Tuesday, January 21, 2020
Americaââ¬â¢s War on Terrorism Essay -- Terrorism Politics Foreign Policy
Americaââ¬â¢s War on Terrorism The world has been changed forever since the tragic attack on September 11, 2001. An observer described the atrocity by saying, "It just went 'bam,' like a bomb went off. It was like holy hell (CNN 1). " The new world will be different from what any American has known before. A new war has arisen, not against a foreign country or a major region of the world, but rather against a select group of people who have the capabilities to destroy the lives of so many. The war against terrorism which the United States is now forced to wage will not be an easily won battle. This war will not be fought solely on scattered battlefields in certain countries. It will instead permeate through every aspect of life as we know it. "The attack of September 11 will be the precipitating moment of a new kind of war that will define a new century. This war will be fought in shadows, and the adversary will continue to target the innocent and defenseless ("The Terrorism Research Center"). " The unconvent ional methods of terrorism make these terrorists the first formidable opponent the United States has faced in years, since the ending of the Cold War. Due to its victory in the Cold War, the United States is now the last remaining superpower in the world, and along with that supremacy comes an inherent responsibility. The responsibility of a superpower can be interpreted in two distinctly different ways. One of these is for a country to become semi-isolationist. The other is the opposite, in the sense that it deals with a country imposing its authority on other countries, thus not being in any way isolationist. Both of theses have their benefits while at the same time, their disadvantages. The first possible respon... ...undamentalist terrorists, mainly the Al'Qa'ida, have for America and all that America stands for. Now that the Islamic fundamentalists have openly attacked America, the war on terrorism has arrived upon the world. The atrocities that the world will soon face will not be like any experienced before and the world will be forever changed after this war is complete. September 11th has forced America to face the hatred it has created for itself throughout the world, especially in the Middle East, for its unethical foreign policy tactics. America is once again tested to prove its dominance in the world, but will it pass the test of terrorism? Only the future holds the answer. Works Cited CNN (1), World Trade Center Survivors Describe 'Holy Hell'. http://www.cnn.com/2001/US/09/11/new.york.scene/. "The Terrorism Research Center". http://www.terrorism.com/index.html
Monday, January 13, 2020
Patient Recording System Essay
The system supplies future data requirements of the Fire Service Emergency Cover (FSEC) project, Fire Control, fundamental research and development. Fire and Rescue Services (FRSs) will also be able to use this better quality data for their own purposes. The IRS will provide FRSs with a fully electronic data capture system for all incidents attended. All UK fire services will be using this system by 1 April 2009. Creation of a general-purpose medical record is one of the more difficult problems in database design. In the USA, most medical institutions have much more electronic information on a patientââ¬â¢s financial and insurance history than on the patientââ¬â¢s medical record. Financial information, like orthodox accounting information, is far easier to computerize and maintain, because the information is fairly standardized. Clinical information, by contrast, is extremely diverse. Signal and image dataââ¬âX-Rays, ECGs, ââ¬ârequires much storage space, and is more challenging to manage. Mainstream relational database engines developed the ability to handle image data less than a decade ago, and the mainframe-style engines that run many medical database systems have lagged technologically. One well-known system has been written in assembly language for an obsolescent class of mainframes that IBM sells only to hospitals that have elected to purchase this system. CPRSs are designed to review clinical information that has been gathered through a variety of mechanisms, and to capture new information. From the perspective of review, which implies retrieval of captured data, CPRSs can retrieve data in two ways. They can show data on a single patient (specified through a patient ID) or they can be used to identify a set of patients (not known in advance) who happen to match particular demographic, diagnostic or clinical parameters. That is, retrieval can either be patient-centric or parameter-centric. Patient-centric retrieval is important for real time clinical decision support. ââ¬Å"Real timeâ⬠means that the response should be obtained within seconds (or a few minutes at the most), because the availability of current information may mean the difference between life and death. Parameter-centric retrieval, by contrast, involves processing large volumes of data: response time is not particularly critical, however, because the results are us ed for purposes like long-term planning or for research, as in retrospective studies. In general, on a single machine, it is possible to create a database design that performs either patient-centric retrieval or parameter-centric retrieval, but not both. The challenges are partly logistic and partly architectural. From the logistic viewpoint, in a system meant for real-time patient query, a giant parameter-centric query that processed half the records in the database would not be desirable because it would steal machine cycles from critical patient-centric queries. Many database operations, both business and medical, therefore periodically copy data from a ââ¬Å"transactionâ⬠(patient-centric) database, which captures primary data, into a parameter-centric ââ¬Å"queryâ⬠database on a separate machine in order to get the best of both worlds. Some commercial patient record systems, such as the 3M Clinical Data Repository (CDR)[1] are composed of two subsystems, one that is transaction-oriented and one that is query-oriented. Patient-centric query is considered more critical for day-to-day operation, especially in smaller or non-research-oriented institutions. Many vendors therefore offer parameter-centric query facilities as an additional package separate from their base CPRS offering. We now discuss the architectural challenges, and consider why creating an institution-wide patient database poses significantly greater hurdles than creating one for a single department. During a routine check-up, a clinician goes through a standard checklist in terms of history, physical examination and laboratory investigations. When a patient has one or more symptoms suggesting illness, however, a whole series of questions are asked, and investigations performed (by a specialist if necessary), which would not be asked/performed if the patient did not have these symptoms. These are based on the suspected (or apparent) diagnosis/-es. Proformas (protocols) have been devised that simplify the patientââ¬â¢s workup for a general examination as well as many disease categories. The clinical parameters recorded in a given protocol have been worked out by experience over years or decades, though the types of questions asked, and the order in which they are asked, varies with the institution (or vendor package, if data capture is electronically assisted). The level of detail is often left to individual discretion: clinicians with a research interest in a particular condition will record more detail for that condition than clinicians who do not. A certain minimum set of facts must be gathered for a given condition, however, irrespective of personal or institutional preferences. The objective of a protocol is to maximize the likelihood of detection and recording of all significant findings in the limited time available. One records both positive findings as well as significant negatives (e.g., no history of alcoholism in a patient with cirrhosis). New protocols are continually evolving for emergent disease complexes such as AIDS. While protocols are typically printed out (both for the benefit of possibly inexperienced residents, and to form part of the permanent paper record), experienced clinicians often have them committed to memory. However, the difference between an average clinician and a superb one is that the latter knows when to depart from the protocol: if departure never occurred, new syndromes or disease complexes would never be discovered. In any case, the protocol is the starting point when we consider how to store information in a CPRS. This system, however, focuses on the processes by which data is stored and retrieved, rather than the ancillary functions provided by the system. The obvious approach for storing clinical data is to record each type of finding in a separate column in a table. In the simplest example of this, the so-called ââ¬Å"flat-fileâ⬠design, there is only a single value per parameter for a given patient encounter. Systems that capture standardised data related to a particular specialty (e.g., an obstetric examination, or a colonoscopy) often do this. This approach is simple for non-computer-experts to understand, and also easiest to analyse by statistics programs (which typically require flat files as input). A system that incorporates problem-specific clinical guidelines is easiest to implement with flat files, as the software engineering for data management is relatively minimal. In certain cases, an entire class of related parameters is placed in a group of columns in a separate table, with multiple sets of values. For example, laboratory information systems, which support labs that perform hundreds of kinds of tests, do not use one column for every test that is offered. Instead, for a given patient at a given instant in time, they store pairs of values consisting of a lab test ID and the value of the result for that test. Similarly for pharmacy orders, the values consist of a drug/medication ID, the preparation strength, the route, the frequency of administration, and so on. When one is likely to encounter repeated sets of values, one must generally use a more sophisticated approach to managing data, such as a relational database management system (RDBMS). Simple spreadsheet programs, by contrast, can manage flat files, though RDBMSs are also more than adequate for that purpose. The one-column-per-parameter approach, unfortunately, does not scale up when considering an institutional database that must manage data across dozens of departments, each with numerous protocols. (By contrast, the groups-of-columns approach scales well, as we shall discuss later.) The reasons for this are discussed below. One obvious problem is the sheer number of tables that must be managed. A given patient may, over time, have any combination of ailments that span specialities: cross-departmental referrals are common even for inpatient admission episodes. In most Western European countries where national-level medical records on patients go back over several decades, using such a database to answer the question, ââ¬Å"tell me everything that has happened to this patient in forward/reverse chronological orderâ⬠involves searching hundreds of protocol-specific tables, even though most patients may not have had more than a few ailments. Some clinical parameters (e.g., serum enzymes and electrolytes) are relevant to multiple specialities, and, with the one-protocol-per-table approach, they tend to be recorded redundantly in multiple tables. This violates a cardinal rule of database design: a single type of fact should be stored in a single place. If the same fact is stored in multiple places, cross-protocol analysis becomes needlessly difficult because all tables where that fact is recorded must be first tracked down. The number of tables keeps growing as new protocols are devised for emergent conditions, and the table structures must be altered if a protocol is modified in the light of medical advances. In a practical application, it is not enough merely to modify or add a table: one must alter the user interface to the tablesââ¬â that is, the data-entry/browsing screens that present the protocol data. While some system maintenance is always necessary, endless redesign to keep pace with medical advances is tedious and undesirable. A simple alternative to creating hundreds of tables suggests itself. One might attempt to combine all facts applicable to a patient into a single row. Unfortunately, across all medical specialities, the number of possible types of facts runs into the hundreds of thousands. Todayââ¬â¢s database engines permit a maximum of 256 to 1024 columns per table, and one would require hundreds of tables to allow for every possible type of fact. Further, medical data is time-stamped, i.e., the start time (and, in some cases, the end time) of patient events is important to record for the purposes of both diagnosis and management. Several facts about a patient may have a common time-stamp, e.g., serum chemistry or haematology panels, where several tests are done at a time by automated equipment, all results being stamped with the time when the patientââ¬â¢s blood was drawn. Even if databases did allow a potentially infinite number of columns, there would be considerable wastage of disk space, because the vast majority of columns would be inapplicable (null) for a single patient event. (Even null values use up a modest amount of space per null fact.) Some columns would be inapplicable to particular types of patientsââ¬âe.g., gyn/obs facts would not apply to males. The challenges to representing institutional patient data arise from the fact that clinical data is both highly heterogeneous as well as sparse. The design solution that deals with these problems is called the entity-attribute-value (EAV) model. In this design, the parameters (attribute is a synonym of parameter) are treated as data recorded in an attribute definitions table, so that addition of new types of facts does not require database restructuring by addition of columns. Instead, more rows are added to this table. The patient data table (the EAV table) records an entity (a combination of the patient ID, clinical event, and one or more date/time stamps recording when the events recorded actually occurred), the attribute/parameter, and the associated value of that attribute. Each row of such a table stores a single fact about a patient at a particular instant in time. For example, a patientââ¬â¢s laboratory value may be stored as: (, 12/2/96>, serum_potassium, 4.1). Only positive or significant negative findings are recorded; nulls are not stored. Therefore, despite the extra space taken up by repetition of the entity and attribute columns for every row, the space is taken up is actually less than with a ââ¬Å"conventionalâ⬠design. Attribute-value pairs themselves are used in non-medical areas to manage extremely heterogeneous data, e.g., in Web ââ¬Å"cookiesâ⬠(text files written by a Web server to a userââ¬â¢s local machine when the site is being browsed), and the Microsoft Windows registries. The first major use of EAV for clinical data was in the pioneering HELP system built at LDS Hospital in Utah starting from the late 70s.[6],[7],[8] HELP originally stored all data ââ¬â characters, numbers and datesââ¬â as ASCII text in a pre-relational database (ASCII, for American Standard Code for Information Interchange, is the code used by computer hardware almost universally to represent characters. The range of 256 characters is adequate to represent the character set of most European languages, but not ideographic languages such as Mandarin Chinese.) The modern version of HELP, as well as the 3M CDR, which is a commercialisation of HELP, uses a relational engine. A team at Columbia University was the first to enhance EAV design to use relational database technology. The Columbia-Presbyterian CDR,[9],[10] also separated numbers from text in separate columns. The advantage of storing numeric data as numbers instead of ASCII is that one can create useful indexes on these numbers. (Indexes are a feature of database technology that allow fast search for particular values in a table, e.g., laboratory parameters within or beyond a particular range.). When numbers are stored as ASCII text, an index on such data is useless: the text ââ¬Å"12.5â⬠is greater than ââ¬Å"11000â⬠, because it comes later in alphabetical order.) Some EAV databases therefore segregate data by data type. That is, there are separate EAV tables for short text, long text (e.g., discharge summaries), numbers, dates, and binary data (signal and image data). For every parameter, the system records its data type so that one knows where it is stored. ACT/DB,[11],[12] a sys tem for management of clinical trials data (which shares many features with CDRs) created at Yale University by a team led by this author, uses this approach. From the conceptual viewpoint (i.e., ignoring data type issues), one may therefore think of a single giant EAV table for patient data, containing one row per fact for a patient at a particular date and time. To answer the question ââ¬Å"tell me everything that has happened to patient Xâ⬠, one simply gathers all rows for this patient ID (this is a fast operation because the patient ID column is indexed), sorts them by the date/time column, and then presents this information after ââ¬Å"joiningâ⬠to the Attribute definitions table. The last operation ensures that attributes are presented to the user in ordinary language ââ¬â e.g., ââ¬Å"haemoglobin,â⬠instead of as cryptic numerical IDs. One should mention that EAV database design has been employed primarily in medical databases because of the sheer heterogeneity of patient data. One hardly ever encounters it in ââ¬Å"businessâ⬠databases, though these will often use a restricted form of EAV termed ââ¬Å"row modelling.â⬠Examples of row modelling are the tables of laboratory test result and pharmacy orders, discussed earlier. Note also that most production ââ¬Å"EAVâ⬠databases will always contain components that are designed conventionally. EAV representation is suitable only for data that is sparse and highly variable. Certain kinds of data, such as patient demographics (name, sex, birth date, address, etc.) is standardized and recorded on all patients, and therefore there is no advantage in storing it in EAV form. EAV is primarily a means of simplifying the physical schema of a database, to be used when simplification is beneficial. However, the users conceptualisethe data as being segregated into protocol-specific tables and columns. Further, external programs used for graphical presentation or data analysis always expect to receive data as one column per attribute. The conceptual schema of a database reflects the usersââ¬â¢ perception of the data. Because it implicitly captures a significant part of the semantics of the domain being modelled, the conceptual schema is domain-specific. A user-friendly EAV system completely conceals its EAV nature from its end-users: its interface confirms to the conceptual schema and creates the illusion of conventional data organisation. From the software perspective, this implies on-the-fly transformation of EAV data into conventional structure for presentation in forms, reports or data extracts that are passed to an analytic program. Conversely, changes to data by end-users through forms must be translated back into EAV form before they are saved. To achieve this sleight-of-hand, an EAV system records the conceptual schema through metadata ââ¬â ââ¬Å"dictionaryâ⬠tables whose contents describe the rest of the system. While metadata is important for any database, it is critical for an EAV system, which can seldom function without it. ACT/DB, for example, uses metadata such as the grouping of parameters into forms, their presentation to the user in a particular order, and validation checks on each parameter during data entry to automatically generate web-based data entry. The metadata architecture and the various data entry features that are supported through automatic generation are described elsewhere.[13] EAV is not a panacea. The simplicity and compactness of EAV representation is offset by a potential performance penalty compared to the equivalent conventional design. For example, the simple AND, OR and NOT operations on conventional data must be translated into the significantly less efficient set operations of Intersection, Union and Difference respectively. For queries that process potentially large amounts of data across thousands of patients, the impact may be felt in terms of increased time taken to process queries. A quantitative benchmarking study performed by the Yale group with microbiology data modelled both conventionally and in EAV form indicated that parameter-centric queries on EAV data ran anywhere from 2-12 times as slow as queries on equivalent conventional data.[14] Patient-centric queries, on the other hand, run at the same speed or even faster with EAV schemas, if the data is highly heterogeneous. We have discussed the reason for the latter. A more practical problem with parameter-centric query is that the standard user-friendly tools (such as Microsoft Accessââ¬â¢s Visual Query-by-Example) that are used to query conventional data do not help very much for EAV data, because the physical and conceptual schemas are completely different. Complicating the issue further is that some tables in a production database are conventionally designed. Special query interfaces need to be built for such purposes. The general approach is to use metadata that knows whether a particular attribute has been stored conventionally or in EAV form: a program consults this metadata, and generates the appropriate query code in response to a userââ¬â¢s query. A query interface built with this approach for the ACT/DB system[12]; this is currently being ported to the Web. So far, we have discussed how EAV systems can create the illusion of conventional data organization through the use of protocol-specific forms. However, the problem of how to record information that is not in a protocolââ¬âe.g., a clinicianââ¬â¢s impressionsââ¬âhas not been addressed. One way to tackle this is to create a ââ¬Å"general-purposeâ⬠form that allows the data entry person to pick attributes (by keyword search, etc.) from the thousands of attributes within the system, and then supply the values for each. (Because the user must directly add attribute-value pairs, this form reveals the EAV nature of the system.) In practice, however, this process, which would take several seconds to half a minute to locate an individual attribute, would be far too tedious for use by a clinician. Therefore, clinical patient record systems also allow the storage of ââ¬Å"free textâ⬠ââ¬â narrative in the doctorââ¬â¢s own words. Such text, which is of arbitrary size, may be entered in various ways. In the past, the clinician had to compose a note comprising such text in its entirety. Today, however, ââ¬Å"templateâ⬠programs can often provide structured data entry for particular domains (such as chest X-ray interpretations). These programs will generate narrative text, including boilerplate for findings that were normal, and can greatly reduce the clinicianââ¬â¢s workload. Many of these programs use speech recognition software, thereby improving throughput even further. Once the narrative has been recorded, it is desirable to encode the facts captured in the narrative in terms of the attributes defined within the system. (Among these attributes may be concepts derived from controlled vocabularies such as SNOMED, used by Pathologists, or ICD-9, used for disease classification by epidemiologists as well as for billing records.) The advantage of encoding is that subsequent analysis of the data becomes much simpler, because one can use a single code to record the multiple synonymous forms of a concept as encountered in narrative, e.g., hepatic/liver, kidney/renal, vomiting/emesis and so on. In many medical institutions, there are non-medical personnel who are trained to scan narrative dictated by a clinician, and identify concepts from one or more controlled vocabularies by looking up keywords. This process is extremely human intensive, and there is ongoing informatics research focused on automating part of the process. Currently, it appears that a computer program cannot replace the human component entirely. This is because certain terms can match more than one concept. For example, ââ¬Å"anaesthesiaâ⬠refers to a procedure ancillary to surgery, or to a clinical finding of loss of sensation. Disambiguation requires some degree of domain knowledge as well as knowledge of the context where the phrase was encountered. The processing of narrative text is a computer-science speciality in its own right, and a preceding article[15] has discussed it in depth. Medical knowledge-based consultation programs (ââ¬Å"expert systemsâ⬠) have always been an active area of medical informatics research, and a few of these, e.g., QMR[16],[17] have attained production-level status. A drawback of many of these programs is that they are designed to be stand-alone. While useful for assisting diagnosis or management, they have the drawback that information that may already be in the patientââ¬â¢s electronic record must be re-entered through a dialog between the program and the clinician. In the context of a hospital, it is desirable to implement embeddedknowledge-based systems that can act on patient data as it is being recorded or generated, rather than after the fact (when it is often too late). Such a program might, for example, detect potentially dangerous drug interactions based on a particular patientââ¬â¢s prescription that had just been recorded in the pharmacy component of the CPRS. Alternatively, a program might send an alert (by pager) to a clinician if a particular patientââ¬â¢s monitored clinical parameters deteriorated severely. The units of program code that operate on incoming patient data in real-time are called medical logic modules (MLMs), because they are used to express medical decision logic. While one could theoretically use any programming language (combined with a database access language) to express this logic, portability is an important issue: if you have spent much effort creating an MLM, you would like to share it with others. Ideally, others would not have to rewrite your MLM to run on their system, but could install and use it directly. Standardization is therefore desirable. In 1994, several CPRS researchers proposed a standard MLM language called the Arden syntax.[18],[19],[20] Arden resembles BASIC (it is designed to be easy to learn), but has several functions that are useful to express medical logic, such as the concepts of the earliest and the latest patient events. One must first implement an Arden interpreter or compiler for a particular CPRS, and then write Arden modules that will be triggered after certain events. The Arden code is translated into specific database operations on the CPRS that retrieve the appropriate patient data items, and operations implementing the logic and decision based on that data. As with any programming language, interpreter implementation is not a simple task, but it has been done for the Columbia-Presbyterian and HELP CDRs: two of the informaticians responsible for defining Arden, Profs. George Hripcsak and T. Allan Pryor, are also lead developers for these respective systems. To assist Arden implementers, the specification of version 2 of Arden, which is now a standard supported by HL7, is available on-line.[20] Arden-style MLMs, which are essentially ââ¬Å"if-then-elseâ⬠rules, are not the only way to implement embedded decision logic. In certain situations, there are sometimes more efficient ways of achieving the desired result. For example, to detect drug interactions in a pharmacy order, a program can generate all possible pairs of drugs from the list of prescribed drugs in a particular pharmacy order, and perform database lookups in a table of known interactions, where information is typically stored against a pair of drugs. (The table of interactions is typically obtained from sources such as First Data Bank.) This is a much more efficient (and more maintainable) solution than sequentially evaluating a large list of rules embodied in multiple MLMs. Nonetheless, appropriately designed MLMs can be an important part of the CPRS, and Arden deserves to become more widespread in commercial CPRSs. Its currently limited support in such systems is more due to the significant implementation effort than to any flaw in the concept of MLMs. Patient management software in a hospital is typically acquired from more than one vendor: many vendors specialize in niche markets such as picture archiving systems or laboratory information systems. The patient record is therefore often distributed across several components, and it is essential that these components be able to inter-operate with each other. Also, for various reasons, an institution may choose to switch vendors, and it is desirable that migration of existing data to another system be as painless as possible. Data exchange/migration is facilitated by standardization of data interchange between systems created by different vendors, as well as the metadata that supports system operation. Significant progress has been made on the former front. The standard formats used for the exchange of image data and non-image medical data are DICOM (Digital Imaging and Communications in Medicine) and HL-7 (Health Level 7) respectively. For example, all vendors who market digital radiography, CT or MRI devices are supposed to be able to support DICOM, irrespective of what data format their programs use internally. HL-7 is a hierarchical format that is based on a language specification syntax called ASN.1 (ASN=Abstract Syntax Notation), a standard originally created for exchange of data between libraries. HL-7ââ¬â¢s specification is quite complex, and HL-7 is intended for computers rather than humans, to whom it can be quite cryptic. There is a move to wrap HL-7 within (or replace it with) an equivalent dialect of the more human-understandable XML (eXtended Markup Language), which has rapidly gained prominence as a data interchange standard in E-commerce and other areas. XML also has the advantage that there are a very large number of third-party XML tools available: for a vendor just entering the medical field, an interchange standard based on XML would be considerably easier to implement. CPRSs pose formidable informatics challenges, all of which have not been fully solved: many solutions devised by researchers are not always successful when implemented in production systems. An issue for further discussion is security and confidentiality of patient records. In countries such as the US where health insurers and employers can arbitrarily reject individuals with particular illnesses as posing too high a risk to be profitably insured or employed, it is important that patient information should not fall in the wrong hands. Much also depends on the code of honour of the individual clinician who is authorised to look at patient data. In their book, ââ¬Å"Freedom at Midnight,â⬠authors Larry Collins and Dominic Lapierre cite the example of Mohammed Ali Jinnahââ¬â¢s anonymous physician (supposedly Rustom Jal Vakil) who had discovered that his patient was dying of lung cancer. Had Nehru and others come to know this, they might have prolonged the partition discussions indefinitely. Because Dr. Vakil respected his patientââ¬â¢s confidentiality, however, world history was changed.
Sunday, January 5, 2020
Movie Review The Scarlet Letter - 1794 Words
Sequel to The Scarlet Letter Once the recent mutiny came to a close, all the townspeople hoped that their quiet little Puritan town would return to the normality that they held so dearly. Now, of course, they missed their beloved reverend, Arthur Dimmesdale, but many believed that the sacrificing if his life was a fair payment to end the madness. His dramatic demise would never be forgotten in the town and he, even being the sinner that he is, would be gravely missed and hold a special place in their hearts. The main purpose for this was the fact that he showed such great courage in his confession. The great reverend could have just slipped into the hands of God without telling any of the townspeople what he had done. This would have spared him the public humiliation that surfaced in his last few seconds of life. For this reason, most of the settlers in the community saw him as a very courageous man. 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A daughter can promise to come to dinner, but if she has a headache, a traffic jam, if she wants to watch a favorite movie on T.V., she no longer has a promise.(Tan, 42) Ying Ying St.Clair remarks- ...because I remained quiet for so long, now my daughter does not hear me. She sits by her fancy swimming pool and hears only her Sony Walkman, her cordless phone, her bigRead MoreNatural Dyes11205 Words à |à 45 Pagespinks * 3.2 Oranges * 3.3 Yellows * 3.4 Greens * 3.5 Blues * 3.6 Purples * 3.7 Browns * 3.8 Greys and blacks * 3.9 Lichen * 3.10 Fungi * 4 Luxury dyestuffs * 4.1 Royal purple * 4.2 Crimson and scarlet * 4.3 The rise of formal black * 5 Decline and rediscovery * 6 Notes * 7 References * 8 External links | [edit] Origins Colors in the ruddy range of reds, browns, and oranges are the first attested colors in a number of ancient textileRead MoreMetz Film Language a Semiotics of the Cinema PDF100902 Words à |à 316 Pagesreal spectacleââ¬â to a much greater extent, as Albert Laffay has noted, than does a novel, a play, or a figurative painting.1* Films release a mechanism of affective and perceptual participation in the spectator (one is almost never totally bored by a movie). They spontaneously appeal to his sense of beliefââ¬ânever, of course, entirely, but more intensely than do the other arts, and occasionally films are, even in the absolute, very convincing. They speak to us with the accents of true evidence, using theRead MoreVampire Diaries61771 Words à |à 248 Pagesher again. The anxiety, the fear. And the certainty that something terrible was about to happen. Maple Street was deserted. The tall Victorian houses looked strange and silent, as if they might all be empty inside, like the houses on an abandoned movie set. They looked as if they were empty of people, but full of strange watching things. That was it; something was watching her. The sky overhead was not blue but milky and opaque, like a giant bowl turned upside down. The air was stifling, and Elena
Saturday, December 28, 2019
Human Animals Should Not Be Banned - 1639 Words
If you had the choice to live or die which would you choose? If you had the alternative to live in a cage or in a house which would you select? If you had the option to have experiments that caused you pain performed on you would you? The truth is that most of us would rather live, reside in a house and would not be a part of an experiment that caused us pain. However, most people accept the elements of the above conditions for non-human animals. Non-human animals should not be a part of destruction, pain, incarceration and underprivileged conditions that are caused by humans, yet they are. Letting non-human animals have rights has been an issue since before the 1800s and the issue still exist today. Now in todayââ¬â¢s society, researchers have come up with alternative ideas rather than using animals for testing; many household and beauty products are becoming cruelty free as well. Animals have been being used as test subjects for centuries. In the 1600s, William Harvey used sheep to observe and study the blood circulartory system. In the following years, Stephen Hales demonstrated blood pressure measurements by using a horse and Antoine Lavoisier used a guinea pig to prove that respiration is a form of combustion (Early Animal Research). Perhaps one of the most well-known experiments was done in the late 1800s to early 1900s by Ivan Pavlov; he used dogs in his testing. His experiment is known as classical conditioning, he was looking at the dogââ¬â¢s salivation in response toShow MoreRelatedAnimal Testing Should Be Banned880 Words à |à 4 Pagesdepending on animals testing. Therefore, if people talk about laboratories, they should remember animal experiments. Those animals have the right to live, according to people who dislike the idea of doing testing on animals; the other opinion, supports the idea of animal testing as the important part of the source of what has reached medicine of the results and solutions for diseases prevalent in every time and place. Each year huge numbers of animals are sacrificed for the science all these animals, whetherRead MoreSave Animals. Say No to Animal Testing!1390 Words à |à 6 PagesArgumentative essay: Save animals. Say no to animal testing! Nowadays, it is a well-known fact that many companies test their products like cosmetics and medicines with animals before production to check their products ââ¬â¢safety and quality. A huge amount of animals are used in research purpose every year. Is it right for human beings to sacrifice millions of animals for testing purpose? Should animal testing be banned? Animal testing is a controversial issue and there is a heated debated about prosRead MoreAnimal Testing And The Scientific Field1305 Words à |à 6 Pagesscientific field, people find that the richest discoveries in health or medicine generally depend on animal testing. According to Animal Testing in the History of Anesthesia: Now and Then, Some Stories, Some Facts, the writer says, ââ¬Å"There are many interesting anecdotes, [â⬠¦] about how dogs have been loved, named and tested by many anesthesiologists, [â⬠¦]. However, the contribution of experiments on animals such as rabbit, monkey, mice, guinea pigs etc., a lso played a significant role in the evolutionRead MoreShould Animal Testing Be Banned?844 Words à |à 3 PagesShould animal testing be banned? Nowadays, a lot of animals has been tested on a range of experiments over the world. You could be supporting animal teasing cruelty without knowing it. Have you ever check if thereââ¬â¢s animal testing on the cosmetics before you buy it? Today, a lot of cosmetics has been testing on helpless animals and there are about 1.4 million animals die each year from animal testing ( CatalanoJ, 1994). Most of the experiments that are completed in the laboratories are very cruelRead MoreHow Do The Contributions Of Animal Testing To Global Medical1309 Words à |à 6 Pagescontributions of animal testing to global medical science justify whether or not it should be banned? According to the Humane Society International (HSI), animal testing or animal experimentation for medical research refers to the experimentation on live animals for the purposes of investigation on diseases, medical treatments, or fundamental biology. Charles Gross, a former member of the History of Neuroscience committee of the global Society for Neuroscience, states that animals were used for improvingRead MoreAnimal Testing Should Be Banned Essay537 Words à |à 3 PagesEach year, millions of animals are used to test how safe and effective products, such as cosmetics, are. They are genetically modified, force-fed harmful chemicals, blinded, scalded, and maimed. How could one not object to this awful cruelty? Animal testing should be banned because it is cruel, unnecessary, inaccurate, and expensive. The very first reason why animal testing should be banned is elementary: it is cruel and unnecessary. Approximately 17-22 million animals are used for testing eachRead MoreShould Animals Be Used for Research in the Cosmetic Industry?533 Words à |à 3 PagesShould animals be used for research in cosmetic industry? Animal testing is widely used to develop new medicines and to test the safety of other products. These experiments can cause pain to the animals involved or reduce their quality of life in other ways. Animal experimenters are aware of this problem and agree that the testing should be made as humane as possible. While this practice has been followed for years now, some people still strongly believe that it is a cruel act and should be permanentlyRead MoreAnimal Testing Must Be Banned Essay1014 Words à |à 5 Pagesmonoxide! Animal testing must be banned for unnecessary tests. Animals should not be guinea pigs. Animals still feel the pain when they are injected with medicine just like humans. Humans can defend themselves and stop the pain, but the animals get strapped down and cannot move. It is better to have tests run on animals because animals will help find cures faster. Animal testing must be banned for unnecessary tests because a lot of animals are dying for no reason. Ninety-four percent of animal testingRead MoreThe Importance Of Animal Testing857 Words à |à 4 Pagescomes to animal testing. A considerable amount of people believe that examinations should be banned, others think it should be continued. According to NCBI, animals have been utilized repeatedly since 384 BC. This disagreement has been debated since before the 1920ââ¬â¢s and is still continuing. The main opposing point of animal examinations, is the extent of the experiment used on the animal. But, if scientists did not take part in animal testing, humans safety would be in danger. Although animals shouldRead MorePeta Advertisement : An Analysis Of Pamela Andersons Body Organs?881 Words à |à 4 Pagesdiagram of her body parts. The company Peta promoted there go meat diet for non-vegetarians to go vegetarian. The advisement shows the women as if she is an animal with labels of different cuts of meat on her body parts. The advisement is unacceptable because of the labeling on her body like she an animal, the statement Peta made saying â⬠All animals have the same partsâ⬠, and Pamela Anderson is being a sex symbol to males to promote the meat free diet. When looking at the diagram of a cow you can see
Friday, December 20, 2019
Ethical Decision Making A Decision On Ethical Decisions
Throughtout this written assignment there will be a discussion on ethical decision making about making a decision on possible ethical consequences that may be placed in your life, and what ethical consequences will be dealt with in the mental health professional field. Decisions could possibility pertain your conduct such as an ethical dilemma that will required a serious decision to be solved by your action as an leader. Even though a leader may not have caused the problem, they do not have a choice but to respond to the issues at the workplace. The key is how would a leader react to the issue and how their reputation and career standards will interfear afterwards. An early recognition could prevent many ethical issues from increasing in the mental health field and work environment. Ethical dilemmas could happen in many different ways, such professionals do have any act of acknowledge by knowing they have allowed themselves to be placed in a predictment without any knowing about it . This assignment will also discuss the scenario, what the reactions were from the team leader, what consequences should take place, the code of ethics and what were the results from decision making. Introduction At first I would be upset by the team member not fulfilling his/her duties. I would become upset and confused, due to not understanding why this reaction was taking place in the first place. As a team leader responding to an issue with employees being dishonest andShow MoreRelatedEthical Decision Making : Ethical Decisions1496 Words à |à 6 PagesFacing Ethical Decisions How does a person determine what is right or wrong when making a decision? Most people faced with an ethical decision usually revert to their personal values that hopefully guide them through the decision-making process. Assessing values and morals are an important role when making ethical decisions and how others view a person after making that decision. ââ¬Å"Once we grasp the underlying concepts of making important decisions, we need to know how to apply them.â⬠(Fisher, 2005)Read MoreEthical Decision Making Ethical Decisions Essay1610 Words à |à 7 PagesWhen I think of making ethical decisions, I think of doing whatââ¬â¢s right, but what exactly is the right thing and how do we define it? As humans we are all brought up under different circumstances, therefore we tend to distinguish from right and wrong in many different ways, especially at a young age when we first start to understand our moral behavior. This difference between the way we determine whatââ¬â¢s righ t and whatââ¬â¢s wrong is what makes it difficult for us humans to have the same understandingRead MoreEthical Decision Making : Ethical Decisions1047 Words à |à 5 PagesEthical Decision-Making The first step in the CPA (2000) ethical decision-making model is identification of the individuals and groups potentially affected by the decision. In the ethical scenario I presented earlier, the individuals directly involved and likely to be most affected by the decision include the 54-year old woman and myself as the counsellor. Those who will likely be indirectly affected by the decision would be the womanââ¬â¢s family, including her 20-year old daughter, and the agencyRead MoreEthical Decision Making And Ethical Decisions1317 Words à |à 6 Pagesaccount the works of ethical decision making, ethical decision making is an idea that will dramatically help any manager that takes this issue seriously. In the standpoint of the internal customer, ethical behavior improves the actual atmosphere at the job and helps motivate the actual employees, sets an example to the actual employees, and evokes a feeling of pride with the company and improves it is image within the eyes with th e employees. From the standpoint of outer customer, ethical behavior improvesRead MoreEthical Decision Making Ethical Decisions Essay1088 Words à |à 5 Pagesbooks and news articles are available online which discuss making ethical decisions and the importance of maintaining a high level of ethical standards in business. Ethical Decisions Sound ethical decisions are extremely important in business communication and the decision making process is greatly affected by ethical standards. There are four general rules any business leader must follow when trying to make ethical decisions. These rules help managers and employees to behave appropriatelyRead MoreEthical Decision Making And Ethical Decisions1026 Words à |à 5 Pageswithin a particular organization. Also, it includes critical and ethical decision-making process so as to address various ethical dilemmas experienced by employees while undertaking their respective assigned duties within the company. Ethical dilemmas are hereby to stay as issues usually arise now and then and place a variety of options that bear different repercussions. Therefore, it calls for ethical and critical decision-making skills so as to make the most appropriate option that bears moreRead MoreEthical Decision Making Ethical Decisions1533 Words à |à 7 Pages When making ethical deci sions we as Christians use different sources to help us in deciding how we should respond to a given situation while staying true to our Christian faith and its values. The scholar Richard Hays identified these sources for ethical decision-making into four areas: Scripture, tradition, reason and experience. Neither of these is used in isolation, but work together to help us decide what would be ethically right to lead the ââ¬Å"good lifeâ⬠and proclaim the Kingdom of GodRead MoreEthical Decision Making Ethical Decisions Essay1014 Words à |à 5 PagesHaving to make an ethical decision regarding unethical circumstances can be challenging for some. ââ¬Å"Ethical decision-making refers to the process of evaluating and choosing among alternatives in a manner consistent with ethical principles. In making ethical decisions, it is necessary to perceive and eliminate unethical options and select the best ethical alternative.The process of making ethical decisions requires: commitment-the desire to do the right thing regardless of the cost; consciousness-theRead MoreEthical And Ethical Decision Making1500 Words à |à 6 Pagesmore important than others, ethical decision making is a skill that has become increasingly pivotal. Jones states that a ââ¬Ëmoral issue is present where a personââ¬â¢s action, when freely performed, may harm or benefit othersââ¬â¢ and defines ââ¬Ëan ethical decision is a decision that is both legally and morally acceptable to the larger communityââ¬â¢ (1991, p. 387). In order to create a company wide culture of ethics, employees must believe that the organization has a desire to be ethical and see proof of this fromRead Moreethical decision making1211 Words à |à 5 Pagesï » ¿ Ethical- Decision Making University of the Rockies Mabel Drafton Abstract Countertransference is how therapists distort the way they perceive and react to a client (Corey, Corey, and Callanan, 2011). Therapists are expected to identify and deal with their own reactions with consultation, personal therapy, and supervision that their clients will not be negatively affected by the therapistââ¬â¢s problem. Personal therapy is an effective way for therapists
Wednesday, December 11, 2019
Pornography and Prostitution Exploratorys Re Essay Example For Students
Pornography and Prostitution Exploratorys Re Essay search Papers Pornography and Prostitution The topic that I have been researching for the past few weeks has been prostitution. It has been very interesting so far. The studies have shown just exactly what the problems with prostitution are. In some of the older books I read, historians were interested mainly in discussing the attitudes toward prostitution but in more recent work the focus has been on prostitutes themselves including their range of alternatives, their conditions of work, their health and life spans, their careers-and interaction between prostitutes and others, such as reformers, clients, or bosses. Studies about men and women, boys, and girls who have been involved in prostitution and/or pornography have revealed a lot. They are the hardest patients to treat. They say they want help, but nothing thats done to help them out works. They run back. They just dont seem to want to change. Women who have been subjected to continuous abuse and victimization over which they have no control or understanding have developed a sense of psychological paralysis that prohibits their ability to do anything positive about further victimization. They believe they are unable to change their destructive behavior. They become entrapped in helplessness and hopelessness. They feel themselves to be out of control of their lives. Essentially, they have developed a chronic disorder as a result of their victimization and an inability to separate themselves from the sexual exploitation in order to make a better life for themselves. In a recent study based on an analysis of 200 women street prostitutes, 78% reported starting prostitution as juveniles; and 68% were 16 or younger when they started prostitution. A majority of the juvenile prostitutes described family structures with the outward appearances of stability. Over three-fourths reported having a religious upbringing. Forty percent were raised by both mother and father. The younger the prostitute, the more educated the family. Yet, despite the religious, financial, and other appearances of success, the study revealed a number of problems occurring within the family. More than half the prostitutes had parents involved in excessive drinking. In over half the families the child saw the father hit the mother violently and 62% of the subjects were themselves beaten while growing up. Only in a few cases was the beating related to something the subject did. The most damaging psychologically are those cases in which the victims could not figure out why they were being beaten or those in which they were being beaten for no special reason. Only 19% of the subjects reported having any kind of positive relationship with their parents while growing up. Sixty-one percent of the women in this study were sexually abused as juveniles by an average of two people each. Victims ranged from 3 to 16 with the average being 10 years. Two-thirds of the victims were sexually assaulted by father figures. Seventy percent of the women reported that the sexual abuse affected their decision to become a prostitute. Here is one girls story: I was only 11 when it happened. I felt sick and disgusted I wanted to die; I thought everyone could tell what he did to me by looking at me.. .I thought my mother would think I was crazy if I told her or maybe she wouldnt even have cared; shes like that. She doesnt want to lay her trip on meHe didnt even love me: he just wanted to try something new. After I ran away, I tried to get a straight job, but who would hire a 12-year old dropout who was nuts?At first when they tried to talk me into prostituting I said no. Finally, I was scared and hungry and lonely. I figured I was already ruined. .u9bbf84266a13d7125e80ac6e58be0a70 , .u9bbf84266a13d7125e80ac6e58be0a70 .postImageUrl , .u9bbf84266a13d7125e80ac6e58be0a70 .centered-text-area { min-height: 80px; position: relative; } .u9bbf84266a13d7125e80ac6e58be0a70 , .u9bbf84266a13d7125e80ac6e58be0a70:hover , .u9bbf84266a13d7125e80ac6e58be0a70:visited , .u9bbf84266a13d7125e80ac6e58be0a70:active { border:0!important; } .u9bbf84266a13d7125e80ac6e58be0a70 .clearfix:after { content: ""; display: table; clear: both; } .u9bbf84266a13d7125e80ac6e58be0a70 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u9bbf84266a13d7125e80ac6e58be0a70:active , .u9bbf84266a13d7125e80ac6e58be0a70:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u9bbf84266a13d7125e80ac6e58be0a70 .centered-text-area { width: 100%; position: relative ; } .u9bbf84266a13d7125e80ac6e58be0a70 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u9bbf84266a13d7125e80ac6e58be0a70 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u9bbf84266a13d7125e80ac6e58be0a70 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u9bbf84266a13d7125e80ac6e58be0a70:hover .ctaButton { background-color: #34495E!important; } .u9bbf84266a13d7125e80ac6e58be0a70 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u9bbf84266a13d7125e80ac6e58be0a70 .u9bbf84266a13d7125e80ac6e58be0a70-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u9bbf84266a13d7125e80ac6e58be0a70:after { content: ""; display: block; clear: both; } READ: Education for Rizal... Education for me... Essay I couldnt ever go back home after what happened, so what did I have to lose? The emotional impact from abuse is extremely negative. It affects the way women feel about men, about sex, and about themselves. Almost half of the victims blamed themselves for the abuse, despite the fact that in almost every case either physical or emotional force was used on them. The horror of the incidence of sexual abuse is compounded by the fact that in .
Wednesday, December 4, 2019
Driving Through Sawmill Towns poem analysis free essay sample
This first stanza from the poem, explains the journey of a man driving through a sawmill town and his observations. Murray describes his journey through a small sawmill town in New South Wales whilst using strong, vivid imagery and emotive language. As evident by the title of this poem, imagery is a strong technique used in this poem as the author describes with great detail his journey through a sawmill town. This technique is used most in the following phrases: ââ¬Å"down a tilting road, into a distant valley.â⬠And ââ¬Å"The sawmill towns, bare hamlets built of boards with perhaps a storeâ⬠. This has the effect of creating an image in the readerââ¬â¢s mind and making the poem even more real. There is also figurative language used in phrases such as ââ¬Å"Having come from the cloudsâ⬠and ââ¬Å"tilting roadâ⬠. This adds to the effect of imagery and emphasis on the journey to the sawmill town. We will write a custom essay sample on Driving Through Sawmill Towns poem analysis or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It also helps to make the stanza more interesting to the reader. Driving Through Sawmill Towns by Les Murray In the high cool country, having come from the clouds, down a tilting road Into a distant valley, You drive without haste. Your windscreen parts the forest, Swaying and glancing, and jammed midday brilliance Crouches in clearings Then you come across them, The sawmill towns, bare hamlets built of boards With perhaps a store, Perhaps a bridge beyond And a little sidelong creek alive with pebbles. This first stanza from the poem, explains the journey of a man driving through a sawmill town and his observations. Murray describes his journey through a small sawmill town in New South Wales whilst using strong, vivid imagery and emotive language. As evident by the title of this poem, imagery is a strong technique used in this poem as the author describes with great detail his journey through a sawmill town. This technique is used most in the following phrases: ââ¬Å"down a tilting road, into a distant valley.â⬠And ââ¬Å"The sawmill towns, bare hamlets built of boards with perhaps a storeâ⬠. This has the effect of creating an image in the readerââ¬â¢s mind and making the poem even more real. There is also figurative language used in phrases such as ââ¬Å"Having come from the cloudsâ⬠and ââ¬Å"tilting roadâ⬠. This adds to the effect of imagery and emphasis on the journey to the sawmill town. It also helps to make the stanza more interesting to the reader. Driving Through Sawmill Towns by Les Murray In the high cool country, having come from the clouds, down a tilting road Into a distant valley,
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