Thursday, September 19, 2019

Money Growth Rule :: essays research papers

Money Growth Rule The Money Growth Rule is based upon a theory originally set forth by Milton Friedman as a solution to keep the United States economy on a controlled course of growth. The thoery revolves around the premise that the best monetary policy that the Federal Reserve can follow is to establish a constant growth rate of the money supply independent of current economic fluctuations. The reasoning is that as the economy experiences changes in relative output, the money supply can have dramatic effects upon the economy. Additionally, by establishing a money growth rule, Friedman believed that this would eliminate the possibility of short-run mismanagement and, in the end, be more beneficial for the economy. The problem with balancing an economy is that human judgment and evaluation of economic situations enter into the equation. Establishing a constant growth level in the money supply would eliminate the decision making process of the central banker. The problem with human intervention is the short-sided nature of many of the policies designed to aid the economy. Such interventions, which yields unintended negative consequences, is the result of the time inconsistency problem. This problem is understood through situations during which central bankers conduct monetary policy in a discretionary way and pursue expansionary policies that are attractive in the short-run, but lead to detrimental long-run outcomes. Friedman believes that by leaving money growth decisions to an individual, the results are poor long-run management and eventually high inflation rates, an obvious detriment to the economy. The idea of the money growth rule is contingent upon the relationship between the money supply and inflation. Therefore, the question arises whether there even is a relationship between money supply and inflation. As stated earlier, one can see a relation between money and inflation. Presented above is series data that displays this relationship between money supply and the inflation rate over the previous decades. The problem is that there are fluctuations within the data and therefore a broader definition of the money supply must be utilized. Based on the research of Dr. Terry J. Fitzgerald, an economist at the Cleveland Federal Reserve Bank, if one defines money supply as M2, when examining the data over a multiple year progression, a pattern begins to present itself. Further, by graphing the difference between adjusted money growth and inflation, the link becomes evident. These graphs show the weight that changes to the money supply can have upon an economy’s inflation rat e.

Wednesday, September 18, 2019

The Victims of Jack the Ripper Essay -- Research Papers Serial Killer

The Victims of Jack the Ripper Jack the Ripper is remembered as one of history’s most famous serial killers. His technique of getting his victims to lay down before he slashed their throats, then disemboweling them in a matter of a minute or two with as little blood flow as possible distinguishes him as one of the most methodical, ruthless killers to ever live. He even performed some of his gruesome murders right in the street and left his victims to be found minutes later by people or policemen passing by. This demonstrates what extremes he would actually go to fulfill his desire for killing. Through my report I will create a brief profile of Jack’s victims as well as explore the methodical and horrendous ways they were murdered. Mary Anne â€Å"Polly† Nichols Mary Anne Nichols was found dead on Aug. 31, 1888 between 3:30 and 4:00 A.M. by a porter on his way to work. At first, it appeared to the porter that the woman was just laying down in the street unconscious. Police officer John Neil was summoned to the scene minutes after the body was found. The light from his lamp revealed that the woman was in fact dead with a slashed throat. Dr. Rees Ralph Llewellyn was performing a surgery when he was called to make an official examination of the body. After the examination was complete he pronounced the woman dead by means of a slashed throat. He also took special note that the body was still warm, indicating that the victim had been dead perhaps only minutes before being discovered. The body was removed to the mortuary shed at the Old Montague Street Workhouse Infirmary to be autopsied. Only then was the unusually large puddle of blood that had collected beneath the body seen. Once at the mortuary, Dr. Llewellyn performed a full autopsy, which revealed more about the manner of the murder that was not acknowledged during the street examination. Not only was her throat slashed, but also her abdominal area and sexual organs had been brutally sliced and mutilated, which explained the large puddle of blood beneath the body. Furthermore, there were many bruises on the sides of her face, which indicated that she had been knocked unconscious before being mutilated. The murder was believed to have been committed with a stout-handled blade of six to eight inches long (Geary, p.7). Mary Anne Nichols was the first victim of Jack the Ripper who was deliberately ... ... handful of prostitutes. Another theory was that maybe he was taking revenge for a family member who was in a similar situation, or that he came from the same situation as some of the children of the prostitutes and was also left by his mother who ended up as a prostitute. Or maybe he just felt that he was merely cleansing society and doing it a favor by killing off a handful of people who he felt were scum who corrupted society. The ideal profile of Jack the Ripper was a single man, probably a doctor, who had bad experiences with prostitutes in the past, and had lived in London long enough to become familiar with its streets and alleys. He was obviously very daring and nerveless to commit such crimes in the streets, because he could have been caught at any time by anyone who happened to be passing by. Bibliography   Ã‚  Ã‚  Ã‚  Ã‚  Beg, Paul, Martin Fido and Keith Skinner. The Jack the Ripper A-Z. London: Headline Book Publishing, 1991.   Ã‚  Ã‚  Ã‚  Geary, Rick. Jack the Ripper A Journal of the White Chapel Murders. New York: Nantier Beall Minoustchine Publishing, Inc., 1995.   Ã‚  Ã‚  Ã‚  Sugden, Philip. The Complete History of Jack the Ripper. New York: Carroll & Graf Publishers, Inc., 1994.

Tuesday, September 17, 2019

Downs Syndrome (Mongolism) Essay -- Biology Health Science

Downs Syndrome (Mongolism) All children that are born with Downs Syndrome (previously called ‘mongolism’) have a common characteristic appearance and may also share similar congenital birth defects. Dr John Downs, of whom the condition is so named after, found that children who were born with these similar characteristics and that after testing were complete. It was found that there was a common chromosome abnormality, which is known as ‘Trisomy 21’ (Cunningham, 1996). Every pregnant woman is at risk of having a Downs Syndrome child. For example 1 in 1,000 women who are 28yrs will give birth to a child with this condition. However, the risk is much greater with a woman who is 38yrs, increasing the risk by approximately 1 in 200 births. Until recently, it was thought that a woman’s age was the only indicator to the risk involved. However, advances in medical practise can now carry out tests out by looking at a woman’s hormone and protein levels during pregnancy. Also with the information of the expectant mother’s age and the use of maternal screening, two thirds of Downs Syndrome infants can be identified whilst still in the womb. Research into the origins of Downs Syndrome has been carried out worldwide all with one common question in mind; is the condition genetic, thus making it hereditary? However, research that has been carried out has found, that children born with this condition have the same genetic makeup as a child born without the condition. However, there is one difference and that is a child born with Downs Syndrome, will have an extra chromosome. By having just one chromosome extra is enough to tip the finely tuned balance of the human body and will in turn produce physical and intellectual characteristics that are found in Downs Syndrome. It is commonly known that genes are passed from parent to child. And those most have two copies of every gene. In general one copy is passed on from both mother and father at the time of conception. The genes are made up of DNA (deoxyribonucleic acid). The arrangement of chemicals in the DNA strand is different for every gene (Cunningham, 1996). The genes are grouped together in long thin, thread like strands called chromosomes. Therefore, it is these chromosomes that carry the essential information, which will determine how we look, how healthy we are and whether there will be c... ...statements in to context, it is meant that essentially this is the ‘social model of disability’. In simple terms, this means that it is the environment (both physically and society’s attitudes), which are the problems and not the condition that leads to physical mental impairments. With this model, the emphasis is on overcoming the negative environments so that a person with different needs, qualities and attributes can feel included in that community. As the human race goes forward into the new millennium, is not time that we pick up those less able and carry them with us, instead of leaving them behind hoping the problem may go away ?†¦ BIBLIOGRAPHY Carr. J. (1995): Downs Syndrome: Children Growing Up. London: Cambridge University Press. Cassell. S. (1996): New Approaches To Downs Syndrome. London: Brian Stratford & Pat Gunn. Cunningham. C. (1996): Downs Syndrome: An Introduction For Parents. London: Souvenir Press. Rees. P. (1992): Heart Children. Surrey: Heart Line Association. Selikowitz. M. (1997): Downs Syndrome: The Facts. London: Oxford University Press. http://www.ds-health.com/trisomy.htm http://www.nas.com/downsyn/benke.html

Monday, September 16, 2019

Promoting Indigenous Family Health Essay

It is a known fact that Aboriginal and Torres Straight Islander populations don’t live as long as their western counterparts as shown by AMA Health Report Card (2011). ‘Closing the Gap’ (Calma 2008) is a campaign aimed at a national attempt to support and bring equity in health to our Aboriginal and Torres Straight Islander communities. In order to be successful in this we must identify the key issues causing this inequity and through public awareness and government campaigns such as ‘closing the gap’, we become closer to our goal of Aboriginal and Torres Straight Islanders reaching a full and greater life expectancy. Health reform initiatives are used to promote health care within their communities and encourage Aboriginal and Torres Straight Islanders to be educated about their own health. As a nurse, in order to assist in this process, an understanding of family centred health care and the Aboriginal and Torres Straight Islander concept of family must be utilized. With these two nursing skills, the local health initiatives and government campaign’s, we are providing the best opportunity and support for Aboriginal and Torres Straight Islander communities to take control of their health and ultimately ‘close the gap’. Key issues contributing to the ‘gap’ in health and life expectancy, as identified by AMA (2011), include; low income, limited education, low levels of employment, poor housing, affordability of health care, geographical access to health care and the acceptability of the health care practice to Aboriginal and Torres Straight Islander communities. Illawarra Aboriginal Medical Service (2013) is a local health reform initiative for Aboriginals and Torres straight Islanders that provides a culturally secure environment where they can access health care due to it’s geographical location, affordability and mostly acceptability. Illawarra Aboriginal Medical Service (IAMS 2013) has two centers within the Illawarra making it geographically accessible. The center is entirely aimed towards the better health of Aboriginals and Torres Straight Islanders, ensuring all health care is affordable and providing as much assistance and support where it may be needed to help these communities improve their health. The main key issue identified by AMA (2011) that is addressed within the IAMS (2013), is the acceptability. The two medical centers are entirely based on the care given to the Aboriginal and Torres Straight Islander communities, making them specialized and aware of cultural beliefs, customs and the correct communication techniques. The Illawarra Aboriginal Medical Services also employ Aboriginal and Torres Straight Islander members of the community as their staff providing a culturally secure environment and a greater concept of family centred care and the Aboriginal and Torres Straight Islander concept of family within their approach. The AMA (2011) states that Indigenous health workers are significant in facilitating the journey of Aboriginal and Torres Straight Islanders to better health. This also provides opportunities to the Indigenous communities to gain employment, contributing to the resolution for issues of low income and low levels of employment, as identified in the AMA Report Card (2011). Centers such as these provide Aboriginal and Torres Straight Islander families a culturally secure, accessible and affordable method to be treated for their health issues in a more comfortable surrounding. On a larger scale the Department of Health and Ageing run by the Australian Government have many programs and health reform initiates in place to assist in ‘closing the gap’ as identified by Calma (2008). Element three of the Indigenous Early Childhood Development National Partnership Annual Report (2011) have a goal of increasing the provision of maternal and child health services of Indigenous children and their mothers. To achieve this, the Child and Maternal Health Services component of their program includes $90. 3million to be used for New Directions Mothers and Babies Services (Department of Health and Ageing 2011). This initiative increases access for Indigenous mothers and their children to; antenatal and postnatal care, education and assistance with breastfeeding, nutrition and parenting, monitoring of immunization status and infections, health checks and referrals for Indigenous children before starting school and monitoring developmental milestones. This initiative provides Indigenous communities with access to health care that promotes better health in the new generation of Aboriginal and Torres Straight Islander Australians, designed to assist with ‘closing the gap’ by raising a new generation with fewer health issues. With this, we are able to address key issues identified by AMA (2011). The main key issue addressed by this initiative is access. Consultations are held with Aboriginal Health Forums to assist in the identification of priority areas for child and maternal health services. In their annual report, the Department of health and Ageing (2011) state that this ensures that access is given those most in need considering, geographic location, affordability and acceptance. The second key issue identified in the AMA Aboriginal and Torres Straight Islander Health Report Card (2011) addressed by this initiative is education. The funding provided builds a solid base for providing much needed education to mothers about their babies and already existing children. In order for a program such as this to be successful, health professionals allocated to educating Aboriginals and Torres Straight islanders must be equipped and prepared to deal with the problems faced by cultural barriers as well as being experienced in a family centred care approach (Taylor & Guerin 2010). Family centred nursing care is an important factor in the health outcome of any given patient (Bamm & Rosenbaum 2008). They also claim that there is no exact definition of family, instead, the meaning of family and their level of involvement in care provided, is determined by the patient themselves. The core concepts of successful family centred care are; respect and dignity, information sharing, participation, and collaboration (IFPCC 2013). These principles are the main constituents of effective family centred health care, and ultimately better health outcomes for the patient themselves (Mitchell, Chaboyer & Foster 2007). These concepts can be utilized, with a correct nursing approach, regardless of age, gender or cultural differences. To provide the best family centred care to Indigenous Australians, nurses must utilize the main concepts above, but also have an understanding of the Indigenous concept of family. The Aboriginal and Torres Straight Islander population have strong family values, however, it differs from the usual nuclear concept of family in common ‘western’ society. Their family has an extended structure, and in order to provide adequate family centred care, this concept must be understood by health professionals on all levels, including nurses (NSW Department of Community Services 2009). This concept of extended family and their Indigenous ‘community’ as their family means that children are not only the concern of their biological parents, but the entire community. Care of the children in indigenous communities is the responsibility of everyone. Family members can be blood-related, through marriage or through their community, such as elders. It is normal for a combination of mothers, fathers, uncles, aunties, cousins, brothers, sisters or elders to be involved into the care of the individual and these figures must be treated as their direct family even if not directly blood-related (NSW Department of Community Servies 2009). In order to provide family centred care, to not only Indigenous but also all patients, a therapeutic relationship and foundation of trust should be developed (Baas 2012). The principles of family centred care should also be incorporated, especially respect of the Indigenous culture and maintaining their dignity. Respect and dignity, combined with trust and a therapeutic relationship within the Indigenous community, information sharing, participation and collaboration should follow once enough trust has been developed. To gain the trust of Aboriginal and Torres Straight Islander patient’s and their family, firstly an understanding of their culture should be pertained. When needed, to be aware of such customs as ‘Men’s and Women’s business’, and to respect these practices within your care (Tantiprasut and Crawford 2003). This shows the patient and their family members, you respect them and their culture. Introducing yourself in a friendly and polite manner, including all family members present and always respecting cultural values is key to receiving respect back and developing trust. Acknowledge and actively listen to the needs of the Indigenous people and also their community in a culturally appropriate manner. As described in the practice resource for working with Indigenous communities published by DOCS (2009) showing respect for their elders and community leaders and involving them in important decision making processes will also show that you respect them, their culture and that they can trust you and eventually your advice regarding health issues. In order to successfully be accepted by the community, communication techniques need to be specialized to avoid offending any members of the family or misinterpreting their language. Gaining a basic knowledge of their community will assist in understanding the dominant family groups, language groups and preferred names. This ensures you don’t step out of your boundaries and remain respectful in your approach to their care. Including or consulting with Aboriginal health care workers regarding communication and Aboriginal-English would be beneficial to adequately understand their method of communication. Understanding non-verbal methods of communication and being aware of your own non-verbal communication is highly appropriate when consulting with Indigenous communities. Always speaking with respect, clearly, and avoiding jargon will deliver the best results when building a relationship within the tribes (NSW Department of Community Services 2009). Remaining open minded when consulting with Aboriginal and Torres Straight Islander communities in aspects of communication and family relations will avoid incorrect assumptions. It is also high important to play an active role within the community and their events. According to NSW Department of Community Services (2009) within Indigenous communities’ word of mouth is a powerful tool, once an outsider is known as someone who listens actively and can be trusted, the community will be eager to work collaboratively and participate in your health approach (NSW Department of Community Services 2009). When the principles of family centred care; trust, dignity, collaboration and participation, have all been achieved and a therapeutic relationship within the community has developed, the community will listen to your health advice. When introducing a health concept to the Aboriginal and Torres Straight Islander families it is important to engage them actively into your care (NSW Department of Community Services 2008). Using appropriate communication techniques to explain health issues and the reasons they need to be addressed provides them with education and knowledge regarding why interventions need to be implemented. Allowing them to discuss their options and decide as a community is also important, forcing them to uptake medical help could be seen as disrespectful. Allowing time to answer all questions and concerns from various members of the family in a manner they can understand identifies that you are actively listening and honestly concerned for their health. Demaio and Dysdale 2012 show that continuity of involvement in their community, and providing a continuous support network will only further build their trust in your advice. The ‘gap’ in health and life expectancy between Indigenous Australians and ‘westernised’ Australians is a concerning issue within the country (Calma 2008). Health reform initiatives are funded by the government and local organisations to provide accessible, affordable and culturally safe health care to our Aboriginal and Torres Straight Islander communities. These initiatives are designed to address the key issues identified in the AMA Report Card (2011) regarding barriers to health care. Approaching Aboriginal and Torres Straight Islander family communities utilizing the family health care principles and with a knowledge of their concept of community family and understanding of their culture increases positive outcomes in their health education and furthermore assisting to ‘close the gap’. References Aboriginal and Torres Straight Islander Corporation 2013, ‘Ilawarra Aboriginal Medical Service’, viewed 27 April 2013 www. illawarraams. com. au Australian Medical Association 2011, Best practice in primary health care for Aboriginal and Torres Straight Islanders, viewed 28 April 2013 http://ama. com. au/aboriginal-reportcard2010-11 Baas, L 2012, ‘Patient and family centred care’, Heart and Lung, vol. 41, no. 6, pp. 534-535. Bamm, E, Rosenbaum, P 2008, ‘Family centred theory: origins, development, barriers and supports to implementation in rehabilitation medicine’, Archives of physical medicine and rehabilitation, vol. 89, no. 8, pp. 1618-1624. Calma, T, 2008, ‘Closing the Gap: Campaign for Aboriginal and Torres Straight Islander health inequality by 2030’, Australian Government, Canberra. Demaio, A, Drysdale, M 2012, ‘Appropriate health promotion for Australian Aboriginal and torres straight islander communities: crucial for closing the gap’, Global Health Promotion, vol. 19, no. 2, pp. 58-62. Department of Health and Ageing 2011, Indigenous Early Childhood Development National Partnership Annual Report, viewed 28 April 2013 http://www. health. gov. au/internet/main/publishing. nsf/Content/1D00A20690DD46EFCA2579860081EEE4/$File/NewDirectionsMothersandBabiesServices-AnnualReport2010-11. pdf IPFCC 2013, Institute for patient and family centred care, viewed 28 April 2013 www. ipfcc. org. au Mitchell, M, Chaboyer, W, Foster, M 2007, ‘Positive effects of a nursing intervention on family-centred care in adult critical care’, American Journal of Critical Nursing, vol. 18, no. 6, pp. 543-552. NSW Deparment of Community Services 2008, Brighter futures: engaging with aboriginal children and families, viewed 28 April 2013 http://www. community. nsw. gov. au/docswr/_assets/main/documents/brighterfutures_enagaging_aboriginal. pdf NSW Department of Community Services 2009, Working with aboriginal communities – a practice resource, viewed 28 April 2013 http://www. community. nsw. gov. au/docswr/_assets/main/documents/working_with_aboriginal. pdf Tantiprasut, L, Crawford, J 2003, ‘Australian Aboriginal Culture’, R. I. C Publications, Sydney. Taylor, K, Guerin, P 2010, Health care and Indigenous Australians: cultural safety in practice, Palgrave Macmillan, South Yarra.

Forces of Nature Mic Heal Porter

In dealing with strategic planning, I think that this would deal with the way an organization try’s to incorporate strategy in their decision making process. The correct strategy will allow the organization to plan a set of goals and also be able to achieve these goals. Strategic planning is how the organization tries to evolve their current status into where they feel they should be in the future. In routine planning this is the type of planning that is by the book. Routine meaning by the book and following all the procedures with no actual goals and no mention of the future. The differences between the two planning systems is that one only follows the rules and the other thinks outside the box by thinking about the future of the organization. An example of strategic planning, is when an organization starts with having a mission by coming up with the organizations strengths and weaknesses. The plan has to have an outcome that leads the organization into the future (my strategic plan. com). An example of a routine plan would be a book list of instructions and it is mapped out and the first thing they will do is try to find certain goals to move the company forward to the next level but is not worried about the future of the organization. When an organization does not use strategic planning than the organization will not be able to control their futures and be stuck following a routine approach. If an organization does not have a strategic plan they will only be able to address the immediate problems and this is a form of crisis management. When an organization has a strategic plan, the organization becomes more proactive in achieving their goals instead of reactive. When an organization is reactive they are following the set of guidelines of a routine. When an organization has a strategic plan but it is poor it is really like not having one at all. The organization that has a poor strategic planning system is not on a good track and when the plan was implemented it was done incorrectly. When the people of the organization implemented the plan not everyone bought into this plan this is one of the reasons why it is broken and it is poor. The only way to un-break or fix what is broken is to re-implement the plan to make sure that every person in the organization will buy into for the sake of the organizations future (Iowa State University, 1995-2013). The organization that does not have a strategic plan will not be able to make a future for their organization. When an organization thinks outside the box they usual are the organization will flourish in the long-run. The only problem with having a failing strategic plan is the fact that it could have been a good plan if all the members of the organization bought into it. Fixing a strategic plan is sometimes more difficult than actually rolling one out to your organization. References My Strategic Plan (2103). Researched the difference between routine planning and strategic plan. Found an article on what is the difference between a strategic plan and a business plan. Retrieved from website http://mystrategicplan.com/resources/what-is-the-difference-between-a-business-plan-and-a-strategic-plan/ Iowa State University (1995-2013). Researched what happens when an organization has a poor strategic plan. Retrieved from website http://smallbusiness.chron.com/difference-between-strategic-planning-shortterm-operational-planning-24227.html

Sunday, September 15, 2019

A Thousand Splendid Suns Reivew Essay

Macbeth is a Shakespearean Tragedy Macbeth is considered to be one of the greatest Shakespearean tragedies written by William Shakespeare. According to A.C. Bradley, it is the â€Å"most vehement, the most concentrated, perhaps we may say the most tremendous, of the tragedies† (Bradley 333). Macbeth, written by Shakespeare is a Shakespearean tragedy because it has a tragic hero, mathemata, and a hamartia. These three characteristics are crucial to have in a Shakespearean tragedy and prove that Macbeth is indeed one. More specifically, the tragic hero is one of the most important of the three because without the hero, sympathy cannot be evoked. Macbeth is a tragedy because it contains a tragic hero. In a Shakespearean tragedy, it is imperative that the tragic hero is of high estate, affects the whole nation and evokes pity and fear from the audience. The tragic hero in Macbeth is Macbeth himself. At the beginning of the play, Macbeth is introduced as the Thane of Glamis and â€Å"a general of extraordinary prowess† (Bradley 44) in Duncan’s army. When a battle takes place, Macbeth bravely defends Scotland in the battle and is victorious. When he returns home, King Duncan praises him: O worthiest cousin! †¦.Thou art so far before†¦. Only I have left to say, More is thy due than more than all can pay. (Shakespeare 1.4.17-24) Duncan states that Macbeth is his worthiest kinsmen and has done so much for him that he owes Macbeth more than he can ever repay. The audience can identify that Macbeth is a significant character of high estate because he is already Thane of Glamis, and is well respected by the king of Scotland. Macbeth’s high social standing evokes pity and fear from the audience because his sins and downfall are emphasized. The audience suspects him to be virtuous, therefore arousing fear when he commits sins. Also, he has a lot more to lose than a regular citizen; Macbeth eventually loses his mind, wife, house, reputation, and kingship. Since Macbeth is a character of high estate and evokes pity and fear for the audience, he is the tragic hero in Macbeth. Macbeth is also a tragic hero because he is a character of high estate in two additional ways. After the victorious battle, Macbeth is greeted by two noblemen of Scotland sent by the king: â€Å"He bade me, from him, call thee Thane of Cawdor. /In which addition, hail, most worthy Thane, /for it is thine† (Shakespeare 1.3.111-113).When the Macdonwald, the Thane of Cawdor, commits treason, he is executed and a new Thane is chosen. After hearing about Macbeth’s success in the battle, King Duncan appoints Macbeth as the new Thane of Cawdor. As a result of Macbeth’s nobility, loyalty and bravery, he earns his title as Thane of Cawdor thus proving he is of high estate. When King Duncan dies, Macbeth is chosen to be King of Scotland. Usually, when a king dies, their heir becomes king. However, since both of Duncan’s sons fled the country for their own safety, Macbeth is chosen to be King. This shows the audience that Macbeth is well respected by the citizens of Scotland because he appears to be the best king, second to Duncan’s sons. As the new King of Scotland, Macbeth’s fate evidently has an affect on the welfare of the whole nation. In conclusion, Macbeth is a tragic hero because he is of high estate in several ways, evokes pity and fear from the audience and affects the welfare of the whole nation. When the nation is negatively affected, order must be restored. This is done through the resolution of the plot, also known as mathemata. Mathemata is an extremely important characteristic of a Shakespearean tragedy because it re-establishes the moral order of the world in the play. In Shakespeare’s play, order is restored when Macbeth is killed: â€Å"Behold where stands/The usurper’s [Macbeth’s] cursed head. The time is free† (Shakespeare 5.8.55-56).Macbeth is considered as the evil defilement and ‘sickness’ of Scotland because he perpetrates a series of murders, and more significantly violates the natural order of the universe at the highest level by killing Duncan. Since Macbeth causes the entire situation â€Å"he must end in destruction and despair† (Ribner 57). At the end of the play when Macbeth ends in ‘destruction and despair’, Scotland is finally â€Å"cured† and order is restored. The natural order of the universe is also re-established because Malcolm replaces Macbeth’s position as King. Scotland is no longer ruled by  Macbeth’s tyranny; instead it is ruled by Malcolm, an extremely honourable man: Nay, had I power, I should Pour the sweet milk of concord into hell, Uproar the universal peace, confound All unity on earth. (Shakespeare 4.3.109-112) Although Malcolm may not appear to be virtuous in this scene, he is very much so. At the beginning of the play, Duncan does not test the loyalty of Macdonwald and Macbeth. As a result, Duncan is betrayed by these two men who appeared to be honourable. Malcolm learns from his father’s mistakes and tests MacDuff’s patriotism. Malcolm states he does not contain any qualities of a virtuous king and that he would destroy all peace on earth. When MacDuff has a passionate outburst, Malcolm reveals the truth that he is in fact an honourable man because he is able to identify that MacDuff is a â€Å"child of integrity† (Shakespeare 4.3.129). This proves that Malcolm is in fact a virtuous king because he is not easily fooled like Duncan. Instead, Malcolm is a cautious and knowledgeable man who is likely to be a successful king. With a new honourable and sincerely virtuous king, and the death of Macbeth, the order of the universe is finally restored and the play is resolved. Not only is the death of Macbeth recognized as the resolution of the plot, however, it is also recognized as his tragic end which is caused by a hamartia. For a play to be a Shakespearean tragedy, it must have a hamartia. A hamartia, also known as a tragic flaw, is a good quality in the protagonist which eventually goes somewhat awry and causes their disastrous demise. Macbeth’s tragic flaw is his ambition. Macbeth’s ambition can be recognized as a desirable quality because it causes him to be a great warrior. However, when Macbeth is told by the witches that he will become future king, he has thoughts of killing Duncan. Already, Macbeth’s ambition goes somewhat awry. At first, Macbeth states that he does not want to kill Duncan because â€Å"this Duncan/Hath borne his faculties so meek, hath been/So clear in his great office, that his virtues/Will plead like angels†¦.† (Shakespeare 1.7.16-18) and admits that I [Macbeth] have no spur To prick the sides of my intent, but only Vaulting ambition, which overleaps itself And falls on the other. (Shakespeare 1.7.25-28) Macbeth realizes the only reason he has for murdering Duncan is his ‘vaulting ambition’ which does not rationalize the act of killing a virtuous king. Although Macbeth is aware that his vaulting ambition will only lead him to disaster, he still commits the crime. At this point, the audience is fully aware that Macbeth’s ambition is no longer a desirable trait because his ambition, â€Å"which is also his greatness, is fatal to him† (Bradley 9). His ambition allows him to â€Å"hide what the false heart doth know† (Shakespeare 1.7.92) and overcome the thought of killing a virtuous king. Although some scholars may say the witches and Lady Macbeth cause Macbeth’s downfall, he commits and instigates all of the murders himself; it is his own actions that lead him to his tragic end. If Macbeth was not so ambitious for status and did not allow his flawed trait to overpower his morality, he would realize it is irrational to kill the king. Without doubt Macbeth’s ambition acquires him kingship, however, it leads him to death of several innocent people and is the major cause of his downfall. Macbeth’s hamartia is also evident later on the play when he kills Banquo and attempts to kill Banquo’s son. After the witches predict that Banquo’s sons will become kings, Macbeth feels threatened as the new king of Scotland: â€Å"To be thus is nothing, but to be safely thus† (Shakespeare 3.1.54). Macbeth determines that the only way to be ‘safely thus’ is to kill Banquo and his son Fleance. Macbeth’s great ambition for power causes him to have a greed for power and stop at nothing to secure his position as king; even if it means he must kill his best friend and challenge fate: â€Å"Rather than so, come, Fate, into the list,/And champion me to the utterance!† (Shakespeare 3.1.77-78). Macbeth’s ambition causes him to believe he can defeat the prophecy of the witches. Macbeth believes that if he kills Banquo and Banquo’s sons, his position as king will be protected. However, by murdering more people, Macbeth’s life, conscience, and kingship is jeopardized instead. Eventually, Macbeth faces the consequences of his own  actions as a result of his ‘great’ ambition and is killed. If Macbeth was not so ambitious, he would realize it is impossible to defeat fate, ultimately preventing his tragic end. Although Macbeth’s ambition begins as a virtue, it goes wrong and eventually leads to his tragic end. All of Macbeth’s actions have led himself to his death and aroused several emotions within the audience; thus proving Macbeth has a hamartia and ultimately is a Shakespearean tragedy. Macbeth is said to be one of the last tragedies Shakespeare ever wrote. None the less, it â€Å"has increasingly impressed twentieth century critics† (Hawkes 50). Macbeth has a tragic hero of high estate and a hamartia that leads to the hero’s tragic end. Last but not least, when order is restored, there is mathemata. With the three most imperative characteristics of a tragedy, Macbeth fulfills the title as the â€Å"most vehement, the most concentrated, perhaps we may say the most tremendous, of the tragedies† (Bradley 333) and proves it is indeed a true Shakespearean tragedy. Works Cited Arif, G. M. Javed. â€Å"Macbeth’s Identity Crisis: Shakespeare as the Saviour.† Academia.edu. N.p., Dec. 2000. Web. 15 Dec. 2011. Bloom, Harold, ed. Major Literary Characters: Macbeth. New York: Chelsea House, 1991. Print. Bradley, A. C. Shakespearean Tragedy: Lectures on Hamlet, Othello, King Lear, Macbeth. 2nd ed. London: Macmillan, 1905. Johnson, Vernon E., ed. Power in William Shakespeare’s Macbeth. Detroit: Greenhaven Press, 2009. Print. Shakespeare, William. The Global Shakespeare Series: The Tragedy of Macbeth with Related Readings. Eds. Dom Saliani, Chris Ferguson, and Dr. Tim Scott. Albany, N.Y.: International Thomson Pub Nelson Canada, 1997. Print.

Saturday, September 14, 2019

Health Care Workers Needlestick Injuries Health And Social Care Essay

A needlestick hurt is a transdermal piercing lesion typically set by a hollow-borne acerate leaf or crisp instrument, including, but non limited to, acerate leafs, lancets, scalpels, and contaminated broken glass. This type of hurt can happen at the clip people use, disassemble, or dispose of acerate leafs. In the health care work topographic point, needlestick hurt has become a major concern to wellness attention workers in the decennaries. The Centers for Disease Control estimates that, in the United States, about 600,000 to one million needlestick hurts occur each twelvemonth. Unfortunately, about half of these needlestick hurts go unreported ( CDC, 2007 ) . In Canada, hurts from needlesticks and other sharps remain a major concern in the healthcare field with the figure around 70,000 per twelvemonth, or norm of 192 per twenty-four hours. [ 2 ] Health attention worker exposures to bloodborne pathogens as a consequence of hurts caused by acerate leafs and other crisp devices are a important societal concern these yearss. The bloodborne pathogens related to needlestick hurt are more than 30 species including human immunodeficiency virus ( HIV ) , hepatitis B virus ( HBV ) , and hepatitis C virus ( HCV ) and others. Needlestick hurts expose workers to bloodborne pathogens that can do infection such as AIDS, hepatitis B, hepatitis C and so on. The first instance of occupationally acquired human immunodeficiency virus ( HIV ) infection was reported in 1984 and highlighted the hazard of occupational exposure to HIV and hepatitis. [ 3 ] Center for Disease Control and Prevention reported that over 1400 wellness attention worker infection to Hepatitis B occurred due to needlestick hurts In 1993. [ 4 ] To minimise the hazard of occupational exposure to the bloodborne pathogens through transdermal hurts, the US federal statute law has been acted with the beginning of OSHA Bloodboren Pathogens criterion in 1991 [ 5 ] and culminating in the Needlestick Safety and Prevention Act of 2000 [ 6 ] . From the ordinance, the cardinal constituent is the usage of safety-engineered devices, which are medical sharps that have been designed to include safety characteristics or mechanisms, including design characteristics to extinguish the crisp wholly, to extinguish or minimise the hazard of hurt to the user or others. [ 7 ] Pugliese found that about 80 % of sharps hurts are preventable through either a procedural alteration or the debut of a safety device. [ 8 ] During the past decennary, the Occupational Safety and Health Administration ( OSHA ) of the U.S. Department of Labor has led authorities attempts to diminish the hazard of exposure through needlestick hurts. [ 3 ] The US Occupational Safety and Health Agency monitors the usage of acerate leafs and sharps and mandates the usage and rating of inactive safety systems for sharps without respect to cost. Contrary to the United States, Canada'sA occupational safety and wellness plans are organized and administered at the provincial degree. In Alberta, the authorities had passed ordinances to include demands for the usage of safety-engineered devices to cut down sharps hurts and exposure to blood and organic structure fluids in November 2003 which set criterions for protecting the wellness and safety of workers. ( OHS Code )C. Study Design and MethodsDatabase from infirmaries ( see Appendix A ) comparison before and after the SEN, underreport [ 9 ] and interview with RN E. Study Population – ( Gender and Minority Inclusions ) : 1. Describe the features of the capable population, include the awaited figure of normal voluntaries, age scopes, sex, cultural background, and wellness position. Identify the standards for inclusion or exclusion ( particularly adult females and/or minorities ) . Explain the principle for the usage of particular categories of topics, such as foetuss, pregnant adult females, or others who are likely to be vulnerable, particularly those whose ability to give voluntary informed consent may be questionable.F. Plan of Statistical Analysis1. Analysiss will be performed utilizing Microsoft Access, Excel and State 10 package. 2. Describe plans for enlisting of topics and the consent processs to be followed ; including the fortunes under which consent will be sought and obtained, who will seek it, who will give degree CelsiusG. Ethical IssuesAll research will be conducted following verbal and written consent of the participants. Approval will be obtained by the University of Alberta research moralss board ( REB ) prior to the beginning of the survey.H. Timetable:Completion of proposal for research February 31, 2010 Completion of questionnaire April 31, 2010 Edmonton Part July-August, 2010 Data Import and Analysis Septemper 31, 2010 Writing Up November 31, 2010I. References & A ; Literature CitedAppendix A: Edmonton infirmaries information University of Alberta Hospital 8440 – 112 Street, Edmonton Ph 780-407-8822 Medical Education Office 1F1.08 WMC Ph 407-7455 Royal Alexandra Hospital 10240 – Kingsway Avenue, Edmonton Ph 780-735-4111 Medical Education Office Room 1108H Ph 735-5239 Alberta Hospital Edmonton 17480 Fort Road, Edmonton Ph 780-472-5555 Cross Cancer Institute 11560 University Avenue, Edmonton Ph 780-432-8771 Edmonton General Continuing Care 11111 – Jasper Avenue, Edmonton Ph 780-482-8111 Glenrose Rehabilitation Hospital 10230 – 111 Avenue, Edmonton Ph 780-735-7999 Grey Nuns Community Hospital and Health Centre 1100 Youville Drive W, Edmonton Ph 780-735-7000 Medical Education Office Room 1712 Ph 780-735-7434 Misericordia Community Hospital and Health Centre 16940 – 87 Avenue, Edmonton Ph 780-735-5611 Medical Education Office Room 1N98 Ph 780-735-2991 Northeast Community Health Centre 14007 – 50 Street, Edmonton Ph 780-472-5000 Queen Elizabeth II Hospital 10409 – 98 Street, Grande Prairie Ph 780-538-7100 Red Deer Regional Hospital Centre 3942 – 50 A Avenue, Red Deer Ph 403-343-4422 Stollery Children ‘s Hospital Administrative Offices 4H2.36 WMC 8440 – 112 Street, Edmonton Ph 780-407-8655 Sturgeon Community Hospital and Heath Centre 201 Boudreau Road, St Albert Ph 780-418-8200OCCUPATIONAL HEALTH, SAFETY & A ; WELLNESS ( OHS & A ; W )Report all blood/body fluid and needle stick exposures to: RAH/UAH/SCH/GRH/LCH/FSHC/RHC/WHC/DGH – Alberta Health Services LINK at 780-401-2669. MIS/Caritas – 780-735-2806 GNH/Caritas – 780-735-7310