Thursday, October 31, 2019
Health Care Administration Essay Example | Topics and Well Written Essays - 2500 words
Health Care Administration - Essay Example The current reform efforts in health professions education also focus on instructing members of the health care profession to work in interdisciplinary teams. This entails collaboration and integration of services and expertise in order ââ¬Å"to ensure that care is continuous and reliableâ⬠(Peterson, 2003). Employing evidence-based practice, according to IOM, involves integration of best evidence and researches with clinical practice in order achieve optimum care for the patient. This encourages various health care students and professionals ââ¬Å"to participate in learning and research activities to the extent feasibleâ⬠(Peterson, 2003). The IOM also discussed that health professions education integrate quality improvement practices into health care practice. This involves having to identify the different errors and dangers in care, understanding safety design principles, ââ¬Å"continually understand[ing] and measure[ing] quality of care in terms of structure, process , and outcomes in relation to patient and community needsâ⬠(Peterson, 2003). Finally, according to the IOM, members of the health care profession should be instructed on the use of informatics. This will help ease communication, easily manage data and information, and mitigate errors in the practice. The past 50 years in American history have yielded various changes in the health care practice. The cost of healthcare and the increase in health care allocation by the government and various investors have given birth to various improvements and innovations in the rehabilitation and care of patients. These new technology and new medical practices however have yielded various issues on quality and effectiveness of health care. The 1990s have produced various studies and reports revealing that advances in medical practice have not improved the quality of health care services for Americans. Medical errors
Tuesday, October 29, 2019
Oral Script About Titanic Essay Example for Free
Oral Script About Titanic Essay Good morning to my teacher and fellow friends. Today I want to talk about the sinking of Titanic. RMS Titanic was a passenger liner that sank in the North Atlantic Ocean on 15 April 1912 after colliding with an iceberg during her maiden voyage from Southampton to New York City. The sinking of Titanic caused the deaths of 1,514 people in history. She was the largest ship afloat at the time of her maiden voyage. One of three liners operated by the White Star Line, she was built between 1909-11 by the Harland and Wolff Shipyard in Belfast. Her passengers included some of the wealthiest people in the world, as well as over a thousand emigrants from Britain,à Ireland,à Scandinaviaà and elsewhere seeking a new life in North America. The ship was designed to be the last word in comfort and luxury, with an on-board gymnasium, swimming pool, libraries, high-class restaurants and opulent cabins. She also had a powerful wireless telegraph provided for the convenience of passengers as well as for operational use. Though she had advanced safety features such as watertight compartments and remotely activated watertight doors, she lacked enough lifeboats to accommodate all of those aboard. Due to outdated maritime safety regulations, she carried only enough lifeboats for 1,178à people ââ¬â a third of her total passenger and crew capacity. After leaving Southampton, England on 10à April 1912,à Titanicà called atà Franceà and Ireland before heading westwards towards New York. On 14 April 1912, four days into the crossing and about 375 miles south of Newfoundland, she hit an iceberg at 11:40à pm. The glancing collision causedà Titanics hull plates to buckle inwards in a number of locations on herà starboardà side and opened five of her sixteen watertight compartments to the sea. Over the next two and a half hours, the ship gradually filled with water and sank. Passengers and some crew members were evacuated in lifeboats, many of which were launched only partly filled. Just before 2:20à amà Titanicà broke up and sank bow-first with over a thousand people still on board. Those in the water died within minutes fromà hypothermiaà caused by immersion in the freezing ocean. The 710 survivors were taken aboard from the lifeboats by theà RMS Carpathiaà a few hours later. The disaster was greeted with worldwide shock and outrage at the huge loss of life and the regulatory and operational failures that had led to it. Many of the survivors lost all of their money and possessions and were left destitute; many families, particularly those of crew members from Southampton, lost their primary bread-winners. They were helped by an outpouring of public sympathy and charitable donations. Some of the male survivors, notably the White Star Lines chairman,à J.Bruce Ismay, were accused of cowardice for leaving the ship while people were still on board, and they faced social ostracism. Theà wreck of theà Titanicà remains on the seabed, gradually disintegrating at a depth of 12,415 feet (3,784à m). Since its rediscovery in 1985, thousands of artifacts have been recovered from the sea bed and put on display at museums around the world. Titanicà has become one of the most famous ships in history, her memory kept alive by numerousà books, films, exhibits and memorials. Thatââ¬â¢s all. Thank you.
Sunday, October 27, 2019
Pathophysiology of sepsis | Case Study
Pathophysiology of sepsis | Case Study Thomas, a 70-year-old man, admitted to hospital with a five-day history of coughing with yellow-green sputum, pyrexia, rigors, poor appetite, mild chest pain and increasing difficulty of breathing. The initial observations are: Neurological: Altered neurological status, GCS 11/15. Agitated and confused. Cardiovascular: Sinus tachycardia, HR 135bpm. Hypotension, 90/45 mmHg. Respiratory: Tachypnoeic, RR 35bpm. Decreased saturation while receiving 6L O2 through Hudson mask. Metabolic: Febrile, 39 degree Renal: Oliguric with 20ml/hr urine output. Indwelling catheter (IDC) was inserted. The blood test revealed that the patient was suffering from hypernatremia, hyperkalaemia, hyperglycaemia, elevated urea, poor creatinine, increased WCC and low platelet count. The ABG indicated that Thomas was experiencing combined respiratory and metabolic acidosis. Thomas was finally diagnosed as sepsis complicated by the right middle lobe streptococcus pneumonia. He required intubation and invasive ventilation support. In this case study, the pathophysiology of sepsis will be discussed and the mechanism of synchronised intermittent mandatory ventilation (SIMV) volume control ventilation mode will be explained. Sepsis is defined as the dysregulated inflammatory response caused by severe infection (Neviere 2015). It has the interchangeable definition as Systemic inflammatory response syndrome (SIRS) while the SIRS is resulted by a suspected or confirmed infectious source (Neviere 2015). The concept of SIRS was first introduced by the American College of Chest Physicians (ACCP) and Society of Critical Care Medicine (SCCM) in 1992 (Kaplan 2014). It is characterised by two or more following symptoms. They are fever of high than 38 degree or hypothermia; tachycardia; tachypnoea or partial pressure of arterial carbon dioxide (PaCO2) less than 32 mmHg; deranged white cell count of more than 12,000/à µL or less than 4,000/à µL (Oââ¬â¢brien et al. 2007). Associated with Thomasââ¬â¢s symptoms, it is clear to see that he was definitely experiencing sepsis. It is because that he was febrile up to 39 degree, tachycardic with heart rate of 135 bpm, and had increased respiratory rate of 35bpm as w ell as the elevated leucocytes count of 14,000 per microliter. The clinical signs are related to the inflammation process which is activated by the body immune system. Due to the severe infection, a large number of proinflammatory mediators are released which in turn result in the serial inflammatory reaction and extensive tissue damage (Neivere 2015). It is reported that SIRS can lead to high mortality rate because of high occurrence of SIRS induced multiple organ dysfunction syndrome (MODS) (Singh et al. 2009). In the following paragraphs, the pathophysiology of sepsis/SIRS will be more comprehensively examined. The pathophysiology of SIRS is complex. There are a few elements that need to be emphasised. They are acute stress response, inflammatory process and cytokine storm. Firstly, stress response is the acute phrase reaction when the body tries to defence against the threatening triggers. Those triggers are also known as ââ¬Ëstressââ¬â¢. Stress can be caused by daily life events, environmental factors or physical illness (Better Health Channel 2012). In Thomasââ¬â¢s case, the stress response is initiated by infection. Under the influence of stress, the body steady state is disrupted. To maintain the homeostasis, the stress response is activated to reverse the body balance and redistribute the oxygen and energy to maintain the function of vital organs (Kyrou et al. 2012). Hypothalamus plays a vital role in processing the distress signals (Seaward 2015). Once it senses the stress, it triggers the activation of sympathetic nervous system. The sympathetic nervous system then stimulates the adrenal gland to produce epinephrine. It is also known as adrenaline. The adrenaline can lead to increased heart rate and myocardial contractility; dilated pupils and bronchi; peripheral vasoconstriction; accelerated respiratory rate; decreased digestive activity and increased production of glucose from liver (Seaward 2015). In addition, stress can also activate another pathway of stress response. That is the hypothalamic-pituitary-adrenal (HPA) axis (Seaward 2015). It means the stress triggers the release of corticotrophin-releasing factor (CRF) from anterior hypothalamus. The CRF then promotes the pituitary gland to produce adrenocorticoid trophic hormone (ACTH). The ACTH stimulates the production of cortisol and aldosterone through the adrenal cortex. Those corticosteroids can result in increased metabolism, sodium and water retention (Seaward 2015). Therefore, it is obvious that Thomas was under the effect of stress. He was tachycardic, tachypnoeic and slightly hyperglycaemic due to the effect of sympathetic nervous response. He was oliguric because of the acute kidney injury secondary to the vasoconstriction. His hypernatremia status can be contributed by the impact of aldosterone. He had poor oral intake can be cause by the suppressed digestion function. Secondly, the inflammatory cascade plays an essential role in the pathophysiology of systemic inflammatory response syndrome. Sagy et al. (2013) summarised the inflammation mediator related mechanisms in the systemic inflammatory response. It is indicated that the excessive release of pro-inflammatory mediators result in the inflammation, inhibit the function of compensatory anti-inflammatory response, and compromise the immune system eventually (Sagy et al. 2013). Cytokines are the essential components of immune system. Bone et al. (1992) explained that the local cytokines are activated immediately after an insult in order to repair the wound and initiate the innate immune system. Because of the release of local cytokines, a small amount of cytokines go into the circulation. This promotes the production of growth factor and adhesion of macrophages and platelets to help with the recovery of the local damage. However, when the infection is severe and the homeostasis is unable to be restored, cytokine storm occurs. More specifically, cytokine storm is formed from a complex progression. Cytokines are made up by macrophages, monocytes, mast cells, platelets and endothelial cells, which are the initial immune defensive components (Plevkova 2011). The multitude of cytokines can soon induce the cytokine tissue necrosis factor-alpha (TNF-a) and interleukin-1 (IL-1). Those two elements result in the removal of nuclear factor-KB (NF-KB) inhibitor. This in turn prompts the production of more proinflammatory mediators, such as IL-6, IL8 and interferon gamma (Plevkova 2011). In other words, cytokines stimulate the production of immune cells, which in turn induce more cytokines in the circulation. The cytokines have a great impact on the body, including direct or indirect contribution of mortality in SIRS. TNFa is discovered causing fever, abnormal haemodynamic values, low white cell count, increased liver enzymes and clotting problems (Jaffer et al. 2010). IL-1 is reported having connection with fever, haemodynamic abnormality, loss of appetite, general weakness, headache and neutrophilia (Jaffer et al. 2010). IL-6 is found having strong relationship with fever and impaired lung function as well as acting a determinant of severity of SIRS and mortality rate (Jaffer et al. 2010). The massive accumulation of cytokines can cause widespreading vasodilatory effect. It is because the cytokines stimulate the release of vasodilators such as nitric oxide (Sprague and Khalil 2009). Additionally, cytokines promotes adhesion of the immune cells and the endothelial cells, which in turn leads to leaky endothelium and loss of fluid from intercellular space to extracellular space (Sprague an d Khalil 2009). Moreover, the cytokines cascade can also lead to the clotting disorder. It is because of the high concentration of fibrinogen in the inflammation process (Esmon 2005). The fibrinogen is converted from thrombin, which is generated by tissue factor. Tissue factor is a substance that is expressed by the surface of white cell. It can also be induced by TNFa and endotoxin from the infection (Esmon 2005). The fibrinogen can be transferred into fibrin which in turn forms clots. As the excessive amount of fibrin in the inflammation status, it can result in extensive clotting disorder. To sum it up, it can be concluded that Thomasââ¬â¢s fever is highly likely related to the release of TNFa, IL-1 and IL-6. IL-1 could be one of the contributors of his poor appetite and elevated white cell count. IL-6 could worsen Thomasââ¬â¢s existing affected lung function. Thomas had increased white cell count can be contributed by the immune response and IL-1. The hypotension is related to the vasodilation effect. Due to the hypotensive, the kidney perfusion dropped and then led to the acute kidney failure and poor urine output. The acute kidney injury may affect the elimination of potassium so that Thomas was found having high potassium level. The low platelet count could be related to the massive production of cytokines and damaged endothelium. In the next section, the synchronised intermittent mandatory ventilation volume control will be explained as Thomasââ¬â¢s mechanical ventilation management. The synchronised intermittent mandatory ventilation (SIMV) is commonly used in ICU. With the volume control mode, the patient is given the ventilation support with a set tidal volume during the mandatory breaths (Deden 2010). To provide the effective ventilation support, there are a few specific values that need to be set up for the SIMV volume controlled mode. They are tidal volume and respiratory rate. The tidal volume refers to the amount of oxygen delivered by the ventilator or the amount of oxygen the patient breathes voluntarily. The respiratory rate is set up for mandatory breaths. In the SIMV volume controlled mode, the ventilation is trigger by the ventilator or patient self. It means the actual respiratory rate can be upon the preset rate (Goldsworthy and Graham 2014). There is a window of time for the ventilator to sense the patientââ¬â¢s inspiratory effort. This trigger window helps avoid the ventilator deliver the oxygen when the patient exhales (Deden 2010). If the p atient is able to trigger the ventilation within the time frame, the patient-triggered mandatory breath is induced. After reaching the demand tidal volume, the inspiratory phrase ends and expiratory starts. Between each mandatory breaths, the patient is able to initial own spontaneous breath, the breathing volume and length depend on the patientââ¬â¢s respiratory effort (Pierce 2007). If the patient is heavily sedated and unable to initiate the spontaneous breath within the trigger window, the machine-triggered mandatory breath will be activated to provide constant ventilation support according to the set respiratory rate and tidal volume (Deden 2010). Once the ventilator delivers the demand tidal volume, the inspiratory cycle ends and expiratory phrase starts until the next scheduled inspiratory cycle. If the patientââ¬â¢s attempt of breathing is not strong enough to trigger the patient-triggered mandatory breath, the assisted synchronised breath will be provided to achieve t he desired the tidal volume. Like the other mode, the inspiratory cycle ends once the set tidal volume is delivered (Deden 2010). It is believed that Thomas would be beneficial from the SIMV volume controlled mode. It is because that SIMV mode could help him reduce the work of breathing, especially when he was in the high energy-consuming septic status. In addition, due to the SIMV mode, the ventilator allows him to have extra breath to blow off the accumulative carbon dioxide. This can improve his acidosis. Moreover, because of the systemic inflammatory response syndrome and severe pneumonia, his lungs could be stiff and fragile secondary to the inflammation effect and accumulation of cytokines. The volume controlled ventilation acts as a protective strategy to avoid the ventilator related complications, such as volutrauma. It is recommended not to set the tidal volume more than 8-10ml/kg (Deden 2010). In conclusion, sepsis is a systemic inflammatory response syndrome resulted by the infection. The stress response, inflammation reaction and cytokines play essential roles in the progression of SIRS. As SIRS can cause high mortality rate, it is vital to control the infection and manage the widespreading inflammation as well as providing appropriate support to treat the symptoms. In Thomasââ¬â¢s case, the volume controlled synchronised intermittent mandatory ventilation would be the better option of managing his severe pneumonia and respiratory distress. Reference Better Health Channel 2012, Stress, viewed 12th March 2015, http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/stress Bone, RC, Balk, RA, Cerra, FB, Dellinger, RP, Fein, AM, Knaus, WA, Schein, RM Sibbald, WJ 1992, ââ¬ËDefinitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicineââ¬â¢, Chest, vol. 101, no. 6, pp. 1644-1655. Deden, K, 2010, Ventilation modes in intensive care, Dragerwerk AG C0. KGaA, Germany Esmon, CT 2005, ââ¬ËThe interactions between inflammation and coaulationââ¬â¢, British Journal of Haematology, vol. 131, no. 4, pp. 417-430. Goldsworthy, S Graham, L 2014, Compact Clinical Guide To Mechanical Ventilation : Foundations Of Practice For Critical Care Nurses, New York, NY Jaffer, U, Wade, RG Gourlay, T 2010, ââ¬ËCytokine in the systemic inflammatory response syndrome: a reviewââ¬â¢, HSR Proceedings in Intensive Care Cardiovascular Anaesthesia, vol. 2, no.3, pp. 161-175. Kaplan, LJ 2014, Systemic inflammatory response syndrome, viewed 19th March 2015, http://emedicine.medscape.com/article/168943-overview#a0101 Kyrou, I, Chrousos, Kassi, E Tsigos, C 2012, Stress, Endocrine physiology and pathophysiology, viewed 12th March 2015, http://www.endotext.org/chapter/stress-endocrine-physiology-and-pathophysiology/#h23 Neviere, R 2015, Sepsis and the systemic inflammatory response syndrome: Definition, epidemiology and prognosis, viewed 19th March 2015, http://www.uptodate.com/contents/sepsis-and-the-systemic-inflammatory-response-syndrome-definitions-epidemiology-and-prognosis Oââ¬â¢brien, JM, Ali, NA, Aberegg, SK Abraham, E 2007, ââ¬ËSepsisââ¬â¢, The American Journal of Medicine, vol.120, no.12, 1012-1022. Pierce, LNB 2007, Management of Mechanically Ventilated Patient, 2nd edn, Saunders Elsevier, London Plevkova, J 2011, Systemic inflammatory response syndrome, viewed 24th March 2015, http://eng.jfmed.uniba.sk/fileadmin/user_upload/editors/PatFyz_Files/Handouty/angl/Systemic_inflammatory_response_syndrome_2011.pdf Sagy, M, Al-Qaqaa, Y Kim, P 2013, ââ¬ËDefinitions and pathophysiology of sepsis, Current Problems in Paediatric and Adolescent Health Care, vol. 43, no. 10, pp. 260-263. Seaward, BL 2015, ââ¬ËPhysiology of stressââ¬â¢, Managing Stress, Jones Bartlett Learning, Burlington, MA. Singh, S, Singh, P Singh, G 2009, ââ¬ËSystemic inflammatory response syndrome outcome in surgical patientsââ¬â¢, Indian Journal of Surgery, vol.71, no.4, pp. 206-209. Sprague, AH Khalil RA 2009, ââ¬ËInflammatory cytokines in vascular dysfunction and vascular diseaseââ¬â¢, Biochemical Pharmacology, vol. 78, no. 6, pp. 539-552. 1 Ying Hu 76898
Friday, October 25, 2019
Classical Theory: Cesane Beccaria and Jeremy Bentham Essay -- feudalis
Crime have existed over many centuries, different eras affect the flow of crime and within those eras. Furthermore amongst individuals, there was different way of thinking into how to reduce and eliminate occurred. The act of crime cannot be eliminated, as different individuals have different perspectives of crime and for theses reasons, have different methods of advocating and eliminating crime. This essay will firstly explore the views of Classical Theory, by looking at Cesane Beccaria, the father of Classical theory and Jeremy Bentham, the founder of Utilitarian and explore how there influences are incorporated into laws and regulations, around the world. Secondly, Positivism theory explores the biological, psychological and environment understanding of what causes the crime, thus having a different understand and method into solving and eliminating crime. By looking at these overarching theories, we can come to understand how they both are beneficial and incorporated into the law s within our society, however does now have the power to rid it of crime. Classical theory explores the idea that crime is the intent to commit, rather than a reaction to an unfavorable situation. This theory believes that a committed crime was intended to gain ââ¬Ëself-seeking and self interestââ¬â¢ and because of this belief this theory believe that the criminals have to take full responsibility of there actions. Two known advocates of Classical theories are Cesane Beccaria and Jeremy Bentham. Their ideologies revolve around classical theory and have greatly influenced, through the creation of laws, rules and regulations, which have impacted society today. The development and influence of Classical theory happened during the transition from the feudalism... ...conferences/criminality/benier.pdf http://www.justice.govt.nz/justice-sector/drivers-of-crime/publications-and-background-information/documents/spb-theories-on-the-causes-of-crime http://www.criminology.fsu.edu/crimtheory/beccaria.htm http://www.iep.utm.edu/beccaria/ http://www.sagepub.com/upm-data/19631_Section_8___Biosocial_Approaches.pdf http://www.bunker8.pwp.blueyonder.co.uk/history/panopticon.htm https://sentencingcouncil.vic.gov.au/sites/sentencingcouncil.vic.gov.au/files/how_much_does_imprisonment_protect_the_community_through_incapacitation_0.pdf http://www.jstor.org/stable/2709127?__redirected http://www.sagepub.com/hanserintro/study/materials/reference/ref8.1.pdf http://www.ashgate.com/pdf/SamplePages/Ashgate_Research_Companion_to_Biosocial_Theories_of_Crime_Intro.pdf http://whatworks.uwex.edu/attachment/FamilyBasedPreventionProgramschapterdraft6-10-10.pdf
Thursday, October 24, 2019
John Stuart Mill And Liberalism Essay
John Stuart Mill (May 20, 1806, Pentonville, England ââ¬â May 8, 1873, Avignon, France) was one of the greatest and most influential liberal thinkers of the XIX century and also a famous political economist and a Liberal Member of Parliament from 1865 to 1868 (Plank). As a prominent thinker, Mill introduced a new doctrine of liberty and can be considered as a first-rate liberal and a second-rate utilitarian (Reeves). John Stuart Mill (Source: httpwww. liberalinternational. orgeditorial. aspia_id=685) Conceived for the first time as a short essay in 1854, Millââ¬â¢s famous and enormously influential book On Liberty that he published in 1859 is considered one of the founding philosophical works of classical liberalism and also one of the most fundamental texts on the concept of liberty. In the book which concerns social and civil liberty, the philosopher explores the nature of the power that society can legitimately exercise over individuals, and advocates their moral and economic freedom from the state (John Stuart Mill; John Stuart Mill: Political Philosopher). The most important point and basis for liberty made by Mill in his book is that ââ¬Å"Over himself, over his own body and mind, the individual is sovereignâ⬠. Individuals exercise their sovereignty both through their judgment and actions. The main ideas that Mill explains in his On Liberty could be grouped into the following sections. 1. Mill opens his treatise by pointing out that the government is a ââ¬Å"dangerous weaponâ⬠if it is not appropriately controlled and if its authority is not limited by the liberty of the citizens. In this way, Mill suggests, citizens will be ruled by a government whose rule is guaranteed against oppression and tyranny. However, at a given stage society develops into democracy ââ¬Å"Page # 2â⬠which does not fear tyranny any longer but where the majority can easily criminalize or marginalize a minority group of society and encroach on their rights or liberty. Mill calls it the ââ¬Å"tyranny of the majorityâ⬠and believes it is much worse than the tyranny of government because it is easier for individuals to be protected from a tyrant than ââ¬Å"against the tyranny of the prevailing opinion and feelingâ⬠. He saw a danger of the old repression of despotic rulers being replaced by ââ¬Å"despotism of customâ⬠. Rules of conduct, thus, would be based on the majority opinion and there would be no protection in law against its tyranny (John Stuart Mill). He emphasizes that social tyranny is the greater danger than political tyranny for modern nations such as Britain (Heydt). As in Millââ¬â¢s view the prevailing opinions within society are not necessarily the correct opinions on the one hand, and an individual has the right to choose whatever preference for his moral beliefs on the other hand, Mill concludes that this situation is wrong and unjust. In this case, individuals will be harmed, then their sovereignty over themselves will be impaired (John Stuart Mill). 2. Mill argues for a need of rational principle that would govern individuals within society, and thus introduces and explains his so-called harm principle which is supposed to regulate the limits of intervention in an individualââ¬â¢s actions. Individuals can act as they wish as long as their actions do not harm other individuals. Society should not intervene if the action affects only the individuals that undertake it even though these individuals are harming themselves. In Millââ¬â¢s view, in a civilized community society has the right to legitimately exercise power over any individual against his will only in order to prevent harm to others. However, Mill distinguishes two categories of ââ¬Å"harmsâ⬠. If an individual fails to pay taxes, rescue another drowning individual, or appear in court to give evidence, then these acts (which he calls acts of omission) should be qualified as harmful and may be regulated. But if individuals give their consent to take risks without fraud or force, for example, by accepting unsafe employment offered by others, this is not considered as harming them (acts of commission). ââ¬Å"Page # 3â⬠In this case, society is not allowed to intervene except when individuals sell themselves into slavery (John Stuart Mill). 3. Children canââ¬â¢t take care of themselves and may instead harm themselves unintentionally. That is why, Mill explains, they do not have sovereignty over themselves, the harm principle canââ¬â¢t be applicable in this case and society is allowed to interfere with them against their will. Barbarians fall into this category, too. Mill states that barbarians canââ¬â¢t be sovereign over themselves and that despotism over them may be justified in cases when the end result is the improvement of their life. But as soon as they become more civilized and have the capability to decide for themselves, they must be given liberty from the government and its tyranny. Good examples of this, Mill illustrates, are Charlemagne and Akbar the Great who compassionately controlled and ââ¬Å"helpedâ⬠barbarian nations better manage their lives (John Stuart Mill). 4. According to Mill, human liberty includes several components without which individuals canââ¬â¢t be truly free: â⬠¢ Individuals are free to think as they wish, and to feel as they do (the freedom to opinion and of speech). Mills argues that the freedom of speech is necessary for social progress because allowing people to freely express their opinions and ideas, even if they are false, is useful for two reasons. First, in an open exchange of ideas individuals are likely to understand that some of their beliefs may be erroneous and will thus abandon them. Second, in the process of debate individuals reaffirm their beliefs and prevent them from turning into mere dogma. Mill believes that it is important for individuals to understand why their beliefs are true (John Stuart Mill). â⬠¢ Individuals are free to pursue tastes however ââ¬Å"immoralâ⬠they may be considered by others so long as they are not harmful to others (John Stuart Mill). ââ¬Å"Page # 4â⬠â⬠¢ Individuals are free to meet with other individuals (the freedom of assembly) (John Stuart Mill). 5. Mill believes that religion should be criticized in the same way as are other systems of thought regardless of the offence that such criticism may cause. One of main purposes which governed Millââ¬â¢s philosophical endeavours all his life was his commitment to replace Christianity with a Religion of Humanity (Carey). 6. Millââ¬â¢s liberal ideas made him an advocate of the development of efficient local government and associations and he fiercely opposed central control. He argued for the parentsââ¬â¢ obligation to educate their children but disapproved of a central education system run by the state (John Stuart Mill). In what concerns individual freedoms, it is quite important to understand that Mill gives the specific justifications for them because he believes they will promote the progress of civilization and will be good for society. Mill does not regard liberty as a standard of value and does not mention any natural rights of individuals in his discussions. Instead he is mainly concerned with the utility of rights and freedoms of individuals for the social progress (John Stuart Mill; John Stuart Mill: Political Philosopher). Many critics point out that Mill underestimated the important role of social order and custom as a source of security or freedom. His liberalism is also weakened in the eyes of other critics who do not share his extremely optimistic view of human nature. They are particularly pessimistic about his rosy belief that it is humansââ¬â¢ conditioned engagement in a continuous attempt to achieve personal development that results in the existence of diverse personalities and viewpoints (Reeves). Mill is also often criticised for justifying the right of one developed nation to exercise despotism over other underdeveloped nations (or ââ¬Å"barbariansâ⬠as he calls them) on the grounds that it brings them the benefits and advantages of higher civilization (John Stuart Mill and Liberal ââ¬Å"Page # 5â⬠Imperialism). Despite criticism, the remarkable greatness of Mill lies in his readiness and willingness to combine both his thoughts and actions. He was a progressive philosopher who was ready to go to jail for his beliefs. It is not surprising then that six years after he published his great book On Liberty, he decided to stand for parliament in order to better implement his beliefs. His most known initiatives include the introduction of an amendment to the Reform bill in a successful attempt to give women equal voting rights; his relentless pursuit of Governor Edward Eyre for having brutally suppressing an uprising in Jamaica; his fierce opposition to the suspension of habeas corpus in Ireland; his successful campaign against an attempt to prohibit demonstrations or meetings in public parks, and many others (Reeves). By and large, Millââ¬â¢s career as a liberal politician could be regarded as a relative failure. His performance was usually acclaimed, but he often found himself in opposition to the aims and wishes of his electors. He was quite reluctant to compromise with his own principles just to get support of his electorate, and this resulted in his failure to be re-elected in 1868 (John Stuart Mill: Political Philosopher). 200 years after his birth, Millââ¬â¢s liberalism is still relevant(Source: http://www. prospect-magazine. co. uk/article_details. php? id=7439) Mills was aware that On Liberty as well as many others of his philosophical works raised several important problems, such as the tyranny of ââ¬Å"uniformity in opinion and practiceâ⬠which would be more faced future generations than were by his own and that some critics believed that these problems were exaggerated because they were looking more at contemporary facts than at existing tendencies (Reeves). It may be argued that the issues that Mill was interested in and consistently dealt with in his time are without a doubt still relevant and important today (Plank). BIBLIOGRAPHY: 1. Carey, G. W. The Authoritarian Secularism of John Stuart Mill. Retrieved March 14, 2008 from the World Wide Web: http://www. nhinet. org/carey15-1. pdf 2. Heydt, C. John Stuart Mill: Overview. Retrieved March 14, 2008 from the World Wide Web: http://www. iep. utm. edu/m/milljs. htm 3. John Stuart Mill. Retrieved March 14, 2008 from the World Wide Web: http://en. wikipedia. org/wiki/John_Stuart_Mill 4. John Stuart Mill and Liberal Imperialism. Retrieved March 14, 2008 from the World Wide Web: http://www. antiwar. com/stromberg/s051802. html 5. John Stuart Mill: Political Philosopher. Retrieved March 14, 2008 from the World Wide Web: http://www. john-mill. com/ 6. Plank, B. John Stuart Mill. Retrieved March 14, 2008 from the World Wide Web: http://www. liberal-international. org/editorial. asp? ia_id=685 7. Reeves, R. John Stuart Mill. Retrieved March 14, 2008 from the World Wide Web: http://www. prospect-magazine. co. uk/article_details. php? id=7439
Tuesday, October 22, 2019
Communication Theory essays
Communication Theory essays Nelson, K.E. Process of facilitating progress by language-delayed children in special language-centered school units. International Journal of Language This article was about children in Englands educational system. The study was textual analysis. Researchers studied 214 language-delayed, or specific language impairment (SLI) children from 6-7 and 7-8 years of age in two different groups. The study placed the children into either mainstream classes, or mainstream classes with some continued special education after the study ended. The study showed that 1-2 years in a language unit should provide sufficient progression for placement into mainstream classes. The study also showed that most students that were placed into mainstream classes by a teachers recommendation had a parent or guardian at home with more than average education. This is thought to be the reason language development occurred so quickly in these students. A strong parent-child relationship was also found in students that progressed quickly. ...29% of the children, over a 2-year period, did enter more extensive mainstreaming participation than they were judged able to handle at about 6 years of age. I think that this article is not only informative and interesting but also important in the understanding of language development in children. I am a strong believer that parenting has everything to do with a childs success or failure in life. For this reason, I am excited to see proof that a strong parent-child relationship as well as support at home causes children to progress faster in school, especially children with language disorders. Donlan, C. The importance of educational transitions. International Journal of Language This article was about children with SLI as well. This article seemed to lean more ...
Monday, October 21, 2019
Social observation and analysis of Alcohol drinking
Social observation and analysis of Alcohol drinking Introduction Social interaction forms are very important aspect of the human life. For a very long time, sociologists have been carrying out investigations to try and explain how the society functions. Some of their views are depicted in the theoretical perspectives which are used to guide sociologists in understanding the society and its members.Advertising We will write a custom essay sample on Social observation and analysis of Alcohol drinking specifically for you for only $16.05 $11/page Learn More This paper seeks to use the alcohol drinking experience as a mirror to view how the different theoretical perspectives are applied in the society. Thus the paper will analyze the social role played by alcohol drinking and the social significance of the places where the drinking takes place. This observational analysis will be benchmarked on the different sociology theories that have been accomplished in class. Alcohol drinking Alcohol drinking has been has be en around for a very long time. To this date there are several types of alcoholic drinks available in many different societies. Different types of drinks have a different social meaning. The drinks are thus used to divide the society into social strata. The type of alcoholic drink that is taken by an individual can be linked to his/her values, norms, behavior and how he/she interacts with other people in the society. In some societies the choice of drink is a strong indicator of behavior. However, this description does not include to the situational drinking such as celebrations that might be characterized by one type of drink such as the champagne. Status indicator The type of alcohol beverage that is consumed by an individual can be used as a major indicator of his/her status in the society. In most societies, alcoholic beverages that are not produced locally have a higher social status. For instance, the polish population regards wine as a drink of high to middle class status. Th e beers and vodkas produced locally in that country or often considered as drinks of an ordinary person. Itââ¬â¢s usual to see university students in Poland taking wine to reinforce their importance in the society. In France, as opposed to Poland, the drinking of wine is the order of the day and thus the young elite always turn to imported beers to show their higher status. However, in the cases of the young ââ¬Ëelitesââ¬â¢ been drinking does not actually reflect their status in the society, it is more of a reflection of what they aspire to be in the future. Furthermore, a particular drink such as wine may not be in itself the definer of the social status. As it has been observed there are different types of wine with different calibers. The type of wine caliber consumed by an individual defines his status in the high and mighty of the society.Advertising Looking for essay on social sciences? Let's see if we can help you! Get your first paper with 15% OFF Le arn More Affiliation and loyalty As it has been observed, the choice of drink may also be used to link an individual to a certain group or to predict his affiliation to an organization. Certain brand of alcohol are usually identified with certain groups, for instance, whisky is usually identified with the Scots, Guinness with the Irish and Tequila with the people of Mexico. Thus the in the social context, a drink can be a significant indicator of the nationality or a personââ¬â¢s loyalty and cultural background Gender differentiator In a rather sort of conflict perspective, the alcoholic beverages are not only used to differentiate between the aspirations, class, or status in the society. A more common social classification arises from the gender differentiation role played by alcoholic beverages. The function of alcohol as a differentiator between masculinity and feminine attributes is always seen even in the absence of other differentiating factors. This is often seen e ven in the countries or societies where there is only one type of alcoholic beverage. In such a case the drink to be consumed by the females is often made sweeter with a less alcohol content while the male take a strong bitter form of the same. In many societies drinking by females is considered as ââ¬Ënot drinkingââ¬â¢ by the males. Thus males always shun female brands as this may make them appear feminine. Drinking places In the second part of this paper we describe the role of the places where the alcoholic beverages are consumed. Most societies across the globe have distinct areas where alcohol is consumed. These places provide a dedicated surrounding that is often separated from the outside world. The drinking places are often defined with their separate customs, laws and values. Itââ¬â¢s common for one person to be surprised by how a friend or colleague behaves while in a bar or night club. This is due to the fact that the values and norms that one adheres to while in the club environment are completely different from those of normal life. Social interaction function The social distinction role that is played by drinking places is in one way or another completely different from that of the outside world. People with diverse professional backgrounds in the society can be found mingling in the drinking places. As such the drinking provides an important avenue for social bonding and interaction between individuals who have no other place to meet. In most societies that practice communal drinking, alcohol is often considered as a leveler. Communal drinking provides a significant means of interaction between individuals of different status in the community or society. The drinking places therefore perform a more important function of challenging the established social order.Advertising We will write a custom essay sample on Social observation and analysis of Alcohol drinking specifically for you for only $16.05 $11/page Learn More An observation made in societies that are ethnically diverse indicate that drinking places often provide norms that enable individuals to feel more equal than in other spheres of life. For instance, observation studies on the American people show that there is a higher chance of individuals from different races to interact in drinking places. In Los Angeles, Americans of Mexican decent and the Anglos usually mix freely in clubs and itââ¬â¢s common to see a dance partner being chosen from other races. Social bonding In the earlier observation of the social role played by alcohol it was identified that social bonding, besides social interaction is one of the most important functions of drinking. An important part of the drinking is the generalized feeling of relaxation that comes with it. Thus as it may not be clear but its true that the places where alcohol is taken are very important for bonding to take place between individuals of diverse backgrounds. Conclusion This pape r sought to analyze the social role played by alcohol drinking and the social significance of the places where the drinking takes place. This observational analysis was to be benchmarked on the different sociology learning objectives. The paper has been able to reveal how alcohol drinking and the places where it is drunk from play an important role in the social lives of human beings.
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