George W. Bush Essays - Bush Family, Livingston Family,

George W. Bush 03-16-00 George W. Bush If I had to choose a candidate based on, background, position on issues, and intangibles I think it would be George W. Bush. I would choose George W. Bush because he supports some issues that Im interested in and he seems like the kind of guy who will do a good job. I think that with George W. Bush as president, the United States will become a better place for everyone. In this essay I will discuss why I think he would be a good president based on issues, background and his intangibles. I also support George W. Bush because he has a good background. Not only was he involved in politics, but he is has also been involved in business. This is a well educated well experienced man. Here is some background information on George W. Bush that shows some of the things that he has done to this day, he was born July 6, 1946 and grew up in Midland and Houston, Texas. He received a bachelors degree from Yale University and an MBA from Harvard Business School. He served as an F-102 pilot for the Texas Air National Guard. He began his career in the oil and gas business in Midland in 1975 and worked in the energy industry until 1986. After working on his fathers 1988 presidential campaign he assembled the group of partners that purchased the Texas Rangers baseball franchise in 1989 and which later built the Rangers new home, the Ballpark at Arlington. He served as managing general partner of the Texas Rangers until he was elected Governor on November 8, 1994, with 53.5 percent of t he vote. Governor Bush and his wife, Laura, a former teacher and librarian who grew up in Midland, live in the historic Governors Mansion in Austin with their 18 year old twin daughters, Barbara and Jenna, their dog, Spot, and their three cats, India, Cowboy and Ernie. Governor Bush is a Methodist and has served on the boards of various charitable, business and civic organizations. To this day George W. Bush remains as the governor of Texas, and has done many good things for the state of Texas. One of the biggest things that made me notice George W. Bush, was his ideas on taxes. He basically wants to replace the current five rate structure of 15, 28, 31, 36, and 39.6 percent with four, lower rates: 10, 15, 25, and 33 percent. Although some of the other candidates also support a tax cut plan, some of them have ridiculously low rates, Keyes wants to abolish income tax and Buchannon wants to have a flat 16 % rate, lets face it, these are to low and that would not give enough funding for the government, then programs regarding education, health care, and defense would be greatly affected. Then there are other candidates who support tax cuts, but only directed to those who make lower incomes, and that is not fair. So as you can see George W. Bush has a plan that can benefit everyone and it wont have a negative effect on the economy. Another issue that makes me support George W. Bush is his ideas on gun laws. I think that his gun laws would make this country allot safer and it wo uld save allot of lives. George W. Bush basically shares some of the same ideas on some important issues and that is my biggest reason for supporting him. Another thing that is great about George W. Bush is that he has good leadership skills and he does what is good for the people. He is a loving family man that has done so many good things for the state of Texas and I think that he would do a good job at being president. He also seems like a caring man due to all the things he has done for children in Texas, it really looks like he is focusing on the well being of the nations children, and that shows that he is a caring person. Also, he is not negative campaigning, so that shows that he has faith in his ideas and himself. This is the kind of president that I

Essay on Introduction to Business Ethics

Essay on Introduction to Business Ethics Essay on Introduction to Business Ethics Essay on Introduction to Business EthicsQ1. Responsibilities depend on the role of one person in relation to another person; for example, the responsibilities of a parent are different from the responsibilities of an employee. Therefore, responsibilities of person A to person or entity B can be viewed as a function of the relationship between person A and person B.Q2. The relationship between a person and his/her lawyer or real estate agent is similar to the relationship between an employer and employee in the sense that both employer and the person can be viewed as principals in this relationship while the lawyer/real estate agent and employee act as agents. However, there are notable differences in the level of control of the principal over the terms of employment and nature, in the regime of working, in the level of responsibility and discretion.Q3. The narrow view of employee responsibilities can be defended from the perspective of the roles that employees play in the whole eco nomic system (that override other ethical considerations) and from the perspective of property rights of employers that should be protected. However, such ethical considerations have notable shortcomings as they disregard other responsibilities of employees and might even suppress their rights.Q4. Conflicts of interests emerge when ethical responsibilities emerging from different relationships come into conflict. If the interests and ethical duties fall within the scope of one set of responsibilities, there is no ethical conflict. However, when personal interests influence professional actions, it is a sign of the conflict of interest. Dual roles also represent a conflict of interests since the responsibilities in these roles most often are conflicting.Q5. Trust to someone means that there is confidence with regard to the judgments of this person and it is possible to rely on this person in important decisions. Loyalty can be defined as the willingness to make personal sacrifices in the interest of the firm (DesJardins, 2013). Employees do have a responsibility to be trustworthy, but it is questionable whether they are ethically obliged to be loyal. According to Duska, loyalty in the workplace is not appropriate because loyalty applies to the projects with mutual benefit of parties while employer-employee relationship is a contractual agreement in which the employee receives a compensation for time sold to the employer.Q6. Business is like poker in the sense that both business and poker have particular rules and the participants have to follow these rules. However, business is not like poker in ethical sense since bluffing, lying and deception are acceptable in poker but are unacceptable in business as such actions undermine decision-making and business reputation in the long-term perspective.Q7. According to DeGeorge, whistle-blowing is ethically permissible only when a) there is a significant threat of harm (that can be addressed by whistle-blowing), b) the whistle-blower should first of all use internal channels for reporting the issue, and c) the whistle-blower should exhaust all internal options for preventing the harm before turning to external options (DesJardins, 2013). Furthermore, whistle-blowing is ethically required when a) there is documental evidence of the harm or probability of causing the harm and b) whistle-blower should be confident that whistle-blowing will prevent the harm (DesJardins, 2013).Q8. First of all, insider trading leads to injustice regarding external participants of trade since the information is distributed in an unfair way. Secondly, managers who practice insider trading violate their ethical professional responsibilities related to representing the interests of their clients (investors). In the case of Enrons stock, insiders defrauded investors and shareholders in order to increase own profits and did that at the expense of people whose interests they were representing.

Questions from School Law and the Public School Book Assignment

Questions from School Law and the Public School Book - Assignment Example A state that promotes liberty and free will knows when not to mix state affairs with religion. Separation of church and state is paramount in bringing up a society that respects freedom of religion, and which enables people to tolerate others’ religions. The state therefore must not side with one religion over another, or promote the creeds of one religion over another. Although all religions should be taught in schools, the government should not foster the spread of certain religions over others. Students should be given the freedom to choose which religion to belong to, without their schools indicating support of any religion. In the first situation, allowing the Local Church Association to donate a copy of the Ten Commands to be placed in the hallway would be a plus for students who profess that religion. However, it is discriminatory because it highlights the basic teachings of that religion over other religions. It indicates a preference of that religion, which would not be taken very kindly by students whom it does not represent. Placing the Ten Commands in the hallway of the school symbolizes an endorsement of that religion by the school administration. Additionally, the act may influence students to follow the commands and profess the beliefs of that religion. Therefore, the act violates Establishment Clause of the First Amendment to the United States Constitution. It fails the three prongs of the Lemon test in that it does not have a secular legislative purpose. Secondly, it has a primary effect of advancing that particular religion. Thirdly, it results in â€Å"excessive government entanglement† in that it displays direct contact with church authorities (Essex, 2011). In the second situation, applying the lemon test would render starting a Bible club in School a violation of the Establishment Clause. This stipulates that the school is not allowed to establish any religious group including a church. Since the religious group in the school would promote particular religious precepts, this implies that the wellbeing of other religions would be compromised. Furthermore, it is worth appreciating that the school program is already established. Arguably, fixing the religious club as one of the options that students have during the club’s period implies that the school administration considers it equally important and would actually give it an opportunity when given a chance. This contravenes the provisions of the lemon principles that prohibit the government from advancing or inhibiting religion. In the third situation, I would give the non denominational a chance to conduct prayers on a rotational issue, just like the previous principal. From the outlook, the school community is appreciative of religion and does not force its members to participate in the prayers. Furthermore, the prayers do not unfairly promote the beliefs, values and practices of a single region. This is consistent with the provisions of the Est ablishment clause that seeks to uphold the respective state of affairs (Essex, 2011). Question 2 Although the school is responsible for providing religious education, it should not promote the religious precepts of any particular religion. In addition, the students should be at liberty to choose which religious principles to support and promote. Relative decisions need to be personal and should not be influenced by the school admini

Paramedic science degree (Medical) Essay Example | Topics and Well Written Essays - 1000 words

Paramedic science degree (Medical) - Essay Example Hence, her doctor advised bariatric surgery six months ago. Her initial surgery led to a 5% weight loss within the first two months of the gastric banding surgery. She was encouraged by results and so she requested for the biliopancreatic diversion without duodenal switch. This procedure also helped her lose more weight. Her third request for surgery is being considered by her physician due to dependency concerns. Her physician, as well as the rest of the medical team believes that she has become dependent on bariatric surgeries and they are reluctant to encourage or feed such dependency. When confronted with such concern, she insisted that she has not become dependent on the surgeries and that this was the last surgery she would take to help her lose weight. Despite medical advice, she insists that she needs the gastric stimulation surgery in order to effectively help her lose more weight. Feelings (What was I thinking and feeling?) While caring for the bariatric patient who was bec oming dependent on our services, I felt that we needed to put an end to her dependency. The bariatric surgery during the earliest stages of her diabetes is an effective means of reducing her weight. In a study by Dixon, et.al. (2005, p. 472), the authors were able to establish that bariatric surgery done at the earliest stages of diabetes is very much beneficial to patients because it helps reduce and manage their weight and successively help them achieve better results in their diabetes management. Two bariatric surgeries however, are more than sufficient for the current patient to gradually and safely lose weight; and allowing the third surgery to proceed would also be akin to enabling her dependence. I could sense that her demeanour and attitude about the surgeries were based on the concept that the surgeries can be easily availed of and it was her right to demand said services. I felt that her dependence on bariatric surgeries must be stopped and the services to be offered to he r must be based on her health maintenance – not on more bariatric surgeries. In a study by Kushner (2000, p. 126), the authors emphasized the importance fulfilling the essential caloric intake from the limited food intake allowable after gastric banding. This should be focused on by the patient – not the need for more surgeries. Evaluation (What was good and bad about the experience?) What was good about the experience was that I learned to detect signs of dependence in patients. I was able to assess the patient’s behaviour and attitude about the surgery and to determine whether these symptoms were indicative of dependence. The experience also taught me how to deal with patients and their dependence. Normally, I would have given in to a patient’s requests; and, this experience taught me to how to therapeutically refuse a patient’s requests or demands. Therapeutically refusing a patient is not simply about refusing a patient’s requests, but i t is also about making oneself available to respond to the patient’s emotional needs (Austin, 2010, p. 483). What was bad about the experience was that we had limited options for the patient in terms of psychological or mental health assistance. We knew that she was going through some mental health issues which affected her determination to lose weight. As health professionals, we could have provided more counselling for her in order to ensure that she would be able to deal with the emotional challenges of her obesity and to

Analisys of demand and supply affecting Shell Oil Coursework

Analisys of demand and supply affecting Shell Oil - Coursework Example The effects of changes in the price and availability of gods and services, which serve as complements to oil have had a great impact on the demand for Shell’s products. A good is as a complement when a rise in its price results to a negative shift in the demand curve for the good of interest. The rise in the maintenance costs has placed tremendous pressure on the demand for oil and affecting the price for the company’s products. The price fall in shares for other industries that heavily rely on oil has had a great impact on demand for oil. The reduced profitability and price wars among companies such as Tesco, J Sainsbury, and Marks Spenser reduces the demand for Shell’s products. Increase in price of engineering tools used in processing and extraction of oil have had a negative impact on the demand for oil (Mason, 2011). Shell can increase the price for its products and services to cover higher overhead costs. A substitute good or service is as a substitute when an increase in its price results into a positive shift in the demand for good or service of interest (Cherunilam, 2007). The increase in the availability of alternative fuel sources such as solar energy has a negative impact on the demand for oil. ... The demand for Shell’s products is price sensitive (elastic) since a reduction in the price for Shell petrol will automatically result into an increase in demand. In the case of Shell’s products and services, the percentage change in demand is greater than the change in price. The effects of 2008 economic crisis have had negative impacts on the available income to most people in the UK and the rest of the world. This results into decreased availability of disposable income thereby lowering the demand for products and services (Kotler, 2006). An increase in the level of income can result in increased demand for Shell’s products as people start spending more on luxuries such as travelling longer distances using private cars. This will result into increased demand for fuel. Changes in the company’s operations can have remarkable impacts on the supply curve. The increase in cost of oil extraction due to the effects of economic recession is likely to lead to a shift in Shell’s supply curve. The cost of the refinery is a vital factor that causes a shift in the supply curve. The high cost of production has resulted into less supply and consequently fewer profits (Tanne & Raymond, 2010). The increase in the number of the company’s own retail outlets is playing a major role in increasing the company’s global presence. This results into positive shift in the supply curve. Market failures and imperfections An externality is an impact resulting because of an economic activity that affects unrelated third parties (Maidment, 2002). An example of an externality is the recent Shell’s oil spill in Niger Delta, which affected the surrounding environment and affected the health and economic life of the nearby residents. An externality can

Post-operative Psychological Adjustment to Stoma

Post-operative Psychological Adjustment to Stoma The essay is based on a patient who had surgery to have an ileostomy formed. This essay will attempt to define support and identify what the patients specific support needs may be within the context of the patients post-operative psychological adjustment to her new stoma with special focus on the issue of flatus and odour on the patients recovery. Black (2001) states that for the patient with a newly formed stoma, thoughts of talking to others, eating, working, sleeping or making love while bowel motion and flatus fill the appliance is horrific. A literature review will identify the most recommended suggestions for support of the person anxious about odour and flatus and the information will be considered within the context of the support that was given to Jane*. In accordance with the Nursing Midwifery Council Code of Professional Conduct (2008), the name and any identifying details of my patient on which this study is based will be withheld. Jane* is a 44 years old mother of three, including 16 years old Adam* who lives with her at home. Jane is in a long term relationship with Peter* and they have been planning to move in together. She is a teacher of Economics in the local secondary school. Jane was diagnosed with Ulcerative colitis about 18 years ago. Ulcerative colitis is a disease that causes inflammation of the large intestine or colon (Colitis UK, 2008). This is the last meter or so of the intestine closest to the anus. Symptoms are vary in severity from pain and discomfort, through mucous in the stools is in the most severe cases blood in the stools. It is generally diagnosed by inspection of the colon by the procedure colonoscopy by uses an endoscope. Porrett and McGrath (2005) suggest, ileostomies are formed to treat conditions such as inflammatory bowel disease, diverticular disease, carcinoma of the bladder, carcinoma of the bowel, traumatic injury to the abdominal area, and inadequate blood flow to the bowel, incontinence and obstruction. An ileostomy is a surgically created abdominal opening from the terminal small intestine (ileum), made because the entire colon has been removed or must be bypassed. An ileostomy stoma is usually on the lower-right abdomen. Its output has passed through all or most of the small intestine, but none of the large intestine; consistency of this output may vary from very liquid to a semi-solid paste (Porrett and McGrath, 2005). Simmons K et al (2007) state that more than 13,000 patients have stoma surgery yearly in the United Kingdom and reports psychological and social dysfunction in patients whose surgery end with stoma. Patients undergoing stoma surgery face a number of stress related circumstances leading to threats to body integrity, alerted body image, loss of autonomy, and loss of function and control (Williams, 2005). Annells (2006), suggests that fear of rejection by friends and family as well as being ostracized by society is constant for this group of patients and that support, guidance and information can assist them in adapting to their new way of life. Patients were reported to have feelings of loneliness, low self-esteem, thoughts of suicide and depression are higher in stoma patients compared with patients without a stoma (Norton, 2004). Patients who have had ileostomies, often have a distorted body image which has a knock on impact on the patients’ physical integrity and self-concept (Black and Hyde, 2004). When I was talking to Jane, before and after surgery, one of her major anxieties was flatus and odour – common concern for those with a new established stoma is flatus and odour which can result in psychological distress, stigma and embarrassment (Annells, 2006). She was also anxious about how Peter would react to the stoma and whether he would still find her beautiful and attractive. But mostly, she was concerned that people would smell her and she was worried, that she would be unable to control her flatus and being stigmatized by Peter and people who found out that she had stoma. Coping with stigma involves a variety of strategies, and Jane was at the stage where she was deciding whether to disclose the condition and suffer further stigma or attempt to conceal the condition or aspects of the condition and pass for normal (Joachim and Acorn, 2000), but felt certain that there was no way she could conceal the odour or the involuntary flatus. Flatus and odour that cannot be co ntrolled by the individual for medical reasons affect how these individuals feel about their bodies (Black, 2001). A stoma does not have a sphincter muscle; and so persons with stomas are unable to control the elimination of faeces or flatus via the stoma (Breckman, 2005). Rozmovits and Ziebland (2004), in a compilation of narratives from new stoma patients cited many as expressing difficulties in returning to work following surgery due to the â€Å"uncontrollable and unpredictable bowel movements and foul-smelling gas†. Simmons K et al (2007) state social aspect has a major impact on patients. A background study reported a decrease in social and leisure activities, increase in marital problems and less contact with relatives and friends. Mosby (2006), defines support as â€Å"to sustain, hold up, or maintain in a desired position or condition, as in physically supporting the abdominal muscles with a binder or emotionally supporting a client under stress†. There are several definitions for support. The Cambridge Advanced, Learners Dictionary (2008), define support as â€Å"to encourage someone because you want them to succeed†, â€Å"to help someone emotionally or practically†, or â€Å"a group of people who provide emotional and practical help to someone in serious difficulty†. Gale (2001) tells us social support consist of friends, family members, co-workers who provide assistance to the individual in need. Support found from friends, family and co-workers has a beneficial effect on physical and psychological well-being. Jane has had counselling from the stoma care nurse and assessed before surgery. Janes partner, Peter was not included initially in her pre-operative period as she did not wish to have him there. Peter was aware about the operation but she had not told many of her family and friends. Myers (1996) state psychological preparation and counselling of patients in the pre-operative period is of great importance. Myers (1996) further states the stoma nurse together with the patients partners and other health professionals help to rehabilitate the patient. The nurse and healthcare professionals must look at the patient and the patients needs holistically to include all aspects: physical, emotional, mental, social and economical. Faulkner and Davies (2005) state, that there is a range of definitions of the concept of support. It implies it is the exchange of resources between at least two people, intending to enhance the well-being of the person receiving. Faulkner and Davies (2005) illustrate the four broad support mechanisms they are emotional, informational, appraisal and instrumental support. Emotional support is about improving self-esteem, encouraging the person and aiming to have a feeling of belonging, accepted, loved and needed. Informational support provides information for individuals which enables them to be involved in dealing with their problems and problem solving. It can involve suggestions of where they can acquire further advice. Instrumental support involves tangible resources to remove, or significantly reduce, the stressful situation experienced by an individual. This also may include the provision of financial aid or services. Appraisal support helps the person to evaluate the impact of their circumstance, and level the threat posed by the stressful event or availability of personal coping resources. Post-operatively, Jane required all the identified types of support in dealing with her anxiety about her flatus and odour. Sirota (2006) states that support is important at all levels of care of the stoma patient and is especially critical in the early postoperative stages following stoma surgery when patients are experiencing grief reactions to loss. Emotionally, the support had already begun with the pre-operative chats that involved not only Jane, but her partner, Peter as well. The nurse, in offering support to the patient following a stoma formation must be conscious of the fact that even though the patient is extremely self-conscious about odours related to the newly-formed stoma, odours from the stoma should never be smelled by anyone but the patient (Williams, 2005). Emotional support to Jane was provided by developing a rapport with her which helped to alleviate her anxiety and embarrassment by putting the issue of flatulence and odour into context and teaching the patient techniques that could help control the issues e.g. deodorants, diets (Williams, 2005). Informational support was given to Jane about the types of food that will reduce odours and flatulence. Information such as which foods and fluids will produce flatus and which are likely to cause odour; how to manage a noticeable bulge created by flatus and how to remove flatus from appliance without causing unnecessary embarrassment in terms of odour or spillage are crucial to developing the patients confidence in managing his/her stoma (Breckman, 2005). In addition, leaflets obtained from the Ileostomy Internal Pouch Support Group gave a list of foods that increase and decrease flatulence and faecal odour as well as hints on reducing flatus. Instrumental support for Jane took the form of the deodorants that were provided to her to deal with the odours from her stoma. Cottam and Porrett (2005) recommend that in instances where odour is a problem, such as when changing the appliance, deodorants can be used to mask faecal odours and these are available in atomizers, drops or powders that can be sprayed into the atmosphere or placed inside the appliance. Jane was given the opportunity to try different samples of different fragrances by the stoma care nurse and then advised how she could order them in the future. She was also able to examine the different costs so that she could order deodorants that suited her budgets. She also advised to use the silicon-based adhesive remover which was proven to be gentler on the skin (Cutting, 2006). The final aspect of support that was provided to Jane in alleviating her anxiety about flatus and odour was appraisal support. Any disruption to the workings of the persons body is bound to cause concern and in Western society the pressures placed on us by media and peers mean that the patient that has to live with a stoma has to live with a stigma and all the anxieties associated with this (Williams, 2005). With the informational, emotional and instrumental support that was given to Jane, the rest of support needed by her can only be identified and accessed by her. Support groups and their contact details were provided to Jane, so that she can access a group or forum, if she determined that she needed further support of more specific, or even generic, type. The success of Janes adjustment will now be dependent on her own coping strategies and her own support networks (Williams, 2005). Salter (1997) stated that the support a nurse needs to give the patient with newly formed stoma is emotional, informational and practical. Jane received all of the above during her immediate post-operative period. Price (1993) says that how Jane copes now will be affected by the opinions and attitudes of the people with whom she has close relationships. Informational and appraisal support will continue via support group and forums and emotional support will come from family and friends. In the end, Jane will increase her self-confidence and become more independent with dealing with her stoma and stoma care. But in the end, as with everyone, even those without a stoma, support of all kinds will always be needed in some degree, form or fashion.

Alexander Popes Essay on Man -- Alexander Popes Essay on Man

Alexander Pope's Essay on Man - Man is Never Satisfied Alexander Pope's Essay on Man is a philosophical poem, written, characteristically in heroic couplet. It is an attempt to justify and vindicate the ways of God to man. It’s also a warning that man himself is not as in his pride, he seems to believe the center of all things. Eventhough not truly Christian, the essay makes implicit assumption that man has fallen and that he must seek his own salvation. Pope sets out to demonstrate that no matter how imperfect complex and disturbingly full evil the universe may appear to be, it does function in a rational fashion, according to natural laws and is in fact considered as a whole perfect work of God. It appears unsatisfy to us only because our perceptions are limited by...

Child Sexual Abuse

Child sexual abuse has gained major public attention in the past few decades. Various factors in the recent years have generated a public reaction regarding child sexual abuse, which has become one of the most high-profile crimes. â€Å"At Sifers' jury trial, 14-year-old S. T. testified about Sifers having raped her five years earlier. S. T. described Sifers' disposition the night of the alleged rape as â€Å"upset . . . like he'd been drinking. † RP Vol. I at 24. She recalled Sifers following her into her bedroom, closing the door, and pushing her down on the bed. Sifers then pulled down her pajamas and pushed his penis inside her vagina. Afterwards, he said if she told anybody, he would hurt her, her younger siblings, and her mother. † (State of Washington v. Charles Wayne Sifers) Child sexual abuse — an unwanted, yet common, catch-22 issue that is worldwide and has been for centuries. Each year, well over 300,000 children become victims of this heinous crime against humanity. Child sexual abuse is described as any sexual activity between an adult, adolescent or older child, with a child including such things as fondling of genitals, masturbation, and oral, vaginal, or anal intercourse. It is not solely restricted to physical contact though; such abuse could include non-contact abuse, such as exposure, voyeurism, obscene phone calls, prostitution, and child pornography. The offender can range from a parent, stepparent, sibling, other relative, friend, neighbor, childcare person, teacher, to a stranger. This form of exploitation occurs with children of all ages, in rural, urban and suburban areas and among all ethnic, racial and socioeconomic groups. Since the 1970s, the sexual abuse of children and child molestation has increasingly been recognized as deeply damaging to children and thus unacceptable for society as a whole. While sexual interaction between children and adults has been present throughout history, it has only become the object of significant public attention in recent times. Child sexual abuse has been reported up to 80,000 times a year, but the number of unreported instances is far greater, because the children are afraid to tell anyone what has happened, and the legal procedure for validating an episode is difficult. The long-term emotional and psychological damage of sexual abuse can be devastating to the child. The problem should be identified, and the abuse stopped. That is where child sexual abuse prevention programs come into play. Most child sexual abuse prevention programs focus on teaching children how to lower their risk for becoming a victim of sexual abuse, and increasing their knowledge of potential sexual abuse approaches and encounters. These prevention programs also encourage efficient skills, which can be used in any uncomfortable situation that could lead to sexual abuse. Although child sexual abuse (CSA) prevention programs promote and teach effective skills to use when confronted by an abuser, they do not successfully reduce sexual violence because of the inconsistencies among programs, the lack of knowledge about abusers, and the vulnerability of the victims. CSA prevention programs do not effectively reduce the prevalence of child sexual abuse because there is not a stable foundation of knowledge about the paths that lead to abuse and the abusers themselves. According to Jeffrey J. Haugaard, Ph. D. , Department of Human Development New York State College of Human Ecology at Cornell University, â€Å"Federal and state agencies, and private foundations, have funded little basic research in this area – and thus we have no foundation of knowledge on which to support effective sexual abuse prevention,† (Haugaard). In order to design effective prevention efforts for any problem, an understanding of the development of that problem is crucial. We are better at preventing physical abuse of children rather than the sexual abuse of children, because we have a clearer understanding of how physical abuse develops; this is because of the mass research efforts taken to grasp the subject. If state governments expend more money to fund research regarding abusers and their developmental pathways, then there would be a greater chance of gaining the knowledge necessary to make the programs attest their purpose. Haugaard also stated â€Å"We tend to know more about what does not work in the area of preventing child sexual abuse than we know about what does work† (Haugaard). This ties in with the factor of not having a legitimate amount of research to base prevention programs off from, and, therefore, the programs not achieving deterrence and lessening sexual violence. Our current awareness and perception of the problems involving sexual violence is not enough to effectively interfere and bring it to a stop, or at least attempt to. Moreover, â€Å"Although sexual abuse prevention training programs are well-intentioned efforts to protect children against a loathsome crime, there is no evidence that they work, or even on the margin that these efforts produce more good than harm,† (Neil Gilbert, Chernin Professor of Social Welfare and co-chairman of the Berkeley Child Welfare Research Center). This meaning that without at secure basis of the basic knowledge of abusers, there is no way of telling if these prevention programs are even working. Our present incompetent education will lead us to false accusations and assumptions until we are able to further investigate and study the mind-set of abusers. Some may argue that child sexual abuse prevention programs are effective in preventing child sexual abuse. One of the more positive characteristics and purposes of CSA prevention programs is that they achieve the idea of educating and publicizing effective skills for children to use when dealing with the confrontation of a possible sexual abuser. These components include abuse-specific information, skill-practice activities, parent involvement, and multiple sessions in which children learn skills and have concepts reinforced. The most important skill learned is knowing how to say â€Å"NO! † David Finkelhor, a renowned Professor of Sociology at the University of New Hampshire, organized and performed many studies in relation to child sexual abuse. As stated by Joseph Dake, James Price, and Judy Murnan, in their evaluation of a child abuse prevention curriculum â€Å"Finkelhor conducted a national survey of 2,000 youth aged 10 to 16. They found that children receiving more extensive school-based prevention programs were more knowledgeable about abuse, more likely to report self-protective strategies when threatened, more likely to tell someone after an attempted victimization, and less likely to blame themselves for the abuse. † This means that the prevention programs that children partake in allow them to gain more confidence and feel more conversant when faced with sexual abuse. There is enough data to support the idea that these programs do provide many students with a more confidence and skills to use in a dangerous situation. However, abusers are still out in society, and while education is worthwhile and important, we need to make it physically safer for everyone by providing longer prison terms and more austere consequences for offenders. We want our children safe and hoping they will learn the skills to deal with dangerous criminals is not enough, we need to make it safer for them. An unfortunate example of this can be made with Larry Don McQuay, a habitual and lifelong sexual predator from Texas. In 1995, he confessed to getting away with molesting over 240 children before he was caught for molesting just one boy. The case of Larry Don McQuay seems to epitomize society's continuing inability to deal with those who have incorrigible and unspeakable appetites for children. One obvious permanent solution–capital punishment–is strictly reserved for murder and is likely to remain so. The public remains divided over the merits of the death penalty, child sexual abuse cases are difficult to prove beyond all question of doubt, and most sex offenders are members of or known to the victim's family, making the latter unlikely to call for a death sentence. As a result, there is a push to sentence child molesters to life in prison without parole or place them in secure mental institutions until they are judged not to be a danger to society. In the meantime, however, many offenders receive probation or short prison sentences, and thousands are released from jail and back into society each year. â€Å"(Wetzstein) Releasing predators back into society can increase a child's susceptibility of being abused and scarred for the rest of their life. If the penalties for child sexual violence become more severe, many offenders will be kept away from society for a longer period of time, or even eternity. This is important, because it would create a safer environment for the children and the general public to live in as a whole. Sexual violence encounters and happenings would reduce in number with fewer perpetrators out to cause harm. Education programs, however, are incapable of keeping predators out of society and children out of harms way. With the many forms of unwanted lascivious gestures and exploitation, and the unremitting chance of a child being assaulted, prevention programs are incapable of thwarting, or even minimizing the amount of sexual violence that is imposed on kids. Without a steady understanding of the offenders and their acts of maltreatment, we will not be able to help rid the world of these psychopaths and make the world more protected and secure for our children. â€Å"The sexual abuse and exploitation of children is one of the most vicious crimes conceivable, a violation of mankind's most basic duty to protect the innocent† (James T. Walsh). Society, therefore, must put forth an effort to delve into studying all aspects of the subject, and help protect children from the perpetrators of these vile crimes by strengthening notification requirements for sex offenders and increasing criminal penalties.

Patient Priority and the Cost Effectiveness

Patient Priority and the Cost Effectiveness Introduction Provision of good health services remains a major task for most governments in the world today. As a result, there are strategies, which have been adopted over time to ensure that this task is achieved effectively through improvement of the entire healthcare sector.Advertising We will write a custom report sample on Patient Priority and the Cost Effectiveness specifically for you for only $16.05 $11/page Learn More Whilst this is the case, many governments find it difficult to offer quality services to patients especially in cases where the cost exceeds the financial ability of individual patients. As such, health providers find it hard to decide on how to offer quality services at a lower cost, in order to consider the economic status of patients (Plans-Rubià ³, 2012). These cases are common in most parts of the world including but not limited to Saudi Arabia, Africa and Asia. This report will discuss the high cost of medical treatment, in rel ation to giving patients the priority to receive medical services. In order to achieve this task, the report mainly focuses on the situation in Saudi, where a good number of its people experience immense difficulties in sourcing quality medical services. The report is further divided into concise segments, expounding the problem being discussed, causes and possible solutions that have to be adopted to facilitate accessibility to good medical treatment in the region. High cost of medical treatment Due to the high cost of living and the current economic crisis, many countries find it difficult to offer cost-effective and quality medical treatment to most of their citizens. Like other countries in the world, Saudi Arabia has had its share in handling the high cost of medical services to its inhabitants (Almalki, Fitzgerald Clark, 2011). In explaining this trend, it is equally important to underscore how the health sector is financed in the country.Advertising Looking for repor t on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Financing of medical treatment in Saudi Arabia is mainly public, with free services being offered in all public facilities. While the government has continued to support this sector to offer quality services, the truth of the matter is that, the amount allocated per capita has significantly dropped. This is mainly attributed to the fast-growing population coupled with decreasing revenue from the government. Additionally, some analysts believe that duplication of services and unnecessary demand for these services greatly contributes to waste of resources. Due to increasing healthcare cost and compromised quality, the government has adopted measures to tame the situation mainly through privatization of hospitals and introduction of health insurance cover for both citizens and foreigners living in the country (Plans-Rubià ³, 2012). Low income-earners vs. treatments cost As mentioned above, the cost of healthcare has been rising in recent years, a trend that has affected majority of Saudi Arabians. As a result, most people in the country are unable to afford these services, which are considered to be essential to human beings. In addition, service providers find it hard in making the decision between saving the lives of people and compromising the quality of services due to their high cost (Almalki, Fitzgerald Clark, 2011). According to recent survey, the high cost of medical treatment in Saudi Arabia mainly affects low income-earners. This class of people comprises of millions of people, including the country’s citizens and foreigners. Cancer and the costs of chemo therapy Even though all medical procedures and services are costly, it is doubtless that critical cases of illnesses are always demanding. Treatment of cancer therefore falls under this category of health complications that are posing a major challenge to treat due to high cost ass ociated with it.Advertising We will write a custom report sample on Patient Priority and the Cost Effectiveness specifically for you for only $16.05 $11/page Learn More In particular, many people are unable to meet the cost for chemotherapy, a procedure that is widely known in cancer treatment (Oxford Business Group, 2008). When applied correctly, the procedure eliminates cancerous cells in a patient’s body. Due to this, cancer treatment is becoming a burden to public hospitals since most patients cannot afford the treatment cost. Cancer drugs cost approximately $100,000 per year in Saudi Arabia and yet not all patients get treated. Since treatment of most illnesses is free in Saudi Arabia, non-Saudis experience a wide range of challenges when looking for treatment. This is because the free medical program in the country excludes treatment of foreigners. Statistics Affordability of healthcare services remains a major challenge to most people in the w orld. This is due to a number of issues including the current economic crisis, poor planning strategies and increasing population against limited resources. Consequently, many countries experience several challenges, including the inability of some people to afford medical treatment (Oxford Business Group, 2008). For instance, the carrying capacity for most hospitals and the low number of doctors, nurses and pharmacists negatively impact the health sector in most countries. Due to low wages and inflation, the number of people who do not have medical insurance cover continues to increase in most parts of the world today. With most governments struggling to subsidize healthcare cost, low salaries and unemployment hamper these efforts since employers are required to pay a section of the total cost.Advertising Looking for report on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More For example, only 84% of Americans have medical insurance, which requires their employers to cater for approximately 60% of the insurance cost. Others are insured by the government, military, Medicare or Medicaid. In Saudi Arabia, the country has over 1.5 million doctors with the almost every citizen being able to access sanitation while more than 95% of the population has access to healthy water. Immunization rate has also gone up in the country, to an approximated value of 94% (Oxford Business Group, 2008). Effects of Healthcare on the Economy Despite the fact that there are significant strides that have been made by the ministry of health in Saudi Arabia, there are several challenges that have emerged. Most of these challenges negatively affect the country’s economy (Almalki, Fitzgerald Clark, 2011). Major obstacles revolve around health workforce, changing patterns of some diseases, accessibility of healthcare services, financing and expenditure and changing technology a mong other factors. Due to the increasing population and the above listed challenges, the government is forced to invest heavily in the sector through hiring of more doctors and other health workers together with the expansion of existing health facilities. Poor medical treatment quality As a result of existing limitations in the ministry of health, the quality of services being offered has largely been compromised. This has led to serious and fatal results, where patients are prone to wrong procedures offered in various medical facilities. Poor systems and deaths It is obvious that accidents require urgent attention from medical experts. This is crucial in saving the life of patients who may be in critical conditions. However, there is divided attention among doctors due to the overwhelming number of patients to be attended to (Mansour, 2008). The end result of this is low quality services, which may result into other complications. This situation is also worsened by poor systems a pplied in treatment of critical medical conditions. Among all the associated effects, careless deaths are common in hospitals, resulting from poor services, poor systems and inadequate health attendants in hospitals. Causes This section of the report explores some of the causal factors associated with the above mentioned problems and challenges facing the ministry of health in Saudi Arabia. Lack of governmental supervision Governmental supervision of medical services in Saudi Arabia has immensely affected the quality of services being offered. It is highly limited by the fact that the ministry of health takes charge of all health services in the country. As a result, some regions and public hospitals end up giving services, which have not been verified by government inspectors (Mansour, 2008). This is likely to result into accidents, errors and careless deaths of patients. This management system of the ministry of health does not meet the needs of the ever-growing population of the nation. Price variation Another cause of the above described problem is variation in prices charged by different public hospitals. While people would expect standard charges for medical services in hospitals, it is amazing that most health centers have different prices. This affects service delivery and planning as the government cannot project its expenditure, stemming from inconsistency. In cases where low prices are charged, such hospitals may end up receiving low funding, thus compromising the quality of services being offered. Low standards of treatment Although Saudi Arabia prides on offering free medical services to its people, research reveals that some of the services given in public hospitals are of low standards. This puts majority of patients at the risk of being poorly served. Poor treatment further emanates from the fact that the population of the country is ever-growing against limited resources (Wynbrandt, 2010). This causes straining of resources including healthcar e workers who have to work extra hours in order to serve all the patients. Moreover, the existence of too many non-value adding costs in the ministry of health contributes to poor service delivery. In other words, the government spends on services that do not generate revenue for the state and does not support patient recovery. Poor technology The last cause of most of the challenges being experienced by Saudis ministry of health is lack of technology to handle many health complications in public hospitals. This results into several issues, which threaten the survival of patients, their ease to recover and the efficiency of doctors and other health workers. For instance, lack of technology undermines diagnosis of diseases, resulting into poor medical procedures and prescription of drugs. Low level of technology further hampers handling of emergency cases especially when patients require intensive or specialized care. Solutions There are several strategies, which can be adopted and i mplemented in order to reverse the current healthcare system in Saudi Arabia. This is quite necessary in controlling unnecessary deaths of patients and in improving the overall delivery of medical treatment services. These remedies are broadly divided into two categories: Minimizing costs As mentioned above, the ministry of health heavily spends on treatment services and expenses that largely contribute to the high cost of healthcare, which becomes unaffordable to most people (Walker, 2009). This unnecessary expenditure further affects the quality of services offered, due to lack of priority within the management. These costs should therefore be eliminated to allow more resource allocation towards the improvement of healthcare services. Of great significance is also the reengineering of the healthcare system to meet current demand in the market. This can be achieved through optimum staffing, acquisition of relevant equipment and medicine and improvement of medical procedures. This e nsures that the needs of hospitals and patients are met based on existing situations (Plans-Rubià ³, 2012). Alternative medication Availability of alternative medication is also essential in meeting the needs of different patients depending on their source of income and the ability to meet related costs. As such, low income-earners are given a chance to go for medical treatment without straining their resources (Walston, Al-Harbi Al-Omar, 2008). Additionally, an appropriate bill is supposed to be enacted and implemented in order to address existing challenges and expected future trends in the healthcare system. Governmental solutions Insurance companies In reforming the healthcare system of Saudi Arabia, the government has a role to play in ensuring that quality services are delivered affordably. Firstly, insurance companies should be encouraged to offer medical cover to citizens through payment of premiums by individuals. This would lessen the burden of national medical coverage. Technology Besides insurance, the government ought to appreciate changing technology through the adoption of emerging trends like the use of nanotechnology in the treatment of cancer and other diseases (Walston, Al-Harbi Al-Omar, 2008). Setting of standards in hospitals is equally important especially in regulation of treatment price and the quality of services being offered. This can be well implemented through hiring of enough government supervisors and quality assurers. Lastly, the adoption of Affordable Care Act (ACA) is important to streamline the sector. Recommendations and Conclusion From the above report, it is obvious that the quality and cost effectiveness remain major factors affecting several healthcare systems in the world. Due to high cost of living and inflation, most people are unable to afford quality medical treatment. Additionally, governments are not capable of providing affordable and good medical services to customers due to limited resources and increased po pulation among other factors. Nevertheless, thorough reforms are necessary in Saudis healthcare system in order to provide quality services to its people. References Almalki, M., Fitzgerald, G., Clark, M. (2011). Health care system in Saudi Arabia: an overview. Eastern Mediterranean Health Journal, 17(10), 784-793. Mansour, A. (2008). Factors affecting locational decisions of Saudi health care professionals. Michigan: ProQuest. Oxford Business Group. (2008). The Report: Saudi Arabia 2008. London: The Report: Saudi Arabia 2008. Plans-Rubià ³, P. (2012). Frameworks to Set Priorities for Treatments Based on Cost-Effectiveness and Equity. The Open Pharmaco-economics Health Economics Journal, 4, 1-7. Walker, L. (2009). The right to health in Saudi Arabia. University of Aberdeen. Retrieved from https://www.abdn.ac.uk/ Walston, S., Al-Harbi, Y., Al-Omar, B. (2008). The changing face of healthcare in Saudi Arabia. Ann Saudi Med, 28 (4), 243-250. Wynbrandt, J. (2010). A Brief History of Saudi Arabia. New York City: Facts On File.

Descriptive Essay Essays

Descriptive Essay Essays Descriptive Essay Essay Descriptive Essay Essay We would leave in the morning on Fridays to make it to Clifton before the sun sets. Then we would leave Clifton again early in the mornings.. Because traveling through the forest at night is the most dangerous, due to Deere and livestock leering alongside the highways. Then on Sundays we would leave early in the mornings again, so that we can make it back in time for school. But for the last 2 school outs we been spending our summer with them , until school started again. My parents apartment was located right behind the landlords house. The apartment my parents were renting was Just right for us,there were 3 bedrooms, one bathroom, kitchen, and the living room. The living room had a big window that covered almost half of the wall. I saw the front yard, covered with shade by two trees, but the ground was Just plain dirt. I also noticed we were located on a big hill and surrounded by train tracks. I remember trains crying early In the mornings as I try to sleep. Then birds begin to sing before the sun rises as If they were chanting prayers. As I lay there the morning breeze blows in the smell of fresh cut grass. My family and I would spend our time together cooking outside and telling scary stories. I would sit beside my parent for comfort from the scary stories being told. I startle myself by looking Into the dark streets and picturing abnormal creatures. I felt safe with my parents beside me. I remember having nightmares In the middle of the sights, but not having my parent there to calm me. I whizzed through the front door straight into the living area where my grandma’s prized possessions were displayed. My favorite possession of hers was the many arrays of water-color filled bottles: green, red, purple, and the deepest blue I had ever seen. They were displayed in the front room window seals. The windows covered two walls, from the ceiling to just barely a foot off the ground; so beautiful when the sunlight would shine through the colored bottles, the colors would shine all around the room. After I reached the living room I would turn the corner into the hallway and run across the furnace, which was built into the floor, quite remarkable. I reached the end of the hallway on the north side of the house and there was the sewing/toy room where many of my cousins were jumping up and down with happiness; we then started hugging each other while jumping up and down, we hugged so hard that we fell down with laughter. We suddenly smelled the spices from the kitchen, and of course the smokey smell of the barbeque coming through the windows. My cousins and I jumped up and headed out towards the kitchen, on the way, just left to the sewing room was my grandma’s room where I would sneak into on occasion to snoop through her cedar chest; that is where she kept all of our family photo albums. In her room she had an elegant dressing table. I could escape with make-believe by playing dress up with her magnificent costume jewelry. I would play with her make-up and drench myself with her many perfumes: Gardenia, Tabu, and Sands de Sable. Onwards to the kitchen we go, where grandma was cooking up her famous potato salad; the hot steam, rolled up through the air from the boiling potatoes, all of the cousins raced through to the dining room. In the dining room sitting around the table were the aunts and uncles; laughing, sharing family stories, and passing around the newest photographs. Straight out to the back yard we would go through the big sliding glass doors, we would find grandpa by smelling our way to the smokey barbeque ribs. Argo 3 By now grandma was setting the picnic table, and it was time for all the families to gather up for the grand feast: ribs, potato salad, deviled eggs, veggies, and of course my momma’s sweet and yummy pistachio salad. After we indulge in all the wonders of the barbeque we headed out to the Mountain family cherry tree; which I loved to climb and pick the delicious, the fruitiest, and the most colorful cherries ever. I would then eat them until my stomach would swell up. After the cherry tree I would head out to the front yard for the annual fireworks display put on by my uncles. As all the aunts and cousins are on clean-up crew, the little ones were falling asleep as the starry night had arrived. Of course this was my least favorite part of the day when my momma and pop’s would herd me out to the car. This was the end of a wonderful day with my family; at the â€Å"Mountain House,† where on the garage door was a painting of beautifully landscaped mountains. As we pulled away from another memorable family reunion, I watched the mountains on the garage door get smaller and smaller; the smell of fireworks and smokey barbeque ribs on my clothes, the sound of laughter still in my head, and having those feelings of love and comfort. These sounds and smells still remain in my thoughts today. Remembering childhood memories like these can make the difference in feeling lost and disconnected with oneself; this could have positive reinforcement to help with feeling connected and to feel not so lost. One of the most important things in someone’s life is the connection and support of family. Tapping into these memories helps me to stay strong and focused. I keep these memories going with sharing and passing along photos and stories to my children. Always stay connected with family if possible, for they could be your life line.

Case Study Essay Example | Topics and Well Written Essays - 1500 words - 7

Case Study - Essay Example Considering the weaknesses of the intervention of the government, it is seen that the political conditions of the country have a strong impact on the operations of the railways in UK. Hence with the intervention of the government there are high chances for the country to face issues in terms of the regularity and efficiency of the trains. The biggest opportunities that the railways face with the intervention of the government is the fact that higher levels of funds will be available for them to operate and thereby the technology used as well as the services provided can be improved to a great extent. Considering the threats that might be faced by the company y, it is clear that the companies will not be able to compete within the industry and chances are that the British Railways might loose out on a major chunk of its customers due to limitation of the government intervention. Hence in terms of the public benefit it is better for the government to intervene in the operations. However if considering this from the view point of the companies then it would be best for the government not to interfere in the operations. Every decision made by a company has a number of affects on the financial position. Similarly considering the British railway on a SWOT basis and the possible effects on the financials of the company if they offer reduced fares to the students it has been understood as discussed below. Firstly, the major strength of this action is that a higher number of people would travel in the trains. Since the student population is high, it will prove to be very beneficial for the company as it would be working on economies of scale. However considering the possible weaknesses it has been noted that the reduced prices for the students would means that much of the profits being reduced. Hence if the number of remain the same and the prices

Forensic Questioned Document Examinations Essay

Forensic Questioned Document Examinations - Essay Example Forensic question document examination is also used to analyze documents that are being disputed. For instance, if there is any question that a document is legitimate, then a question document examiner will analyze the document to determine its validity. This is especially necessary in cases where fraud may be present. In some instances, question document examiners are asked to be witnesses in cases (Koppenhaver, 2007; Southeastern Association of Forensic Document Examiners 2010). To have a clear analysis of forensic question document examination, it is fitting that we look at both the advantages and the disadvantages of this element of forensics. First, we will analyze the advantages of question document examination. One advantage to using question document examination is that this element of forensics can enable forensic personnel to extract a number of very elaborate and extremely valuable details that will aid in speedily solving crimes and determining whether or not a particular document is fraudulent or valid. . There are a number of different technologies that facilitate this. For instance, there are techniques to determine what types of inks are used to write documents, which not only works wonders in determining validity but can also point to a particular suspect. Techniques, such as â€Å"high performance liquid chromatography and infrared spectroscopy with principal components analysis and linear discriminate analysis† facilitate the forensic classification of inks from various ballpoint pins (Kher, 2006). . When one knows the type of ink that has been used to write documents, this will possibly narrow down suspects because efforts will then be focused on analyzing documents written in only that particular ink and looking with pens that contain that particular ink at the crime scene, which will bring forensic personnel one step closer to solving the case. Then, there are the numerous analysis techniques and various technologies that enable