Physician-Assisted Suicide Essay - I Want to Die -- Euthanasia Physici

Death and dying are a natural part of our lives. Not a day goes by that we do not take the chance of being run over by a car while running, being stabbed in a robbery, or being poisoned by bacteria in our food. In all of these cases, we have very little choice in deciding our fate. But what about those cases when we can do something to affect the dying process? What if we can decide whether we wish to live or die? For most of us, that is still uncharted territory, and just the thought of it chills us to the bone. Euthanasia is one such opportunity where a person can affect the dying process. It is not, as many people believe, a case of a physician killing a patient, but instead, a case where a patient who is facing a prolonged, painful, and, finally, terminal illness can make a conscious and reasoned choice to end his or her suffering early and in a dignified manner. It is the purpose of this paper to prove to you that euthanasia in the form of physician-assisted suicide (PAS) should be legalized. That a person facing a terminal illness should have the opportunity, and the right, to choose to die in a dignified manner when faced with a prolonged and terminal illness. That a physician should not be restrained in committing an act which might be in the best interest of a patient. And that if legalized, it would be possible to protect the patient's interests through regulation, and in effect, make euthanasia a perfectly safe choice for a patient. One of the reasons that the idea of euthanasia antagonizes people is that the mere thought of the word brings to mind pictures of WWII Nazi atrocities. There is a big difference, however, between what Nazi Germany considered euthanasia, and what proponents today con... ...however, we do not address these issues soon and attempt to solve them collectively, there will be a greater chance of something going wrong . Works Cited A Model State Act to Authorize and Regulate Physician-Assisted Suicide. http://www.efn.org/~ergo/mdlact.shtml 2 June 2007. Alcorn, Gay. "First Assisted Suicide Under Euthanasia Law." Sydney Morning Herald. 26 Sep. 1996. 2 June 2007. Helme, Tim. Proposals for a Euthanasia Procedure. http://www.islandnet.com/~deathnet/ergo.htm 28 Apr. 2007. Hoefler, James M. Deathright: Culture, Medicine, Politics, and Their Right to Die. With Brian E. Kamoie. U.S.: Westview, 2004. Misbin, Robert I., et al. "Physician Responsibility for Euthanasia." Euthanasia: The Good of the Patient, the Good of Society. Frederick: University Publishing Group, 2002.

Forensic Science: Evolution and how it has helped to solve many infamous crimes Essay

A murder mystery, an unidentified body, stab wounds to the chest, a pool of blood in a high end street in New York, photographers, police, investigators rush in to begin their course of work to solve the mystery of the dead body, to solve the puzzle, to tell the world the story of the dead body, to make sure the life they lived didn’t just vanish with their death in a split second. It may seem like a season premiere of the latest CSI (Crime Scene Investigation) season, within one hour you are presented with the murderer and how it occurred and why. But is it always that simple? Is it always that crystal clear? Forensic Science has never been under the eye of the public as it is right now. But the perception of what Forensics is to the public is not really what it seems to be in TV shows. Forensic Science is a much more vast collection of studies that helps put murderers and criminals behind bars. It has been present since a long time ago and its evolution from that time to now , has helped solve many infamous crimes that have shocked the world. It has become one of the most crucial elements in any trial to verify the accuracy of the evidence and to grant justice to the innocent and send the guilty behind bars. Forensic Science is known as the science of gathering evidence and establishing facts that can be taken as evidence in a court of law. (Rankin, 2013). The first use of Forensics has not been clearly mentioned, but it is evident that Forensics was used to solve cases even from long time ago. One of the most famous cases reported was the story of Archimedes, where he used his theory of buoyancy to prove whether the gold smith who built the royal crown for the king used 100% gold as he said or whether he mixed silver to it. (Rankin, 2013). From the old age, Forensics has been developing with time. Even before the invention of the microscope, people managed to link evidence and solve crimes. A few such cases include the matching of a torn piece of paper in a pocket to a gun  used in a homicide, developing the finger print system to verify and identify individuals and distinguishing the different blood categories which were some of the most basic techniques used in the early ages to dis tinguish evidence. (Rankin, 2013) With the development of technology, Forensic Science has blossomed immensely. From the use of fingerprint analysis to DNA testing, the advancement of this science has helped to solve many crimes and put criminals behind bars. It has also introduced various aspects of Forensic Science which gives importance to individual specialties and not as a whole, a few common aspects are: Pathology, Entomology, Toxicology and Anthropology. For the CSI fans, Dr. Al Robbins needs no introduction, to the others, he was the Medical Examiner in the series, a doctor who did autopsies and figured out the cause of death of the deceased. This is exactly what a pathologist does in real life even though not as sugar coated as on TV. Pathology is the study of diagnosis and disease and determining the cause of death. It involves gathering evidence from the crime scene and establishing a time of death, cause of death and identifying the body. In almost all cases, Pathology is used, as it is the factor that determines the cause of death. One case as such involves a 16 year old girl name d Leanne Tiernan. She mysteriously disappeared in November 2000 and sadly, her body was found in august 2001. According to evidence found around the crime scene- a dog collar, twine and a cable, they were easily linked back to the murderer John Taylor. But the main piece of evidence was strands of Leanne’s pink sweater which was found at John’s house which provided the final piece of evidence to link him to the murder. John was arrested in November 2001 and sentenced to life imprisonment. (Suzanne Elvidge BSc (hons), 2013) Even though Pathology is one of the main factors being exercised at a crime scene the other factors are equally essential to find out many other details about the crime. Another rather interesting method used by forensic scientist is Entomology which uses information from insects to establish the time of death and location. Naturally after death, the body goes through various stages of decay which attracts many insects in succession, scientists are then able to establish a pattern in which insects arrive at which stage; therefore, making it easy to establish a time of death. Some insects are unique to a certain region, which helps in distinguishing a location if they are found in places where they are not commonly found. Some insects suck out  blood which helps in analyzing if any toxics were involved in the death. Even though the toxicology report is a job for the toxicologist , the sample is taken out from the insect by the Entomologist. A case which used Entomology to a very high standard in the summer of 1997 was the case of Kevin Neal. A stepfather killed both his step children in an act of revenge. The Kevin Neal murder case used Entomology to great lengths. The children, 11 years and 4 years old, were both murdered by unidentified homicidal evidence, but with the help of the vast amounts of insects which gathered in the two bodies where they lay for weeks in a hot summer land, the entomologists were able to establish a rough time period of death and the cause of death to some manner of asphyxia. The fact that 3 different types of insects weren’t found to be acting in the same manner as they would on a normal body made them suspect the day which they first thought the children were murdered. Then a few weed seeds which were attached to Neal’s pants from the site, were found at his house linked him to the crime scene and after years of trial, he was sentenced to life imprisonment. (Gribben, n.d.) This also shows us how a simple factor such as insect succession which helped in determining the time of death which helped in forensics to form a timeline to figure the whereabouts of Neal at the time of death and link it to the murder of the children. Toxicology is the study of the adverse effects on the human body caused by toxics. It is mostly used to identify any chemicals present in the body after death to rule out foul play or suicide. Not only poisons toxicology is used to identify any foreign material that may have been become toxic while in the body. (Toxicolog y, 2013) The first use of toxicology occurred in 1751 where a woman named Mary together with her husband in need of her father’s estate gave him Arsenic in small dosages until he died. However the maid caring for Mary’s father realized what Mary did and she was accused of murdering her father. The autopsy done by 4 notable doctors at that time revealed that the cause of death was indeed arsenic poisoning and from the powder saved by the maid they conducted a very poor method of burning the powder and smelling it which confirmed it was arsenic. This was reported to be the first toxicology experiment conducted to convict a criminal. Even though the test conducted was purely vague, this incident made them develop more accurate tests to identify compounds and to make them pay attention to forensic toxicology.  (Ramsland, n.d.) If you have watched the hit TV series ‘Bones’ you probably understand what Forensic Anthropology is. The SWAGANTH (Scientific Working Group for Anthropology) defines forensic anthropology as â€Å"The application of anthropological methods and theory – particularly those relating to the recovery of analysis of human remains to resolve legal matters.† (Scientific Working group for Forensic Anthropology, 2013) Anthropology, jus t as the other sectors of Forensics, is a mystery itself. All human skeletal remains are very similar; therefore, identifying its owner can be a cumbersome task and not as easy as it looks on TV. From gathering bones to creating a three dimensional image of the individual, anthropologists have to first gather the bones, analyze it and then identify its origin. There’s a certain protocol which they follow to study their evidence and present it. The protocol is as such: Are the remains human? Do they represent one person or more? When did the death occur? How old was the descendant? What was the sex of the descendant? What was the race of the descendant? What was the descendant’s stature? Body weight? Physique? Does the skeleton present physical anomalies, signs of old disease and injuries or other characteristics which could give a positive identification? What was the cause of death? What was the manner of death? (natural, accident, suicide, murder or unknown) (Snow, Forensic Anthropology, 1982) This method was introduced after a high profile murder case which took place in the 1850’s at Harvard University. The case was called, The Parkman Murder after the murder of Dr. George Parkman. A Harvard alumnus, Parkman donated the land in which the Harvard medical school was built. Professor John Webster was a chemistry professor at the medical school his friend Parkman established. But due to hundreds of dollars Webster was indebted to Parkman, their friendship was heading downhill. Webster was a man with expensive taste that couldn’t suffice with the $4000 a year pay check he received, so  he has taken many loans over the couple of years when Webster and Parkman were friends. Parkman, let the debt go on until he found out that Webster was trying to sell off a valuable mineral collection which he put up as collateral on the loan. This made Parkman denounce Webster in public which may have been the cause for his dismissal from Harvard. Webster under false pretences then had requested Parkman to arrive at his laboratory to allegedly make a substantial payment of his debt, but little did Dr. Parkman know that, that it would be his final journey in life. Dr. Parkman was murdered that night and his body was burnt in a furnace to make him unrecognizable and if that was not gruesome enough, his body, or what was remaining, was thrown into the Charles River. The body was beyond recognition and a highly educated set of pathologists, anthropologists, odontologists who works in Harvard got together and distinguished it to be Dr. Parkman. In the following week, Webster was caught by bone fragments which were found at his home furnace. This case would go down in history as the first case to be solved down through Anthropology and a guiding stone to what Forensic Anthropology is today. (Snow, 1982) Most murder cases such as the Parkman Murder, Leanne Tiernan , are only a one time scenario. You have the murderer, the victim, the police, and the investigation. Some end up well, some end up bad, but either way, when the guilty party is charged, and the deceased family componsated, the story ends. But there are stories that don’t end that e asily. Stories which go on for years, with many people involved, many casualties that would terrorize whole nations in the matter of days and some to not be solved even after a century’s time – Serial Killings. These are killings that are premeditated and are carried out in a series over a period of time. (Jenkins, 2013) What triggers human beings to suddenly be as impulsive as to kill and mutilate their own beings, we don’t know. But fortunately Forensics has been a driving force behind bringing these notorius criminals to justice. Theodore Robert Cowell, notoriously known as Ted Bundy was one of the most gruesome and frightened serial killers in the USA. He used to pretend to have a broken arm and lured young women into his vehicle and horridly mutilated, raped and killed them. Known to be a handsome man, Bundy had no problems with making small talk to make young women comfortable around him, until he made his move. He is known to have murdered over 30 women and to date, the exact amount is unknown. A  known case, somewhat believed to be Bundy’s first, was the brutal rape of 18 year old Joni Lenz, she was found in her own basement with a bed rod savagely rammed into her ge nitals fortunately or unfortunately she was one of the very few people to have escaped the death sentence from Bundy’s terror. Bundy was not arrested for suspicion for murder, he was arrested for not stopping at a police blockade and after being stopped, the police were found suspicious items such as a ski mask, rope, crowbar and handcuffs in his car which lead to the initial suspicions. This lead to him being recorded and under surveillance for some time and after many times he was released due to lack of evidence. But due to his sadistic fantasies of biting his victims, it was Odontology that helped put Bundy away, Odontologists were able to associate his teeth marks with the bite marks of some of the victims, at the same time a few strands of hair found in his car linked him to the murders that lead to the final conviction of this mass murderer in 1989 January with his life ending in the electric chair. (Bell, 2012) The story of Richard Ramirez is quite intriguing. He was known as the Night Stalker due to his modus operandi which followed, jumping into houses and killing people inside the house. The metho d of his killings were gruesome. He would mutilate his victims by gouging their eyes out and mutilating their corpses. He was known to perform sexual activities with dead corpses as well. He was a self aclaimed satanist who had no remorse for the crimes he commited. His capture was with the help of fingerprinting techonology which was making quite a stir at that time. Ramirez’s fingerprint caught in a car was linked to him and his mugshot was sent to the police, in one weeks time, he was captured and sent to prison on the account of 13 murders. (Reporter, 2013) John Wayne Gacy Jr., a name that still sends chills down anyone’s spine was a serial killer who preyed on young boys. He would perform sexual acts on the boys who he caught and eventually murder them. Gacy was a man loved by everyone. He was a hard worker who was just trying to catch a break which he did, but would end up tarnishing his image due to his sadistic homosexual needs. Married twice, he would be no more different to your own friendly neighbor, as his close friends stated in court during his hearing. He would go on to murder more than 30 young teenage boys who he would perform sexual acts on and burying them in his own backyard. After going through the second divorce he started  his own business where he undertook work such painting, refurbishing and maintaining. H e hired young men under him to apparently lower the costs, but it was apparent that, that was a cover up to hide Gacy’s fantasies. One by one, the men at his workplace kept disappearing and after being questioned for suspicion of the disappearance of the men he hired to work for him, the sheriff in charge did a background check on Gacy and got to know about his previous acts of sodomy. He then got a search warrant to investigate his house when Gacy wasn’t in, he then went on to find many links that connected Gacy to many of the missing men and at that point he confessed to one of the murders thinking they would not dig the grave yard in his crawl space at that point. However the unbearable stench coming from Gacy’s crawl space would lead the police to dig up his backyard that would reveal the grave yard of the missing men, more than 30 bodies and of which, 7 have not been recognized up to date. Anthropology played a massive role in separating all the bone fragments gathered from his backyard and identifying their owners as well as determining their cause of death. When the final tally came up Gacy would only be second to Ted Bundy with the death toll. Even though it was one factor in forensics which helped in catching these murderers be it pathology, anthropology or odontology, all of the other factors help in verifying the data you gather. Therefore, it is not quite clear cut as to say that only one aspect of Forensics played the whole part in solving a murder. This is the reason as to the Medical Examiner is the head of the Forensic department. All the data is gathered by him and he makes the final judgment as to what the evidence shows. In forensics, the evidence is the bits and pieces of a story that is scattered around. The forensic examiner merely interprets what the evidence means to his area of expertise and delivers it to the Medical Examiner – the author. Here, the Medical Examiner gathers all the little stories scattered around and builds up the story that will be given out to the police – the publisher. In the same case, these results may turn out to not be what you expected. Sometimes, these results may interpret inconclusive results that would alter the final decision of the respected official therefore it is not always correct. Recently many scientific communities have been debating about the validity of Forensic Evidence in court due to various inconsistencies in the results that has been produced in labs. Not only scientists, many people are now questioning  the science of forensic evidence as at current, the evidence is taken for granted. With hit TV shows like CSI, Body of Proof, Bones, people are easily manipulated into believing the circumstantial evidence provided to judge a case, now called the CIS effect where people judgments are subconsciously questioned by TV shows than what is provided as evidence. Some juries who are fans of CIS have gone on to acquit obviously guilty criminals just because the investigators failed to test evidence â€Å"the CSI way†. (Cole & Diosso-Villa, 2009) These jurors are now known to rely on superficial evidence CSI has provided rather than the evidence provided. The most frightnening factor in this case is the evidence itself. Regardless of the jurors verdict, the results that have provided in some cases are now known to be inconclusive. A recent research found out that ‘identifications on the same fingerprint can change solely by presenting the print in a different context’. Called ‘conceptual biasing’ the report showed how previously identified finger print results of the samples changed when details about their arrest were told which is called conceptual biasing. (Jr. & B., 2009, 36-38p) Another case which was under the spotlight was th case of Brandan Mayfield. He was arrested with charges of being a material witne ss based on his fingerprints found in a bag where the detonation device of the terrorist bombing which occurred in Madrid, Spain which killed 191 people and injured thousands. The fingerprint of Mayfield was analyzed by an outside source by a different individual. The Spanish police then alerted the FBI regarding doubts with the findings of Mayfield and released him after 18 days with $2 million componsation. (Jr. & B., 2009) Many scholars have begun to question the accuracy of the evidence used in a court. The highly controversial Amanda Knox case was recently brought back to lime light with the Forensic Scientist in charge of the murder trial requested to retest the blood which was on the knife which was used to kill Meredith Kercher; however, the appeal judge thought the evidence was unreliable and hence dismissed the suggestion. This would have been a major point to rule out whether it was Kercher’s blood in the knife as statistically, if the testing was done more than 5 times, the results would have been more accurate with regard to whether the blood was actually from Kercher and would have either verified the unreliable evidence or dismissed it which would make a firm case for Knox’s release (Alexander, 2013) At points like   these the evidence is just put aside where it would have been of great resource. Since the inception of forensics, it has managed to send many criminals behind bars, as to whether the law decides if it is true or not is up for debate, but scientist today are trying to make the evidence they gather more reliable so that no such cases will arise in the future. The advancement of technology has helped to create many new methods of tests for the use of Forensics. A recently discovered method of finger printing was found in Australia at Curtin University using henna. The usual method of identifying invisible fingerprints were said to be by using nin-hydrin a volatile chemical, now they have been able to use henna to identify the finger prints which is not harmful at all and is available at ease. (Renee Jelly, Chris Lennard, Limc, & Almogd, 2008) Other findings include gunshot residual identification. The technology to identify minute residual materials on suspects is being developed. Earlier use, included the use of paraffin to make cast over the suspects hand and when sprayed with a reagent would turn into a specific colour, but due to cigarettes and urine also giving the same results, this method was dropped in the 1950’s, therefore this new method would be a new beginning for Gun Shot Residual identification. (Pilant, 2000) The hour of a purely fictional TV episode ends. What has is it done to you? What has it made you believe? If only forensics was as crystal clear as in TV, the police would have caught all the criminals and serial killers of the world if so, but unfortunately it is not. We have to slap ourselves back to reality and realize the situation at hand. Forensic Science has helped to imprison the demons in human form that have made you want to doubt if you will ever see your loved ones after they leave the comfort of your house. It might soon overcome the point where innocent children such as Madeleine McCann, Edward and Austin Bryant (Sampson, 2011) can be found by the use of new technology and reopen these cases and analyze the evidence recorded and stored. It would give peace to many parents who are mourning the disappearance of their loved ones not knowing whether they’re alive or not. Forensics has turned out to be a scientific breakthrough in the industry of crime. With the media attention it is getting, Forensics is at a point where it’s growing at a steady rate. It has brought a whole new era in to the cycle of forensics and what we will expect in the future will definitely be unimaginable and till then we will await. Bibliography Alexander, R. (2013, 04). Amanda Knox and bad maths in court. Retrieved 2013, from BBC News Magazine: http://www.bbc.co.uk/news/magazine-22310186 Bell, R. (2012). Ted Bundy. Retrieved 2013, from Crime Library : http://www.trutv.com/library/crime/serial_killers/notorious/bundy/index_1.html Cole, S. A., & Diosso-Villa, R. (2009). INVESTIGATING THE ‘CSI EFFECT’ EFFECT: MEDIA AND LITIGATION CRISIS IN CRIMINAL LAW. The Stanford Law Review , 1335-1373. Gribben, M. (n.d.). Crime Library. Retrieved 2013, from Crime Library; crimina mindls and methods: http://www.trutv.com/library/crime/criminal_mind/forensics/kevin_neal/1_index.html Jenkins, J. P. (2013). Encyclopeadia. Retrieved 2013, from Encyclopaedia Brittanica: http://www.britannica.com/EBchecked/topic/863836/serial-murder Jr., D., & B., H. (2009). Forensic Science under the spotlight. Judges’ Journal , 48 (4), 36-38. Pilant, L. (2000). Forensic Science: Bringing New Technology. Ramsland, K. (n.d.). Crime Library; criminla minds and methods. Retrieved 2013, from Crime Library: http://www.trutv.com/library/crime/criminal_mind/forensics/toxicology/2.html Rankin, S. (2013). Forensic Science. Retrieved 2013, from Forensic Science Central: http://forensicsciencecentral.co.uk/history.html Renee Jelly, a. S., Chris Lennard, b., Limc, K. F., & Almogd, J. (2008). could henna help catch criminals. Retrieved from RSC publishing: http://www.rsc.org/Publishing/ChemTech/Volume/2008/08/fingerprints.asp Reporter, A. P. (2013). Mail Online. Retrieved 2013, from Daily Mail: http://www.dailymail.co.uk/news/article-2343661/California-serial-killer-self-confessed-Satanist-Richard-Ramirez-died-cancer.html Sampson, J. (2011, 07). 10 Tragic cases of lost children. Retrieved 2013, from Listverse: http://listverse.com/2011/07/11/10-tragic-cases-of-missing-children/ Scientific Working group for Forensic Anthropology. (2013). Retrieved 2013, from a forensic anthropoligical scientific group: http://www.swganth.org/ Snow, C. C. (1982). Forensic Anthropology. Annnul Review of Anthropology , 11, pp. 97-131. Suzanne Elvidge BSc (hons), M. (2013, 04 21). Explore Forensics. Retrieved 07 30, 2013, from Forensic Science exploaration: http://www.exploreforensics.co.uk/forensic-cases-murder-leanne-tiernan.html Word Count – 3900

Nutrition and Diabetes - Free Essay Example

Sample details Pages: 3 Words: 761 Downloads: 2 Date added: 2019/02/20 Category Health Essay Level High school Tags: Nutrition Essay Did you like this example? Type two diabetes is a chronic disease caused by different lifestyle factors, with a focus on diet, and is the leading cause of morbidity and mortality in Australia (Ball, 2016). Many patients who are diagnosed with type two diabetes manage this by seeing a primary health care provider. Since diet plays such an important role in the progression of this disease it is vital that these patients maintain a healthy, balanced diet. Don’t waste time! Our writers will create an original "Nutrition and Diabetes" essay for you Create order The United Kingdom Prospective Diabetes Study has shown that establishing short-term optimal glycemic control in the early stages after diagnosis reduces the risk for both macrovascular and microvascular complications, as well as all-cause mortality 10 years after diagnosis (Murray et al 2010). After diagnosis patients receive nutritional care from their doctors or nutritionists. Ensuing these interventions patients typically modify their diets but, the changes were short-lived. In this article the reasons for the temporary modifications are analyzed. The method used for this study was a longitudinal, qualitative design with the goal of describing the perceptions and experiences of patients who were recently diagnosed with type two diabetes. All the chosen individuals were involved in three telephone interviews; one at baseline, 3 months, and 6 months. Each interview lasted between 30 and 60 minutes, were semi structured, and probative. Research Article There are a couple of problems that this research was focused on. The main concern was the lack of adherence to diet modifications after diagnosis of type two diabetes and nutritional guidance. The other issues involved open communication with health care providers and patient relationships which then lead to the decrease in ongoing engagements with healthcare providers. The purpose of this research was to explore patients’ perceptions of their diagnosis of type two diabetes mellitus, understand their experiences of dietary adjustments, and explore their views on how healthcare providers can support long term dietary changes. Because diet has such a big role in self-management of diabetes it is important for healthcare providers to understand the experiences of their patients. These three topics are important to address because it has a direct impact on the patients’ success in handling their chronic illness in the future. The nursing intervention that was the focus of this article was open communication and relationships with their patients. The findings of this article were broken down into three categories; adjusting to diagnosis, modifying dietary behaviors, and receiving support from healthcare providers. In the adjusting to diagnosis category patients described feeling â€Å"shocked and surprised at being diagnosed with T2DM† (Ball 2015). After those feelings of shock went away they then had negative feelings toward diet because they considered themselves to have eaten a healthy diet. In the modifying dietary behaviors category, the experiences of the patients during diet changes were addressed. Some experienced emotional and food preparation challenges in the beginning, then progressed to having little issues keeping up with the diet modifications, which then halted because the participants felt restricted with their diets. The last category, receiving support from healthcare provider, seemed to have the most issues. Many participates expressed feeling overwhelmed by the information they received as well as having challenges within interactions with the dietitians because of the instructional nature of the care provided (Ball, 2015). In this situation the participants began to feel as though they were an item on the list of things to get done. They also felt as though there was no room for individualization for their dietary changes. The biggest issue for patients seemed to be that they felt rushed and not heard in consultations because open communication was not always achieved (Ball, 2015). The participants felt like they weren’t heard and therefore had limited engagements with healthcare providers in the future. Reflection Nursing care is composed of several different things such as building therapeutic relationships and open communication. While building a therapeutic relationship, it is important that we establish rapport and trust with our clients. I think that those are the building blocks which eventually lead to an increase compliance with all treatment modalities. Better adherence and compliance leads to better outcomes for the patient. Another important way to view building therapeutic relationships is that now there is a partnership and the patient doesn’t have to feel like they are alone when it comes to their healthcare. As Ball stated in the article, patients began to feel overwhelmed with the information they were receiving from different sources, so it is our responsibility to help them, but we can’t do that without first establishing a relationship. With patients, especially those who were recently diagnosed with a chronic condition, building a relationship is extremely important.

Essay on Technology Past and Present - 1198 Words

Technology Past and Present Abstract Computers are in most schools in the United States. Most states have addressed the need to adopt technology standards in curriculum. As the spotlight focuses on technology integration and academic achievement, school districts are focusing on staff development as an integral part of the technology integration process. The role of computers in the classroom has changed from a support tool for basic skills and content using tutorial and remediation practice to an integral part of the instructional process. More households now have computers and Internet access and most parents believe the computer is an important tool in a child’s education. The Internet provides a wealth of information,†¦show more content†¦As a result of these research approaches, the data has shown that technology is used more than 50% of the time for instruction in schools. In a two-year study, Bell South Corporation, Kodak, and the Educational Testing Service sponsored a telephone and online survey of U.S. households to determine computer ownership and patterns of children’s Internet use. More than 5,623 parents and children, ages ranging from two to 17 years of age were involved in the survey. The findings bear significant implications for the educational community (see Table 1). Data from the survey illustrate the rise in use and access to the Internet. Children’s use for the Internet includes surfing, instant messaging, e-mailing, games, downloading and exchanging music and education. In 2003, â€Å"one in five children log onto the Internet at home every day for educational purposes.† Grunwald Associates, (2003). Teenagers were found to spend more time per day on the Internet (3.5 hours) than watching television (3.1 hours). Eighty-one percent of the parents surveyed value the Internet as an essential element in their child’s education. 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Get A Band 6 In HSC English Creative Writing - 26031 Words

14 FREE BAND 6 CREATIVE WRITING ENGLISH HSC BELONGING EXAMPLES HOW TO GUIDE www.myedonline.com !#$%best (%)*%+ ,)$-%(*.-% $/)0-$%123%,(44 5.,6% 7/40/$68 9$44 %:*#/,*/ ;;6=%? !#!$% %()*%+ ,- ! ! ! ! ! #$%! (!% $)! !* +$(!,-..-/0! 7; ,)-8)=0-:3(2(=-,3-4-(?)-)031-0=,*-@2-2,,A-;)3-0-+,4B )-,-)031-2,-:,3A-4B2;)-)3?)-2,-, ,:-;)3-B011(,-1)3(,41 C-0$-(1-,:-)2)3(=-;)3-(0 -)03-,-0D0+;) ,3-,-73)02(?)-9321-E73)02(?)-F3(2(=G-02-H;)-I(?)31(2-,-F, ,=,=*6;)-(1-2;)-73)02(?)-F3(2(=-J3,=30!-7,,3$(02,3-02-#9KL#-M9J6C-:;)3)-1;)-2)0+;)1+3)02(?)-:3(2(=-01-8,2;-0-2,, -2,-;) B-,4=-B),B )-!0A)-B,1(2(?)-+;,(+)1-(-2;)(3†¦show more content†¦#%1,8(!# #0% (222222222222222222222222222222222222222222222222222222222222222222222222222222222222(4)/,3)-a4)12(,1-2,-01A-,43-+;030+2)3-************************************************************************************-OQL012-a4)12(,-,-+;030+2)3*-*****************************************************************************************************-OO2#.$)$3)044)5/#67)/5*)***************************************************************************************************)88D42-:;02-08,42-1)+,$03-+;030+2)31]-*********************************************************************************** -OO- ;1%:(A-B(19(C (%(A# %(19(222222222222222222222222222222222222222222222222222222222222222222222222222222(45942;,3W-7 03(11)-L0!-****************************************************************************************************************-ORF;02-+0-,4-20A)-3,!-2;(1-B()+)-0$-0BB -2,-,43-,:-:,3A]-*****************************************-OY-Show MoreRelatedManaging Information Technology (7th Edition)239873 Words   |  960 PagesSteps for a VoIP Supplier CASE STUDY I-3 The VoIP Adoption at Butler University CASE STUDY I-4 Supporting Mobile Health Clinics: The Children’s Health Fund of New York City CASE STUDY I-5 Data Governance at InsuraCorp CASE STUDY I-6 H.H. Gregg’s Appliances, Inc.: Deciding on a New Information Technology Platform CASE STUDY I-7 Midsouth Chamber of Commerce (B): Cleaning Up an Information Systems Debacle CASE STUDY II-1 Vendor-Managed Inventory at NIBCO CASE STUDY

Review of Willa Cather’s My Antonia Free Essays

My Antonia shows us that it takes time to really uncover everyones true person, and that a book’s cover rarely does the writing any justice. I also found that the Lone Plough represents a mistake that many of us often find ourselves making. But for myself, the biggest learning curve from this book would be that life can at times pass by slowly and seem boring and mundane, but before one knows it life changes, and one is left wondering, how the heck did I get here? Jim Burden’s life changes drastically at the age of 10, when he is forced to travel cross-country by train to live on the Nebraska frontier with his grandparents after the death of his parents. We will write a custom essay sample on Review of Willa Cather’s My Antonia or any similar topic only for you Order Now Jim was accompanied by his father’s former farmhand Jake. On that same train headed to Nebraska, there is a Bohemian family headed to the same place. ? Jim’s grandparents are simple yet kind people with generous natures. He begins to enjoy the wide open spaces of the frontier. Soon after his arrival, the Burdens go to meet their new neighbors, the Shimerdas. Jim meets Mr. Shimerda, an educated musician, Mrs. Shimerda a shrewish woman who comes across as demanding, the eldest son Ambrosch, Marek, Yulka, and the eldest daughter Antonia. Soon after meeting, Antonia and Jim become friends. The Shimerdas unfortunately are not faring well in their new country, but do eventually become friends with Peter and Pavel, two Russian men. Jim and Antonia become even closer, after Jim impresses her by killing a snake. Winter follows, Jim gets very ill, and Pavel passes away. Peter then decides to move away, which greatly upsets Mr. Shimerdas. Right in the middle of one of the largest snowstorms that Nebraska had seen in ten years. Mr. Shimerda commits suicide after neatly arranging himself in the barn. The following day when Jim is left alone in the house, he then feels Mr. Shimerda’s spirit. The Shimerda family insist that Mr. Shimerda’s body must be buried on their property. While unorganized, the funeral ceremony is very moving. After this, the Burdens and a few other neighbors come together as one in a combined effort to aid the Shimerdas. In order to help her family, Antonia stops attending school and begins farming in the fields just as a man would. Jim becomes resentful that Antonia is no longer able to spend as much time with him as he would have liked. The Shimerdas briefly upset their neighbors by acting in a very ungrateful way in response to all of the help that they had received from their friends. Eventually though, everyone is reconciled. After living in the country for three years Jim’s grandparents decide it best to move to Black Hawk in order for Jim to go to school. Antonia also comes into this town to work for the Harlings. Other immigrant country girls also start working in the town, and they become known as the hired girls. Jim begins to spend a lot of his free time with Antonia and the Harling children. Dancing becomes the new rage in Black Hawk, and Antonia really starts to enjoy it and begins going all the time. When Antonia starts making a bad name for herself, the Harlings ask Antonia to quit going to the dances. In response, Antonia decides to quit her job and starts working for Wick Cutter. During this time Jim becomes a bit antisocial and beings only spending time with Antonia and a few other hired girls. Jim begins to focus on his studies a lot in preparation for college and can’t wait to leave Black Hawk behind as soon as he can. At his college in Lincoln, Jim becomes extremely close with Gaston Cleric, his Latin instructor and mentor. The two start to spend a good amount of time talking intimately together. Although Jim does come to the realization that he is not, and never will, an academic as Gaston is. One of Jim’s favorite hired girl, Lena Lingard, comes to visit him one day, and they begin to rekindle their past friendship by going to plays together. The two begin spend a lot of time together, even though two other men are openly in love with her. As a result of Lena’s sudden reappearance his life, Jim begins to let his grades drop. In response to Jim’s lax approach to his schoolwork, Gaston Cleric asks Jim to come with him to Harvard to continue his studies. To Lena’s dismay, Jim agrees, and follows Gaston to Harvard. Before entering law school two years later, Jim decides to return home to Black Hawk, where he hears of Antonia. Antonia had apparently gotten pregnant and was engaged to be married to Larry Donovan. She had apparently followed Larry to Denver, where he proceeded to run off after all of her money was gone. Antonia was forced to then return home to her family’s farm where she then gave birth and helped to work the land. Jim heres of this and goes to visit her. Antonia is a bit surprised that Jim is not disappointed in her for poor decisions. Jim finally returns to see Antonia after twenty years passed. He heard that Antonia had finally gotten married, to a man named Anton Cuzak, and together they had bore about ten children. Jim has also heard that Antonia has had a hard life, and he’s a bit nervous about seeing how the years had affected her. When he arrives at their farm, Jim is greeted by her large family. Antonia doesn’t seem recognize him immediately, but becomes extremely excited once she does. She proceeds to show him all around her family’s farm, which seems to be so full of life. Everywhere they go, everyone seems so happy and content. Jim is happy to see his childhood friend Antonia looking well. He stays the night in the barn with two of the boys, so that he may meet Antonia’s husband and eldest son the next day. The following day Jim meets Cuzak, Antonia’s husband. Jim and Cuzak hit it off immediately, and it becomes apparent to him that Cuzak and Antonia’s marriage is one of mutual happiness and equality. Jim leaves but promises Antonia’s sons that he will return to Black Hawk one day soon, and take them all hunting. On his way out, Jim finds the old dirt road that he once used to lead him home to his grandparents’ farm, and he begins to think about how that road changed his future and how now he has returned full circle back to where he had started years and years ago. Just like with any novel, setting plays a key role. Jim’s first impression of his new home on the Nebraska frontier is that it seems vast and empty. He feels that he has stepped out of civilization as he knew it, and that Nebraska will be a new experience, in which he will have to learn to live by a new set of rules and conduct. Jim is leaving his past life completely behind, and will become an entirely new person on the Nebraska frontier. Because of this, he feels as though his old self is now â€Å"erased† and â€Å"blotted out† as he travels to his grandfather’s house. I found that the â€Å"lone plough† also held great significance in this novel. To me, it showed that while in the moment something may seem highly important, but in the end its really nothing more than an insignificant memory. Years ago that plough was probably a must have on the Nebraska frontier, and was seen as a shiny new toy to most farmers, but now years later it is left to rust in a field after it became no longer useful to its owner. Looking back at the plough, the farmer probably wouldn’t remember it as the shiny new toy he thought it once was, but instead remembers it as a reliable piece of farm equipment, nothing more and nothing less. While these some what small details hold much importance, I found that the larger picture took me somewhat by surprise and left me remembering this story. For me, while I read the book I found it somewhat interesting with little things happening here and there. With subplots every now and again, and different rising actions eventually leading to a climax. But I thought that the book was rather dull, and lacked interest. Reading it, became mundane to me. That was until the very end. I found that end brought it all together for me. While the story seemed to drag on with little motivation, the end made me realize how much the characters really had accomplished. This reminds me life, from day to day things may seem boring but before you know it, you have accomplished one of your largest goals, and are now looking back wishing that you could do it all over again. I find myself wanting to reread My Antonia to reminisce in the character’s small accomplishments along the way; because while in reality I may not be able to, at least with this book I can relive the climb. How to cite Review of Willa Cather’s My Antonia, Papers

Reforms or Changes in the Agriculture Industry of Australia

Question: Discuss about Reforms or Changes in the Agriculture Industry of Australia ? Answer: Introduction It is well known that, agriculture industry of Australia is the largest industry in the world. It fulfills the demand and requirements of other nations in an effectual and an appropriate manner. Along with this, the Australian agriculture industry assumes a noteworthy part to enhance the economy of nation adequately. The business improves the monetary as well as financial position of nation. Moreover, the Australian agriculture industry is the most imaginative and a great degree specialized ventures everywhere throughout the world. It is a noteworthy wellspring of work for the general population of Australia. In reality, in current, around 370,000 individuals are possessed in the Australian farming industry. The legislature of country creates viable arrangements as well as methodologies for the development and extension of the business in the global commercial center. A considerable measure of reforms or changes occurs for the development of the business. Furthermore, this examinatio n exposition would be advantageous to depict the significant reforms or changes that have happened in past years for the development of the Agriculture Industry of Australia. Similarly, the research essay will prescribe a few changes that might be useful for the future development and growth of the Australian agriculture industry. Reforms or Changes in the Agriculture Industry of Australia The agriculture industry of Australia is considered as a noteworthy segment in the economy growth of the country. The Australian horticulture industry is the most chief stride in the economy improvement of the country. According to the report of ABS, Australia is a noteworthy maker and exporter of various agrarian items, for example, wheat, fleece and meat. It sends out a colossal amount of horticultural items to different countries. Along with this, the expanded development of the Australian horticulture industry is not an aftereffect of maybe a couple years. The truth of the matter is that, the Australian governments make viable changes inside the business on the normal premise (Gray, Oss-Emer and Sheng, 2014). Alongside this, there are various changes that have sprung up inside the Australian farming industry in past years. In the mid 1980s, the significant change happened inside the business. The change was identified with the appropriations that the administrations for the most part give to agriculturists of a country. The administration diminished around ninety five percent of the appropriations. This can be seen a noteworthy change in the farming segment of Australia. It is a direct result of this change inside the business made every one of the agriculturists free (Blandford and Hill, 2006). Presently, they are not relying upon the legislature for any help. On the other hand, the administration of country pronounced the agribusiness segment as a standout amongst the most fare situated industry on the planet. This is measured a progressive change inside the business. Because of this change, the Australian agribusiness industry has turned into a noteworthy maker and exporter of horticulture items on the planet. Presently, the country has a solid near preferred standpoint in the creation of cultivating items. Farming is considered as a standout amongst the most profitable and also aggressive segment in the economy of Australia (Harris and Rae, 2004). Alongside this, in current, Australia trades roughly 70 percent of its ranch generation. The expanded fares make solid open doors for the economy improvement of the country. It is the other real change that has done inside the farming business of Australia. In a similar way, the other significant change that occurred in the farming area is the appropriation of cutting edge advancements inside the business. The propelled advancements offer more inventive methods for generation to the agriculturists. With the assistance of the Internet, the Australian ranchers end up plainly ready to comprehend the techniques that are important to enhance the level of generation. The utilization of the advances expanded the efficiency; as well as enhanced the productivity and way of life of Australian agriculturists. In addition, these propelled advances give an absolutely new workplace to the general population (Vitalis, 2007). In perspective of that, this is seen a vital change inside the Australian horticulture industry. In the same manner, the Australian government decreased the strict exchange guidelines and directions for the monetary and money related development of the country. This is a noteworthy change inside the business. It is a direct result of because of substantial exchange controls; agriculturists were not able fare their items to different countries. In this way, they don't get appropriate costs for their creation. In any case, this change decreased the complexities of the Australian agriculturists. Presently, they send out around seventy percent of their aggregate creation to different countries (Hogan and Young, 2014). Additionally, in current, the horticulture segment of Australia has progressed toward becoming superstore to different nations particularly for to Asian nations. Henceforth, there can be seen various vital changes in the Australian agribusiness industry. Alongside this, as per me, there are some vital changes that are as yet required in the Australian horticulture industry. The administration of country ought to decrease the assessments that they charge from the ranchers. This change will build the efficiency, gainfulness, and way of life of the Australian agriculturists. In addition, this change will diminish the reliance of the famers on the budgetary bodies for money related help (Connell, 2016). Thus, this is the change that is required inside the agribusiness business of Australia. Conclusion On the premise of the above examination, one might say that, the farming business of Australia is one of the developing ventures on the planet. It helps in the economy development of the nation. Moreover, it is watched that, the eventual fate of the Australian agribusiness industry is splendid. There can be seen a normal increment in the horticulture results of the country. Besides, the farming part contributes in the economy and GDP growth of the nation. So, it can be said that, the agriculture industry of Australia is a dynamic industry; and it has numerous opportunities to capture in this throat-cut competitive environment. References Blandford, D. and Hill, B. (2006). Policy Reform and Adjustment in the Agricultural Sectors of Developed Countries. USA: CABI. Connell, J. (2016). Rural Change in Australia: Population, Economy, Environment. New York: Routledge. Gray, E., Oss-Emer, M. and Sheng, Y. (2014). Australian agricultural productivity growth. Research by the Australian Bureau of Agricultural and Resource Economics and Sciences, pp.1-52. Harris, D. and Rae, A. (2004). Agricultural policy reform and industry adjustment in Australia and New Zealand. In IATRC symposium on Adjusting to Domestic and International Agricultural Policy Reform in Industrial Countries, June, Philadelphia. Hogan, A. and Young, M. (2014). Rural and Regional Futures. NY: Routledge. Vitalis, V. (2007). Agricultural subsidy reform and its implications for sustainable development: the New Zealand experience. Environmental Sciences, 4(1), pp. 21-40.