about the values I live by. But I have been challenged by more than obstacles. I have also been challenged by the temptations that come with obstacles: the temptation to give in to what is easiest or safest and avoid taking responsibility for fighting on, for continuing to sail home. Temptation is a powerful force that can make us turn our backs on the values we hold closest to our heart. This is a lesson from the Bible, when Jesus is tempted by Satan, but it also a lesson that again and again comes up in the Odyssey. When Odysseus spends time with Circe he begins to forget those he truly loves, he is caught in her spell and the temptation of an easy life that she offers. Also, when Odysseus approaches the Sirens, he is likewise tempted, but this time has taken precautions, asking his men to tie him to the mast to prevent him jumping into the sea to get close to the Sirens and their song, which would mean he would never see his wife or children again: They sang these words most musically, and as I longed to hear them further I made by frowning to my men that they should set me free; but they quickened their stroke, and Eurylochus and Perimedes bound me with still
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