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Wednesday, October 30, 2019
EU Case Study Example | Topics and Well Written Essays - 750 words
EU - Case Study Example td justified its actions by pointing to some provisions in the sex discrimination act 1975 that allowed discrimination in regard to employee retirement. By referring to section 6(4) of the act, section 6(2) does not apply to retirement or death. Also, the equal pay act 1970 did not prevent an employer from using discriminatory retirement ages on men and women. Thus, s6 (2) of the Sex Discrimination Act 1975 and the Equal Pay Act 1970 did not help Mrs Duke win her case against her employer. The equal treatment directive states that any discrimination is unlawful. However, it is normally possible for a state to fail in implementing the directive. In such a situation, the claimant has to prove that it was the state’s failure to do what it was required to do. Since the directive had not been implemented by the state, it is acceptable for the state to compensate the claimant. However, for the state to be required to compensate the employee, the employer has to be considered an arm of the state. Since Mrs Duke’s employer was a private employer, her claim will not be allowed. Both the Sex Discrimination Act and Equal Pay Act did not reflect the Equal Treatment Directive simply because the state had failed to implement the directive. As such, individuals would be deprived of some of their rights. This reasoning swayed the court’s opinion hence making them to rule against the appellant by stating that discrimination in relation to retirement was allowed. Lord Templeman relied on the Von Colson Case to make judgement on the case that lay before him. He argued that the Von Colson Case did not enable the German court to invent a law of adequate compensation when such law does not exist. Also, the case is no authority in the proposition that a member state court should distort a domestic statute’s meaning to achieve or conform with community law. Therefore, lord Templeman stated that it was unfair to GEC Reliance Ltd distort the meaning of the sex discrimination act
Monday, October 28, 2019
Define Motivation, Explain How the Expectancy Theory Works Essay Example for Free
Define Motivation, Explain How the Expectancy Theory Works Essay TEMPLATE FOR SUMMARISING AND EVALUATING ARTICLES FROM SCHOLARLY JOURNALS Title and Article Reference| Robert G. Isaac, Wilfred J. Zerbe and Douglas C. Pitt(Summer 2001) Leadership And Motivation: The Effective Application Of Expectancy Theory, Journal of Managerial Issues , Vol. 13, No. 2, pp. 212-226| Aim / Purpose of article| In this article, we discuss the application of a motivational model that provides a practical tool for individuals wishing to assume leadership roles. This model, namely expectancy theory (Vroom, 1964; Porter and Lawler, 1968), suggests that individuals, acting through self-interest, adopt courses of action perceived as maximizing the probability of desirable outcomes for themselves. This desire to maximize self-interest provides aspiring leaders with unique opportunities to assume leadership roles by simultaneously meeting both follower needs and organizational requirements| Sample, location, method of data collection and analysis| Article was only theoretical. No empirical evidence offered| Findings/Interpretations reported in the article| Leadership is hard work because it means stepping forward and taking the time to motivate each follower on a personal basis, according to the principles of the model of expectancy theory.| Significance/contribution of the article in relation to your other articles and your topic| This article also contains solid information which outlines that the expectancy theory is used by leadership to motivate their employee’s by meeting their expectation which then inspires them to perform their task highly.| Strengths of the article| Well researched with strong background in the exploration prior of research| Weaknesses of the a rticle| No weakness indicated as the expectancy theory has proven to be vital for leadership and management.| Quotes from the article that you plan to use in your assignment| â€Å"V. H. Vroom (1964) suggested that people consciously choose particular courses of action, based upon perceptions, attitudes, and beliefs, as a consequence of their desires to enhance pleasure and avoid pain†. (Leadership And Motivation: The Effective Application Of Expectancy Theory) Summer 2001 p 214| Quotes from the article that you plan to use in your assignment| â€Å"In essence, the model suggests that the individual feels motivated when three conditions are perceived†1. The personal expenditure of effort will result in an acceptable level of performance. 2. The performance level achieved will result in a specific out-come for the person3.The outcome attained is personally valuedSummer 2001 p 215|
Saturday, October 26, 2019
Essay --
Introduction The recent combat operations in Afghanistan and Iraq have exposed our military personnel to intense ground combat and hazardous duty. Studies are needed to thoroughly assess the mental health of military personnel who have served in these operations and to reform policy with regard to effective delivery of mental health services to returning veterans. The US Armed Forces has been trying to implement different programs to encourage military service members to seek help when needed; but are these efforts enough? It is true that the prognosis for a better quality of life for veterans suffering with PTSD is increased through early intervention but no one can force anyone to seek help. According to the national studies 1 in 5 veterans report symptoms of mental disorders. In recent years the VA has developed the Seamless Transition Program which targets the group of soldiers who served in Iraq and Afghanistan. The focus of the program is to deliver a high level of care in a short amount of time but, most importantly, they're using a holistic approach. This approach requires c...
Thursday, October 24, 2019
Child Abuse and Neglect :: Violence Against Children
                                             The safety and security of home are comforts we all wish for no matter what age we are. Though some of us get our wish roughly six million children don’t(United States Department of Health). Children who are battered and bruised, beaten, and in some causes sexually assaulted are constantly looking for an escape from the torture brought upon them by their own parents. These children average in age only four years old (Jones, Smothers F8 ) endure more pain at their young age than most of us face in a life time. The crime hurts children physically, emotionally and in most cases the pain goes on for a life time. The memories of climbing into bed with your parents are replaced with memories such as your father’s hand lashing your back for absolutely nothing because he is not in the right mind caused by all the alcohol. Making matters worse is that these children are too afraid to tell the world of the anguish and continue a life of hiding bruises and making excuses. As for t he children who are brave enough to tell, they get it no better if not worse. They are recklessly thrown into foster home after foster home. They face such hard ships as limited space with an enormous amount of children. Throughout all this, they never learn the true meaning of family. Why is there a lack of effort put into this crime? One is left to guess for the reasons are far too hard to comprehend. With so much drama and war around the world, Americans would like to convey an image of security and safety, once doing so we tend to black out the horrible acts of abuse occurring against our own children, causing child abuse to be a very neglected crime. â€Å"Having children makes you no more a parent, than having a piano makes you a pianist.†(Levin, www.brainyquote.com/quotes/authors/m/michael_levine.html) With that being said the United States continues to give parental right to drunks and abusers without realizing the ripple affect it has on all of us. These children whose minds are being wasted not by lack of effort but by lack of parenting and lack of care from the government, have the ability to grow and become future leaders, heroes, and peace makers of our world. Why not take the extra effort in making sure that our future is being looked out for in our present? Child Abuse and Neglect :: Violence Against Children                                              The safety and security of home are comforts we all wish for no matter what age we are. Though some of us get our wish roughly six million children don’t(United States Department of Health). Children who are battered and bruised, beaten, and in some causes sexually assaulted are constantly looking for an escape from the torture brought upon them by their own parents. These children average in age only four years old (Jones, Smothers F8 ) endure more pain at their young age than most of us face in a life time. The crime hurts children physically, emotionally and in most cases the pain goes on for a life time. The memories of climbing into bed with your parents are replaced with memories such as your father’s hand lashing your back for absolutely nothing because he is not in the right mind caused by all the alcohol. Making matters worse is that these children are too afraid to tell the world of the anguish and continue a life of hiding bruises and making excuses. As for t he children who are brave enough to tell, they get it no better if not worse. They are recklessly thrown into foster home after foster home. They face such hard ships as limited space with an enormous amount of children. Throughout all this, they never learn the true meaning of family. Why is there a lack of effort put into this crime? One is left to guess for the reasons are far too hard to comprehend. With so much drama and war around the world, Americans would like to convey an image of security and safety, once doing so we tend to black out the horrible acts of abuse occurring against our own children, causing child abuse to be a very neglected crime. â€Å"Having children makes you no more a parent, than having a piano makes you a pianist.†(Levin, www.brainyquote.com/quotes/authors/m/michael_levine.html) With that being said the United States continues to give parental right to drunks and abusers without realizing the ripple affect it has on all of us. These children whose minds are being wasted not by lack of effort but by lack of parenting and lack of care from the government, have the ability to grow and become future leaders, heroes, and peace makers of our world. Why not take the extra effort in making sure that our future is being looked out for in our present?
Wednesday, October 23, 2019
Depression and Suicide in Native American Adolescents Essay
Depression and Suicide in Native American Adolescents Introduction            The United States records the highest number of both successful suicides as well as attempted suicides on an annual basis. According to studies, 80 people commit suicide on a daily basis whereas emergency departments receive thousands of visits with cases of self-inflicted injuries (Ginsburg et al., 2008). Teenagers aged 15-24 report the highest cases of successful suicide and suicide attempts. Native American teenagers make the largest percentage of these suicides. According to Gary (2005), stress is the main reason why suicide related cases are ever on the rise in the US. This stress normally results from depression, which comes in different forms such as self-doubt, uncertainty about the future as well as strains of being successful. Apart from providing an analysis on the high rate of depression and suicide among Native American adolescents, the study talks about necessary measures that ought to be taken in a move to curb these suicide cases. Depression            According to studies, depression is the act of feeling sad, this occurs when one is not satisfied with a certain outcome (Walls et al., 2007). Depressions could be disastrous if not handled in the right manner. For instance, a person experiencing depression is likely to commit a heinous act if appropriate measures are not taken to curb the situation. Lack of proper attention is the reason why most Native American youths are committing suicide in the United States. According to studies, many Native American teenagers become depressed due to a number of reasons, for instance, frequent family disputes as well as poor performance in schools (CDC, 2010). Native Americans have incurred a number of problems throughout their lives. For instance, apart from exploitation, Native Americans have lived in adverse poverty for decades. This level of poverty has made it difficult for most parents to offer their children quality education since most of the m live in poor and unhealthy lifestyles (Listug-Lunde, Vogeltanz-Holm & Collins, 2013).            High rate of poverty is the main reason why many Native American adolescents end up becoming depressed. Due to poverty, youths are forced out of school, hence; they spend most of the time working for the family in addition to seeking low paying jobs in major cities. Since these youths spend most of the time outside the classroom, this result to poor performance, hence, low self-esteem (Gary, 2005). Dropping out of school is more devastating for girls compared to boys. This is because, these girls are likely to become pregnant and this makes life even more difficult for them, hence, this is the reason why girls are the most affected with depression compared to boys (NAMI, 2014). Due to the unhealthy lifestyles, Native American parents have higher chances of divorce compared to other races. Conflicts and separations among Native American parents also play a major role when it comes to depression among youths. When a family files for a divorc e, life becomes even more difficult compared to how it was before the separation. It is through these challenges that most adolescents gradually develop the feeling of depression, making them commit inhumane atrocities such as suicide. Suicide            According to studies conducted by Balis and Postolache (2008), suicide comes third among the leading causes of deaths in adolescents residing in the United States. The reason why most American Native adolescents contemplate suicide is because they tend to believe it is the only solution to the challenges they incur. There are different methods in which suicide attempts are made. For instance, apart from suffocation by hanging, other common forms of suicide include the use of poison as well as firearms (CDC, 2010). According to studies, most boys tend to use firearms when committing suicide whereas girls opt for poison or the suffocation method. According to Gilder and Ehlers (2012), most teenagers contemplate suicide after undergoing major disappointments. Apart from strained interpersonal relationships, other factors that have contributed to high incidences of suicide cases among Native American teenagers include high level of stress. Acc ording to studies, Native American adolescents are likely to undergo high levels of stress that come as a result of divorce by parents. Girls opt to commit suicide after being victims of sexual or physical abuse (Listug-Lunde, Vogeltanz-Holm & Collins, 2013).            The reason why Native Americans have the highest reports of suicide incidences is due to the lack of good relations, which are of great importance especially during emotional changes (Gary, 2005). A good support network is essential since it acts as an outlet that helps them deal with the inner feeling. It is evident that people that are depressed commit most suicide attempts. According to studies, depression is usually considered a mental health disorder since it causes chemical imbalances within one’s brain. These imbalances result to lethargy, despondency as well as general apathy towards one’s life, hence, causing one to contemplate suicide (NAMI, 2014). Substance abuse is another main cause of suicide among Native American adolescents. Most youths start using illegal substances due to numerous challenges they undergo. Through peer pressure, youths are made to believe that drug abuse and consumption of alcohol will reliev e them of their problems (Faye, 2005). Risk factors            Suicidal incidences never occur out of blues, these victims display a number of signs. The reason why most of the suicides are successful is that most people notice these signs but they never take any precautionary measures. Studies show that firearms are the most used weapons among teenagers that commit suicide (CDC, 2010). The reason why guns are the most used weapons is due to their easy accessibility. Apart from firearms, adolescents have access to other items such as alcohol and motor vehicles. Some of the signs shown by people contemplating suicide include sudden withdrawal from peers or family members as well as the loss of interest in activities that were pleasurable in the past. According to studies, people contemplating suicide tend to be more aggressive than usual (Gilder &Ehlers, 2012). Hence, it is the responsibility of family members and close peers to monitor people displaying such behavioral changes. These behaviors are rar ely considered among the Native Americans and it is the reason why this tribe records the highest rate casualties.            When it comes to risk factors associated with suicide attempts, one’s genetic factor also plays a major role. According to Theodora and Teodor (2008), some suicidal thoughts are usually genetic. Hence, the suicidal history of one’s family also needs to be put into consideration. Apart from behavioral changes, other factors that need consideration when focusing on risk factors includes gender, ethnicity one’s and socioeconomic status. For instance, in the case of gender and ethnicity, boys are five times likely to commit suicide compared to their female counterparts. As for age, teenagers above 20 years are more likely to commit suicide compared to those aged 12 and below. Geographically, most cases of teenage suicide and usually experienced in the western states such as Alaska (Theodora & Teodor, 2008). Intervention/Treatment            In order to reduce the rate of suicide incidences among adolescents, appropriate intervention measures ought to be considered. For instance, families and peers need to monitor each other in a move to identify any behavioral changes that might arise. Early identification of behavioral changes is quite beneficial since it minimizes chances of successful suicidal attempts. Apart from monitoring behavioral changes, identification and minimization of risk factors is also of great importance. For instance, limiting the access of firearms as well as alcohol and drugs will result to a reduction in suicidal attempts (Theodora & Teodor, 2008). Youths need to be encouraged to participate in physical activities since it tends to reduce one’s thoughts of contemplating suicide. Youths under the influence of drugs require proper attention since they are likely to commit heinous acts such as committing suicide. Such people ought to be placed under psychological or clinical care where they are to undergo rehabilitation programs (NAMI, 2014).            Family support plays a major role when it comes to minimizing the rate of youth suicidal attempts. Through family support, youths feel wanted and this results to minimal suicidal thoughts. Lack of family support increases the chances of suicidal attempts since these youths tend to believe that they are not wanted; this is because they do not feel the parental love (Gilder & Ehlers, 2012). Another intervention measure is by educating youths about religious believes. Teaching teenagers about the Bible and God’s teaching will minimize suicidal attempts (Theodora & Teodor, 2008). This is because adolescents will realize that they are the children of God who loves them and will not be happy when they commit suicide since he has good plans for them. Though the Bible, teenagers will also learn how to pray to God and ask for strengths in times of temptations. Similarly, urgent medical attention needs to be sought on youths that are undergoi ng depression (NAMI, 2014). Conclusion            Cases of teenage suicide in the US are ever on the rise. According to studies, 80 people commit suicide on a daily basis, most of them Native American teenagers. Stress is one main factor that causes most youths to contemplate suicide. Most American Native youths become stressed after they drop out of school due to poverty, physical and sexual abuse as well as family wrangles such as divorce. Apart from suffocation by hanging, other common forms of suicide include poisoning and the use of firearms. In order to minimize the rate of youth suicide, a number of risk factors ought to be put into consideration. For instance, apart from behavioral changes, family members need to look out for other traits such sudden withdrawal from family members and peers in addition to the sudden loss of interest in activities that were pleasurable in the past. Some of the intervention measures required in a move to curb youth suicide include the monitoring of behavioral changes, limiting the access of firearms and alcohol and seeking medical attention of youths experiencing depression. Finally, educating youths about the Bible and how to pray whenever they are faced with temptations will also reduce youth’s suicidal attempts. References Balis, T. & Postolache, T. (2008). â€Å"Ethnic Differences in Adolescent Suicide in the United States.†NCBI. 1(3): 281–296. Retrieved on 9 December 2014 from http://www.healthandwelfare.idaho.gov/Portals/0/Families/Suicide%20Prevention/Native%20American%20Males/Reports/Suicide_in_Native_American_males_FINAL.pdf Gary, F. A. (2005). Perspectives on Suicide Prevention among American Indian and Alaska Native Children and Adolescents: A Call for Help. Online Journal of Issues In Nursing, 10(2), 170-211. Retrieved on 9 December 2014 from http://web.a.ebscohost.com/ehost/detail/detail?sid=daf42f13-b168-42b7-b4388b238c57fed4%40sessionmgr4005&vid=37&hid=4104&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=aph&AN=17356288 Gilder, D.& Ehlers, C. (2012). â€Å"Depression Symptoms Associated with Cannabis Dependence in an Adolescent American Indian Community Sample.†NCBI.21(6): 536–543. Retrieved on 9 December 2014 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3498983/ Ginsburg, G. S., Baker, E. V., Mullany, B. C., Barlow, A., Goklish, N., Hastings, R., &Walkup, J. (2008). Depressive Symptoms Among Reservation-based Pregnant American Indian Adolescents. Maternal & Child Health Journal, 12110-118. doi:10.1007/s10995-008-0352-2 Listug-Lunde, L., Vogeltanz-Holm, N., & Collins, J. (2013). A Cognitive-Behavioral Treatment For Depression In Rural American Indian Middle School Students. American Indian &Alaska Native Mental Health Research: The Journal Of The National Center, 20(1), 16-34 NAMI. (2014). Mental Illness. Retrieved on 9 December 2014 from http://www.nami.org/Template.cfm?Section=By_Illness Walls, M. L., Chapple, C. L., & Johnson, K. D. (2007). Strain, Emotion, and Suicide among American Indian Youth. Deviant Behavior, 28(3), 219-246. doi:10.1080/01639620701233100 Source document
Tuesday, October 22, 2019
Stop looking and start writing - Emphasis
Stop looking and start writing Stop looking and start writing Conducting endless research can make you depressed and not just because you miss all your deadlines. According to psychologist Barry Schwartz, we often find it hard to make up our minds when faced with a surplus of possibilities. And this can make us miserable. Its not surprising writers are prone to falling into this trap. If theres one thing the internet offers us, its everything. And the wealth of information online means it can be tricky knowing when to stop looking, and to start writing. Less is more We tend to assume the more options, the better. But in his book The Paradox of Choice, Schwartz points out that our obsession with freedom of choice, fuelled by our consumer culture, has led to the increasing complexity of everyday decisions. For example, think about going online: whether its selecting a salad dressing or material for your report, we are subjected to an overload of promising links, images and information. And even when we pick a path, we are often only too aware of the alternatives we had to forego. No matter the genuine benefits our actual preference may bring us, the imagined superiority of the roads not taken can make us feel like weve missed out. Schwartz illustrates this decision-making paralysis with an anecdote about a company giving its employees the opportunity to invest in voluntary retirement plans. For every ten options on offer, participation dropped by two per cent. So one in 50 people effectively passed up $5,000 a year in contributions from their employers rather than make a choice. The problem was that they were offered too many ways to invest. Time out Adrian Hon, a neuroscientist and founder of online games company Six To Start, believes the only way to regain some control is to artificially limit our choices, by way of a secular Sabbath: a day without technology. Although he had the expected initial pang when disconnecting, he also found it liberating. After all, he says, It wasnt worth worrying about work or chores because there was nothing I could do about them for the next 24 hours. Were not suggesting you corner your boss and announce your own weekly secular Sabbath starting on Monday (although that would be nice). But switching off all your gadgets every now and then could not only give you space and time to finish that report it could also improve your wellbeing.
Monday, October 21, 2019
Corporations and Communities Learning How to Be Responsible
Corporations and Communities Learning How to Be Responsible The on-going debate on the place of corporations The Canadian documentary The Corporation (Achbar Abbott 2003) dwells upon the role corporations have played in the society. Corporations are now associated with evil, illegal entities that focus on gaining profit at the expense of the community. People claim that corporations ceased the power long time ago and people can do nothing to resist.Advertising We will write a custom essay sample on Corporations and Communities: Learning How to Be Responsible specifically for you for only $16.05 $11/page Learn More However, it is important to remember that corporations were initially â€Å"a gift of people to serve the public good†as people gathered to fulfil certain tasks and their activities were strictly regulated (Achbar Abbott 2003). The corporations are not a product of evil businessmen of the beginning of the twentieth century. These entities (as they are now) are a result of regulatory deficiencies a t a number of levels, i.e. corporate, national and international levels. The present paper is aimed at identifying the major regulatory deficiencies and revealing possible ways to diminish negative influence of corporations. Major issues associated with corporations To understand the reasons for the impact corporations have, it is necessary to briefly trace the development of these entities. Industrialisation is seen as the major factor that made the appearance of corporations possible (Bowman 2010). Researchers also note that the development of the military industry was another potent factor that contributed to the development of corporations (Achbar Abbott 2003). Mastrogiovanni (2009) notes that military conflicts have always brought huge sums of money to those involved in the military industry. However, the major turning point in the development of corporations as they are now was the enactment of the 14th Amendment. Researchers stress that the notion that corporations should be regarded as legal persons enabled these entities to operate with less restrictions (Achbar Abbott 2003). The corporation was a legal person that was able to buy and sell property. Therefore, corporations have gained more power since the 1930s. Importantly, the concept of the corporation has spread worldwide as the American economic model was transferred to European (as well as South American and Asian) countries after the World War II. Drucker (2009) claims that the development of corporations worldwide was inescapable as the collaboration between the countries was increasing. The development of corporations is also associated with a variety of positive and negative externalities. These economic, political, social and environmental externalities have had predominantly negative effect on the development of communities and the image of corporations (Simpson 2007).Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Corporations gained more power and violated more and more regulations. What is more, new regulations (which were favourable for corporations) have been introduced. These violations and new unfair regulations can be explained by regulatory deficiencies at the corporate, national and international levels. Results of regulatory deficiencies at different levels The corporate level In the first place, it is necessary to consider regulatory deficiencies at the corporate level. The core goal of any corporation is gaining profit. It is noted that there is nothing bad in that as this is the basis of a capitalist society (Achbar Abbott 2003). Therefore, corporations tend to focus on gaining profit rather than on being responsible in many respects. The business world has always been highly competitive and contemporary corporations have to face lots of constraints. To remain competitive, corporations often try to reduce their expenses, and this often leads to violation of certain norms (Kurucz, Colbert Wheeler 2008). Thus, corporations can reduce perks (or even wages) of employees, violate environmental regulations, etc. The national level However, corporate irresponsibility cannot be regarded as the major factor contributing to the spread of corporations and their empowerment. Admittedly, corporations violate regulations and they are corrupt. However, it is much more serious that corporations are barely ever punished. Governments of the USA and all European countries let corporations violate the rules. For instance, the famous case of Cochabamba is an example of the symbiotic co-existence of a corporation and a government. Thus, SEMAPA, the organisation providing municipal water and sewage services, was privatised and soon sold to a corporation (Snchez Gà ³mez Terhorst 2005). Olivera (2004) notes that the tender procedure was obscure and held with a variety of violations. In this case, the government was corrupt and let a corporatio n take control over a community’s organisation. More so, the example of the Bolivian case also transcends on the international level which appears to be the major factor contributing to the negative influence of corporations. The international level SEMAPA was sold under the pressure as the World Bank had an impact on the Bolivian government. Notably, the organisation was sold to an American corporation. Therefore, that was not a case of a single country as it involved several states and an international organisation.Advertising We will write a custom essay sample on Corporations and Communities: Learning How to Be Responsible specifically for you for only $16.05 $11/page Learn More Obviously, international bodies have a great impact on governments. This single case can justify the argument that regulatory deficiencies at the international level have led to the development of corporations which are irresponsible in social, political, environmental, e thical and moral respects. The most effective level in addressing the issues At the same time, the great influence international bodies have now makes the international level the most effective in addressing the issues related to the negative impact of corporations’ irresponsible activities. Cordato (2007) argues that international regulations have been effective tools in many cases. The contemporary globalised world is, to a certain extent, governed by international bodies. Therefore, these organisations are capable of diminishing negative effects of corporations’ activities. The history of corporations’ development shows that they used to be strictly governed. It is time to reintroduce such a practice. Notably, some may state that the Cochabamba model can be successful in addressing the issues associated with corporations’ activities. It is necessary to note that the famous People’s Agreement of Cochabamba reflects major issues and outlines most important concept (People’s agreement 2010). For instance, people of Cochabamba address the rest of the world and ask for responsibility and creation of responsible regulatory bodies. However, the situation in the region proves that a set of concepts is not enough as the government is still corrupt and ineffective. People are still suffering from the lack of resources. Therefore, the manifestation should be brought to the fore and become the basis for the new legitimate document. The existing international bodies should start paying more attention to the activities of corporations. It is crucial to work out regulations which would make the corporations a union of people working for the community. Conclusion To sum up, it is possible to note that industrialisation was the major factor that contributed to the development of corporations. These entities have acquired considerable power and have often violated various regulations on the global scale. However, globalisation has br ought a solution. International bodies have the necessary tools to diminish the corporations’ negative influence by introducing strict regulations and taking control over the corporations’ compliance to the new rules.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Reference list Achbar, M Abbott, J 2003, The corporation, Big Picture Media Corporation, Vancouver, Canada. Bowman, S 2010, Modern corporation and American political thought: law power, and ideology, Penn State Press, University Park, PA. Cordato, R 2007, Efficiency and externalities in an open-ended universe: a modern Austrian perspective, The Ludwig von Mises Institute, Auburn, AL. Drucker, P 2009, Concept of the corporation, Transaction Publishers, Piscataway, NJ. Kurucz, EC, Colbert, BA Wheeler, D 2008, The business case for corporate social responsibility, in A Crane, A McWilliams, D Matten, J Moon D Seigel (eds), The Osford handbook on corporate social responsibility, Oxford University Press, Oxford, pp. 83-112. Mastrogiovanni, M 2009, The business of war: understanding the military-industrial complex and how it’s still used today, ESSAI, vol. 7. no. 33, pp. 106-108. Olivera, O 2004, Cochabamba!: water war in Bolivia, South End Press, Cambridge, MA. People’ s agreement of Cochabamba 2010. Web. Snchez Gà ³mez, L Terhorst, P 2005, Cochabamba, Bolivia: public-collective partnership after the Water War, in B Balany et al. (eds), Reclaiming public water-achievements, struggles, and visions from around the world, Transnational Institute and Corporate Observatory Europe, Porto Alegre, Brazil, pp. 121-130. Simpson, BP 2007, An economic, political, and philosophical analysis of externalities, Reason Papers, vol. 29. no. 1, pp. 123-140.
Sunday, October 20, 2019
Dream Psychology- Sigmund Freud Essays
Dream Psychology- Sigmund Freud Essays Dream Psychology- Sigmund Freud Essay Dream Psychology- Sigmund Freud Essay Dreams and the Sub-Conscious Mind The definition of a dream is a series of thoughts, images, and sensations occurring in a persons mind during sleep. It is believed that dreams have always existed in human society and have been shared among members of societies dating back to 3000-4000 BC. In various societies dreams held a number of meanings and significance. Throughout history dreams have been recognized as significant symbols or signs, warnings of the future, connections between living and the dead, capable of diagnosing illness and predicting onset of diseases, temptations of the devil, and numerous other possible things. Dream interpretations, or attempts made to understand a person’s dream, date back to 3000-4000 B. C. , where they were documented on clay tablets. For as long as man has been able to talk about dreams, humans have been fascinated with them and have strived to understand them, though this is challenging because dreams are often so easily forgotten. Throughout the history of the study of dreams, famous theorists have presented their own dream philosophies and theories, developed eight specific categories of dream types, and presented many dreams found commonly among people which represent common aspects of life, all of these things have been developed in trying to answer one question: Do dreams reflect, or relate to, a person’s sub-conscious state of mind? First, the most famous of all dream theorists is a man named Sigmund Freud, who lived from 1856-1939 and is considered to be â€Å"the father of psychoanalysis†(Dream Moods). evolutionizes the study of dreams with his work The Interpretation Of Dreams. Freud begins to analyze dreams in order to understand aspects of personality as they relate to pathology, or the science of causes and effects of diseases. He believes that nothing one does occurs by chance; every action and thought is motivated by the unconscious at some level. In order to live in a civiliz ed society, humans have a tendency to hold back urges and repress impulses. However, these urges and impulses must be released in some way; they have a way of coming to the surface in ambiguous forms. Freud believes that one way these urges and impulses are released is through dreams. Because the content of the unconscious may be extremely disturbing or harmful, Freud believes that the unconscious expresses itself in a symbolic language. To explain this symbolic language, Freud categorizes aspects of the mind into three parts. These parts include the Id, the Ego, and the Superego. Id, which is centered around primal impulses, pleasures, desires, unchecked urges and wish fulfillment. Ego, which is concerned with the conscious, the rational, the moral and the self-aware aspect of the mind. Superego, which is considered to be the sort of â€Å"censor†for the id, which is also responsible for enforcing the moral codes of the ego. When one is awake, the impulses and desires of the id are suppressed by the superego. Through dreams, one is able to get a glimpse into the unconscious, or the id. Because one’s guards are down during the dream state, the unconscious has the opportunity to act out and express the hidden desires of the id. However, the desires of the id can, at times, can be so disturbing and even psychologically harmful that a censor comes into play and translates the ids disturbing content into a more acceptable symbolic form. This helps to preserve sleep and prevent one from waking up shocked at the images. As a result, confusing and often cryptic dream images occur. According to Freud, the reason one struggles to remember their dreams, is because the superego is at work. It is doing its job by protecting the conscious mind from the disturbing images and desires conjured by the unconscious. According to Freud, dreams always have what he called a â€Å"manifest and latent content†(qtd. in moods). The manifest content is what the dream seems to be saying. It is often bizarre and seemingly nonsense. On the contrary, the latent content is what the dream is really trying to say. Dreams give one a look into the unconscious. Freud believes that it is possible to chip through the dreams manifest content to reveal the underlying significance and its latent by utilizing the technique of free association. Using this technique, one must start with one dream symbol and then follow with what automatically comes to the mind first. One must continue in this manner and essentially see where it leads. In order to interpret the cryptic images of dreams, Freud divided the images into five major categories, or processes. The first being displacement which occurs when the desire for one thing or person is symbolized by something or someone else. The second, projection which happens when the dreamer propels their own desires and wants onto another person. The third being symbolization which is characterized when the dreamers repressed urges or suppressed desires are acted out metaphorically. Fourth, condensation which is the process in which the dreamer hides their feelings or urges by contracting it or underplaying it into a brief dream image or event. Thus the meaning of this dream imagery may not be apparent or obvious. Lastly, rationalization which is regarded as the final stage of dreamwork. The dreaming mind organizes an incoherent dream into one that is far more understandable and logical. This is also known as secondary revision. Essentially this is Freud’s basic explanation of what dreams are and how one is to interpret them. Freud’s dream psychology is heavily based on psychoanalysis and is centered on the fact that dreams do in fact reflect the sub-conscious mind of the dreamer. Another dream theorist, who lived during the time of Freud, Alfred Adler (1870-1937), believed the importance of dreams to be a little different than Freud’s beliefs. Essentially, Adler believed that dreams are an important tool to mastering control over waking lives. They are problem-solving devices. Dreams need to be brought to the conscious and interpreted so that better understanding can be shed on one’s problems. Adler believes it is important to learn from dreams and incorporate them into waking life. Adler believes that there is a correlation between dreams and the problems in daily life. The more dreams one has, the more problems one is likely to have. Adler believes that dreams are an open pathway toward one’s true thoughts, emotions and actions. In dreams, one clearly sees one’s aggressive impulses and desires. Dreams are also a way of overcompensating for the shortcomings in waking life. For example, if one is unable to stand up to a boss in waking life, then one may find it easier to lash out at the boss within the comfort and safety of a dream. Dreams offer some sort of satisfaction that is more socially acceptable. So, though Adler does not entirely agree with Freud’s views of the subconscious controlling the dream, he does in fact believe that one’s subconscious desires and drive are released through a dream. A third dream theorist, Carl Jung, who was considered to be a mentor of Freud’s also believed in the existence of the unconscious. However, he did not see the unconscious as animalistic, instinctual, or sexual; he saw it as more spiritual. Eventually, Jung split with Freud due to their differing views on dreams. According to Jung, dreams are a way of communicating and acquainting oneself with the unconscious. Dreams are not attempts to conceal one’s true feelings from the waking mind, but rather they are a window to the unconscious. They serve to guide the waking self to achieve wholeness and offer a solution to a problem one is facing in waking life. Jung views the ego as one’s sense of self and how one portrays oneself to the world. Part of Jungs theory is that all things can be viewed as paired opposites: good/evil, male/female, or love/hate. So working in opposition to the ego, is the counterego or what he refers to as the shadow. The shadow represents the rejected aspects of oneself that one does not wish to acknowledge. The shadow is more primitive, somewhat uncultured, and a little awkward. As dreams are a way of communicating with the unconscious, Jung believed that dream images reveal something about oneself, one’s relationships with others, and situations in one’s waking life. Dreams guide one’s personal growth and help in achieving full potential. Jung also believes that the dreams manifest content is just as significant and revealing as the latent content. By simply discussing what is currently going on in one’s life, it can help one interpret and unlock the cryptic images of one’s dreams. Jungs method of dream interpretation is placed more confidently on the dreamer. He believes that all dreamers possess the necessary tools to interpret their own dreams. The meaning of one’s dreams is a personal judgment and is up to the dreamer on how to interpret them. Jung noted certain dream symbols that possess the same universal meaning for all men and women. He terms this phenomenon the collective unconscious. While dreams are personal, one’s personal experiences often touch on universal themes and symbols. These symbols are believed to occur in every culture throughout history. Jung identifies seven such symbols in what is referred to as the major archetypal characters: 1. The Persona is the image one presents to the world in waking life. It is similar to a public mask. In the dream world, the persona is represented by the Self. 2. The Shadow is the rejected and repressed aspects of oneself. It is the part of oneself that one does not want the world to see because it is ugly or unappealing. It symbolizes weakness, fear, or anger. In dreams, this figure is represented by a stalker, murderer, a bully, or pursuer. It can be a frightening figure or even a close friend or relative. Their appearance often makes one angry or leaves one scared. They force one to confront things that one doesnt want to see or hear. 3. The Anima / Animus is the female and male aspects of oneself. Everyone possess both feminine and masculine qualities. In dreams, the anima appears as a highly feminized figure, while the animus appears as a hyper masculine form. These dream imageries appear depending on how well one is able to integrate the feminine and masculine qualities within oneself. They serve as a reminder that one must learn to acknowledge or express a masculine (be more assertive) or feminine side (be more emotional). . The Divine Child is one’s true self in its purest form. It not only symbolizes innocence, vulnerability, and helplessness, but it represents one’s aspirations and full potential. One is open to all possibilities. In the dreamscape, this figure is represented by a baby or young child. 5. The Wise Old Man /Woman is the helper in dreams. Represented by a teacher, father, doctor, priest or some other unknown a uthority figure, they serve to offer guidance and words of wisdom. They appear in the dream to steer and guide the dreamer into the right direction. 6. The Great Mother is the nurturer. The Great Mother appears in dreams as ones own mother, grandmother, or other nurturing figure. She provides one with positive reassurance. Negatively, they may be depicted as a witch or old bag lady in which case they can be associated with seduction, dominance and death. This juxtaposition is rooted in the belief by some experts that the real mother who is the giver of life is also at the same time jealous of ones growth away from her. 7. The Trickster, as the name implies, plays jokes to keep one from taking oneself too seriously. The trickster may appear in ones dream when one has overreached or misjudged a situation. Or he could find himself in the dream when one is uncertain about a decision or about where to go in life. The trickster often makes one feel uncomfortable or embarrassed, sometimes mocking or exposing one to personal vulnerabilities. He may take on subtle forms, sometimes even changing its shape. Overall, Jund seemed to be influenced by both Freud and Adler in his belief of the dream yet he presented common dreams symbols which further explained the manifestation of one’s sub-conscious mind within the dream. Next, research and records of dreams further progressed it was discovered that there are essentially eight major categories which all dreams fall into. These categories being: daydreams, lucid dreams, nightmares, recurring dreams, healing dreams, signal dreams, and epic dreams. Daydreams are often viewed as light-hearted in nature. They are silly fantasies and wishful thinking. Actually, even worrying over things can be classified as a form of daydreaming. When one worries, one is visualizing an unwanted or negative outcome to a situation. By repeating these negative images in one’s mind, one is more likely to make them happen. Daydreaming is believed to occur when one is only semi-awake and it is essentially running away with ones imagination, or the take over one’s thoughts by wandering sub-conscious mind. Next is the Lucid dream. Lucid dreams give the ability to control one’s own dreams and steer them toward the direction the dreamer wants. In the lucid state, one is more willing to confront threats and as a result, become more self confident. When one achieves lucidity, one can use it as a tool to improve one’s sports game, to rehearse for a speech, to fulfill your fantasies, or to solve a problem in your waking life. Though lucid dreams often give one the power to face the things in the forefronts of one’s mind, it is believed that the unconscious is what triggers a lucid dream and encourages one to assume this power. Third, is nightmares which are a subcategory of dreams. The distinction of a nightmare is its frightening and/or emotional content. One tends to wake up in fear in the midst of a nightmare. Because of its frightening nature, one is more likely to remember nightmares and the vivid details. Nightmares are almost always believed to be caused by the sub-conscious mind as it the sub-conscious’ way to get your attention about a situation or problem that one has been avoiding, warning of a health issue, or nightmares may stem from a deeper level indicating that something is troubling you from within your subconscious. Next, is recurring dreams, which are quite common and are often triggered by a certain life situation, transitional phase in life or a problem that keeps coming back again and again. These dreams may recur daily, once a week, or once a month. Whatever the frequency, there is little variation in the dream content itself. Such dreams are often a message from the subconscious highlighting a personal weakness, fear, or inability to cope with something in one’s life. Fourth, is Healing dreams are often dreams which tell the dreamer that he or she needs to go to the dentist or doctor. These dreams are often communication between mind and body that something is not quite right. Prophetic dreams, also referred to as precognitive or psychic dreams, are dreams that seemingly foretell the future. One rational theory to explain this phenomenon is that one’s dreaming mind is able to piece together bits of information and observation that one may normally overlook or that one does not seriously consider. In other words, one’s sub-conscious mind knows what is coming before one consciously pieces together the same information. Signal dreams, are similar to healing dreams, in that they are essentially a warning. Signal dreams are considered to be a sub-conscious warning or problem solving method to help the dreamer deal with situations in life. Lastly, Epic dreams are so huge, so compelling, and so vivid that one cannot ignore them. The details of such dreams often remain with one for years. These dreams possess much beauty and contain many archetypal symbology. When one wakes up from such a dream, one feels that they have discovered something profound or amazing about oneself or about the world. These dreams are also often future telling or even present revealing messages from the subconscious mind. Overall, each of these categories or types of dreams are the development which has resulted from the theories of the above dream theorists. Each type of dream is related to an archetype or belief of one, two, or even all three of the above theorists which reveals the large influence of the subconscious mind on dreams. Overall, it can be concluded that dreams are quite often reflecting of, or related to, the subconscious mind of the dreamer. This can be seen in all three of the major theories presented and through the eight major types of dreams which have been determined through said theories. For example, In Freud’s theory, he states his belief that dreams are the subconscious mind’s release of suppressed desires and ambitions of the dreamer. Freud believes these suppressed desires must be released, so the mind releases them in the form of a dream, which can often be incredibly disturbing. That is, until the subconscious mind intervenes, turning these disturbing dreams into cryptic and symbolic images which can really only be understood through psychoanalysis of the mind of the dreamer. Adler’s theory, similar to Freudian theory, but not entirely the same claims that dreams are essentially problem solving devices. Adler believes that through dreams the subconscious mind of the dreamer brings forward waking life desires the dreamer may not even realizes exist yet. Adler states that the dream is used to make the conscious mind aware of what to do in waking life as it presents lessons to be learned from. Freud and Adler differ in that Freud believes the dream comes from the conscious mind and is edited and controlled by the subconscious, whereas Adler believes the dream comes from the subconscious and is to teach the conscious, and make it more aware. Lastly is Jung who believes all dreams share in a number of specific archetypes and are a way of communicating and acquainting oneself with the subconscious. Jung’s theory differs the greatest from Freudian theory and Adler’s theory as Jung believes the conscious and subconscious mind come together in a dream, and work together to create images which express the psychological state, and views of the dreamer. Overall, each of these three theorists and the eight categories of dreams which resulted from their studies have revealed that the subconscious mind of the dreamer has great influence on dreams and that the subconscious, no matter what the dream, plays a major role in some aspect of the creation or portrayal of the dream.
Saturday, October 19, 2019
The Formation of Lightning Essay Example | Topics and Well Written Essays - 750 words
The Formation of Lightning - Essay Example A lightning discharge that involves an object on ground or in the atmosphere is sometimes referred to as a "lightning strike". The term stroke or component stroke apply only to components of cloud to ground discharges. Each stroke involves a downward leader and an upward return stroke, and may involve a relatively low level "continuing current" that immediately follows the return stroke. Transient processes occurring in a lightning channel while it carries continuing current are termed M-components. First strokes are initiated by "stepped" leaders while subsequent strokes formed by previously formed channels are initiated by "dart" or "dart-stepped" leaders (Rakov & Uman: 4). extreme heat. A lightning bolt is hotter than the surface of the sun. The wild electricity in lightnings when harnessed, produce power supply for human use. Lightnings are of several types (Google image, 2008). The various stages in the formation of a bolt of lightning (Figure 1.) is as follows: First, cumulonimbus clouds which are towering clouds that spread out on the top, occur between 1,600 and 60,000 feet in the atmosphere, and are associated with heavy thunderstorms, rainfall and lightning. During a thunderstorm, clouds develop a separation of electric charge, with the tops of the clouds positively charged, and the bottoms negatively charged. The production of a lightning bolt begins when the negative charge on the bottom of the cloud gets large enough to overcome air's resistance to the flow of electricity and electrons begin flowing towards the earth in a zigzag, forked path at the speed of about sixty miles per second. This discharge is called a leader and it moves directly towards the ground. As the electrons flow downwards, they collide with air molecules, producing more free electrons. However, this is not the actual lightning bolt that is visible to the human eye (Science 1, 2 008).In the meantime, as the electrons approach the ground, the ground becomes more and more positively charged due to the repulsion of electrons in the ground. This positively charged region moves up through any conducting objects on the ground such as houses, trees, people, into the air. When the electrons moving downwards meet the upward flowing positive regions at an altitude of a hundred meters or so, they form a complete circuit, and the lightning begins. However, the lightning bolt is still forming at this point, and it is not the actual one that is seen. Once the circuit has been formed, it takes less than a millisecond before it is seen as the actual lightning bolt (Science 1, 2008). In less than a millisecond, upto a billion trillion electrons may reach the ground, the current can be up to 200,000 amperes, and the main act of lightning, the return stroke is then seen. The return stroke which travels at almost half the speed of light, is able to reach three or four miles back up to the cloud, and relieve it of its large excess of negative charge, about 100 quintillion electrons. The channel that was established by
Friday, October 18, 2019
See below Assignment Example | Topics and Well Written Essays - 500 words
See below - Assignment Example hile urban areas did not necessarily grow in terms of number, the size and density of urban areas, especially in the North, grew rapidly in the period immediately following the end of the civil war. This growth was fueled by several sources. Europe had recently faced several major crises, including the Irish Potato Famine (ending 1852, only a decade or before the civil war), fueling continued Irish immigration that continued as family connections were made in the United States. The Revolutions of 1848 caused political strife, as did the collapse of the second French Empire. In short, many Europeans were pushed into immigration seeking a better life, driving the unprecedented growth of American cities. A second notable source of growth for American cities in this period was immigration of black southern Americans. Finally able to move freely, many chose to leave their former slave-masters and seek better jobs in the North. These new urbanized areas incorporated America, becoming one o f America’s first â€Å"melting pots,†as long-standing Americans interacted frequently with new immigrants from the south and Europe. This increased urbanization also had significant economic impacts. American cities, fueled by massive population growth, and seemingly unlimited natural resources, quickly became some of the most productive places in the world. This created a vast amount of wealth, new businesses constantly â€Å"incorporating,†and developing into some of the most powerful institutions in the world. The richest Americans from the â€Å"Gilded Age†were some of the richest people in the history of the world up to this point, and the likes of Rockefeller and his ilk gave this era it’s gilded name. The third prong of incorporation in the United States, racial incorporation, was much less complete than the other two. Laws were set in place theoretically giving black Americans all the rights of to participate completely in the political process, if not fully in
Leadership Term Paper Example | Topics and Well Written Essays - 2750 words - 1
Leadership - Term Paper Example Benefits as well as setbacks resulting from ethical and unethical leadership are mentioned respectively. In addition, the role of ethical decision making in the management of public institutions is illustratively explored. Also, relevant moral frameworks and guidelines for decision making like the utilitarian approach, and the common-good approach are explored sufficiently. Moreover, a personal perception on ethical leadership is demonstrated through the hypothetical problems identified in preceding sections of the paper. Finally, the paper closes with analysis of short-term and long-term recommendations, on how to improve the unethical problems within the Operating Tax for Commercial Transportation profession. In the United States, most jurisdictions have legislations that allow for taxation of commercial transport businesses. Tax imposed on commercial transport businesses is commonly referred to as commercial transportation tax. In an effort to increase their revenues, legislations in certain states like Virginia necessitated imposition of levy fees on commercial vehicles like delivery cars, trucks, and earth moving machines among others (Lindsey, 2008). Occasionally, vehicle weight is used as criteria in determining the amount of tax payable by the commercial vehicle operator. For instance, commercial vehicles with a weight exceeding 26,000 lbs are normally required to file tax returns to appropriate state authorities. In addition, light motor vehicles like city passenger transport cars are required to file for tax returns based on the millage parameter. In this context, it is worth acknowledging that commercial transportation tax applies only for motor vehicles and other means of trans portation that carriers goods or passengers for a fee. Private vehicles, school busses and government fleets are exempted from this type of levy. During implementation of tax policies for commercial transportation, unethical practices are often reported (Brown,
Thursday, October 17, 2019
Mr. Smiths case in an ethical, legal and moral perspective Essay
Mr. Smiths case in an ethical, legal and moral perspective - Essay Example From this paper, it is clear that the mental health act allows that the service provider can make decisions on behalf of the patient provided that it is proven that the patient is mentally incapable to make choices. For this reason, a discussion between the involved parties resulted to an agreed decision.To conclude the task, it is clear that there are situations where the legal and ethical guidelines interact to help an individual to make a decision. At the same point, there are similarly clear variances between law and ethics that results to dilemmas. The practitioner, therefore, needs to be aware of the resemblances and the variances and in what way they affect the decisions made. It is necessary to remember the theories and moral principles that guide the moral obligations to be taken. Law is a key consideration when effecting any decision and must be considered in all ways. Law is different from the moral principles because it is enforceable in a law court while moral decisions are not backed by any enforcement authority (Benbassat&Baumal, 2012).It is also necessary to set up methods that guide the decision-making process to hasten the process and save time which is key when it comes to saving a life. Having mentioned all the above, I believe that if all health practitioners have diverse information concerning the different case they are faced with in their daily practice as a dilemma, they will be in a better position to deliver quality services to the patients at any time.
Fallacy Spotting Assignment Example | Topics and Well Written Essays - 250 words
Fallacy Spotting - Assignment Example Essentially, this is a straw man argument; due to the fact that a given television show was only ever a recent reproduction and historical interpretation of fictional events – not a documentary record of the way in which individuals segued into adulthood and portended themselves. Likewise, the article itself is also indicative of what is known as a â€Å"false dilemma†. Essentially, numerous other indications why the current generation might be exhibited certain signs of â€Å"immaturity†has to do with the fact that extremely difficult economic times have acquired individuals to move in with their parents, provided them with relatively few opportunities, and restricted the level of maturity that might have otherwise developed. As such, the dilemma that has been represented is one that is seemingly of choice; namely that the adults of the current generation do not wish to be adults. However, the fact of the matter is that the adult the current generation oftentim es constrained by very real economic realities that define nearly each and every aspect of the way in which they live their
Wednesday, October 16, 2019
Mr. Smiths case in an ethical, legal and moral perspective Essay
Mr. Smiths case in an ethical, legal and moral perspective - Essay Example From this paper, it is clear that the mental health act allows that the service provider can make decisions on behalf of the patient provided that it is proven that the patient is mentally incapable to make choices. For this reason, a discussion between the involved parties resulted to an agreed decision.To conclude the task, it is clear that there are situations where the legal and ethical guidelines interact to help an individual to make a decision. At the same point, there are similarly clear variances between law and ethics that results to dilemmas. The practitioner, therefore, needs to be aware of the resemblances and the variances and in what way they affect the decisions made. It is necessary to remember the theories and moral principles that guide the moral obligations to be taken. Law is a key consideration when effecting any decision and must be considered in all ways. Law is different from the moral principles because it is enforceable in a law court while moral decisions are not backed by any enforcement authority (Benbassat&Baumal, 2012).It is also necessary to set up methods that guide the decision-making process to hasten the process and save time which is key when it comes to saving a life. Having mentioned all the above, I believe that if all health practitioners have diverse information concerning the different case they are faced with in their daily practice as a dilemma, they will be in a better position to deliver quality services to the patients at any time.
Tuesday, October 15, 2019
The Most Important Signer of the US Constitution Essay - 2
The Most Important Signer of the US Constitution - Essay Example George Washington was born in February 1932 in Virginia and received basic English education from his mother since his father died when George was just ten years old (Lossing 55). He became a surveyor at the age of seventeen and at the age of nineteen, was appointed a state-adjutant, a position he soon resigned to move with his brother to the West Indies. His services to the state started officially when he was 21 and was sent as an emissary to dissuade the French from hostile maneuvers, a feat that earned him credit and recognition (Lossing 55). He served in the military until 1758 when he retired and married a young widow. He was a farmer for a short while until he was called into the legislature and later into the First Continental Congress in Philadelphia (Lossing 55). He also directed the army in the struggle for independence by the revolting colonies during the great revolution. From Washington’s skill and experience, he was unanimously led to lead the convention that sat to modify the current form of government, efforts that resulted in the formation of the current constitution and the federal government. He was later elected as the first president of the United States of America, a post that he held for 8 years, after which he retired and died peacefully at the age of 68 in his native Virginia (Lossing 56). Lossing, Benson J. Eminent Americans: Comprising Brief Biographies of Leading Statesmen, Patriots, Orators and others, Men and Women, Who Have Made American History. New York: John B. Alden, 1883. P.
A few factors Essay Example for Free
A few factors Essay Investigation A few factors (the gradient/height of ramp, the mass of the object, friction, gravity, the energy act on the object or the length of object) can affect the final speed of an object at the end of the ramp. Planning I am going to do my investigation on mass of the object which I think it is one of the factors that will affect the final speed of an object at the end of the ramp because when gravitational potential energy equals to mass times gravity times height, so if mass is increased, the gravitational potential energy will increase in proportionally. I will do the experiment by adding weights on top of a wooden cart to increase the mass, and then I will time how long it takes to fall down from the ramp and calculate the final speed by: Diagram Weight add to the cart (grams) 0 100 200 300 400 Time (sec) 678 607 721 686 693 Weight add to the cart (grams) 500 600 700 800 900 Time (sec) 719 703 661 677 657 My experiment results are: According to the results, mass does not affect the final speed of an object at the end of the ramp. I think this is because when something is dropped, it will transfer from gravitational potential energy to kenetic energy So I am going to change my investigation on the height of the ramp. I think height of the ramp will affect the final speed of an object when height of the ramp is increased, the gravitational potential energy will increase proportionally due to: G. P. E. = mass x gravity x height Method of doing the experiment I am going to do it by using a ramp that I can increase the height. Then I will release the cart at the top of the ramp and time how long it will take for the cart to come down. I will increase the height by 5cm each time (5cm, 10cm, 15cm, 20cm, 25cm and 30cm). I will take down the time thrice to get the average time of it because it is more reliable. Then I will work out the average speed. I will divide the length of the ramp by the time taken and work out the final speed by doubling the average speed. The length of the ramp is one metre and the weight of the cart is 900 grams. I can make this a fair test by not pushing the cart, doing average on the time, and keeping the mass the same. Apparatus I will need. A clamp to hold the ramp, A ramp, A wooden cart as the object and A stopwatch for timing for the experiment. Safety features I will make sure it is safe by putting books at the end to stop the cart from bumping into others feet and I will make sure no one is standing near it. I will do the whole experiment on the ground because this can stop things from falling down the table and hit peoples feet. Diagram Evidence/results I have my experiment results after all of this and they are: Height(cm) 5 10 15 20 25 30 Average Time(sec) 409 231. 180 154 137 110 According to the results, there seems to be a trend. So, I think I will calculate the final speed. Height(cm) 5 10 15 20 25 30 Final speed(cm/s) 0. 489 0. 865 1. 111 1. 299 1. 46 1. 818 The trend is obvious now. It shows that whenever the height is increased, the time taken will decrease and the final speed of the cart will increase. From we calculate gravitational energy (mass x gravity/acceleration x height), height seems to be one of the main factors that can affect the G. P. E. because as height increases, the G. P. E.will be affected by it. Example: if an object with constant gravity (x), constant mass (y) but falls from changing heights (5 and 10), the outcome will be 5xy and 10xy and this also proved that when the height is increased, the G. P. E. will increase. The forces of gravity pulls down on all objects have on Earth. If objects are allowed to fall, they accelerate downwards. Therefore, if an object is allowed to fall from a higher place, the gravity will pulls down the object with a greater force and the object will accelerate faster as it comes down. If the object falls from a higher place, there will be more time for the object to accelerate, so the final speed of the object will be faster, and as the gravitational force is greater, the object is being pulled harder and quicker. Therefore, this explains why an object will have a faster final speed at the end of the ramp whenever the height of the ramp is increased. At first, I did an experiment on mass of the object that the experiment doesnt work. I have found out that mass doesnt affect the final speed of an object. When an object is held at a certain point, gravitational potential energy is stored; when it is dropped, it will transfer gravitational potential energy to kenetic energy. So that means: Gravitational potential energy = kenetic energy Mass x gravity x height = 0. 5 x mass x velocity This shows that mass exists on both sides of the equation, that means it can be cancel out to simplified the equation. So the equation will become: Gravity x height = 0. 5 x velocity That means mass does not affect the velocity on the right side of the equation. Graph I have also plotted a graph of height against final speed, and after that, I have drawn a line of best fit. The graph shows a straight line of best fit. The graph shows a straight line of best fit and this shows height and final speed are in direct proportion. This proves when the height of the ramp is increased, the final speed is increased and this means the object accelerates faster. Evaluations My results are quite accurate because on the graph, all of the results go very near the best-fit line. My results are quite reliable, as I do every height for three times and take the average of it. I can make the results more accurate by using a light sensor with the computer. This will be more accurate then using a stop watch because human need a time to react before their brain do what it is told to do which is the reaction time. I think my method of doing the experiment is quite good because I can get accurate results from it. I can improve it by putting the ramp more stable and firmer because the ramp keeps on sliding down the slide. I think the method of doing the experiment is quite good because it gives me a quite accurate result and it takes less than half an hour to finish the experiment. At first, I did an experiment on mass of the object that takes about 45 minutes but I got results that are not appropriate for my experiment. So I quickly change the investigation on another topic. Although it wastes lots of time, I learn that mass of an object will not affect the final speed of a falling object.
Monday, October 14, 2019
Study On The Definition Of Evidence Based Practice
Study On The Definition Of Evidence Based Practice I have studied Nursing for 4 years in the Philippines and I have not encounter the term Evidence Based Practice. It took me by surprise that such subject exist. On my first day of class at Thames Valley University I have learned that EBP is about exploring a medical intervention through research of published research articles based on clinical trial conducted by various researchers and clinicians. The process starts by proposing a research question, and I chose to focus on Pain Management but I have notice that pharmacological management is too common. For such reason, I have decided to aim the attention of my research to Non-pharmacological Management such as Diversional Therapy. This kind of therapy is seldom used in the clinical setting because a lot of medicines are being discovered and used as often. As the process continues, I have learned how to properly critically appraise an article and notice its importance no matter how old it was and enhance my problem solving skills. Fur thermore, adjusting and somehow changing the learning method is a big alteration I have encounter as I need to spend a lot of time reading and making the paper. After all the amplitude I put into making this Folder of Evidence, I consider the entire course a success. I have learned so much of new things that somehow I ignored before. Mapping Grid: Module Learning Outcomes Evidence 1 Evidence 2 Evidence 3 Evidence 4 Identify and critically examine priorities for improving practice. Page 12 Para 1 [P] Asses the ability to identify evidence and critically appraise its value. Page 15 Para 2 [P] Critically analyze the change description and understanding about the nature of evidence in health care practice. Page 12 Para 1 [C] Page 18- 21 Para 2, 3, 4, 5, 6 [P] Evaluate the possibility and effectiveness of evidence for change in practice. Page 24- 25 Para 2, 5 [P] Learning Log: Study Day 1: 11th October 2010 Topic Understanding the Nature of Evidence Key Concepts/Issues Evidence Based Practice History Development Teaching/Learning Lecture Group Discussion Information Skills Development Classroom Activity AM Exploration of the Concept of Evidence Based Practice. PM Sources of Evidence Developing Search Skills Library Session (1) Brief Notes Evidence based practice is providing the best evidence of treatment to facilitate effective treatment/intervention. A discussion of what to be expected from folder of evidence as it highlights how the folder will be collated and how to set aims and objectives for FOE. Study Day 2: 25th October 2010 Topic Questioning Practice/Research Questions: Finding Evidence Key Concepts/Issues The relationship between questions and types of evidence; Questioning own practice explore types of research questions. Developing simple and structure search strategies Teaching/Learning Lecture Group Discussion Group Presentation Information Skills Development Classroom Activity AM Group Presentation: Evidence Based Practice Group Poster Presentation Concepts Definitions and Understandings Session Relationship Between Questions and Types of Evidence Descriptive and Relational Questions PM Writing Searchable Questions for Evidence Based Practice PICO Identifying Preliminary Search Terms Developing Search Skills Library Session (2) Brief Notes We discussed how to proposed a searchable question and how important it is. I formulated a topic based on my own interest and experience beforehand. Revision of question also was supervised and breakdown using PICO framework. Study Day 3: 8th November 2010 Topic Differentiating Between Research Paradigms. Key Concepts/Issues Evidence Based Practice Experimental Research Naturalistic Research Teaching/Learning Lecture Group Discussion Quiz Information Skills Development Classroom Activity AM Quiz Review Research Designs Discussion of Types of Questions (researchable and unsearchable questions). Group Work to Refine Final Practice Issue and Search Question Refine PICO Framework for Search PM Inclusion and Exclusion Criteria Appraisal Tools, CASP, SIGN, AGREE Group Work Assessment and Discussion of Two Papers Retrieved Last Week. (Question, Design, Methods and Results). Brief Notes I have learn the different types of research designs that supports my research scheme for the 5 primary articles together with supporting documents that will be used in making EBP. This session also emphasizes the importance of PICO as this will help how to refine searches. Different appraisal tool was also discussed and its importance as this provide effective filter for the reliability and validity of published literature. Study Day 4: 29th November 2010 Topic Systematic Reviews/Meta-analysis: An Introduction Appraising Evidence Part 1. Key Concepts/Issues Systematic Reviews Developing Critical Appraisal Skills Teaching/Learning Lecture Group Discussion Group Presentation Individual Exercise Classroom Activity AM Group Presentation Features of Systematic Review Group Discussion How Does an SR Differ From a Traditional Review? Appraising a Systematic Review Individual Exercise and Group Discussion. PM Using Appraisal Tools Appraising of an RCT and a Qualitative Study Using CASP or an Alternative Appraisal Tool. Group Discussion Analysing the Appraisal Process and Effectiveness of the Appraisal Tool. Brief Notes A systematic review is a study that identifies, appraise, select ans synthesize a collection of research articles with relevance to each piece of work. Critically appraising a systematic review article excludes lesser quality studies to minimize error and bias in the findings. It Assess the validity of research by means of determining whether the methods used during the study can be trusted to provide a genuine, accurate account of the treatment being studied. Study Day 5: 6th December 2010 Topic Establishing the Quality of Evidence Key Concepts/Issues Making Judgements About the Quality of Evidence Synthesising Evidence Teaching/Learning Lecture Group Discussion workshop Individual Exercise Classroom Activity AM GRADE How to Move from Evidence to Recommendations. Workshop- Grading Evidence PM Tutorials Independent Work or Further Electronic Searches. Brief Notes As I appraise each primary articles collected, a summary of critical appraisal of the 5 primary articles was made. This strategy helped me to make an apprehension toward the affirmation of each articles towards making the summative 3. Study Day 6 13th December 2010 Topic Implementing EBP Key Concepts/Issues Translating Evidence Into Practice Implementing EBP Guiding Principles for Implementing EBP Barriers to Implementing EBP Teaching/Learning Lecture Group Discussion Group Presentation Individual Exercise Classroom Activity AM Group discussion Identify Barriers to Implementing Evidence Base in Practice Identify Strategies to Implementation that Avoid/Overcome these Barriers. PM Students to work in pairs to devise a search strategy for use in one electronic database to identify an article that describes and evaluates the introduction of evidence based change in practice. Brief Notes Implementation has its various barriers to consider such as time, support, lack of knowledge, lack of motivation of the workers and too much research evidence. As a group activity we critique an implementation article as to determine the process of implementation of the studied intervention. Study Day 7 10th January 2011 Topic Evaluating EBP Key Concepts/Issues Evaluating Changes in Practice Application of a Framework for Evaluating Change. Final Module Evaluation Teaching/Learning Lecture Group Discussion Group Presentation Individual Exercise Classroom Activity Measurement for Improvement/Change Sustainability of Change Examine Effectiveness of Evaluation Strategies. Module Evaluation and Individual Tutorials Brief Notes It discussed about the evaluation process of a study and the use of guidelines in each step. Evaluation meant by achieving a research aims and objectives and most importantly if the study conducted able to answer the hypothesis, as this entails whether the study is effective or not. SUMMATIVE WORK Summative 1: Concept of Evidence-based Practice The challenge for best quality of care, combined with the need for recommended usage of resources has heightened the pressure on health care professionals to ensure that clinical procedures is based on sound evidence. Frequent change and advancement in treatments, an increasingly numbers of research information, and the increase of expectations from clients to provide the best care possible, place high demands on healthcare providers to maintain a service that is based on current best evidence. (Bennett and Bennett, 2000). Evidence-based practice (EBP) is a clear path to healthcare wherein health professionals use the best evidence possible, such as the most suitable information available, clinical decisions for individual patients. EBP values, enhances, and builds on clinical expertise, knowledge of disease process, and patho-physiology (McKibbon,1997). Evidence-based practice presume knowledge of and skills in literature searching, research methodologies apprehension , appraisal an d apprehension of research. It also requires healthcare professionals to have access, critique and coordinate literature study with clinical experience and clients aspect. In order to gain a greater interpretation about the nature of evidence in the context of health care, consideration needs to be given to the history of the evidence-based health care movement while the concept was originated in medicine, it has influenced a wide range of health professions (Trinder Reynolds, 2000). In addition, it is an approach to decision-making that has permeated all aspects of healthcare. Its characterize can be seen in many of the leading health systems and government health policies across the world. EBP model highlights the value of research as a source of information which is potentially less biased than other sources for informing practice, it also clearly acknowledges the importance of integrating this research with clinical expertise and clients perspectives (Sackett et al., 2000). Moreover, it involves complex and reliable decision-making based not on available evidence alone but also on patient characteristics, situations, and preferences. Changing practice is not easy to do therefore careful selection of the topic is very significant. For the benefit of the patient is of first importance when selecting a topic, however it can not be the main basis as to literary evidence is inadequate to figure what are the benefits. Researchers must also consider the time, level of consumption and other resources for the study. Research evidence is most frequently found in peer-reviewed journals as this is where results are first published and where enough detail on methodology exists to make informed judgements on the validity and clinical relevance of the findings (Bury Jerosch-Herold, 1998). Research using the strongest and most appropriate study design for the question being studied, will provide the best evidence. Summarizing the evidence is a vast intellectual endeavor according to Fitzpatrick (2007). Healthcare workers must be capable combining ideas and recommendations from an extent of references to make appropriate advices. Implementing a plan is consider challenging because standards and regulation of an organization can either help or ruin an EBP approach to care. Evaluation process involves short term and long term coverage to provide essential data. Word count= 503 Reference List: Bennett S Bennett J (2000) The process of evidence-based practice in occupational therapy: Informing clinical decisions. Australian Occupational Therapy Journal. 47 p171-180. McKibbon K (1997) Evidence-based practice. Bulletin of Medical Library Association. 86(3)p396-401 Trinder, L., Reynolds, S. (Eds). (2000). Evidence-Based Practice A critical appraisal. Oxford: Blackwell Science. Sackett D, Richardson W, Rosenberg W, Haynes R (2000).Evidence based medicine: How to practice and teach EBM (2nd edn). Edinburgh: Churchill Livingstone. Bury T Jerosch-Herold C. (1998). Reading and critical appraisal of the literature. Evidencebased healthcare. A practical guide for therapists Oxford: Butterworth Heinemann. p136-161 Fitzpatrick J (2007. Finding the research for evidence-based practice,part one: The development of EBP 103 (17) p.32-33 Summative 2: Critical discussion on formulating question using PICO There are many times that new information is required when contemplating clients in order to analyze clinical problems and make treatment resolutions, and these questions pertains to a specific client or groups of people. Questions usually arise concerning the effectiveness and choices of an intervention, how treatments are best implemented and whether there are any associated difficulties included (Bennett and Bennett, 2000).The question for this study is about the effectiveness of Diversional Activities as a form of pain management to paediatric clients. Pain management is the alleviation of agony and suffering of a patient with the use of Pharmacological and Non-pharmacological treatment or nursing intervention. Diversional therapy is a non-pharmacological approach and a client centered practice that recognizes the leisure and recreational experiences of an individual (Diversional Therapy Association of Australia,2008).Through the act of psychological and behavioral factors regard ing pain, complimentary medicine are significant in altering pain experiences. These interventions bears to minimize fear, worry, pain and heighten a clients bodily process. According to Bennett and Bennett (2000), when there is uncertainty, the need for information can be interchange into a clinical question. Clearly framing a question not only clarifies what to aim, but it can also facilitate the search for answers. Sackett et al. (1997) point out that the identification of congruent data for answering a particular clinical question may be facilitated by diving the question into components including: A client or a dilemma being considered, an intervention or indicator being considered, outcomes of interest you would like to measure or achieve and a comparison. PICO represents an acronym for Patient, Intervention, Comparison and Outcome. These four components are the essential elements of the research question in EBP and of the construction of the question for the search of evidence (Santos et al. 2007). The PICO strategy can be used to compose several kinds of research analysis, originated from clinical practice, human and material resource management, the search of evidence assessment instruments, among others. The research question allows for the correct definition of which evidence is needed to solve the clinical research question, focuses on the research scope and avoids unnecessary searching (Fleming, 1999). Based on the clinical question formulated and utilization of PICO, a literature search strategy can then be formulated that includes search terms reflecting each component of the question. The next step in the evidence-based practice process is to search the literature for evidence that may assist in acknowledging the question posed. The literature search will be focused by the clinical question that has been identified with use of PICO, as well as other relevant information (Bennett and Bennett, 2000). While evidence for informing clinical decisions may come from various sources including clinical experience, education, textbooks, discussion amongst colleagues and from clients, evidence from well-performed research may be less prone to bias or to the tendency to believe what we want to believe ( Tickle-Degnen, 1999).The internet and the portals of open-access journals allow for accessibility to knowledge, keywords such as non-pharmacological, complimentary medicine and diversional therapy were used to search for the 5 primary articles to be used for this study. An article must be good and interesting, should be well written, and old articles are also considered. Moreo ver, comprises a body of knowledge in academic and scientific based from an original research. Word count= 548 Reference List: Bennett S and Bennett J (2000) The process of evidence-based practice in occupational therapy: Informing clinical decisions. Australian Occupational Therapy Journal. 47 p.171-180 Diversional Therapy Association of Australia(2008) what is diversional therapy?[online]. Available at:http://www.diversionaltherapy.org.au/Home/tabid/38/Default.aspx Flemming K.(1999) Critical appraisal 2: Searchable questions.NT Learn Curve 3(2) p. 6-7. Sackett DL, Straus S, Richardson S, Rosenberg W, Haynes RB (2000) Evidence-based medicine: how to practice and teach EBM. Churchill Livingstone. 2nd edition. Santos C, Pimenta C, Nobre M.(2007) The PICO strategy for the research question construction and evidencesearch. Rev Latino-am Enfermagem maio-junho. 15(3) p.508-11. Tickle-Degnen,L. (1999). Organizing, evaluating and using evidence in occupational therapy practice. American Journal of Occupational Therapy; 53 p.537 539. Summative 3: Synthesis of research findings. This part of work is the review of the 5 primary articles chosen for the topic effectiveness of diversional activities for pain management to pediatric clients. The articles will be analyzed by using CASP tool, examining each relevant findings and by compare and contrasting ideas of each authors, thus, resulting to further evaluation of such intervention in hospital and non-hospital setting for its efficacy. This research desires to have a thorough understanding of non-pharmacological intervention in managing pain to children that soon will complement pharmacological management by provide stronger evidence. Pain is a dreadful feeling and emotional experience related to injury or damage to children s body, it is usually caused by trauma, disease, medical procedure or surgery. Pain may affect children s appetite, sleeping patterns and lessen energy level hence disabling child to do things. Pediatric pain is complex and often difficult to assess, that is why effective pain management in children is a challenge to medical practitioners because there are many special considerations when providing treatment. On the other hand, non-pharmacological therapies or diversional activities are treatment that do not use medicines to decrease or control child s pain. They may convey comfort to the patient during a long standing condition or illness. Certain activities may help improve the child s state by making him/her more comfortable and relaxed. It involves methods such as teaching and leading your child through thinking exercises and other techniques. It can also be used before and after a child undergoes painful experience, such as medical procedure or surgery. Vessey et al. (1994) stated that, Distraction is the single most commonly used diversional activity among children. Fernandez (1986) stated that distraction refers to the direction of attention to a non-noxious event or stimulus in the immediate environment. When a patient worries too much about his/her pain causes more pain than what is really there. Vessey et al (1994) surveyed 100 children, aged 3 years to 12 years, majority are males (62%) to examine the effectiveness of Distraction method during venipuncture or needle prick, the child s memory may lead to stressful psychological responses, such as crying, and physical responses such as venous constriction during the procedures. It is important that in conducting a study the respondent s age, developmental level and prior hospital experience must be considered during the selection, Broome (1985). Furthermore, Researchers uses the Wong-Baker FACES pain rating scale in evaluating children s perception of pain. Wong-baker pains scal e is know to be a reliable and valid device for children 3- 18 years of age in evaluating their pain,Wong and Baker (1988). In using distraction, the patients may paint, play with friends, watch TV and play with board games or video games and other novelty toys to help them relax and deflect their attention during the procedure since it provokes curiosity and require children to use their auditory, visual, tactile and /or kinesthetic senses. These activities may keep them from thinking about the pain. Weekes et al (1988) Distress is known to cancer patients for years during and after the completion of anti cancer treatments. According to National Institute of Clinical Excellence (NICE), (2005) the role of imagination can play in a childs ability to cope with painful operations. The NICE concluded that there was a strong evidence for the use of hypnosis in alleviating chronic pain associated with cancer. Richardson et al (2006) mentioned that hypnosis is a method where the subject is guided by another to respond to suggestions for changes in subjective experience such as perception, sensation, emotion, thought or behavior. It can be utilized in a variety of ways to cut down stress, acquire coping strategies and halt the experience of pain. Self-hypnosis tends to ease self management of symptoms, hence providing a sense of self-efficacy and control over pain and distress, however, it creates less therapeutic benefit compared to therapist- directed hypnosis. It is evident that patien ts who underwent hypnosis reported less anxiousness and pain while using direct and indirect forms of hypnosis, demonstrating leveled effectiveness. Though, there is some evidence that under hypnosis, girls exhibited more distress behavior compared to boys, Katz et al (1987). Richardson et al (2006) concluded that hypnosis has potential as a clinically valued intervention that could impart to the establishment of procedure- related pain and distress in pediatric cancer patients. Oshikoya et al ( 2008) reported that complementary and alternative medicine has been advantageous for children by some parents, such benefits includes prevention of illness, maintenance of good health, relief of musculoskeletal pain, control of asthma symptoms, treatment of mild respiratory problems, relief of sickle cell anemia and enhancement of the immune system in cancer. 80% of the parents used alternative medicine to cure their children during the study, however, 7% discontinue the use of such practice because the symptoms of the illness come about in their children with exacerbation after their regular medications had been discontinued. Moreover, Kemper et al (2010) expressed that pediatric patients benefit from stress reduction by means of using complimentary medicines and techniques such as biofeedback which teaches the child to control and calm body s reactions when there is pain, it is one of the treatments researched most extensively for migraine, Allen (2004). Guided ima gery is used by letting the patient imagine that he/she is his/her favorite place, the patient will feel safe and relaxed and pain may be decrease. Relaxation and self-hypnosis methods that re mostly used for migraines and headache by asking the child to breathe slowly and deeply and let the patient imagine that his/her muscles are relaxing.. Holroyd and Drew (2006) stated that cognitive behavioral therapy has been utilized successfully to help manage headaches, depression, and anxiety, Lawler and Cameron (2006). This practice has proven effective in reducing migraine headaches, improves mood and cognitive function through an experiment. Also, Acupuncture and Massage can help both adults and pediatric patients who have chronic headache and can be provided by family members, which allows for more regular, inexpensive and favorable treatments. Salantera et al (1999) investigates 265 nurses about the knowledge and abilities of nurses towards pain management of pediatric clients. Health care practitioners such as nurses, are well placed to provide such supportive interventions in both pharmacological and non-pharmacological treatments. According to Ross et al (1991) Healthcare providers lack of knowledge and negative attitudes may lead to under medication and under treatment of pain. Nurses are close to the children the whole day and have more chance to use non-pharmacological pain management methods in their work. Clarke et al (1996) that education about pain was most inadequate in areas of non-pharmacological interventions to relieve pain, the difference between acute and chronic pain, and the anatomy and physiology of pain. Nurses knowledge differed according to their age, education, and place of work, and uses a fairly wide range of non-pharmacological pain alleviation methods, most of the time the nurse was in the activ e role and the child was passive, restricting the child to take an active part in their own pain comfort. Studies shows that children like to have some responsibility for their own care. Furthermore, Pederson and Harbaugh (1995) explicit that there are obstacles in terms of using non-pharmacological pain management in hospital setting and found to be that excess workload, lack of proper materials, lack of knowledge and skills, and not knowing the child were the most common problems nurses confronts. Some of them felt that they receive very brief education on non-pharmacological pain management, and 90% had no documented evidence of the use of any non-pharmacological modalities to relieve pain that will serve as nurse s guidelines. The nurses who thought they had good knowledge about non-pharmacological management got a lower score from the survey, nurses consider themselves knowledgeable in stress reduction but not in play therapy and hypnosis method. Effective pain management in ch ildren requires cognition of both pharmacological and non-pharmacological methods. There are evidence found that nurse s characteristics, such as age, knowledge, experience, intuition, attitudes and beliefs, as well as nurses personal experience with pain, determines their implementation of pain interventions and knowledge about it. Nurses should be encouraged to actively seek new information and extend their training. More comparative, dismantling, constructive, and process oriented research strategy is required in the area of non-pharmacological pain management and different practice of pain alleviation should be generalized. Non- pharmacological approach has been found to be an effective adjunct method for the control of pain. A wide range of complementary and alternative medicine therapies are being used by children, including herbs and dietary supplements. Given the influence of psychological and behavioral factors on pain, non-pharmacological interventions are important in altering pain perception/behaviors. Diversional activities are intervention used for managing pain in both children and adult to reduce fear and, minimize distress and pain and increase a childs sense of control. For these techniques to be effective, it must be appropriate to patient s age and developmental abilities and must also be appealing to the recipient. There is still continues need to educate the medical community regarding the long term outcomes of pain control. Word count = 1514 Reference List: Allen KD (2004) Using biofeedback to make childhood headaches less of a pain. Pediatric Annual. 33: 241-245 Broome M (1985). The child in pain: A model for assessment and intervention. Critical care quarterly, 8: 47-55 Fernandez E (1986). A classification system of cognitive coping strategies for pain. Pain. 26: 141- 151. Holroyd KA, Drew JB (2006) Behavioral approaches to the treatment of migraine. Seminar Neurology. 26: 199- 207 Katz E, Kellerman J, Ellenberg L (1987) Hypnosis in the reduction of acute pain and distress in children with cancer. Journal of Pediatric Psychology; 12: 379- 394 Kemper K, Breuner C, (2010) Complimentary, Holistic, and Integrative Medicine; Headaches. American academy of pediatrics, 31(2) p.17- 23 Lawler SP, Cameron LD (2006) A randomized, controlled trial of massage therapy as a treatment for migraine. Annual Behavioral Medicine. 32: p50-59 National Center for complimentary and alternative medicine, NIH (2007) Non-pharmacological pain management therapies for children. Available at http://nccma.nih.gov National Institute for clinical excellence (NICE) (2005) Service guidelines for improving outcomes in children and young people with cancer-second consultation. Available at http://www.nice.org.uk/pdf/cacancer_2ndcons_manual.pdf Oshikoya K, Senbanjo I, Njokanma O, Soipe A ( 2008) Use of complimentary and alternative medicines for children with chronic health conditions in Lagos, Nigeria. BMC complimentary and alternative medicine 8 (66), p.1- 8 Pederson C, Harbaugh B. (1995) Nurses use of Non-pharmacological techniques with hospitalized children. Issues comprehensive pediatric Nursing; 18: 91- 109 Richardson J, Smith J, Pilkington K (2006) Hypnosis for procedure-related pain and distress in pediatric cancer patients: A systematic review and methodology related to hypnosis interventions. Journal of Pain and symptom Management, 31 (1) p.70- 83 Ross RS, Bush JP, Crummette BD (1991) Factors affecting nurses decisions to administer PRN analgesic medication to children after surgery: an analog investigation. Journal of pediatric Psychology, 16: 151-167 Salantera S, Lauri S, Salmi T, Helenius H (1999) Nurses knowledge about pharmacological and non-pharmacological pain management in children. Journal of Pain and symptom Management, 18 (4) p. 289- 299 Vessey J, Carlson K, McGill J (1994) Use of Distraction with Children during an acute pain experience. Nursing Research, 43(6) p. 369-372 Weeeks DP, Savedra MC (1988) Adolescent cancer: coping with treatment- related pain. Journal of Pediatric Nursing; 3: 318- 328. Wong D, Baker C (1988) Pain in children s comparison of assessment scales. Pediatric Nursing, 14: 19- 17.
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