Appearance and Reality Essay Example | Topics and Well Written Essays - 1000 words

Appearance and Reality - Essay Example To start with, he considers light falling on the table and its distribution. He suggests that different people looking at the same table will actually see a different thing altogether depending on the angle of look and position with which they stand. He explains further that the two people will have different account of what they see, and the initial table will have a different â€Å"meaning† altogether. He continues by outlining other characteristics of the same and claims that the texture, when observed with the unaided eye, will be much different than when observed with microscopes of different powers. He alleges that more details will be revealed whenever the latter will be used, making him wonder of what more is yet to be found on this rather cool and smooth table. He elaborates that, if what can be perceived with the naked eye is questionable, then how true is that which can be observed with aids? Russell claims that a real shape will maintain its shape regardless of the angle with which it is looked at. He alleges that a circular shape will appear oval like when viewed from a distance and thus deviating from the initial theory of â€Å"real shapes,† hence concludes that there is no such thing as a real shape. Briefly, Russell Bertrand, an acclaimed theorist, suggests that there is no such thing as â€Å"Reality.† From the examples given, he brings out the possibility of reasoning and challenging even the most of basic things in life that we consider common sense. Physics teaches that light travels from the object to the eye, so whatever we perceive depends upon the light on the same object to our eyes. Therefore, whatever our eyes see depends on the property of light. Thereby we can justify that whatever our eyes see is the real object. Considering his example on texture, where he was torn in between on what exactly he was to take as the real feel for the same. He actually overlooks a lot in his reason for even considering the micros copic view as part of the â€Å"real† view. One thing he forgets to understand is that the microscopic view, whether in low or high power is actually giving the hidden structural arrangement and combination of grains, which are the building blocks for the table, which will otherwise not have been seen with the naked eye. This example is the equivalent of considering a house where the basic are bricks. When the bricks are analyzed on their own, they exhibit a different property, which the otherwise finished house will not have. Thus, the house cannot be described using such property. The human eyesight is limited to a number of things. His claim that shapes look different from a given point of view can also be challenged critically. Perspective angle causes shapes to appear different, but that does not mean that they really are. In my view, people will see whatever they want to see and interpret them in whatever manner they deem fit, making each person to have a different opin ion and account concerning what they perceive depending on their current physical and psychological condition. However, if the different people were given the same â€Å"viewing† ground and if they all had perfect eyesight, all of them would give the same answer and description of what they saw. Russell’s claim that two people will give different accounts when viewing the same from different places is actually true. Were the same people given

Critique article Research Paper Example | Topics and Well Written Essays - 500 words

Critique article - Research Paper Example In addition, it should not have generalized respiratory therapists and nurses because the study is confined to a limited population and the sampling method cannot be considered representative of the universal population. Nonetheless to focus on prevention of ventilator-associated Pneumonia is clear. The introductory section is clear, concise and informative. It successfully established the subject of the study and explained its objectives and significance. Of, particular importance are the empirical evidences that built the case for the research hypothesis and the research framework. The section reviewing previous literature on the research subject is practically non-existent. Prior studies were cited but in a very sweeping manner and only served to support points made in the Introduction section. Some previous studies were cited such as the survey among French and Canadian ICU directors on VAP adherence and the work of van Nieuwenhoven et al. (2006), which addressed clinical applicability of prevention measures. But the details are not sufficient to establish a gap that the article could fill and develop a research framework accordingly. The methods section did not specify an overarching methodology that could have outlined a clear research framework or effectively defined research concepts. If there is, it should have been clearly identified. Instead, the paper - in the methodology section - merely talked about the process without even citing how such processes came to be. This aspect highlights the most critical flaw of the study. Like the manner by which the methodology was written, the data gathering process was similarly unsystematic. The researchers merely created a survey and distributed the questionnaires without attempting to design a scientific sampling procedure. The same can be said about the content of the questionnaire and consequently the type of data gathered. Based on these parameters, the researchers were able

An Analysis Of Huntingtons Theories Of Democratisation Politics Essay

An Analysis Of Huntingtons Theories Of Democratisation Politics Essay The course of modern democratization is actually far more difficult than Huntington suggests in his theory, the Third Wave of Democratization. In fact, this theory fails to elucidate very different explanations for democratization. First of all, it is required to make a separation as to the causes of democratization. Secondly, the wave approach takes for granted that there is now a global movement to establish democracy. This argument might be true to an extent, considering what is happening in certain countries all over the world, and especially in the Arab world. But, according to a more precise consideration, the number of stable and liberal democracies is actually growing very slowly.  [1]  Huntington presumed that more democracies were emerging because more elections were being held. However, holding elections, as mentioned in previous sections, does not necessarily indicate the implementation of democracy and democratization. In other words, if elections were taken as the o nly, or the main sign of democracy and democratization, then a country like Lebanon would be one of the most democratic countries in the world. Quite simply, social conflict theory has been pointed to in conventional studies as sparking the democratization process.  [2]  This theory, based on capitalism, is regarded as the classic method of analysing political reform. It states that the class structure was overturned by capitalism, which led to the formation of a middle class and thus an insistence on social and economic reform so that the new system could be maintained. Indeed, Seymour Lipset asserts that capitalism bread bourgeois and middle class professionals, who are essential for political reform and hence democracy.  [3]   Some researchers believe that democratization has its roots in the 1776 American Revolution. Dahl, for example, dates the process to the success known by the question of representation which brought about the Revolution and ultimately saw the birth of the United States. Other scholars, such as Huntington, equate democracy with individualism and consequently hold the view that its first wave began in the 1600s. The rapid spread of capitalism in the West and the fierce social conflicts that ensued should equally be considered. The non-elite or lower classes were increasingly empowered by growth in the economy, creating a situation where they came to recognize those rights that had so far been denied them. The process of democratization, therefore, resulted from social conflicts. Meanwhile, capitalism and its ensuing social conflicts resulted in the development of a modern and fairly independent state able to play a pivotal role in further social reform. In Europe, this new state enabled the advancement of socio-economic reforms which helped pave the way towards democratization.  [4]  In other words, socio-economic pressure played a key role in leading to democratization, taking into consideration the combination of this pressure with the development of a liberal state that was to some degree autonomous. We can see various different types of self-declared democracies in modern experiments with democratization. Certain countries have seen the emergence of a liberal democracy, while others have seen a degree of electoral change. But the overall picture is completed by the problems democracy faces in most Third World countries. It is thus imperative that we make a distinction between democracies with problems or part-democracies, and those that are secure and strong. In short, contemporary processes of democratization encompass failures and successes. The question raised here is: why do some democratization experiments succeed where others fail? The following is Grugels short answer to this question: Democracies are political systems comprising institutions that translate citizens preferences into policy, have effective states that act to protect and deepen democratic rights, and count on a strong participatory and critical civil society. A consolidated democracy is one in which this political order is routinised and accepted. Consolidation, then, implies both the deepening and stabilizing of democracy. In addition, the chances for consolidation are greatest in cases where favourable international circumstances are allied with state capacity and a growing, vocal and effective civil society.  [5]  133 Initially, the process of democratization started most powerfully in countries which were economically strong and well developed. In other words, stable democracy seemed to be a luxury only rich nations  could afford. But this form of democracy or this concept was not to succeed all the time as it was challenged in some capitalist and economically developed countries such as the former German Democratic Republic in the 1930s, which, although it distributed wealth relatively equitably and was officially dedicated to social justice, could hardly be considered democratic.  [6]  Also, in some authoritarian regimes democracy was replaced by fragile or semi-democracies. This implies that although capitalism is essential, it still does not ensure the emergence of democracy (e.g. semi-democracy in Malaysia). Meanwhile, democratic types of government continued to exist in some countries for considerable periods, even though economic development was slow and elitism was still in force. T his happened, for example, in the island nations of the English-speaking Caribbean, Venezuela and India. In summary, we should see the wave theory as a useful way of placing democratization in its global setting. However, it must be noted that it is not capable of including the various factors implicit in the process. It stresses the need to note that democracy has more chance of developing following social conflict at certain times in world history. But, as we have seen above, on a wider scale the application of wave theory is rather limited. Furthermore, it falls short of clarifying how democracy develops on a national level. With this in mind, we must examine theories of social and economic change and political action in order to gain an understanding of the matter. 2.2.2.2.2 The Process of Democratization It is not a matter of surprise if we find that the number of succeeded and thriving  democratizations is overbalanced by either had undergone failure or stalled experiments. Given that, in some countries around the world, problems like socio-economic imbalance and gender inequality means that democratization will keep on being slow and will remain a painful, and sometimes impossible, task. Since the Portuguese dictatorship was overthrown in 1974, the number of democratically ruled countries has dramatically increased. Prior to this, there were an estimated forty democracies word-wide; these were joined steadily during the late 1970s and early 1980s as a number of states made the transition from authoritarianism to seemingly democratic government. The late 1980s and the decline, and ultimate collapse, of the Soviet Union saw a significant boost to the pace of world-wide democratization. Consequently by the end of 1995 there were, as Larry Diamond has noted, between 76 and 117 democracies, depending on the method used to measure them.  [7]  This post-1974 period is what Samuel Huntington has termed the third wave of global democratic expansion; he demonstrated how important the effects of regional and international democratization were.  [8]   Undoubtedly, holding elections or toppling an authoritarian regime and replacing it with another, even if this receives the support of the people, does not permit a country to wear the badge of democracy. Huntington describes supplanting military regimes as the extremely important beginning to third wave democratization. However, he unwillingly skims over the underlying principal behind taking such action. He states that countries came to begin the process of democratization because of a huge growth in democratic discourse. But it was in fact a result of social and economic change at both the national and supra-national levels. Quite simply the old political system became unable to function in the context of accelerated change to socio-economic structures and had to be exposed and taken apart. It is possible to view democracy today as the culmination of a steady but important development in political thinking. Since the 1800s it has gradually taken root and grown across throughout the world, demonstrating its ability to spread modern values and beliefs. This development, however, was not straight forward and has faced challenges, but the reasons behind and the incentives involved in democracy have been different in space and time. In the nineteenth century, for example, change was spurred on by social class, whereas in the last two decades of the twentieth century it was carried forward by a complicated mixture of social conflict, state building, free global trade and external influences. There has been considerable effort made to provide an explanation for the expansion of democracy; the most convincing of these has been Huntingtons wave theory. With its wide ranging ability to include different issues, it argues that the causes of democratization in those countries to wh ich the wave is common are comparable. Huntingtons theory also makes note that reverse waves of authoritarianism have followed those of democratization. This viewpoint is backed up by his mention of those societies that have either been unable to secure lasting democracy or have seen its collapse. Huntington explains a wave of democratization as follows: A wave of democratisation is a group of transitions from nondemocratic to democratic regimes that occur within a specified period of time and that significantly outnumber transitions in the opposite direction during that period of time. A wave also involves liberalisation or partial democratisation in political systems that do not become fully democratic. Each of the first two waves of democratisation was followed by a reverse wave in which some but not all of countries that had previously made the transition to democracy reverted to non-democratic rule.  [9]   For Huntington, it was from the beginning of the nineteenth century until 1930 when the first wave took place. This was, as he argues, associated with the growth and development of liberal democracy in theory and practice. He continues by saying that the defeat of the Axis powers in 1945 was indicative of the Second wave. At that time, the coalition led by the Americans lead the process of democratizing the occupied territories of Germany, Japan and Austria. In his book, Huntington finally comes to the third wave of democratization which, he argues, started in Portugal in 1974, then spread to Greece and Spain, and after that, in the 1980s, reached some Latin American countries. This wave, according to Huntington, ended up in Eastern and Central Europe and the Soviet Union. One can argue that the profound need for economic growth and popular awareness about political developments contributed greatly to the smooth and painless integration of these countries into the democratic union. To sum up, adding to what Huntington demonstrated in his book, one can extend these three waves some other encouraging developments that have occurred in certain other developing countries which have showed a great desire for democratization. However, one should bear in mind that in many of these countries these objectives have been counterbalanced and outweighed by conditions that have rendered electoral democracy increasingly shallow, illiberal, unaccountable, and afflicted.  [10]  In other words, establishing some democratic institutions which are believed to be taken or filled by elected members from the public cannot, in itself, be seen as a proof of successful democratization. 2.2.2.2.3 Democratization and the State Democracy describes the system; democratization describes the process. This rule shows us the boundary between democracy and democratization. When discussing democratization it might be helpful to demonstrate its purpose. The purpose of democratization is the building of a democratic state. But the question is: How does this happen? The general consensus is that democracy entails more than simply holding elections. However, academics have so far been unable to agree on what exactly is necessary. We are aware that the state is, in the final analysis, a means of dominating society. In a democracy, then, hierarchies which act combining legitimate power, persuasion and bureaucracy tend to hold power. A further characteristic of a democracy is the existence of several bodies that hold authority and make decisions. In an undemocratic state, meanwhile, democratization makes the state apparatus its main target. Therefore, it is rather illogical to believe that an undemocratic state will itse lf try to carry out democratization. Overall, a democratic governments legitimacy is reliant on its ability to convincingly demonstrate it is truly representative of the people, acts in their interest, and can be held accountable by them. Therefore, a democratic government should adhere to these principles. Although democratic and capitalist states naturally work to a business- and profit-oriented agenda, it is more likely that they will answer demands for social and economic justice given that they rely on a healthy balance between this and economic prosperity in order to survive. With regard to force, it is widely agreed that the state can coerce and use violence. However, it is argued that in a democracy there is no need to resort to this unless it is to protect against outside threats or against criminals or those causing social disorder. Grugel has assessed some fundamental characteristics of a democratic state: I. Territorial integrity, either as a result of the belief that the state represents a nation or through negotiations and legitimate and binding agreements that make a multinational state possible. II. The rule of law, that is, minimal rights and duties of citizens are legally encoded and the parameters of state activity legally defined. III. A minimal use of legally sanctioned violence against its own citizens. IV. A popularly elected and representative government that is formally controlled by constitutional channels of accountability. V. A complex bureaucracy that can make claims to impartiality. VI. The existence of multiple centres of power. VII. The formal existence of channels of access to decision making, even for subordinated social groups, which are operational to some degree. VIII. Some commitment to social and economic justice.  [11]   In short and to end this section, the only way that leads to fully democratizing any state involves applying, to a degree, the following three conditions: Institutional change. Representative change. Functional transformation. These three steps create the path towards full democratization, regardless the fact of that in contemporary democratizations, most attention focuses on having and implementing institutional change.

Prohibition Essay example -- essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   English III Honors P. 1 Mrs. Robinson 4 May 2004 â€Å"Prohibition: The Noble Experiment†   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Prohibition, sometimes referred to as the noble experiment, did not achieve its goals. It did the exact opposite by adding to the problems that it was intended to solve† (Thorton). It is also considered to be the thirteen years that damaged America. On January 16, 1920 one of the most disobeyed laws was put into effect. The 18th amendment, also known as Prohibition, was ineffective and caused more corruption in America with the rise of organized crime and the increase in alcohol consumption.   Ã‚  Ã‚  Ã‚  Ã‚  Prohibition had many different purposes; one was to reduce the consumption of alcohol by Americans. This was going to fail no matter what because if you are told not to do something only going to want to do it more. That is just human nature. It also focused on reducing crime, corruption, poverty, death rates, solve social problems, reduce the tax burden created by prisons and poorhouses, and improve health and hygiene in America (Thorton). Not only did it not accomplish this but it did the exact opposite. And lastly it focused to improve the economy and the quality of life.   Ã‚  Ã‚  Ã‚  Ã‚  Theoretically Prohibition was feasible, but in reality it had too many flaws. For one it was unenforceable. This is defiantly the biggest problem. What good is law if you can not enforce it? Fiorella H. LaGuardia was a prominent New York City politician who served several terms in the House of Representatives. He said, â€Å"It is impossible to tell whether Prohibition is a good thing or a bad thing. It has never been enforced in this country.† Even he was a realist that could see that this experiment was going to fail.   Ã‚  Ã‚  Ã‚  Ã‚  Prohibition was not a new concept for Americans in the 1920’s. In fact, it was part of society since the 1600’s. The feminist movement originated early in the 1800's. Until the 1870's, however, feminine involvement in the temperance effort was largely peripheral. The Women's Crusade of 1873 and the organization of the Women's Christian Temperance Union in 1874 marked the formal... ...ed 1.  Ã‚  Ã‚  Ã‚  Ã‚  Behr, Edward. Prohibition: Thirteen Years That Changed America. New York:   Ã‚  Ã‚  Ã‚  Ã‚  Arcade Publishing, 1996. 2.  Ã‚  Ã‚  Ã‚  Ã‚  Bowen, Ezra, Ed. This Fabulous Century: Vol. 6. New York: Time Life Books,   Ã‚  Ã‚  Ã‚  Ã‚  1969 3. Dostoevsky, Fyodor. Crime and Punishment. Trans. Constance Garnett.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  New York: Bantam, 1981. 4. McGrew, Lang. â€Å"History of Alcohol Prohibition.† Online. 13 April 2004.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  http://www.druglibrary.org./schaffer/LIBRARY/studies/nc/nc2a.htm. 5. McWilliams, Peter. â€Å"Prohibition: A Lesson In The Futility (and danger) Of   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Prohibition.† Online. 13 April 2004. http://www.mcwilliams.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  com/books/aint/402.htm 6. Thorton, Mark. â€Å"Policy Analysis: Alcohol Prohibition Was A Failure.† Online. 17 July 1991. http://www.cato.org/pubs/pas/pa-157.html Prohibition Essay example -- essays research papers   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   English III Honors P. 1 Mrs. Robinson 4 May 2004 â€Å"Prohibition: The Noble Experiment†   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Prohibition, sometimes referred to as the noble experiment, did not achieve its goals. It did the exact opposite by adding to the problems that it was intended to solve† (Thorton). It is also considered to be the thirteen years that damaged America. On January 16, 1920 one of the most disobeyed laws was put into effect. The 18th amendment, also known as Prohibition, was ineffective and caused more corruption in America with the rise of organized crime and the increase in alcohol consumption.   Ã‚  Ã‚  Ã‚  Ã‚  Prohibition had many different purposes; one was to reduce the consumption of alcohol by Americans. This was going to fail no matter what because if you are told not to do something only going to want to do it more. That is just human nature. It also focused on reducing crime, corruption, poverty, death rates, solve social problems, reduce the tax burden created by prisons and poorhouses, and improve health and hygiene in America (Thorton). Not only did it not accomplish this but it did the exact opposite. And lastly it focused to improve the economy and the quality of life.   Ã‚  Ã‚  Ã‚  Ã‚  Theoretically Prohibition was feasible, but in reality it had too many flaws. For one it was unenforceable. This is defiantly the biggest problem. What good is law if you can not enforce it? Fiorella H. LaGuardia was a prominent New York City politician who served several terms in the House of Representatives. He said, â€Å"It is impossible to tell whether Prohibition is a good thing or a bad thing. It has never been enforced in this country.† Even he was a realist that could see that this experiment was going to fail.   Ã‚  Ã‚  Ã‚  Ã‚  Prohibition was not a new concept for Americans in the 1920’s. In fact, it was part of society since the 1600’s. The feminist movement originated early in the 1800's. Until the 1870's, however, feminine involvement in the temperance effort was largely peripheral. The Women's Crusade of 1873 and the organization of the Women's Christian Temperance Union in 1874 marked the formal... ...ed 1.  Ã‚  Ã‚  Ã‚  Ã‚  Behr, Edward. Prohibition: Thirteen Years That Changed America. New York:   Ã‚  Ã‚  Ã‚  Ã‚  Arcade Publishing, 1996. 2.  Ã‚  Ã‚  Ã‚  Ã‚  Bowen, Ezra, Ed. This Fabulous Century: Vol. 6. New York: Time Life Books,   Ã‚  Ã‚  Ã‚  Ã‚  1969 3. Dostoevsky, Fyodor. Crime and Punishment. Trans. Constance Garnett.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  New York: Bantam, 1981. 4. McGrew, Lang. â€Å"History of Alcohol Prohibition.† Online. 13 April 2004.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  http://www.druglibrary.org./schaffer/LIBRARY/studies/nc/nc2a.htm. 5. McWilliams, Peter. â€Å"Prohibition: A Lesson In The Futility (and danger) Of   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Prohibition.† Online. 13 April 2004. http://www.mcwilliams.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  com/books/aint/402.htm 6. Thorton, Mark. â€Å"Policy Analysis: Alcohol Prohibition Was A Failure.† Online. 17 July 1991. http://www.cato.org/pubs/pas/pa-157.html

Nursing and Patient

Nursing is a profession in which professionalism and high moral character go hand in hand. Nurses have access to very important information and care for patients during critical times in their lives. Because of the nature of work that a nurse does, they must always maintain professionalism to ensure that their patients have the upmost trust in them. A. Functional Differences In order to become a registered nurse, one must pass nursing school and then go on to pass a test given by their state regulatory agency, such as the board of nursing (BON). The state board of nursing has many different duties.One of the many duties of a BON is to grant and renew nursing licenses. The BON can also take disciplinary review of nurses. It will review a complaint against a nurse’s actions and then decide whether they should suspend, restrict or revoke a nurse’s license (Cherry & Jacob, 2011, p. 78). A professional nursing organization (PNO), like the emergency nurse association (ENA), i s a private organization to which a nurse is a member. A private nurse’s organization may lobby legislature for the interest of the association’s members and to better the nursing profession as whole.A PNO may also hold seminars to further educate the members and to keep their practices the most up to date. For example, the ENA usually holds a yearly seminar where many topics are covered throughout the week in regards to emergency nursing. Overall a PNO provides a united front for specific areas of nursing or for nursing as a whole. A PNO represents the members and a regulatory agency, such as the BON, represents the people for who the nurses will be taking care of. B. Nursing Code Examples The nursing code of ethics plays a huge role in the way nurses care for patients.Nurses should always treat patients with the respect they deserve. For most people, being in the hospital is a very stressful and foreign event. It can lead to the patient not always being their normal, happy self. Even when the patient was upset and not exactly in the best mood, I would respect the patient and do whatever I could to ensure that I have helped the patient. I have found that if you give a patient the respect they deserve, that no matter what, they always tend to be thankful and appreciative for your help. Being respectful facilitates a trustingrelationship between nurse and patient. Another part of the nursing code of ethics that I apply to my nursing practice is to always advocate for the patient. For example, there are times when doctors will put in orders that I may question or not completely understand. Instead of just doing what the doctor orders in those circumstances, I question the doctor and make them explain the order so I understand it. If I do not agree with the order, I would tell the doctor and work it out with them. The needs and safety of patients should always be the number one priority. C.Professional Traits Working with an interdisciplinary team a llows everyone to bring their own traits and beliefs to help ensure the best care for the patient. I would bring many great traits to an interdisciplinary team. The first would be the acceptance of accountability and responsibility. When working with an interdisciplinary team, I would always accept responsibility for the patient and would hold myself accountable for the care that the patient receives. I may be following the orders of another member of the team, but in the end, it is me that is responsible for my own actions.That is a very important concept to remember when working as part of a team. I would also ensure the patients privacy is always respected. When working with a group, there is always an increased risk of the patient’s privacy being violated. I would do everything in my power to ensure that the patient’s privacy is always respected. I would ensure only essential team members have access to the patient’s information and would make sure the envir onment is conducive to protecting privacy. I would also respect the patient’s right to self-determination.While working with an interdisciplinary team, it can be easy for some members of the team to forget that the patient is ultimately the one in control. My job is to always encourage the patient to do what they feel is best for themselves and to respect their wishes. A person may decide that they do not want a particular treatment that is part of the plan and it is my job to protect their right to say no to that treatment. I would also work on advancing my nursing profession through knowledge development, dissemination, and application to practice.Nursing is a profession that is always changed and evolving. New research for things like better standards of care and new procedures are always coming out. As part of a team, I should always be the most up to date on my education. Being informed and continuing my education allows me to be a better team member and it also allows t he patient to have the best care. D. Nursing Theories Nursing theories have a definite impact on the day-to-day practices of nurses. Dorothea Orem’s theory of self-care deficit model is something that all nurses do without even realizing it.In Dorothea Orem’s model, she states that when a patient renders an insult, there is a self-care deficit, which makes nursing interventions necessary (Cherry & Jacob, 2011, p. 98). When a patient comes into the ER with a newly diagnosed illness, they are often unsure of what to do, or how to proceed from there. Without even thinking about doing it, nurses automatically help patients overcome these new obstacles in life. For example, a patient that has had a recent hip replacement must learn how to care for their new hip.A nurse caring for this patient will help that patient understand their new limited mobility and how to return to their pre hospital lifestyle the best they can. Another great example of this model is a diabetic pati ent. In order to live a normal life with diabetes, a patient must be instructed how to take their diabetic medication, what kind of diet to eat, and the signs and symptoms of high or low blood sugar. Without the nurse’s help and specific interventions for the patient, the patient may not be able to return to their normal level of functioning.A nurses goal for a patient is to always return them to their previous level of functioning and if that isn’t able to happen, to get them to their optimum level of self-functioning (Cherry & Jacob, 2011, p. 98). Nursing interventions and helping patients recover from illness is what nursing is all about. Orem’s nursing theory model is the model that many nurses strive to achieve during their nursing careers. E. Historical Figure The nursing profession as we know it today would not be here if not for the actions and contributions of Florence Nightingale.Florence Nightingale established infection control and a way of maintaini ng patients records (Cherry & Jacob, 2011, p. 10). By far the most important aspect of nursing that Florence Nightingale contributed to is infection control. Infection control was unheard of before Florence Nightingale. Her help during the Crimean War helped establish aseptic techniques for nursing and stressed the importance of infection control in helping patients to heal, instead of dying from their illnesses. Even today infection control is a corner stone of nursing practices.The first thing nurses learn in nursing school is proper hand washing techniques and how to avoid spreading germs to patients. Florence Nightingale’s contributions to the nursing made nursing the profession it is today. F. Scenario Patient advocacy is one of the most important jobs a nurse is entrusted to do. A perfect example of being a patient advocate happened to me when I was helping a patient protect his autonomy. I was caring for an elderly gentleman who had terminal cancer and came into the ER short of breath.The patient was really working to breath and the doctors and family wanted to intubate the patient to help him. The patient was alert and orientated and kept stating that he did not want to be intubated or to have any resuscitation efforts. I respected the patient’s wishes and informed the doctor that we would not be intubating this patient due to his wishes. The doctor was reluctant but finally agreed and together we explained this to the family. The patient was able to have wishes respected and wasn’t pushed into something he wanted.Beneficence is something that is at the heart of nursing. Nurses do this all the time without even giving it a second thought. The first scenario that comes to my mind when I think of beneficence is when I had a child come into the ER with a broken leg. Without even hesitating, I knew the first thing I needed to do for this child was to manage his pain. I went out of my way to find a doctor for a medication order and was immediately on the phone with pharmacy so I would be able to pull the medication out of the omnicell without any lag time.I was able to get his pain managed in about 7 minutes after he was wheeled into my ER room. The family and the patient were very thankful for everything that I did for them. Conclusion Professionalism and nursing are interrelated. Without professionalism, patients wouldn’t be able to respect and trust their nurse, making establishing a relationship impossible. When a nurse and patient are able to establish a relationship based on professionalism and trust, anything is possible when it comes to the care and overall well-being of the patient. Nursing and Patient Nursing is a profession in which professionalism and high moral character go hand in hand. Nurses have access to very important information and care for patients during critical times in their lives. Because of the nature of work that a nurse does, they must always maintain professionalism to ensure that their patients have the upmost trust in them. A. Functional Differences In order to become a registered nurse, one must pass nursing school and then go on to pass a test given by their state regulatory agency, such as the board of nursing (BON). The state board of nursing has many different duties.One of the many duties of a BON is to grant and renew nursing licenses. The BON can also take disciplinary review of nurses. It will review a complaint against a nurse’s actions and then decide whether they should suspend, restrict or revoke a nurse’s license (Cherry & Jacob, 2011, p. 78). A professional nursing organization (PNO), like the emergency nurse association (ENA), i s a private organization to which a nurse is a member. A private nurse’s organization may lobby legislature for the interest of the association’s members and to better the nursing profession as whole.A PNO may also hold seminars to further educate the members and to keep their practices the most up to date. For example, the ENA usually holds a yearly seminar where many topics are covered throughout the week in regards to emergency nursing. Overall a PNO provides a united front for specific areas of nursing or for nursing as a whole. A PNO represents the members and a regulatory agency, such as the BON, represents the people for who the nurses will be taking care of. B. Nursing Code Examples The nursing code of ethics plays a huge role in the way nurses care for patients.Nurses should always treat patients with the respect they deserve. For most people, being in the hospital is a very stressful and foreign event. It can lead to the patient not always being their normal, happy self. Even when the patient was upset and not exactly in the best mood, I would respect the patient and do whatever I could to ensure that I have helped the patient. I have found that if you give a patient the respect they deserve, that no matter what, they always tend to be thankful and appreciative for your help. Being respectful facilitates a trusting  relationship between nurse and patient.Another part of the nursing code of ethics that I apply to my nursing practice is to always advocate for the patient. For example, there are times when doctors will put in orders that I may question or not completely understand. Instead of just doing what the doctor orders in those circumstances, I question the doctor and make them explain the order so I understand it. If I do not agree with the order, I would tell the doctor and work it out with them. The needs and safety of patients should always be the number one priority. C.Professional Traits Working with an interdisciplinary tea m allows everyone to bring their own traits and beliefs to help ensure the best care for the patient. I would bring many great traits to an interdisciplinary team. The first would be the acceptance of accountability and responsibility. When working with an interdisciplinary team, I would always accept responsibility for the patient and would hold myself accountable for the care that the patient receives. I may be following the orders of another member of the team, but in the end, it is me that is responsible for my own actions.That is a very important concept to remember when working as part of a team. I would also ensure the patients privacy is always respected. When working with a group, there is always an increased risk of the patient’s privacy being violated. I would do everything in my power to ensure that the patient’s privacy is always respected. I would ensure only essential team members have access to the patient’s information and would make sure the en vironment is conducive to protecting privacy. I would also respect the patient’s right to self-determination.While working with an interdisciplinary team, it can be easy for some members of the team to forget that the patient is ultimately the one in control. My job is to always encourage the patient to do what they feel is best for themselves and to respect their wishes. A person may decide that they do not want a particular treatment that is part of the plan and it is my job to protect their right to say no to that treatment. I would also work on advancing my nursing profession through knowledge development, dissemination, and application to practice.Nursing is a profession that is always changed and evolving. New research for things like better standards of care and new procedures are always coming out. As part of a team, I should always be the most up to date on my education. Being informed and continuing my education allows me to be a better team member and it also allow s the patient to have the best care. D. Nursing Theories Nursing theories have a definite impact on the day-to-day practices of nurses. Dorothea Orem’s theory of self-care deficit model is something that all nurses do without even realizing it.In Dorothea Orem’s model, she states that when a patient renders an insult, there is a self-care deficit, which makes nursing interventions necessary (Cherry & Jacob, 2011, p. 98). When a patient comes into the ER with a newly diagnosed illness, they are often unsure of what to do, or how to proceed from there. Without even thinking about doing it, nurses automatically help patients overcome these new obstacles in life. For example, a patient that has had a recent hip replacement must learn how to care for their new hip.A nurse caring for this patient will help that patient understand their new limited mobility and how to return to their pre hospital lifestyle the best they can. Another great example of this model is a diabetic p atient. In order to live a normal life with diabetes, a patient must be instructed how to take their diabetic medication, what kind of diet to eat, and the signs and symptoms of high or low blood sugar. Without the nurse’s help and specific interventions for the patient, the patient may not be able to return to their normal level of functioning.A nurses goal for a patient is to always return them to their previous level of functioning and if that isn’t able to happen, to get them to their optimum level of self-functioning (Cherry & Jacob, 2011, p. 98). Nursing interventions and helping patients recover from illness is what nursing is all about. Orem’s nursing theory model is the model that many nurses strive to achieve during their nursing careers. E. Historical Figure The nursing profession as we know it today would not be here if not for the actions and contributions of Florence Nightingale.Florence Nightingale established infection control and a way of mainta ining patients records (Cherry & Jacob, 2011, p. 10). By far the most important aspect of nursing that Florence Nightingale contributed to is infection control. Infection control was unheard of before Florence Nightingale. Her help during the Crimean War helped establish aseptic techniques for nursing and stressed the importance of infection control in helping patients to heal, instead of dying from their illnesses. Even today infection control is a corner stone of nursing practices.The first thing nurses learn in nursing school is proper hand washing techniques and how to avoid spreading germs to patients. Florence Nightingale’s contributions to the nursing made nursing the profession it is today. F. Scenario Patient advocacy is one of the most important jobs a nurse is entrusted to do. A perfect example of being a patient advocate happened to me when I was helping a patient protect his autonomy. I was caring for an elderly gentleman who had terminal cancer and came into the ER short of breath.The patient was really working to breath and the doctors and family wanted to intubate the patient to help him. The patient was alert and orientated and kept stating that he did not want to be intubated or to have any resuscitation efforts. I respected the patient’s wishes and informed the doctor that we would not be intubating this patient due to his wishes. The doctor was reluctant but finally agreed and together we explained this to the family. The patient was able to have wishes respected and wasn’t pushed into something he wanted.Beneficence is something that is at the heart of nursing. Nurses do this all the time without even giving it a second thought. The first scenario that comes to my mind when I think of beneficence is when I had a child come into the ER with a broken leg. Without even hesitating, I knew the first thing I needed to do for this child was to manage his pain. I went out of my way to find a doctor for a medication order and w as immediately on the phone with pharmacy so I would be able to pull the medication out of the omnicell without any lag time.I was able to get his pain managed in about 7 minutes after he was wheeled into my ER room. The family and the patient were very thankful for everything that I did for them. Conclusion Professionalism and nursing are interrelated. Without professionalism, patients wouldn’t be able to respect and trust their nurse, making establishing a relationship impossible. When a nurse and patient are able to establish a relationship based on professionalism and trust, anything is possible when it comes to the care and overall well-being of the patient.

How to look after children’s hair, skin and teeth Essay

Children’s skin and hair should be appropriately looked after as when children develop they become more and more independent especially in their skin and hair care routines. It is vital to make sure the children are being washed and taught to look after themselves whilst they are being cared for by parents, guardians or staff at the nursery. If a child has really bad skin or an infection he/she will start to feel uncomfortable which is terrible for a young child to go through. Parents and staff members at the setting need to cooperate with one another in order to find out about the child’s skin and hair care routine. Every child may have different routines based on their family’s traditions and needs if the child has an allergy or irritation, the parents will have to advice staff at the setting what products would be best to use for them. SKINCARE Daily skin care for toddlers The skin protects the body from catching any infections, a few points to avoid this are: Changing nappies carefully to keep away from infections Wipe or wash the sweat of bodies to avoid sore areas and inflammation Keep the skin moisturised appropriately Young children should be taught how to wash their hands and praising them should encourage them to want to repeat the routine again as well as making them confident Hand wash should be used carefully as it may dry the skin out if too much is given continuously to children Never should any child be left alone near water Only use specific products which are given and agreed by parents to use if children have allergies or skin conditions for example eczema. Use gentle, fragrance-free cleansers and soaps. To prevent dry skin and rashes, apply sufficient amounts of moisturizer after bathing. Bug bites -The most common bug bites are from fleas, mosquitoes, wasps, or bees. -To avoid bug bites, apply an insect repellent which will help fast -Bites and stings are very common in children, mainly during the spring and summer months. Among the insects that often bite and sting are spiders, mites, mosquitoes, flies, fleas, ants, bees, and wasps. Skin Care Routine For Children 1 year and older- Babies and children should have daily showers every week to keep clean as they do often sweat whilst sleeping and so bathing is important in order to keep them hygienic. If in some cases the baby or child is advised not to bathe every day due to dry skin or eczema then there another way of is to gently wash their hands/fingertips with a soft cloth and only in key areas wash the face, under arms and the groin area which are the main areas. After the children have been washed a moisturiser should be applied on the entire body with the correct cream that matches the child’s skin. Babies (Under 1 year): Gently wipe the body with a soft cloth once a day with a mild cleanser. Tenderly wipe the face with water. Babies are recommended to bathe every 2-3 days a week. after they have been washed, with the appropriate creams moisturise the whole of the body especially on the areas such as elbows, knees and hands as they tend to become dry. Moisturising for babies under 6 months is not necessary as the skin does not get dry due to the pores still developing however if there are any dry patches then the creams should be applied. The products for children and babies that should be used are lightly fragranced shampoos, body wash or products like Johnson Head to Toe body wash is simple to apply and does the entire job as shampoo or conditioner is not needed, everything is inside the product already or Aveeno Baby Moisturizing Lotion is another option. HAIRCARE – Taking to parents or the child, will help staff find out about the child’s needs – Children with allergies will require certain or recommended products from parents -Head lice is common, the lice live on the scalp. There are various types of treatments which may include special lotions and combs -Black children may have certain oil rubbed in their hair and might not wash their hair frequently. Using adult’s shampoos in a child’s hair would not be appropriate as it may sting the child in the eye or irritate them on the scalp and so using the right shampoo, and using the proper detangling technique is vital in order to keep the child’s hair healthy. When children are young it is the best time to teach them how to wash, rinse, comb and style their hair as well as doing this in a routine so the children learn quickly and become used to the routine so they can independently do it themselves. Young children’s scalps and still developing and their hair texture may not reveal itself until he/she is at least 8 years of age. If a sensitive head has had harsh products that include chemicals used to it on a daily basis then it is possible that the child’s hair will always be damaged and it could lead to hair loss in the future. A baby’s hair will grow and be free rather than tied up or patterns created in the hair. It is better to let the hair be loose and allow it to feel light. Gentle shampoos and gentle techniques when combing or brushing will leave the hair to its own device. Putting a little oil or water is all the child’s hair needs as not much is required and after a matter of time the child will have a head full of thick healthy hair. Hair care tips: Washing – wash hair using a mild shampoo that doesn’t sting the child’s eyes. When they are old enough, teaching them how to shampoo and rinse their own hair will help them learn to do it themselves. Conditioner should be used when the child is older and has longer hair but avoid putting conditioner on the scalp. Tangles – detangling is best done before the child’s hair is washed. Use a wide tooth comb and start at the bottom of the hair, working your way up. Tangles can cause terrible battles between the parent and child. To reduce the pain of combing tangled hair, hold the section of hair you are trying to comb tightly. For extremely hard tangles, a good de tangler will help. Combing/Brushing – encourage your child to comb/ brush their own hair. Do not brush the hair too much as it will leave the hair very greasy. Use a comb, not a brush on hair that is wet. It increases the shine and minimizes hair breakage. Accessories – use good q uality brushes, combs and accessories for your child’s hair. Kids love having fun clips and hair ties. Avoid hairclips hat are sharp, as these can hurt the scalp and  cause hair damage. Keeping hair neatly tied back is a good way of avoiding hair tangling. TEETHCARE Teeth develop in a specific order and also the way they are looked after is important. A few facts for teeth are listed below: – Babies are born with teeth growing inside their gums – The average age when teeth start to show is 6 months -There are 20 teeth in the first set that appear, these are called the ‘milk teeth’ – Milk teeth show at the age of 2-3 years – From 5 years old and onwards milk teeth start to fall out -When children are 6 years old, permanent teeth start to come out – Larger teeth replace the milk teeth – Molars and incisors are the first permanent teeth to appear – Braces are sometimes needed to repair permanent teeth that are uneven. Chewing is good for the teeth however sweet sugary foods can cause decay. Encouraging every child to brush their teeth after each meal is vital. When the baby is born, he/she will already have 20 primary teeth, some which are fully developed in the jaw. Using a damp washcloth over the baby’s gums after feedings can prevent creating bad bacteria. Once the child has a few teeth showing, brushing them with a soft child’s toothbrush or rubbing them with clean gauze at the end of the day will help keep the teeth healthy if the routine is carried out daily. Babies can develop dental decay problems due to feeding habits not put into practice, for example putting a baby to sleep with a bottle in his or her mouth may be suitable in the short term however it can damage the baby’s teeth as the sugars from the juice or milk remain on a baby’s teeth for hours, they may eat away at the enamel building up a condition that is called ‘bottle mouth’. Signs of b ottle mouth are discoloured front teeth. This may lead to pulling out all the front teeth until the permanent teeth grow in. Times and a routine should be set to give children the bottle in order to help them prevent damage to their teeth. Children aged 1-3 should only use toothpaste if their cavity risk is high but then again the amount should be the size of a pea. Children who are aged 1-3 years with low cavity risk do not need to use toothpaste as a wet toothbrush is fine. From the ages 3-6, children again should use a pea size  amount of toothpaste which has to be applied by an adult. Children should be told and encouraged to spit out the excess after brushing their teeth. Bad TeethOutcome of Bad teeth Perfect teeth

To investigate and demonstrate how the different wavelengths of red and blue light differ by finding their focal lengths using a converging lens Essays

To investigate and demonstrate how the different wavelengths of red and blue light differ by finding their focal lengths using a converging lens Essays To investigate and demonstrate how the different wavelengths of red and blue light differ by finding their focal lengths using a converging lens Essay To investigate and demonstrate how the different wavelengths of red and blue light differ by finding their focal lengths using a converging lens Essay Aim To investigate and demonstrate how the different wavelengths of red and blue light differ by finding their focal lengths using a converging lens. Apparatus * Red and Blue LEDs (light emitting diodes) * Wires to connect apparatus together * Power supply and mains access to control voltage supplied to the LEDs * Ruler in cm and mm * Converging lens * Blocks to adjust height of components Safety This experiment is relatively safe and there are few hazards. However I will be aware throughout the experiment of the electrical components thus minimising any risk of electric shock. Although LEDs them selves do not get sufficiently hot enough to burn skin the wires may get quite hot if the current passing through them is high enough. If I conduct the experiment with a high voltage not only may the LEDs fuse, the brightness of them may harm my eyes if they are looked at continuously. To reduce this effect I shall have a small voltage but with a high enough brightness within the LED to obtain accurate results. Chromatic Aberration Different wavelengths are refracted by different amounts. The refractive index is different for different colours. This leads to an effect called chromatic aberration. A simple lens has different focal lengths at different wavelengths (Colours). This is because the different colours have been refracted through the glass with different amounts. A well made lens therefore will give a sharp image in any single colour but the image will be blurred by the out-of-focus images of all the other colours combined that will have focused at other points beyond the lens. This experiment should show by how much the two extreme visible colours (red and blue) are refracted. Variables There are many different variables within this particular experiment. For example, it is possible to move the screen or the converging lens or the LED or any combination of the three components. Any of these ways will result in a change in the lens to object distance (u) and therefore a change in the lens to image distance (v). Thus producing an average result for the focal length of a specific wavelength (colour). I will measure u and v by moving the screen and the converging lens. By using this method I will be able to obtain the largest amount of corresponding pairs without the need to an extensive amount of space to conduct the experiment. As one length increases the other should decrease and my readings should be more consistent then if the area I was working with was large. A larger working area would lead to a larger possibility of greater inaccuracies within my findings. I will also repeat certain values of u to obtain an average v thus a more accurate focal length. The quality of the lens will affect me from comparing my results to that of a similar experiment. This is because lenses have other aberrations to take into consideration, along with the specific quality of the glass (does the quality differ within a lens?) and the fact that a perfect lens will not produce a perfect image because the different wavelengths will focus at different points. Using all these varying factors it is possible to determine that it will be very unlikely for any two lenses to be exactly compatible. Method * Assemble all of the equipment. * Fasten a metre ruler onto a tabletop running horizontally and ensure that when you fasten the LED down to the end of the ruler the filament of the LED is at 0mm. * Adjust height of all the components to ensure that the centre of the lens is level with the LED filament. * Turn on the electricity and move the lens and screen until a focused image is produced upon the screen. * Take down both u and v distances onto a table. * Remove the screen and then place it down again and focus the image without moving the lens. * Record the second reading for v and repeat once more to obtain a third reading for the specific u. * Repeat for other u readings. * Tidy away the equipment properly. Data Treatment. All u and v measurements will be taken in mm and only accurate to a mm because thats the smallest possible division on the metre ruler. The lens formula: 1 + 1 = 1 u v f u = Object to lens distance (mm) v = Lens to image distance (mm) f = Focal length (the distance from the centre of the converging lens to the principle focus of the lens i.e. the clearest image distance) When analysing my data I shall draw a graph. 1/u = 1/f 1/v by rearranging the equation like this I am able to see that y = c mx. Y = 1/u C = 1/f M = 1/v I shall plot 1/u against 1/v. If my results are accurate I should find that because my scales will be the same and the pairings should correspond to each other. I will produce a graph with the gradient of -1. This will also give my straight line an angle of 45à ¯Ã‚ ¿Ã‚ ½ with the x-axis. The point where the graph cuts the axes should by the same and they should both correspond to 1/f. Prediction Graph: With my graph I will be able to draw both the minimum and maximum lines of best fit to obtain an uncertainty reading. If my two uncertainty readings overlap I can conclude that my experiment was not completely conclusive in demonstrating the aim. It is difficult to obtain precise readings for v because it is everybodys individual perception of a focused image that is recorded. All of my readings will be consistent because it is only me who is estimating when the image is focused, this ensures that is the images are not all precisely focused they will all be out by the same amount.

Free Essays on The Color Purple By Alice Walker

â€Å"The Color Purple† by Alice Walker is a novel that is written in letterforms. In the novel Alice Walker writes about several ideas, such as courage, friendship, and independence. â€Å"The Color Purple† is told through the eyes of a fourteen year old girl named Celie, who is repeatedly raped and impregnated by her stepfather. What does the color â€Å"purple† symbolize ? Why did Alice Walker title her novel the â€Å"The Color Purple†? The color â€Å"purple† is an important symbol because it concern the life of young Celie and the pains and sorrows she lives through. Alice Walker’s novel concerns the life of a woman through her life. â€Å"Alice Malsenior Walker was born on February 9, 1944 in Eatonton, Georgia, the eighth and youngest child of Minnie Tallulah Grant Walker and Willie Lee Walker† (Jackson). In 1982 Alice finished her novel "The Color Purple." â€Å"The Color Purple† is not like most novels. Writing the novel in letterform Alice Walker does not write a lot about the characters, the setting, and why the characters behave the way they do. When the novel opens, Celie is a young black girl living in Georgia in the early years of the twentieth century. She is an uneducated girl, and writes her letters in common language. Celie is entering her adolescence believing her father raped her and that he killed both of their children. She writes to god, because she has no one else to write to. Celie feels that what happened to her was so terrible that she can only talk about it to someone she feels loves her. Although she knows her younger sister, Nettie, loves her, she is too young to understand. Nettie has lived somewhat of an easier life. She was sheltered from the abuse by her older sister, and was always good at academics. When she ran away from home, she went to the house that Celie now shared with her husband, who is known as Mr._____ . Mr._____ had always wanted Nettie, but when she ... Free Essays on The Color Purple By Alice Walker Free Essays on The Color Purple By Alice Walker â€Å"The Color Purple† by Alice Walker is a novel that is written in letterforms. In the novel Alice Walker writes about several ideas, such as courage, friendship, and independence. â€Å"The Color Purple† is told through the eyes of a fourteen year old girl named Celie, who is repeatedly raped and impregnated by her stepfather. What does the color â€Å"purple† symbolize ? Why did Alice Walker title her novel the â€Å"The Color Purple†? The color â€Å"purple† is an important symbol because it concern the life of young Celie and the pains and sorrows she lives through. Alice Walker’s novel concerns the life of a woman through her life. â€Å"Alice Malsenior Walker was born on February 9, 1944 in Eatonton, Georgia, the eighth and youngest child of Minnie Tallulah Grant Walker and Willie Lee Walker† (Jackson). In 1982 Alice finished her novel "The Color Purple." â€Å"The Color Purple† is not like most novels. Writing the novel in letterform Alice Walker does not write a lot about the characters, the setting, and why the characters behave the way they do. When the novel opens, Celie is a young black girl living in Georgia in the early years of the twentieth century. She is an uneducated girl, and writes her letters in common language. Celie is entering her adolescence believing her father raped her and that he killed both of their children. She writes to god, because she has no one else to write to. Celie feels that what happened to her was so terrible that she can only talk about it to someone she feels loves her. Although she knows her younger sister, Nettie, loves her, she is too young to understand. Nettie has lived somewhat of an easier life. She was sheltered from the abuse by her older sister, and was always good at academics. When she ran away from home, she went to the house that Celie now shared with her husband, who is known as Mr._____ . Mr._____ had always wanted Nettie, but when she ...

Backbiting in Islam

Backbiting, according to Oxford Dictionary is â€Å"Malicious talk about someone who is not present. † It originated from the improper attack from the back in the sport of bearbaiting(1). The word in Arabic is pronounced as â€Å"Ghibah. † Prophet Mohammed (PBUH) defined Gibah as â€Å"Your mentioning your brother with something about him that he dislikes. † Islam considers backbiting as one of the major sins that a muslim person must not commit (2). This paper will cover reasons why it is prohibited, causes, backbiting non muslims, cure, and cases in which backbiting is permissible. Prophet Mohammed (PBUH) once said, to signify the wrongfulness of backbiting: â€Å"Whoever backbites a Muslim spoils his fasts and breaks his wudu, and shall come on the Day of Resurrection with his mouths stench more putrid than a carcass If he dies before repenting, his death is like that of one who dies while considering permissible that which is prohibited by God (3). † There are two main reasons why Islam prohibits backbiting: 1. Islam prohibits backbiting because it emphasizes on protecting peoples rights and feelings. Gibah could violates peoples rights and hurt their feelings; therefore, it is a serious sin. 2. Because of the fact that it is easy to commit, people usually disregard it and might feel that it is insignificant (2). Listening to backbiting is also considered a sin and sometimes the listener might be considered as a sinner a well, being in the same position of the backbiter. The messenger (PBUH) said in regards to that that â€Å"the listener is one of the two backbiters. † A person could be more sinful if he expresses his interest in the backbiter’s talk. In other words, saying something like â€Å"wow,† â€Å"Astaghfirullah† or â€Å"I didn’t know he would do such a thing† means that the listener is encouraging the backbiter to add something more (3). Causes People backbite each other for plenty of reasons. Imam Abu Hamid Al-Ghazali mentions in his book â€Å"Revival of Religious Sciences† several reasons why a person would backbite. One of the reasons is revenge, a person will gain satisfaction when he/she backbites someone since he avenged him or herself. Another reason is the influence of the people around the person. People sometimes feel pressured by their friends and sometimes the only way to fit in with the group is through participating in whatever that group is. Al-Ghazali also stated that some people have a desire to praise themselves through belittling others. In the same way, someone might bad-mouth another person out of jealousy (4). Joking and mockery is also a reason why people would backbite,and in regards to that Allah says in the Quran â€Å"O you who have believed, neither should men mock other men, it may be that these are better than they; nor should women mock other women, it may be that these are better than they It is an evil thing to be called by a bad name after faith. Those who fail to avoid this are wrongdoers.. † (Surah Al-Hujurat 49:11). Backbiting Non-Muslims It is generally discouraged in Islam because one characteristic of a good muslim is not to speak rudely or bad-mouth people. The prophet (PBUH) said: â€Å"The Muslim does not slander, curse, speak obscenely or speak rudely. †. However, Islam has a detailed ruling on backbiting the non-muslims. It can be divided into two cases or scenarios. The first type of backbiting non-muslims is one in which a person mentions the physical flaws of a another person such as having big ears or long nose. This is type is prohibited because your mockery of someone’s appearance is considered as if you’re making fun of Allah’s creation. The second of type of backbiting non-muslims is when you talk about his bad habits or behavior such as drinking alcohol or adultery. A lot of muslim scholars agree that there is nothing wrong with that if your intention is to warn people against him (5). Some muslim scholars talked about more specific cases regarding the backbiting of non-muslims. Zakaryia Al-Ansari, a leading Islamic scholar of the 15th century, said that it is prohibited backbite the non-muslim if he is dhimmi. 1 His reasoning is that it will put him off from accepting jizyah. 2 He backs up his reasoning by mentioning the Hadith of the prophet (PBUH) in which he said â€Å"Whoever makes a snide comment to a dhimmi has earned Hell. † Imam Al-Ghazali said that backbiting the dhimmi is forbidden because he is like the muslim â€Å"as far as not harming him is concerned. If the non-muslim is a harbi3, Al-Ansari said that it is permissible to backbite a harbi and he backs it by mentioning what happened when the messenger (PBUH) used to command one of his companions to satirize the mushrikeen4(5). Cases Where Backbiting is Permissible For every rule in Islam, there are exceptions and there are many cases where Islam allows backbiting(4). These Cases are: 1. unjustness. A person who suffered from injustice is allowed to mention the name of the person who committed injustice to someone who is capable of restoring his rights to him like a judge or a ruler of a city. If your intention is to change evil things or to prevent a person from committing a sin. If the intention is not to change evil, then ghibah is not permissible. 3. If you’re asking about a ruling on a point in Islam(Fatwa), then you may say that your brother, father, or wife has done such and such and you would like to know the ruling on that action. However, Islam encourages people to avoid mentioning names. The question can formulated as What is the verdict regarding a person who has done such-and-such? 4. If your intention is to warn people about the wrongdoing of a person. For example, it is permissible to warn people about a merchant who cheat people by selling them defective products. It is also permissible to reveal the faults of a person to someone who is asking you to evaluate that person whom the former is thinking of marrying. A legitimate evidence for is when Fatimah bint Qays when the prophet (PBUH) and asked him about two men who had proposed to her. He said As for Mu`awiyah, he is a poor man with no money, and as for Abu Jahm, his stick never leaves his shoulder. [Bukhari, Muslim, Malik]. It is permissible to perform ghibah if a person commits sins in front of people and does not have any qualms about his sins. However, It is prohibited to mention any of his secret sins. There can be no backbiting of one who casts off the mantle of modesty. 5 [Suyuti, Al-Jami` As-Saghir, 2/519, from Bayhaqi. ] Expiation A backbiter violates two infringements in Islam. One is the limits of Allah which must expiated by sincere regret and seeking forgiveness from Allah. A number of fatwas say that the backbiter must praise the person whom he backbit in his absence. The second infringement is in regards to people’s rights. The sin can only be expiated if person affected by ghibah forgives and pardons the backbiter. The messenger (PBUH) said that â€Å"Whoever has wronged his brother with regard to his honour or something, let him ask him for forgiveness before the time when there will be neither dinar nor dirham, and if he has any good deeds it will be taken from him in proportion to the wrong he did, and if he does not have any hasanat (good deeds), some of the other persons sayyiat (evil deeds) will be taken and given to him to bear. †

Possible Selves Assignment Example | Topics and Well Written Essays - 1000 words

Possible Selves - Assignment Example Kail and Cavanaugh (2013) elaborate that possible selves constitute powerful motivator for people to struggle towards achieving their dreams and live satisfying life. Reflective judgment theory explores and details ways in which people base their reasoning through real life dilemmas that concern and revolve around religion, personal relationships and science among others (Kail & Cavanaugh, 2013). According to reflective judgment theory, there are seven stages of judgment. The seven stages are in three groups, namely prereflective thought that covers stages 1 to 3, quasi-reflective reasoning that covers stages 4-5 and reflective reasoning that covers stages 6 and 7. According to Kail and Cavanaugh (2013), prereflective thought of the reflective judgment theory that covers stages 1 to 3 makes people regard knowledge as something gained through the word(s) of a higher authority or firsthand observation rather than through evaluative and analytical reasoning of evidences. People exhibiting this element believe that their knowledge about life issues is absolutely correct and certain. Students in high school or colleges tend to apply prereflective thought in the process of learning. Since they do not want to challenge the knowledge of perceived intelligent and correct lecturers and teachers, they simply believe and trust instructions and lectures with little intent to seek further evidence. Teacher or lecturer is usually a person of higher authority and knowledge and cannot give false instructions or concepts to the students (Zytowski & D’Achiardi-Ressler, 2011). Believing instructions as given is usually a show of obedience, respect and disc ipline, which constitute elements of the so-called â€Å"good students†. In addition, prereflective thought of reflective judgment enable students to read, believe and grasp research findings documented in books

The Lack of Professionalism within the NYPD's Applicant Processing Thesis

The Lack of Professionalism within the NYPD's Applicant Processing Division - Thesis Example The NYPD was established in the year 1845. However, it traces its roots as far back as 1625, when New York City was known as New Amsterdam (Wilson & Grammich, 2009). The NYPD is a combination of different forces which include Transit Police and New York City Housing Authority Police Departments the latter of the two being integrated into NYPD in 1995. The NYPD offers a number of services such as air support, criminal intelligence, public housing, narcotics among others. The mission of the department is to "enforce the laws, preserve the peace, reduce fear, and provide a safe environment." The department is made up of both sworn officers and support staff. The NYPD has been faced by many problems since its inception. There are many challenges that the department needs to overcome so as to live true to its mission. The department has a division known as the Recruit Processing Division. The recruit processing division is charged with the important task of determining who gets to join the NYPD. The task of recruiting for the NYPD does not reach the required standard and, there is need for an overhaul. This paper looks at the problems which affect the recruit processing department (RPD). The paper analyses the source of the problems and, their impact on policing. Finally the paper makes recommendations which, if implemented, would help in professionalizing the NYPD. I am grateful to Professor Jeffrey Katz and Suzanne Murphy, my Thesis advisors. I am indebted to them for the useful insights they gave while I was writing this work. Their input was useful in helping me to come up with the topic and also giving me guidelines on how to go about researching in such a difficult field. I am also grateful to my family who gave me useful insights on how I would improve my research and to cohort 117 for keeping me motivated. I appreciate those who read through my drafts and gave me tips on how I would improve my work. I am also very grateful to Manhattan College School of Continuing and Professional Studies for offering the resources which made the research for my thesis easier. Chapter One 1.0 Introduction The New York Applicant Processing Department (NYPD) is within the New York Police Department. The primary role of the division is getting candidates suitable for employment in the NYPD. This is a critical department since it sets the tone for policing

Future of Moderinization Essay Example | Topics and Well Written Essays - 1000 words

Future of Moderinization - Essay Example The central concept in the study of social change is modernity, where social patterns emerge from the lap of industrialisation. In everyday terms, modernity refers to the present in relation to the past. Sociologists use this gross concept to describe different social patterns, set in motion by the Industrial Revolution of Western Europe during mid-eighteenth century. Modernisation, then, is the process of social change begun by industrialisation. Modernity shelters â€Å"the progressive weakening, if not destruction, of the . . . relatively cohesive communities in which human beings have found solidarity and meaning throughout most of history† (Berger, 1977, 72). Small, isolated communities still exist in the United States, but they are sheltering only a tiny percentage of the nation’s population. These days, any physical isolation is only geographic: Cars, telephones, television, and computers give most far-flung and remote families the pulse of the larger society and the accessibility to the entire world. People in traditional, preindustrial societies lived their lives as at mercy of forces that is gods, spirits, or simply fate that is beyond any human control. As the power of tradition weakens, people come to see their lives as an unending series of options, a wide-open cielo of choices. Modernisation introduced a more rational and scientific viewpoint as tradition loses its hold and people adopted more and more individual choice. The growth of cities, the expansion of impersonal bureaucracy, and the socio-cultural mix of people from various backgrounds combine to encourage diverse beliefs and behavior. Modern people are not only forward-looking but also optimistic about new inventions and discoveries, which will improve their lives. Modern people organize daily routines down to the very minute. With the introduction of clocks in the late Middle Ages, Europeans began to think not in terms of

Statistical genetics Term Paper Example | Topics and Well Written Essays - 1250 words

Statistical genetics - Term Paper Example Genetic association assists in finding out if a trait associates with a genetic variation. Statistical exploration of the responsible factors helps to accomplish the objectives. Ideally, genetic linkage is a characteristic of proximal location of genes on a chromosome to cause group inheritance. There is a less likelihood of separation of genes located together. Scientists use linkage maps to determine the position of genetic markers or genes relative to one another. Newton Morton developed a statistical test, LOD score useful in linkage analysis. LOD scores relate the likelihood of finding test data in case there is a linkage in the loci (Posthuma 175). Linkage analysis falls into two groups namely parametric and non-parametric. Parametric analysis adopts that models unfolding the maker and trait loci are well known without any error while the nonparametric analysis makes diminutive axioms regarding the trait model or simply put, it ponders all pedigree information. Linkage disequilibrium is used to describe DNA recombination. Generally, linkage concerns the physical segments of the genome that gives characteristics to a given trait. Various statistical methodologies have been useful in detecting genetic variation and analyzing genotype data. In the recent years, scientists have come up with high quantity genotyping technologies that are cost-effective and assist in understanding the genetic basis of phenotypes of interest. The presence of many SNPs has facilitated the success of statistical genetic studies. The first step in gene mapping used to be linkage analysis (Lin & Hongyu 103). SNPs that have close relationship as far as proximity is concerned can easily co-segregate as a result of linkage disequilibrium. Association mapping is based on theoretical allelic association, which has been more apparent in recent years. The two main approaches that scientists use to map genetic loci are association and linkage analyses. Factors that are

Bipolar Disorder Essay Example | Topics and Well Written Essays - 750 words - 1

Bipolar Disorder - Essay Example However, with new technology and research, there are many new opinions about the treatment of the disorder and the prognosis for those who are suffering. The purpose of this paper is to explore the prognosis for those with bipolar and how this links to research on causes and treatment. As shown below, it is evident that there are a huge number of treatment options for those with bipolar disorder and this means that the prognosis for many with the illness is positive and can be long-lasting. To understand the prognosis for people with bipolar disorder, it is interesting to consider what the disease is and how it affects those who have it. As outlined above, it is a rollercoaster of highs and lows which can be spaced far apart or can happen in a matter of hours or even minutes. In her book Bipolar Disorder, Judith Peacock states that people "who have bipolar disorder experience extreme changes in mood, energy and behaviour" and that sufferers "cannot control their mood changes" (Peacoc k, 2000, p6). This just shows that it is a difficult disease to deal with and that it cannot be controlled without help. It can obviously often be frightening for sufferers as their mood changes without them knowing why. However, it is important to note that help can be found from many different places. Peacock (2000) goes on to explain many of the treatment options for bipolar disorder. These can be based upon therapy or controlling the symptoms using drugs, both of which will be explored later. However, it is important to note the word control here. It is stated that bipolar disorder "cannot be cured, but the symptoms can be controlled. People with bipolar disorder can learn to manage their illness" (Peacock, 2000, p52). This is interesting because most people think that a good prognosis for a disease is one where it can be completely cured, but it is important to note that bipolar disorder is more complicated than some purely physical diseases. There are a number of different thi ngs to consider. In this case, it is important to note that it can be managed and that it is a learning process. In their book Bipolar Disorders: Clinical Course and Outcome, Joseph F. Goldberg and Martin Harrow explore in more detail the different types of treatment for bipolar and how this leads to a positive outcome. One of the most important drugs in treating patients with bipolar is lithium. In the book, physicians are described as regarding "lithium as the standard of care for the long-term management of bipolar disorders, expecting a marked improvement in up to 70% of cases" (Goldberg & Harrow, 1999, p3). Lithium is often used alongside therapy, which means that it can contribute to a good prognosis in much more than 70% of cases, but some people may need extra help. Evidently, a huge number of people can rely on lithium to control their symptoms. However, there are some people who cannot rely on lithium alone. Goldberg & Harrow (1999) also go onto explain that the prognosis for people with some types of bipolar might be even better than 70% and may not need controlling permanently. This can happen for women who experience bipolar disorder after they have given birth or during pregnancy. These types of cases can often lead to a huge improvement with short-term treatment. Also, the book notes that one study showed

Proton exchange membrane fuel cells Essay Example | Topics and Well Written Essays - 5000 words

Proton exchange membrane fuel cells - Essay Example mstance, the development of fuel cells helps in reducing dependence on fossil fuels hence reducing the levels of toxic and poisonous emissions to the atmosphere. However, this form of energy exemplified by proton exchange membrane fuel cells has to compete with reliability, cost and energy efficiency with established energy sources. The commercialization of the proton exchange membrane fuel cells are closely related to vital materials considerations including performance, durability and cost. The major setback is to find a combination of materials that will give a valid outcome on the basis of the above three mentioned factors. The proton exchange membrane fuel cell is also referred to as the polymer electrolyte membrane fuel cell. This is so because the name variant depends on the type of electrolyte employed in the model. When the membrane is conveniently hydrated, the fuel cell is referred to as the polymer electrolyte membrane fuel cell. In this case, there is high conductivity of protons across the polymeric membrane. Various state of the art proton exchange membrane fuel cells have been developed. Exemplified by thinner membranes of less than 40 micrometers and smaller Pt/C electrodes, some fuel cells have been devised for cost reduction. However, these models have demonstrated significantly less operating time of close to 15, 000 hours. This called for the invention of an ion-conductive polymeric membrane as a gas electron barrier. This idea was first coined by William T. Grubb of the General Electric Company in 1955. Currently, the most widely employed membrane electrolyte is DuPont’s Nafion . This is because it possesses good chemical and mechanical stability in the challenging proton exchange membrane fuel cell environment. Basically, the physical structure of the proton exchange membrane fuel cell comprises of seven components. These are feeding channels, diffusion layers, catalytic layer in the anode, membrane; catalytic layer, diffusion layer and

Bipolar Disorder Essay Example | Topics and Well Written Essays - 750 words - 1

Bipolar Disorder - Essay Example However, with new technology and research, there are many new opinions about the treatment of the disorder and the prognosis for those who are suffering. The purpose of this paper is to explore the prognosis for those with bipolar and how this links to research on causes and treatment. As shown below, it is evident that there are a huge number of treatment options for those with bipolar disorder and this means that the prognosis for many with the illness is positive and can be long-lasting. To understand the prognosis for people with bipolar disorder, it is interesting to consider what the disease is and how it affects those who have it. As outlined above, it is a rollercoaster of highs and lows which can be spaced far apart or can happen in a matter of hours or even minutes. In her book Bipolar Disorder, Judith Peacock states that people "who have bipolar disorder experience extreme changes in mood, energy and behaviour" and that sufferers "cannot control their mood changes" (Peacoc k, 2000, p6). This just shows that it is a difficult disease to deal with and that it cannot be controlled without help. It can obviously often be frightening for sufferers as their mood changes without them knowing why. However, it is important to note that help can be found from many different places. Peacock (2000) goes on to explain many of the treatment options for bipolar disorder. These can be based upon therapy or controlling the symptoms using drugs, both of which will be explored later. However, it is important to note the word control here. It is stated that bipolar disorder "cannot be cured, but the symptoms can be controlled. People with bipolar disorder can learn to manage their illness" (Peacock, 2000, p52). This is interesting because most people think that a good prognosis for a disease is one where it can be completely cured, but it is important to note that bipolar disorder is more complicated than some purely physical diseases. There are a number of different thi ngs to consider. In this case, it is important to note that it can be managed and that it is a learning process. In their book Bipolar Disorders: Clinical Course and Outcome, Joseph F. Goldberg and Martin Harrow explore in more detail the different types of treatment for bipolar and how this leads to a positive outcome. One of the most important drugs in treating patients with bipolar is lithium. In the book, physicians are described as regarding "lithium as the standard of care for the long-term management of bipolar disorders, expecting a marked improvement in up to 70% of cases" (Goldberg & Harrow, 1999, p3). Lithium is often used alongside therapy, which means that it can contribute to a good prognosis in much more than 70% of cases, but some people may need extra help. Evidently, a huge number of people can rely on lithium to control their symptoms. However, there are some people who cannot rely on lithium alone. Goldberg & Harrow (1999) also go onto explain that the prognosis for people with some types of bipolar might be even better than 70% and may not need controlling permanently. This can happen for women who experience bipolar disorder after they have given birth or during pregnancy. These types of cases can often lead to a huge improvement with short-term treatment. Also, the book notes that one study showed

Women at point zero and Dolls House Essay Example for Free

Women at point zero and Dolls House Essay She declares that as a prostitute [she] [is] not [herself], [her] feelings did not rise from within [her] (85). She [makes] no effort, [expends] no energy, [gives] no affection and [provides] no thought (86) when she sleeps with men. The parallelism displays the stealth and disgust Firdaus feels when she is making love with them. This reminds the reader that she shared no intimacy with the men, and she only sleeps with them in order to earn her daily bread. The diction shows that her life is void of feelings and emotions; she appears to be robotic. In contrast, Nora in A Dolls House hides her true feelings and pretends to be desperately in need for help because she wants to stop her husband from reading the letter that could damage their relationship. She needs to act like a docile wife who [couldnt] get anywhere without [his] help (85). she knows that hes so proud of being a man (36). She also lies to Torvald and conceals the truth about her loan because she knows that the truth will hurt his ego. This portrays how well she understands the standing of men in society. She finally has the courage to say No! (98) and this transforms her into a confident woman. The aggressive tone displays the anger and rage in Firdauss heart. After she thrusts aside her anger by killing the pimp she could walk with her head high with the pride of having destroyed all masks to reveal what is hidden behind (96). The real Firdaus is seen after she finds the strength to fight back. The word choice and mood reveals the feelings of happiness Firdaus experiences after she puts aside all the disguises and masks. Firdaus is still vulnerable to men because she has something to lose. When she kills the pimp and later tears up the princes money, Firdaus finally proves that she has control over herself. Moreover, in A Dolls House, Nora also [takes] off [her] fancy dress (96) when she realizes that [she has] been [Helmers] doll-wife (98) and had never had any personal opinions. She realizes that [she] must educate [herself] (99) and try to find out [her] own answers (100). Throughout the play Nora uses exclamatory and childish language. The use of direct language in her dialogues in the climax of the play shows the emergence of a strong and independent woman. Throughout her life she had avoided to face the hardship and realities of life by putting on a disguise but she now realizes that she has been living a lie. She casts aside her fai ade and becomes a changed person. Both Firdaus and Nora execute controversial acts in order acquire freedom. While Firdaus does the unthinkable when she murders a pimp, Nora also breaks the image of the typecast nineteenth century European wife when she leaves her family in order to discover truths about herself and live life on her own terms. Firdaus realized from the beginning that she was a blind creature that could neither see [herself] nor anyone else (41), nevertheless she didnt break free till the end. On the other hand, Nora realization is an on-going process throughout the play. The letter just acts as a catalyst to instigate her to make the divisive decision in the end. Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Miscellaneous section.

Contemporary Issues In Health Policy Health And Social Care Essay

Contemporary Issues In Health Policy Health And Social Care Essay Expert knowledge; published research, existing research; stakeholder consultations; previous policy evaluations; the internet; outcomes from consultations; costing of policy options; output from economic and statistical modeling. This essay will explore the ontogenesis of evidence based health policy making whereby according to Buse et al (2005, p.6) health policy is assumed to embrace courses of action (and inaction) that affect the set of institutions, organizations, services and funding arrangements of the health system. The essay will use various case study examples to highlight the roles played by evidence from research, social and bureaucratic point of view. The National Institute for Health and Clinical Excellence (NICE) in 1999 gives advices on the betterment of acceptable health guidelines for prevention and treatment of diseases in England and Wales. The concept of policy making was not well know before as it these days. The two fundamental rationale for the establishment of health policy includes change in the public health policies and the health care policies ( Gray, p.95, 2001). Public health policy refers to improving the physical, social and biological surroundings. Health care policy refers to financial and administrative changes (Gray, p.95, 2001). Recently the policies are established based on evidence which was not the case before. Health policy making used to be more of recommendation or suggestion based in the past. Quantitative research evidence is likely to be more appreciated in delivering health services (Rycroft-Malone et al 2004). The rise of evidence based healthcare took place in the 1990s in such a way that healthcare researchers, professionals and the health system adopted research evidence for research in clinical decision making. This rise was entitled as evidence based healthcare movement (Davidoff et al. 1995; Sackett and Rosenberg 1995). The terminology evidence based policy has emerged from the notion of evidence based practice, both of them being ushered from evidence based medicine (EBM). The origin of EBM extended back to the mid 19th century in Paris (David L. Sackett 1997). EBM is widely used in the United Kingdom and in the United States by policy creators and therapist for promoting health and treating illnesses which signifies that EBM has both informative and scientific role . The development of evidence based healthcare was driven up by research-practice gap which means that it took long time for the effective interventions to come into clinical practice and it also took a long time to discard the interventions which were ineffective (Antman et al 1992). The problems of these interventions were classified as underuse, overuse and misuse by the Institute of Medicine (1999). For patients suffering grom heart attack , thrombolytic treatment for myocardial infarction is used as a treatment which decreases the chances of the patient to get another heart attack and it also decreases the mortality rate (Walshe, 2006, p.480). Since it had an evidence of a decade or more it became the poster child for the EBM movement. Example for overuse : merger of an organization due to difficulties in service quality, volume and monetory viability. Example of underuse : substitution of GPs with health care professionals for providing the basic healthcare treatment. It generall y involves the primary care and accident and emergency departments. Example of misuse : The fosterage and application of total quality management (TQM) (Walshe, 2007, p.481). Development of basis for evidence involves 8 principles (Kelly et al 2007) : Princliple 1: An assurance to the value of equity. Principle 2: Acquiring an evidence based proposal. Principle 3: Variance in technology. Principle 4: Gradients and gaps. Principle 5: Social values and its result. Principle 6 and 7: Social structure and dynamics. Principle 8: Clarifying partiality. The new labour government which was formed in 1997 declared publically that what matters is what works, directing a reform from imaginary or visionary theorization to a more practical and technological approach in which a negligible role would be played by evidence of effect and impact (Cabinet Office 1999). A variety of reports and data were generated by the Cabinet office and National office for evidence in policy making and the centre for Evidence Based Policy and Practice has been supported by Economic and Social Research Council (ESRC) (Jennifer Dixon, p.481, 2006). For conducting standardized and organized survey of the best evidence on the effects of social and educational policies and practices, The Campbell Collaboration was established (The Campbell Collaboration 2003). In 1997 the Canadian Health Services Research Foundation (CHSRF) was established by the government funds and its aim is to assist evidence based decision making in various health sectors( Dixon, p.481, 2006) . Health policy process involves diverse universal bodies like World Health Organization, the World Bank and the World Trade Organization (Rob Baggot, p.199, 2007). Health Policy Process also comprises of the nation states and their alliances, the G8 group of nations being eminently prevailing. Health policy is also influenced by a wide range of non-governmental organizations which represents professional and sectional interests as well as take up a position from which they can examine bureaucratic policies and recommend policies of their own (Chris Ham et al 1995). Health policy in the UK is formulated by authorities outside its communal horizon. The three key elements include global influences, international institutions and organizations as well as multinational corporations (Rob Baggot, p.197, 2007). Sackett and colleagues (1996) distinguishes EBM from EBP, and defines EBM as meticulous, accurate and wise application for the care of individual patients using current evidence in decision making whereas EBP is more about policy decisions for a group or bunch of people and not individual patients. In case of EBM randomized control trials are carried out which can raise certain arguments about outcomes, which is not the case with EBP. Black (2001) specifies that EBP in not merely a continuation of EBM but it differs qualitatively. The outcomes for policy generally depends on peoples thinking and judgemental behavior (Sackett et al 1996).There are two types of critical commentary for EBP, the first being internal critical commentary, which focuses on the appropriateness of the diverse range of methods for gathering, analyzing and using evidence as a foundation for recognizing and enhancing policies ( Head n.d.).. The external commentary is the second type of critical commentary which focuses on in what manner and place are the EBP benefaction more effective and the way in which they fit into the broad picture of policy debate and evaluation ( Head n.d.). Morgan (2010) recognizes six factors that forms the base for the growth of evidence based health policy (EBHP). They are as follows : The significance and advantage of having multi-disciplinary unit. The requirement to possess ample evidence substructure to draw upon. The indirect correlation between policy and research. The demand for policy exertion to be locally sensitive. The advantage of stakeholder engrossment. Aid from the national Government. These six factors yields a powerful foundation on which EBHP may be established (Morgan 2010). If these above mentioned factors are not satisfied in evidence based health policy then the consequence may be resistance of policy change. According to Carolyn Tuohy (1999, p.14) reformation occurs at certain favourable times and not others and it involves not only health care arena but also the political system. In addition, Tuohy (1999, p.14) mentions that reformation is influenced by various parameters such as history, series of reform and evidence based choice and two other terms which she outlined as institutional mix and structural balance. She describes institutional mix as the eveness of power between three main forms of social control : state hierarchy or authority based control; professional collegiate institutions or skill based control and market or wealth based control. She refers structural balance as the evenness of power between the three main stakeholders : the state, healthcare professionals and private financial interests. Tuohy argues that reform of healthcare would be different across different countries and would be incremental most likely. Evidence based health care focuses primarily on safety measures, analysis, detection and care of health related problems ( Haynes et al 1998). It is also important as well as necessary that the evidence based policy should be put into practice at the right pace, in the right position and in the right manner ( Haynes et al 1998). The outcome of the policies that are not designed properly or not tested may be detrimental (Tunis et al 2003). The data (i.e. efficacy and effectiveness) obtained for patients treatment is important but is not relevant for policy makers when it is considered for the constitution or implementation of regulations (Sturm et al 2002). Policy makers require evidence about healthcare proposals rather than efficacy and effectiveness data. According to Sturm et al (2002) randomized trials tend to be difficult in acquiring the information because RCT requires vast samples and a large unit, lesser duration would leave negligible time for conducting complex randomized studies and lastly there is a frequent change in the policy and healthcare arena. Ministers and civil servants must be willing to indulge themselves in the result monitoring which channels policy making (Ham, 1999, p.202). The clinicians and managers are not able to seek the evidence based practice because it is difficult to find the correct evidence for assisting decision making. The group of people who have high expectations for high quality evidence includes the clinicians, physicians, health policy makers, common public, patients and health care administrators (Tunis et al 2003). Amongst all of them patients and physicians more concerned for high quality evidence. The patients and physicians are guided by medical professional socities for shaping medical conclusions (Tunis et al 2003). Evans (2005) had analyzed the current reforms for over 11 European countries mentioned in the Journal of Health Policy Politics and Law. Evans (2005) observed that the reforms over the past 50 years were analogous , i.e. variation in the reform but parallel development. There are two apparent aspects of reform. The first aspect being the collection of payments for healthcare either by taxation or by mandatory social insurance which was linked to the World War II. The second aspect was the cost which was drive up by the highly motivated and intelligent opponents like the general practitioners and the pharmaceutical industries (Evans 2005). Nutley et al (2002) points out that a very narrow range of evidence is used by the United Nations in the public sector, precisely for research and statistical data, evaluation of policies and proficient information. According to Maynards (2005) observation the inadequacy of transperancy in describing public policy goals, creating trade-offs and allineating incentives was due to the underpinning of poor evidence of reforms in Europe. Evidence can be graded in terms of effectiveness in the National Service Framework on Mental Health (Department of Health ,1999) Type I evidence at least one good systematic review, including at least one randomised controlled trial. Type II evidence at least one good randomised, controlled trial. Type III evidence at least one well-designed intervention study without randomisation. Type IV evidence at least one well-designed observational study. Type V evidence expert opinion, including the opinion of service users and carers. Subtler strategies would be required by the clinicians to alter their usual procedure as evidence in itself is not adequate (Dopson et al 2002). Systematic reviews of RCTS are carried out in order to overcome inadequate evidence. These RCTs were reinforced by the development of Cochrane Effective Practice and Organization of Care (EPOC) team. Social values and political beliefs plays an important role in the development of evidence based health policy (Kelly et al 2007). A combination of social and political determinants of evidence on health would lead to a powerful response. Social beliefs produce injustice in health amongst the different classes of people. The rich and powerful population has got easy access to health services in comparision to the poor people who die at a younger age (Kelly et al 2005). The description and measurement of social determinants of health is a complex process. The psycho social model suggests that biasness based on the social status of an individual leads to stress which in turn produces a disease because of neuroendocrine response (Karasek 1996; Siegrist and Marmot, 2004; Evans and Stoddart 2003; Goldberg et al 2003). Environmental factors, proper sanitation and pure water, balanced diet, vaccination and good housing are essential for improving health (Graham et al 2004). Apart from socia l values and political belief situational factors like an earthquake or draught or some epidemic are also responsible for processing and implementation of policies (Buse et al 2005). Case Studies : Case Study 1 : Topic: European union policy on smokeless tobacco : a statement in favour of evidence based regulation for public health (Bates et al 2003). The significant aim of tobacco control campaigning is reduction of ailment and death from malignancy, cardiovascular disease and lung disease. Bates et al (2005) case study is about the ill effects due to tobacco and substitution of tobacco by smokeless tobacco. Tobacco contains an addictive substance called nicotine and because of nicotines addictive property many users are not able to quit smoking. Smokeless tobacco is considered to be les injurious as compared to smoking cigarette and there was a proof from Sweden which implies that it is used as a replacement for smoking and smoking cessation. This substitution is substantial argument which depicts that Sweden has the least tobacco related diseases. It is difficult for chain smokers to quit smoking but an alternate option to it could be meagrely dangerous forms of nicotine replacement therapies (NRT) may also reduce harm. Proofs from Sweden implies that snus can be used as a replacement against smoking and it has half mortality rate in comparision to other EU. Chewing tobacco like guthka and paan are officially forbided in the EU but is eminently lethal and Bates et al (2003) suggestion might eradicate more products from the market. In the entire Europe, Sweden ranks least smoking prevalence for male and female. Snus is 90% less injurious as compared to cigarette and the mortality rate can be declined if we use it in a limited manner. Smokeless tobacco is also harmful but to a lesser extent as compared to tobacco. For eg, the products made of smokeless tobacco in India and USA leads to oral cancer. In india the prime reason for oral cancer is smokeless tobacco. Diseases related to deaths in Europe due to smoking includes chronic obstructive pulmonary disease (COPD) and lung disease. However, smokeless tobacco do not produce these above mentioned diseases. A complete ban on the products that are least injurious forms of smokeless tobacco should be substituted by a regulation for all products that are smokeless instead and the products that are seriously harmful to the society should be eliminated. This policy is fair, rational, beneficial for chain smokers, self control might be developed amongst the smokers, toxicity controls would be applied and it might prove to be beneficial worldwide. Case Study 2: Topic: Translating research into maternal health care policy: a qualitative case study of the use of evidence in policies for the treatment of eclampsia and pre-eclampsia in South Africa: (Daniels et al 2008). Deaths of pregnant women and infants due to eclampsia and pre-eclampsia is one of the prime concern of the society. A qualitative case study approach was used in South Africa for analyzing the policy procedure. This case study explores about the usage of magnesium sulphate in curing pre-eclampsia and eclampsia in South Africa from 1970 to 2005 for which RCTs and systematic analysis were carried out. Pre-eclampsia and eclampsia are one of the prime reasons for maternal and infant morbidity and mortality universally and this is the case generally in developing countries. South Africa did not have a national maternal care policy before 1994 and hence every institution had its own guidelines for treating eclampsia and pre-eclampsia. In the mid 1990s the democratic government changed and various health policy reforms took place which resulted in the formation of new national policies for maternal care. These policies were evidence based and evidence was generated from RCTs and systematic reviews. The new government identified the health of females and children as a first concern and gave greater importance to it. The new government engaged academics in policy making from local networks in the National Department of Health. The local academics had much more understanding of evidence based practice and they used their strategies for policy process. The research identifies that affiliation amidst knowledge generation and application is critical thus research in healthcare policy making is also converted into an attempt to study. If pregnant females are suffering from hypertension it may lead to her death. Hypertension was regarded to be the main cause of death for females in 1998. Evidence was generated from research by doing two multi-center RCTs and three systematic reviews which shows that magnesium sulphate is effective in curing eclampsia and pre-eclampsia. Garner et al elucidates that in 1995 a survey was carried out which shows that magnesium sulphate was the most promising drug in curing eclampsia. This study thus uses evidence from research for developing guidelines and policies for maternal health. Case study 3: Topic: The impact of Chinas retail drug price control policy on hospital expenditures: a case study in two Shandong hospitals(Meng et al 2005). This is a retrospective case study which deals with the cost reduction of retail drugs and medicines in two Shandong hospitals in China. For the past two decades the pharmaceutical expenditure in China is found to be more than the overall economic growth (Wei 1999). Pharmaceuticals contributed to about 44.4% of the total health cost in 2001 in China. Hence the Chinese government adopted a systematic approach in cutting down the costs of retail drugs. In order to bring a change in the retail costs of drugs the financial data and records were viewed and analyzed. For the examination of the changes in the cost tracer condition approach was used and cerebral infarction was the health issue. About 104 and 109 cases of cerebral infarction were selected from the two hospitals prior to reform as well as after reform. The usage of drug was measured on the basis of prescribed daily dose (PDD). The usage of the drug after reform can be viewed from the literature of the hospital. But it was obse rved that even after implementing the pricing policy in the two hospitals the usage of drugs increased rapidly. In the provincial hospital there was a significant decrease in drug utilization whereas in municipal hospital there was a drastic increment of 50.1% even after reform. The provincial and municipal hospitals spent about 19.5% and 46.5% of the expenditure respectively on the top 15 drugs for treating cerebral infarction whose costs have been decided by the government and this took place after reformation. Allopathic drugs accounted for about 65% and 41% in the provincial and municipal hospitals respectively, though it did not had sufficient evidence for safety and efficacy in treating cerebral infarction. The Chinese government brought about a change in its policies for drug pricing after 2002 so that a control over the pharmaceutical expenditure could be made. In order to overcome the conflicts in pharmacy settings, countries such as Sweden approached direct salary compensation of the pharmacists. The drugs which came under the category of Urban Health Insurance Scheme were set up by the State Commission of Development and Planning. Policy makers have made a number of efforts in order to reduce the cost of pharmaceuticals. Various initiatives taken by the policy makers include preparation of a drug list, sharing costs for various schemes on health insurance, monitoring the GDP of hospitals and marking up regulations. The drug list includes two types of drug: Part A and Part B. Central government decides the cost of drugs for Part A and Part B but Part A drugs are generally used by the retailers whereas Part B drugs are used by the provincial government. Utilization of the drug along with the price determines the drug expenditure hence there should be rational usage of drugs and the prescribers should use various strategies for controlling drug expenditure. Conclusion : According to Walt (1994, p.1) since health policy is about power and processà ¢Ã¢â€š ¬Ã‚ ¦. It is concerned with who influences whom in the making of policy and how that happens. Health policy is all about decision making, consistent approach, expertise knowledge and positive action and it is emanated by senior officials, directors, ministers and government bodies. Evidence based policy stimulates a crystal clear and parallel application of evidence in health policy framework. Policy making is influenced by various social values and political belief like racial minority, holy belief, statistical features, unhealthy conditions and contagious diseases. Evidence based healthcare movement brought about a drastic change in the 1990s for the development of health protocols. Scientific research or RCTs play a key role in the development of EBP making. Incorporation of the contemporary nonpareil evidence would decline the hindrance between the creation of evidence and its appliance, and there would be an increment in the bulk of patients to whom the best treatment is offered. Bates case study is more of social belief because the public should co-operate with the health professionals to quit smoking. Even though he replaced tobacco by smokeless tobacco, it is still harmful to health. From the above mentioned case studies it can be observed that not all the health policies are implemented because of issues related to the government or the common public. Policy makers in the earlier period were not aware of the health protocols in depth as they are today and this awareness among the policy makers is brought by reformation in the public health protocols and the healthcare protocols. The support and approval from the government is mandatory for the implementation of the policy which indicates that political support plays more important role than the social support in developing policy.