Sunday, August 18, 2019

Midnight Express Essay -- essays research papers

Midnight Express   Ã‚  Ã‚  Ã‚  Ã‚  Billy Hayes becomes desperate at the end of the movie. He realizes that he will never be released and so when he finds the money his girlfriend hid for him, he is moved to try and escape. He tries to bribe Hamidon to let him out. Hamidon takes the money but takes him to an empty room where he is planning on beating Billy. He takes off his gun and puts down his stick. He starts beating Billy. He stops and begins to pull his pants down. Billy seizes this opportunity and pushes him, knocking his head into a peg on the wall killing him. He then puts on Hamidon’s clothes, takes his gun and leaves the prison. He is finally out and makes it across the border into Greece.   Ã‚  Ã‚  Ã‚  Ã‚  If I were put into that situation, I think I woul...

Saturday, August 17, 2019

Main Themes in a Farewell to Arms

Written in 1929 by Ernest Hemingway, A Farewell to Arms has always been considered a classic piece of literature. A major source of the novel's success is how its themes tied into real life experiences during the First World War. While soldiers of the war fought for their country, they searched for love to escape total chaos and destruction. The two main themes in A Farewell to Arms are the gruesome reality of war and the relationship between love and pain. The first main theme of A Farewell to Arms is the devastation that war brings. Just as the title explains, A Farewell to Arms deals primarily with the process by which the protagonist, Frederic Henry, disconnects himself from the war and leaves it behind. While there are a few characters in the novel who actually support the effort, such as Ettore Moretti, a majority of the characters remain uncertain about the war, angry of the complete devastation it causes, and unconvinced of the splendor it supposedly brings. For example, while Henry and Passini discuss the war, Henry says, â€Å"I believe we should get the war over†¦ It would not finish if one side stopped fighting. It would only be worse if we stopped fighting† (Chapter 9, Page 49). The second main theme of the novel is the connection between love and pain. While the war takes place, Hemingway depicts the true, mysterious behavior of love. Although Catherine mourns for her dead fiance, she quickly begins to seduce Henry. Her intentions for courting Henry are obvious, that is she wants to separate herself from the pain of losing her fiance by finding a new love to fill the void. Likewise, Henry attempts to distance himself from the war as much as possible. By doing so, Henry and Catherine find comfort within each other from the dilemmas that surround them. Just like they fell in love with each other, Henry's feelings for Catherine pass just as quickly as he witnesses her death. As he gives farewell to Catherine's body, Henry says, â€Å"But after I got them to leave and shut the door and turned off the light it wasn't any good. It was like saying good-by to a statue. After a while I went out and left the hospital and walked back to he hotel in the rain† (Chapter 41, Page 332). Although Henry and Catherine genuinely loved each other, Henry's heart is now void without the companionship of Catherine. The tragedy of A Farewell to Arms is that their love, although authentic, can never be more than temporary. In my opinion, I enjoyed this novel for a few reasons. First, A Farewell to Arms is a semi-autobiography about Hemingway and his time fighting in the Italian campaigns during World War I. Secondly, the novel is able to give perspective of the troubles and triumphs of those soldiers that fought during the war. Finally, the mysterious love that Henry and Catherine have for each other proved to be interesting and unusual. In conclusion, A Farewell to Arms proved to be a masterpiece in my opinion. While addressing the struggles and feats of those soldiers who fought during World War I, we are able to dive into the conscious of a unique fighter who parts himself from the war as much as possible while trying to find true love, even though the reasoning behind finding love was only to help escape from the war.

Friday, August 16, 2019

Technology and Health Care

Introduction Now more than ever, the advances in technology have accompanied the health care delivery system in providing efficient and effective treatment and management for a wide range of patients. According to an article on â€Å"Medical Technology†, â€Å"from gene therapy to tissue engineering to telepresence medicine, the proliferation of new technology promises even greater improvements in patient care, health status, and quality of life† (ct.gov, n. d., p. 89). Nevertheless, the advent of these developments considerably affects the health system, in general. Thus, this paper aims to describe the uses of technology for patient management and its impact on health care and health status.Findings The uses of technology for patient management comprise an array of services that would include new medical and surgical procedures, drugs, medical devices, and new support systems. Indeed, these services had undergone innovative changes during the past years to cater the n eeds of the patients. These facts are exemplified in the following sections of this paper, as quoted from reliable references. â€Å"Surgery is another area of medicine that has been virtually transformed by innovative new techniques and technologies.The acceptance and refinement of minimally-invasive surgical procedures, improvements in anesthesia, patient demands and the push towards greater cost savings have facilitated the shift of surgical procedures from the traditional hospital setting to free-standing ambulatory surgical centers, outpatient clinics, and physicians’ offices† (Medical Technology, ct.gov, n. d., p.92).On the other hand, another study called â€Å"AstraZeneca Submission† (n. d.) typified the progress in medicines, as we quote, â€Å"many examples describe the impact of new medicines on patient symptoms and quality of life: Advanced cancer is incurable. Many medicines for this devastating disease have provided value to patients and their fam ilies by improving their quality of life.Drugs to prevent nausea, a common side-effect of cancer chemotherapy, can help make the treatment easier to bear both for patients and their families. In patients with moderate to severe migraine, subcutaneous sumatriptan improved quality of life by more than 20% compared to placebo (61.6% versus 20.6%). Patients on rizatriptan show significantly better responses to three domains of the 24-hourMigraine Quality of Life Questionnaire (social functioning, migraine symptoms and feelings/concerns) compared to patients treated with placebo. (This entry has been quoted from Santanello N C, Polis A B, Hartmaier S L, Kramer M S, Block G A, Silberstein S D, Improvement in migraine-specific quality of life in a clinical trial of rizatriptan. Cephalalgia 17(8):867-872 1997)A systematic review of a new schizophrenia medicine – an atypical antipsychotic – found that, compared with typical antipsychotics, it was more effective in improving glo bal state, general mental state and the negative symptoms of schizophrenia, and was as effective as typical antipsychotics with regard to positive symptoms. (This entry has been quoted from Mota N E, Lima M S, Soares B G, Amisulpride for schizophrenia. Cochrane Database of Systematic Reviews 2:CD001357, 2002)†.With regards to medical devices, â€Å"one specific example of the dynamic changes in the use of medical technology in the state (CT) is PET scanning. PET scanners are among the most expensive units of major medical equipment available today. PET scans are non-invasive procedures used to detect metabolic rates of organs and tissues using radioactive agents that emit positively charged electrons (positrons).While useful in a number of specialties, PET is increasingly valuable in the fields of neurology, cardiology, and particularly cancer imaging including monitoring the effectiveness of chemotherapy and radiation therapy† (Medical Technology, ct.gov, n. d., p.92). In addition, new support systems have also been employed in the health care system. An example is the so-called telemedicine of which according to the Centers for Medicare & Medicaid Services, â€Å"it is the use of medical information exchanged from one site to another via electronic communications to improve a patient's health.Electronic communication means the use of interactive telecommunications equipment that includes, at a minimum, audio and video equipment permitting two-way, real time interactive communication between the patient, and the physician or practitioner at the distant site. Telemedicine is viewed as a cost-effective alternative to the more traditional face-to-face way of providing medical care (e.g., face-to-face consultations or examinations between provider and patient) that states may choose to cover.This definition is modeled on Medicare's definition of telehealth services located at 42 CFR 410.78† (Overview Telemedicine, n. d.). Hence, â€Å"the ins titution and utilization of new technologies in the hospital setting has dramatically influenced the way in which hospitals function as health care providers. Minimally invasive surgical procedures, highly advanced medical equipment, and breakthrough prescription medications are particularly significant in the evolving role of hospitals as they have all contributed to shorter and oftentimes costlier hospital stays† (Medical Technology, n. d., p.89).Conclusion Consequently, we have learned how the health care system utilized the use of the new technology in the treatment of patients, as reflected in the abovementioned findings. We realized that technology has an impact on the costs of health care services: cost effective, when it comes to medications, but costly, when it comes to acquisition of new medical devices. Nonetheless, we discovered that the impact of technology in health care is basically characterized by the provision of optimum patient management, thus leading to th e attainment of a better quality of life and improvement in the health status of individuals.References AstraZeneca Submission – The impact of advances in medical technology on healthcare in Australia – The Value of Medicines. (n.d.). Retrieved November 27, 2008, from http://72.14.235.132/search?q=cache:Z7LXq-jne1MJ:www.pc.gov.au/__data/assets/pdf_file/0014/17501/sub023.pdf+Impacts+of+Advances+in+Medicine+to+Patients&hl=tl&ct=clnk&cd=1&gl=ph Centers for Medicare & Medicaid Services. (n.d.). Overview Telemedicine. HHS.gov. Retrieved November 27, 2008, from http://www.cms.hhs.gov/Telemedicine/ CT.gov. (n.d.). Medical Technology. Retrieved November 27, 2008 from http://www.ct.gov/ohca/lib/ohca/hospitalstudy/Medical_Technology.pdf

Thursday, August 15, 2019

Thomas Friedman †Generation Q

Journal: Thomas Friedman – Generation Q This article by Thomas Friedman covers how our generation, ‘Generation Q’, is the â€Å"quiet generation† that holds ideals and hopes that can change the world – if only we weren’t so quiet. Friedman explains that our generation has a various range of idealism but we are not brave enough to come forth and express our points. In his opinion we are not as outraged as we should be. Friedman’s claim is not something new; he is more elaborate by specifying the problem, which is on politics.Friedman explains that we need to get offline and get active within the community to truly make any politicians listen to what we need as the next coming generation. He feels our generation has become too quiet because of what technology has brought. He criticizes our generation by saying we waste time on social networking sites such as Facebook and MySpace. I agree that various social networking sites aren’t going to help us solve problems such as global warming.However, I strongly believe that technology has many positives that Friedman fails to recognize. He talks a lot about what his generation used to do, however he does not take into consideration that there are many factors that have differentiated ‘Generation Q’ from his generation. I feel it is also worth noting that our generation is raised with much emphasis given to higher education. This is mainly why most students are concerned with their collegiate bubble! After reading this article I would propose a few questions to Friedman.Firstly, why should ‘Generation Q’ be help responsible to clean the mess earlier generations left behind? Secondly, how do you expect college students to sort out political issues when we already have our hands full with college? Lastly, have you considered the empowering nature of technology in the world today? For example, it can do wonders to spread awareness. Friedman put a lot of expectation for ‘Generation Q’ to be as identical as his generation. He must realize that each generation has their own way to be politically active.

Wednesday, August 14, 2019

JSBMHA and HIPAA Case Study Essay

According to the laws concerning HIPAA where it pertains to serving and protecting patients’ rights, HIPAA is put into place to protect patient rights by not allowing any medical professional to discuss a patients prognosis, symptoms or any other specifics regarding their care with another individual not directly involved with their case. Because of this, a patient’s identity and confidential information is kept that way. Violations are punishable by law. HIPAA abstains an excessive influence continuously for the rights of patients’, every area concerned with the JSBMHA was affected the two employees. Their conversation unknowingly had an impact on the patients, as well as put their agency in a difficult situation. The outcome of their conversation could have caused the grandmother of the three children to inform others about the lack of confidentiality that the employee’s shows inside a public forum which could have the agency look upon negatively. Other individuals that deals with this agency could become aware and made to feel uncomfortable about giving up any information. From the outside looking in ti would look as if any information received by the JSBMHA is at risk of not being fully secured, at that point trust between the two parties has been compromised. The actions that should be taken should be to suspend the two individuals, their actions were a direct violation of the code of ethics. They need to know and understand that they have placed the agency in a serious predicament as well as lost the trust of one and possibly more patients and their families. As far as Jim goes he should’ve known better seeing that he’s been with the company much longer then Betty, it was is his responsibility to inform her that there are certain conversation that are to be left inside the office and that this one was not one to have in public. Furthermore because Jim is a â€Å"seasoned vet† in social work after 20 years he should know the code of ethics front to back so he should be suspended indefinitely without pay. Jim should have been more of a mentor to Betty instead of a gossiping friend.

Link Between Academic Success and a Students Perceived Self-worth Essay

Link Between Academic Success and a Students Perceived Self-worth - Essay Example There is a vast body of research on the intricate link between academic success and a student’s perceived self-worth. There is also a large amount of research detailing how the dynamics of student-teacher interactions play a key role in the formation of self-worth by these same students. However, Fay and Funk (1995) point out that educators only have access to the formation of such perceptions when providing feedback to behavior. Schroeder (n.d.) points out that feedback also involves the methods by which the educator communicates correctness of student responses to academic questions. Jim Fay’s (1995) discussion of three major teaching styles reminders readers that feedback sends not only the overt message of the words used but the covert messages of tone, actions and general body language. Of the three teaching styles - helicopter, drill sergeants, and consultants – it is the consultant teacher who embodies the overt and covert â€Å"messages of personal worth , dignity, and strength† (Fay & Funk, 1995, p. 197). When looking to the strategies employed by consultant teachers, it becomes obvious that these can be used with all teaching styles to provide corrective feedback in a whole instruction setting. First, educators should make sure the questions being asked are of appropriate difficulty and cognitive levels while being stated as clearly as possible. Schroeder (n.d.) suggests that questions dealing with new material should be such that 80% of the responses given are correct and 90+% for review materials. Educators may find that low-level questions that ask what, where, and who are best for this. Such pedagogical procedures will promote self-esteem as well as momentum needed to progress with instructional activities. Students will then be more willing to work for answers to higher order questions dealing with the why and how. Secondly, teachers should react to responses in such a way as to encourage student answers. Quick, certain responses that are correct need only affirmation that they are indeed correct. Correct but hesitantly given responses need the affirmation of correctness as well as praise and perhaps a short review of why the response is correct. Incorrect responses that are due to a careless error need only a quick reference to the error and time for the student to be allowed to provide the correct answer. Incorrect answers based on a lack of knowledge should be met with prompts and hints that may engage the needed information. Clarifying, rephrasing, or even changing the difficulty level may also assist these students (Schroeder, n.d.). Educators should provide students with every opportunity to get a correct answer but should not prolong the experience once it becomes obvious that the student lacks the knowledge needed. Third, instead of issuing orders teachers should present expectations as a challenge of something the student can and will do - positive expectancy. There are many procedures that will engender such an atmosphere. However, students sometimes resist the challenge even though a sense of positive expectancy has been created. Effective teachers will continue to work with the student and try to help him identify how to meet the expectation.Such teachers are engaging in tenacity (Saphier & Gower, 1987). Tenacious teachers engage in a "no excuses" policy. In this procedure the teacher will ask why the student is unable to meet the expectation. She will then refuse to accept such excuses. Work may be sent back to be done over; supplies may be procured and provided to the student; help and individual instruction may be offered more often; and eventually the consequences of the performance - superior, adequate, or poor - will be given without anger (Saphier & Gower, 1987).

Tuesday, August 13, 2019

Case Portfolio Essay Example | Topics and Well Written Essays - 1000 words

Case Portfolio - Essay Example 4. Facts : â€Å"The City of Ferndale, Michigan, adopted a comprehensive ordinance regulating massage parlors. Parlor owners contested the constitutionality of the ordinance, claiming that the warrantless search provision was in violation of the Fourth Amendments prohibition of unreasonable searches. Court of appeals held the searches to be unconstitutional; City appealed.† (www.swlearning.com/blaw/cases/warrantless_searches.html) 8. Rule of the Case : The right against unreasonable searches exists under the Fourth Amendment but an exemption from the search warrant requirement exists for administrative inspections of closely regulated industries.( www.swlearning.com/blaw/cases/warrantless_searches.html) 9. Reasons : Persons choosing to engage in a pervasively regulated business know that their business will be subject to effective inspection. The right to privacy must be balanced with the right of the state’s police power. (www.swlearning.com/blaw/cases/warrantless_searches.html) 4. Facts : â€Å"The FDA was sued "from enforcing policies restricting certain forms of manufacturer promotion of off-label uses for FDA-approved drugs and devices." The policies are expressed through complex and detailed Guidance Documents controlling manufacturer distribution of reprints of medical textbooks and peer-reviewed journal articles, and manufacturer involvement in continuing medical education and symposia.† (www.swlearning.com/blaw/cases/fda_limits.html) 6. Issue(s) : Whether FDA could limit any pharmaceutical or medical device manufacturer or other person from disseminating to medical professionals articles and textbooks published by independent publishers and by bona fide peer-review journals. 9. Reasons : â€Å"The regulations in question violate the Supreme Court’s Central Hudson test for commercial speech. Less intrusive regulations could address the concerns of