Wednesday, July 31, 2019

Article Rebuttal Essay

Abortion is a disagreement that has been discuss for years. Kenny, Ph. D. and Swope (2013) of American Thinker has share with its’ audience the understanding of the struggle women has in making a decision to continue a pregnancy or to abort an unplanned pregnancy. In analyze the information in the article the reliability, credibility, and validity of the data used by Kenny, Ph. D. and Swope comes from independent psychological analysis of women’s hidden, emotional response to pregnancy, abortion, and motherhood (Kenny, Ph. D. & Swope, 2013). The writers of this article indicated that the interviews took from 75 to 110 minutes, which require them to visualize, replicate, and use relaxation techniques in accessing these individual emotional minds, and to uncover deeply seated emotional needs and barriers (Kenny, Ph. D. & Swope, 2013). Significantly, some of these problems that relates to abortion are ethical, and religion. However, a woman has right to do whatever she want to her own body and upon her own judgment, whether it is to keep the baby or to have an abortion. In Fact, a woman has the authority to make the decision whether to have an abortion or not based on her personal desire, financial status, or unwanted pregnancy. Kenny, Ph. D. and Swope (2013) have provided information regarding the circumstances and how abortion can affect a woman mental state of mind. Most important is to deny a fetus by terminate the fetus merely does not mean that the person is slaughter a person. It could be that the pregnancy was an unplanned pregnancy from rape, incest, or the feeling of not wanting to bring a child in the world under certain circumstances. An example would be a medical condition that may be a live or dead situation or simply because she not ready for motherhood because of her age. For instant, a teenage girl between the age of 14 and 20 still in high school and going to college and who is struggling with finances are liable to have an abortion. She may become remorseful, but she has to think about how pregnancy can affect her future and life. In conclusion, a woman rights to be pregnant or to abort an unwanted pregnancy should solely be left up to her no matter what her reason may be. Because she is the one that have to deal with the issues of bring a child in the world or removing the fetus to remove the stress not those groups such as the pro-lifer.

Tuesday, July 30, 2019

Two Main Approaches to Learn About Nature in the Process of Science

In the process of science, scientist use two main approaches to learn about nature; Discovery Science and Hypothesis based science. With Discovery Science, scientist observe and describe objects, and with Hypothesis based Science, scientist make a hypothesis, make deductions and then test the predictions. In our everyday lives we use Hypothesis based science to solve many different problems. There is a criterion that is needed in order to have a hypothesis-based scientific study. To start you must have an observation and generalizations from discovery science. You must have questions and tentative answers to the questions. You must also have deductions that will lead you to predictions. And lastly be able to test the predictions to see if the hypothesis is falsiable. In experiments the use of control groups and experimental groups helps to control the variables. A large sample size is always a better choice than a small sample size to eliminate the possibility of chance. A case study of hypothesis-based science is both different from and similar to a case study from every day life. The two are similar in many ways. Both studies require that you make an observation as well as make a hypothesis from the observation. They are also similar in the fact that they both need a prediction, and both predictions needed to be tested in order to see if they are falsiable. The two are also very different from each other in other aspects. A hypothesis based science study needs to have two different groups of subjects; an example would be an experimental group and a control group. Hypothesis based science also needs to factor in sample size. With a case study from every day life there are a lot less factors that you have to be concerned with. The basic differences between the two are as follows: Everyday Life -Hypothesize using testable and falsifiable hypotheses -are predicted by using If-Then statements -Test predictions -Conclude the findings Hypothesis Based Science -The above steps but with tighter regulations -Experimental and control groups are required -Sample size must be large enough to generalize results -Must be an experimental variable An experiment of my choice that I researched is a double-blind study evaluating the long-term safety of varenicline for smoking cessation (WILLIAMS Kathryn E. ; REEVES Karen R. BILLING Clare B. ; PENNINGTON Ann M. ; GONG Jason) This experiment asses the safety of long term varenidine for smoking cessation. Subjects were chosen at random, and it was large sample size of 376. There was a control group and an experimental group. The experimental group received varenicline and the control group received a placebo. Subjects were monitored by weekly visits that after week eight turne d into visits of every 4 weeks. Subjects vital signs were documented each visit along with smoking status. All subjects were also provided with a brief counseling. The conclusions of this study were: â€Å"Varenicline 1 mg BID can be safely administered for up to 1 year. Varenicline was also a more effective smoking cessation aid than placebo throughout the study, supporting both its short- (12-week) and long-term (52-week) efficacy† I chose this study because I think that it fits the criteria and demonstrates the basic considerations in a good designed study. I can use my knowledge of the scientific method when reading medical journals to figure out the authenticity of the experiment. This will help me as a nurse to comprehend the research being presented on specific diseases as well as treatments.

Monday, July 29, 2019

Sopyonje analysis Essay Example | Topics and Well Written Essays - 750 words

Sopyonje analysis - Essay Example Cultural symbolism of Pansori Bowyer (151) argues that the use of the p'ansori yields metaphoric outcomes. It has for two decades bolstered the level of admiration of the genre among the society’s youth, and created a desirable avenue through which traditional cultural beliefs and practices can be passed on to various population segments whose behavior is under threat from foreign cultures. P'ansori can be traced to the Jeolla region of southwestern Korea, where the director grew up. The use of "Sopyonje" as the title of the film refers to the western genre of p'ansori, which is believed to be secondary to the original Korean one. The film’s setting is misleadingly plain (Bowyer (151). Adopted from a short story text by Lee Chung-joon, Yu-bong is a key architect of p'ansori who moves away with his two children, daughter Song-hwa and son Dong-ho who are pansori, and drummer apprentices. The three characters travel across the rural areas in an attempt to perform and nurtu re their skills while showing a determination to preserve the key values of pansori. At this point, the film deviates from a typical American culture of open approach to and assimilation of foreign cultures to one of self-preservation. The characters look for an excellent environment where they can relocate their closest kin, their history, and their original pansori or masculinity. These are typical cases of a community that is keen on engaging in the quest for cultural preservation at any cost. Bowyer points out that the film features a relentless Korean population that seeks to widen the opportunities for not only playing p'ansori, but retaining its original form and value (151). In light of the inevitable cultural influences that would follow, p'ansori essentially embodies a socially appealing struggle to preserve the vital "Koreanness" in an environment where modernity threatened to erode the basic values that define the culture. Yu-bong and his pansori team’s journey in a quest to retain the Korean culture outside of their native homes or Korean cities were basically driven by feelings of Han. Han is a Korean cultural feeling that one harbors when he or she cannot or is prohibited from showing feelings of discrimination, alienation, or abuse because one is a victim of power imbalance. Yu-bong’s team manage to slip away from their native homes, and carefully choses the traditional cultural environment in the countryside to correct the cultural imbalance caused by the influx of Japanese and American norms. Quest for women’s voice Apart from struggling to reclaim the Korean culture which is at threat of Western civilization, Bowyer (151) points out that Im clearly defines the role of women in the modern Korean society and clearly adds to the quest for the dignity of the gender following many centuries of female abuse in the hands of South Korean men. Through the symbolic use of Song-hwa character, â€Å"Seopyeonje† has for the pa st two decades attracted tens of millions of viewers in the country and beyond (Bowyer 151). The current impressive achievement of women in the country’s leadership can partly be attributed to the soft, effective language that Im uses in the film to appeal to all segments of the society to support women causes. Conclusion Generally,

Sunday, July 28, 2019

Human Resources Management Essay Example | Topics and Well Written Essays - 1500 words

Human Resources Management - Essay Example It is a means of industrial government since it is different from unilateral and workers’ control management. The Donovan Commission bargained for it in 1960s, but in 1980s and 1990s, the employers reduced the range of issues regulated jointly, e.g. work pace and organization, and restored unilateral management (Braton and Gold, 2001:318). After the World War II, bargaining was used to determine the working condition of employees and their pay. This transformed the workplaces bringing with it power balance and the growth of shop stewards’ organization. This organization aimed at fighting for the employees’ rights using striking strategies (Inman et al., 2010:214). The conservative government in 1970 was against the trade unions; a move that led to political and industrial militancy. This saw the labour government create a social contract in order to control the employees’ wages. This was followed by strikes between 1978 and 1979 to oppose the move by the g overnment (Gilmore and Williams, 2009:24-44). In light of this information, this paper examines the managerial styles, objectives and strategies used in trade union and non-union organisations. Employment relationship With the election of Margaret Thatcher under the Conservative government in 1979, the reversal of conservatives’ policies was experienced. ... This saw election of union leaders and an increased union militancy. Major challenges during this time included reduced state jobs and services and an increase in the private sector influence. This had a dramatic influence on employment relations leading to massive opposition from trade unions (Price, 2007:413). Managerial Styles and Objectives of Managing the Employment Relationship There are four styles of managing employment relationships, which influence management strategies and human resource management practices. These are traditionalist, sophisticated paternalists, sophisticated moderns and standard moderns. These styles have different objectives that define their nature. The traditionalist style is authoritative, hostile and does not entertain trade unions (Pynes, 2008:215). Sophisticated paternalists refuse to recognize unions, but they ensure employees are committed to the organizations’ goals and their needs are satisfied. Sophisticated moderns, on the other hand, accept trade unions as well as collective bargains to determine the terms and conditions of employment relations. Standard moderns also accept trade unions, but they change their approach towards them depending on internal and external pressures and responses. It is thus clear that, in traditionalist and sophisticated moderns style, both the manager and employees have the same goals and interests i.e. they are unitary. The other two recognize that the employees and the manager have different goals and interests (Guest et al., 2003:291-314). Managerial Strategies to the Employment of Non-union Organizations Non- union organizations are a disadvantage to the

Saturday, July 27, 2019

Raise or Lower Tuition Essay Example | Topics and Well Written Essays - 1000 words

Raise or Lower Tuition - Essay Example On that note, we are going to comprehensively study the ways in which this institution can generate more income, for instance through the increase of tuition fees among other strategies that need to be undertaken in a bid to achieve this goal. Evidently, another way in which in the nobody state university can raise its income is through the reviewing of some of the mechanisms that involved in the enrolling of students into the institution. Notably, in the study of the manners in which institutions of higher learning can increase revenue, it is essential to discuss on the enrollment exercise since the major earner of capital in this line of business is largely dependent on the number of individuals that enroll in the particular institution which in this case is the nobody state university. Consequently, in the subsequent sections we are going to highlight some of the ways that revenue can be increased in this institution giving account of the impact they will have in the institution a s whole. Will an increase in the tuition fee automatically contribute to an increase in revenue? From a literal point of view, a rise in the tuition fees will result in the increase in the revenue in the institution of higher learning; nobody state university. ... Thus, in the case of lower population, the capital generated may not be as pleasant. On the other hand, high tuition fees may cause huge loses. On a similar theme, if the tuition fees are raised by significantly with comparison to other educational institution, the enrolment rates will drop and as a result the revenue collected will be less. Furthermore, with high tuition fees many students who are enrolled may opt out in search of other institutions that offer favorable fee structures and therefore it follows that huge revenue loses will be recorded. Although, an increase in tuition requires an increase in revenue generation, it is essential to monitor the margin of the rise to avoid exploitation of the individuals in the educational institution; students who are the major earner of capital. Describe conditions under which the revenue will rise? Apparently, one of the most logical approaches to increase the revenue of nobody state university, is the incorporation of business strateg ies founded on the principle of unit elastic demand. On that note, this business principle postulates that, a change in the price of a commodity results into an equal change in the quantity demanded for. In this case, incorporation of this business strategy into the education institution requires that, an increase in the tuition fee will consequently lead to the increase in the revenue collected since the enrolment rate will increase due to an increase in the demand for the educational services. On the same note, the rise in revenue will be attributed to the increase in the student population. Describe conditions under which the revenue will fall? The revenue collected

D2 Assignment Example | Topics and Well Written Essays - 500 words

D2 - Assignment Example During his voyage he and his three ships stopped at a place called Ballast Point. Although the Spanish ships would frequently sail down the coast of California as they came from Philippines with treasure, it took them a period of approximately 200 years before they settled there. The reason why Spain decided to settle in California was that they saw Russia as a potential threat to them. This is because the Russian traders were moving down the coast from Bering Sea and had reached Farallon Islands by 1765 which were off of San Francisco. Spain planned on colonizing Alta California as a means of keeping the Russians away from it. The plan was drawn up by Inspector-General Josà © de Gà ¡lvez, the project was led by Don Gaspà ¡r de Portolà ¡ whereas Blessed Junipero Serra was the one in charge of the missionaries. In the year 1769 many expeditions were set out where 219 people made it. Junipero Serra also on that year raised the first cross on a mission site (Starr 49). Junipero Serra was a man who made a lot of significance in the California history. He was born in the year 1713 and grew up as an educated person. At 36 years old, he joined a group of missionaries who were going out to Mexico and in December 1745 he arrived there with his companions. He volunteered for 8 years to go to the mission field in northeastern Mexico where he established a successful mission system. From the year 1758 to 1767 he preached all over Mexico, served as a home missionary and was the commissioner of the Holy Office. In the year 1767 he became the leader of the Jesuit missions in California Baja. This was after he arrived in Loreto in the year 1968 and set out to improve and expand his mission establishment. After arriving in San Diego he built the first mission plant and from there on dedicated his time and energy in his mission. By the year 1782, nine missions were founded by him. He achieved the goal of converting the Native

Friday, July 26, 2019

Effects of Taxation on Macro & Micro economics Term Paper

Effects of Taxation on Macro & Micro economics - Term Paper Example Adam Smith, the famous father of economics was behind the classification of economics. This term paper seeks to evaluate the effect of taxation on both the Macro & Micro economics. Taxation is a key facet in any economy as suggested by Adam Smith in his work on Canons of Taxation .The paper also suggests the areas of further study, in which researchers and other scholars are invited to work on. The Overall the study of economic environment is divided into two halves, microeconomics and macroeconomics. The "Micro" originated from a Greek word. The word means small. Microeconomics entails the study of individual economic units. It is concern with particular individual elements in the economy. It thus gives a worm’s eye view of the economy."Macro" originated from Greek word whose meaning is large. Macroeconomics entails the study of global perspective of the economy. It combines the national or international economy concepts of economy e.g. Total Output, Income and Expenditure, U nemployment, Inflation Interest Rates and Balance of International Trade, etc and what economic policies a government can pursue to influence the conditions of the national economy. It thus gives a bird's eye-view of the economy (Gupta 409) This term paper will focus on taxation as a factor that affects both micro and macro-economic fields. The overall function of taxation is to provide funds to finance the activities of government and can be discussed in the following terms: First, Tax revenue is required to pay for goods and services which government provides: These could be public such as defence or merit goods such as education and medical services respectively. Second, a major function of taxation is to bring about some redistribution of income of income – progressive tax system. Third, Tax revenue may be used to pay interest on national debt. Fourth, Taxation may be used as a fiscal policy instrument to influence full employment levels. Fifth, Social welfare function: i s the use of tax to discourage the production of harmful commodities. Sixth,-Protection policy Function. The Seventh function is the economic stability goal by discouraging unnecessary expenditure (Marshall 87). Adam Smith was the first economist to study the principles of taxation and how they affect the economic environment. Adam Smith came up with principles of taxation; these are equity, certainty, economy and convenience. He came to believe that when a tax is imposed certain conditions must be fulfilled. These conditions are what he called canons of taxation (Marshall 324).These are: The Canon of Equity: This refers to the fairness of a tax system. It’s borne out of the feeling that â€Å"the states’ subjects should support the government in a proportionate way in regard to the revenue they derive’’ (Marshall 324). This means that every person should pay the tax based on the ability; they don t pay the amount. There are three approaches of achieving equity, namely: The Benefit Principle; under this approach, benefits derived from the consumption of goods and services are used as the basis for taxation. Thus people should be taxed according to the benefits they derive from the consumption of public goods. The disadvantage here is to determine the benefits and expenditure of each tax payer. First, The ability to pay: Here the argument is that citizens of a given country are differently endowed in wealth and earnings. Besides the government cannot raise enough funds to finance public expenditure if each and everyone was asked to pay the same amount of tax. So ability to pay should be the basis for taxation because the tax burden is distributed equitably. However, ability to pay is very difficult to effect because of

Thursday, July 25, 2019

What do you understand by the notion of a learning community Essay

What do you understand by the notion of a learning community Critically examine how learning communities facilitate effective learning - Essay Example In this essay, the various views and their effectiveness is also explored with relation to Dynamic Community Learning and different views from various studies relating to psychology, cognitive learning and teaching by different authors. It is observed that community learning as a tool for learning is gaining popularity and the various advantages in a complex and innovative environments at both the educational institutions and the modern workplace can gain immensely from this approach. While Instructional Design focuses on the learning, the Dynamic Community Learning approach focuses on the self-paced learner needs. Different books and journals have been studied to understand the use and effectiveness of dynamic learning communities in educational institutions as well as corporate workplaces. To learn a particular skill or research a particular topic of interest, the concept of learning communities has enabled an understanding of the complex process of contextual and situational learning. As against the traditional learning method of instructional design learning where learning is dependant on the effectiveness of teaching by the instructor, dynamic learning offers a range advantages that are found to be more in favour of the complex contexts that learning has to be based to arrive at unique and innovative solutions. The positive and negative aspects of dynamic learning communities and their approaches towards effective learning are observed by studying the various observations by Psychologists, Educators and other authors. According to Carnell and Lodge, it is observed that in community learni ng the various multi-dimensional needs of the learners are considered and catered to, for effectiveness in the learning outcome. Learning itself is dependant on the problem context, and the problem, approach and the outcome change within

Wednesday, July 24, 2019

LAB one Report Example | Topics and Well Written Essays - 250 words

One - Lab Report Example Upon a thorough analysis of the lab, the following is what was found out (Sanders 2007). It is vital to note that, I firstly noticed that, the number of packets captured was dependent on the size of a particular URL. That is, the smaller the URL the lower the number of packets and the bigger the URL, the higher the number of packets. Additionally, I perceived that the first two packets in the beginning of trace are in most cases made up of equal size while the third one is of the smallest value compared to the other two. Furthermore, I noted that when the value (200 OK) appears in a trace result, then, it means that the fetch operation of a particular URL or website site must has been successfully executed (Sanders 2007). Lastly but certainly not the least, regarding the lengths of the network packets, the following is what was captured. The first one is of the length 76 units. The second one was of the same size at the first one, which is 76 units. The third one is of the length, 64 units (Sanders

Tuesday, July 23, 2019

Ip4 diversity in the workplace Research Paper Example | Topics and Well Written Essays - 500 words

Ip4 diversity in the workplace - Research Paper Example The civil rights of 1964 prohibits any form of discrimination on the basis of race, religion, colour and national origin and sex. The document is a judicial reference that fosters equality among all the citizens of the United States (Hasday, 2007). The Civil Rights Act, Title VII of 1964 legislation was aimed at promoting equality among the citizens of the United States of America thus allowing them to exercise their basic rights such as the right to vote and acquire education. The act was also designed with the aim of extending the commission of civil rights; prevent discrimination in all federal assist programs and to form a commission on equal employment opportunities (Hasday, 2007). This stipulates the rights of an American citizen to participate in any job application program regardless of the discrimination elements such as race, skin colour and originality. A religious accommodation is any necessary adjustment to the work environment that will allow an applicant of an employee to practice his or her religion. Chapter VII necessitates the job of federal agencies in reasonable accommodation of religious practices or beliefs practiced or performed by employees which may conflict with the working requirements, unless the accommodation would create undue hardship (Gregory, 2011). If it does not pose any undue hardship, the employer is obliged to abide by the federal rule and grant the employee the accommodation. Some of the undue hardships that might lead to the employer denying religious accommodation rights include: if the accommodation is costly, decreases workplace efficiency, compromises work place safety or if the practice conflicts with special requirements. Application process or tasks entailed in the working environment (Gregory, 2011). Religious accommodation may be inform of dressing, for instance, nuns and Muslim women are excep ted from job dressing requirement as they are bound by their religion

Monday, July 22, 2019

Annotated Bibliography Essay Example for Free

Annotated Bibliography Essay Juleen K. Buser, Journal of Multicultural Counseling and Development 37.2 (April 2009): 94-104 This article is a great article that relates to African Americans seeking mental health treatment at lower rates than whites. The article states that this disparity can be attributed to attitudes toward services, alternate coping, and differences in care. This article also illuminates biases in counseling. Snowden, Lonnie R, Barriers to Effective Mental Health Services for African Americans, Vol. 3, Issue 4, 181-187 (Dec. 2001). Social Services and Welfare, Psychology This article states that many African Americans do not seek proper mental health care. It states that the ones that do generally drop out. The article attempts to define the causes and the effects that would help alleviate this problem. McField, Edward, Culture, acculturation, and social capital: Latinos and use of mental health services. Loma Linda University, 2010. 3405317 This article states that Latinos suffer from the same mental disorders as others, but when they do, they receive less than standard care. The article gives the results of studies that state that state that there is an association between acculturation, models of illness, stigma, need, and mental health service use. Organista, Kurt C. New Model for Latinos in Need of Social Work Services, Social Work, 54.4, (Oct 2009). 297-305 This article is wonderful in that it gives some of the best pragmatic models and concepts in the cultural competence literature. This article states ways in which to enhance cultural sensitivity, as well as increasing awareness of the Latino experience and understanding of problem patterns in their historical, social, and cultural contexts. Borup, J. (1999, May/June). Foundations of social work practice with lesbian and gay. Families in Society, 80.3, 308-309. Describes a foundation for helping gay and lesbians for the human services worker. When helping or working with a person who is gay or lesbian it is important to have knowledge of professional literature,  experiences from professional peers, history, and the actual case information. It is also important to remember the family history, for this characterizes and confronts any myths associated with this particular lifestyle. The lack of social support and homophobia can create consequences to those who are not accepting of this community. The author is educating students about the knowledge and facts on working with the lesbian, gay, bisexual, and transgender community and the most important is the code of ethics for social workers. Cavet, J. (2000, Oct). Children and young people with a hidden disability: and examination of the social work role. British Journal of Social Work, 30.5, 619. The recent study described that children and young people with hidden and impairment received a social work service which was at a minimal level. It is recognized that the level of social services intervention available to these families may be a reflection of a low priority assigned to disabled children. A change in priorities is needed which recognizes the importance of knowledgeable support to disabled children as a means of improving their environment and reducing families stress levels and the likelihood of abuse or rejection. Copeland, C.A. (2011, January/February). School librarians of the 21st century using resources and assistive technologies to support students’ differences and abilities. Knowledge Quest, 39.3, 64-69. This article describes the many ways librarians can help differently abled children realize they are special. And by librarians having all the resources (informational and technical) they can further help these differently abled children understand how truly especially able they are. It opens their eyes to their own gifts and abilities and this helps the librarians these abilities to develop the information literacy skills and multi-literacies necessary for lifelong learning. The National Center for Education Statistics shows that approximately one in seven students have one or more characteristics society defines as a disability. Technologies can be selected and so they can best meet the needs of the students who are differently abled. Donahue, P. (2005, July-September). Current perspective and future directions  for social work practice and research. Families in Society, 86.3, 359-366. This article describes the aging gay and lesbian community. Past research of this community focused more on the gay White man, well-educated, active in the gay community and high socioeconomic backgrounds. This study examines current roles of social work regarding research with older gay men and lesbians and presents recommendations for both practice and research in the years ahead. Not only is this community of sexism, they are also victims of ageism. Future work must strive to be more representative of older lesbians, geographic diversity, and classes because these variables play an important role in shaping the gay aging experience. Bell-Tolliver, L., Burgess, R., Brock, L. J. (2009). African American therapists working with African American families: An exploration of the strengths perspective in treatment. Journal of Marital and Family Therapy, 35(3), 293-307. Retrieved from http://search.proquest.com/docview/220979644?accountid=35812 When working with African Americans and Native Americans human service workers must consider important factors. When doing a study researches found 5 strengths that African Americans showed. They have strong kinship bonds, strong work orientation, adaptability of family roles, strong achievement orientation, and strong religious orientation. African American family is defined as an intimate association of persons of African descent who are related to one another by a variety of means, including blood, marriage, formal adoption, informal adoption, or by appropriation; sustained by a history of common residence in America; and deeply embedded in a network of social structures both internal to and external to itself (Bell, 2009). Waites, C. (2009). Building on strengths: Intergenerational practice with African American families. Social Work, 54(3), 278-87. Retrieved from http://search.proquest.com/docview/215269004?accountid=35812 These families are diverse groups of people with their own ideas, opinions, and values. African American families have strengths, and that the use of those strengths within the therapeutic setting can lead to successful outcomes. We also believe that understanding the strengths of African American families can help mental health professionals develop successful treatment outcomes for families. It is critical that professionals gain an understanding of how these strengths impact the functioning of the African American family to empower families who are struggling. When helping this group we should focus  on their strengths and not their weaknesses (Waites, 2009). Michael, T. G., Eugene, F. P. (2000). Red as an apple: Native American acculturation and counseling with or without reservation. Journal of Counseling and Development: JCD, 78(1), 3-13. Retrieved from http://search.proquest.com/docview/219014436?accountid=35812 The United States Bureau of Indian Affairs (1988) legally defines Native American as a person who is an enrolled or registered member of a tribe or whose blood quantum is one fourth or more genealogically derived from Native American ancestry. When working with Native Americans one must remember that they are very religious and hold traditional values and beliefs. They practice only traditional tribal customs and methods of worship. However some Native Americans may be more willing in the practices of other cultures. That is why the counselor must not make assumptions without gathering further information (F.P, 2000). Kathleen, A. E. (2000). Counseling with Native American Indians and Alaska Natives. Families in Society, 81(5), 543-543. Retrieved from http://search.proquest.com/docview/230163172?accountid=35812 Culturally based treatments may be needed. This group can be offended very easily and the counselor must be careful not to overbear (A.E, 2000). Latino-Kuglin, M. (2009). Latino outreach. Children Libraries, 7(3), 42-46. Retrieved from http://search.proquest.com/docview/212161869?accountid=35812 â€Å"Its a way to celebrate Latino heritage, literacy, and families coming together at the library, said Watts. She said Dà ­a celebrations at HCL have two goals. The first is to celebrate the heritage of the community that we see already. Weve got libraries that have large Spanish- speaking populations that actively use the library, so this is a way to celebrate and acknowledge the community that is already there. No-show: Therapist Racial/ethnic Disparities in Client Unilateral http://psycnet.apa.org. N.p. In the present study, the authors examined the source of racial/ethnic minority disparities in unilateral termination form of dropout that is associated with poor alliance and outcome. First, the authors must be tested whether some therapists were more likely to have clients who reported unilaterally terminating as compared with other therapists. Next, the authors examined 2 competing hypotheses regarding the therapists role in  termination disparities: (a) that racial/ethnic disparities in unilateral termination are similar across therapists and thus due to other components of the treatment process or (b) that racial/ethnic disparities in unilateral termination are specific to therapists, where some therapists are more likely, on average, to have higher rates of unilateral termination with REM clients as compared with white clients.

Downsizing the Human Resources Department Essay Example for Free

Downsizing the Human Resources Department Essay Human Resources Department manager Pat Sutton is requesting the downsizing of the Human Resources Department. Instead of the eight employees already in place, Pat wants the department pared down to five employees. She wants the names of three employees selected to be terminated. There is no other alternative to termination, and the company policy states that there can be no early retirement and no moving laterally to another department. Cost-cutting measures are now requiring that five employees do the work of eight. In addition to the names of the three employees recommended for termination, Pat wants to know what action management should take if any of the three employees decide to file a discrimination case against the company and what the employees would have to prove in order to win a discrimination case. Employees Recommended for Termination Pat, I have chosen the three employees to be terminated based on their skill set, work experience, and job function within the Human Resources department. The three to be terminated are: Diane—she has been with the company for 10 years, and although she is an outstanding worker, her attendance problems have cost the company. Horatio—he has only been with the company for six months, is just learning insurance and health matters, and his skills are marginal at best. Greg—he has been with the company for five years and has shown an ability to quickly learn complex areas of work. However, he has not been trained in tech hiring, and his job skills are just average. Of the three named employees, one is female and two are male. Title VII of the Civil Rights Act of 1964 is the main law of employment that is pertinent to these three employees. Possible Cases of Discrimination against Cost Club There are three different types of discrimination cases that could be file by the three employees. Race discrimination—Horatio could file a case of this type. He is Hispanic and has not quite grasped the English language. He would have to prove that because he is Hispanic and has a limited knowledge of English, the company terminated him. I really do not think that Horatio would win if he decided to file a racial discrimination case against the company. His minimal skills in health and insurance after six months are more than enough reason to terminate him. Gender discrimination—Diane could file a case of this type. Her attendance problems stem from her children’s sicknesses over the years. She would have to prove that her termination stemmed from her being a female and missing work due to her sick children. We may have a tough time if Diane files this type of case against the company. She is an outstanding worker and her only blemishes are her missed days of work due to her sick children. Religious discrimination—Greg could possibly file a case of this type. His religious convictions prevent him from working on Saturday or Sunday. This forces other workers to work weekends more frequently. Greg would have to prove that the company terminated him because his religion keeps him from working on the weekend. Greg would have a hard time winning a discrimination case if he were to file, because his work is just average at best. With regard to each employee’s possible claim of discrimination, the company should prepare itself by carefully looking into each employee’s work performance employee performance appraisals. After all, the company needs to offer the three workers more than just a â€Å"we had to terminate three people and you were one of them† explanation. Failure to promote qualified employees is a form of adverse employment action. Employee performance appraisals provide written documentation and prove the employer acted fairly in terminating an employee. Documenting Performance Improvement Plans (PIPs)  The Performance Improvement Plan (PIP) is intended to smooth the progress of positive conversation involving an employee and his or her manager and to explain the work performance that needs development. The PIP is put into effect, at the choice of the manager, when it is deemed essential to assist an employee in improving his or her performance. This arrangement allows managers to set objectives, determine procedures, manage evaluation meetings, and record development. No particular quantity of time is needed for a worker to adhere to a PIP. As a matter of fact, if no improvements are made, an employee can be terminated after a number of weeks. Performance Improvement Plans have an awful reputation amongst personnel who view them as the last step in terminating employment. This is because numerous companies apply Performance Improvement Plans the wrong way or use them for generating a lawful safety net prior to ending employment. Performance Improvement Plans should only be applied if a manager sincerely believes that the worker possesses the ability to improve. Every other thing is agonizing for the worker and takes up too much time for human resources staff and managers. Regarding human resources personnel and managers, a Performance Improvement Plan is more or less hardly ever fitting. If a supervisor is performing poorly or at a level below standards to necessitate a Performance Improvement Plan, it is very rare that he or she will salvage the needed assurance of subordinate employees or his or her own manager. Human Resource organizations possess more than enough admission to extremely private, unique data. Moreover, because of their place in the organization, the harm to your belief in them and their trustworthiness is almost impossible to overcome. Dispute Resolution Process A dispute resolution process is categorized into two types: adjudicative and consensual. In an adjudicative dispute resolution process, an arbitrator, judge, or jury decides the result of the arbitration or litigation. During a consensual dispute resolution process, such as mediation, collaborative law, negotiation, or conciliation, the participants try to come to an agreement (FITT, 302). For the three employees we are terminating, we would need an adjudicative dispute resolution process. This way, an arbitrator can decide the outcome of the case. Responding to Charges of Discrimination Should we be charged with discrimination from terminated employees, we will follow these steps: 1. Gather documents and evidence but wait to interview witnesses and meet with the company’s legal specialist to decide who must manage the inquiry. It may be essential to run an investigation that we reveal to the examining organization, or it may be more vital to run an investigation that can be suppressed. Nevertheless, we should amass any records which specify what actually happened. If a discrimination claim is made founded on a â€Å"disparate impact,† we will need to collect some simple material concerning the diversity of the company’s workforce. This way, the company’s attorney can determine if that data has any importance statistically. 2. If we opt to prepare a re-tort to the discrimination charges on our own, we should take into account that we have numerous onlookers. Initially, some EEOC offices will send a duplicate of the reply to the terminated worker or his/her legal counsel. If the employee or the EEOC chooses to take legal action, they are apt to attempt to exploit the company’s stance as substantiation in their argument. The simple rule to constantly abide by is to just state the facts. Do not state undesirable points about the terminated worker that are case irrelevant, and be sure to corroborate all testimony with any documents available. We should only give the EEOC additional information if it strengthens the company’s stance. This is my recommendation on who should be terminated and what avenues of approach we should take should any discrimination charges be brought against the company.

Sunday, July 21, 2019

Investigation of Effectiveness of Clozapine

Investigation of Effectiveness of Clozapine Catarina Scott-Beaulieu Abstract: (250) Background: Clozapine is an atypical antipsychotic used for treatment-resistant schizophrenia. It is effective in treating the positive and negative symptoms of schizophrenia with a reduced chance of extrapyramidal side effects compared with other typical antipsychotics. Clozapine is known to have cardiac side effects including, but not limited to, myocarditis and cardiomyopathy. Approximately 75% of cases, of clozapine-induced myocarditis, occur within the first month of titration, highlighting the need for monitoring. Objectives: To assess the extent to which the monitoring guidelines for myocarditis, at a London mental health trust, are being followed. Method: Patients who were registered with ZTAS from June 2014 to October 2016, at the trust,  Ã‚   were identified. Data was collected based on the audit tool created from the guidelines. Using the patient notes and laboratory data, found using the trusts operating systems, data was collected and stored in the audit tool. Key findings: The monitoring standards were met for full blood count in the week prior to initiation and in week 3. No other standards were met. Conclusion: Introduction: (500-1000) Clozapine is the first atypical antipsychotic created and is used in treatment-resistant schizophrenia, which is defined as a lack of or an inadequate response to at least two antipsychotics.[1] It is a dibenzodiazepine derivative antipsychotic and interferes with dopamine binding with a strong affinity for D4-dopaminergic receptors   and 5-HT2a serotonergic receptor affinity [2], in addition it has an anticholinergic effect and antagonizes histaminergic receptors. [3, 4] Clozapine is useful in treating both the positive and negative symptoms of schizophrenia [4] and is less likely to cause extrapyramidal side effects when compared to first generation typical antipsychotics such as haloperidol[5, 6]. It has also been shown to significantly reduce the suicidal behaviors in schizophrenic patients [1, 7]. However, it is not used as a first line treatment due to its extensive side effect profile, most recognized being agranulocytosis which occurs in approximately 1% of patients in the first year of treatment [8, 9], explaining the need for regular, mandatory hematological tests for the duration of clozapine treatment. Other side effects include fever [4], metabolic effects and seizures.[4, 6, 10] Agranulocytosis, however, is not the only potentially fatal side effect of clozapine use. There is an increasing number of clozapine-related cardiac complaints reported in the literature, resulting in cardiac effects from clozapine treatment having become more recognized over the past few years. [5, 7] Whilst tachycardia is a common side effect it can be indicative of other, potentially more serious, cardiac effects such as cardiomyopathy and myocarditis. [9] Myocarditis is an inflammatory process of the myocardium, which is often of viral aetiology but may also include bacterial, fungal and drug-induced.[11, 12] The condition presents with a wide range of symptoms such as chest discomfort, flu-like symptoms and abnormal vital signs [9] and most are non-specific.[2] Reported cases of clozapine-induced myocarditis range from 0.15% to 1.2%,[5, 8, 13-15] with the highest incidence being reported in Australia, >1%. [16] Time to onset varies, but over 75% of cases occur within the first month of treatment. [12, 16-18] Endomyocardial biopsy was the gold standard for diagnosing myocarditis, but the procedure has only limited sensitivity and specificity. It was by proposed Ronaldson et al.[18] in 2011 that combining C-reactive protein (CRP) and troponin T/I would give a sensitivity for clozapine-induced myocarditis of 100%. This is a less invasive method of diagnosis, with a higher specificity and sensitivity for myocarditis and has led to the current guidelines that are in place for the monitoring of clozapine treatment. Whilst clozapine-induced myocarditis is still rare, the need for consistent monitoring within the first month of treatment is needed to ensure any possible cases are detected early, allowing for prompt treatment, increasing the chances of a better outcome for the patient.[1] This audit aims to assess the extent to which the monitoring guidelines for myocarditis, at a London mental health trust, are being followed. Assessments will explore the extent to which the recommended additional blood tests, CRP and troponin, are being completed and the extent to which the advised echocardiogram (ECG) are being followed. Additionally, it will aim to check to see if a clinician is checking the above objectives and assess the extent to which the nursing staff are asking the patients about signs and symptoms of myocarditis. Method: (500-1000) This audit was designed to investigate the extent to which the monitoring requirements, in regards to clozapine initiation and titration within the first four weeks of treatment, at a London mental health trust had been completed. The monitoring requirements audited were specific to the detection and diagnosis of myocarditis. Data collection occurred between October 2016 and February 2017. It is a baseline, retrospective audit of case notes and laboratory data. As per the Health Research Authority regulations, this audit did not require ethical approval. Audit standards and audit tool The standards used in this audit were taken from the trusts clozapine guideline, which can be found in table 3. The monitoring requirements for the detection of myocarditis involve an ECG, vital sign monitoring (pulse, blood pressure, temperature) and CRP and troponin T blood tests. These had to be completed prior to initiation and weekly for the first four weeks after initiation. It is also necessary for clinicians to verify the results of the CRP and troponin T tests, and for the nurses or clinicians to check if the patient has had any signs or symptoms of myocarditis. For the purpose of this audit, criterion 1 and 3 (table 3) will be met if the results of the investigations were documented. Criterion 2 (table 3) will be met if the clinician has made specific reference to CRP and troponin T tests in the patient notes, criterion 4 (table 3) will be met if there is specific reference to questions being asked about myocarditis symptoms. An audit tool was created using the specified mo nitoring requirements mentioned in the clozapine guideline, a template of the audit tool can be found in table x. Identifying patients to be involved in the audit Clozapine patients require regular and frequent prophylactic blood tests in order to initiate and continue treatment. As such, there is a mandatory need for patients to be registered to a clozapine monitoring service database, which collects and stores the results from the weekly blood tests. Zaponex Treatment Access System (ZTAS) is the monitoring company that was used by the trust. ZTAS provided a list of patients who were registered with them whilst under the care of the trust, from June 2014 to October 2016. This resulted in a total of n=57 patients. The patients were selected to be used in the audit after they adhered to the inclusion criteria, which are shown below. Data Collection Data was collected using various information sources at the hospital. Data on haematological tests were collected systematically from ZTAS, bloodresults.co.uk, and the trust clinical portal. ZTAS and bloodresults.co.uk offered information on the standard full blood count (FBC) monitoring that takes place weekly. The trusts clinical portal was used to collect information on other heamatological tests, CRP and troponin T; this source was also used to check any other available FBC test results. RiO, the trusts operating system, was used to collect information on the other standards being measured in this audit (criterion 2, 3 and 4)(table 3). The data collected was stored in the audit tool. ( table x) Inclusion and exclusion criteria The inclusion of the patients in the audit required them to have been registered with ZTAS at the trust between June 2014 and October 2016. It was also necessary for the patient to have started some (at least two) of the required monitoring standards prior to initiation. Prior monitoring requirements included an ECG within a maximum of 3 months prior to initiation and  Ã‚   FBC, CRP and troponin T within 10 days of the initiation date.   Vital sign monitoring such as pulse, blood pressure and temperature were included if they had been completed a maximum of 7 days before initiation. Patients were excluded from the audit if they had been transferred from another trust and were already on a controlled clozapine treatment regime. Method of data analysis Data analysis and statistical analysis was completed using Microsoft Excel 2013. Overview As stated previously, clozapine is associated with an increased risk of myocarditis, which has been fatal in some cases. Preventative monitoring measures for myocarditis are advised at this trust. Baseline troponin T, CRP and ECG should be done prior to beginning treatment and then weekly for the following first four weeks after initiation. These measures are specific in identifying myocarditis, but should also be done in concordance with standard monitoring during treatment. The standard monitoring procedures include pulse, blood pressure and temperature to be completed every other day and FBC weekly. These monitoring procedures are necessary in helping to diagnose myocarditis; symptoms of myocarditis are non-specific, but tend to indicate the presence of an infection (fever) or simulate myocardial infarction (chest pain). Nurses and practitioners are advised to question patients on the appearance of any side effects similar to myocardial infarction to help ascertain if they could h ave myocarditis. Patient demographics and study data In total, n=57 patients were reviewed. Of those, n=3 patients were excluded based upon the inclusion and exclusion criteria described in the method. Of the remaining n=54 patients, n= 6   (11.11%) patients did not initiate clozapine treatment, but n=5 were included in the audit as they had started the monitoring required prior to initiating treatment. Reasons for not initiating treatment are outlined in table 1. A total of n= 3 patients ceased clozapine treatment in week one (n=2) and during week three (n=1); one patient was persistently tachycardic, one patient refused to continue treatment and one patient was severely hypotensive. The patient group (n=53) was predominantly male 66% (n=35), 34% (n=18) were female. The mean age of patients who initiated treatment (n=48) was 34.42 years old, with the youngest patient age being 16.92 years old and the oldest being 65.21 years old. Length of treatment was calculated as the time between a patient commencing clozapine treatment and either ceasing clozapine or the end of the audit period. A total of n=10 patients were excluded from the calculation, as they either did not start treatment or the end of treatment time was not able to be calculated; reasons for exclusion are explained in table 2. The mean length of treatment was 387 days  ±268, with the shortest length of treatment being 1 day and the longest being 873 days. Of the 53 patients involved at the start of the audit, 65% (n=35) were initiated on an inpatient basis; this means the patients were initiated at the hospital, on a ward. ECG monitoring A baseline ECG had been completed in 96% (n=51)(Figure 1) of patients within 3 months prior to the commencement of clozapine. One patient refused to have an ECG prior to initiation. The percentage of patients who received ECGs decreased to 20% (n=9), 24% (n=11), 17%(n=8) and 9% (n=4) of patients for the following 4 weeks after commencement respectively. A total of 41 out of 45 (Table 4) patients did not receive an ECG in week four of clozapine titration. During week one, a patient complained of flu like symptoms and was given an ECG to rule out myocarditis; likewise, one patient during week three was given an ECG after complaining of centralized chest pain. Temperature monitoring The quantity of patients who had recorded temperatures fluctuated through-out the weeks, being highest in week two of monitoring (n=. Week four had the lowest recorded amount of temperature monitoring of all 5 weeks at patients 69% (n=31) (table 4). In week one, n=2 patients refused to have measurements taken. Pulse and blood pressure monitoring The amount of patients who did not receive BP monitoring was highest in the week prior to initiating clozapine (n=13) and in week four (n=13). The highest proportion of patients who had their blood pressures taken occurred during week one at 96% (n=44 ), with 63% (n=29) of them having their blood pressure taken once and 34% (n=15) having their blood pressure taken twice (one reading measured whilst lying or sitting and one reading measured whilst standing). Week four had the highest proportion of patients who did not have their pulse measured at 29% (n=13) (table 4). One patient was discontinued from clozapine after one day of treatment when the BP check revealed them to be extremely hypotensive, in conjunction with a rapid pulse. Full blood count monitoring FBC monitoring occurred in the highest proportion of patients throughout the monitoring period; 100%, 98%, 93%, 100% and 96% respectively. CRP and Troponin monitoring The majority (>50%) of patients did not receive CRP or troponin T blood tests throughout the duration of the monitoring period. Figure 2 shows a substantial decrease in the number of patients who had CRP tests prior to initiation (n=25) and the following weeks (n=10, n=11,n=11, n=7 respectively). A large propotion of patients (84%, n= 38) did not receive CRP blood tests during their fourth week of clozapine treatement. The number of patients who received troponin T tests were less than those who received CRP tests. Only 36%(n=19) of patients received troponin T tests prior to initiation, reducing to 26%(n=12), 20%(n=9), 15%(n=7) and 9%(n=4) in the following four weeks after initiation respectively. There were n=14 patients who had no CRP or troponin T tests throughout the entirety of the monitoring period. There were no patients who had weekly CRP and troponin T tests throughout the duration of the mointoring period. Other monitoring parameters In total, the number of patients who had their CRP and troponin checked by clinicians was less than 100% in all cases (69% (n=9), 75% (n=9), 56% (n=6) and 63% (n=5) for weeks one through four respectively).   Due to the lack of data regarding criterion 4 (table 3), there are no results available to be discussed. Summary of main findings FBC monitoring requirements were met in the week prior to monitoring and in week three. All other standards were not met in any of the five weeks. Over all, there was a better outcome seen in the week prior to initiation for most of the standards. CRP and troponin T tests were completed in less than 50% of patients throughout the five weeks measured. Likewise, excluding the week prior to initiation, less than 50% of patients received an ECG for weeks one to four. Limitations Study data was collected using patient notes and the trusts clinical portal, data was therefore reliant on the relevant health care professional entering the information onto the systems. Consequently, the lack of data could be attributed to the lack of documentation of the monitoring, as opposed to the lack of monitoring all together, especially in regards to criterion 4 (table 3). No useful results could be drawn for criterion 4 and criterion 2 may have also been significantly affected by a lack of documentation. The sample size of this audit was small (n=53), any conclusions drawn from this data may not be relevant to a larger sample size. However, in future studies, a larger sample size could be used, if this is not possible the audit could be expanded to include other trusts. Results could also be affected if the patient refused to have the relevant monitoring required, as advised in the trusts clozapine guidelines.    This audit is the first one to be completed at this trust, therefore it cannot be compared to any previous data. However, the results are being measured against set standards (table x) and can be used to compare to future audits. Results in context      Ã‚   Clozapine is highly effective in the management of treatment-resistant schizophrenia; it reduces the risk of suicidal behaviours[5, 6]and it is effective in the treatment of both the positive and negative symptoms of schizophrenia.[1] It is not widely used due to its extensive side effect profile [8], most recognised being haematological disorders, such as agranulocytosis and neutropenia which have strict monitoring protocols in place.   However, cardiac side effects of clozapine treatment have become more widely recognised over the past few years.[5] Myocarditis is an inflammatory condition of the myocardium, which is normally attributed to viral aetiology. Clozapine-induced myocarditis is a rare, but potentially fatal result of treatment. Over 75% of cases occur within the first month of treatment, making it important to monitor for myocarditis during the first four weeks of treatment.[2, 14-16] A study by Ronaldson et al.[18] developed an evidence-based monitoring tool, based on 75 cases and 94 controls for routine monitoring up to 28 days. It suggested that an ECG, CRP and troponin I/T should be completed at baseline, with routine vitals every other day. CRP and troponin I/T tests should also be repeated on days 7, 14, 21 and 28. This study proposes that combining CRP and troponin tests provides a 100% sensitivity for myocarditis. The trusts clozapine guidelines also suggest the same monitoring protocol, with the addition of an ECG every week, for the first four weeks. Individuals with schizophrenia have a 20% shorter life expectancy than that of the general population and a greater vulnerability to several illnesses (diabetes, coronary heart disease).[19] Due to the nature of the illness and the heightened health risks associated with schizophrenia and the antipsychotic medications used in its treatment, it is important to adhere to the relevant monitoring protocols. It is evident, from the results, that the proposed guidelines for the monitoring of clozapine-induced myocarditis are not being met. Likewise, a number of studies have shown a poor adherence to standards in the monitoring of antipsychotic medications.[20] Physicians may have doubts about the relevance of monitoring, or feel that it is not necessary as the incidence of myocarditis is very low; rate of incidence occur in approximately 0.15-1.2%[1, 13, 21] of patients. If we consider other medications with stringent monitoring protocols, such as insulin, due to health care professionals awareness of this medication and the implications if the standards are not met, there is often a higher standard of monitoring. There may also be an implication of cost; extensive monitoring is often expensive, making it appear to be an unnecessary expense, particularly when the chances of myocarditis occurring are very low. Health care professionals may have a lack of awareness of the need for the monitoring of myocarditis, and the implications if these are not met. The incidence of fatality due to clozapine-induced myocarditis can be as high as 50%[1], making it important to abide by the set guidelines. The monitoring guidelines are made to reduce the harm caused to patients and reduce the possibility of fatalities. However, a delayed diagnosis could result in poorer outcomes for the patients.[1] The standards allow for earlier detection and diagnosis of myocarditis, reducing the chance of poorer outcomes. The results of this audit indicate a need for an increased awareness of clozapine-induced myocarditis among health care professionals. This would improve the clinicians awareness of the need for the monitoring of myocarditis and highlight the implications if the standards are not met. A standardised questionnaire could be created to monitor the signs and symptoms of myocarditis and be used by nurses to document the results, this could be incorporated into the clinical notes. This baseline audit emphasises the need for future re-audits, to evaluate whether the standards have improved. Table 1: Reasons for not initiating treatment Number of patients (n) Consistent amber results 1 Patient changed mind/ refused 2 Previous health conditions made the patient unsuitable to start clozapine 2 Unknown 1 Total 6 Table 2: Reasons for not being included it length of treatment calculation Number of patients (n) Never initaited clozapine 6 Patient transferred to another trust 2 Patient returned to country of origin (unknown if they continued treatment) 2 Total 10 Table 3: Policy Title Clozapine Guide Trust-Wide Medication Policy Date July 2016 Local/National Local Standard Setting Criterion 1 Criterion 2 Criterion 3 Criterion 4 Criterion Full blood count, including troponin T, CRP, neutrophil and white blood cell count should be done prior to initiating clozapine and then weekly for the first four weeks. A clinician verifies the blood test results every week before treatment can be approved. An ECG is to be performed prior to clozapine commencement and every week for the first four weeks after initiation of clozapine. A nurse or physician enquires about the signs and symptoms of myocarditis weekly for the first 4 weeks of titration. Target 100% 100% 100% 100% Exceptions None None None None Table 4: Monitoring Prior to initiating (Total number of patients n=53) Week 1 (Total number of patients n=46) Week 2 (Total number of patients n=46) Week 3 (Total number of patients n=46) Week 4   (Total number of patients n=45) ECG Yes 51 (96%) 9 (20%) 11 (24%) 8 (17%) 4 (9%) No 2 (4%) 37 (80%) 35 (76%) 38 (83%) 41 (91%) Blood pressure Taken once 36 (68%) 29 (63%) 26 (56%) 25 (54%) 21 (47%) Taken twice 4 (7.5%) 15 (33%) 15 (33%) 12 (26%) 11 (24%) Not taken 13 (24.5%) 2 (4%) 5 (11%) 9 (20%) 13 (29%) Temperature Yes 39 (74%) 38 (83%) 40 (87%) 37 (80%) 31 (69%) No 14 (26%) 8 (17%) 6 (13%) 9 (20%) 13 (31%) Pulse Yes 42 (79%) 43 (93%) 41 (89%) 37 (80%) 32 (71%) No 11 (21%) 3 (7%) 5 (11%) 9 (20%) 13 (29%) FBC Yes 53 (100%) 45 (98%) 43 (93%) 46 (100%) 43 (96%) No 0 (0%) 1 (2%) 3 (7%) 0 (0%) 2 (4%) CRP Yes 25 (47%) 10 (22%) 11 (24%) 11 (24%) 7 (16%) No 28 (53%) 36 (78%) 35 (76%) 35 (76%) 38 (84%) Troponin Yes 19 (36%) 12 (26%) 9 (20%) 7 (15%) 4 (9%) No 34 (64%) 34 (74%) 37 (80%) 39 (85%) 41 (81%) References 1.Munshi, T.A., et al., Clozapine-induced myocarditis: is mandatory monitoring warranted for its early recognition? Case Rep Psychiatry, 2014. 2014: p. 513108. 2.Aboueid, L. and N. Toteja, Clozapine-Induced Myocarditis: A Case Report of an Adolescent Boy with Intellectual Disability. Case Rep Psychiatry, 2015. 2015: p. 482375. 3.Fineschi, V., et al., Sudden cardiac death due to hypersensitivity myocarditis during clozapine treatment. Int J Legal Med, 2004. 118(5): p. 307-9. 4.Bruno, V., A. Valiente-Gà ³mez, and O. Alcoverro, Clozapine and Fever: A Case of Continued Therapy With Clozapine. Clin Neuropharmacol, 2015. 38(4): p. 151-3. 5.Swart, L.E., et al., Clozapine-induced myocarditis. Schizophr Res, 2016. 174(1-3): p. 161-4. 6.Castle, D., et al., A clinical monitoring system for clozapine. Australas Psychiatry, 2006. 14(2): p. 156-68. 7.Annamraju, S., et al., Early recognition of clozapine-induced myocarditis. J Clin Psychopharmacol, 2007. 27(5): p. 479-83. 8.Murch, S., et al., Echocardiographic monitoring for clozapine cardiac toxicity: lessons from real-world experience. Australas Psychiatry, 2013. 21(3): p. 258-61. 9.Wooltorton, E., Antipsychotic clozapine (Clozaril): myocarditis and cardiovascular toxicity. CMAJ, 2002. 166(9): p. 1185-6. 10.Kar, N., S. Barreto, and R. Chandavarkar, Clozapine Monitoring in Clinical Practice: Beyond the Mandatory Requirement. Clin Psychopharmacol Neurosci, 2016. 14(4): p. 323-329. 11.Cohen, R., et al., A Case of Clozapine-Induced Myocarditis in a Young Patient with Bipolar Disorder. Case Rep Cardiol, 2015. 2015: p. 283156. 12.Merrill, D.B., G.W. Dec, and D.C. Goff, Adverse cardiac effects associated with clozapine. J Clin Psychopharmacol, 2005. 25(1): p. 32-41. 13.Ronaldson, K.J., et al., Clinical course and analysis of ten fatal cases of clozapine-induced myocarditis and comparison with 66 surviving cases. Schizophrenia Research, 2011. 128(1-3): p. 161-165. 14.Haas, S.J., et al., Clozapine-Associated Myocarditis. Drug Safety, 2007. 30(1): p. 47-57. 15.Barry, A.R., J.D. Windram, and M.M. Graham, Clozapine-Associated Myocarditis: Case Report and Literature Review. Can J Hosp Pharm, 2015. 68(5): p. 427-9. 16.Ronaldson, K.J., P.B. Fitzgerald, and J.J. McNeil, Clozapine-induced myocarditis, a widely overlooked adverse reaction. Acta Psychiatr Scand, 2015. 132(4): p. 231-40.

Saturday, July 20, 2019

Human Cloning Essay -- Clones, Cloning Essays

Cloning humans has recently become a possibility. It is achieved by the production of a group of identical cells or organisms that all derive from a single individual (Grolier 220). It is not known when cloning humans really became a possibility, but it is known that there are two possible ways that we can clone humans. The first way involves splitting an embryo into several halves and creating many new individuals from that embryo. The second method of cloning a human involves taking cells from an already existing human being and cloning them, in turn creating other individuals that are identical to that particular person. With these two methods almost at our fingertips, we must ask ourselves two very important questions: Can we do this, and should we? There is no doubt that many problems involving the technological and ethical sides of this issue will arise and will be virtually impossible to avoid, but the overall idea of cloning humans is one that we should accept as a possible r eality for the future. Cloning humans is an idea that has always been thought of as something that could be found in science fiction novels, but never as a concept that society could actually experience. "It is much in the news. The public has been bombarded with newspaper articles, magazine stories, books, television shows, and movies as well as cartoons ¡Ã‚ ¨, writes Robert McKinnell, the author of Cloning: A Biologist Reports (24). Much of this information in these sources leads the public in the wrong direction and makes them wonder how easy it would be for everyone around them to be cloned. Bizarre ideas about cloning lie in many science fiction books and scare the public with their unbelievable possibilities. David Rorvik wrote a highly controversial book entitled In His Image. In it he describes the story of a wealthy man who decides to clone himself. He is successful in doing this and causes quite an uprise in his community. This book was written in the late seventies and even then, societies reaction to the issues of human cloning was generally a negative one. We face a problem today even greater than the one in this book and it involves the duplication of human beings in a society that has always been known for its diversity. The main issue as to whether or not human cloning is possible through the splitting of embryos began in 1993 when experimentation was done at George W... ...nkind, ¡Ã‚ ¨ Time (June 21-27): 63-76. Grolier, Thomas. Can We Still Talk. New York: Chelsea House Publishers, 1994. Hamilton, Bernard. Cloning of embryos. New York: Holt, Rinehart and Winston, Inc., 1991. Habgood, John.  ¡Ã‚ §Manipulating mankind. ¡Ã‚ ¨ Nature, Vol. 365 September 23, 1993: 3 04. Kolberg, Rebecca.  ¡Ã‚ §Human Embryo Cloning Reported. ¡Ã‚ ¨ Science, October 29, 1993, Vol.262: 652-653. McCormick, Richard A.  ¡Ã‚ §Should we clone humans? ¡Ã‚ ¨ Christian Century, November 17- 24, 1993: 1148-1149. P. J.  ¡Ã‚ §The pros and cons of freedom of access to human genome data ¡Ã‚ ¨, Nature, Vol. 333 June 23, 1988: 692. McKinnell, Robert. Cloning: A Biologist Reports. Boston: Houghton Mifflin Company, 1989. Radford, Tim.  ¡Ã‚ §Designing the Next Generation. ¡Ã‚ ¨ World Press Review, March 1994: 22-23. Rorvik, David. In His Image. New York: Harper & Row Publisher, 1992. Shah, Dilip M.  ¡Ã‚ §Engineering Herbicide Tolerance in Transgenic Plants. ¡Ã‚ ¨ Science, July 25, 1986: 478. Watson, Traci.  ¡Ã‚ §Seeking the wonder in a mote of dust. ¡Ã‚ ¨ U.S. News & World Report, October 3, 1994: 66. Voelker, Roger B.  ¡Ã‚ §Who ¡Ã‚ ¦s Afraid of the Human Genome? ¡Ã‚ ¨ Hastings Center Report, July/August 1989: 19-21. Human Cloning Essay -- Clones, Cloning Essays Cloning humans has recently become a possibility. It is achieved by the production of a group of identical cells or organisms that all derive from a single individual (Grolier 220). It is not known when cloning humans really became a possibility, but it is known that there are two possible ways that we can clone humans. The first way involves splitting an embryo into several halves and creating many new individuals from that embryo. The second method of cloning a human involves taking cells from an already existing human being and cloning them, in turn creating other individuals that are identical to that particular person. With these two methods almost at our fingertips, we must ask ourselves two very important questions: Can we do this, and should we? There is no doubt that many problems involving the technological and ethical sides of this issue will arise and will be virtually impossible to avoid, but the overall idea of cloning humans is one that we should accept as a possible r eality for the future. Cloning humans is an idea that has always been thought of as something that could be found in science fiction novels, but never as a concept that society could actually experience. "It is much in the news. The public has been bombarded with newspaper articles, magazine stories, books, television shows, and movies as well as cartoons ¡Ã‚ ¨, writes Robert McKinnell, the author of Cloning: A Biologist Reports (24). Much of this information in these sources leads the public in the wrong direction and makes them wonder how easy it would be for everyone around them to be cloned. Bizarre ideas about cloning lie in many science fiction books and scare the public with their unbelievable possibilities. David Rorvik wrote a highly controversial book entitled In His Image. In it he describes the story of a wealthy man who decides to clone himself. He is successful in doing this and causes quite an uprise in his community. This book was written in the late seventies and even then, societies reaction to the issues of human cloning was generally a negative one. We face a problem today even greater than the one in this book and it involves the duplication of human beings in a society that has always been known for its diversity. The main issue as to whether or not human cloning is possible through the splitting of embryos began in 1993 when experimentation was done at George W... ...nkind, ¡Ã‚ ¨ Time (June 21-27): 63-76. Grolier, Thomas. Can We Still Talk. New York: Chelsea House Publishers, 1994. Hamilton, Bernard. Cloning of embryos. New York: Holt, Rinehart and Winston, Inc., 1991. Habgood, John.  ¡Ã‚ §Manipulating mankind. ¡Ã‚ ¨ Nature, Vol. 365 September 23, 1993: 3 04. Kolberg, Rebecca.  ¡Ã‚ §Human Embryo Cloning Reported. ¡Ã‚ ¨ Science, October 29, 1993, Vol.262: 652-653. McCormick, Richard A.  ¡Ã‚ §Should we clone humans? ¡Ã‚ ¨ Christian Century, November 17- 24, 1993: 1148-1149. P. J.  ¡Ã‚ §The pros and cons of freedom of access to human genome data ¡Ã‚ ¨, Nature, Vol. 333 June 23, 1988: 692. McKinnell, Robert. Cloning: A Biologist Reports. Boston: Houghton Mifflin Company, 1989. Radford, Tim.  ¡Ã‚ §Designing the Next Generation. ¡Ã‚ ¨ World Press Review, March 1994: 22-23. Rorvik, David. In His Image. New York: Harper & Row Publisher, 1992. Shah, Dilip M.  ¡Ã‚ §Engineering Herbicide Tolerance in Transgenic Plants. ¡Ã‚ ¨ Science, July 25, 1986: 478. Watson, Traci.  ¡Ã‚ §Seeking the wonder in a mote of dust. ¡Ã‚ ¨ U.S. News & World Report, October 3, 1994: 66. Voelker, Roger B.  ¡Ã‚ §Who ¡Ã‚ ¦s Afraid of the Human Genome? ¡Ã‚ ¨ Hastings Center Report, July/August 1989: 19-21.

Friday, July 19, 2019

We Must Never Surrender the Right of Open Discussion :: September 11 Terrorism Essays

We Must Never Surrender the Right of Open Discussion    As a nation, we need thoughtful discussion concerning the September 11 attacks.   In a time when open discussion is more necessary than ever, it is discouraging to see simple questions about our nations interests, posed in these forums, branded as anti-American, inappropriate, or as enemies within. Now more than ever, careful and respectful debate can grant us the informational dexterity needed to maintain an open and neutral perspective as events unfold. I am an American. This country's social infrastructure, built with tremendous difficulty on the backs of many who sacrificed their lives for their country as well as those who sometimes unwittingly found themselves in the path of the nation's maturation, is unique and valuable. It grants its citizens the opportunity for growth, unparalleled freedoms, and the means to remedy injustice. We are truly a great nation. Times of duress call to our minds the patriotic respect and admiration we have for our country, and bring us to realize just how fortunate we are to live in such a nation.    As an American, I refuse to surrender the ability and willingness to think openly, critically, and analytically about issues in our society and in our world. I will not allow the privileges of freedom and opportunity crafted so carefully in the course of the last two hundred-plus years to blind me to mistakes we've made and mistakes we continue to make. I will not surrender to the demands for unity and compliance in the pursuit of vengeance. We owe it both to ourselves and to those who have come before us to maintain a reasoned, simple honesty in assessing the state of the world. Those who bring nothing more to the public forum than reactionary and manipulative accusations of anti-Americanism do disservice to themselves, their country, and to reasonable thought.    It is hard, though, to keep thoughts clear-headed and words well-conceived during a storm as confusing as we face now. A sharp exchange of writings between Noam Chomsky and Christopher Hitchens, a columnist for The Nation, was a visible sign of the heightened tensions that try tempers and better judgment. David Talbot and Andrew Sullivan, both respected political writers, engaged in a similar exchange. There is reason for anxiety. The initial highly-visible strikes against our country have yielded to an anonymous, growing swarm of threats and attacks, currently in the form of anthrax-laced mailings, that lack the visibility and impact of traditional acts of war but nonetheless foster a sense of fear and vulnerability.

ARLT: Chinese Imagination Essay -- essays research papers

Repay your love and friendship Chinese literature, for example, ancient poetry, lyrics, and traditional Chinese stories, reveals many different kinds of good personalities of people. According to a famous ancient Chinese philosopher, Confucius ( ¿Ãƒâ€"Ãâ€"Ó), men are born to be kind (ÈËÃâ€" ®Ã‚ ³Ãƒ µÃ‚ ©o à Ãƒâ€Ã‚ ±Ã‚ ¾Ãƒâ€°Ãƒâ€ ). Everyone has his or her own good qualities and sometimes they are just hidden and needed to be explored and discovered. In traditional China, people had a strong sense of repayment (ˆÃ ³Ã‚ ´Ãƒ °). People who do not have this ability to repay others who have helped them before are usually being looked down on. The sense of repayment is perhaps a product of a good friendship or love. And the boundary of love here in this case, is not only about the love between couples but all different kinds of love also, for instance, the love between family members. Therefore, repayment is in fact tied in with the theme of filial piety. People ¡Ã‚ ¯s devotion to and their respect for their parents or elders are actually a form of repayment. In the story,  ¡Ã‚ °The Courtesan Li Wa, ¡Ã‚ ± Li Wa is surely very respectful to her  ¡Ã‚ °mother ¡Ã‚ ± though she is not her real mother who gives birth to Li Wa. While Li Wa and the young man are taking a rest at Li Wa ¡Ã‚ ¯s aunt ¡Ã‚ ®s place, she gets a message that her mother is ill, suffering very badly and cannot even recognize the people in the house. Li Wa, without a doubt, decides to go back immediately to see her mother without even considering the young man. Though I have to say that I personally doubt that this is in fact a proper and an appropriate way to handle this situation, Li Wa has certainly shown her respect and devotion to her so-called  ¡Ã‚ °mother ¡Ã‚ ±. A while later in the story, the young man fails to find Li Wa and her aunt. He has been roaming about and at some point close to death due to illness. He ends up being employed by the mortuaries to sing. On one occasion, the young man ¡Ã‚ ¯s father happens to be there and an old servant recognizes the young man. His father takes him out of there, stripped him, flogs him with a horse whip several hundred times and leaves him for dead. The young man does not end up in death because the youth ¡Ã‚ ¯s music instructor sends someone to keep and eye on him. At this point of the story, the young man ¡Ã‚ ¯s relationship with his father has already broken and the young man ¡Ã‚ ¯s father even thinks that his son is beaten to death by himse... ... Kuo goes to visit them. Here at this point in the story, Kuo repays Wu for all he has done to rescue himself back in the days when Kuo is captured by the barbarians. He carries Wu ¡Ã‚ ¯s and his wife ¡Ã‚ ¯s bones back to their native place along with their son Wu T ¡Ã‚ ¯ien-yu and on the road he once says,  ¡Ã‚ °Yung-ku (Wu Pao-an ¡Ã‚ ¯s style name) labored for ten years for my sake. Carrying his bones for a little while is the least gesture I can make to show my gratitude. ¡Ã‚ ± After they arrive, Kuo shows his respect for Wu as if Wu is his father and does what a son would do when his father dies and  ¡Ã‚ °every detail of the burial arrangements is the same as when he has buried his father. ¡Ã‚ ± Kuo treats his benefactor as if he is his father. Here it reveals that a true friendship tie in with filial piety. Kuo also offers Wu T ¡Ã‚ ¯ien-yu his own post as a further repayment to his  ¡Ã‚ °father ¡Ã‚ ±. The story  ¡Ã‚ °Wu Pao-an Ransoms His Friend ¡Ã‚ ± discloses the connection between friendship, repayment, and filial piety. Between people with high quality of humanity, there is a genuine friendship which acts as a bond. And this bond leads to repayment when there are favors to be repaid. A form of repayment is being filial.

Thursday, July 18, 2019

The Idea of Progressivism

The idea of Progressivism came with the belief that society was capable of improvement and that continued growth and advancement were the destiny of this great nation. The muckrakers were among the first people to promote this new and profound nationalistic spirit. Many were persuasive and crusading journalists who began to direct public attention and discretion toward the political, social, and economic injustices of the US during the late nineteenth and early twentieth centuries. They strove to expose scandal and corruption to the American public. Ellen Fitzpatrick†s Muckraking: Three Landmark Articles, presents famous articles by Lincoln Steffens, Ida Tarbell, and Ray Stannard Baker which appeared in the January, 1903 edition of McClure†s Magazine. The articles examine political corruption, the emergence and behavior of giant corporations, and labor racketeering in industrial America. The article by Lincoln Steffens mostly focused on the problems and examples of corruption, as well as the challenge of reform. Steffens began to develop a somewhat paradoxical view of good and evil in city politics at a young age (Fitzpatrick, 20). This frame of mind led to his views in the article, The Shame of Minneapolis. The intertwined processes of urbanization, industrialization and immigration meant that American cites mushroomed in the late nineteenth century. â€Å"The city† became an increasingly complex organism, which required sanitation, water, building codes, zoning regulations, policing. But as the city administration expanded, so did opportunities to misuse government power. Throughout, the Progressive period calls for electoral reform and/or increased â€Å"efficiency† and â€Å"scientific management† in municipal affairs were paired with revelations of corruption in municipal politics and policing. Steffens agreed with these reforms all along as well as political thieve! Tarbell is using an historical example to illustrate the use of trusts and holding companies by entrepreneurs seeking monopoly control of various industrial sectors in the United States with her article, The Oil War of 1872. As Tarbell hints in this article, despite the failure of the South Improvement Company, John D. Rockefeller eventually succeeded in dominating the petroleum industry through the Standard Oil Company. Rockefeller pioneered the â€Å"trust† form of organization when he founded the Standard Oil Trust in 1879. Standard Oil became, along with Andrew Carnegie†s U. S. Steel, the most notorious of the powerful â€Å"trusts,† a term that came to be applied to all large industrial combinations whether or not they followed the formal â€Å"trust† model of investing. Rockefeller eventually built the largest private fortune in the United States and became perhaps the prototypical Gilded Age â€Å"robber baron,† reviled for his ruthless business practices. The federal government successful! ly prosecuted Standard Oil for monopolistic practices in 1906, and the trust was forced to disband. In a sense, this was the exact outcome Ida Tarbell was aiming for in writing this article. â€Å"She presented the â€Å"facts† of the oil scandal as she had come to understand them, believing that an objective account would best serve the evidence† (Fitzpatrick, 27). Many wondered, however, if Tarbell was prejudice toward big business. Nevertheless, Tarbell most likely just believed in fair play, taught to her by her father who was one of the men who resisted the Southern Improvement Company. Ray Stannard Baker†s article, The Right to Work, relates to the 1902 anthracite coal strike in Pennsylvania that lasted over five months. The miners wanted the mine owners to recognize their new union, the United Mine Workers of America but the owners refused to bargain with the UMW. The miners were also looking for a 10-20% increase in wages and an eight-hour work. As the winter of 1902-03 approached, President Roosevelt ordered the mine owners and UMW president to the White House to negotiate. When the mine owners still refused to compromise, Roosevelt told the owners that if they did not agree to arbitration, he would send 10,000 federal troops to seize their property and get the mines working. Previously, federal troops had only been called in to support the management side in labor disputes. The very surprised mine owners agreed to arbitration and the miners eventually went back to work with a10% increase and a nine-hour day. Although he enjoyed a public reputation as a ! â€Å"trust buster† fighting powerful capitalists on behalf of less affluent Americans, Roosevelt was not in favor of getting rid of the trusts and large corporations. He believed that large-scale capitalism brought prosperity and efficiency to the American economy. The job of the federal government was to police or regulate big business to stop the worst misuses of power. The mine owners, in Roosevelt†s view, were abusing their power and they were threatening the well-being of Americans who needed coal to heat their homes. Roosevelt†s handling of the coal strike was very popular with ordinary Americans, Baker in particular. Conclusively, these articles give the reader a broad understanding of the nature of â€Å"Progressivism. † Each of the issues presented in the three articles points out particular flaws of American society in the early 1900s. They are brought forward to the public in a manner such that people will realize these flaws and strive to change them, â€Å"progress† forward, and improve the nation. As a result, the muckrakers including Steffens, Tarbell, and Baker, played a big part in Progressivism. In my opinion, the Progressives approached these attempted social reforms just right. They were not too radical or too conservative. This is evident in how much society changed in that period for the better, and the condition of our society today for that matter. If people such as the muckrakers had not attempted to reform the nation, who knows where it would be today. They must have done something right so I would conclude that they achieved their goals just right.

Wednesday, July 17, 2019

American History X: False Portrayls

The False Portrayals of the Statesn muniment X By T. J. Hove Ameri tidy sum story X is a violent and beastly painting that portrays our country as an budding racist society. This impression depicts America as a country non in time adjusted to its multi-furoreural residence. A movie that offers to its viewers nonhing ideally images of Neo-Nazi cults and hate crimes, shouldnt be allowed to be shown. American biography X uses wrong(p) racial treatment, hurtful style, violence, and hate to get a version of America that does not exist.American History X follows a young and very racist boy who is part of a Neo-Nazi cult. The boy has been super influenced by his older brother, a reckon figure in the cult. Both of these char toyers atomic number 18 passed by duster males. American History X introduces almost the entire federation as furious Neo-Nazi cult members. Only a few characters atomic number 18 non-racist toward people of color and they all play small roles in the movies plot. By demo such a large community as racist Neo-Nazi cult following American History X suggests that the tweed community of America is racist.What they fail to hold is that, in reality, racism is handled much better. America has struggled for many years to create a country of equality. Instead of producing a movie that creates an unrealistic version of America, why not produce a movie that correctly illustrates todays society. Vulgar lecture is apply throughout the entire movie. The unwarranted hurtful language is used to such an amount that it becomes almost a bet on language. Being exposed to such language for the entire movies length, creates a be guilef that these slurs are common maunder amongst American communities.Racial slurs are regarded as one the highest forms of disrespect in actuality. The act of expressing one of these slurs in public can follow with severe punishment. Even the intercourse of American History X leads viewers into believing tha t communities of America are desecrate and filled with foul speakers. Violence is interpreted to an extreme in American History X. The movie flashes images of African Americans being killed, Latin Americans being ridiculed at gun point, and Arabian Americans being beaten. These strong hateful images relieve oneself a strong influence on people.As with the rest of this movies negative content, white people are the dealers of violence. American History X shows about sort of violence toward a person of color in nearly all(prenominal) scene. Leading the viewer to believe that the white majority of America is a cruel and ugly people. It would be a lie to say that hate crimes do not still take place in America. Even though these crimes do happen, American History X depicts them with such relative frequency that the viewer may see them as frequent happenings in reality as well.Above all, American History X expresses hate. Hate is the strongest and most common property amongst all ch aracters. American History X depicts entire communities full of hate for others. The movies personation of hate is hurtful and unrealistic. Incorrect racial treatment, hurtful language, violence, and hate are used in American History X in a way that is catastrophic to viewers. The images and dialogue of this movie create an illusionary false America.

Tuesday, July 16, 2019

Dutch Disease

Dutch Disease

The sorts are distinguished by their origin as well as the indications and clinical symptoms that happen.Later on 1970, when oil price soured by 4 times; UK was tempted to invest in North Sea oil industry in Scotland.Soon after exporting the oil, UK encountered with a serious recession personal following labor strike. Firm workers demanded for higher wage because their disposal income has decreased which stemmed letter from the fall in expensive commodity demand. UK has become a net export of oil and worth Pound got appreciated.Dutch disease is merely arithmetic.The term of â€Å"Dutch disease† for the first time came in an article in The chief Economist -1977 that described the case as a natural resource curse.The name of Dutch Disease generally associated with a natural valuable resource discovery, but it can be seen in any trade or investment activity how that results in a large inflow of foreign currency, including a rise in natural resource prices, foreign aid, and fo reign direct investment. The inflow of American treasures into Spain in 16th and gold discoveries in Australia in the 1850s are other two example of Dutch Disease diagnosis. By 1978, how this story repeated in Iran.

It normally contributes to a countrys currency appreciating in value.Russia is likely to be another innocent victim of this disease. Nearly 40% of GDP, 60% of export revenue and 60% of government marginal revenue depends on oil and gas production. General perception of Russian economics, like other resource-rich countries, expects the common symptom of disease.Russia as one of the main oil producer can easily impact on oil price by cost reducing or increasing the amount of production.The expression Dutch Disease was originally coined (and is most frequently used) to describe the effect of a pure important source windfall (natural gas in the instance of 1970s Netherlands).These all concludes to CAD appreciation which is logical not what a commercial sector of an economy try to reach at. Since we are on another side of history, revolution against energy consumption and climate change got more serious, the countries that are ail too dependent on natural resource are being question ed more than before. Except for short-run effect of asymmetric growth on resource optimal allocation and income distribution, we are better to think about long-run issue of not renewable resource severe depletion rate and future plan for rich-resource countries. 2.

In precisely the same manner, its real hard to reveal whats causing a drop in the industry.Increase in foreign currency 3. Foreign direct investment 4. Foreign aid 5. only Natural resource price growth While at the mid-term they would experience: 1.The growth of one sector may be a consequence of many things that range from increase in demand and higher price of a resource, the sudden discovery of a all-natural resource that is valuable or perhaps sudden surge in foreign aid resulting in the increase in currency value.Become a net import of manufactured goods 6. Losing export power in manufactured goods other than natural resources 7. Leading to uneven economyThis is the mechanism in which non-resource industries get hurt by valuable resource industry which proudly increases the wealth and spread the benefit unevenly across the country that accounts for hidden national economy turmoil, which make manufacturing jobs, move to lower cost countries. Canada logical and Oil Sand Feve r (3.

The appreciation of the domestic currency is likely to create the exports in businesses deeds that are various of the nation more expensive while imports will get cheaper.Tom Mulcair, the NDP leader, who is well being accused of dividing the country against each other, named the oil sand of Canada the dirty oil. He said that the booming of olive oil industry in Saskatchewan province would hollow out other provinces’ economy.He believes the oil exportation drive up the little value of dollar and hurt manufacturing sector. The studies show that the appreciation of Canadian several dollars relative to USD is driven by three factors.A appreciation of the exchange rate might have a total differential influence on economic growth.Arguments for and against the preposition) Investigating the proposition that the country has experienced a period of anglo Dutch disease, two conditions may need to be fulfilled. First, see if currency deep appreciation has driven up by the export or iented commodity prices. Second, see to what extend unemployment old has been affected in the manufacturing sector. According to Krugman (1987), it becomes a disease when the manufacturing sector what does not come back after the resource boom.

Competitiveness is lost by the country.(5. Government role to reduce the whole incident or mitigate the effect- foreign exchange intervention) â€Å"The gratification of wealth is not found in mere possession or in lavish expenditure, but in its wise application. – Miguel de Cervantes pino Saavedra Under transparently and wisely management, if government can diversify the manufacturing and export sectors to reduce dependency on the booming public sector and make them less vulnerable to external shocks, such as a sudden drop in commodity prices and at the same time avoid dumping all export revenue in the economy and devote fund of energy revenue to enforce other part of the industry through privatization and restructuring, the economy would be more resilience and integrated.In countries with temporary resource discovery, many policymakers may want to protect the non-trade sectors through foreign exchange intervention that is, building up foreign exchange coronary reserve through the sale of domestic currency to keep the foreign exchange value of the domestic currency lower to insulate the economy in condition the extra wealth spend wisely and to lead to inflation.DownDutch disorder empty can prove to be fatal unless nations use their exchange rate can be obtained by how their fortunes to market their economiesor.Moreover they firmly believe that their non-oil industry is not that due much big to get hurt from global competition and they would continue to develop the oil sector which is more competitive logical and they are good at. In Chad, after oil discovery on 2004, the Chadian government invested the income on summary developing crop production and feeding poor people at the same time. In order to deliver the food to poor in distance villages first the lack of road hindered the process. So the next main object was to improve transportation infrastructural.

Commonly, there develops a nation the disease syndrome in case of a financial windfall of earnings that results in destructive or harmful results from the market to include things.There are twenty two policies how to spend the money. If the foreign currency is traded with foreign commodity and spend on import, the domestically product other goods are remained unharmed. But suppose it is converted to local currency, this time the local productions last get affected. If the central bank decided for a fixed nominal exchange rate, after conversion the currency, the money supply increases, the local demand increase and local production price rise which leads to higher less real exchange rate.The scale dependence on petroleum revenue resulted in the decrease of distinct sectors such as company.M. and J. P. Neary.

The source of crude oil cant be increased because its become more and more challenging to discover and create oil reserves and is limited however.†¢Coulombe, S. , R. Lamy and S. old Rogers (2007).Second, the petroleum sector infrastructure is in disrepair.htm †¢Ebrahim-zadeh, Christine (March 2003, Volume 40, Number 1). â€Å"Back to very Basics – Dutch Disease: Too much wealth managed unwisely†. Finance and Development, A quarterly magazine of the IMF. IMF.