Saturday, August 31, 2019

Byzantine Thessaloniki

Cassander, the son of General Antipater, ruled Macedonia from 316 to 297 B. C. He founded the third capital of the Macedonian kingdom in the year 315 BC and named it Thessaloniki, after his wife. Thessaloniki was also Alexander III’s half-sister. Formed at the crucial region in the road network, Thessaloniki became the seat of Macedonia’s financial and administrative control. Thessaloniki played a historically important role during the Byzantine period (Ekdotike Athenon). It had had such fortified walls that it resisted several invasion attempts, although it had fell about four times in over thousand years.Thessaloniki was also the place where the Pythian Games were held once in every four years. An artificial harbor was also formed under Constantine the great. There is evidence that the region was inhabited even during the Neolithic period. There are several archeological sites and monuments at Thessaloniki which today highlight its glorious past. The archeological sit es include the Palace of Galerius built in 300 A. D, the Roman Baths and the Roman market and theater, while the monuments include the Galerian Arch built before 305 A. D, and the Church of Ossios David constructed during the late 5th century (Barrett M).Christianity was introduced by Apostle Paul in 50 A. D. Jews are presumed to have first settled in Thessaloniki around 140 B. C, from Alexandria, Egypt. The Jews were given considerable autonomy during the Roman period, which were later curtailed under Byzantium, with Christianity becoming the state religion. Although successive Byzantine emperors introduced restrictions on Jews, they were allowed to live by the traditions and dictates of their religion, thus developing and contributing to their heritage. When Ottoman Turks conquered Byzantine Thessalonki, the Muslims grew in prominence (Hagouel).One of the most notable features of Thessaloniki is its religious harmony with Christians, Jews and Muslims living together under Ottomans . When Sultan Murat II brought in administrative reforms for the city, he offered tax exemptions and religious autonomy to both the Christians and the Muslims. There are very few cities in the world which can claim to have been a continued metropolitan existence for such a lengthy period as the Thessaloniki. Thessaloniki was the second most important city of the Byzantine and the Ottoman empire, after Constatinople.It should be noted here that each era witnessed by Thessaloniki is today represented today by its monuments (Brown). The city remained the center of political, economic and artistic activity, retaining its urban characteristics. By the early Middle Byzantine era, the city already had a thousand year history. In the Middle Byzantine period, trade improved as demand for products from Thessaloniki increased. The traditionally exported items were wool, silk and linen. Other exported items from Thessaloniki included luxury goods bearing metal and glass work, wine, fish and fru its.The sophistication of the Byzantine Thessaloniki architecture is evident from the natural lighting planed at Rotunda at Thessaloniki. The geometric patterns associated with the monument are replicated on the mosaics. The sills of the large windows and the gold tesserae also contribute to the illumination of the mosaics. The mosaic surface is aptly inclined to correspond to the angle of light entering through the large arch shaped windows (Iliadis). The surface inclination of the mosaic also suits the light penetrating through the lunettes, arranged at dome base. Annotated bibliographyThe article by Ekdotike Athenon throws light on the founding of Thessaloniki by Cassander who named it after his wife. During the Byzantine, it was almost an invincible place. The article by Barrett emphasis its glorious past in the field of architecture. It also gives an idea of the introduction of Christianity. The article by Hagouel shows the attitude of Byzantine emperors towards Jews. While mak ing Christianity the state religion, they set restrictions on the Jews. Brown mentions Thessaloniki as one of the few cities in the world with a history of a successful trade.Iliadis looks into the sophistication of lighting at Rotunda at Thessaloniki, where the mosaic is illuminated by natural building. REFERENCES Hagouel P. I. , History of the Jews Thessaloniki and the holocaust. West Chester University of Pennsylvania (2006) [Electronic Version] Downloaded on 3rd July, 2008 from http://www. wcupa. edu/_academics/holocaust/Salonika. pdf Ekdotike Athenon S. A. , Byzantine Thessalonike [Electronic Version] Downloaded on 3rd July, 2008 from http://www. macedonian-heritage. gr/HellenicMacedonia/en/C2. 3. html Barrett M., What to see in Thessaloniki [Electronic Version] Downloaded on 3rd July, 2008 from http://www. greecetravel. com/thessaloniki/museums. html Brown. A. R. , Middle Byzantine Thessaloniki (1999) [Electronic Version] Downloaded on 3rd July, 2008 from http://socs. berkeley . edu/~arbrown/text. html Iliadis I. G. , The natural lighting of the mosaics in the Rotunda at Thessaloniki (2001) Lighting Research and Technology, Vol. 33, No. 1 [Electronic Version] Downloaded on 3rd July, 2008 from http://lrt. sagepub. com/cgi/content/abstract/33/1/13

Friday, August 30, 2019

Change in Indian Family

Change in the Family structure and Familial relation in India. Introduction Family structure is the way that a household or a family is set up. It is different for every family as families may have single parents, may have both parents or may have step parents involved. The family is a basic unit of society. The study of the change in the family structure in India is quite complex. With the increase in the urbanization and industrialization, the concept of the family in India, which once created and maintained a common culture among the members of the family, is undergoing change.The family life or the family structure has remained the integral part of the Indian Society with the spirit of family solidarity. For generations, India has had a prevailing tradition of the joint family system. Usually the oldest male member of the family is the head of the joint Indian Family system. He is the one who makes all the important decisions of the family. After the urbanization and the economic development of the country, India has witnessed a break up of traditional joint family into more nuclear like family.Cohen, Yebudi A, in his book â€Å"Shrinking Households†, he said that households have reputedly been shrinking in size for ten thousand years or more , right up to the present , and this is a result of an evolving technology that requires fewer co-operating people to secure food, rear children and look after them. The Objective of Study The specific objective of this study is to understand the change in family structure in India and its familial relationship.

Thursday, August 29, 2019

Security System in Reference to Immigration Essay

Security System in Reference to Immigration - Essay Example the INS for a Green Card or any other adjustment of status). Yet, after considerable review of the existing literature, consultation with scholars, policy makers, and security experts alike this author has come to the conclusion that because virtually every sort of immigration, i.e., refugee and sanctuary policy, the issuance of non-immigrant visas, and other temporary-stay provisions can potentially be exploited by terrorists, immigration policy in general should be framed in terms of security. Therefore, focusing on just one category such as student visas, or even temporary visas in general would be shortsighted. Rather, in light of September 11th all aspects of the immigration system, including the way visas are processed in overseas consulates, the handling of foreign citizens at ports of entry, policing the nation's borders, and enforcement of immigration laws within the European Union and the United States need to be transformed and strengthened in order to reduce the terrorist threat. No doubt, this presents a formidable challenge to the men and women who supply on the front-line such as border police, asylum and visa officers, immigration judges and national militaries. All these actors are forced to leave administrative decisions with limited information and often must be made in moments of crisis, involving highly charged national debates. This paper examines the contemporary (and newly emerging) challenge facing the member states of the European Union and the United States in protecting their borders against international terrorism while at the similar time acknowledging the veracity of large-scale immigration to these societies and protecting the rights of non-citizens. Close administrative cooperation at an... Atlanta, GA. When James Hollifield delivered this paper at the 1989 Annual Meeting of the American Political Science Association barely three months before the descend of the Berlin Wall he seemed to foretell the crisis situation which the member states of the European Union (at that time the European Community) and the United States would visage when coming to terms with the unprecedented international migration flows they experienced in the early 1990s. With the collapse of communism in Europe and the subsequent rise of irredentist and nationalist tendencies on a global scale, both Western Europe and the United States were faced with the challenge of sustained wide-scale migration flows into their territory throughout the early half of the decade. Accompanying these flows were highly charged national debates surrounding colonization which as Hollifield noted laid 7 bare and revealed "in pristine form the innermost workings of the political system and the key philosophical assumpti ons upon which the systems are based." it is surprising, however, is that despite the restrictionist climate of public opinion in both Western Europe and the United States, the 1990s has been the decade of immigration and one, which recast the racial and national composition now co

Wednesday, August 28, 2019

Jarena Lee Essay Example | Topics and Well Written Essays - 750 words

Jarena Lee - Essay Example s within the journal that neither of her parents had been particularly religious, and that their lack of Christian faith meant that they had not bothered to teach her about the gospel and Jesus Christ. It is interesting to note that Mrs Jarena Lee contends that parents did not bring her up as a Christian due to their lack of religious beliefs rather than their lack of formal education, or their lowly social and economic status.1 Instead it is the women that live on Mr Sharp’s estate who decided to partially teach the seven year old Jarena Lee about the Christian gospel. They did not however fully convert her to Christianity. She did feel enough guilt about being caught lying as a child that she promised to herself that she would never tell another lie. According to her own journal attempting not to lie at all was still enough to give her meaningful intellectual, educational, psychological and theological experiences or turn her life around. Between the ages of seven and twenty-one the young Jarena Lee did not according to own journal experience anything to profoundly her alter or enhance her intellectual, educational, psychological and theological experiences. The Journal of Jarena Lee records that her spiritual experiences altered after she attended a sermon carried out b a Presbyterian preacher at a nearby school building when she was twenty-one years old during the year 1804. The sermon that she heard that day convinced her that she needed to accept and live by the Christian gospel and in that way achieve life altering religious not to mention spiritual experiences. The sermon and the words of the Presbyterian preacher effectively convinced Jarena Lee that she could only truly achieve worthwhile spiritual experiences by fully embracing evangelical Christianity. The experience of the sermon at the schoolhouse persuaded Jarena Lee to regularly attend church meetings, services, and sermons, strengthening her Christian faith.2 For Mrs Jarena Lee her

Tuesday, August 27, 2019

Causes and effect of stress Essay Example | Topics and Well Written Essays - 250 words

Causes and effect of stress - Essay Example The feelings of loss can turn to stress if nothing is done to remedy the situation. Phobias also stress people because one has little control over what happens when they experience these stressors. Another cause of internal stress levels includes those issues related to health. If an individual has depression-related ailments or heart diseases, the stress levels increase (Renner 294-5). External issues also affect the way an individual reacts to stress. Pressure from work due to too much work with few or no vacations could have a negative toll on the body. Having to meet deadlines everyday also affects the daily reactions amongst employees. Finances also affect the way people react because they are unemployed, have low wages or have to plan for the future and are yet to get substantial amounts of money to accomplish their goals (Renner 296). People undergo different transitions in life, which define who they are. When they experience stressful situations, some may cave in to pressure. Others result to depression or solve their issues appropriately. Whichever way one looks at it, stress is part of life, but people need appropriate coping

Monday, August 26, 2019

New Architectural and Natural Structures Research Proposal

New Architectural and Natural Structures - Research Proposal Example The project began in the 1990s as an initiative for Landmark Millennium Projects, which was to launch in the year 2000. The project began with finding a 160-year-old china clay quarry that was no longer used and was considered a land pit. The team began to construct a variety of biomes to change the space and to offer a different form of living in the area that was before devastated. The beginning consisted of building a drainage system from the natural rainfall and was followed by taking natural soils from land mine waste that could be fertilized over a given time frame. The construction also consisted of natural heating from the sun; however, the biome structure automatically offers 90% humidity at night and 60% at day with recycled water that offers 60 inches per year to assist with the living of both plants and animals (Eden Project, 2011: 1). The initiatives of the Eden Project, while based around the green movement and new structures were also built with the ideology of creatin g community at the same time. The structure was created with the understanding that tourists would be interested in the new initiative. This has been combined with events, such as from musicians, as well as from conservation programs, that continue to grow. The Eden Project is able to continue to expand because of the vast amount of land that is surrounding the area, with the last biome being completed in the year 2005. The goal was not only to create a different initiative that was based on a new structure but also had the goal of creating a social enterprise for entertainment, education, and enjoyment. These two goals altered the structure and offered a different approach to creating the biomes from the first initiatives created (Eden Project, 2011: 1). The design was first initiated by creating biomes, specifically because this offers a natural environment to conserve energy while offering a natural habitat for creatures. The landscape consists of two main biomes, both of which h ave smaller biomes extended from the main origin. The biome landscape was laid out as a path which curves in the same rounded shape from one biome to the next, specifically to keep the main theme of the natural biome as a part of the overall landscape and in relation to the individual biomes. Figure 1: Landscape of the Biomes (Overview of Eden Project) The biomes are divided according to the type of habitat that is offered. One is based on a Mediterranean environment while the second is able to hold a rainforest environment. This is combined with a middle space that carries a habitat for natural plants which are able to grow within Cornwall. The initiative of the design was important not only because of the main landscape but also with the need to create a natural habitat and structure. The main biomes are covered with tubular steel space frames in a hex – tri-hex form. This is combined with hexagonal cladding panels that are made from thermoplastic ETFE.  

Sunday, August 25, 2019

Church Architecture Essay Example | Topics and Well Written Essays - 750 words

Church Architecture - Essay Example The early church building architecture is one of the most outstanding designs ever seen in human construction history. Churches all over the world share similar architectural designs in the interior and exterior regions. Normal church architecture always seems to be dominated by a round shape style. The basic architecture of the church includes a Nave, which is the part where worshippers stand during the service. The Pulpit is the podium on the left side of the church where the gospel is read, and the Nathex am outside part of the church that serves as an entry to the Nave. The church is characterized by wooden seats arranged in from the front. The interior design of the churches includes minimum three entries, a high ceiling and large decorated windows (Campbell, 2004). The exterior of the church is mainly raised roof, with a cross at the top. Early churches have the exterior decorated with statues of angels. The exterior design of churches is large and spacious just as the interior and constructed using strong stone blocks. Apart from this the doors were made of wood and locked by interlocking strong metal pieces. The main material used in construction of early churches was a huge stone blocks, clay bricks wooden beams, timber and bricks. The roofing was mainly made clay tiles (Ward-Perkins, 1994). Islam can be traced as far as Christianity and its architecture is unique and attractive. Mosques have interior is spaced just like in a church, but it has no seats. Since Muslims worship while kneeling down, the floor of a mosque need to a furnished material such as a carpet. The interior architecture f a mosque boasts of beautiful decoration mostly of handmade tiles (Haog, 1991). Islamic interior architecture also includes arches and domes giving the most spacious view from the inside. The domes are decorated with glass to allow sunlight; this ensures the spacious interior of a Mosque is nicely light. The decorations include verses of Quran, patterns of different shapes in different colors and many windows some of which are blind. The most important part of the mosque is the Mihrab to the right of the Mihrab is the Minber or pulpit. This is where the Imam stands when giving the sermon. The exterior architecture of the Mosque has a minaret, a raise tower like structure shaped like a pencil which mainly is used to call worshipers to the morning player. The Mosque is made of Marble carvings, wood, plaster, stone, glass for windows and handmade ceramic tiles decorating both the interior and the exterior (Ward-Perkins, 1994). The gothic buildings were mainly made up of stone, and emphasized on strong buttressed walls, minimal wall space, highly vaulted ceiling and vertical lines. The roof of the Gothic building was quiet heavy and architectures had to consider the possibility of a collapse. To prevent this from happening they developed buttresses. These exterior structures ensured that the walls and pillars could support the heavy roof by distri buting weight evenly enabling them to resist the outward pressure of the roof. The Gothic building exterior also comprised of a tower forming part of entry to the Nave. The towers had a large window in the entry side to ensure that the inside of the building is well lit. The interior of the gothic building almost resembled the church, it had large stained glass windows, wooden seats, a nave, pulpit and an altar. The interior decoration mainly comprised of stone carvings and coloured windows. Gothic architects appreciated geometry therefore the stones used in construction of gothic buildings were specifically cut to fitting. Other than this metal, glass and wood comprised the main materials used on construction of the buildings (Draper, 2006). The renaissance period architecture emphasizes on geometry, proportionality, symmetry and regularity of parts. The columns, plaster, and lintels were arranged orderly and the architects utilized the use of dome, niches and aedicule’

Saturday, August 24, 2019

Knowing Your Audience Paper and Communication Release Essay - 2

Knowing Your Audience Paper and Communication Release - Essay Example As the whole event unfolded, the company took the action of keeping the families, friends, and the employees informed about the condition of the victims, at one point a video was played showing their condition; they were able to sing the national anthem. The constant communication relayed to the people was very important as it kept them with high hopes. The government presence also played a major role, as the workers were assured of government protection. Keywords: Audience, Communication, Mines, Report, Victims, Memo, Accident, Family, Friends, Employees, Protection, Expectation, Hope, Information Considerations to remember given different roles and the audiences According to Lundgren and McMakin (2013), one cannot communicate unless he or she knows the audience with whom to pass the message. It is a noble thing to know the audience to avoid limiting oneself to one form of communication. In this case of trapped miners, the audience comprise of the families, friends, workmates, and t he entire nation. All are very much depressed and hopeless; therefore, the information required is the one that will give them hope and expectation. They characteristics the information should have are highlighted as follows: The message delivered should carry a lot of hope and encouragement, and ensure the drafted information to be released should meet the people’s expectations, and to a larger extent, be persuasive and convincing. This will calm the people’s emotions. Communication given must outline the effort carried out to salvage the lives of the victims. It should also be timely; that is to say, the report should be released to the people early and updates given most frequently. This will enable the people to track the progress of the operation. The method of revealing information to the people should be carefully considered amongst the many forms like, face to face, written memos, emails, and press releases. The well chosen form should be the one that will reac h the targeted audience conveniently, in time, and provide a means of dialogue, if appropriate. For the case of San_Jos mines accident, psychologists had to review the video that was due to be revealed to the people. Potential need of the family members It should be noted that in such incidents, the families of the victims are the most traumatized audience, and at such moments, their great desire is to get the report concerning the well being of their loved ones. The first thing they would want to hear is that their loved ones are alive. According to the New York Times ( â€Å" Chile Mining Incident (2010),† 2011), during the rescue process, a modified telephone was provided to the trapped victims, they were thus able to sing their National anthem, and this caused a lot of jubilation amongst their relatives. This outlines that their key need is to know that they are alive. Another important requirement by the relatives is assurance in the rescue process; they would like the m atter be handled timely and their trapped relatives to come out alive. Potential needs of the employees The employees would like to know how the company has responded to the accident. They want their workmates be rescued, and they also want to know how the company is prepared to respond to such calamities, since they are much aware that they are in a similar risk. Additionally, their requirement is to see that the victims receive compensation from the company and that their job

Divorce in the UAE has increased during the last 2 decades Essay

Divorce in the UAE has increased during the last 2 decades - Essay Example Why divorce in the UAE has increased during the last 2 decades Introduction Divorce is regarded as one of the serious social problems in any given society. According to government statistics, United Arab Emirates (UAE) experienced a divorce rate of 24 percent in the year 2003 (Sherif 2). There are numerous psychological and economic factors that have led to high divorce rates in UAE. Lack of communication in marriage, early marriages, changing marriage expectations, addiction, child-bearing issues, and financial issues, cultural background of the spouses, the differential in education levels, infidelity and arranged marriages are some of the causes of high divorce rates in UAE (Sherif 8). Divorce leads to severe negative consequences to children and involved parents. Some of the negative impacts of divorce include delinquent behaviour of the parents, psychological trauma, aggression, and nightmares (Hasso, 2011). Thesis statement: poor communication in marriages is the leading cause of the high divorce rates in United Arab Emirates. Causes of high divorce rates in UAE Communication problems in marriages are the leading cause of divorce. ... Marital financial issues such as disagreements on the best investment opportunities and sexual incompatibility also contribute towards dissatisfaction with the marriage thus forcing the partners to divorce (Hasso, 2011). According to a research study done by Marriage Fund in collaboration with University of Sharjah in 2011, absence of communication within the marriage and lack of proper relations were the leading causes of divorce (Sherif 3). Differences in an opinion between the partners often resulted in constant bickering thus hindering love within the marriage. Accordingly, Islamic traditional marriage practices such as arranged marriages made women discover certain personality traits of their husbands later after marriage thus leading to intolerance and ultimately divorce (Sherif 5). The same study indicated that polygamy, physical abuse of wives, inadequate financial support and unshared responsibilities were secondary causes of divorce in UAE (Sherif 7). According to education ists and family affairs experts, the annual rates of divorce were estimated at 30 percent compared with a rate of 21 percent in Dubai in 2011 (Al Sadafy 3). Statistics fro the Dubai courts pointed out that one divorce occurred for every four marriage court cases with more than Dh 800 million being paid annually as divorce settlements. Accordingly, the Advisor for family affairs noted that 90 percent of the instances of divorce were occasioned by trial reasons with lack of communication among the partners being the leading cause of divorce (Al Sadafy 5). How divorce affects children, parents and society Divorce is associated with negative social and physical effects on children, parents and the society (Hasso, 2011). Divorce denies the children the opportunity

Friday, August 23, 2019

Swan Ice Arena Case Study Example | Topics and Well Written Essays - 250 words

Swan Ice Arena - Case Study Example Swan Ice Arena is an indoor ice rink that primarily catered to hockey groups. However, in the recent months, the manager, David Swan has opened the ice rink for public skating. Even though public skating was supposed to increase the revenues for Swan but at this point Swan has been unable to profit from the venture despite heavy investment in making the rink public. Public attendance in the rink is low despite Swan’s best effort. Swan has noticed that families and young children visit the area during the weekends and young couples are more eager to visit the rink during Fridays. However, Swan cannot limit the rink to these groups for specific days since he realizes that young children also visit during Fridays. The presence of young children during couple days discourages the couples to visit more often. At this time, Swan is unable to increase the visits and thus revenues have not increased for him despite his investments on the rink.  Swan Ice Arena is an indoor ice rink t hat primarily catered to hockey groups. However, in the recent months, the manager, David Swan has opened the ice rink for public skating. Even though public skating was supposed to increase the revenues for Swan but at this point Swan has been unable to profit from the venture despite heavy investment in making the rink public. Public attendance in the rink is low despite Swan’s best effort. Swan has noticed that families and young children visit the area during the weekends and young couples are more eager to visit the rink during Fridays. However, Swan cannot limit the rink to these groups for specific days since he realizes that young children also visit during Fridays. The presence of young children during couple days discourages the couples to visit more often. At this time, Swan is unable to increase the visits and thus revenues have not increased for him despite his investments on the rink. Evaluating the situation, a few recommendations could be made. Swan would bene fit by limiting Fridays for young couples by restricting the age limit to 14 years. Even though at this point of time, young couples do not visit the area much but when the place becomes known as a couple hangout joint, more people would be willing to visit and revenues would definitely increase. Since Generation Y that Swan at this time is trying to cater relies on word-of-mouth promotion (Perreault and Mc Carthy), Swan would benefit from it. Also Swan could allow these young couples to make song requests so that they are able to participate more fully in the area.

Thursday, August 22, 2019

Cause and effect Essay Example for Free

Cause and effect Essay I am going to be talking about the cause and effects of peer pressure on today’s teens. Most of the time peer pressure is caused when teens develop the strong desire to fit in and be accepted by others. In high school most teens think that to fit in they have to be noticed and do whatever the â€Å"popular crowd† is doing, even if that means they will get in trouble. What some parents don’t realize these days is that they have a strong influence on their children’s lives and how they handle day to day issues. When you’re tuff and set good guide lines for your child and teach them wrong from right they will be less tempted to do wrong because they will have guidance. Some off the effects that peer pressure can cause can be harmful or lead to being kicked out of school. When teens are persuaded into doing the wrong thing there is going to be consequences for their actions. It could result in the child being kicked off of their team, out of school or even worse, they could end up in jail. The causes of peer pressure are very real in today’s society and if your teen or child isn’t careful who they hang around, they might be pressured into doing the wrong thing. Make sure to talk with your child and let them know that you are there for them and they can come to you whenever they need to talk about something.

Wednesday, August 21, 2019

Does Work Overload Justify Negligence?

Does Work Overload Justify Negligence? Muhammad Qasim Introduction According World Health Organization (WHO), Pakistan is one of the 57 countries with acute deficiency of healthcare workforce and with no well-defined human resource development policy in place. The country is facing dual burden of communicable and non-communicable diseases with Doctor to patient ratio of as high as one doctor per 1254 population (WHO, 2013). The health care’s facilities remain overcrowded by patients, specially the public sector, which result in work overload and stress among the healthcare professionals. Medical officers (MOs) and Post graduate trainees have duty hours as long as 90 hours per week. Healthcare professionals under stressful condition and work overload are more prone to commit negligence and medical errors. The consequences of medical negligence range from a minor harm to loss of human life. This paper will discuss medical negligence, malpractice in relation to work overload in the light of ethical principles and theories. Moreover, some recomme ndation will be put forward to minimize negligence, establish proper reporting system and minimize work overload among healthcare provider. Scenario A 27 years old male was admitted to the general surgery ward with gunshot injury. He was on injection Nalbuphine10 mg as per need. This patient was constantly complaining of severe pain. The assigned nurse assessed his pain and informed the doctor about his condition. She also informed that the patient has already received Nalbuphine up to its maximum limit i.e. four doses in the last 8 hours. The doctor was overwhelmed with the workload of ward and emergency unit as well. He told the nurse that the patient and his family are exaggerating the condition. Meanwhile, the doctor visited the patient and informed the nurse that he has reassured the patient and his family. After one hour, the patient developed breathing difficulty and went into respiratory arrest. Patient was resuscitated promptly for twenty minutes, but he did not revive, and hence expired. The family showed a strip of tablets Lorazepam 2mg, and added that two tablets are given to the patient on the advice of the duty doct or. It was found that the drug was neither mentioned in patient’s file nor was it verbally ordered to the nurse. The doctor requested not to report the incidence. Later on inquiry revealed that consequences occurred due to additive effect of concurrent CNS depressants. Issue Analysis In the above scenario, the patient was in acute pain, the family was worried about his restless condition. His cries and complaints were disturbing other patients in the units. Doctor was burdened with too many responsibilities and had to manage the patients in ward, recovery room, and emergency department at the same time. Being overwhelmed with too many responsibilities he advised two tablet of Lorazepam 2 mg per oral without mentioning in patient file without considering the prior high deses of Nelbuphine. Consequently, due to the additive effect of the concurrent CNS depressants patient collapsed, and after an attempt of unsuccessful cardio-pulmonary resuscitation (CPR) patient expired. This was violation of ethical principles of beneficence and non-maleficence. Moreover, the doctor’s intention was not to harm the patient however, he bypassed the nurse, did not indicate the order in patient’s file, and handed over written prescription to the father of the patient. The poor father brought the medicine and gave to the patient, which resulted in fatal consequences. It was breach in his duty toward his patient and violation of Hippocratic Oath (Cruess Cruess, 2014). It is also evident from the scenario that doctor wanted to just keep the patient calm and get rid of his pain complain. So, he prescribed a high dose of another sedative medicine for the sake of his ease. Though his intentions was not to harm the patient and was also over loaded with too many responsibilities but, my question is, does work overload justify negligence which cost a human life? Discussion Malpractice is negligence on part of an individual within a professional capacity. According to Beauchamp and Childress (2001) negligence is the absence of due care either intentionally imposing risk of harm or unintentionally but, carelessly in a given situation. Principle of beneficence is central to healthcare and healthcare professionals are expected to be beneficent toward their patients in any circumstances. According to Mustafa (2013) â€Å"Beneficence refers to the promotion of welfare, denoting acts of mercy, unstinting love and selfless humanity† (p.2). However, in this case the doctor not only failed to be beneficent but also committed such an act which resulted in sentinel event. He prescribed the CNS depressant beside he knew that the patient had already received 40 mg of nelbuphine since morning. It was the commission of a maleficent act on his part which, resulted in loss of a precious human life (Beauchamp Childress, 2001). Being in the professional boundary of a doctor, he was trusted upon by the patient and family and was expected to be beneficent toward patient in any case. On contrary, it could be argued that, his intention was not to harm the patient. He just wanted to keep the patient in rest and pain free. In Addition, doctor was overburdened with other responsibilities. He had to take care of other patients so, on the bases of utilitarian theory he was justified to take into consideration the care of other patients as professional obligation. Additionally, it was not only the patient but also the worried family members and other patients in the ward who were disturbed due to his cries and complains. So his decision of prescribing sedative pills was for the benefit of large number of people (Beauchamp Childress, 2001). Though, his workload was more than usual, and he had to fulfill too many responsibilities at a time. However, it neither allows him to be negligent in patient care, nor permit him to violate Hippocratic Oath in which, he had promised that â€Å"he will lead his life and practice his art with integrity and honor by using his power wisely† (Zafar, 2006). His action was deficient as compared to a reasonable and prudent professional under given circumstances (Burkhardt and Nathaniel). Moreover his act was a serious carelessness and maleficent in nature for the client which cost his life. Such negligence is not justifiable on the basis of any legal or moral grounds. Secondly, he bypassed on duty nurse who was responsible for the administration of the medication. It was breach of duty on his part to fail to enter the order in patient’s file. Being responsible for patient’s care, and employ of the institute, he was supposed to follow due course of actions of patient care. Moreover, the concurrence of opiates and sedatives would not have occurred if the doctor had followed proper procedure of prescription. On other hand, it could be claimed that, the ultimate goal of his decision was to relieve suffering of patient. Violating proper procedure of prescription and administration was probably intended to provide prompt relief. However, the nurse could have moved with the doctor in his visit to the patient to argue on the dosage about concurrence. Furthermore, the doctor might have thought about giving prescription to the patient’s attendant will take less time and so prompt relief; he therefore broke the chain of flow of proper protocol. The society expects professionally and morally sound decisions from the doctors. As a part of healthcare team, they are supposed to follow the policies and abide by the rules of the institute they work in. furthermore, â€Å"patients have the right to a quality of care which is marked both by high technical standards and by a humane relationship between the patient and health care providers† (Exter, 2009). In the scenario, the doctor’s noncompliance regarding proper procedure of prescription was below the acceptable standards and violation of his professional obligation. According to American medical association the doctor’s responsibilities include to be ever vigilant for the benefit of patient, and to bear their part in sustaining its institutions and burdens† (Cruess Cruess, 2014). A large number of doctors’ misjudgments and medication errors are corrected by dispensing pharmacist or medication nurse if proper protocols are followed (Al-shara, 20 11). Finally, his request to the nurse about covering the incidence was a professional misconduct as this was a sentinel event. However, the nurse properly followed the virtue of veracity and dared to report the incident. Resultantly, the inquiry revealed that the additive effect of the concurrent CNS depressants was due to negligence in clinical judgment and careless behavior of the doctor. It could be argued that the incidence occurred unintentionally, and its reporting could endanger the doctor’s carrier. In addition, reporting of the incidence could have cost his job and even his license of practice. Is it acceptable to take such risks in a country like Pakistan where there is already shortage of doctors? The negligent behavior of the doctor cost a precious human life, even though he requested the nurse not to uncover the incident. This could be measured a serious misconduct and makes his trustworthiness and moral integrity questionable. According Pakistan medical and dental council the physicians need to attempt highest level of competence and all necessary skills and knowledge, and they will be responsible for their actions (Zafar, 2006).Considering the nature of the event, it was the moral and professional obligation of the nurse to report the incidence promptly. Proper reporting system could prevent future mishaps. Nurse was right in her decision to report the incident on the basis of utilitarian theory for benefit of long number of prospective patients (Burkhardt and Nathaniel, 2008). Recommendation Healthcare providers need to be competent, skillful, and vigilant to provide efficient care to the patients. They should comply with the Hippocratic Oath and trust and expectations of the society. Sound knowledge of bioethics and Islamic ethics can make a difference and should be the part of curricula across the disciplines of healthcare. Proper policies, procedures and protocols need to be implemented and monitored for compliance at institutional, provincial and country level. The government must consider the establishment of new institutions and policy for staffing and scheduling of healthcare professional to cater the needs of growing population and minimize work overload. The proper reporting and analysis should be carried out following an incidence. Conclusion In the conclusion, malpractice on the basis of work overload could not be justified on any moral or legal grounds. Healthcare professionals should comply with the entrusted expectations of patients and society. They are expected to demonstrated optimal level of clinical and professional competencies and skills to meet challenges of the respective professions. Human life is precious and should always be respected. References Al-Shara, M. (2011). Factors contributing to medication errors in Jordan: a nursing perspective. Iranian journal of nursing and midwifery research, 16(2), 158. Barach, P., Moss, F. (2001). Delivering safe health care: safety is a patients right and the obligation of all health professionals.BMJ: British Medical Journal,323(7313), 585. Beauchamp, T. L., Childress, J. F. (2001). Principles of biomedical ethics. (5th ed.). New York: Oxford University Press. Burkhardt, M. Nathaniel, A. (2008). Ethics and Issues in Contemporary Nursing (3rd ed.) Australia: Delmar Cruess, R., Cruess, S. (2014). Updating the Hippocratic Oath to include medicines social contract. Medical education, 48(1), 95-100. Exter, A. (Ed.). (2009). International Health Law and Ethics: Basic Documents. Maklu. Scheffler, R. M., Liu, J. X., Kinfu, Y., Dal Poz, M. R. (2008). Forecasting the global shortage of physicians: an economic-and needs-based approach. Bulletin of the World Health Organization, 86(7), 516-523B. WHO (2007).Global Health Observatory Data Repository. Retrieved from World Health Organization website: http://apps.who.int/gho/data/node.main.A1444?lang=en Zafar , M. H. (2006). Pakistan Medical Dental Council: Code of Ethics. Retrieved April 8, 2014, from http://www.pmdc.org.pk/Ethics/tabid/101/Default.aspx#6

Tuesday, August 20, 2019

Diabetes in African American Population in South Carolina

Diabetes in African American Population in South Carolina Abstract Diabetes is a serious disease, which often leads to complications, such as blindness, kidney failure, heart attacks, strokes, and amputations. High blood pressure and abnormal cholesterol levels are frequent. Diabetes has an immense impact on public health and medical care. In South Carolina medical costs rise with increased duration of the disease, and lifespan is shortened by 5-10 years in most patients. In 2011, diabetes affected 25.8 million people in the United States with 7 million undiagnosed cases (CDC, 2011). In terms of racial and ethnic disparity, the outlook becomes more dismal, as racial and ethnic minorities are disproportionately affected and are more likely to have complications than their White counterparts, especially when they are unable to access the health care system for management and care (Lavery, et.al., 1999). Approximately 450,000 South Carolinians are affected by diabetes, many of who were still undiagnosed in 2010. One of every five patients in a South Carolina hospital has diabetes, and one in every ten visits to a South Carolina emergency room is diabetes related. The total charges for diabetes and diabetes-related hospitalizations and emergency room visits were over $4.2 billion in 2010. Diabetes is the seventh leading cause of death in South Carolina, directly or indirectly claiming more than 3,000 lives each year, and the fifth leading cause of death in African Americans, claiming about 1,200 African American lives each year. Most diabetes deaths occur in persons over age 60. Minorities, predominantly African Americans, experienced a substantially higher death rate and more years of potential life lost than Whites. The racial disparity in mortality has widened over the past 10 years. The racial disparity is narrowing in diabetes prevalence, primarily, because the prevalence in the White population is increasing. Suitable Agency and Funding The SC DHEC Division of Diabetes Prevention and Control has been funded by the Centers for Disease Control and Prevention’s Division of Diabetes Translation since 1994. In addition, in July 1994, the South Carolina Legislature established the Diabetes Initiative of South Carolina (DSC), with a Diabetes Center of Excellence at the Medical University of South Carolina (MUSC) and a governing Board, and three active councils. DSC works closely with DHEC’s Diabetes Division via its Board of Directors and Surveillance and Outreach Councils, committees, and task forces. A Ten Year Strategic Plan was implemented by DSC in 1998 and evaluated in 2009, and the results are reported in the SC Medical Journal (Myers, 2011). Results from successive Burden of Diabetes in South Carolina reports have been used to monitor progress of the strategic plan. The South Carolina Division of Diabetes Prevention and Control is housed and managed within the South Carolina Department of Health and Environmental Control’s (DHEC) Bureau of Community Health and Chronic Disease Prevention. Through partnerships and related community and statewide interventions, the SC Diabetes Division overarching goals and objectives are to: Prevent complications, disabilities, and burden associated with diabetes; and Eliminate health disparities; The division plans to accomplish this through: uniformed diabetes guidelines of care endorsed in the state; diabetes guidelines of care incorporated into clinical outcomes; and Increasing the percent of people living with diabetes receiving standards of care. The division’s target populations are the disparate populations within our state, which include African Americans and Hispanic/Latinos as well as the elderly. The top issue is to ensure that all people with diabetes receive the recommended diabetes standards of care from their healthcare providers to support self-management, particularly in rural health settings as well as to increase resources for improved diabetes management in South Carolina. Since a primary mission of the division has been to ensure a coordinated approach to diabetes prevention and control efforts, the division has established linkages and collaborated with key agencies and organizations across the state to access to evidence-based information and expertise to ensure we are doing all we can to reduce the burden of diabetes in our state. The DHEC Diabetes Division partnered with the REACH US: SEA-CEED Program (Racial and Ethnic Approaches to Community Health) and the Diabetes Initiative of South Carolina (DSC) to develop a state-wide diabetes advisory council, which worked together to develop state-wide guidelines for diabetes care and are currently working together to produce the next state-wide diabetes strategic plan. The Diabetes Division is designing a multi-year plan tailored for the characteristics of South Carolina Federally Qualified Health Centers. The goal of this initiative is to sustain health systems that support good chronic care management for people living with chronic diseases, through the institutionalization of quality improvement (QI) in clinics across the state. By reaching this goal, the Diabetes Division and key partners uphold the philosophy that creating an environmental change in the health care system that makes the delivery of high quality chronic disease care the â€Å"easy choice† for health care providers. This change in the environment will be reflected in chronic disease indicators. Improvements in such indicators will result in a reduction in complications, burden, and disability of diabetes and other chronic diseases. By way of expanding and widening linkages, the division will continue to collaborate with other internal and external programs and agencies such as. DHEC’s Bureau of Community Health and Chronic Disease Prevention, regional public health offices, and Office of Minority Health. Conclusion Approximately 2,500-3,000 South Carolinians die from diabetes every year, including deaths from diabetes as the underlying cause and deaths where diabetes was a contributing cause. Diabetes-related mortality has decreased by 28% in the overall population, and by 40% in African American females in 10 years. The majority (82%) of deaths from diabetes occurred among people aged 60 and older. Race-sex specific mortality tracked closely with the patterns of diabetes-related risk factors and morbidity. Minorities, predominantly African Americans, experienced a substantially higher death rate, and greater years of potential life lost, approximately three times that of the White population. Culturally appropriate, innovative communication and education programs are needed to reduce the tremendous burden in this population. Meanwhile, increasing awareness, access to care, and diabetes management are critical for people with diabetes. Increasing resources for diabetes control in South Carolina , particularly rural health settings, and targeting high-risk populations are objectives of the Diabetes Initiative of South Carolina and the DHEC Division of Diabetes Prevention Strategic Plan. References American Diabetes Association. Standards of Medical Care in Diabetes. (2012). Diabetes Care, 35 (Suppl. 1), S11-S63. Centers for Disease Control and Prevention, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion. (2011). REACH U.S. Risk Factor Survey, Year 3 Data Report for Medical University of South Carolina, Centers for Disease Control and Prevention Myers, P., Heidri, K., Bowen, S., Jenkins, C., Gaffney, T., Massing, M., Lackland, D. (2010). An Evaluation of the First Ten Years of the Diabetes Imitative of South Carolina. The Journal of the South Carolina Medical Association, 106(2), 84-88.

Monday, August 19, 2019

Essay --

They say your character is built by life challenges. Esperanza is the perfect example of this. Even though she goes through hard times, she can still find the strength to persevere in her dreams and ambitions. In the book â€Å"The House on Mango Street† Sandra Cisneros tell the tail of a young Latino named Esperanza. In the story she goes through hardships of trying to escape Mango Street or poverty. Throughout the story, characters are introduced by stories of Esperanza’s time on Mango Street. These characters have thought Esperanza to become independent through their good and bad influences in her childhood. To begin, one character that is introduced is Marin. She is someone that Esperanza can look up to and is comfortable around. Esperanza looks up to Marin because she does not make her feel self-conscious or ashamed. She also feels she is learning from some one older and wiser, this is obvious when Esperanza says, â€Å"She is older and knows lots of things. She is the one who told us how Davey the Baby’ sister got pregnant and what cream is best for taking off moustache hair†¦Ã¢â‚¬  (Cisneros...

Sunday, August 18, 2019

Essay --

â€Å"Research Paper: Winter Dreams† In â€Å"Winter Dreams†, by F. Scott Fitzgerald, Dexter’s dream can be related to the American Dream, but Fitzgerald represents it negatively, basically saying that the reality is the American Dream can never be reached. F. Scott Fitzgerald's life is a tragic example of both sides of the American Dream; the joys of young love, wealth and success, and the tragedies associated with excess and failure which shows through in this story (F. Scott). The American Dream is what every American wants to achieve. Which is basically wealth and a good looking spouse. Well this is exactly what Dexter Green wanted from the time he was 14 years old. He starts off working as a caddie at the Sherry Island Golf Club to associate and make connections wit the wealthy people there. â€Å"He wanted not association with glittering things and people, but wanted the glittering things themselves (Fitzgerald). Dexter Green eventually goes to college, and while there makes good investments that makes him wealthy. When Dexter Green meets Judy Jones, he sees that she is the most beautiful ...

The Most Popular Dance Genres Essay -- zumba, classical ballet

Dance is a universal expression. People can easily tell stories or express how they feel through this form of art. Just like an instrument, dancing is how a dancer makes music. In general dancing has changed throughout time. How we dance now is not how it was done in the fifties and sixties. Like music dance evolves according to what is popular. Something is constantly being added to all of the different genres of dance. Although there are many different styles of dances in the world, there are some that are more popular: Zumba, Ballet, Salsa, and the most popular, Hip Hop. Zumba is a dance craze that has become popular in the last few years, bypassing other genres of dances that have been being done for centuries. What is Zumba you ask? Well Zumba, Spanish slang for buzz or move fast, incorporates hypnotic Latin music with easy-to-do moves that leads to a dynamic and effective workout program. This is the reason to why Zumba has become so widespread, it’s fun, easy and it benefits your health in a major way. The way you do Zumba is by attending a Zumba class. There you are taught by an instructor different moves along with other women from ages thirteen to seventy years old. You can also buy the workout DVD’s and shake off your pounds in the privacy of your home. Like other dances it’s a combination of other genres of dances, mainly Latin or Spanish dance moves mixed with a little bit of hip-hop. This fun dance was an accidental discovery way back in 1986 by Alberto Perez. Perez was teaching an aerobics class in Santiago de Cali, Colombia when he used his personal music to teach class instead of using his normal music. Even though he did this back in 1986 this form of aerobics didn’t become popular in America until 2002. Today ... ...rrow. Each and every individual has their own personal favorite genre of dance weather it is Zumba, ballet, salsa, or hip hop. They all are just to express yourself so go out and enjoy dancing! Works Cited 1. "Anna Pavlovna Pavlova." 2014. Biography.com. A&E Television Networks, LLC, .Web. Apr 10 2014. http://www.biography.com/people/anna-pavlova-9435343. 2. â€Å"Types and styles of Ballet.† pbt.org. Plumb Media. Web. Apr 10 2014. http://www.pbt.org/community-engagement/types-and-styles-ballet 3. Hanson, Rachel. â€Å"History of Hip Hop Dance†.dance.lovetoknow.com. LoveToKnow Corp. Web. Apr 10 2014. http://dance.lovetoknow.com/History_of_Hip_Hop_Dance 4. Sarnataro, Barbara. â€Å"Zumba: Fun Is Secret Ingredient of Latin Dance Workout†. webmd.com. WebMD, LLC. Web. Apr 10 2014. http://www.webmd.com/fitness-exercise/features/zumba-fun-is-secret-ingredient-of-latin-dance-workout

Saturday, August 17, 2019

Persuasive memo Essay

My name is Darrell Pace and I am requesting to continue research for the implementation of a Spanish curriculum in the Professional Academy Day School. The proposed research will greatly impact our students, parents, and faculty because the world is becoming increasingly interconnected. Parents are turning to language immersion programs for their toddlers and preschoolers. Some are motivated by the desire to preserve family heritage and culture. Others see early language instruction as a way to provide their children with the academic and cognitive advantages. It is very important for the Professional Academy Day School to accommodate the interest of our parents who entrust their children to us, to teach them skills that are beneficial now and in the future. When we offer the children in our day school the very best curriculum, it enhances our credibility among our competition and the community. According to the article by Stephanie Meade, â€Å"7 benefits of Raising Bilingual Kids†, it shows that bilingual children have the following advantages over that of monolingual students: Bilingual children have a better ability to focus and ignore distractions in the environment Bilingual kids can switch from one activity to another faster and are better at multitasking. Bilinguals have increased mental flexibility and creativity. Bilingual children in dual-immersion schools have been shown in one study to score higher on both verbal and math standardized test conducted in English Bilingual children display stronger logic skills and are better equipped at solving mental puzzles Being bilingual carries over throughout life as it alters brain chemistry and starving off the onset of Alzheimer’s. After learning two languages, it makes it more apt for learning a third language The advantages of a child being immersed into a school that offers dual languages cannot be ignored nor taken lightly when the demographics toward Spanish speaking cultures have more than doubled over the last ten years here in our state of Texas. Our school will be behind the curve if we don’t react now and research the necessary curriculum that will be the most effective among our students in the classroom. In the article, â€Å"Preschool Curriculum: What’s in it for Children and Teachers† written by The Albert Shanker Institute, children learn language when it is presented in meaningful contexts. A strong curriculum teaches vocabulary during studies of interesting content. This strategy which we have found through our research provides repeated exposure to new words and teaches children the words they need to represent the new ideas and concepts that they are learning. Our research will prove that the proper Spanish curriculum produces success in math, science, literacy, social studies and the arts. Language is the foundation for children’s learning, and the pre-k years are a crucial time for Spanish language development. The research on Spanish curriculum in Pre-k and kindergarten classes is timely and it is of substantial importance to the future of learning at the Professional Academy Day School.

Friday, August 16, 2019

Jose Rizal Essay

It is common knowledge that Dr. Jose Rizal is the Philippine National Hero who chose to fight the battle with his quills, paved the way for our independence and died doing so. However, it has always been fascinating to learn things that weren’t discussed on classrooms and lectures, to divulge facts that make a famous character seem like just the rest of us. So here are 10 fun facts that most Filipinos might not know about Rizal. 1.Jose â€Å"Pepe† Rizal was bullied as a kid. As a kid. Rizal was too small for his age and made him a target of Pedro’s bullying, insulting Pepe in front of the other students at the school of Maestro Justiniano Cruz. Equipped with his Uncle Miguel’s teachings about the art of wrestling, Rizal challenged Pedro to a fistfight. Rizal won and became popular as he proved himself a worthy opponent. 2.Jose Rizal wrote his first poem at the age of 8. Entitled â€Å"Sa Aking Mga Kababata† [To My Fellow Youth]. And it depicts one’s fervent love for his native language and asking his own generation to embrace it like we all should. 3.Rizal was a Hyperpolyglot. He mastered 22 languages: Filipino, Ilokano, Bisayan, Subanon, Latin, Spanish, Greek, English, French, German, Arabic, Malay, Sanskrit, Hebrew, Dutch, Catalan, Japanese, Italian, Chinese, Portugese, Swedish and Russian. 4.Rizal was addressed by his European lover as the â€Å"little bad boy†. It is not a secret that Jose Rizal had his way with women. And on the series of letters that were discovered to be love messages for Rizal, a Belgian woman named Suzanne wrote : â€Å"There will never be any home in which you are so loved as that in Brussels. So, you little bad boy, hurry back.† Now, who can resist giggling on this information? 5.He was accepted as one of the few Renaissance man in the world. A man who had broad intellectual interest. He was an anthropologist, ethnologist, ophthalmologist, novelist, sociologist, educator, economist, architect, engineer, sculptor, painter, playwright, historian, journalist, farmer, dramatist, martial artist, and a cartographer, among other things. 6.Rizal liked playing the lottery. And he won one-third of the grand prize of Php 18,000.00 with ticket number 9736. He gave a portion to his father, a friend in Hong Kong and he spent the rest buying agricultural lands in Talisay. 7.Rizal jovially pinched his students who can’t answer his queries. During his exile in Dapitan, he was able to establish a school, he had 21 pupils who were never asked to pay for tuition but was required by Rizal to work for the community. 8.Rizal is believed to be the reincarnation of Jesus Christ. There is a religious sect in Calamba Laguna, â€Å"Rizalista†, used to be known as â€Å"Iglesia ng Watawat ng Lahi† [Banner of the Race Church]. They combine religion and patriotism and believe that the execution in Bagumbayan was just a phase that he had to endure to be in the presence of God. They also believe that Rizal is still alive and lives deep in the forest of Mount Makiling. 9.Rizal was rumored to be the father of Adolf Hitler. Because of his famed reputation as a Casanova, it was believed that he was involved with a beautiful woman living somewhere in the border of Germany and Austria. Funny how Filipino imagination wanders. 10.Moments before his death, Rizal was reported to remain in a tranquil state. Before his execution, Dr. Felipe Ruiz Castillo took his vital signs and was surprised to confirm that his pulse rate was normal. Rizal was indeed ready and unafraid of his fate.

Thursday, August 15, 2019

Impact of the Institute of Medicine on Nursing Practice Essay

Impact of the Institute of Medicine on Nursing Practice, Education and Leadership The Institute of Medicine of the National Academics in Conjunction with the Robert Wood Johnson Foundation launched a campaign to provide solutions in response to the need for evaluating and alteration of the nursing profession. Future needs of our growing population from diverse cultures and demographics dictate the need for registered nurses to adapt and transform in response to advances in health care. This is done by promoting health with most favorable, efficient patient outcomes centered on patient care. The limitation of nursing practices today prevents nurses from effectively responding to the continuously evolving, rapidly changing, health care system which compromises patient safety and optimal outcomes. The IOM and RWJF determined four key messages in their discussions. Nurses should practice to their full potential regarding education and training. Higher levels of education and training should be attained through an improved and seamless academic program. Nurses should play an important role along with medical doctors and other health care professionals in reforming health care. Health care informatics and data collection need improvement to facilitate development of policy and efficient workforce planning. These suggested reforms will certainly impact nursing education, nursing practice, and the nurse’s role as a leader ( IOM, 2011). The foundation of the IOM’s report is to restructure nursing roles to become more efficient, cost effective, and adaptable in response to the growing population and technological advances seen in health care. Education is the key to preparing nurses for the new roles and responsibilities they will encounter. The expanded roles and expectations of the nurse call for educational reform as well. Incorporation of competencies at the educational level include leadership, basic health policy, evidence based care, quality improvement, and systems thinking ( IOM, 2011). The goal of the IOM is to increase the  number of nurses with Bachelors Degrees to eighty percent by the year 2020. Some bariers to this goal are as follows. There is a shortage of faculty, placement for students to perform clinical duties is limited, lack of competent programs to prepare nurses for higher degrees and technological advaces in patient care, and lack of workforce planning. Workforce planning is the competence of an organization to meet emerging needs. Educational institutions are not meeting these needs due to cost and qualified fculty (Wikipedia, 2014). As a result clinical experience is imperitive for fulfilling educational needs. The advent of the Affordable Care Act of 2010 endorses a shift from treatment of patients in an acute care setting to focusing on management and prevention of chronic illness. There is evidence based practice to suggest a more holistic approach which involving patient and family centerd care is more effective in treating patients rather than the hospital or healthcare model (Holmes, 2011). Due to this new model the IOM encourages nurses to advance education to the fullest extent, continue and maintain education to develop new competencies, and reform nursing school curriculum to meet these new patient care delivery models (Holmes, 2011). The IOM suggests that it is imperitive that nurses are able to practice to the full extent of their education and training ( IOM, 2011). As the population grows, physicians will not be able to perform at a competent level and provide complete patient care without a substantial number of nurses. Reliance on nurses is necessary to reform the health care system. Barriers such as regultatory restrictions regarding scope of practice, professional resistance by physicians, and insurance company reimbursment pactices hinder RNâ⠂¬â„¢s and Advanced Practice Nurse’s from practicing to the full extent of their education and compromise patient outcomes (Richard Ridge, 2011). Autonomy is an issue in some states regarding APN’s role. Some states require physician oversight to diagnose, treat, prescribe, or make referrals. Compensation for services is also an concern. Independent insurance providers, Medicaid, and Medicare compensate APN’s at reduced rates or not at all and may not cover prescribed prescriptions unless a physician signs off. Professional resistance is also an problem. The Scope of Practice Partnership lobbies against state expansion of the APN’s role stating they lack medical education, clinical knowledge and cognitive and technical skills which are acquired only in medical school ( IOM, 2011). These restrictions make it difficult to meet the demands of patient care. Outdated insurance practices also pose an obstacle by restricting insurance reimbursement to APN’s. Some recommendations to remove these barriers include conforming scope of practice regulations from state to a national level. Enlighten medical doctors on the future of health care and the need for autonomous APN’s. Providing information about successful patient outcomes as well as the decrease in hospital readmissions may sway the opinion of doctors regarding APN practice. Include Medicare and private insurance coverage of APN’s. Refer to evidence based practices to justify coverage. In order to institute IOM’s reform it is imperative the role of the nurse also transition into that of a leader. The development of leadership skills should be instilled at every level of nursing education and clinical mileu. The educational curriculum needs to incorproate theory and business practices, exposure to political dynamics, and management of multifocal relationships to ensure competency in high level collaborative skills (O’Grady, 2011). We will be responsible for assessing and implementing change in patient centered care systems which requires full partnership with other disciplines to reform policy. It is time for nurses to shape policy rather than conforming to it. As the population grows, and demographics shift to include a vast number of geriatric patients, the need for health care reform is imperative to provide optimal patient care. The IOM’s report recognizes the integral role nurses play in our healthcare system. The IOM suggests changes in areas such as education, leadership, and scope of practice to safegaurd the future of healthcare. Implementing these suggestions will transform the role of the nurse into a competent leader who is responsible for health policy change, and an educator to patients, family, and community. It is time we take responsibility for change rather than accept it for what it is. References Holmes, A. M. (2011, April). Future of nursing special: Transforming education. Nursing Management, 42. 34-38. Retrieved October 16, 2014, from Lippincott Nursing Center: http://www.nursingcenter.com/lnc/pdfjournal?AID=1150962&an=00006247-201104000-00008&Journal_ID=&Issue_ID= IOM (Institute of Medicine). (2011, October 05). The future of nursing: Leading change, advancing health. Retrieved from http://iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx O’Grady T. P. (May, 2011). Future of nursing special: Leadership at all levels. Nursing Management,42. 32-37. Retrieved October 19, 2014, from Lippincott Nursing Center: http://www.nursingcenter.com/lnc/journalarticle?Article_ID=1163290 Ridge, R. (2011, June). Future of nursing special: Practicing to potential. Nursing Management, 42.32-37. Retrieved October 16, 2014, from Lippincott Nursing Center: http://www.nursingcenter.com/lnc/pdfjournal?AID=1176058&an=00006247-201106000-00008&Journal_ID=&Issue_ID= Wikipedia, The Free Encyclopedia. (2014, September 27). Retrieved October 19, 2014, from Workforce planning: http://en.wikipedia.org/w/index.php?title=Workforce_planning&oldid=627275816

Wednesday, August 14, 2019

Our Decisions Determine Our Destiny

Our whole life is based on the decisions we make, whether it is big decisions like if we choose to go to college, get married, or have kids, or even smaller decisions such as If we decide to turn left or right on a walk. All of these decisions that we make In life can change our future, and of course we all want to make the right decisions so that we have a good future. God is so wonderful that he equipped us with moral law, which provides ways to tell the difference between a good act and a bad act.Through our conscience, God is speaking to us from the core of our being, indicating acts that are good and warns us of acts that are evil. An amazing poem by an anonymous author highlights the importance of keeping a good Catholic morality: Watch your thoughts, they become your words. Watch your words, they become your actions. Watch your actions, they become your habits. Watch your habits, they become your character. Watch your character, It becomes your destiny. The first line of the p oem states â€Å"Watch your thoughts, they become your words. â€Å"Every thing that comes out of our mouths comes from a thought- whether consciously or unconsciously. If we never think of anything, then we wont do anything. Usually, a kind, happy thought precedes kind, happy words. It can also go the other way in terms of kind thoughts. The poem reminds us to â€Å"watch† our thoughts because part of having goods morals means being kind. We don't want to say anything that we will regret saying or that makes us seem like a bad person. The next line adds on to the poem by stating â€Å"Watch your words, they become your actions.Our bodies instinctively follow the words we are saying- whether they are sour or sweet. If we say things enough, then we will actually do them. For example, someone can think that they don't like their unrecognized room and want to clean It. That person then tells their mother that they are going to clean It. Over time and countless comments regard ing them cleaning their room, they finally do clean their room. Another example could be If someone wants to show off to his or her friends.Thinking that throwing water balloons at a stranger's car would make them cooler,† they say that they will, and eventually they do. The third line of the poems continues this trend by stating â€Å"Watch your actions, they become your habits. Believe it or not, it only takes 21 times for the mind to recognize something as a habit. If we continue to do something, over and over, it becomes a habit to us. For example, every morning for school I wake up at 6:00. This becomes a routine, or habit for me. Sometimes we can develop bad habits that deflect from our true beings.We need to remember to make good actions so that hey become good habits. â€Å"Watch your habits, they become your character. † This Is a very strong statement and Is true. The decisions we make can depend greatly on the values and Inclinations that we have Internalize d over the years. Character refers to those features and attributes that make up our individuality. Good character results when we cultivate good qualities, habits, and patterns of behavior- that incline us to make good moral decisions. Catholicism identifies essential virtues- faith, hope, and love, known as the theological virtues.They are gifts from God that help us develop a better relationship with God. By living faithfully, hopefully, and lovingly, we cooperate with God's gifts of faith, hope, and love. God also gives us the cardinal virtues of prudence, Justice, fortitude, and temperance. We strive to have these personal character strengths that direct us toward Christ-like behavior and provide discipline for our passions and emotions. The final line of the poem states â€Å"Watch your character, it becomes your destiny. † Our destiny is our lot in life, the future or our fate.However you're perceived, the way n which your behavior toward others is received will become the shape and rhythm of your days. We as humans have the power to changer our destiny, Just by what we think, say, and do. Everything revolves around the choices we make, using our conscience. God has given us many gifts, but one of the most wonderful gifts of all is our conscience because it directs us to use all our gifts for the good of the community, the common good. The decisions we make decide who we are and our destiny. Used correctly, our conscience can lead us to ultimate happiness with God.

Tuesday, August 13, 2019

Visual Communication Essay Example | Topics and Well Written Essays - 1750 words

Visual Communication - Essay Example On the other hand, few experts (Candy, pp. 23-25) believe that contemporary form of art, such as films, television, music videos, digital photography are outcomes of inspirations and influences from previous art movements (Candy, pp. 23-25). Thus, all contemporary representations of art enjoy a deeper relationship with different periods of art in a meaningful manner. For instance, Surrealism was a significant and successful art movement of 1920s; however, studies have indicated that present artists are doing nothing but blending technology with traditional artworks of Surrealism, and few other art movements, such as Impressionism, Cubism, etc. Analysis of the literature (Surrealism.org, 2009) related to Surrealism has pointed out that present progression in the field of art has changed only the tools and equipments, and artists are still continuing to add visual elements of Surrealism that will be part of the discussion later in the paper. In the past, Surrealists used to create artworks by their hands and brushes while using the techniques, such as collage, furnage, heatage, bulletism, outagraphy, etc (Surrealism.org, 2009). Today, artists, especially of the music videos are using computer software instead of brushes to use the same techniques, in order to communicate with the audience visually, as well as to present their music in an enhanced and inspirational manner (Candy, pp. 29-36). This is one of the reasons that music videos have now become the influential tools to popularize a song, and despite of weak lyrics of a song, artistic music videos result in success of the music (Williams, pp. 47-61). In this regard, it has now become very important to identify factors that existed and played significant role during the art movement of Surrealism, and have continued to dominate the music videos in contemporary era of 21st century. For this

Improving Business Performance through strategic HRM (Work based Essay

Improving Business Performance through strategic HRM (Work based Report) - Essay Example Home improvement market has a two-way reciprocal relationship. On the one hand, it is open to, and dependent upon, the social and physical environment that surrounds them. On the other hand, it needs financial resources and political legitimacy (a set of laws by which to operate) pro ­vided by outside institutions and governments. Customers are significant members of the environment determining strategic choice of the organization. And knowledge and technology are also a part of the environ ­ment: they are produced by other actors in the environment and purchased by the or ­ganization as educated labor or as pure knowledge assets (Johnson and Scholes, 1998). Directional strategies (Ph. Kotler) help the company to expend internationally and reach diverse target audience (Johnson and Scholes, 1998). Recent years, Home Deport has implemented and developed a companies have already used this service, but still it is one of the most beneficial area for attracting a new customers). Home Deport acquires new knowledge and technology, and employ these assets in produc ­tion quickly. From a management standpoint, technology is a major environmental factor that continually threatens existing arrangements. Fast-changing technologies, such as information technology, pose a particular threat to organizations (Johnson and Scholes, 1998). Without qualitative service the enterprise is not capable to achieve the overall objectives. Home Deport is marked by increasing capital markets activity over the past 5 years. It is estimated that average annual returns for full-service are anticipated to exceed 13 percent over the next 10 years, with retail industr y investment alternatives performing at single digit growth rates (approximately 7 percent to 9 percent). (‘Home Depot in the know when’ †¦ 2002). Competitive strategies (Michael Porter 1985) allow identify and analyze

Monday, August 12, 2019

Six Sigma Implementation Essay Example | Topics and Well Written Essays - 2750 words

Six Sigma Implementation - Essay Example A Six Sigma opportunity is then the total quantity of chances for a defect. Process sigma can easily be calculated using a Six Sigma calculator. According to the Six Sigma Academy, Black Belts save companies approximately $230,000 per project and can complete four to 6 projects per year. General Electric, one of the most successful companies implementing Six Sigma, has estimated benefits on the order of $10 billion during the first five years of implementation. GE first began Six Sigma in 1995 after Motorola and Allied Signal blazed the Six Sigma trail. Since then, thousands of companies around the world have discovered the far reaching benefits of Six Sigma. There are two Six Sigma sub-methodologies commonly in use: DMAIC and DMADV. The Six Sigma DMAIC process (define, measure, analyze, improve, control) is an improvement system for existing processes falling below specification and looking for incremental improvement. The Six Sigma DMADV process (define, measure, analyze, design, verify) is an improvement system used to develop new processes or products at Six Sigma quality levels. It can also be employed if a current process requires more than just incremental improvement. ... The Core Team defines and reviews Six Sigma projects progress, and acts as the political leader, removing the barriers for the project teams. The Master Black Belt acts as a technical coach and provides the knowledge of quality tools for the project team. There is typically one Master Black Belt for every 1,000 employees. The Black Belt controls the project. There are typically 10 to 20 Black Belts per 1,000 employees. The Green Belt supports Black Belt. There are typically 3 to 5 Green Belts on the Project Team with the Black Belt. There are typically 300 Green Belts per 1,000 employees. Yellow Belts are the balance of your population. They provide information and support to the Six Sigma project teams, and are a source for future Green Belts. The MAIC discipline sets up a clear protocol to expedite internal communication. The incentive system facilitates Six Sigma projects to generate results. Situation: Need for Implementation of Six Sigma By 2001, the US-based General Electric Company (GE) was easily the largest diversified company in the world, with revenues of $ 125.91 billion and net earnings of $ 13.68 billion. Out of the company's 24 different businesses, some were so large that they could independently feature in the Fortune 500 list of companies. GE had operations in over 100 countries more than 250 manufacturing plants in 26 countries. The company was one of the largest employers in the world with strength of around 275,000 employees. GE remained the only company listed in the Dow Jones Industrial Index that had been included in the original index in 1896. The aim of implementing Six Sigma at GE was to infuse quality in

Sunday, August 11, 2019

Case Report on a Supreme Court decision that has been important in Essay

Case Report on a Supreme Court decision that has been important in shaping the interpritation of the Constitution - Essay Example This and other court appointments by the outgoing administration caused considerable consternation among the victorious Democratic-Republicans. During his long tenure, the decisions of the Marshall Court laid down the groundwork for an independent judiciary, the Court’s role as final arbiter of the Constitution, and practical guidelines for the functioning of a nation with distributed domestic sovereignty. Marshall’s greatest contribution to American constitutional practice was the establishment of the concept of judicial review: the Supreme Court should be the final arbiter in determining whether Acts of Congress and actions of the Executive (i.e., the President) are consonant with the language of the Constitution. This was accomplished through the resolution of an otherwise obscure suit at law brought by a Maryland businessman, William Marbury, requesting the Supreme Court issue a writ of mandamus to Secretary of State James Madison, requiring the latter to deliver to Marbury an already signed and sealed appointment as Justice of the Peace for the District of Columbia. Marbury was one of a group of 42 men appointed justices of the peace by the lame duck Adams Administration. In the ensuing months, 25 had their appointments confirmed by the new administration. Marbury belonged to the denied group. Marbury v. Madison, unlike virtually all other cases before the Supreme Court, w as one in which the judges sat as a trial court of original instance. Marbury’s request for a writ of mandamus was brought under the terms of article 13 of the Judiciary Act of 1789. Marbury and the host of other ‘midnight’ appointments were a partisan political issue and Marshall was desperate to keep the court from become politicized, realizing that under such conditions, an independent judiciary could not prevail. Marbury had failed in his attempt to secure documentation from the Senate (i.e., from that

Saturday, August 10, 2019

DEVELOP A BRIEF FOR THE IMPORTANCE OR SIGNIFICANCE OF NURSING THEORY Essay

DEVELOP A BRIEF FOR THE IMPORTANCE OR SIGNIFICANCE OF NURSING THEORY IN THE PROFESSION OF NURSING.USE A SPECIFIC NURSING THEORY TO ILLUSTRATE YOUR POINTS - Essay Example Additionally, since the primary proponent of nursing-caring-cannot be assessed, it is significant to have a theory to evaluate and explain what nurses do. As medicine makes efforts to move towards implementing a more multidiscipline approach to health care, nursing continues to endeavor to institute an exceptional body of knowledge (McKenna, 2006). This can be observed as efforts by the nursing profession to keep its professional boundaries. The issue is unclear because the boundaries between nursing and medicine are never fixed. For instance, nurses progressively increase their range of practice by carrying out tasks previously performed by doctors. However, since these limits are continually changing, perhaps it is more significant for the nurses to define their stance and their role (McEwen & Wills, 2014). By offering nurses with a sense of identity, nursing theory helps patients, managers and other health care practitioners to identify the exceptional contribution of nurses in health care. Lastly, nursing theory such as the Self-Care theory offers the nurses an understanding of their roles and purposes in health care (Parker & Smi th,

Friday, August 9, 2019

Response to Manuscript Review Essay Example | Topics and Well Written Essays - 1250 words

Response to Manuscript Review - Essay Example Response to Manuscript Review The two sentences that end the second last paragraph in the introduction, beginning with ‘However, in 2007/2008, Arab†¦Ã¢â‚¬â„¢ are examples of difficult expression and grammar. As an example of good practice please redraft these two sentences to improve clarity of expression and sentence structure. I totally agree with this interpretation, the two sentences indeed are examples of difficult expression and grammar. I have redrafted this two sentences in order to improve the clarity of expression and sentence structure. In order to emphasize this, the two sentences have been modified and now reds as follows: â€Å"However, in 2007/2008, Arab countries were force to bring back agriculture development to center of national strategic consideration. In fact, Iraqi government in their 2013-2017 NDP, they have emphasized on the role of agriculture by presenting concrete goals and associated investment.† â€Å"However, in 2007/2008, Arab countries were forced to revive agricultural development to center national strategic considerations. In 2013-2017 NDP, the Iraq government decided to emphasize on the role of agriculture by presenting concrete goals and associated investment.† â€Å"The process is done in accordance to the law regulating examinations of seeds developed by international union. This sentence has been modified and it now reads, â€Å"The process is done in accordance to the laws regulating examinations of seeds developed by international union of new varieties of plants.

Thursday, August 8, 2019

Economic Essay Example | Topics and Well Written Essays - 1000 words - 3

Economic - Essay Example China adopted this very strategy and hence, climbed up the peak of growth post globalization, although other economies around the world have to compensate for the same. Hence China received pleas for a currency appreciation from nations around the world; nevertheless, it seldom gave such an action a serious thought as it threatened to slow down its economic growth though in the short run. But, China’s central bank recently exhibited compliance to these external requests when it hiked the minimum cash reserve ratio to be maintained by Chinese commercial banks, by 0.5%. This step however, was a well-thought one as it indirectly also favored the country’s economic growth. Hike in Cash Reserve Ratio Banks normally hold a certain amount of reserves which is a part of the deposits which it receives from its customers. These reserves are held as a shield against any unprecedented crisis befalling the economy. In fact, the amounts that these banks should mandatorily hold back a re decided by the apex central monetary body on the basis of a number of factors including the risks of being submerged under a crisis. The central bank normally declares a required reserve ratio which the underlying commercial banks must comply to and maintain as a part of the total deposits which they receive. Out of this reserve requirement that they retain, a certain amount needs to be maintained with the concerned central bank of the country as cash reserve ratio. Purpose of CRR is to act as a shield or protection against any crisis. For instance, in case that any bank needs more money than it has with itself at any point of time; in such situations, the bank might turn towards the concerned central bank which forwards this amount eventually. The Chinese Central Bank announced an additional cash reserve ratio of 0.5% over what the domestic commercial banks had been maintaining initially with the former. This step was believed as a development owing to requests for currency appr eciation coming from nations all around the world. Such a measure increased the liabilities of the Chinese Central Bank as more and more cash started flowing in from commercial banks. The commercial banks however, experienced an increase in their assets as a result given that a hike in CRR implied an increase in the reserves of these banks. Impact upon the economy of China Central Bank of China’s policy of increasing the CRR by an additional 0.5%, implied a reduction in the amount that the commercial banks affiliated with it, could advance to potential borrowers. Hence, the primary implication had been a reduction in the amount of money being circulated through the nation. On a secondary basis, to check the amount of loan demands, the commercial banks were instigated to raise the market rate of interest which negatively affected the volume of investments in the economy. Thus, GDP is likely to fall. Moreover, when GDP falls, so does the amount of consumption and investment whi le, the demand for imports increase. Hence, during the second phase, the economy is characterized by an increased reduction in GDP owing to reductions in consumption, investment and net exports. Impact on Money Multiplier Money multiplier, represented is the rate at which an economy can create credit given the economy’s monetary base; it is represented as, MM = (1 + c/d)/ (r/d + c/d); where, c/d ? Currency-Deposit

Wednesday, August 7, 2019

Martha Stewart's Case Analysis Essay Example | Topics and Well Written Essays - 1250 words

Martha Stewart's Case Analysis - Essay Example The company’s stated market is ‘as big as everyone who has a house.’ The company is shown to have four segments which are divided into three platforms in order to leverage investments. There is the Omnimedia platform which is divided into publishing (focusing on the Martha Stewart Living (MSL) magazine, Martha Stewart Weddings as well as a selection of special interest magazines and books and a New York Times column) and television (focusing on the Martha Stewart Living television series, From Martha’s Kitchen, prime time specials and Christmas events). There is also the OmniMerchandising platform (focusing on Martha Stewart branded lines ranging from the Martha Stewart Everyday line to the Martha Stewart Home line, distributed principally through Kmart and Sears respectively) and the Internet/Direct Commerce platform (focusing on Martha by Mail catalog and the marthastewart.com website). Stewart herself is the driving force behind the company, maintaining control over the company following privatization with 60% control of shares and 96% control of votes. She maintains close relationships with her female dominated board of directors while her family also play an important role in the business. The root problem of the report is that it is difficult to assess the value and long term future of a company which is based around a personality. This is because the company could be seriously adversely affected by a change in public opinion with regards to Martha Stewart herself. This problem exists because the company has become a personality led brand. It is therefore extremely difficult to predict how public opinion will react to the personality in the future if their perceived strengths are threatened. Examples in the case study include criticisms of Stewart as being difficult to work with, as setting unreasonably

History of Modern Philosophy Essay Example for Free

History of Modern Philosophy Essay 1- How, and with what success, does Hume deal with the apparent anomaly of the missing shade of blue? In A Treatise of Human Nature, Hume attempt to rid 18th century moral philosophy of what he considered to be meaningless and vacuous concepts underlying our theory of knowledge be it metaphysical arguments or hypotheses seemingly formulated from the mere imagination of many philosophers. Influenced by the emerging trend of empiricism and naturalistic science like Newton and Locke, which Hume owed much of his basic principles from Hume presented the Treatise as an attempt to introduce experimental methods of reasoning into the area of moral philosophy. In the first book of the Treatise, entitled Of the Understanding, Hume devoted the first part Of the Origin of our Ideas for explaining the basis of his philosophical system that appeals on the similar empiricist approach as that of Lockes. However, curiously, Hume had cited an explicit counter-argument the problem of missing shade of blue that could invalidate his whole philosophical system that is based on this central principle. Even more puzzling is Humes complacency with this problem, and although he considers the problem as singular and exceptional, he fully admitted to this counter example and did not try to resolve it. Yet, this case merits a deeper investigation, and it is this essays attempt to see whether his apparent complacency with the missing shade of blue would have any effect on the strength of his philosophical system, and other attempts to render this problem irrelevant. The problem of the missing shade of blue by Hume is as follows: suppose a man who is well acquainted with colours for thirty years and has seen all the colours in the set of possible colour spectrum, except for one particular shade of blue. Then, he is presented with a full spectrum of the shades of blue, from the darkest shade to the darkest, all except the one particular shade in which he has not yet encountered. It is then conceivable that this man would be able to produce this single missing shade of blue. The problem of this lies in the basis of the empiricist doctrine at which Hume is following, namely, that all ideas must be preceded by experience, yet, in this example, it is demonstrated that it is possible for an idea to precede sensation experience, as the man is able to produce the idea of the missing shade of blue without having first encountered it through his senses. At this point, I would like to elaborate more on Humes theory of mind and the origin of ideas as that would clarify why this example is so damaging to Humes system. As stated before, Humes project can be put into a general label of empiricism, which is a belief that all knowledge comes from experience. Much of his line of argument resembles that of Lockes, another prominent empiricist. Hume even borrowed Lockes key terminology to a certain extent, with terms like ideas and impressions. Locke believes that ideas are whatever the mind perceives in itself, or is in the immediate object of perception, thought, or understanding, as when one perceives, thinks, or understands, the ideas are before the mind. This limits all ideas to be originated from experience (perception), and also shows the connection between thought and perception and their interchangeable nature. The ideas can be divided into ideas of sensation (touch, smell, sight, etc.) and ideas of reflection (fear, happiness, sadness, etc.), which can then be separated further into simple and complex ideas, where complex ideas are derived from simple ones. Hume follows this line of argument with some modifications. He claims he restores the term ideas to its original sense by classifying the objects the mind is perceiving as perceptions, not directly as ideas as Locke have used, and from perceptions he then distinguished them into impressions and ideas, where they differ in degree, as impressions are more vivid and forceful before the mind, such when sees a colour, and the ideas are more faint, such when one thinks of a colour after having the impressions of it. Hume then makes the distinction of simple and complex ideas, and by introspection, Hume demonstrates that one can think of any simple ideas and then find corresponding simple impressions that are exact copies of each other, and one can do this with any conceivable simple ideas. Complex ideas are different in that they are composites of simple ideas. And with this experiment in introspection, Hume then postulates his first thesis, That all our simple ideas in their first appearance are derivd from simple impressions, which are correspondent to them, and which they exactly represent. We may call this the Copy Principle, as it simply states that every simple idea is a copy of a corresponding impression. One of the most important components of this thesis is the fact that its a genetic one in that it shows the origin of ideas as following from impressions as impressions to be the cause of ideas. Again, this is proved by the constant conjunction of simple impressions preceding simple ideas, which one can do to every simple idea one may have. Another support Hume gives is that of a man born defective of certain perceptive organs, hence, missing certain impressions (e.g. sight or sound), one would not have any ideas of those corresponded with the impressions, for it is evident that deaf people also have great trouble speaking. The genetic component is important in that they validate the empiricism doctrine on the reliance of experience. Anyhow, now we can see how the problem seems to defeat the purpose of this thesis. Moreover, a counter example, from a logical standpoint, one counter example is sufficient to turn an argument invalid. So why did Hume not deal with this problem? We may try to take it as Hume claimed the problem to be a singular case where it is not worth investing time on. Being a singular case, one may have to take the argument in closer inspection. Hume states explicitly that the man in question may have enjoyed the sights for thirty years and perfectly well acquainted with all the possible colours except one, and that may be the attempt by him to restrict this to some specific scenario. It is implicitly embedded in the counter example that the subject of this example must be well acquainted with all the colours, such that one can make up colours in ones mind, much like how only musicians of a certain skill level can sight read music. Thus, it appeals to some amount of experience such that one may be bound to experience, habits, or personal background. Yet, when given further consideration, this seems to be invalid as well, as these restrictions do not seem to hold. As far as experience go, a child who does not know what turquoise mean does not necessarily have an idea of the colour turquoise. So this case is certainly not an exceptional case and Hume had not dealt with it satisfactorily. Yet, Humean scholars have tried to find solutions for this problem and some even disregard it as a problem altogether. Firstly, the first objection to this counter argument is that there is no way to test whether the person in question does in fact have an idea of the missing shade of blue before seeing the missing shade or not. There is a great difference between being able to spot a missing spot in a complete spectrum of blue, and being able to produce an idea of the shade of blue without first encountering the impression of it. If ones sees a constant change in shade from, lets say blue-0 where it is darkest to blue-255 where it is the lightest shade, then if there is one shade of blue missing, it would be quite noticeable as the mind notices the jump in gradual and constant change, but it does not follow that one could create an idea of that missing shade. To test this is also impossible, as if one is to reproduce colour, it still does not follow that he produces the idea since he would only be mixing the existing colours to brighter shades, and thus, after finishing mixing the colour, one then has the idea of the colour following the impression. All other ways of testing is equally futile because they all involve exposing the subject to the missing impression one way or another. Alternatively, if we look at the thesis again, and instead of taking it as a genetic form of the argument that Hume meant it to be, and instead, modifies it slightly to a more analytical empiricism form. Humes thesis on the theory of mind, upon closer inspection, can be taken as a form of meaning empiricism, in the sense that ideas to him are the same as different thoughts, which are different kinds of concepts, which is linked to when one understands something in a linguistic sense one is linking the word with the meaning, or the concepts associated to the word. Hence, if we think of the initial genetic content of the thesis, that impressions strictly precedes ideas, we may relax it slightly in favour of the analogy to meaning empiricism and forget its genetic form and instead formulate the following thesis: that all simple ideas must have corresponding conceivable and encounterable impressions. By doing this, we are no longer faced with the problem of the missing shade, since it is perfectly possible that the subject would be able to encounter this particular shade. Lastly, from a personal view, I see the problem of the missing shade of blue as not a problem at all, but Humes mistake lies in classifying colours as simple ideas. It is true that the impressions of light blue might very well be different than dark blue, so to speak, but to use Humes method, it is possible to separate using our imagination the components light and dark from blue. Thus, it is the impression of blueness which is a simple impression, combined with the impression of light and absent of light that combine to give this multitude of shades of colours. Take this example, suppose some neutral shade of blue, lets number it blue 124, were put somewhere with light, you will be able to see blue 124. However, lets say for some reason, the room becomes lighter, certainly, the shade of blue 124 would have changed to some lighter shade of perhaps blue 200. If we vary the light in the room from darkest to lightest, it is then possible to observe from the darkest to the lightest shade of blue likewise. One may argue that the colour can be calibrated to some objective criteria, perhaps the ratio of pigments of colour blue of some sort, yet, that does not matter since all that matters to Hume is indeed only impression. Furthermore, using this example, we can also say that perhaps the subject of the experiment may have in fact encountered the particular shade of blue sometime before without acknowledging it. Conclusively, although Humes treatment of the missing shade of blue is very limited and very complacent, it is perhaps Humes own mistake for considering such example a problem, rather than the problem itself being a threat to his theory of origins of ideas.