Reagan Revolution Essay

CongressLecture Outline May 20, 2013 The Reagan Revolution & Cold War in the 1980s I. Reagan Revolution and the Rise of the New Right The new grassroots conservative movement. it focused on a few themes: 1) focus on physical restraint: reigning in spending of the economy, the great society programs 2) Tax code revision 3) government efficiency: sense of urgency for this, because of how transparent the government, and what it owed to the u. s. public. a. Reagan’s views and policies:: 1980’s high inflation and faltering economy, and regean promised to return the nation to economic promise. Campaign had focused on a strong military and a scaled back federal government. (he specifically wanted the federal government scaled back, but it was okay to undergo spending for national security (military). tensions between the national security state and the spending for the national government He wanted a return to traditional values that had been lost. he was enormously charismatic. He was good at delivering lines and delivering his speeches,. â€Å"government is not the solution to our problem, government is the problem government needed to be scaled back.. ederal government needed to lessen itself in our daily lives. and in the business community too. he wanted a reversal of the programs in the great society. roll back big government. Roll back in domestic policy, expanding it in foreign policy with the military. 1989 when he concluded his presidency, economy debt had tripled. b. â€Å"Reaganomics† / Supply-side economics: seeking to increase the economies capacity to produce. the theory behind it was exxessive taxation was slowing things down in the economy, and it discouraged hard work? have economic growth by cutting taxes†¦so people could invest that money in another way. Trickle down economics: leave the money to the wealthy and it will trickle down into society. c. Economic Recovery Tax of 1981: lowered the taxes on the wealth to free up capital. 23% cut. then social security taxes went up d. Business expansion: capital was freed up, and there was an expansion and the government did grow. high employment, Anti-union stance. violating a law of federal worked fighting back. e. cut non-defense federal spending. it was hard to cut social security and medicare. US became a debter nation f. rapid growth and critique of the economy . Wall Street & Deregulation: dirty decade, stock speculation, corporate mergers, a lot of shady wallstreet dealing, and a lot of deregulation. These companies were too bogged down in regulation. so they deregulated business. and allow corporations to make risks they wouldn’t normally take. also allowed for greater abuses. laizze faire, leave business alone, big stores were growing during time, and have merger mania ( Microsoft when public in 1986, this environment was condusive) this also created a lot of tensions. class tensions were exacerbated. elebration of wealth for those getting richer, and the poor getting poorer. h. lifestyles for the rich and the famous II. The Cold War & Foreign Policy in the 1980s i. Reagan’s domestic vs. foreign policies: he had a foreign policy that was highly activist, but he wanted to stay small in domestic. he wanted to battle communism and leftism. he launched the biggest military expansion in peacetime history. More than 70% 1981 to 1986, Reagan was struck by wanting the united states to both be powerful military and symbolically. they wanted people to associate us as a military strength. He had a nostalgia for WW2, and how the US emerged out of ww2. j. Nuclear freeze movement: anti nuclear protest throughout this time in force in the early 1980’s activists one a lot of recruits. The entire world wold be blown up if we didn’t reduce the arms. This wasn’t just in the united states, it was in great Britain and Germany too. it was a world wide movement. it called a cause for a freeze, banning testing and building. june 1982 800,000 freeze campaign. it permiated all levels of society. in response to this he had the star wars speech k. Star Wars† & Strategic Defense Initiative (SDI), 1983: this was a space based missile system, that was supposed to defend the united states from nuclear attack. it looked very futuristic, we do have some of this technology now however. don’t introduce this because we really don’t have this technology l. Anticommunism & Latin America: some critics that expressed fear, that hear we are repeating veitnam. Congress responded to the fears, and congress said do not fund this anymore. m. â€Å"Evil Empire† speech (1983) n. Iran-Contra Scandel i. Role of Oliver North: national security aid, stationed in the white house. e directed money from the Iranian arms sales to the contras. congress had banned this, do not fund the contras anymore. congress had forbidden this aid. North had circumvented this ban by raising money from wealthy conservatives from other governments, to fund this. (wealthy new right conservatives funded this) all in secret to the congress and to the people. New story broke, televised hearings in 1987, erased computer files right before the fbi arrived. he defended it by saying sometimes you need to go above the law for patriotism. he emphasized, I love my country and I am a patriot. Reagan praised north as a national hero, for undergoing this with American security in mind, but he also fired him. TV Reagan denied knowing anything about the scandal, but mistakes were made. criticized his lack management style. there was no evidence that he knew of this, but there was a lot of lax white house procedures. it diminished the credibility on a national scale of the us presidency, but he emerged form this unscathed. this is when historians lok back and he really was the Teflon president, the American public still supported him I. Conclusion: 1989, End of the Cold War & Post-Cold War Challenges

Investigate a Type of Public Speech Such as Political Speech, School Assembilies Etc.

A political speech is a type of public speech; public speeches are usually prepared with the intentions of informing, influencing or entertaining an audience. The main purposes of a political speech are to transmit information among others, motivating people to act either for or against something or to tell a story. A good orator should be able to change people’s emotions and keep the audiences interest. For my language study I am analysing David Cameron’s speech to his campaigners in Brighton before the election 2010 because I thought it would be an interesting topic as it is in current news. Firstly, David Cameron’s excessive use of pauses is interesting. They seem to be the most used technique in the transcript, for instance David Cameron says ‘we’ve got the ambition (1) to make this country great again (2) and as you go out there (1)’ this shows that there are a lot of long pauses in just one utterance, a pause can sometimes be just a hesitation but in political speech is it more likely to be deliberate. It is an interesting technique because when the orator has paused, even if only for a second, it gives the audience a chance to reflect on what has been said and interpret the information said across in their own way. However, many people may not realise that whilst letting the utterance play on the audience minds it also gives the speaker the chance to develop and prepare in his head how he will express his next point to the crowd, the longer pauses in this particular transcript seem to be after every main point so the crowd will remember those points in particular when they come to vote. Secondly, David Cameron uses pragmatic phrases in his speech such as â€Å"when we get knocked down we don’t roll over and die we get up and fight (1)† pragmatic phrases are common in political speeches to create humour or to give what is being said a second interpretation, some people make take this point literally and think about the current wars in Afghanistan but others may think of it as a personal comment made directly to them to tell them that they should never give up on what they believe in and that they should always be determined. The purpose of the pragmatic phrase in this particular speech is probably to make the audience relate to the points being made and think that they can relate to the orator themselves. Another intriguing technique is the use of repetition in this speech, â€Å"another day we’re not gripping our problems (1) another day we are wasting our opportunities (1) another day when this country is not being all that it could be (2)† repetition in this utterance is powerful because it gives the speech more drama and make more of an impact and stick in the audiences minds for when it is really needed, at the polling station. The orator might choose to use repetition to make the speech easier to remember if he does not want to seem like he is reading off a sheet because a good orator needs to at least try and look like he is delivering it naturally because that is what the audience would want. Also, in the transcript quote above the main points are emphasised, words that are emphasised are more likely to be remembered because they are spoken louder and clear than all the others. . In political speeches, language is affected because it is slowed right down and is spoken more precisely, because in theory, a speech is a performance and you would want people to listen and not think, boring! A political speech is prepared, but that does not mean that the audience does not want a natural delivery, they would not want any false starts, that are seen in normal face-to-face conversations, because that would make the audience lose confidence in the speaker, also there is no slang unless that is the way the speaker wants to put the speech across. Generally, in political speeches politicians tend to use words that the audience don’t really understand, the audience might not like this because they feel that politicians’ should talk in a way that every educational ability can understand and try not to diverge away from them, however that’s what is so interesting in this speech is the lack of political jargon, i would have thought there would have been a lot. However, i realise that the orator may not want to speak in political jargon because he may want to act like one of the public and speak in a way they are more likely to understand because if the audience understands the pitch they are more likely to vote for the one they actually know what was said. The delivery of a speech welcomes peoples own interpretations and opinions, and politics is all about opinions.

Effective Selling-Sales Report Research Paper Example | Topics and Well Written Essays - 1500 words

Effective Selling-Sales Report - Research Paper Example Apparently, the information about the design service is derived from the Company’s research department. The department is mandated to do thorough research on the type of designs that are found in the global market and those that are most preferred and common. Designs such as Florida, Bore, and Luxe are the ancient in the market, although there are other upcoming designs. As such, the company is at a better position to provide customized designs as per clients’ preferences.   Designing service revolves around numerous design types to work and the design process. Firstly, the client should come up with the design types that they wan design for them. In case, they do not have their preferences then the company is mandated to give consultation on the various designs in the market and those that are linked with the construction projects that have been carried out.Secondly, the company’s design process involves budget planning, spacing planning, interior detailing, m illwork, Furniture & Fabric, window treatments, finishing touches and exterior details. The most important part of design process is budget planning where the company   encourages the client to   give much thought   to the process, where discussion   is anticipated on   how to spend on the   whole project.   Additionally, the budget planning entails a set fee which has diverse types of design process. This set fee allows the company to be at the service of the client company without having to accrue hourly charges.

Bullying Essay Example | Topics and Well Written Essays - 250 words - 7

Bullying - Essay Example Secondly, bullying may take place as a way of shifting attention. For example, it may occur to conceal bad things taking place in an organization such as dishonesty and misuse of funds. On the other hand, bullying in the workplace leads to various effects. Some of the effects include demoralization, lack of teamwork, and makes one feel alienated (Tim Field Foundation 1). Bullying may also make an organization inefficient and unproductive. Bullying behaviors are also shown to be behind all form of negative things experienced in the workplace. Such negative things include favoritism, harassment, unfairness, abuse, and conflict and violence. On the other hand, workplace bullying is said to occur in stages. These stages include ‘isolation, control and subjugation, and elimination’ (Tim Field Foundation 1). Isolation is said to be characterized by criticism, fault finding, and being sidelined. Control and subjugation, on the other hand, is characterized by patronization, humiliation, and being a target of gossip. Elimination is characterized by subjection to disciplinary procedures that end with the

Problem solving Research Paper Example | Topics and Well Written Essays - 500 words

Problem solving - Research Paper Example According to Raj et al (2014), as most organizations embrace the technology they come to a realization that cloud computing only increases value to the organization but with little challenges during adoption. Some of the notable benefits recorded with this technology include greater scalability, availability, quick access to infrastructure and reliability (Raj et al, 2014). Vendors of the cloud computing services include dell, IBM, Amazon, google, Microsoft and Oracle. IBM, one of the pioneers of cloud computing technology has been offering cloud computing to all users of the technology for the last decade. They have several products that cater for the different levels of users such as IT leaders, developers and business leaders. For instance, the Infrastructure as a service (IaaS) for integrating the IT infrastructure and applications for the IT leaders. The Platform as a service (PaaS) such as Bluemix platform enables the developers to create apps very fast. IBM also allows business leaders to run their daily business processes more efficiently and effectively using their wide range SaaS business applications (IBM, 2015). Amazon has been another major player in the field of cloud computing, they are one of the most preferred providers of private, public and hybrid cloud services. Their services are widely used by the health care organizations particularly for next generation DNA sequencing. In a recent summit in San Francisco, the company announced new services and improvements to their existing cloud computing services (Amazon Web Services, Inc., 2015). These new services include the Amazon WAM for deployment and management of apps for Amazon work spaces. Amazon has been the lead providers of cloud computing services such as the AWS and EC2 cloud services. During the summit, they introduced the AWS market place for the desktop applications. Additionally, Amazon introduced an

American dream Essay Example | Topics and Well Written Essays - 2750 words

American dream - Essay Example Most people who were rendered jobless during recession had education levels of high schools and below. In fact, Georgetown University’s Center on Education (GUCE) had recently claimed that the employment trends for people with no college education were literally flat at the start of the recovery phase. This means that individuals who become jobless during the Great Recession were not in a position to get new jobs. The nature of job loss in the United States during recession was so uneven that it worsened the income inequality trends. In addition, it expanded the gap between wealthy class and the rest of the American population. In a recent statement by the Organization for Economic Cooperation and Development (OCED), they claimed that the income inequality structure in the United States was a threat to their long term socio-economic strength and development (David, 2012). OCED further argued that the education system in the country was not effective in assisting children to re alize their full potential. This was so because the government’s expenditure directed to less fortunate students was quite minimal. The question people are asking is whether American dream is alive or dead? Based on this brief overview, this paper will focus on defending the position on whether dream to achieve a better success from old to near generation is realizable. Based on this view, a thoughtful and critical evaluation will be done on the impacts of socio-economic trends that the country has experienced in the pasts, particularly, on the economic well being of individuals and families in the United States (David, 2012). 1.2 Is American Dream to improve individuals and families economic well being still alive? In answering the above question, the study will examine range of data that address issues of wage, quality of life and community well-being. However, data that were released from various economic sources showed that things are not at all well meaning that serious challenges are affecting realization of improved living standards from one generation to the next (Lawrence, Jared and Heidi, 2009). 1.3 Thesis Statement With regards to the brief overview, thesis statement for this paper is: â€Å"The American Dream of each generation doing better than the previous generation is DEAD. The faults of capitalism, over consumption, adverse economic trends and government policies have contributed to the demise of the dream. The social contract between generations has been broken.† 1.3.1 Supporting the thesis Most data shows that the last decade was practically a lost decade. This is because there was widening of the gap of inequalities in wage and income among American households. Similarly, data shows over 25 year period of wage stagnation and slow growth rate in income that was experienced prior to the lost decade. In fact, the increasing inequalities on wealth, income and wage supported growth among the top class generations (Lawrence, Jared a nd Heidi, 2009). Research showed that these trends were partly fueled by policy response initiated by the federal government that was either wrong, absent or inadequate to address the real problem. 2.0 Defining Well Being No consensus has being reached on how â€Å"well being† concept can be defined. However, National Account of Well being (2009) defined it as â€Å"a dynamic process that gives people sense of how their lives are going, through the

Nicholas II Coursework Example | Topics and Well Written Essays - 250 words

Nicholas II - Coursework Example Additionally, Nicholas not only relied on individuals who supported his ideas, but also enhanced autocracy. This incompetence in leadership catalyzed the problems Russians were going through. During the reign of Nicholas II, Russians experienced many problems as a result of Nicholas II incompetency. Russia lagged behind in terms of agriculture, commerce and industrialization (Hosking, 1993). Famine as well as high level of illiteracy also posed great challenge to the Russians whose population was increasing exponentially; people were allowed to cultivate and grow crops in traces of lands. Additionally, majority of the peasants were also very poor; they did not afford fertilizers leading to unproductive forms of agriculture. In addition, majority of the peasants were also unhealthy. In running Russia, Nicholas employed autocratic policies (Hosking, 1993). He believed in himself and wanted everything to be done according to his will. He also advocated foreign policies; he influenced the International Peace Conference that met at The Hague to promote universal peace. Additionally, Nicholas enhanced tsarist policies that that began in 1533 in leading Russians. In his reign as a czar, Nicholas rejected some policies that he considered threats to his leadership (Pipes, 2011). For instance, he highly rejected Russification policy. According to him, this policy was aimed at weakening his autocracy as well as the empire’s political

Imformative Speech Essay Example | Topics and Well Written Essays - 250 words

Imformative Speech - Essay Example It is not recognized as a separate breed by the American Kennel Club. Since APBTs are popular for their agility, people make them competitors for dog fighting games. These prove to be very stubborn and persistent players, and show strict obedience to their masters. However, APBTs need training for play and socialization; otherwise, they can prove to be a little tricky to handle due to their strength, stubbornness, and agility. APBTs prove to be very playful with children. That is why people also allow them in their homes. Appropriate training makes them very polite with the children. They waggle their tails to show joy when guests arrive. They are also very loyal to their masters. They can give their lives to save their masters’. To conclude, APBTs are very obedient, playful, gentle, and persistent in nature. Their agility makes people make them participate in games. Their gentleness is a reason why people allow them with their children. Thus, they are a very popular breed among American

Crimnal Justice Coursework Example | Topics and Well Written Essays - 500 words - 1

Crimnal Justice - Coursework Example This might be plausible given the hip-hop war tension that was between the west and east coast. Poole believes the hit was organized by Reggie Wright. The other fact is that after the murder a called was placed to the police accusing a rogue LAPD officer Mack. Police found a gun that matches the one was the used to kill Biggie in Mack’s home. He had a Tupac Shakur shrine. Most witnesses claim the murderer wore a blue jacket that was common for the Crips that provided security for a company that B.I.G owed money. Another witness disputed this claim by saying B.I.G did not use many bodyguards. The witnesses who could support the prosecution case are the ones who gave testimonies on the killer wear blue caps. All the witnesses who could describe the murder very well should join prosecution. The informant who claims Suge Knight Order the hit and the one who believes LAPD officer Mack was responsible for the shooting. The witness who disputes the shooter being a real Muslim should on the prosecution. He says, â€Å"He dressed like a Muslim but he was not a Muslim, he was a cop.† The trial process for the murder of Christopher Wallace should take long. The trial will begin by the prosecution presenting evidence to support claims that the death of Christopher Wallace is connected to the hip-hop war and a rogue LAPD Officer. The prosecution would present witness that can give clear testimonies to dispute theories that involve drugs and Muslim shooting. The opening statement for the prosecution would go like this, â€Å"It is unfortunate that today we are here to seek justice for the murder of Christopher Wallace. I call upon this court to act to let the family of the victim feel and understand that justice is real. The case is surrounded by so much controversy, but I am certain my team will produce enough evidence to help the court make the right decision.† The prosecution should focus on asking questions that seek to

The Los Angeles riots of 1992 Term Paper Example | Topics and Well Written Essays - 1750 words

The Los Angeles riots of 1992 - Term Paper Example The riots that expressed the anger of the civilian population after a jury acquitted four Los Angeles Police Department officers of assault and use of excessive force, began on April 29th 1992 in South Los Angeles then spread out into other areas of the Los Angeles metropolitan area of California. In the hours and days that followed the verdict, thousands of people joined and participated in the riots (King & Spagnola, 2012). Rodney King and two other passengers, on March 3rd 1991, were driving through the Lake View Terrace neighborhood of Los Angeles westwards on the Foothill Freeway (I-120) when the Californian Highway Patrol (CHP) attempted to initiate a traffic stop. King, who was the driver, refused to oblige and what ensued was a dangerous high-speed pursuit (with speeds as high as 115 mph) initially over freeways then into crowded residential neighborhoods. After a lengthy chase, King finally came to a stop. An arrest of King and the two other occupants was ordered by CHP officer Timothy Singer and his wife, CHP officer Melanie Singer. The other two passengers who rode with King complied and were placed in a patrol vehicle. However, King was not so co-operative. Five white Los Angeles Police Department (LAPD) officers, namely Stacey Koon, Laurence Powell, Timothy Wind, Theodore Briseno and Rolando Solano, attempted to subdue the stubborn King (Cannon, 1997). However, in their attempts, the officers deviated from the usual protocol which involve tackling and cuffing of a suspect but rather tasered King, kicked him in the head and assaulted him with PR-24 batons for more than a minute then finally tackled and cuffed him. In their defense, the officers claimed that King, at the time of the incident was under drug (PCP) influence which resulted in him exhibiting aggressive and violent tendencies towards the law enforcers.

Perception of Depression amongst North American and African Cultures Essay Example for Free

Perception of Depression amongst North American and African Cultures Essay Depression or â€Å"Unipolar depression is another name for Major Depressive disorder. It is a mood disorder characterized by depressed mood, it often manifests in lack of interest in family, school and social life, changes in eating and sleeping habits, emotional and medical disregard for the self, difficulty in concentrating, and loss of interest in life† (Rush, 2007).   Just like any other pathological disease, it has risk factors, signs and symptoms, and a natural course. Like any other disease it can be treated with proper medical and psychological therapy. Yet it is not perceived as such by the community.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   There is remarkable lack of awareness about depression in the communities, in spite of the staggering statistics about the disorder. Unipolar depression affects 7-18% of the American population at least once before the age of 40 (Kassler, McGonagle Zhao, 1994). In the United States alone, the number of females are reported to be suffering from clinical depression (Murray, 1997). It has also been observed that 2.5 percent of children and 8.3 percent of adolescents are depressed at any given time. These rates are considerably higher than the figure of the past decades (Depression Statistics Information, Internet). Yet, it has been found that only 20 percent of depressed people undergo medical treatment (Depression Statistics Information). This is caused by numerous reasons with ignorance or lack of concern and awareness about the disorder considered as the biggest suspect.   In fact, a United States surgeon general report   in the Hispanic community states that less than 10 percent of the mentally ill people will ever approach a mental clinic (U.S. Department of Health, 2000). This is possibly the result of lack of concern on their part, or due to the fact that in the Hispanic communitys, non-medical methods of   treatment for the depressed. It is imperative that we find out whether other communities also show a similar of lack of awareness and concern about depression.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Social Science medicine attempts to find cultural differences in the conceptual models of depression by an interviewed with North American immigrants and African Americans (Karasz, 2005) . His study demonstrated that Americans were more of the view that depression was a pathological disease of the body just like any other disease and required medical therapy. According to the author, the people from the African community were more likely to explain depression in terms of a social and moral problems and conformed to the belief that self management was the right way to deal with the issue of depression.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Different communities have different perceptions about the disease, people of certain cultures prefer going to spiritual healers rather than seek medical attention (Nayem, 2005). Some cultures prefer to treat this ailment with alternative therapies to allopathic ones.   Depression, though a serious and debilitating disease, does not command the same attention as other medical disorders like heart disease, Parkinson’s disease, or even obesity. According to Pasacreta (2008) there has been little attention given to depression and its consequences when we compare it with other diseases. For example obesity has been associated with diabetes many times. Even though depression also has a similar association with type II diabetes, not many people are aware of this fact.   Since public concern is lacking in communities, many depressed people fail to come forward, and receive proper treatment. If this trend continues prevalence of depression will continue to rise.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Though the attitudes of different cultures may vary toward the disease, it does not change the fact that â€Å"depression poses enormous costs for individual, family, and the society† (Nayem F, 2005). Depression is a severe disease with far reaching effects, starting from the patient, who may inflict self harm, leading to a family life, which cannot function in the same way as before (Scott, 2003). There has been research demonstrating depression as a burrden to people, communities, and health services as the treatment is long term and the patient has little or no productivity to society (Nayem, 2005). This research further highlights the need to conduct a survey to assess the perception of depression across various cultures.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   People are unaware of the magnitude of the problem and its economic implications. In certain cultures, inability to diagnose the disease or disregard of its seriousness lead to delayed medical opinion and treatment. Through this study, we will try to substantiate the various levels of awareness that different cultures have about the disease. The severity of depression usually gets aggravated if it is not treated promptly after diagnosis. This leads to a greater burden on the country. Scott (2003) echoed this sentiment when he stated â€Å"In the National Health Service the cost of treating depression ( £887 million) exceeds the cost of treating both hypertension ( £439 million) and diabetes ( £300 million). However, here, the direct health care costs are dwarfed by the indirect costs (i.e. days lost from work owing to depression exceed all other disorders and the economic burden on family members and society is considerable).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     North American and African cultures both differ in there perceptions about depression as a disease. Different cultures may feel that depression is a problem but western cultures are more likely to view it as a disease which needs medical therapy just like any other, whereas the people from the non western culture will perceive depression as more of a social and moral problem which requires self-management. There will generally be a lack of knowledge about depression as a disease in the non western community.   The false beliefs and stigmas will be more present in non western cultures as compared to their western counterparts.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   How widespread is serious depression? According to Dr. Nathan S. Kline of the New York State Department of Mental Hygiene, â€Å"it has been estimated that 15 per cent of the adult population of the United States has some degree of depression which is serious enough to be in need of treatment. This amounts to about 20 million people, which makes it not only the most frequent psychological disorder but also one of the most common of all serious medical conditions.† Depression is so widespread that it has been called â€Å"the common cold of mental disturbances.†   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Studies report that women outstrip men in suffering from depression by a ratio of about 2 to 1, though some claim that this is because women are more willing to admit that they are depressed. Depression afflicts all races and every social and economic level. While the malady is most common between the ages of sixty and seventy, it strikes all age groups and has been rising among persons in their twenties. Why do so many millions of persons suffer from depression?   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Much study has gone into uncovering the root causes of mental depression. Flaws in human society constitute one main source of the problem. Illustrating an aspect of this are comments by Dr. John Schwab, of the University of Florida College of Medicine: â€Å"We’re in an era of change right now. Old values such as the old work ethic are being rejected and people are caught in an ideological vacuum. Kids see that the fruits of four hundred years of scientific progress may be more bitter than sweet—but they don’t know what to put in its place, and consequently there is a sense of futility.† Because of this, many disillusioned youngsters seek â€Å"escape† through drugs and other means. â€Å"The search for highs among the young,† observes Dr. Schwab, â€Å"is often only a flight from the lows.†   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Also contributing to the rise in depression is â€Å"supermobility.† Families that keep changing their places of residence, hopping about from house to house and city to city, do not stay in one place long enough to build solid relationships with other people. A psychiatrist at the Massachusetts Mental Health Center wrote: â€Å"Psychiatrists around Boston have been aware for some time of what is called ‘the Route 128 syndrome’ or in Florida ‘the Cape Kennedy syndrome.’ It is found in young families who have moved too much, and its components are a husband too centered in his career, a depressed wife and troubled children.†   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Sometimes depression results when a person reaches a â€Å"plateau† in his life after many years of painstaking labor. A hard-driving business executive may finally achieve the top position in his company, only to realize that he no longer has a goal in life. Housewives in their forties and fifties often suffer from what psychiatrists call â€Å"empty nest syndrome.† By this time their children usually have grown up, their husbands are at work for most of each day and they must face lonely hours in houses devoid of people.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   What about the feelings of inferiority that often accompany depression? Here too the responsibility may rest with human society. How so? Because it is often at a tender age that children are made to feel unattractive. Their peers may ridicule them if they are unable to do what the majority consider the â€Å"in† thing. If a youngster tends to be clumsy and uncoordinated, schoolmates and playmates can influence the child to believe that he â€Å"can’t do anything right.† Children of this type often combine the generalization: â€Å"I am weak,† with the value judgment: â€Å"It’s disgusting to be weak.† Such youths are likely candidates for depression. Method    Participants   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Approximately 40 students (20 western, 20 international) students from a Midwest liberal arts college will participate in this study. All of them would be selected using randomized sampling. Participants will be offered candy for the completion of the survey. Materials    The survey questionnaire will consist of questions related to assessment of knowledge and attitudes towards depression and a demographic data form. The survey forms will contain closed ended questions only. It will consist of 3 parts.   The first section will consist of demographic questions to gather information about the participants: How long have they lived here. Have they adopted the western culture of living or not. The second part will consist of closed questions. The participants will have to choose from the given options in the questionnaires. There will be questions that ask whether they consider depression to be a serious disease. Whether they believe it is a disease of the mind, body, or mind and body. Questions related to stigma would also be included for example do they believe mentally ill people are more aggressive than others? Do they believe mental illnesses are not as severe as physical ones? Do they believe depressed people can be cured with drugs only, or do they require social and community help? Moreover, to support the validation of the results of the survey, the review of literature to be utilized within the research shall show a specific scale of measure that is used by psychologists to identify the behavior of humans with regards to depression from different cultures all over the world. Procedure   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   It is imperative to find out exactly how different cultures perceive depression as a disease. The researcher plans on conducting this research. This research will deal with the perception of depression as a disease amongst western and non western cultures. The research will also look into the level of awareness in different cultures about the prevalence of disease in their societies. This research will try to substantiate if the perception of depression varies with different cultures.   To complete the said aim, the research will be conducted on campus.   Participants will be debriefed on the study being researched. The researcher would then have the participants sign a consent form before they participate in the study. After which, a survey kit would then be handed out to them and they would be given three days to return them back. Data analysis A one way ANOVA would be conducted to analyze the data. Since we have two independent sample populations and more than two variables. This will allow for the comparison of attitudes about depression for members of Western and non-Western cultures. Using the ANOVA we can calculate whether the stated answers have associations with either the western or non western societies.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   References Depression Information and Fact Statistics (2008), Depression statistics and information, retrieved on February 13, 2008, from http://www.add-adhd-help-center.com/Depression/statistics.htm Haasen C, Levit O, Gelbert A, Foroutan N, Norovjav A, Sinaa M, et.al, (2007), Relationship between mental distress and acculturation among migrants, psychrische praxis,    retrieved on February 13, 2008, from the NCBI database on   Ã‚  Ã‚   http://www.ncbi.nlm.nih.gov/sites/entrez Karasz, A. (2005), Cultural differences in conceptual models of depression, Social Science medicine, 60, 1625-35, retrieved on February 13, 2008, from http://www.ncbi.nlm.nih.gov/pubmed/15652693?dopt=Abstractholding=f1000,f1000m,isrctn Kessler, R., McGonagle K,, Zhao S, et al. (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. Arch Gen Psychiatry;51:8-19. Murray, C., Lopez, A.D. (1997). Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 349 Neem F, Ayub M., Izhar N, Javed Z, et al (2005). Stigma and knowledge of depression, Pakistan journal of medical sciences, 21(2) 155-158. Pasacreta. J, (2008), Depression: Is society taking the wrong approach? , retrieved on February 13, 2008, from http://www.helium.com/tm/646939/novel-approach-managing-depression Scott, J. (2003), Global burden of depression: the intersection of culture and medicine, The British Journal of Psychiatry, 183: 92-94, retrieved on February 13, 2008, from http://bjp.rcpsych.org/cgi/content/full/183/2/92 U.S. Department of Health Human Services, Office of the Surgeon General. Mental Health: Culture, Race, Ethnicity Supplement, A Report of the Surgeon General 1999.from: http://mentalhealth.samhsa.gov/cre/default.asp.

Vulnerable Body Critical Discourse Of Code Blue Nursing Essay

Vulnerable Body Critical Discourse Of Code Blue Nursing Essay When words of Code Blue are announced through overhead speakers, my heart always skips a beat, and I will start my personal struggle again among professional, legal and ethic obligation: did I take the right action on a right patient and did I do a right thing? Code blue means a patient, who is in Full Code status, is suffering a event of cardio-respiratory arrest, and immediately needs a starting of full advanced cardiac life support protocol, including cardiopulmonary resuscitation (CPR), medication, and mechanical ventilation (Lewis, Heitkemper Dirksen, 2006, p.166). I have been working in an adult inpatient medicine unit for six years. I can not exactly remember how many times I initiated a code blue call and have participated with the resuscitation team. Most of the patients that I have involved in code blue have died during the resuscitation process with a huge mess of blood, airway secretion, urine, bowel movement and medication on his or her body or survived less than 24 hours. After each resuscitation action, I felt emotionally drained, depressed, guilty, helpless and frustrated with the code status decision Full Code. In this paper, by presenting a resuscitation scenario, I will conduct a discourse analysis about this clinical d ilemma from both liberal-humanist and scientific-medical perspectives. Through analysis, I understood that clinical dilemma happens all the times, and it also will happen in the future. Nurses need to seek how to explore the contradictions or tensions from different discourses and understand them to grieve over. At the end of the paper, I discuss the implication of the future nursing practice based on the knowledge acquired from this discourse analysis. Personal Story It was my first year in an adult inpatient medicine unit after my graduation from a nursing school. Mr. D was a 97 years old widower. He was admitted to the hospital for congested heart failure, shortness of breath and also found to have pneumonia. He was intubated for respiratory difficulty in the intensive care unit then eventually developed multisystem organ failure, sepsis, and meningitis. Also, he was at the end stage of liver disease, and illustrated by brain damage signs from circulating toxins, hepatic encephalopathy. Arriving at my unit, he complained of shortness of breath and dizziness. His jaundiced skin glowed bright yellow. He showed delirium, repeated the same questions in slurred voice incoherently. He presented a marginal blood pressure, lungs were full of fluid, and oozed blood from his gums and injection sites was hardly to clot. All his limbs were extremely swollen. Nasogastric feeding tube was in situ. Oxygen was supplied at 4-liter by nasal prongs with saturatio n of 88 92%. While checking orders to create a Kardex, I realized his code status was Full Code, and physicians progress notes indicated that decision of code status was discussed between health care team and family three times. Two days later, I found Mr. D was not responding to my greeting and touch during my hourly round checking at 10:00 in the morning; no breathing sound heard, and no palpable pulse. I hit the code blue button on the wall at beside and started CPR. A code blue announcement automatically was delivered through overhead speaking system. Code team arrived in one minute. Night gown was stripped off; an aged body was totally naked. Deep suction via yankauer was made in rush, a tube was inserted down his throat, and then into his lungs in a harsh manner, and a ventilator took over his breathing, blood noted in his mouth; a cardiac monitor was hooked up to his chest; chest compression was made in a powerful manner to reach the depth of 5cm, rib and sternum bones broken noise was heard; a big needle-like catheter for getting artery blood gas by a respiratory therapist was poked into to several locations, blood contaminated his right upper arm and inner thigh; venopuncturing for intravenous cannu la insertion by a nurse was re-poked four times on both extremely swollen arms and blood messed on forearms; isosource of nasogastric feeding came from his nose and mouth, foul odour smelled; epinephrine was injected two times; defibrillator was applied three times with strong electric shock. Twenty minutes later, the physician ordered to stop the resuscitation effort and give up. Mr. D was left naked in the bed, lying without moving, deadly pale on his face. Everybody was exhausted, leaving the room with disappoint on face, and huge mess on the bed and floor. Tears were running down in familys cheek, too sad to say a word. Analyzing Personal Struggle Full code is permission for a code team to insert a ventilation tube into failing lungs, apply electric shock to a fibrillating heart, and unleash a extra blood of punctures, dissections, and exsanguinations on the human body. A resuscitation based on Full Code is supposed to be performed aiming in offering the patient a benefit. However, these interventions are marginally effective (Hiberman, Kutner, Parsons Murphy, 1997; Perers, Abrahamsson, Bang, Engdahl, Lindqvist Karlson, et al, 1999), lives saved and functioning restored only for a small number (15% worldwide average) of people (McGrath, 1987; Saklayen, Liss Markert, 1995; Schneider, Nelson Brown,, 1993). Subjecting a dying person to CPR who is believed there is virtually no hope of survival is a terrible way to practise health care; it is inhumane; and it is an assault. Despite significant improvements made in training, equipment, and drugs, the overall CPR survival rate has remained almost the same over the past 30 years (Beall, 2001). Findings from 33 studies showed that about 16% of patients under age 70 and 12% of patients aged 70 and older survived CPR only (Kaye Mancini, 1996). After participating in the resuscitation for Mr. D, I have been struggling over this real scenario at: (1) what is the quality of death; (2) who can decide the code status; and (3) what can I do for advocating my patient? As a nurse, I have to deal with life-and-death decisions with each of my patients. With the participating in the resuscitation for Mr. D and witnessed his death, I am wondering: what is a quality death? What a kind of process is a quality death? Who defines it? What is the resuscitation doing? How much do patients in terminal life stage have to understand about what dying is like? How well patients dignity could be preserved and integrated into the resuscitation process? How well patients wish could be respected in the decision of code status? How does a patient want everything to be done to extend his life Full Code in hospital parlance, or a patient wants to let his/her death happen naturally without interference a Do Not Resuscitate order? Does the Full Code status really benefit the patients interest or just benefit a substitute decision makers/familys interest? As for Mr. Ds scenario, is the Full Code status his real wish? Is the dying process his real belief about dying? Is t he dying process his real value about the death? Did he image his death with broken sternum and ribs, massive blood mess and contamination? Did he image that, at the end of life, he was surrounded by the code team rather than by his family members? Unfortunately, I have no solution to seek the true answers yet; I felt the contradiction and tension between the resuscitation on behalf of a Full Code status and quality death: professionally, I have duty of care to participate in the resuscitation action and do whatever required for such a purpose, but ethically and morally, I do not want to do any harm on my patients during the resuscitation. It has become my clinical dilemma of struggle for many years. The decision of code status is a complex and controversial topic. Theoretically, it seems simple and easy to declare either patient or patients substitute decision maker will be the subject to make decision about code status. However, in the real working environment, I noted that many patients indications on code status are blank, not checked yet; and sometimes they are left as blank for a long period; also, some patients code status has been changed reversely from Do Not Resuscitate to Full Code by their family; Mr. D was one of such examples. It tells me that the decision process in not a straight-forward linear procedure; it is organic or dynamic. The confusion for me is who is the real decision maker during this organic process, the patient own, patients family/substitute decision maker or a health care provider? As a regulated professional, a health care provider is rarely taking action as such decision maker; usually, either patients or their family will be. While the patient i s capable, it is clear that the patient decides it for himself or herself. However, my wondering is that there are so many factors that will impact patients capacity when decision needed to be made on the code status, such as age, medical condition, the quality of life, religious views and overall wishes. Further more, like the perception on pain, capacity is really subjective; a sound judgement on patients capacity also is difficulty. Who can decide a patients capacity is either intact or impaired without any interest conflict? Like Mr. Ds scenario, due to his senior age and confused medical condition, his daughter was his decision maker from the admission; the reality of his condition was recorded as deteriorated daily, and he had been incapable to provide any input about his code status; the progress notes show us that his code status has been changed from Full Code to Do Not Resuscitate, and then back to Full Code again during a five-week period of hospitalization. Is there any interest conflict in the process while his daughter made decision of turning over on his code status for him, and does such change will really benefit him in relieving suffering, restoring functioning and improving his quality of life? As a member of heath care team, what I can do to advocate my patients decision is really limited so that I am feeling helpless. Being a sick people in a hospital might be very stressful; in additional to physical symptoms, people may feel anxious, depressed and helpless. Also, family members might be place under a difficult time and position during a medical crisis; family members may disagree, emotions might be high and medical information can become confusing agent. In such a stressful circumstance, any possible irrational decision could be made without considering the reality and possibility. Perhaps, we can say nurses are knowledgeable to provide information, as well as nurses know more about the patients daily condition than a physician so that a nurse really can make some good input for health care team and family in decision-making to advocate patients benefit; however, the final decision is totally depending on patients or their substitute decision-makers understanding about the context of code status; they are legally granted the power. Like Mr. Ds case, his decision-maker alternatively requested change of his code status from Do Not Resuscitate to Full Code on his behalf that resulted in futile and miserable resuscitation, even if his most responsible physician could not apply any influence on it. Health care providers are not legally granted such a power, and ethically, we also can not apply our opinions, judgement or choice on patients or their decision-makers decision. So, I have been struggling over the relationship between power and knowledge; under such circumstance, knowledge is not and does not have the power at all. What we can do is through information providing to empower our patients or their decision-maker to use their power to make a right choice on code status to avoid such futile and miserable resuscitation happened on Mr. D without any benefit, but harm. Exploring Discourse Analysis The clinical dilemma as identified in the above scenario, the contradiction and tension are mainly triaged from respecting the patients own or their decision-makers choice on code status while providing our resuscitating intervention. In order to understand the issue, I did literature review on decision making on code status choice. I chose the patients or their decision-makers decision of choice on their code status and how to empower them in making a right decision by information providing to advocate for patients benefit in quality of life at the end of life as my focus. In the following sections, I will use Mr. Ds case to analyze this clinical dilemma from both liberal-humanist discourse and scientific-medical discourse perspectives. Scientific-medical discourse: empower patients to make right choice on code status According to Grant, Giddings Beale (2005), the scientific-medical discourse is based on the biomedical mode of medical science. Its core concept is that a human body is a collection of different parts that are organically organized and form different systems that manifest as a set of symptoms (Brown Seddon, 1996, a, b). It constitutes the scientific fundamentals and becomes the root of nursing science (Grant, Giddings Beale, 2005, p.499). That is the reason I chose it as one of my discourse. Medical knowledge explicitly tells me that life maintenance must be under the control of homeostatic balance, which is maintained by normal functions of all organs; and homeostatic control mechanism can maintain only in a relative narrow constancy (Thibodeau Patton, 2005, p.16). CPR is a desperate technique that is used on the people who are might be suffering cardiac arrest in order to deliver oxygen to blood stream and maintain a cardiac circulation to keep vital organs, such as such as the brain, be oxygenized to be alive, to delay brain death, and maintain the heart to remain responsive to defibrillation; in many type of patients, it virtually never works; for a patient with an advanced age and life-threatening illness who is dying of the underlying disease, there is very limited benefit because survival is rare ( As articulated by Grant, Giddings and Beale (2005), nurses had sound technical knowledge of bodily diseases, the associated symptoms, predisposing causes, and appropriate treatment (p.499) from medical science. Under the influence of biomedical model ideology, the interventions of nursing care have been constructed as a set of tangible, specifically operate-able and measurable procedures that are implemented in a methodical manner step by step, for example, nursing process. Reflecting on Mr. Ds case, by informing them the updated condition and possible prognosis through my careful and objective assessment, I can support my patient or their decision-maker to choose a right code status to avoid a violent death that occurs during an advanced cardiac life support and artificially prolonged life maintenance. It is not to apply my opinion or choice on them. It is to empower them to make right choice in a supportive manner to preserve patients dignity and quality of life, as well as death. In such a way, my professional integrity also will be benefited in maintaining, professional contradiction and personal tension will be avoided. Liberal-humanist Discourse: Advocating Patient According Grant, Giddings Beale (2005), the liberal-humanist discourse of nursing care is a holistic approach; the patient is viewed as a whole person and a unique individual, not the collection of different parts only. Empathic nursing care does not only deal with patients biomedical issues, but also emphasize patients autonomy, rationality, emotions, understandings and dignity; it is characterized by respecting patients self-determination, free choice, and self-representation (Praeger, 2002). The ethic ideology of liberal-humanist discourse of nursing care is underpinned by two assumptions: nurses commitment to a trust therapeutic interpersonal relationship of care and having moral obligation to act (Dyson, 1997, p. 200) on behalf of patients (Grant, Giddings Beale, 2005). Such a sound holistic approach becomes the grand rationale I choose it as one of my discourses. Also, it casts and shapes my best nursing practice by providing my patients and their family holistic caring. However, it must be understand that such an universal or global ideology itself has an underlying contradiction and tension that I experienced in my patient Mr. Ds scenario, that is, under some circumstance or specific context, it is difficulty that empathetic nursing care must have commitment to trust interpersonal relationship by respecting the patients autonomy and at the same time, nurses also have moral obligation to act on behalf of the patient. As for Mr. Ds case, health care team discussed the code status choice in multiple family meetings based on informed decision principle. The whole caring process demonstrated the empathetic caring by respecting familys decision on the code status choice, taking appropriate and timely resuscitation action morally on behalf of the decision maker. However, the misery result was the violation of patients dignity and quality of death in the dying process, which is actually avoidable and it morally generates the ethic guilty and tension in health carers emotion, because health carer eventually does not have the legal authority to take action to morally prevent such an avoidable misery event to be happened. Such contradiction and tension in professional, legal and ethic principles basically contribute to my distress and confusion. Implications for Nursing Practice The discourse from either scientific-medical approach or the liberal-humanist approach, while peoples life reaches the end stage life-span, not only does the physical body, but also the person as a whole, become a vulnerable object. Being a ill person in a hospital can be terribly overwhelming with physical symptoms, anxiety, depressed and helpless, as well as invasive treatment, diagnostic interventions and a variety of information that is related to each procedure. A treatment is supposed to be of benefit if it relieves suffering, restores functioning and improves quality of life; it will become a burden if it causes pain, prolongs dying without offering a benefit or increases distress. When we emphasize that patients do have some control over what kind of treatments they do and do not want, but in how many cases patients really implement their control over the treatments? Taking Mr. Ds scenario as an example, being in his senior age and impaired cognitive status, it is impossible for him to be a host to get his treatment and care plan under the control of his wishes; his decision maker on his behalf, driven and masked by a general graceful desire that is often seen in the most of people, just wants everything has to be done to remain alive to save and prolong his physical life, even if a few more minutes, legally places not only his physical body, but also a person as a whole at the risk of vulnerable position unconsciously while choosing a Full Code status. As a nursing member of the code team, I have professional obligation to do some inhumane resuscitation actions on his vulnerable body and impair his dignity of death. So, putting myself into Mr. Ds shoes, if either my parents or I were in his age and health condition, I really need the preservation of self-determination, free choices and self-representation in decision making on code status choice choose DNR, let me go naturally without pain, suffering and inhumane resuscitating effort. Our patient-center nursing care philosophy always makes us be aware of that patients need to be supported, not blamed (Kammerer, Garry, Hartigan, Carter Erlich, 2007). From the liberal-humanist discourse of nursing care views, committed to trust interpersonal relationship with patients, empathy and communication are two core concepts. When a persons life is at the brink of death, a clear mind is a rarely existed. Often, it will be more difficulty to accept and respect a frail mind than a frail body. Terminally ill people may look differently, feel even worse and terrible, and think in another way. They need advocacy, protection and caring in humane, patient, and professional ways. Supporting their ability to get their lives under control is no less important than keeping their blood pressure under control. Communication in an empathetic passion is more conducive to doing the right thing than rigid legal documents. Nursing has moral, as well as professional, obligation to communicate our scientific-medical knowledge to support patients in determining what kind of code status they want to be and make their wishes known to their loved ones. Family is an integrated part of our clients, which are facing a difficult position during a medical crisis. Identically, we have above obligation to support patients family members in knowing what a loved one wanted that will help them get peace of mind that they are honouring the wishes of their loved one. In such a way, our professional development will be in growth, and our personal distress that is involved in the discourse tension will be released. Summary According to the learning goals of this course, discourse from scientific-medical approach and liberal-humanist approach on a real clinical situation is presented in this paper. Personal distress, frustration and confusion arisen from the clinical dilemma have been analyzed. Nursing care can be explored from different kinds of contradictory discourses. All these contradictory discourses might contribute to nurses feeling of distress, frustration or confusion when encountering different clinical situations. The liberal-humanist ideal of ethic of care focus on viewing a person as a whole and respecting patients self-determination, free choice, and self-representation, bur patients need advocates and support from scientific-medical approach in decision-making. Furthermore, for professional and personal development, nurses should learn to understand these different discourses in one situation and take effective strategies to solve the clinical dilemma. Committing to a trust therapeutic i nterpersonal relationship with patients will help nurses understand patients better, and it also helps nurses to find the meaning of the event so that effective solutions could be figured out to solve clinical dilemma.

Japans Western Modernization

Japans Western Modernization Japanese and western scholars are desperately arguing on the over-all definition of modernization. Japan is a perfect example of a country which is product of modernization. From a rural setting to an industrialized one, that is how modernization occurs. Modernization changes the lifestyle of people; fashion, work, and mindset. From a conservative type to a liberal one, that is the evolution made by modernization. Modernization is accompanied by success especially in one countrys economy Japan, a culturally bound country, tremendously transforms itself to a modernized one. The year 1868 is time when Japan decides to be open to western representations and eventually adopt them due to the perception that they were more advanced and preferable. Through the adoption of western ideologies, they can able to compete with other industrialized nations. The modernization of Japan is better explained through studying its history starting from the Meiji period. Western imperialism took political and economical forms. Politically, the foreign powers obtained many privileges from Japan but all these gains were supported up by Western military superiority. By that Japans national right was violated. Economically, foreign imports into Japan tremendously increased due to the low tariff fixed by the unequal settlements. By 1870, foreign imports reached 70% of all Japanese trade. Cheap foreign goods, like English textiles, transferred into Japan and bankrupted native Japanese handicraf t industries which make Japan suffered from critical balance of payments. Although loans were extended to Japan by Westerners but in return, they still received more privileges from them. . Due to this threat to the country, self modernization of Japan has its way. Strengthening military is one key to oppose the political threats of imperialism consequently rich country and strong army (fokoku kyohei) was the slogan of Meiji modernization in which the final objective was to build a strong political rule in Japan eventually to be able to get rid of the unequal treaties forced by the Western powers. The Meiji leaders has a fear that Japan would fully embraced westernization and totally turn away traditional ways. They decided to make the country modernized in order to defend it from foreign attacks. The self-modernization of Japan in the Meiji period has both advantage and disadvantage. They decided to make the country modernized in order to defend it from foreign attacks. The self-modernization of Japan in the Meiji period has both advantage and disadvantage. The idea of modernization of Japan by Meiji leaders somehow more a political reason rather than nationalism, which is the disadvantage. Although it can be a political reason, it can also be a military strategy to protect the country from such invaders, which is the advantage one. Japan undergoes step by step process of modernization; starting from modernizing some certain aspects into an over-all modernization. First transformation is from the military. As an example military reform called for the production of weapons, which only economic reform could successfully were given. At the same time, development of long-term educational, were carried out in order for the people to accept these political, economic, and political aspects. Although preliminary step for modernization was done, there are still some weaknesses that arise such as indirect and incomplete political control over the country at large because the daimyo with their samurai, still ruled the clans, lacking state revenue for complete modernization in which the Meiji government obtained most of its tax income from former Tokugawa lands only, and absence of any national army for the new government depended on only a few western clans (mainly Choshu and Satsuma) for its military force. In order to strengthen the state, the Meiji government took actions, both negative and positive in which the negative measure was the abolition of feudalism and the positive one was the introduction of modern land taxation and military mobilization. There are still problems arise in strengthening the Meiji state such as dissatisfaction among the poor samurai and hard-pressed peasants led to the outbreak of many local rebellions which were nearly 200 uprisings from 1868 to 1878 and partly because of the new land taxation which consequently had a very serious inflation from 1868 to the early 1880s.and by that he income of both the samurai and the government was badly affected. In terms of economic modernization, the Meiji government had a good foundation to start with because the late Tokugawa commercial economy was successful in which many rich merchants had saved large amounts of capital, and if devoted in modern industries, would greatly stimulate industrialization and secondly, from 1854 (when Japan was opened by the West) to 1868, the Tokugawa shogunate and some other clans had already developed significant ship-building and arms-manufacturing industries and there were already some Japanese engineers and technicians who knew Western technology. By 1870, Japan was still largely an agricultural country and modernized agriculture is the basis of and requirement for successful industrialization in which agricultural students were sent abroad to learn more advanced agricultural techniques, foreign experts were working to give recommendation on agricultural development, importation of new kinds of plants and seeds , and foundation of experimental agricultural stations and agricultural colleges throughout the country to test new methods of planting and advise farmers on new agricultural techniques. As a result, more agricultural products were being exported which contribute to Japans economy as well as farmers in which .many poor tenant-farmers went from the villages to the towns, thereby providing cheap labor for urban industrialization, but as more and more farmers became tenants, the countryside was increasingly under the control of conservative landlord-merchants. Industrialization placed the necessary foundation of a modern state. As the Meiji government had a strong and modern economy to rely on, the extent of government power was enlarged thus, its efficiency increased. The rapid industrialization strengthened the Meiji states autocratic rule, as it provided new instruments for power concentration. The government could therefore effectively put down internal oppositions and carry out a stronger foreign policy. In the long run, industrialization destroyed Japans traditional agricultural economy. First, the local economically self-sufficient village society was returned by increased agricultural commercialization and specialization. Secondly, with greater exchange of goods, capital and even labor, localism of village society broke down thus the village people felt that they belonged not only to the village but to the nation as a whole. Thirdly, industry replaced agriculture as the nations most important economic activity. And also, industrial ization reduced economic discriminations of the old Tokugawa society. Steadily, however, new concentrations of wealth and power were built up by the zaibatsu, which restricted much of the entire countrys economy. The standard of living was raised due to the improvement of the economic conditions of the people in which in return the people supported the environment. On the other hand, social mobility was help out by which successful industrialists or businessmen became modern Japans social leaders. In terms of educational background, there is a further improvement pre-1868. Before 1870, many of the late Tokugawa schools already taught Western science and technology. Thus the people were better prepared to accept Western knowledge after 1870. A sound basis for attaining more Western knowledge had been set. As years passed by, there is an increase in the literacy of the Japanese. By 1870, nearly half of the male populations were literate. In late Tokugawa times the Meiji leaders were all educated in the Confucian schools that have a Confucian respect for learning and interest for educational modernization. Through education, the government could widen its popular support by the people. From the 1880s on, however, education was used gradually more by the government to teach nationalistic ideas that makes an attempt for the Meiji government to strengthen the national and social unity, thus conservation of national safety in an age of foreign imperialism. Despite of becoming more undemocratic of education due to politics, it is still a great help for them. S till there are problems that arise for it is not that easy for some conservative ones to accept western teaching and there are times that there is lacking of teachers. To further improved the educational system, the government made bills such as Education Act of 1879, making , Education Act of 1886, Imperial Rescript on Education of 1890 , and Authoritarian education after the 1890s until higher universities were established. Education is the key to make good leaders. Political modernization is intensified to retain power of Meiji leaders. Although there is a splitting of power in 1873 by two issues: the question of the composition of the new modern army to be created and the problem of national defense against Western imperialism. There is suppression against the government which makes hard for them to built solid links to the people. Constitutions were made and promulgate to further develop the political modernization. The Meiji constitution 1889 was attained by the Emperor to the people but in contrast to it, the ideal liberal constitution was made. Although the constitution was undemocratic, Japan had at least approved a Western political structure which helped Meiji government become a modern state. Consequently the state is politically strengthened. The achievements of the constitution were not institutionalized The Emperor was above the constitution. who could be influenced by Military leaders and the Genro outside the restrictions of the c onstitution. The whole constitutional government could easily be turned into a militarist autocracy. Even though there were still that went wrong the transformation of Japan enables them to prove to the whole world that a small country can be powerful one

Shark Valley :: Free Descriptive Essay About A Place

Shark Valley Shark Valley †¦ Where were the sharks and the valley? Grass, alligators, birds†¦they were all there but the sharks were missing in action. Anyways, I may have missed the sharks but I did come away from Shark Valley with two lessons learned. One is that determination pays off and second that it is never too late to try something new. Fifteen miles sounded like a challenging ride but I figured I could do it. I thought to myself, â€Å"you're young and in decent shape it shouldn't be so bad.† Lets just say that the dark sky and threat of rain were an ominous warning of what lay ahead. I jumped on my bike and the first couple of miles went by easily. There were birds to see and alligators to avoid. Then the wind started to take its toll. I felt like I was peddling and going nowhere. The wind was determined to keep me from making any forward motion. Miles started passing slower and slower. The tower, the halfway mark and my refuge, seemed a distant dream. It was frustrating and tiring. I started to empathize with Chaz's character from Skinny Dip . The everglades changed from a place I once liked to one I couldn't wait to get out of. I understood Chaz's eagerness to get home and be comfortable and away from the sweat and labor. Then I realized that I was identifying with a whining, lazy con artist and I stra ightened myself out. I told myself that the tower wasn't that far away and that if I kept pushing I would be there in no time at all. My mind said keep going but my legs were saying stop right here. Determination to reach my goal carried me to that tower and onto a comfortable bench. After lunch I was feeling rested and my legs were ready to go. The ride back went a little smoother because the wind was not a factor. It no longer teased me as I struggled to move forward. Not even the rain could stop me. I was on a roll and I wasn't going to stop rolling until I reached the end of the trail. It was a challenging ride for me but I was determined to complete it. Needless to say, I have never been so happy to see my car before.

Robert Frosts The Road Not Taken :: essays research papers

Everyone is a traveler, carefully choosing which roads to follow on the map of life. There is never a straight path that leaves one with but a single direction in which to head. Robert Frost’s “The Road Not Taken'; can be interpreted in many different ways. The shade of light in which the reader sees the poem depends upon her past, present, and the attitude with which she looks toward her future. In any case however, this poem clearly demonstrates Frost’s belief that it is the road that one chooses that makes him the man he is. The central image that Frost presents, which is the path, provides a clear picture that the reader can focus on in order to reveal something about the poem. The “two roads diverged in a yellow wood'; vividly portray the fact that it is always difficult to make a decision because it is impossible not to wonder about the opportunity that will be missed out on. There is a strong sense of regret before the choice is even made and it lies in the knowledge that in one lifetime, it is impossible to travel down every path that one encounters. In an attempt to make a decision, the traveler "looks down one as far as I could." The road that will be chosen leads to the unknown, as does any choice in life. As much as he may strain his eyes to see how far the road stretches, eventually it surpasses his vision and he can never see where it is going to lead. It is the path that he chooses that sets him off on his journey and determines where he is going and what he will encounter . In the second stanza, Frost lets the reader know that the traveler has chosen to take the path less traveled by: "Then took the other, just as fair, and having perhaps the better claim." The path that the speaker chose to travel down was obviously not for everyone, hence “the road less traveled by." The fact that the traveler took this path over the more popular, secure one indicates the type of personality he has. He does not feel the need to follow the crowd but rather to do more of what has never been done before. The desire to travel down both paths is expressed and is not unusual. The speaker of this poem realizes that the decision is not just a temporary one and he "doubted if I should ever come back.

Guerilla Warfare Essay -- essays research papers

Guerrilla Warfare The term guerrilla (Spanish, â€Å"little war†) originated in the early 19th century during the Peninsular war when, after the defeat of Spain’s regular forces, Spanish irregulars and civilians rose up against the French occupying forces. The practice of guerrilla warfare, however, dates from antiquity; for example, the Bible tells of the Israelite conquest of Canaan, led by Joshua, involving harassment and ambush of the enemy. Later Jewish resistance to foreign rule was expressed in the series of fierce guerrilla operations against the Romans in the 1st century AD; led by the Zealot sect, this revolt was climaxed by the seizure of Masada and the massacre of the Roman garrison there in AD66. Lacking the numerical strength and weapons to oppose a regular army in the field, guerrillas avoid pitched battles. Instead, they operate from bases established in remote and inaccessible terrain, such as forests, mountains, and jungles, and depend on the support of the local inhabitants for recruits, food, shelter, and information. The guerrillas may also receive assistance in forms of arms, medical supplies, and military advisers from their own or allied regular armies. The tactics of guerillas are those of harassment. Striking swiftly and unexpectedly, they raid enemy supply depots and installations, ambush patrols and supply convoys, and cut communication lines, hoping thereby to disrupt enemy activities and to capture equipment and supplies for their own use. Because ...

Lascelles Chin …. the Journey of a Jamaican Entrepreneur

Lascelles Chin is founder, chairman and Chief executive officer of the Lasco Group of Companies in Jamaica. The Lasco group is made up of Lasco Distributors, Lasco Foods Successors Ltd, Lasco Foods Ltd, Lasco Barbados Ltd, Lasco Financial Services Limited and Lasco Remittance Services. The range of products and services delivered by the companies is diverse. Lasco Foods Successors Ltd is responsible for the manufacturing and exporting of soy based products while Lasco Foods Ltd is responsible for the packaging of milk powders. Lasco Distributors Ltd is responsible for the local distribution of the ever expanding range of consumer and pharmaceutical products that has made Lasco a household name in Jamaica. These companies currently run by Lascelles Chin marks the present milestone on an entrepreneurial journey by Lascelles Chin that has stretched for more than forty years, Mr. Chin intends to continue this quest for another forty years and beyond. His entrepreneurial journey started in 1961. According to Mr. Chin, he started business with ?175 and was at a great disadvantage as many prominent families were dominating the commercial landscape in Jamaica at the time. He persevered, did his research and learnt as much as he could about manufacturing and distribution practices, importation and various related fields. His policy was to deal honestly with his customers, work very hard and most importantly, avoid spending more than he earned, (Observer 2009). Accordingly this helped him to achieve success. He also realized quite early in life that the only way to maintain success as a business entrepreneur was by honing his skills, hard work, determination, perseverance, clarity of vision and the ability to see obstacles as challenges, (Observer 2009). After graduating from high school in the 1950s Lascelles Chin worked as a lab technician for a short period before taking up a job as a salesman. He did well, and focused on saving portions of his earnings which he later used to start National Trading Company. This principle of not spending more than you earn or saving as much as you can from your earnings would set the stage for his development as an entrepreneur. With this business he sold peas and powdered pepper on a commission basis. He later became a distributor of Henkel products upon recommendation from a visiting representative. The business did well by targeting furniture manufacturers with the Pattex brand of adhesive. Later, during the 1970s, when people were leaving Jamaica in droves, Mr. Chin decided to stay and expand his warehouse and factory. Here Mr. Chin demonstrates the strength and resolution to move against the tide and lay foundations for the future when others were packing up and calling it quits. With time the business moved from Orange Street, downtown Kingston to East Street and then to its current location on Red Hills Road, (Gleaner 2006). He later went on operate other lines of business, Kingston Heirlooms, manufacturing and exporting furniture, Datrex Limited, computer supplies and parts, Triple A Car Rental, Zenith Insurance Brokers, Soft Sheen and Exotic Farms Limited to name a few, (Gleaner 2006). It was however the LASCO branded businesses LASCO Foods Limited and LASCO Distributors Limited operated by Mr. Chin from the 1980’s which made him and his businesses household names within Jamaica. The motivation behind his businesses†¦Ã¢â‚¬ ¦.. the unfulfilled needs identified A journey which started with a man selling peas and powered seasoning on a commission basis had now developed into a number of businesses driven by the same man fuelled with a passion to deliver the best value for money to its customers. According to the company’s website, Lascelles Chin founded LASCO in 1988; its initial operation included the importation of bulk skimmed milk powder and repackaging of sachets for distribution within the Jamaican market. Chin’s intention was to provide a source of milk protein which was affordable for all. Since then Lascelles Chin business has grown from packaging and distributing skim milk to the corporate entity it is today providing a wide range of pharmaceutical, food, household and personal care products to Jamaica the Caribbean, Latin America, North America and England, (LASCO website, 2010). Lascelles Chin apparently influenced by his daily and close interaction with the grass root people on the streets of Kingston during his earlier days as a Salesman, having seen their need for an improved nutritional intake sought to source and deliver products at prices which could be afforded by all. By doing so he has made valuable contribution to the development of the Jamaican society and its labour force with his delivery of nutrition or nutritious products within the reach of the poor and needy. His drive in this area has lead to the pioneering of a number of soy based protein products again with an emphasis on nutritious value and affordability. Procurement of resources Lascelles Chin was able to start his first business, National Trading Company with a few pounds, an accumulation of his savings from his job as a lab technician and sales person. Along the way his business grew due to his timely and astute business decisions which included ventures some of which were risky at the time. Some of those businesses have failed due to changes in the Jamaican landscape, for instance Kingston Heirlooms, his furniture business which was a good earner of valuable foreign exchange at the time suffered from changes in government policies which made conditions difficult for manufacturers. In order to deliver affordable products LASCO has gone to great lengths to source raw materials, consumer and pharmaceutical goods from cost effective sources. LASCO has formed allegiance with major international manufacturers. One of those searches led LASCO to Solae Incorporated, a subsidy of the DuPont Group. With their help LASCO was able to pioneer its current and growing range of soy protein isolate products, facilitating the delivery of highly tasty, nutritious products at an incredible low price to consumers across the Caribbean, (LASCO website, 2010). According to LASCO’s website, â€Å"the popularity of their soy based product has made LASCO the Number One customer in the world for soy protein isolate from Solae Incorporated. Additionally, the American Soybean Association has hailed the LASCO Food Drink line as the tastiest soy product in the world†. Bolstered by this success, LASCO continues its global search for the most affordable, best quality products and have branded corned beef from Argentina, mackerel from Chile, ketchup from the Eastern Caribbean, and vitamins from an outstanding US supplier, whole milk from Ireland, and Corn Flakes from Germany† (LASCO website, 2010). LASCO Distributors has also formed an important strategic alliance with Johnson & Johnson (Jamaica) Limited on April 2, 2001. As a result of that arrangement, LASCO Distributors handles the distribution of all Johnson & Johnson products while LASCO Pharmaceutical Division is esponsible for Lifescan, Contact Lens, and Pharmacy sales. (LASCO website, 2010) According to an interview conducted by Gleaner Lifestyle Editor, Barbara Ellington with Lascelles Chin in 2006 and published in May 2006, a lot of effort is placed in sourcing by the LASCO group. Approximately 50% is purchased locally, 15% within the CARICOM countries and the rest from international firms. According to Mr. Chin in that interview, part of his strategy lies in the fact that he sources well and is not greedy for huge profit margins, this strategy facilitates giving the customers value for money, considering the poorest in the society at all times. He effectively reaps the benefits of the eventual sales volume by keeping his prices one tenth, one fifth or even half of others, (Gleaner, 2006). Lascelles Chin takes pride in the LASCO team who support and execute the corporate strategy on a daily basis in their respective roles. According to the Gleaner Article, May 2006, he indicated that his team is a hard working and dedicated one which operates like a family; they are treated well and are willing to go beyond the call of duty. He believes he has some of the best workers in Jamaica. Challenges faced and overcome The challenges faced by Lascelles Chin during his entrepreneurial journey have been as varied as each of the over forty years since he started National Trading Company. He has faced numerous challenges with financing, security cost, government regulations, changing technology, and the ever changing Jamaican economic landscape to name a few. According to Mr. Chin in his interview with Barbara Ellington, â€Å"In the early days, he wanted a line of credit of ?1,000, and the banks would not give it to him. They thought he was crazy, he eventually got it from Scotia bank†. His problems with pilferage downtown forced a movement of his earlier operations from East Street to Red Hills Road. Today his operations on Red Hills Road and those at his expansive distribution plant at White Marl Central Village, due to their location in two troubled communities have created high security cost. The LASCO team in a bid to mitigate this cost at these locations takes steps to â€Å"work with the communities, establish good relationships and avoid going home late†. Faced with the high manufacturing cost of the 1990s Lascelles.Chin was forced to shut down and bear the losses associated with his furniture and data processing companies. Mr. Chin has however graciously accepted the philosophy that â€Å"failure in a business is an opportunity to learn†. In his bid to He has fought and loss battles with the government pertaining to government regulations geared towards protecting the local milk industry by its imposition of tax levies on powdered milk. LASCO imports a lot of its raw materials and finished products, this creates a demand for foreign currency to service those foreign accounts. In a bid to lessen this strenuous demand compounded by the ever depreciating Jamaican dollar LASCO has leverage its business with the inclusion of LASCO Financial services, a licensed cambio and LASCO Remittance Services a Money Gram representative in Jamaica. These two businesses along with LASCO Successors, which manufactures and exports soy-based, products helps to generate the foreign exchange needed by the LASCO Group. Financial Performance and Customer’s Perception of the business To date LASCO has been doing well. Lead by its founder’s philosophy of giving back from the profits made, the corporation has made numerous and continuous sponsorships and contributions to various areas of nation building, The National Policeman, Nurse, Teacher and Principal and Pharmacist of the Year Awards, are just a few of the many such programmes that LASCO has been associated with over the years. It contributes to various school feeding programmes, school related competitions, it makes donations to various government programmes, mothers and various charities. In return LASCO has gain customer loyalty which keeps the wheels of their business turning. The LASCO brand is currently a household name, synonymous with the provision of healthy nutritious and affordable products and services. According to its website, â€Å"LASCO is renowned for its quality beverages, cereals, canned meats and sauces, personal care items, household products and pharmaceuticals. The company has pioneered a range of products, which utilizes soy protein and delivers to the consumer a highly nutritious product at an incredible low price†. Future Outlook In the earlier operations of his business, Lascelles Chin was supported by is then wife Audrey Chin and other family members at different points along the journey. Today, his eldest daughter holds a senior position in one of the divisions. The LASCO business is a going concern and will remain that way whilst it continues to offer and deliver the kind of products and services that has led to its significant growth over the last two decades. The core business has grown from offering three products to ove r an hundred items. Its consumer and pharmaceutical lines continues to grow with the addition of a range of products each year. The LASCO brand now includes the LASURE, LASCARE and LASMED range of products. Its focus is still on the provision of â€Å"best quality for the consumer’s money†. Steps have been taken to expand their warehouse and distribution plant in White Marl. They have also invested heavily in a new information technology system. Their distribution network continues to spread across the Caribbean, Latin and Central America, The UK and Canada. Though it is dogged by constant competition from major players in the respective markets, LASCO continues to carve out a niche for itself by being the low cost, and value for money supplier of consumer and pharmaceutical products within Jamaica. Conclusion and Opinion of the entrepreneur’s journey Lascelles Chin journey has been one that strongly demonstrates the power of determination mixed with consistent effort in spite of adverse circumstances. Though he has won numerous awards and worn various civic hats including, The Order of Jamaica, The 2001 Business Leader of the Year, The 1997 Entrepreneur of the Year Award from the Jamaica Institute of Management, The President of the Jamaica Exporters Association and is considered to be one of Jamaica’s leading philanthropists, he remains humble in his quest to make â€Å"Living Affordable â€Å"for the Jamaican people. He is an inspiration to all; he has in no uncertain way demonstrated that much can be gained, even with a small start. His entrepreneurial prowess were not garnered in academia, but were nurtured nonetheless by a quest to understand the business landscape and environment ensuring that he understood clearly what he was shaping and the factors that would ensure a successful execution of those ventures. He was unsuccessful in some of his ventures but was not deter from his quest to make a valiant contribution to the development of Jamaica. If I were to have taken the journey taken by Lascelles Chin, before I understood his process and his strategy for success, I probably would have stopped from the 1970’s and become a part of the massive tide of migrants leaving the island for a better opportunity elsewhere. I believe I have a bit of persistence and perseverance but probably would have been deterred from pursuing ventures geared towards improving the quality of life of the Jamaican society by the negative elements within the same society who would have pilfered by business place. The challenges presented by the lack of effort from the different governments to preserve manufacturing or keep the exchange rate stable or exercise the measures needed to curb crime and criminality would have probably led to my â€Å"locking shop† and leaving Jamaica. However, based on the lessons learnt from the journey of Lascelles Chin who started out with his savings, made prudent decisions, braved the economic times and conditions, focused on his goal of improving the quality of life of the poor and needy, through various economic, governmental and technological and social changes, I would take up the mantle of entrepreneurship, having the understanding that success can be achieved, through perseverance, determination, clarity of vision, whilst taking one step at a time, spending less than I earn and treating each failure challenge or obstacle as an opportunity to advance. References Ellington Barbara May 22, 2006, The Monday Interview: Lascelles Chin – Brand Domination at its Best. Retrieved on June 17, 2010 from http://www. jamaica- gleaner. com/gleaner/20060522/business/business1. html Ellington Barbara May 22, 2006, The Monday Interview: Lascelles Chin – Brand Domination at its Best. Retrieved on June 17, 2010 from http://www. jamaica- gleaner. com/gleaner/20060522/business/business1. html Ellington Barbara May 22, 2006, The Monday Interview: Lascelles Chin – Brand Domination at its Best. Retrieved on June 17, 2010 from http://www. jamaica- gleaner. com/gleaner/20060522/business/business1. html Ellington Barbara May 22, 2006, The Monday Interview: Lascelles Chin – Brand Domination at its Best. Retrieved on June 17, 2010 from http://www. jamaica- gleaner. com/gleaner/20060522/business/business1. html Kumar, S (June 2003), Transformation: A Journey. Retrieved on April 26, 2010 from http://www. caibinc. org/files_custom/3176_2350. df National Commercial Bank Annual Report 2009, Retrieved on May 04, 2010 from http://www. jncb. com/docs/NCB_Annual_Report_2009. pdf http://zenithbrokers. com/about_us. html https://www. jamaicaobserver. com/news/161017_Question-Time Ellington Barbara, The Monday Interview: Lascelles Chin – Brand domination at its best http://www. jamaica-gleaner. com/gleaner/20060522/business/business1. html http://www. lascojamaica. com/site/company-profile. htm

Napoleonic Era

The French Constitution of the Year VIII was a nationwide charter that was adopted on the twenty-fourth of December, 1799.   Around that time, the French Revolution was coming to coming to an end.   It also marked the eighth year in the calendar of the French Revolution.   This constitution was well known for the innovation of the type of government branded as Consulate.   One of the premises of the constitution is to get the consensus of the general public to weigh on opinion for the masses. This constitution was responsible for fabricating the position of First Consul, a position which gave Napoleon Bonapart the authority of a tyrant (Connely, 2000). Effectivity This constitution was effective for a short time and was later amended into the Constitution of the year X, a constitution that made Napoleon Bonaprte the First Consul for the duration of his lifespan.   The constitution that succeeded was blatantly favored to Bonaparte as it did not come with a Declaration of Rights (cited in Crook, 2007). How Bonaprte amended the constitution and rose to Power The Constitution of the year VIII basically divides the French Government into three parts.   First of which is the senate; it is composed of 31 men with an age bracket of 60 and above.   The second is the Tribunate; which is comprised of 100 men.   Last the Core Legislatif; this division is formed by 300 legislators.   However, though the government has three divisions, the authentic power resides in the First Consul, much similar to the totalitarian concept of Julius Caesar’s rule, which is peace through tyranny (Connely, 2000). References Connely, O. (2000). The Frecnh Revolution and Napoleonic Era.   Texas: Harcourt. University of North Carolina Greensboro (2002). French History Timeline. Retrieved November 17, 2007 from http://www.uncg.edu/com/sources/dafein/civ/timeline.htm The Napoleon Series (1995-2002). Government and Politics.   Constitution of the year VIII.   Retrieved November 17, 2007 From http://www.napoleon-series.org/research/government/ legislation/c_constitution8.htm

Ethical Issue of the Contraceptive Mandate Essay

The issue of the contraception mandate may be one of the biggest political stories of the year. It is a law brought forward by the Obama administration that requires all employers to offer contraceptive coverage. This has been a requirement for all company healthcare coverage programs for many years already but religious affiliates have been exempt from following the rules. Obama is looking to change all that by requiring even religion-based employers, who have previously not offered coverage, to participate. Such services required by the contraception mandate will violate some of these religion-based employers’ moral conscience. Rule: From the contraception mandate issue, two opposing ethical rules are rights and justice/fairness. From Velasquez’s Business Ethics: Concepts and Cases, the rights rule is â€Å"an individual’s entitlement to something.† It can address the contraception mandate from both an individual and a corporate issue. The rights rule is being processed more from the religious-based employers point of view. The justice/fairness rule being discussed in this case brief is the egalitarianism view. Egalitarianism is â€Å"every person should be given exactly equal shares of a society’s or a group’s benefits and burdens.† It addresses the contraception mandate from a systemic issue Analysis: 1. Rights: Religious institutions do not want to have to cover birth control in their insurance plans for employees. Such services required by the contraception mandate will violate these religion-based institutions’ moral conscience. Thus, the contraception mandate can be viewed as an obstruction of the constitutional rights presented in the First Amendment. The First Amendment of the United States Constitution reads as following: â€Å"Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances.† In the First Amendment, all individuals are entitled to freedom of religion. Many of the religion-based institutions claim that the first amendment allows people the freedom to follow their religious convictions and that they cannot be forced to act against them. The government through the contraception mandate is forcing constraints on the religious freedom of the religious affiliated institutions and their employees. 2. Justice/Fairness: The justice/fairness rule of egalitarianism will say the contraception mandate is about women’s health rights. According to an egalitarian, goods should be allocated to people in equal portions. Thus, all women should have access to equal healthcare services, including the contraceptive services. The egalitarianism view argues that supporting a rights rule would limit the whole population based on someone else’s moral ideals and not scientific medical information. Women, along with many men, want to have sex for non-procreative purposes despite â€Å"edicts† passed down by religious texts. Women should have access to contraceptives. Egalitarians also argue everyone is entitled to practice their own religion and refrain from taking birth control, but every employer is prevented from discriminating against their employees on the basis of religious freedom. The reversal of the contraception mandate would be a huge setback for women’s reproductive freedom. It would go back to say women’s bodies are not their own. Conclusion: In my opinion, I believe that the rights rule is the correct approach to the contraception mandate. All companies, excluding religion-based employers, before were required to provide contraceptive coverage. Now under the Health and Human Services contraception mandate, those religious-based employers are required to provide contraceptive coverage. The First Amendment promises the entitlement to religious freedom and the practicing religious convictions. I believe forcing this healthcare service onto religious affiliated institutions is obstructing their right to practice religious convictions, hence their moral convictions. The larger portion of employed women will already be covered prior to this contraception mandate. It is only the addition of employed women at religious affiliated institutions. I am inclined to think the female employees of religious affiliated institutions would share the same religious and moral views of that religious affiliated institution. If a religious affiliated institution believes it is morally accepting for the use of contraceptives, good for them. But for a religious affiliated institution that believes it is against their religious convictions to provide employees with contraceptives, the government should not have any authority to force such a mandate. Following political backlash for the contraception mandate, President Obama has since revised the original mandate. He has added an â€Å"accommodation,† somewhat like a clause, that allows the religion-based employers the opportunity to opt out and not have to directly cover birth control in their healthcare insurance plans. The insurance company hired to cover the religious affiliated institution’s employees cannot opt out. The insurers themselves would be required to make contraceptives available free of charge to women anyway. This is a clear political move to gain more favoritism in hopes of a reelection. I see this move by Obama as an attempted reversal of the mandate after viewing the religious opposition that was evoked by mandate. Also what Obama has failed to think of are the business implications of this new â€Å"accommodation†Ã¢â‚¬â€offering the contraceptives at no cost from the opted out religious affiliated employer and employees. Insurance companies will not offer this benefit at no cost; contraceptive drug companies will not offer the medicine at no cost; and doctors will not provide treatment without payment. The only logical conclusion, at least the short run, will result in higher healthcare insurance premiums. To have avoided religious invasion, political backlash, and increased insurance premiums, I logically propose the Obama Administration should simply give women without access to contraceptive services a federal voucher.