The Role Of Gamma Secretase And Its Effects On The Disease...

There has been much research over the last 30 years on the amyloid cascade hypothesis leading to substantial supporting evidence and clinical trials. A phase I and II study has shown that the inhibition of gamma secretase by semagacestat had caused a reduction in beta amyloid synthesis in patients with mild to moderate Alzheimer’s disease (Doody et al. 2013). Gamma secretase is a protease complex involved in the processing of amyloid precursor protein. Unfortunately, a phase III trial using semagacestat was stopped after worsening of cognition and the ability to do day-to-day activities was seen (Doody et al. 2013). This promising drug showed no benefit to participants with mild to moderate Alzheimer’s disease for it did not slow the progression of the disease. There was also more skin and subcutaneous-tissue disorders and more cancers when taking this drug (Doody et al. 2013). Due to this failed clinical trial and many others, some scientists are starting to question if amyloid is the direct cause of Alzheimer’s disease. Some scientists believe beta-amyloid accumulation might just be a downstream effect of Alzheimer’s. This observation has been seen in aging individuals without this disease. There have been a few alternative theories proposed to explain what directly causes Alzheimer’s. One called the Inverse Warburg effect focuses on age-induced energy deficiency seen in mitochondrial activity of neurons (Demetrius et al. 2015). Energy, produce mainly by mitochondria, isShow MoreRelatedAlzheimer s Disease And Its Effects On The American Population Essay1636 Words   |  7 PagesAlzheimer’s disease is one of the most devastating degenerative diseases affecting the American population. It is one form of dementia. Dementia is a group of conditions characterized by impairment of at least two brain functions, such as memory loss and judgment. Symptoms include forgetfulness, limited social skills, and thinking abilities so impaired that it interferes with daily functioning. Alzheimer has very few treatment options even though it is increasing globally. Recently environmentalRead MorePreventative Methods Of Alzheimers Disease1824 Words   |  8 PagesMethods of Alzheimer’s disease Now that the disparity between Alzheimer’s disease prevalence in men and women, as well as the different rates of incidence in different countries has been established, it is now applicable to discuss what can be done to prevent this disease. There are many ways that researchers believe people can use to prevent Alzheimer’s disease. Studies by researchers have found that cannabinoids could stimulate the brain cells and slow the progression of the disease. Conversely, someRead MoreAstrocytes Case Study6698 Words   |  27 PagesRegulation of astrocyte pathology by fluoxetine prevents the deterioration of Alzheimer phenotypes in an APP/PS1 mouse model Abstract Studies have implicated astrocytic dysfunction in Alzheimers disease (AD). However, the role of astrocytes in the pathophysiology and treatment of the disease is poorly characterized. Here, we identified astrocytes as independent key factors involved in several Alzheimer-like phenotypes in an APP/PS1 mouse model, including amyloid pathology, altered neuronal and synaptic

The Arms Trade Treaty Free Essays

string(238) " is to close loopholes in trade regulations and strengthen the effectiveness of legal frameworks to hinder the illicit arms market which provides weapons to end-users whom would normally be barred from acquiring them through legal means\." The Arms Trade Treaty Derek Matthews International Relations Abstract The Arms Trade Treaty is the result of an international consensus that there is a need for global arms regulation. This belief began to develop after the Cold War in response to consequences facing the international community from countries whom purchased arms unimpeded and used them towards aggressive and oppressive ends. The Arms Trade treaty has been applauded as an initial framework to begin practical implementation of effective arms regulations through the context of international consensus in a way that will reduce egregious human rights violations and increase weapons accountability as well as regional stability. We will write a custom essay sample on The Arms Trade Treaty or any similar topic only for you Order Now There are criticisms as to the future effectiveness of the treaty because the scope of the treaty covers arms sales, not other forms of arms transfer and because major arms exporters have abstained from participating in the treaty. These realities are staunch hurdles towards the future effectiveness of governing policies that may evolve from the treaty. Because the treaty has not reached the stage of ratification, an actual analysis of the impacts of this treaty have yet to be seen. Background The origins of the international arms regulation and thus, the Arms Trade Treaty (ATT) can be traced back to the start of the Cold War. NATO had an interest in slowing the transfer of advanced military technologies to the Soviet Union. They created the Coordinating Committee for Multilateral Export Controls (COCOM) to block arms, industrial technologies, and â€Å"atomic† technologies from being exported to the Soviet Union from countries in the Warsaw Pact. This was not a nonproliferation regime and its limited scope proved ill-equipped to handle the emerging problems of the Post-Cold War era. This was evident during the 1991 Persian Gulf War where the Iraqi military was able to build the world’s fourth-largest military with $40 billion in foreign weapons purchases. Lewis, 2005) After the war, western countries began working on international agreements aimed to stop destabilizing accumulations like the arms transfer component in the Middle East. (Collina, 2012) The idea for these international agreements was proposed by the United Kingdom which wanted a global regime aimed at â€Å"avoiding arms transfers that could destabilize a region, put human rights at risk, or provide inappropriately advanced technology. (Lewis, 2005) The language set forth in this goal would lead to a chain of international agreements and guidelines aimed at reducing illicit arms trade and defining the parameters of what illicit arms trade entailed; the United Nations (UN) Registry for Conventional Arms in 1991, the US begins work on the US Code of Conduct Bill in 1993, the Warsenaar Agreement in 1996, UN Guidelines for International Arms Transfers in 1996,Oscar Arias and a group of Nobel Laureates produce first draft of the International Code of Conduct on Arms Transfers in 1997, European Code of Conduct in 1998, US passes International Code of Conduct in 1999, UN Programme of Action to Prevent, Combat and Eradicate the Illicit Trade in Small Arms and Light Weapons in All Its Aspects in 2001, Organization of American States (OAS) Model Regulations for the Control of the International Movement of Firearms, their Parts and Components and Ammunition in 2003, Great Lakes and Horn of Africa region adopt the Nairobi Protocol for the Prevention, Control and Reduction of Small Arms and Light Weapons in 2004, UN begins work on a global arms trade treaty in 2006, the General Assembly of the UN votes overwhelmingly for approval of the global Arms Trade Treaty on April 2, 2013. Shah, 2008)(Charbanneau, 2013) For the two decades following the end of the Cold War, the world has been moving in the direction towards a global consensus on how we should provide accountability and responsibility to the selling of weapons culminating with an almost unanimous agreement laid out in the Arms Trade Treaty of 2013 which was passed through the General Assembly of the United Nations with a vote of 155 for, 3 against, and 22 abstained. (Charbanneau, 2013) Reason for the ATT The trade of goods internationally has long been subject to regulation. The import and export of cars and clothes has more restrictions on trade than Ak-47s and rocket launchers. So when the discussion surrounding arms trade regulation b egan, it was initially just a way for western nations to stem the unfettered growth of aggressive militaries which caused regional instability such as Iraq in the Persian Gulf War. However, once these discussions entered the international arena, it was easy to see the practicality in implementing arms regulation and to contextualize the benefit that regulation would have on preventing numerous other instances of international instability. (UN Conference, 2013) From the Contras in Nicaragua, to the Khmer Rouge in Cambodia, to the Lord’s Resistance Army in Uganda, it is easy to see the potential social and human impact of effective restrictions on the sale of weapons. The reason behind arms trade regulations is to stop weapons from falling into the hands of criminals, gangs, warlords, and terrorists who would use them to oppress human rights and destabilize the region. There are economic impacts as well. The unrestricted sale of weapons results in damages through crime, gang violence, and piracy that vastly exceed the initial profits from selling them. UN peacekeeping missions alone cost the world over $7 billion a year and the global burden of armed violence stands at $400 billion. (UN Conference, 2013) ATT Policy Goals To address the lack of international oversight on arms trade, the UN formulated language designed to codify the growing international consensus of what responsible arms trade should look like. Through various concessions to accommodate differing opinions, they formulated a treaty with two rationales in mind. The first was to stop sales to state end-users that would use them to undermine global peace and security, violate international human rights laws, impair socio-economic development, or are at risk to re-export those weapons which then might come into the hands of organized criminals or terrorists. The second rationale is to close loopholes in trade regulations and strengthen the effectiveness of legal frameworks to hinder the illicit arms market which provides weapons to end-users whom would normally be barred from acquiring them through legal means. You read "The Arms Trade Treaty" in category "Papers" (Kimball, 2011) The idea behind this rationale is to end the prevalence of weapons smugglers like Viktor Bout, whose actions inspired the film â€Å"Lord of War†. These smugglers effectively exploit loopholes in national and international laws to provide illegal arms around the world. (Austin, 2012) The Arms Trade Treaty would also seek to strengthen transparency and reporting on arms trade transfers and the production of munitions which will provide more accountability for State’s actions. (Kimball, 2013) The treaty was created with the original UN Charter Chapter 7 Article 51 in mind which reads, â€Å"Nothing shall impair the inherent right of individual or collective self-defense if an armed attack occurs†. The treaty was shaped to allow arms purchases justified through the realm of self-defense and to fight back against regimes that violate human rights. The vague nature of the language still leaves significant room for state differences on what acts will be deemed self-defense or political struggle. The language is also weak on providing a legal framework to deal with non-state actors and terrorism. The policies laid out by the Arms Trade Treaty are primarily aimed towards better control over the export sale of arms; however there is little language to account for the import of arms or for arms transfers which are labeled gifts, or trades. Impacts and Opinions There are 193 Member States of the UN General Assembly. The vast majority of them agree with the ATT, although most have varying reservations to the limitations of the treaty. The treaty is considered a floor of regulation from which to work with and not a ceiling. 155 States voted in favor of the treaty, the most impactful vote came from the US. The development of this treaty was coming to a close in 2008 after the US Senate voted their intention to deny ratification of a ATT treaty. The withdrawal of support from the top arms exporter in the world would have vastly diminished the prospects for any meaningful implementation without the support of the US. The US has come out in support of this treaty since 2009, and the renewed support by the US fundamentally changes the effectiveness that implementation of the treaty will have. The US did influenced language in the treaty to ensure that the regulations will not impede on State’s domestic gun rights and will not lower the bar of States that already practice a high level of arms control. Despite this accommodation made specifically for the US, the National Rifle Association (NRA), a powerful interest group within America, is against the ATT and threatens to stop ratification in the Senate on the grounds increased regulation will affect domestic gun ownership. (MacFarquhar, 2013) The UN Association (UNA) which lobbies on behalf of the UN in America, stands in strong support of the ATT and is working to combat poorly informed opinions on the nature and language contained within the ATT. (UNAUSA, 2013) Proponents on both sides of the Syrian conflict voted against or abstained from the ATT. Syria and Iran voted against the proposal while China and Russia abstained because of â€Å"the lack of an explicit prohibition on the supply of weapons to non-state actors that would, for example, restrain the ability of Syria’s armed opposition from building up its stockpile. † (Lynch, 2013) Many of the Persian gulf powers which support the Syrian opposition, such as Saudi Arabia, Qatar, and Yemen abstained from the vote as well. The vague language in the ATT allows for political pressuring to frame either the Syrian opposition as terrorist groups or the Syrian regime as human rights oppressors and potentially justify a moratorium on arms exports to those organizations. This is one of the main criticisms of the ATT. India also abstained from voting for the treaty, stating that the language was â€Å"the draft treaty was â€Å"tilted† in favor of the world’s leading arms exporters. † Other abstentions came from the Latin American sect of countries that generally vote against all US led initiatives in the UN. These countries include Bolivia, Ecuador and Nicaragua. However, the treaty was met with tremendous support in the rest of Latin America and Africa, countries that have seen a tremendous amount of instability at the hands of organizations who receive their arms through illicit arms trafficking such as the drug cartels and the Muslim resistance movements. These countries mainly asserted that in the long run, the treaty would curb the arms sales that have fueled many conflicts. MacFarquhar, 2013) The cumulative sum of opposition and abstention for various reasons creates a reality where some of the top arms exporters have chosen not to adhere to the new treaty. This creates concerns on the ultimate effectiveness of the treaty, because a large part of the export nations the treaty was designed to add transparency and regulation to are not participants. America and the Western nations make up a tremendous percentage of global arms sales the percentage fluctuates annually, but America generally represents around half of all arms sales and the UK, France, and other European countries account for between 10 and 15 percent of global sales. Shanker, 2012) So the impact of this treaty will be felt through close to three quarters of global sales, and the hope is that as international norms strengthen, the outlier nations will feel the pressure to conform to these new international standards as well. Success of the treaty Impact analysis over the next decade will truly define the success of this treaty. In fact, ratification will not even begin until June 3, 2013. Every state will define the standards to which they want the treaty to measure up to and view succ ess through that lens. Pertinent questions might arise over the next decade, about how the ATT shifted geopolitical power, how it will enforce arms transfers for conflicts where the consensus is split such as Syria, and whether it will have the teeth to prevent the widening of the black market which generally occurs when more stringent legal precedents are set. At the bare minimum, this treaty must succeed at stopping the supply of weapons to regions of conflict where there is an overwhelming international consensus about the extent of human rights violations being carried out under a particular regime. There will always be political conflict, but through the ATT the ultimate success will be when it succeeds in ensuring that conflict does not manifest into disproportionate violence and perhaps alter the path of least resistance to a point where it is more expedient to resolve conflict through nonviolent means. References Austin,  K. L. (2012, August 20). What Mauritius Can Teach Us About the Global Arms Trade – NYTimes. com. Retrieved  April  11, 2013, from http://atwar. blogs. nytimes. com/2012/08/20/what-mauritius-can-teach-us-about-the-global-arms-trade/? ref=viktorbout Charbonneau,  L. (2013, April 2). U. N. verwhelmingly approves global arms trade treaty| Reuters. Retrieved  April  11, 2013, from http://www. reuters. com/article/2013/04/02/us-arms-treaty-un-idUSBRE9310MN20130402 Collina,  T. (2012, October). The Wassenaar Arrangement at a Glance | Arms Control Association. Retrieved  April  11, 2013, from http://www. armscontrol. org/factsheets/wassenaar Kimball,  D. G. (2013, March 27). ‘Final’ Arms Trade Treaty A Good Step Forward | Arms Control Association. Retrieved  April  11, 2013, from http://www. armscontrol. org/pressroom/Final-Arms-Trade-Treaty-A-Good-Step-Forward Kimball,  D. G. (2011, October). The Arms Trade Treaty At a Glance | Arms Control Association. Retrieved  April  11, 2013, from How to cite The Arms Trade Treaty, Papers

Health System in Developing Countries for Practice - myassignmenthelp

Question: Discuss about theHealth System in Developing Countries for Dual Practice. Answer: Introduction Health system is a collection of institutions, group of people and accumulation of supplies that can be used to meet the health needs of the target group. Decentralization is the distribution of people, things, and power in different locations. According to the proposal, the health system is in the process of being distributed to different districts in developing countries. Decentralization comes up with several benefits and challenges which organization should come up with a solution to solving. Kenya is among developing countries that has encouraged decentralization of health sector. Health services have been distributed to different counties. Private health institutions have increased at a high rate. Most of Kenyan citizens use private hospitals because they offer quality services compared to public sector. Kenya has come up with rules that govern the operation of both private and public health institutions. The rules help in offering quality services to the patients. Public health institutions in Kenya offer low quality services because of low pay they receive. Also, public health workers are not given incentives to encourage them to offer quality services. Public sector in Kenya is facing a lot of negative impacts and most people prefer using the private sector. Benefits of Decentralization Decentralization helps in distribution of resources to different areas. Also, it assists in the fair and equitable distribution of health services in different locations. People who were unable to receive government health services are able to access. Local people participating in government health services will assist in communicating with the people involved on what they need the government to supply to them. Health services decentralization will also help in creating more jobs to the unemployed health worker (Cobos et al., 2017). Below is the discussion the challenge of decentralization in an area where health workers engaged in both private and public health services and the solution. Impacts of Dual Practice at District Dual practice is the idea of operating both private and public hospital by health workers. There is an increase in the percentage of the number of private health units in the low-income countries. The private sector includes non-government organization, individual doctors, nurses and midwives and unqualified individuals who sell medicines on market stalls. The increase in the private sector has increased due to increase in the number of qualified staff, failure of the public sector to meet the expectations and low payment of the staff in public sector. The increase in the private health sector has led to the idea of enabling of access to the services, shortages, and distribution of the resources. Also, individuals argue on the need to increase the supply of drugs. Public health workers have two sources of income due to low pay. Workers in public health institutions are not provided with incentives for good performance. Lack of incentives leads to them providing low quality of services and having an uncaring and unresponsive attitude towards their patients. The public health workers open a private hospital and continue to work in the public sector. In addition, the public resources are distributed unfairly. The middle-class people are the one who benefits from the resources distributed to the health institutions. Private health institutions operate with the main aim of getting profits as opposed to public health institutions. Patients lack of knowledge leads to patients receiving low-quality treatment at private health services at high prices. Governments in developing countries are turning their resources to the private health institutions with the idea of making profits (Abimbola et al., 2014). Therefore, the government fails to provide enough resources to the public health institutions and thus many patients are experiencing difficulties in finances to get quality health service. The poor in the low-income countries are forced by the situation to visit private health institutions for treatment. Moreover, other challenges faced by low-income countries are lack of finances, poor infrastructure and service delivery. The government has not improved the roads and systems of communications in the interior, and this leads to facing problems in operation of public health institutions in district level (Coarasa et al., 2017). However, it is simple for the private health institutions to operate from the interior because all their employees and information needed will be given by an individual in the place. The public sector has few qualified individuals, and those individuals operate on an hourly system. Therefore, the qualified medical workers open their own hospitals to add on their income. This leads to qualified staff dedicating most of their time in their clinics. In addition, they influence their patients to tranfer to their private clinics so that they may have quality treatment. This happens mainly because of poor payment of health workers. The private sector has a wide variety of qualified individuals. Patients are faced with the challenge of choosing the best health services to take. The confusion may lead to patient choosing the wrong medical services because they have very little information about health service. Also, private individuals are answerable to any services and outcomes, financial rewards and penalties and this leads to them been careful on delivering their services as opposed to when they are delivering the same service in the public sector. In the public sector there is no one to be answerable to, and therefore they will neglect their work and focus on the private investment they have. Moreover, decentralization of health services faces mismanagement of funds. Mismanagement of funds is caused by the top officials directing some of the allocated resources to their private institutions (Dutton, 2012). The top-level managers have no one to answer to in the district, and therefore they will allocate some of the government resources to their private hospital. In addition, there will be few qualified staffs to plan on the usage of the resources and this lead to poor planning. Also, the manipulation by the government officials at the district level leads to poor planning. Officials at the district level are corrupt and focus on how to improve their private health institution at no expense. Private Sector is Better Equipped The private sector has introduced technology in their operations. This has led to public sector losing patients to the private sector. There are two technologies used in health. The two technologies are e-health and m- health. E-health is the use of intergraded computer technologies while m- health is the use of mobile technology in delivering services. With the increased use of technologies in low-income countries people prefer to use technology in health services. However, the public sector has not acknowledged the use of technology, and it may be challenging to decentralize health services to district level using the traditional means. Addressing the Problem of Decentralization Solutions to the challenges faced due to the health workers engaging in dual practice include, the government should increase the payment they offer to public health workers. Increasing of payment will lead to encouragement of workers to perform their duties well. Health workers receiving good payment will not need a double income and thus will concentrate on delivering quality service in the public sector. In addition, public health workers should be given incentives according to their performance. Incentives will give motivation for offering quality service. The health workers will offer services of high quality with the interest of getting an incentive. In addition, with the help of government on training shopkeepers on ways of prescribing drugs, it will lead to quality delivery. Moreover, patients should be educated on the way to know quality medical services. This will help patients to receive quality services and discourage operation of health services with the interest of making more profits. Also, the government should offer subsidies to the public sector to reduce the cost of operation. Reduction in the cost of operation will lead to low prices in the public sector and also an improvement on the quality of services offered. Poor patients will be able to get health services at an affordable price (Mills, 2014). Also, health workers should be supervised to distribute the resources they have equally and fairly to both middle and low class. The public health sector should have someone who the health workers will be answerable to in case of misconduct. The government may enter into a contract with donors and non-government organization to assist with the finances and building of infrastructure to enable decentralization of health services into different districts. Also, the government may create a monopoly in the operation of health services to the public sector. The monopoly of the public sector will assist in making the health workers concentrate in only the public sector. The health workers will dedicate all their time to the public sector because they will not have any other job to run. In addition, the private sector may merge with public sector and provide services without facing any competition from each other. Merging will assist in sharing of expertise in different departments. The government should ensure the top officials are accountable to how the resources allocated to them are been used. They should also create a position for a person who will be supervising on the usage of the resources allocated to the district. The government should also increase the number of qualified staff in the planning department of the allocation of resources. Enough qualified staff will lead to proper allocation of resources. Top officials should be prohibited from owning private health hospital. They should also be monitored not to supply the allocated resources to other places. Corrupt district officials should be prohibited from participating in public health institutions activities. Public health sector may also introduce e-health and m- health to fasten the distribution of health sectors in different districts (Lewis et al., 2012). Also, use of technology is encouraged because most of the people in low-income countries are using technology to access different services. Technology gadgets have reduced prices because most of the people are using and therefore anybody can afford the gadgets. The use of technology will assist in minimizing the challenge of distribution of resources fairly and equally. The government may also introduce classes on technology for the people who have not yet learned technology. Moreover, use of governance may assist in the management of health sector (Wickremasinghe et al., 2016). The management of health workers should come up with rules and code of conduct. The rules will direct the health workers on the management of resources supplied by the government and the operation of the health institutions. The laws should include the operation of private health services. With the help of rules, there will be no unhealthy relationship between private and public sector. Also, it will help in evaluation and understanding of health sector. Governance will also help in creating a good relationship between donors, non-government organization with the health sectors. The government in low-income countries may fail to concentrate on the operation of the health sector but with the help of rules corruption in the health sector will be reduced. Evaluation After implementation of the health system in district level they will be need of evaluation to ensure it is not affected by the challenge. The process of evaluation will require annual reviews, statistical report and program report and performance assessment. The performance evaluation will be achieved by surveying the community in the area. With the reports obtained from the survey and statistical and program, health institution will be able to check whether it is affected by the challenges. The annual review will assist in determining any changes that might occur in the specific year evaluated. Conclusion To conclude, health sector decentralization faces several challenges. One of the challenges is health workers involved in dual practice. The dual practice will lead to the conflict of interest between the private and public health sector. However, it may also lead to positive impacts regarding distribution of the service and reduction in shortages of medicines. Some of the reasons causing the dual practice are low payment and lack of incentives. Therefore, with an increase in payment and offering of incentives by the government, it will reduce the dual practice. Also, increase in working hours of the health workers will reduce dual workers. The government should also work on improving infrastructure, services delivery and the introduction of subsidies. Also, use of technology will strengthen the health sector. References Abimbola, S., Abimbola, S., Negin, J., Jan, S., Martiniuk, A., Abimbola, S., Jan, S., ... Martiniuk, A. (January 01, 2014). Towards people-centred health systems: A multi-level framework for analysing primary health care governance in low-and middle-income countries. Health Policy and Planning, 29. Bitton, A., Gummerson, E., Das, J., Coarasa, J. (April 12, 2017). A systematic tale of two differing reviews: evaluating the evidence on public and private sector quality of primary care in low and middle income countries. Globalization and Health, 13, 1, 1-7. Bigdeli, Myriam BM, Jacobs, Bart, Tomson, Goran, Laing, Richard RL, Ghaffar, Abdul AG, Dujardin, Bruno, Van Damme, W. (2013). Access to medicines from a health system perspective. Bwalya, K. J. (January 01, 2017). Knowledge Sharing for Healthcare and Medicine in Developing Countries. Cobos, M. D., Merino, A. P., Monzon, L. L., Martinez, H. D., Santos, S. J. M. (January 01, 2017). Decentralization of health systems in low and middle income countries: a systematic review. International Journal of Public Health, 62, 2, 219-229. Ettinger, K. M. (January 01, 2015). Open Issues and a Proposal forOpen-source Data Monitoring to Assure Quality, Reliability, and Safety in Health Care Devices Targeting Low- and Middle-income Countries. In Brown, G. D., In Patrick, T. B., In Pasupathy, K. S. (2013). Health informatics: A systems perspective. Lewis, T., Synowiec, C., Lagomarsino, G., Schweitzer, J. (January 01, 2012). E-health in low- and middle-income countries: findings from the Center for Health Market Innovations. Bulletin of the World Health Organization, 90, 5, 332-40. McCord, G. C., Liu, A., Singh, P. (January 01, 2013). Deployment of community health workers across rural sub-Saharan Africa: financial considerations and operational assumptions. Bulletin- World Health Organization, 91, 4, 244-253. Mills, A. (January 01, 2014). Health care systems in low- and middle-income countries. The New England Journal of Medicine, 370, 6, 552-7. Mutale, W., Balabanova, D., Chintu, N., Mwanamwenge, M. T., Ayles, H. (February 01, 2016). Application of system thinking concepts in health system strengthening in low-income settings: a proposed conceptual framework for the evaluation of a complex health system intervention: the case of the BHOMA intervention in Zambia. Journal of Evaluation in Clinical Practice, 22, 1, 112-121. Coarasa, J., Das, J., Das, J., Gummerson, E., Bitton, A. (April 12, 2017). A systematic tale of two differing reviews: Evaluating the evidence on public and private sector quality of primary care in low and middle income countries. Globalization and Health, 13, 1.) Dutton, P. V. (2012). Differential Diagnoses: A Comparative History of Health Care Problems and Solutions in the United States and France. Powell-Jackson, T., Macleod, D., Benova, L., Lynch, C., Campbell, O. M. R. (February 01, 2015). The role of the private sector in the provision of antenatal care: a study of Demographic and Health Surveys from 46 low- and middle-income countries. Tropical Medicine International Health, 20, 2, 230-239. Wickremasinghe, D., Hashmi, I. E., Schellenberg, J., Avan, B. I. (January 01, 2016). District decision-making for health in low-income settings: a systematic literature review. Health Policy and Planning, 31, 12.

Throughout The State Of Florida, Numerous School Boards Have Been Atte

Throughout the State of Florida, numerous school boards have been attempting to standardize the clothing that students wear. The school superintendents who are in favor of uniforms will argue that the children who wear them will experience many benefits. I disagree with this position. I feel that the use of uniforms will strip identity, stifle creativity, and unnecessarily burden the families that cannot afford them. The use of uniforms has already been implemented in several long-standing social environments. The penal system uses uniforms to brand those persons who are incarcerated. Likewise, the military also uses them to separate and remove the individualism inside of the soldier. In both cases, individual identity is stripped away and the subject is forced to conform to the same outward appearance as every other subject. Another problem that will surface due to the implementation of school uniforms is the suppression of the individual's creativity and expression. Many students' express who they are through the way they dress. If a teenager wants to show the rest of the world that he loves Jesus, then he or she might wear a T-shirt that states a positive view on the subject. Similarly, a student might want to wear green colored clothing to show his or her support for St. Patrick's day. School uniforms would end both of those examples listed within this paragraph and many, many more. The last issue that needs to be addressed is the unnecessary burden that will be placed upon those families of limited resources. Many low-income families do not have the money available to furnish uniforms to their children. They can barely make ends meet with the help of charities and social programs. In Polk County, Florida, the school board is trying to pass legislation that a child cannot attend school unless they have on the proper uniform. An education is supposed to be available to all children, not just the ones whose parents can afford to buy the government ordered att ire. I have listed several reasons why the use of school uniforms should not be implemented in America's public education system. Not only will it melt the individual into the mass, but it will also hinder those that are destitute. If the school boards desire to make the use of uniforms mandatory, then they need to issue all of the required equipment, just like the military and the prison systems do. Having a school full of students wearing the same clothes and hairstyles helps build an integration within the class. Students that wear many different styles of clothes all come together wearing similar pants, shirts, ties, and shoes. Through a dress code restriction, everyone is helped to be made more comfortable by wearing similar clothes, otherwise, people may feel alienated with less trendy or "cool" clothes. Hairstyles help ease this integration as well by giving each person similar styles making everyone feel more at ease. The overall integration helps the students realize that although people may look similar, the idea that everyone exhibits will be greatly different. These different ideas are present in everyone, and the dress code and hair restrictions help illustrate that just because someone looks the same, they do not think the same. When the students get jobs or find careers in their future, it will be helpful to know that even though all their co-wor s seem similar, th ey are in actuality very different. This approach to future jobs and careers will give the students an advantage in being open minded with people school uniforms Public school systems across the country are now requiring students to wear uniforms. Can uniforms really make a difference in a child's academic performance? Wouldn't uniforms infringe the child's creativity and self expression? The "clothes don't make the child" right (Hempill A15)? Wrong. School uniforms can drastically reduce school violence and help a student to focus on school work. In 1996, President Clinton endorsed public school uniforms in his State of the Union Address(Atkins 42). This created a rage among some education critics across the country. Critics complain that uniforms will lessen children's individualism and creativity, infringing students' rights and hint of racism. While proponents believe, uniforms will put the students emphasis on schoolwork instead of dressing

Orion essays

Orion essays Orion has been recognized as distinct group of stars for thousands of years. The Chaldeans knew it as Tammuz, named after the month that the familiar belt of stars first rose before sunrise. The Syrians called it Al Jabbar, the Giant. To the ancient Egyptians it was Sahu, the soul of Osiris. However in Greek mythology, Orion was a beautiful giant hunter. There are many legends about Orion and several variations about his death and why he was placed in the stars. One story tells of his boast that he would eventually rid the earth of all its wild animals. When the Earth goddess Gea heard of this she became upset and sent a Giant Scorpion to sting him to death. Now even after death that scorpion chases him around the sky. If you notice scorpio and Orion are never in the sky together. Another story says that Artemis the goddess of hunting fell in love with Orion. And when Orion was swimming Artemis was speaking to her brother Apollo. He bet her that she could not shoot a dot on the distance. She hit the target right on but had been tricked. She had shoot Orion. She put her love, Orion in the sky. And yet another tells how Orion raped Artemis. And she took her revenge upon him, when she shot him. Now seeing as there are several variations of his death you would have to choose which one you like best and go with it. There are two stars that are well know in the constalation of Orion. The first one is know as Betelgeuse, also called Alpha Orinis. It is one of the brightest stars in the constelation of Orion. It is an irregular because it changes brightness and size but has no regular periods of veration. It is classified as a red supergiant and it is 600 times the size of the sun. The other star to be Mentioned is Rigel also known as Beta Orionis. It is the Brightest star in the constelation and the seventh brightest star in the heavens. The Location of both stars can be seen on the picture of Orion. ...

Analysis of Whodunit- the Media

Movies can pressure children to become more hostile as a person. Maggie Cutler analyzes in her essay, â€Å"Whodunit- The Media? †, how media affects children, demonstrating that children who are involved in violent media are more susceptible to practice it. The Senate Judiciary Committee led by Orrin Hatch explains in Cutler’s essay how television’s accountability is highly important: â€Å"‘Television alone is responsible for 10 percent of youth violence. † According to statistics, there were 250 murders and 12,100 violent crimes, which entailed by mentioning if Batman Beyond never played, these crimes would never have been completed (684). Parents need to discuss the media with their child and explain to them that most of the stories and plots they watch on television are mostly fiction and they are exaggerated for show. Once parents have a talk with their child, the child will be able to understand what they are watching (Cutler 688). Cutler continues, â€Å"The APA adds that parental guidance along with reducing kids’ exposure to graphic violence can help keep them out of the correctional system (687). The reason kids tend to become aggressive while they are exposed to influential media is because they mix up the difference between reality and fantasy. In time, children will find out the difference between both. Cutler states, â€Å"Kids understand early that cartoon violence is a joke, not a model. Even wrestling, once kids figure out that it’s staged, gets processed differently from, say, a schoolyard beating† (689). It is vital to not allow children to become violent because the more they are exposed to negatively powerful content, the more likely they are to keep practicing those actions. Cutler explained, â€Å"Several studies have shown that violent boys tend to watch more TV, choose more violent content, and get more enjoyment out of it† (686). There was a study done by Stanford headed by Thomas Robinson and the objective of the study was to lower the use of media for third and fourth graders and study the results. The study lasted for six months and the children had in-class instruction. Cutler clarifies, â€Å"†¦kids used media about 30 percent less than usual. And, they found, verbal and physical aggression levels subsequently dropped 25 percent on average† (688). This all supports the fact that if aggressive kids who minimized the amount of exposure to media, their manners and conduct would progress. According to Garbarino in Maggie Cutler’s essay, he explains how he would like the topic of media violence to be studied publicly as a health problem (686). Media violence is such an important topic in childrens’ lives that it cannot be ignored. The American Psychological Association’s Commission on Violence and Youth (APA) calculated that kids who are pressured into violence due to the media, can be assisted with what they explain to be early intervention. Once interventionists are aware of the problem, they can instruct children how to come up with a solution to any disagreement calmly and maturely (687). The author, Maggie Cutler, expressed how much of a complex issue and topic media violence was. Cutler asked many questions regarding childrens’ personal life and family issues which make a good point of why she doubts some of the reasons behind the results of studies. Cutler asks: â€Å"Do temperamentally violent kids seek out shows that express feelings they already have, or are they in it for the adrenaline boost? Do the sort of parents who let kids pig out on gore tend to do more than their share of other hurtful things that encourage violent behavior? † (686). But, referring back to the study of the third and fourth graders, this study gave individuals the reason to not doubt studies and persist the attention on kids who are affected by media violence in order to further answer any questions or doubts. Cutler explains how much children are influenced by aggressive media and they become more vulnerable to expressing their anger. The media contains so much content that children occasionally confuse it with reality and fantasy. That is why it is very critical that parents sit down with their kids and explain the meaning of some shows so that later the child would not act out what he/she had seen on the television. There have been plenty of studies that have proven to help children with aggressiveness in their life due to media violence. Studies have also proven that children can get salvaged from their anger and are taught how to resolve conflicts in a calmer manner. Media violence is a very crucial topic and it cannot be ignored like many citizens have done already. Now is the time to help children and families who are struggling with the after effects of media violence.

Review Paper Research Example | Topics and Well Written Essays - 1750 words

Review - Research Paper Example d the design, the InAlAs-InGaAs-lnP lattice matched epitaxial layers were developed by the organo metallic vapor phae epitaxy on the lnP:Fe substrate. The layer structure consisted of 25nm lnP:Fe buffer layer, a 50nm ln(Ga,AL) graded layer, 300-nm n+ -InP:Si (6 10 cm ohmic contact layer and a 50-nm InAlAs Schottky-barrier enhancement layer. The graded layer was incorporated into the structure to remove conduction and valence band discontinuities that tend to degrade the high frequency performance citric acid:H202 was used to achieve an anisotropic mesa etch (Wohlmuth, Seo, Fay, Caneau, &. Adesida, 2). The etch profile enabled a Ti: Au interconnection between the top ITO Schotty contact and the microwave probe pads. RF magnetron was used to deposit the ITO film (thickness 320nm, refractive index of 2.05) sputtering in the argon environment. The experimental results showed that the device had a low knee voltage of about 0.39v, which is in accordance to the background doping concentration of 4x1014 cm-3 (Wohlmuth et al, 2). The responsive of the devices was between 0.55-0.60 A/W at wavelength of 1.31 mm and 0.563-0.583 for 1.55 mm at a bias of 5V. The dark current density of the Schottky contact increased as the diameter of the devices was reduced. This implied that the dark current of the devices is due to the surface-state conduction on the edges of the mesa rather than across the barrier contact (Wohlmuth, Seo, Fay, Caneau, &. Adesida, 3). At 100 mm, the lowest dark current was exhibited at 8.87x10-5 A/cm-2 at a bias of 5V. The frequency of the device was determined using the HP83420A light wave test set of wavelength 1.55 mm, 50ohm characteristic impedance. The 3-dB cutoff frequency at 10V for 11, 50, 25, 20, 15 diameter devices was found to be 2.5, 10.3, 21.2, 23.7, 25GHZ respectively. The high responsiveness was up to 0.60A/W for 1.31 light and 0.583 A/W for 1.55 mm (Wohlmuth, Seo, Fay, Caneau, &. Adesida, 4). The paper aimed at investigating the

Non hodgkins lymphoma Essay Example | Topics and Well Written Essays - 1250 words

Non hodgkins lymphoma - Essay Example These cancerous cells multiply and completely destroy the lymph nodes, tissues and vessels and later spreading (metastasizing) to other organs of the body. Lymphatic system of our bodies consists of many different parts. These are the lymph vessels, the lymph fluid and the lymph nodes. The entire lymphatic system consists of a large network of the lymph vessels that spread to all parts of the body tissues by branching and forming a network. These vessels carry the clear lymph fluid, chyle, white blood cells (mainly the smaller lymphocytes comprising of the T cells and the B cells) and also other blood cells to various parts of the body. Lymph nodes are the small pea shaped globular bodies found mainly along the way of the large blood vessels in the neck region, the chest, underarms, the abdomen and pelvis region and also in the groins. Lymph vessels are connected to these nodes and they act as filter removing harmful substances (if any) like the bacteria, from the lymph fluid. The lymphatic fluids along the lymphocytes re enter the circulatory system via the upper left part of the chest. The lymphatic system also consists of the spleen , the tonsils and the thymus gland. As the lymphatic tissue is present in many parts of the body including the bone marrow, the stomach and the small intestine, the non Hodgkins lymphoma can occur almost anywhere anytime. Though, it has been noticed that, the first to get affected are generally the lymph nodes which get enlarged when affected by the lymphoma. There are many types of non Hodgkins lymphoma (NHL) that are generally seen but all can be grouped under two main types. These are the slow growing or the indolent type and the second is the fast growing or the aggressive lymphoma variety. There is also a third variety which is the intermediate type. The NHL most often than not, form from the T cells or the B cells of the lymphocytes. The lymphocytes which form a part of the white

Self-Driving Cars Are Smart Essay Example for Free

Self-Driving Cars Are Smart Essay The self-driving car is a car that allows a passenger to travel safely and quickly to their destination without human driving (Marsico, 8). These vehicles are also known as â€Å"autonomous cars†. If the self-driving cars are available, people are no longer had to worry about their own safety while driving on the road and also they don’t need a driver license. The drivers will have more freedom to do whatever they wish while inside the car including reading, texting, eating, and sleeping. The vehicle also can set up the speech limit that driver doesnt have to worry about when the police going to meet them. The self-driver cars are also can save our life because every year the new report accidents are caused on the road due to the human drive. â€Å"In 2009, the technology company Google began developing a fleet of a self-driving car. These vehicles are just stepping away from being totally autonomous. They already travel along U.S. roadways. Currently, people who ride in Google’s robotic cars are able to take control at any time† (Marsico, 29). Technology has changed the way we live in many ways, some including being able to communicate with people that we know around the world. It also made things a lot easier like homework and learning. As we can see today the car manufacturers continue to experiment with the new technology. The self-driving car is one of the cars that experiment with the car manufactures. The cars first may need a GPS system to get a rough idea of where they are and where they need to go (Marsico 18). They also have a bunch of sensors to constantly scan the area around them looking for any hazards- whether that another car or a bicycle, or even a rogue bird (Barone). For Google self-driving cars these sensors include a camera to see, and radar and lasers to map out the area (Barone). The self-driving car also monitoring 360 degrees around the car which much better than what a distracted driver could do (Stewart). Most important and challenging facet of self-driving cars is the software that makes them run (Barone). This has to take in all the data from the sensors and GPS and even things like traffic and weather conditions and make decisions based on that. It determines how to steer, stop, and go and everything else involved in getting you from point to point. According to the Katie Marsico said, â€Å"In fact, experts have suggested that self-driving automobiles might around 30,000 lives a year in the United State†. As we can see today some of the people are driving and always cause the accident. The car that we drive today is easy and many people can drive them. They become popular and help people to travel place to place, save time and energy. Workers are able to transfer some important things with the help of the car. Using a car is comfortable and easier than using public transportation. Driving a car has also some disadvantages, such as buying and running a car need a lot of money, even more for a good quality one that is not too old. There are a lot of things to pay for insurance to cover the cost of crashes or theft, maintenance, parking charges, license fees charged by the government, and repair. When too many cars try to go the same way, the traffic will go slow them all and may cause the accident. According to Watson said, â€Å"More than thirty –four thousand America lost their lives to automobile accidents each year†. The car accident is caused by human-made by a driver who is drunk, sleeps and distracted (Watson 46). If the self-driving becomes popular we may not see the accident because the car will do everything for us. The computer in the self-driving cars are don’t drink, send texts message or fall asleep. We don’t have to worry about keeping our eye on the road and in addition people can be more productive while traveling (Marsico 10). The car also can use the less gasoline because â€Å"fuel contributes to pollution this would benefit the environment too† (Marsico 38). The self-driving cars have also some disadvantages because when they are testing the self-driving car had run the red lights or been in a minor collision (Davies Para 1). I worry about a self-driving car made of the computer. If computer software got virus how can we do? For those who do not know how to use the computer how will they fix their car? It will cost a lot of money to let the shop fix. The amount of software and technology that’s required to build self-driving cars is likely to be quite expensive. Consumers may not want to pay such high costs for self-driving cars. According to Katie Marsico said, â€Å"The technology that makes the self-driving cars works will probably add between $3ooo and $10,000 to car prices† (Page 42). The car also can run on the computer if the hacker can decide that they like your car and can hack the system to unlock the doors to get inside or start the car and drive it away. They can also shut down your vehicle while it is driving you at high speeds and you end up in a fatal crash (Alex Hern Para 3). If the car can drive by them self we may not need the parking lots. Many people might get around with shared vehicles that never have to park (Barone). As we can see today millions of Americans make a living by driving trucks, delivery vans, and taxis. When the technology of self-driving cars takes their job, what will happen to their livelihoods? They depend on their paycheck and if the paycheck is no longer work, the person and his family often cannot afford to pay their living. The families will end up with losing a home and they cannot afford to move into another residence and will end up their life with homeless.

Every Grain of sand Essays -- essays research papers

poem tells a story within its words, even if it is not directly stated. Nearly every word and phrase in a poem, and even its punctuation has a meaning and a message that the author is trying to send across to the reading or listening audience. Not always is it easy to immediately understand what the poet is trying to say, but within the words and punctuation, over time and with analysis, interpretation is possible. Poetry is a group of so many words that a poet carefully chooses to show certain meaning. The song â€Å" Every Grain of Sand† that is written by Bob Dylan deserves to be called poetry because of his careful use of tone, symbolism, allusion, simile and enjambments. Tone is an important part of poetry. It sets the mood of the piece and gives the audience a sense of what is going on and how the narrator feels. In â€Å" Every Grain of Sand† the tone is one of sadness and depression. There is a certain desperate tone in the poem, as the narrator looks for help in â€Å"the hour of [their] deepest need.† This is evident in the first and second lines of the first stanza when it is written †In the time of my confession, in the hour of my deepest need / When pool of tears beneath my feet flood every newborn seed.† The â€Å"time of confession† sets a solemn tone, for when a person is confessing it is usually a quiet, personal, and regretful time. This sad emotion that the tone sets is further emphasized when the author uses words and phrases like â€Å"sorrow of Night,† â€Å"violence†, â€Å"chill†, â€Å"bitter†, â€Å"loneliness† and â€Å"broken mirror of innocence.† These all set a mood of sadness, anger, bitterness, hatred and darkness that the narrator feels in his hour of need, as they carry the burden, or the â€Å"chains,† of their past mistakes. Although most of the poem keeps with a sad tone, the tone shifts slightly. Line fifteen says â€Å" Then onward on my journey I come to understand...† This line shows that he is slowly on his way, realizing things he perhaps did not at first. Symbolism is another important poetic device that is used throughout this poem. One’s entire understanding of the poem relies upon their understanding of the symbols applied. Bob Dylan uses symbolism on numerous occasions throughout his song â€Å" Every Grain of Sand†. In the line â€Å" When the pool of tears beneath my feet flood every newborn seed,†(1. 2) Dylan uses the flooding of the newborn seed to represent how the tears ... ...f Sand† create a feeling of searching for something, especially at the beginning. The first enjambment is in the first three lines of the poem, where the speaker is just trying to explain how he feels, and continues talking, without taking any breaths. The second stanza also includes enjambment, showing that there was a little bit of a realization that is some one to help in times of need, or a thought going on. In the fifth stanza there are not any enjambments. This shows that the speaker is thinking about each thing that he has experienced, the punctuation shows him pausing after each thought. Having enjambments in a poem gives a new feeling and possibly a new meaning. Bob Dylan’s use of effective tone, symbolism, allusion, similes, and enjambments in his song â€Å"Every Grain of Sand† is reason enough for it to be considered poetic. Although it is rhythmic, the piece flows for the many other reasons we’ve explored. It has deep and hidden meanings that are left to the audience’s interpretation, and it uses expressive language to tell its story. Songs, therefore, can be poetic if they include all the right elements. work Cited http:// www.findlyrics.com/song/d/Dylan_Bob/10766.html

In the country or in the city Essay

Where is the best place to raise a child, in the city or in the country? I would rather live and raise my family in the country, because of the clean environment, peaceful atmosphere, and smaller schools. My primary reason for choosing the country instead of the city is the clean environment. The air smells fresh and clean, because there are less cars creating pollution. In the city, there are busses, taxis, and cars on all the streets contributing harmful chemicals into the air. While automobiles are not the only cause of pollution, there are also more factories and plants to pollute the air. In the country, the only major industry would be farming, which does not pollute the air in any way. There are more people in the city breathing the air and less forest area to help control the pollution. Since there are less people in the country than in the city, the amount of littering on the roads is also less. The polluted air is very harmful to the human body and that is why I will choose to raise my family in the country where there is less pollution. The clean environment is not the only reason that I will choose to live in the country. Another reason for my decision to live in the country is the peaceful atmosphere. There are many more crimes committed in the city than in the country, because there is more drug use there. People with drugs are probably not going to sell them in the country, because they know they can sell more in the city. Drugs are not the only reason for the high crime rates in the city. There are shopping malls and businesses that are not in the country, which leads to more theft in the city. Also, the atmosphere in the country seems to be a much slower pace, because there are fewer people and jobs. The peacefulness in the country is very soothing and calming after a hard day at work. Also, I hope that my children will grow up to be good people, and I believe that the odds of that are much better if they are raised in the country rather than in the city. My last reason for choosing to live in the country instead of the city is that the schools in the country are much smaller than in the city. I believe  that smaller schools are better for the students. The schools in the city are much larger to accommodate the larger population of students that live there. I feel that the advantages of attending a smaller school are many. They have smaller classes, which gives the students more one-on-one time with their teacher. The teacher can really get to know each of their students and learn how they can help them be successful. In larger schools, teachers have too many students to have the chance to know each one personally, and they do not have the time to help them as much as a teacher in a smaller school. I also think it is easier for the students in a smaller school to make friends, because they get used to the same faces and know each other well. There are more students in larger schools, which will make it harder for them to get to know one another. City schools are also known for having cliques, which makes it hard for some students to be accepted by others. I believe that the smaller schools in the country are more beneficial than the larger schools in the city. In my opinion, the country is the best place to live and raise a family. I have discussed the three main reasons I chose the country rather than the city: the clean environment, peaceful atmosphere, and smaller schools. I hope others will agree that the country is the land of the free.

Katrina Possisble Solutions

Possible Solutions to prevent another Hurricane Katrina Sea gates are another option that have proven very affective in other areas of the world such as Holland, Britain, and Venice, which is also below sea level and has a large number of canals. Sea gates are simply giant air-filled walls that cut off water flow. These gates would most likely be placed on Lake Pontchartrain’s two narrow outlets and would be only be closed if a storm was approaching.Such structures have been considered since the 1960’s, but the idea was crushed in the late 1970’s because people feared the gates would disrupt marine life and sediment transportation. However this should not be an issue since the gates are open the majority of the time. The main hurdle is cost, ranging from $500 million to 1 billion Closing or covering certain canals is an option that would help prevent storm surges from reaching so far inland. Currently canals and channels can give storm surge direct access to inla nd neighborhoods.The Mississippi River Gulf Outlet [MRGO] is one of the canals that has caused major problems in the past. Where MRGO meets the Intracoastal Waterway there is a major area of funneling. The two fronts met at a narrowing point that forms the Industrial Canal and the water height is amplified 20-40%, putting intense pressure on floodwalls causing them to burst. After Hurricane Katrina hit the narrow strip of wetlands between MRGO and Lake Borgne got even smaller, bringing to reality the fear that the two waters might merge into one.MRGO has less than five ships navigating its channel per day; often times only one ship uses the outlet. MRGO has also amplified the wetland loss in the area, allowing salt water to intrude and kill off native vegetation. By keeping only heavily used channels open and turning the rest into trails or parks, flood damage could be reduced. Adding a subterranean drainage system to the city is another idea that engineers have come up with. This w ould include turning some canals into culverts (covering them with trails and parks) and then having heavy duty pumps (located on high ground) to pump the water fully out of the city.The culverts would help channel the water and get it out quickly in times of flood. This is a simple technology, but it is costly running about $1 million per mile of canal. Moving the pumping stations is a relatively simple way to help prevent New Orleans from being overwhelmed. Installing heavy-duty pumping stations on high ground or in areas where they can act as damn-like buffers would allow water to be pumped out even when the city is overwhelmed.During Hurricane Katrina, once the pumping stations were flooded the low areas just continued to rise in water level. Wetland rehabilitation is another plan that could help protect New Orleans from storm surge. Wetlands act as natural barriers against wind-driven waters, but wetlands are being destroyed by saltwater intrusion everyday. Hand planting is ver y costly and time consuming, making it hard to implement. Source: http://www. uwec. edu/jolhm/eh3/group7/futureneworleans. htm

Methods of Execution essays

Methods of Execution essays Methods of Execution One man's taking of another's life is generally seen as an unforgivable act which is punishable with death. When this is done as punishment however, it is seen as an honorary deed by removing this criminal from the world and making it a much safer place to live. With executions in mind, it is incredible what ingenious methods can be thought of by the human brain and the fact that the idea is centered around the murdering of one man does not even change how prodigious these innovations are seen to be. Many different techniques and procedures for execution are used throughout the world revealing much about a country's culture and their concern for their citizens. By far one of the most well known and publicly glamorized of all methods of execution is electrocution. Present in nine American states, it was first used in New York in 1890. When a condemned man is scheduled to be executed, he is led into the death chamber and strapped to the point of immobility into a reinforced chair with belts crossing his chest, groin, legs, and arms. Two copper electrodes, dipped in brine or treated with Eletro-Creme to increase conductivity, are attached to him, one to his leg and the other to his head. The first jolt, between five-hundred and two-thousand volts depending on the size of the prisoner, is given for 30 seconds. Smoke will begin to come out of the prisoner's leg and head and these areas may catch fire if the victim has been sweating profusely. A doctor will examine him and if he still shows life signs, more jolts of two-thousand volts are administered to finish the job (Matthews). A main reason for electrocution's original use was the thought that death was immediate. Unfortunately this is not the case. Doctors today believe that the victim feels "himself begin burned to death and suffocating since the shock cause respiratory paralysis as well as cardiac arrest. Because the energy of the shock paralyzes the muscles, he...

Sustainability and Innovation in Business Essay Example | Topics and Well Written Essays - 500 words

Sustainability and Innovation in Business - Essay Example In order to lead in the competition, the company needs to keep on innovating through sustainability (Nidumolu & Et. Al., â€Å"Why Sustainability Is Now The Key Driver Of Innovation†). Firstly, the company should comply with the specifications of the industry by abiding the governmental rules as well as regulations. The company needs to take heed of the emissions in their manufacturing plants and the usage of water. They should invest in new and advanced technological equipments in order to reduce the effect of their manufacturing activities on the environment. Ford needs to adopt measures to trim down the carbon emissions as well as cut down on the usage of water in order to conserve it with the introduction of advanced technological facilities. The company also needs to take care of its value chains in order to make them sustainable. Abiding by the regulations would assist the company to be environmentally conscious which would therefore make them take a notice on their resource consumption activities. They should take steps in order to trim down wastages and consumptions in their internal operations and in their workplace surroundings. After this a proper look should be provided in their arrangement of supply chain so that efficiency is escalated with the help of every individual association that forms a part of their supply chain. This would help the company to get familiar with advanced and new technologies which would pave the way for further innovation in terms of fresh product designs as well as in their business. This step would surely help them to attain sustainability (Ford, â€Å"Sustainability†; Nidumolu & Et. Al., â€Å"Why Sustainability Is Now The Key Driver Of Innovation†). The amplified emphasis on competence and freshly attained familiarity with technologies and expertise would help them to consider redesigning their offered products and take advantage of the increasing

Short answer Essay Example | Topics and Well Written Essays - 500 words - 1

Short answer - Essay Example However, the state in availing welfare to the public acts within certain outlined guidelines meant to evaluate certain involved loses or costs, hence implement measures whose purpose is to limit excesses of some individual groups. Implementation of SOPA seeks to ensure public interest via shunning either intrusion or pirating of people’s intellectual property and counterfeit goods (â€Å"Economics Week†). Mainly, the provision of this enforcement involves requesting court to prevent advertising bodies and online payment facilities from conducting transactions with infringing websites or search engines (â€Å"Economics Week†). Hence, expand the already existing laws with the intention of safeguarding the public’s interest by barring streaming of unauthorized copyrighted content and imposing harsh sentences to the culprits not more than five years. as a result of this first â€Å" mass† medium of communication linguistic unity would be one of the broadcasting’s main effects establishing physical and cultural unification not only English, but proper, uninflected English would become the national standard/norm. defined as â€Å" pussy- willow† English Somehow, this will yield to the eroding of some cultural practices but with time. Since, the upcoming generation due to this implementation will tend to move away from their cultural norms and adopt the incoming practices or ways of life. This is to ensure they interact with others while contributing to varied issues being broadcasted, for instance, those pertaining to politics. They usually erode diverse and numerous archaic practices commonly held by people as taboo, hence prompting all genders assuming roles that were earlier prohibited. For instance, in acting whereby each gender and people from varied races can mimic whom they want in plays for the purpose of relaying the intended information. This has extended to the present but

Marketing Internationally Essay Example | Topics and Well Written Essays - 2000 words

Marketing Internationally - Essay Example r a business can only be successful globally if the management takes into account other factors that are related to the change in the geographical location of the product. Factors such as culture, economy and politics can have a huge impact on the launch of product in a foreign market (Balmer, 2001). Hence the paper reinforces the concept that marketing research is not only limited to research related to the product but it is also related to research relating to all the factors that are going to have an effect on the product launch feasibility in the new geographical area (Kotler & Keller, 2011). Since the paper deals with formation of the basis of the new business idea, we will discuss the marketing research for the idea in detail i.e. discussion regarding launch of an existing product in a completely new geographical area. Hence the components of marketing research have been discussed below in detail. The chosen product is Fiber One bar from the American company Fiber One working under the General Mills. The selected location for the launch is Pakistan. Fiber One bar has been introduced in the industry as a product for health conscious people as it offers taste of chocolate and less calories at the same time. It is a very famous product in USA in the female population. The reason for selection of Pakistan for the product launch is the current changing trends in the country, within a few geographical areas of the country, a certain demographic segment is showing interest in purchasing healthy products due to which local stores are offering exported products that have been brought through unprofessional procedures (General Mills (USA), 2011). Based on all these evidences, a strong need for this product has been identified and the observable factors give very high probability of the product’s success in the market. However, there is a very high chance of failure of the product if proper analysis of the country isn’t carried out. We have identified the

Interprofessional Practice Essay Example | Topics and Well Written Essays - 2000 words

Interprofessional Practice - Essay Example This paper shall discuss what it means to act professionally, based on my career as a nurse. Firstly, this paper will define professionalism in the context of health and human services delivery. Secondly, it will present an explanation of what it means to provide quality nursing care and services within a safe, ethical and legal context, in an individual and interprofessional framework. Finally, it will identify the mechanisms by which nurses’ behaviours are monitored, and how they may contribute to quality improvement mechanisms. Professionalism is defined in different ways. According to Bhugra (2010, p. 103) professionalism â€Å"may be defined as a conglomerate of separate elements, such as honesty, empathy, reliability, self-awareness, competence, and so forth†. In this instance, professionalism is described as a combination of various elements and attitudes which are often needed in order to successfully establish a beneficial relationship between clients and nurses. In some ways, professionalism is also viewed as a complete ethical concept with almost no boundaries. With the different issues which nurses currently face, especially those which relate to conflicts of interest and market-place competition, professionalism helps ensure the competence â€Å"across an enlarging corpus of medical knowledge and technical skills† (Bhugra, 2010, p.103). In considering its more specific applications to health care delivery, a health professional is one who has a primary technical and specialized knowledge and who advances and implements standards based on service rather than profit (Reiff, 2010). The health professional has cognitive and moral characteristics which can be familiarly couched in the Hippocratic Oath through the words, â€Å"I will practice my art with purity and holiness and for the benefit of the sick† (as cited Orme-Smith & Spicer, 2001, p. 251). Professionalism in nursing largely implies a responsibility to serve and care for others,

Importance Of Palliative Care Nursing Essay

Importance Of Palliative Care Nursing Essay Palliative care improves quality of life of patient and families who face life threatening disease, by provide pain and symptom relief, spiritual, psychosocial support to diagnosis to end of life, In most of world, majority of cancer patient are in advances stages of cancer when first seen by medical professional. For them, only factual treatment option is pain relief and palliative care. Effective approaches to palliative care are available to improve quality of life for cancer patient. Cancer pain release is diffusion of the world health organization global communication program for improve cancer pain control and palliative and supportive care (World Health Organization, 2011). Lung cancer is a disease which consists of uncontrolled cell growth in tissues of the lung. This growth may lead to metastasis, which is the invasion of adjacent tissue and infiltration beyond the lungs. The vast majority of primary lung cancers are carcinomas of the lung, derived from epithelial cells. Lun g cancer, the most common cause of cancer-related death in men and women, is responsible for 1.3 million deaths worldwide annually, as of 2004.The most common symptoms are shortness of breath (WIKIPEDIA,2011). Which nursing problem does lennart have? Pain and Irritation upon draining of tubes. Nausea and diarrhea. Loss of energy. Loss of appetite. Eelevated blood pressure How would you prioritize his problem? Diarrhea Pain and irritation upon draining tube Loss of appetite Nausea Loss of energy Eelevated blood pressure NURSING CARE PLAN Assessment: Objective data: he has an elevated blood pressure and diabetes. Subjective data: diarrhea. Nausea, pain. Take medical history. Patient complained of abdominal pain, bowel movement cramping. Increased frequency of stool, increased frequency of bowel sounds loose, liquid stools, diarrhea. Assess onset and patterns of diarrhea Assess and identify individual stress factors and coping behaviors. Assist thorough diagnosis including neurologic and psycho logic Assess patients attitude toward pain. .Discuss with patient, family and other medical team the treatment and medical Diagnosis: diarrhea, pain, nausea related to lung cancer. Intervention: Observe and record frequency, characteristic, amount, time of day, and precipitating factors related to occurrence of diarrhea Observe pain associated with episodes Observe nausea and vomiting. Every day make blood test for diabetes and give medication and give diabetes food. Give treatment to hypertension and cheek blood pressure and give low salt food advice patient make exercises every day. Auscultate abdomen for presence, location, and characteristic of bowel sounds observe for associated factors such as fever / chills, abdominal pain / cramping .Determine diet and nutritional status. Review drug intake. Determine recent exposure to different / foreign environment, change in drinking water, food intake and illness of other. Note concurrent illnesses, treatment, food and drug allergic, lactose intravenous and therapy side effects. Eliminate: relaxation techniques to decrease stress / anxiety. Provide for changes in dietary intake to avoid diarrhea. Limit caffeine and high fiber foods, avoid milk and dairy products. Recommended change in drug therapy as appropriate (eg. Antacid) Assess baseline hydration, note postural hypotension, tachycardia, skin cracks, and condition of mucous membranes. Review laboratory work. Administer drugs as indicated to decrease gastrointestinal motility and minimize fluid losses. Administer IVF as indicated. Maintain skin integrity (ointment skin as needed) .Promote returns to normal bowel functioning: Increase oral fluid intake and return to normal diet with assist from his family members. Give medication as ordered, for example to decrease motility and to absorb water and explain that to the patient and to his family. Patient maintains normal bowel function with good hydration. Understanding of causative factors and rationale for treatment regimen .Demonstrates appropriate behavior to assist with resolution of causative factors like proper food preparation or avoidance of irritating. Verbalization of pain upon draining of tube Distraction behavior (moaning, crying, pacing, seeking out other people or activities, restlessness .Autonomic responses like diaphoresis , blood pressure and pulse changes . Papillary dilatation increased or decreased respiratory rate. Pain, Alleviate patient from pain, Provide comfort while draining of tube Explain procedure to the patient and family and when it hurt to reduce concern of the unknown .Nursing priority: assess etiology / precipitating and c ontributory factor. Determine possible pathophiysiologic / psycho logic causes of pain eg( inflammation , thrombosis ,grief ,fear and anxiety ) Nursing priority: evaluate patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s response to pain. Observe patients walk, how patient holds body, sits ,facial expression ,cool finger tips / toes , which can mean constricted useless . Determine pain characteristics; dull, throbbing, constant , sharp ,intermittent Assess for referred pain. Monitor vital signs as usually it increase in acute pain, Review patients previous experience with pain. Nursing priority assist patient to explore methods for alleviation and control of pain: Instruct patient to report pain as soon as it begins ,encourage verbalization of feelings about the pain ,provide quiet environment , calm , activities . provide comfort measures ( eg. Back rub , change of position , use of heat or cold if indicated ) and encourage his family to do it .encourage relaxation exercise with the use of individualized tapes ( eg. Music and instructional ) .encourage to use diversirnal activities ( eg, TV ,radio and socialization ) ,assist in treatment of the cause of pain and evaluate effectiveness .encourage rest to prevent fatigue ,identify ways of avoiding or minimizing pain ,review ways to lessen pain ,discuss with significant others ways in which they can assist patient and can reduce precipitating factors that may cause or increase pain . Evaluation: Patient reports that he is relieved from pain. He follows prescribed pharmacologic regimen. Verbalizes methods that provide relief . Demonstrate use of relaxation skills and dimensional activities. Conclusion: Cancer patient has severe pain the nurse should be observer this pain and give medicine and attention to case of spiritual psychical through palliative care. Cancer patient need to support from teamwork and family is the source of light and hope of the patient, I think support depend on family. Teamwork is foundation palliative care and everywhere cooperative teamwork will outcome become high for palliative care. Communication is contact the most powerful factor in palliative care causes it is a point of communication between teamwork and family and between patient, teamwork, good communication is the secret success palliative care.

Public Service Broadcasting (PSB) in Australia Essay -- Media, Televis

The public service broadcasting can be seen as an agent to deliver information and innovative ideas in a democratic society. Syvertsen (1999) has mentioned three meanings of public service, firstly as the public function whereas government supply services such as roads, public transport, etc, secondly as the public sphere in which people of a society involve for common good purpose, lastly was the broadcasting in the service of listener or viewer. This essay attempts to argue the need of sustaining the Public Service Broadcasting especially in Australia. In Australia there are two public service broadcasting institutions: the Australian Broadcasting Corporation (ABC) and the Special Broadcasting Service (SBS). ABC is modelled after the BBC and aims to provide information and entertainment services of general interest and traditional public service content on TV and radio; SBS aims to provide a more specialized service of multicultural and multilingual programming (reference). The SBS focused on fulfilling the media needs of Australia’s culturally diverse population. Both broadcasters are public corporations operating under Charters endorsed by Australia’s federal Parliament (reference,Mendel). The Charter particularly advises the ABC to produce its main component programming on educational broadcasts. The ABC also required to presents the multiculturalism of the Australian society; provide a sense of national identity and information as well as entertainment through promoting music, drama, and other performing arts in Australia (Mendel). Whilst, the Charter requires the SBS to produce multilingual and multicultural radio and television services that inform, educate, and entertain Australian people, and at the same time re... ...tricted by channel capacity and it can provide diverse audiences at once. Moreover, with the online internet anyone can gather all information they need as well as the social networking in ways that people can interact in real time even from the distance and lay bare to a new perspective of democracy. From that standpoint, the young generation will even consider the difficulty public service broadcasters will face. In conclusion, public service broadcasting is seen as form of governance rather than individual form of media institution. Indeed, the challenge for the State funded broadcasting is the emerged of the cultural diversity and the complex development between citizen and national public interest. In order to assert he public value, relevancy as well as public resources then the public service organization should managed it effectively.

Dubliners †Joyces depiction and portrayal of Dublin Essay

‘He felt how useless it was to struggle against fortune†¦Ã¢â‚¬â„¢ ‘A Little Cloud’ ‘There was no doubt about it: if you wanted to succeed you had to go away you could do nothing in Dublin.’ ‘A Little Cloud’ From your reading of ‘Eveline’, ‘Araby’ and ‘A Little Cloud’, write about Joyce’s depiction and portrayal of Dublin in relation to the quotations above. Dubliners are a group of short stories by James Joyce. The whole series of the Dubliners is based on the city of Dublin and the people who inhabit it. We are studying three of the story’s ‘Araby’, ‘A Little Cloud’ and ‘Eveline’. The tone of the stories are depressing and full of misery. In a ‘Little Cloud’ Joyce shows that you can do nothing in Dublin. Joyce presents the character of little chandler as a weak and pathetic character this is shown by the use of the phrase ‘his hands were white and small, his frame was fragile, his voice was quiet.’ Little chandler is visiting his friend Ignatious Gallaher who grew up in Dublin and is a successful journalist this is shown through ‘had become a brilliant figure on the London press.’ Additionally we can see that Gallaher has done well for himself by the place that he wants to meet little chandler. This is highlighted by the phrase ‘he had never been in Corless but he knew the value of the name’, ‘people went there after the theatre to eat oysters and drink liquers’. Little Chandler’s character shows how Dublin disappoints people constantly. Little Chandler would like to write poetry but he knows that he can’t because he lives in Dublin. He has too many responsibilities like his family and his job. We can see also that Gallaher is having a really exciting time visiting lots of places like Paris and London. He is also making a good name for himself being a journalist in London. We can see that Little Chandler is jealous this is shown by the phrase ‘that was Ignatious Gallaher all out ; and, damn it, you couldn’t but admire him for it’. Additionally we can see that Little Chandler doesn’t have a good relationship with his wife. This is highlighted through the phrase ‘At first she wanted to take it back’ and ‘she threw the blouse on the table and said it was a regular swindle to charge ten and elevenpence for that dress’. We can see that little Chandler would like to make it as a poet and what we learn is that he always did better in school than Gallaher and yet Gallaher was the one who was better off. This shows his disappointment and how Dublin disappoints and this is why he cannot make it as a poet because of Dublin. In ‘Eveline’ James Joyce portrays Dublin as a city in which is decaying, poor and hopes and dreams are constantly being ruined. Eveline is a young women who is kept in the city by a bond between her and her mum. This promise was made on her mother’s deathbed. Eveline promised that she would keep the family together no matter what happened. She lives with her father and she has brothers and sisters but they don’t stay with her. She provides the money for the family this is shown through the phrase ‘she always gave her entire wages seven shillings’. She is fed up of this horrible life full of poverty and decay. The only good thing in her life at the moment is a sailor called Frank and sails round the world with the navy. They have been seeing each other and she wants to go with him and live in Buenos Ayres. But we can that it is hard for her to do. We see that Joyce has a lot of resemblance to the character of Eveline she promised her mother on h er deathbed and Joyce’s mum wanted him to confess his sins at church on her deathbed. In ‘Eveline’ we know that she had quite a tough and rough childhood but she loved it this is shown by the use of the phrase ‘the children of the Avenue used to play together in that field’. This shows that her childhood was a good apart from one thing her father was very violent towards her and her brothers this is illustrated in the passage by ‘Keogh the cripple used to keep nix and call out when her father was coming’. But that was when Dublin wasn’t a slum. I know fro my own knowledge that at that time Dublin boasted the best slums in Europe. We can see how Dublin is a decaying city in the story through the phrase ‘in her nostrils was the odour of dusty cretonne’, ‘inhaling the odour of dusty cretonne’. This shows that it’s all around not just in one spot. Towards the end of the story we realise that she can’t go with Frank to Buenos Ayres because of her promise with her mother she realises this just as she is about to board. She sees how her dad is old and can not look after himself with out her help. â€Å"Araby† is a short story by Joyce that I believe is a reflection of his own life as a boy growing up in Dublin. Joyce portrays the young boy as a narrator; however the narrator seems much more mature then the boy in the story. The story focuses on the boy’s feelings for the girl on North Richmond Street we can see how the story is about disappointment and love and I believe it is a reflection of Joyce’s life and the constant struggle. The boy is obsessed with his friend’s sister he hides in the shadows, peering secluded from a distance trying to spy her â€Å"brown figure† this is obviously his first love this is highlighted through the phrase ‘we hid in the shadow until we had seen him safely housed or if Mangan’s sister came out onto the doorstep’. One day he finally builds up the courage to ask her what she is doing at the weekend we learn that there is a bazaar going on in the city but ‘she could not go, she said, because there would be a retreat in her convent’. The narrator decides that he wants to bring her something back from the bazaar. The boy sees the bazaar at Araby as an opportunity to win her over, as a way to show her that he wants more than a friendship. However, the boy is lost for words to speak. He fantasizes about her, how bringing her a gift from the bazaar will capture her heart. He had promised her a gift and he is annoyed by his uncles late return home and his forgetfulness. This is shown through ‘at nine o clock I heard my uncles latchkey in the halldoor’, ‘I asked him to give me the money to go to the bazaar. He had forgotten’. Nevertheless, he is undeterred and catches an empty train to the bazaar. He finds it much like North Richmond Street, empty and dark with few people. The young lady at the stall ignores him while she talks with the men. This is shown through the phrase ‘a young lady was talking and laughing with two young gentlemen’. When she finally approaches, he is not certain what he wants. As the woman turns and walks away, he realizes the opportunity of winning his friends sister through gift has slipped. In the end, regret burns in his eyes as the cold grip of reality takes hold of him. In all of Joyce’s story’s Dublin is always portrayed as place of misery and depression. We see how this is shown through all of Joyce’s story’s. In Eveline we see how she is disappointed by the responsibilities at home and that is the reason she can’t go to Buenos Ayres. In Araby his uncle coming home drunk and not letting him go to the bazaar disappoints the boy. In a little cloud we see how the charcter of little Chandler is constantly being disappointed this is shown by Gallahers success instead of him. Gallaher has made it as a successful journalist and has visited all of these fancy places even though Chandler always used to do better then him at school. Chandler also doesn’t have a very good relationship with his wife and this depresses him. Dublin doesn’t sound like a great place to live or grow up as Joyce depicts it. In conclusion Joyce portrays Dublin as a prison of misery and depression people are trapped and it is a graveya rd of ambition.

Examine Hamlet’s Relationship with Gertrude Essay

At the beginning of the play, during Hamlet’s first soliloquy, Hamlet contemplates suicide because he is so furious with his mother for marrying Claudius within a month of his father’s death. This is when Hamlet comments, ‘frailty thy name is woman’ to express his bitter feelings towards his mother for not only the speed of her remarriage and betrayal of his father, but the ‘dexterity to incestuous sheets’. The situation, and Hamlet’s reaction to it, is a trigger of an increasing negative attitude towards all women, viewing them as weak. It is shown through his relationships with Gertrude and Ophelia. The audience learn through the other characters that Hamlet has shown affections towards Ophelia; whether they are genuine and lasting feelings is uncertain as Leartes advices Ophelia that they are not. Leartes asks Ophelia to ‘hold it a fashion, and a toy in blood;/ A violet in the youth of primary nature.’ Leartes not only says that Hamlet’s feeling towards Ophelia is short-lived nonsense of his youth but highlights that ‘for he himself is subject to his birth’. Polonius also echoes a negative portrayal of Hamlet’s relationship with Ophelia as he advises her to ‘be somewhat scaner of your maiden presence’. Ophelia sees that Hamlet’s feelings are genuine as he ‘hath importuned me with love / In honourable fashion’ and ‘hath given countenance to his speech†¦ with almost all the holy vows of heaven’. However, she is obedient and follows the wishes of her brother and father to ‘keep as watchman to my heart’ or to not ‘give words or talk with the Lord’. The rejection of Hamlet by Ophelia is a significant influence in him believing that ‘frailty thy name is woman’ as Ophelia could be seen as weak for following the orders of others who assumed that Hamlet’s affections could not be trusted when she, herself, believed them to be true. Hamlet’s reaction to Ophelia’s rejection is extreme and she is ‘affrighted’ by his state of ‘knees knocking each other†¦ with a look so piteous in purport/ As if he had been loosed out of hell’. His bitterness has been exaggerated by the ‘antic disposition’ that he has adopted since learning that his father was murdered by his uncle from his father’s ghost. This would make him feel even more anger towards his mother for marrying Claudius. He is manipulated by the Ghost who encourages his frustration for her when he says, ‘ shameful lust/ The will of my most seeming-virtuous Queen’. Hamlet is in a vulnerable position as he is shocked by the revelations and is still grieving his father; it is comforting to ally his own feelings with his father’s in his resent towards Gertrude for marrying Claudius so soon after the King’s death and is quick to believe that he is a murderer. Hamlet follows the Ghost’s orders to not seek revenge on Gertrude but to ‘leave her to heaven’. Hamlet’s despise for Gertrude festers within him through the play and with it, his views of women. Hamlet follows the Ghost’s wishes not to take action against Gertrude and as a result he makes Ophelia suffer for his hatred of his mother. The extreme behaviour which Ophelia reports to her father leads Polonius to believe that he is ‘mad’ with the ‘very ecstasy of love’. Ophelia was obedient to her father’s wishes and ‘did repel his letters, and denied/ His access to me.’ In contrast to Hamlet’s ‘mad’ behaviour a letter written by him to Ophelia shows his strong feelings of affection towards her as he says, ‘To the celestial and my soul’s idol, the most/ beautified Ophelia’. The language is passionate in a very exaggerated style and shows that Hamlet had powerful emotions for her, and a rejection would cause an exaggerated reaction also. In conversation with Polonius, Hamlet’s bitter feelings towards women come out through quick and crude puns: ‘Let her walk not I’ th’ sun. Conception is a blessing, but not as your daughter may conceive’. This echoes Hamlet’s comment that ‘frailty thy name is woman’ as the punning suggests women are improper and easily influenced. In Hamlet’s next meeting with Ophelia he is harsh towards her and denies sending her letters but speaks abruptly to her, making connections between chastity, beauty and immorality. He repudiates Ophelia, the woman he once claimed to love, in the harshest terms and urges her to go to a nunnery as she ‘wouldst thou be a breeder of sinners’ and comments unfavourably on the flirtatious tricks of women such as ‘lisp’ and ‘nickname’. Hamlet says ‘we will have no more marriage’, this is not only because he believes women make ‘monsters’ of their husbands but the resent of his mother’s marriage to Claudius is also implied. When Rosencrantz and Guildenstern are sent to find out what is troubling Hamlet he feels betrayed his mother as his mother and Claudius are together plotting together ways spying on Hamlet; his mother is being led by Claudius. He goes on to say that he has lost all interest in life, ‘Man/ delights not me; no, nor woman either’. He talk of men and women separately suggesting that they are different creatures. During the play Hamlet is cold towards both Gertrude and Ophelia, when his mother asks him to sit by her he refuses as ‘metal more attractive’. He comments, ‘how cheerfully my mother looks, and my father died within these two hours’, and speaks of ‘country matters’ crudely to Ophelia. Hamlet is thinking about the way his mother has acted and as he cannot confront her he offends Ophelia. Even though it is not suggested that Gertrude connived at her husband’s murder, but by marrying Claudius she is guilty by association, â€Å"None wed the second but who killed the first’. It reminds the audience the way in which the circumstance has changed him to believe ‘frailty thy name is women’. Once the play has been stopped, Gertrude asks to speak to Hamlet which is when he confronts her about his feelings as before he had to ‘hold my tongue’. He tells her that it was Claudius ‘blasting his wholesome brother’. He asks why she would desert his father for his uncle and aggressively shames her ‘in the rank sweat of an enseamed bed/ Stewed in corruption, honeying, making love/ Over the nasty sty’. The audience recognise the crude language that he used when speaking to Ophelia as he condemns the ‘frail’ women. Gertrude is convinced mainly by Hamlet’s insistence and power of feeling, which illustrates her ‘frailty’ and tendency to be dominated by powerful men and her need for men to show her what to think and how to feel. Ophelia is driven mad by her father’s death and it contrasts strongly with Hamlet’s, differing primarily in its legitimacy: Ophelia does not feign madness to achieve an end, but is truly driven mad by the death of her father. After Polonius’s sudden death and Hamlet’s subsequent exile, she finds herself abruptly without any of them. She is obsessed with death, beauty, and an ambiguous sexual desire, expressed in startlingly frank imagery: ‘Young men will do’t, if they come to’t, By Cock, they are to blame. Quoth she ‘Before you tumbled me, You promised me to wed.’ Shakespeare has demonstrated her chaste dependence on the men in her life; similar to Gertrude’s character. Ophelia is in such a ‘frail’ state when in the same situation as Hamlet – their fathers both murdered – she commits suicide, which Hamlet also contemplated in his first soliloquy. Ophelia is associated with flower imagery from the beginning of the play. In her first scene, Polonius presents her with a violet; after she goes mad, she sings songs about flowers; and then she drowns amid long streams of them. The ‘fragile’ beauty of the flowers resembles Ophelia’s own ‘fragile’ beauty, as well as her nascent sexuality and her exquisite, doomed innocence. Despite Hamlet’s harsh treatment of Ophelia, Hamlet is grief-stricken and outraged when declaring in agonised fury his own love for Ophelia. He fights with Laertes, saying that ‘forty thousand brothers / Could not, with all their quantity of love, / make up my sum’. This shows that his despise of women could not overcome his love for Ophelia in the same way that Hamlet had trusted his mother to believe he is not mad but not tell Claudius that is an act, even though he had felt betrayed by her throughout the play. Therefore, Hamlet was shattered by his mother’s decision to marry Claudius so soon after her husband’s death, Hamlet becomes cynical about women in general, showing a particular obsession with what he perceives to be a connection between female sexuality and moral corruption. This motif of misogyny, or hatred of women, occurs sporadically throughout the play, but it is an important inhibiting factor in Hamlet’s relationships with Ophelia and Gertrude. He urges Ophelia to go to a nunnery rather than experience the corruptions of sexuality and exclaims of Gertrude, ‘Frailty, thy name is woman’. Gertrude seems to have a powerful instinct for self-preservation and advancement that leads her to rely too deeply on men much like Ophelia who is also submissive and utterly dependent on men. As these are the only two significant women in Hamlet’s life it is easy for him to conclude that ‘frailty thy name is women’.