Maus free essay sample

In the comic style book Maus, the theme of survival is expressed in many different ways. The Holocaust was a big part of the Jews heritage and not many survived. The amount of people that did survive by hiding and other things was very small. Luck plays a very big role throughout the book of Maus and as it did during the real life holocaust. And because of this luck, that’s why the few that survived, actually survived. Vladek was lucky as he had a good education, which allowed him to speak different languages to help him survive and was generally smarter than a lot of the others. In many occasions his survival was based on luck. It was luck when the bullet missed him at the prisoner’s camp. Also when he got kicked out of the house and found a construction site to hide in. He hid there for a while and didn’t get captured by the Nazi’s. We will write a custom essay sample on Maus or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Another example of luck is when he gets beaten up for throwing food to Anja, usually you would get killed but he was lucky enough to just get beaten up. In my opinion luck was the key role in Vladek’s survival. Another factor which contributed to survival was that he was very smart mentally. At first he was very stubborn and did not use his skills wisely or well, but as you read further into the book, he began using his intelligence to his advantage and it was this intelligence that helped him survive. There were also his resources that he had, such as people he knew. This enabled him to get the necessary food, supplies, protection and shelter to survive. He was smart enough to get the right supplies by trading with the Polish workers. He had the skill of repairing shoes which helped him to earn money in order to buy different things. Being resourceful came in handy when it came to the concentration camps. When he first escaped the Prisoner of War camps, Vladek disguised himself as a non-Jewish Pole so he could get on a train to go home. First, after Vladek and Anja were captured for trying to escape to Hungary, Vladek helped a Polish man write letters to his family. The letters had to be in German, and the man did not know how to speak German. The man, in return, shared his food with Vladek. Later, in Auschwitz, Vladek got on good terms with his Polish block supervisor by teaching him how to speak English. This saved him from being sent to the gas chambers on more than one occasion and earned him both food and a uniform that fit. The block supervisor also helped Vladek to get a job working in a tin shop. Maus explored the theme of ‘survival’ in many ways. Survival was hard and most people didn’t survive but for those who did, they suffered very much after. With things like depression from memories and also losing loved ones. The book also explores Vladeks clever use of the skills he has in order to keep himself from being killed on many occasions. If Vladek didn’t have the factors that contributed to survive, he would not be able to survive.

Gentic Catastrophe essays

Gentic Catastrophe essays While the 20th century was shaped largely by spectacular breakthroughs in the field of physics and chemistry, the 21st century will belong to the biological sciences. Scientists around the world are quickly deciphering the genetic code of life, unlocking the mystery of biological evolution on Earth. As a result of the new breakthrough in biology and biotechnology, our way of life is likely to be more fundamentally transformed in the next several decades than in the previous thousand years. By the year 2025, we and our children may be living in a world utterly different from anything human beings have ever experienced in the past (Rifkin 30). Some ideas in genetic science are fast growing dilemmas that society is going to have to deal with in time. Producing a superior race by altering peoples genetic code or cloning, is thought to be unethical. In the future what would stop families that can afford to program superior genetic traits into their fetuses at conception that will ensure their offspring an even greater biological advantage and thus a social and economic advantage as well. This would affect the people without an altered genetic code because as stated in Darwins theory that only the strong survive, people without altered genes would become less efficient and would not survive as well in society. Molecular biologist Lee Silver of Princeton University writes about that in a not too distant future, society will be made up of two distinct biological classes, which he refers to as the Gene Rich and the Naturals. The Gene Rich, who will account for 10% of the population, have been enhanced with synthetic genes and wi ll become the rulers of society. They would include Gene Rich businesspeople, musicians, artists, intellectuals, and athletes each enhanced with specific synthetic genes to allow them to succeed in their respective fields in wa ...

Network Topology Design Research Paper Example | Topics and Well Written Essays - 500 words

Network Topology Design - Research Paper Example r the case of these increasing numbers of employees, it is recommended for a company to use hierarchical topology where we will have a hierarchical network with one or more powerful server controlling the entire network; departmental server control lower levels of processing and network devices. A good example of this type of network is that of retail clothing with a central computer that stores the data about the sales activity. When it comes to the case of hundred employees or more, one is recommended to use a meshed network with a switch going them and a router (router can be used to connect LANs or WANs) extending the network. This is to make sure that there is efficient communication within the organization or a company. However, when designing a network topology which is a crucial step towards logical design phase of the top down-down networking scheming methodology. In addition, it is important for one to identify networks and interconnection points within it. A flat network t opology is sufficient for very small networks (ten employees or less); with this kind there is no hierarchy, each networking devices has its necessary job. But with the growing numbers of clients, it becomes undesirable, lack of hierarchy make trouble shooting difficult within the organization (Oppernheimer, 2004, p.133). When numbers of clients in organization increase, it recommended for the company to use meshed hierarchical design, there are two types of hierarchical models; partial mesh hierarchical model and full meshed model. In partial meshed hierarchical design, we have the core layers at the headquarters i.e. head of departments followed by the distribution layers. This kind of network topology is recommended for hundred clients in an organization. This model is usually implemented using hubs, with little mesh network among the clients. On the other hand, full meshed network topology can be used to meet the demands of large number of clients (two hundred employees); a good

Nutrition on a Patient with Acute and Recurrent Pancreatitis Essay

Nutrition on a Patient with Acute and Recurrent Pancreatitis - Essay Example The nurse is responsible in coordinating the orders by the health team. Evaluation should focus on the patient’s tolerance of the interventions implemented and reassessment of the overall nutritional status. Anthropometric measurement is part of every nutrition status assessment. In the patient’s case, it provides a notable impression of weight loss (approx. 20 lbs.)in the past two months based on the difference between the UBW as reported by the patient and his current weight. His present BMI is 20.7 (within the normal range). On the other hand, weight itself cannot be regarded as reliable since various factors may affect its accuracy, such as third spacing usually associated with pancreatitis (Lugli, Carli & Wykes, 2007). Thus, other tests should be considered to obtain the most accurate data on his nutritional status. Patient remained at NPO status 24 hours after admission. To maintain/ improve nutritional status, options for this patient include Total Parenteral Nutrition (TPN) or Enteral nutrition (EN). Both options are based on the â€Å"pancreatic rest† theory, in which the pancreas should be allowed to rest to regain functionality (Ioannidis, Lavrentieva & Botsios, 2008). TPN was considered as the gold standard of management in acute pancreatitis, but the risks of complications associated with this therapy lead to the change of intervention to the use of Enteral nutrition (McClave et al., 2006). When the patient’s condition does not improve, tube feedings might be ordered by the physician. According to Ioannidis, Lavrentieva and Botsios (2008), initial amount of nutritive solution administered should be 25 mL/h. This should gradually increase until the desired quantity (25 kcal/kg/day) is achieved in 24-48 hours. The formula for feeding should minimize the pancreatic secretion of digestive enzymes as much as possible. Thus, a fat- free elemental diet or

Eczema Nursing Presentation PowerPoint Example | Topics and Well Written Essays - 1750 words

Eczema Nursing - PowerPoint Presentation Example With relation to the differential diagnosis, a range of conditions need to be differentiated including psoriasis, fungal infections, scabies, scarlet fever, pityriasis rosea, measles, tinea corporis and squamous cell carcinoma. Introduction/Definition Eczema or dermatitis is a disorder in which the skin is inflamed (especially epidermis) along with the development of vesiculation sometimes in acute phases. It has been derived from the Greek word meaning to ‘boil out’, and hence medical practitioners consider it to look like the skin is boiling out. The condition is usually acute in nature, but can be a chronic inflammatory disorder of the skin causing pruritius, redness, vesiculation, which finally become encrusted, hemorrhagic, thickened and scales off (Vorvick, 2009). Some of the common types include:- Allergic contact eczema – Following contact with a foreign substance such as a poison, lotion, etc, there is a local allergic reaction Atopic dermatitis – It is a chronic inflammatory skin disorder and often accompanied with other disorders such as asthma and hay fever. It is commonly seen on the arms and at the back of the knees, and flare up periodically Contact eczema – the reaction is localised when a allergen is contact causing itching, redness and swelling Seborrheic eczema- Commonly called as dandruff and is a mild skin inflammatory disorder arising due to unknown reasons and causing scaling, redness and itching of the scalp and face Neurodermatitis – This is characterised by scratching or picking of the skin resulting in development of rashes Stasis dermatitis – Develops from congestion of the veins of the legs resulting in irritation of the overlying skin Dyshidrotic eczema – Commonly occurs on the palms and soles and is seen as deep-seated skin lesions Perioral eczema – Bumpy rash and ulcers that develop around the mouth Nummular eczema – This is a coin-shaped lesion that develops in an irritated portion of the skin causing scaling, itching and encrusting (MedicineNet, 2011). Pathophysiology The exact cause of eczema and dermatitis is still not clearly known, but it may be a result of interplay of host, genetic and environmental factors. Further, stress and various emotional disorders can worsen or exacerbate the condition especially atopic dermatitis (Mayo Clinic, 2011). Most of the eczema occurs due to a hypersensitivity reaction of the skin, causing chronic skin inflammation (Lehrer, 2009). Some of the eczemas are autoimmune conditions and some of them are genetically transmitted, running in families. Atopic dermatitis is known to be transmitted through a genetic route and is often associated with asthma and hay fever. However, this association is often being questioned, as not all individuals with atopic dermatitis have asthma and hay ever, and not all individuals with asthma and hay fever have atopic dermatitis. However, both these conditions tend to run i n families, and this may be due to common genetic trait being carried on (Mayo Clinic, 2011). Such disorder appears on trivial inflammation of the skin. Allergic eczemas are usually common and the individual may also have other allergic conditions such as asthma, hay fever, etc (DIS, 2011). There are several exacerbating factors for

Globalization Economy Nicaraguan

Globalization Economy Nicaraguan Globalization has had a great impact in the modern world, and has even come to affect the economy of several Latin American countries. However, has globalization affected the Nicaraguan Economical panorama? In order to answer this question, it is important to take Nicaraguas history into account, a history that has been smeared with endless corruption. Another idea that must be kept in mind is the term â€Å"globalization† has numerous amounts of definitions, so in order to identify the answer; a proper definition must be structured. Within the context of globalization, it is trivial to identify if the key treaties like the ALBA and the CAFTA have had any significant effect on the Nicaraguan economy. Through a careful evaluation, it will be noticed that Globalization has not had an impact in the Nicaraguan Economy yet; however the roots of globalization can already be traced to the economy. One of the limitations found in this research paper was the gathering of different sources from the rural sectors of the country, as the rural perspective of this essay is of much importance to define if globalization has affected Nicaragua or not. Introduction Globalization has started to influence the Nicaraguan economic scheme from the beginning of the 21st century. The Nicaraguan population should ask themselves if globalization would aid the economic stance they are in. Another question that must be asked is if the new trade agreements will benefit or harm the private sector of the rural Nicaraguan farmers. The last question to be answer is, â€Å"Globalization from what side?† as the American Hemisphere seems to be structured with a strong Capitalist giant on the top, The United States of America, and numerous amounts of underdeveloped Socialist countries, which can be said to be most of South America, consisting of Brazil, Chile, Argentina, Ecuador, Venezuela, and Bolivia, Uruguay all have socio-democratic governments, that exercise populist tendencies. Another point that should be kept in mind is the choice between the ALBA and the CAFTA, as the socio-democratic alignment that Nicaragua currently has should be kept in mind. Both treaties should be considered in the â€Å"global† sense as there are currently four enlisted countries in the ALBA agreement, which are Venezuela, Cuba, Nicaragua, Bolivia and Ecuador; while the CAFTA is conformed of The United States, Guatemala, El Salvador, Nicaragua, Honduras, Dominican Republic and Costa Rica. The main concern in regards to globalization may not even be of an economic impact, but rather on of an ideological degree. The Nicaraguan populations view on globalization is of a loss of national pride, as if the United States would take over the countrys economy; which to some extent is true. The ideological conflict, however, stands on whether to be a nationalist, a socialist or a capitalist. Nicaraguas preferences must be examined in order to determine if globalization will have an effect in the Nicaraguan economy. Nicaragua has a long history of corruption that can be traced back to the 1930s with the Somoza dynasty, and can then be followed along the list of Somoza family members onto the Sandinista Mandate and then into the 21st century with the newly elected â€Å"liberal parties†. It is important to recognize Nicaraguas background in order to determine if Globalization will benefit or harm the economy. In order to truly define the â€Å"sort† of globalization that suits Nicaragua best, a definitely structured definition must be established, as â€Å"globalization† is wide in the range of it meaning. Definition of Globalization The definition of globalization can be branched into three main concepts. The first of the concepts can be referred to as the â€Å"broad† point of view, in which globalization is interpreted without inclinations towards the foreign or domestic perspectives. In this notion, we call â€Å"globalization† when a company or multi-national industry invests capital in a usually underdeveloped economy such as Nicaragua. The other two perspectives stray apart when the question of â€Å"why would the companies invest in underdeveloped countries?† is asked. The â€Å"Imperialist† perspective bases itself on the moral principal of stimulating under developed countrys economies. In this lay out, a corporation such as Nike sets out a factory in the under developed country in order to provide jobs for the grand unemployed population. By providing such work, the corporation is thus permitted to pay low fees to its new employees. If a company does not wish to set up a factory in a new location, they can still enter the local markets through Commerce treaties. In Nicaragua there are two possible treaties, the CAFTA (Central America Free Trade Agreement) and the ALBA (Alternativa Bolivariana), the CAFTA being the most suitable, as it permits United States owned companies to compete in local markets. Taking the Imperialist point of view, the local population is given new choices in the market from which to buy from, choices that are sometimes less expensive and thus more economically feasible for a greater part of the population. The â€Å"Anti-imperialist† perspective, otherwise known as the down side to globalization, regards globalization as â€Å"Economic terrorism†. This point of view focuses on the injustices that these corporations bring upon the under developed countries. The first injustice is the claim that these companies pay a misery of a fee to the employees thus only keeping them busy instead of â€Å"feeding them†, reason for why this low pay condition is usually referred to as a â€Å"Sweat-Shops†. The most impacting injustice would be the fact that these corporations are allowed to compete in local markets. The reason for this claim is that the foreign companies offer products of a cheaper nature, and therefore encourage the local merchants to buy foreign products instead of local ones. Once the local products are not consumed, the national domestic companies thus run out of business placing people out of work. The only form of globalization encouraged in Nicaragua, is one through the ALBA agreement, as the conditions in this treaty are of Self-Growth concepts between allied Latin American countries Venezuela, Bolivia, and Nicaragua. Nicaraguas Economic Background during the Somoza era and the Sandinistas. In the 1936, the Nicaraguan population elected Anastasio Somoza Garcia to power. At this moment, the Nicaraguan economy is on the rise. The main exports were cattle and coffee, settling Nicaragua as one of the richest countries of Central America in the first half of the 20th century. Somoza Garcia, however set Nicaraguas faith by providing the United States with raw materials during World War Two for the Allied war effort. This close association with the United States set the Nicaraguas economical and political dependence to the will of the United States. During his presidency; however, he did not increase the Nicaraguan Economy to a significant degree, instead hes main dedication was of a personal extent. Somoza Garcias tactics consisted of diverting government funds to his own accounts, and purchasing government lands at ridiculously low prices. While the Nicaraguan economy remained at a flat constant, Somoza Garcias personal Bank accounts were at an all time raise. During the wartime, he attained numerous facilities to which income was due, facilities such as a cement factory, the national railroad, a cement factory, most textile plants, several electric power companies, the national airlines, and an extensive control over the banks. His personal income, after World War Two, was estimated to have been of 60 million dollars. After Somoza Garcias death in 1956, his younger son Anastasio Somoza Debayle took control of the presidency and succeeds his father in power. A few years later, after a rigged election, Luis Somoza Debayle, Anastasio Somozas older son, took control of the Nicaraguan presidency. During Luis Somozas presidency, the Nicaraguan economy was hit with a drop in Coffee production, as now the competitions for their main product had been expanded onto other locations and were purchased at even lower prices, causing Nicaragua to drop prices as well. It wasnt the coffee drop, however, that caused many grievances to the Nicaraguan Economy, it was the 1972 Earthquake that caused $15 million in damages. Richard Nixon, however, aided the Nicaraguan government with a donation of $50 million. The Nicaraguan Treasury only reported $17 million of that donation, while the other $33 million was believed to be in Luis Somozas personal bank accounts abroad. It was until 1980 that the Somoza dynasty was replaced by another sort of mandate, a leftist government. In 1980, the United States lifted its â€Å"protective shield† over the Somoza family and allowed internal social conflicts to rise out of control. Luis Somoza was then pressured by the United States to leave Nicaragua with the threat of freezing bank accounts that were located in United States banks. The country was therefore left in the hands of the Revolutionary party F.S.L.N (Frente Sandinista de Liberacion Nacional, which is translated to â€Å"Sandinista Front, for National Liberation†), which was commanded by Daniel Ortega. At the moment the F.S.L.N gained presidential authorities, the economic situation had an incredible deficit as major loans were issued from the World Bank. The F.S.L.N, or the Sandinista party for short, did not play a significant role for the Nicaraguan Economy, as their main intentions remained to â€Å"restore the social injustice†. Governmental and private lands were both confiscated and given to the Nicaraguan population as a sort of Land Reform. Not all the land was given to â€Å"the people†, most of it was kept by the high ranking officers such as Daniel Ortega, his brother Humberto Ortega, his right-hand man Tomas Borge and several other Sandinista generals. The countrys economic status dropped from being one of the richest countries in Central America, to being the poorest in the American Hemisphere, preceding only Haiti on the list. It is said by the Director of the Nicaraguan Economic Institute during the 1980s, father Xabier Golostiaga, that â€Å"the Sandinista government, when they took power, found a country with no financial resources†, and also stated that only 3.5 million dollars were found from the 19 banks that were nationalized; however, according Father Golostiaga, Nicaragua inherited a debt of $1.6 billion dollars, while more than half of that money was never used on the Nicaraguan grounds. Even though the Sandinista government is still regarded as a group of â€Å"bandits† in Nicaragua, they did relieve a great percentage of the external debt that Nicaragua had attained during the Somoza dynasty. At the beginning of the Sandinista mandate, influences shifted from the United States the Soviet Union. Nicaragua would engage in trade with the USSR instead of the United States, as the United States had placed Nicaragua in a sort of Financial Boycott. Once the Cold War was over, and ties with the USSR started to shed, the Sandinista government seemed to lose its grasp over the governmental panorama. In 1990, the Sandinista government accepted elections to go forth, losing to candidate Violeta Barrios de Chamarro of the U.N.O party (National Opposition Union). The Nicaraguan Economic panorama (between 1991 and 2007). In 1991, after the Nicaraguan Revolution and the decline of a communist dictatorship, finally, the first liberal government was established during the globalization era. The UNO mandate, cleared much of the economic rubble that the Sandinista dictatorship had left behind. During Violeta Barrioss presidency, she was denied compensation by the United States for damages during the â€Å"Contras† period. After this, donations from European countries were effected, as Nicaragua still remained the worlds second poorest country. It can be said that Nicaragua was institutionalized in a sort of rehabilitation for 7 years in order to get on its feet again. Seven years later, elections were carried out and the Nicaraguan , where people elected Arnoldo Aleman as president from the Liberal Constitutional Party (PLC). At this moment the economy was â€Å"up and running†; and was receiving donation from developed countries, receiving the most from Spain. Besides the flow of income, due to chronic corruption during his government, a 50 million dollar deficit was filed. Arnoldo Aleman had been diverting governmental funds to a private bank account in Switzerland and was arrested for corruption, and money laundry. Corruption had once again been in the hands of a single man. In 2001, Nicaragua saw yet another election, in which Arnoldos vice-president was elected president, president Enrique Bolanos. Nicaraguas economy suffered a stalemate, as president Bolanoss presidency served to â€Å"clean the corruption of the political panorama† and to pay off most of the debts that Nicaragua has inherited during the Sandinistas regime and the Somoza dynasty. The Economic effects of the ALBA and the CAFTA agreements. The CAFTA and the ALBA treaties share similarities within their texts; however, both treaties are approached from different perspectives. The ALBA treaty, is not just considered a treaty, according to Hugo Chavez, it is a bond between Latin American countries, and as Chavez stated: â€Å"Latin America will save itself alone†. So far, there are only 5 members to the ALBA treaty, which members are: Cuba, Nicaragua, Ecuador, Bolivia and Venezuela. The CAFTA on the other hand is seen as simply a â€Å"treaty† between the United States and Central America and the Dominican Republic. This approach by the United States has â€Å"scared off† most of the trust among the population, as it suits the symptoms of an economically manipulative doctrine. The points of the CAFTA are expressed as follows: President Hugo Chà ¡vez in his intervention in ALADI has summarized the principals ALBA as the following topics: 1. To promote the fight against the poverty 2. To preserve the autonomy and Latin American identity 3. The transference of technology, the technical assistance 4. The formation of human resources 5. To prioritize national companies us public beings suppliers 6. The agreements could not be obstacle to the diffusion of the scientific and technological progress 7. To face the abuse of the monopolies and oligopolies through effective mechanisms that assure fare competition 8. The foreign investors will not be able to demand the countries by the handling of state monopolies of public interest 9. Treatment special and differentiated to unequal economies to open opportunities to the weakest 10. Process of wide social participation, which can be characterized like democratic 11. Economic, social, cultural and civil rights should be interdependent, indivisible and can not be waived 12. The commercial interests of the investors will not be able to have supremacy over the human rights or over the sovereignty of the States 13. Creation of founds of structural convergence for the correction of asymmetries The different definitions of Globalization must be kept aside when comparing the ALBA and CAFTA, as the goal of a foreign agreement is to aid Nicaraguas economy regardless of ideological opinion. The CAFTA is regarded as the treaty that puts forth the â€Å"Americanization† of a country, as on the contrary, the ALBA encourages Nationalistic growth. The CAFTA agreement encourages United States corporations into investing their capital in underdeveloped countries in exchange for tax liberation, lower employee costs, and a guarantee in case of corporate loss due to a social instability. The preamble of such documents states: â€Å"The CAFTA is designed to eliminate tariffs and trade barriers and expand regional opportunities for the workers, manufacturers, consumers, farmers, ranchers and service providers of all the countries.† The CAFTA, however, interferes with the local market thus damaging the economy anyway, as the bankrupted domestic companies are fully taxed and pay proper salaries to their employees, when I the other hand the foreign corporations pay miserable fees and when in regard to domestic re-investment, the it is unclear of how much of the companys profits are to be invested. Nicaragua has approved the CAFTA; however it has not been publicly accepted, as in Nicaragua, the CAFTA can be understood in the context of a US strategy to divide opposition in negotiations for other larger trade agreements. Instead of aiding US companies, the objective of the ALBA agreement is to promote cooperation and collective development of the region with an emphasis on fighting poverty and social exclusion. The general feel of the can be appreciated in Venezuelan president Hugo Chavezs opening remark at the United Nations: ALBA is not an agreement of the elite. ALBA is born from down below, from the grassroots of the population, without the people no union would be possible and that is one of the criticisms that we have always made of other integration efforts. The objective is not necessarily to maintain high economic statistics or attract investment, but rather to benefit our populations, so that they have health care, education, jobs, and so they can get out of poverty. Another factor about the ALBA and the CAFTA that must be kept in mind is the alignment is the political alignment that Nicaragua maintains of a socio-democratic regime that owes alliances to Venezuela and Cuba, as the Sandinista party owed much of their existence to Cuba during the Cold War. Due to these populist tendencies, it could be said that, the ALBA is the more appropriate treaty to sign. Socio-Economic Perspective of Globalization It is of public knowledge in Nicaragua that most of the populations regard Globalization as â€Å"not welcome†. The socio-economic perspective of Globalization can be seen from two lights the rural and the industrial perspectives. The rural perspective of globalization can be expressed as the lower classs point of view, while the industrial would affect the middle and upper classes. In short, both of these perspectives contain the entire range of the Nicaraguan society. The people that constitute the rural perspective, also known as the Nicaraguan Farmers, do not welcome globalization because of the economic impact that it will cause society. For most farmers in the outskirts of Managua and on the borders of the country, the prices set by the CAFTA are below the prices they have been used to deal with, meaning that there will be an economic impact for that sector of society. The rural branch of society represents about 70% of the Nicaraguan population, meaning that to off-set an economic pendulum from this side will affect the countrys economy greatly. The industrial perspective of the socio-economic side to globalism might actually benefit from the â€Å"no tariff† agreements as machinery and foreign goods might be less expensive to ship in, and national products will be easier to export. The industrial sector of Nicaragua can be said to constitute by 30% of the population, however, even though it is a minority in regards to the rural sector, the industrial sector represents about 50% of the Gross domestic Product in Nicaragua. The choice between which treaty to chose seems to be the more difficult question as the ALBA benefits the rural sector with its standard wages, while the CAFTA would cause a significant impact in the economy. The industrial sector on the other hand would benefit from both the CAFTA and the ALBA, as the free commerce agreement of â€Å"no tariffs† would mean that the import export of Nicaragua will of a wider range. The issue in mind however, remains on the ideological alignment concern. The rural sector of the Nicaraguan population belongs to a new mix of ideologies, a mix of neo-socialistic liberalism, where a sense of national pride and populism makes the number one goal to push on the Nicaraguan economy. The CAFTA is not appreciated in this perspective as it is seen as an agreement that binds Nicaragua to the will of the United States prices and tariffs, therefore permitting the Unites States to have a sort of control over the Nicaraguan Economy. Nicaragua has already felt the United States economical grasp in the 1970s during the Sandinista government, where the United States employed a boycott on Nicaragua. The sense of resentment has not left the Nicaraguan panorama yet, which means it might take a long time for the CAFTA to be approved by the population. The ALBA in the other hand, is more widely accepted as it involves direct proposals by Venezuelan president Hugo Chavez. In current times, Nicaragua has approved both the CAFTA and the ALBA, the differences, however, are only visible in regards to the material â€Å"gifts† provided by Hugo Chavez. On the Economical perspective, both the ALBA and the CAFTA have not made and impact. Both treaties have rendered the Nicaraguan economy with the same Gros Domestic Product than the year before their signing. Conclusion Nicaragua has been a signatory of the CAFTA for over 3 years now and has also been a signatory of the ALBA treaty for over 1 year now; however both these treaties have not saved Nicaragua from the enormous deficit that it faces. In conclusion, it can be said that Globalization will have an impact in the Nicaraguan Economy in the long-run; however, in regards to Globalism of the Socio-democratic sphere, the Latin American countries should remain united and try to roll back influences from the United States in order to be financially dependent on its own. Nicaragua needs to be financially independent, however, in its current economical state; it cannot stand on its own two feet, which means it should have the temporary support of a greater power. The choices are obviously dived between the CAFTA and the ALBA, which are obviously a reflection of the United States and Venezuela. In the wider-picture, the choice between the ALBA and the CAFTA is the choice between Capitalist democracy and a socio-Populist democracy. The relationship between Nicaragua and the United States has not been as strong as the 1930s in the time of Anastasio Somoza Garcia. The constant intervention from the United States in Nicaragua has rendered a sense of mistrust. In actuality, the CAFTA seems like another brick to the wide and high wall that the United States has been building over Latin America, the first brick being the Monroe Doctrine, which guaranteed the United States right to intervene in any Central American nation if its freedom was being threatened. Even though Nicaragua is a signatory of both the ALBA and CAFTA treaties, so far the ALBA has aided the Nicaraguan economy more than the CAFTA, due to the multiple â€Å"gifts† given by Hugo Chavez to the Republic of Nicaragua, gifts such as Oil Plants. The bottom line, nevertheless, stays the same; Globalization will have an increasing effect on the Nicaraguan economy. Bibliography http://www.ustr.gov/Trade_Agreements/Bilateral/CAFTA/CAFTADR_Final_Texts/Section_Index.html http://www.venezuelanalysis.com/news/2360 Ministro de Estado de Venezuela para la Bancoex, Integracià ³n y Comercio Exterior http://www.globalization101.org/What_is_Globalization.html http://www.newdream.org/consumer/globalization.php http://www.country-data.com/cgi-bin/query/r-9212.html

Berkeleys Water Experiment :: Science Illusions Argument Papers

Berkeley introduces his water experiment in order to demonstrate that in perception the perceiver does not reach the world itself but is confined to a realm of representations or sense data. We will attempt to demonstrate that Berkeley's description of our experience at the end of the water experiment is inauthentic, that it is not so much a description of an experience as a reconstruction of what we would experience if the receptor organs (the left and right hands) were objects existing in a space partes extra partes. Our argument is that there is nothing in our experience of the illusion to suggest that under normal conditions perception does not reach the world itself. Traditionally Empiricists claim that all knowledge and all basic concepts are derived from experience. At the same time they argue that all experience is reducible to private entities, the so-called 'sense data'. Phenomenologists claim that there is nothing in experience itself to suggest that it is reducible to sense data, and that this doctrine is derived from metaphysical prejudices, the so-called 'assumptions of the natural attitude'. They argue that if we could in some way 'bracket' these assumptions and reflect only on our experience of perceiving and on the results of scientific measurements of our perceptual powers, we would discover that perception, rather than presenting us with private entities or 'data', 'opens up' to the world itself. (1) In A New Theory of Vision, Berkeley attempts to show that all experience is reducible to sense data by exploiting two types of argument. At times he exploits a scientific account of perception and of the functioning of the perceptual organs, while at other times he uses the argument from illusions. For example, he argues, that the experience of temperature can be understood with the analogy of the experience of pain, and just as the pain is not 'in the needle', so the warmth I feel is not in the fire. (2) He then argues in a similar vein that visual experience is reducible to collections of colour sensations because light passes into the eye ball and strikes the retina, in much the same way that a sharp object striking the skin produces a sensation of pain, such as a sensation of blue or red. (3) The sensation being the effect of the physical and chemical properties of the world on the sense organs and is as distinct from the world as photographic images are from the objects which cause them.

Adolescents With Food Allergy Health And Social Care Essay

Aim: To develop and formalize the Food Allergy Quality of Life Questionnaire-Teenager Form ( FAQLQ-TF ) in the Dutch linguistic communication. Methods: Ten nutrient allergic striplings ( 13-17 old ages ) were interviewed and generated 166 HRQL points. The most of import points were identified by 51 nutrient allergic striplings utilizing the clinical impact method, ensuing in the FAQLQ-TF incorporating 28 points ( mark scope 1 ‘no damage ‘ to 7 ‘maximal damage ‘ ) . The FAQLQ-TF, the Food Allergy Independent Measure ( FAIM ) and a generic HRQL questionnaire ( CHQ-CF87 ) were sent to 98 nutrient allergic striplings for cross-sectional proof of the FAQLQ-TF. Consequences: Construct cogency was assessed by the correlativity between the FAQLQ-TF and the FAIM ( rho 0.57, P & A ; lt ; 0.001 ) . The FAQLQ-TF had first-class internal consistence ( Cronbach ? 0.92 ) and discriminated between striplings who differed in figure of nutrient allergic reactions ( 1 nutrient allergic reaction vs. & A ; gt ; 2 nutrient allergic reactions, entire FAQLQ-TF mark, 4.3 vs. 3.5 ; p=0.037 ) , but did non know apart between reported anaphylaxis or non. The FAQLQ-TF correlated decrepit with 6 of the 11 CHQ-CF87 graduated tables, showing convergent/discriminant cogency. Decision: The FAQLQ-TF is the first self-administered, disease-specific HRQL questionnaire for nutrient allergic striplings. It has good concept cogency and first-class internal consistence and discriminates between striplings who differ in figure of nutrient allergic reactions. The FAQLQ-TF is short and easy to utilize and may hence be a utile tool in clinical research.Clinical DeductionsThe Food Allergy Quality of Life Questionnaire-Teenager Form ( FAQLQ-TF ) is dependable, valid, short and easy to utilize and therefore a utile tool in clinical research.Capsule sum-upThe FAQLQ-TF is the first self-administered, disease-specific HRQL questionnaire for nutrient allergic striplings. It is dependable and valid and hence a utile tool in clinical research in which HRQL is the result of involvement.Key wordsAdolescents EuroPrevall Food allergic reaction Health-related quality of life AdolescentsAbbreviationsHRQL Health-Related Quality of Life FAQLQ-TF Food Allergy Quality of Life Questionnaire – Adolescent Form FAQLQ-CF Food Allergy Quality of Life Questionnaire – Child Form FAQLQ-PF Food Allergy Quality of Life Questionnaire – Parent Form MI Mean Importance OI Overall Importance FAIM Food Allergy Independent Measure EO Expectation of Outcome IM Independent Measure CHQ-CF87 Children ‘s Health Questionnaire – Child Form AADR Allergen Avoidance and Dietary Restrictions EI Emotional Impact RAE Risk of Accidental Exposure DBPCFC Double-Blind Placebo-Controlled Food ChallengeIntroductionHaving a nutrient allergic reaction can be fatal and striplings are at the highest hazard of decease from nutrient allergic reaction ( 1-3 ) . It is estimated that 2.3 % of striplings are nutrient allergic ( 4 ) . The lone effectual signifier of intervention of nutrient allergic reaction is rigorous turning away of the implicated nutrient ( s ) and proviso of medicines for exigency intervention ( 5 ) . In malice of the high hazard of decease, nutrient allergic striplings really reported societal isolation as the most distressing facet of their disease ( 6 ) . In add-on, some striplings reported depression as a consequence of nutrient allergic reaction and this may take to troubles in school public presentation and leisure activities ( 7 ) . Therefore, nutrient allergic striplings need to be continuously watchful as to what they are eating in legion state of affairss and scenes and, along with the fright of allergic reac tions, this may hold a negative impact on quality of life. At present, no validated self-administered, food-allergy-specific health-related quality of life ( HRQL ) questionnaire exists for usage in striplings. A few surveies have reported that nutrient allergic reaction has a negative impact on HRQL in striplings. However, three restrictions arise when construing these surveies. First, no differentiation was made between striplings and younger kids ( 8-13 ) , whereas HRQL in striplings demands to be addressed individually, because HRQL may be influenced by the phase of neurocognitive and emotional development of an person ( 14 ; 15 ) . Second, HRQL questionnaires were administered to parents therefore mensurating parents ‘ perceptual experiences ( 8-13 ) . However, kids and parents differ in their positions and judgements about quality of life ( 16 ) . Finally, surveies used generic HRQL questionnaires ( 11-13 ; 17 ) or disease-specific questionnaires which have non been validated ( 8 ; 10 ) , whereas generic HRQL questionnaires are n on every bit sensitive as disease-specific HRQL questionnaires ( 18 ) and proof is highly of import in order to find whether the questionnaire is mensurating that portion of quality of life which is determined by the mark upset ( 19 ) . Therefore, we have developed and cross-sectionally validated the first self-administered, food-allergy-specific HRQL questionnaire for striplings, the Food Allergy Quality of Life Questionnaire-Teenager Form ( FAQLQ-TF ) . This questionnaire has been developed as portion of the EuroPrevall undertaking, a European multi-center research undertaking on nutrient allergic reaction. The FAQLQ-TF complements the late developed self-administered Food Allergy Quality of Life Questionnaire-Child Form ( FAQLQ-CF ) for kids aged 8 to 12 old ages ( 20 ) and the parent-administered Food Allergy Quality of Life Questionnaire-Parent Form ( FAQLQ-PF ) for parents of nutrient allergic kids aged 0 to 12 old ages ( 21 ) .MethodParticipants and processDuring point coevals, participants were recruited merely from our outpatient pediatric allergic reaction clinic. Two striplings were approached during a double-blind placebo-controlled nutrient challenge ( DBPCFC ) and, based on patient records, eight strip lings were approached by phone. All approached striplings ( niˆ?10 ) agreed to take part in an interview on the impact of nutrient allergic reaction on their day-to-day life. During point decrease and cross-sectional proof, participants were recruited from our outpatient pediatric allergic reaction clinic ( based on patient records or assignments for DBPCFC ) or were recruited by advertizement in local intelligence documents and through nutrient allergy support organisations ( the Dutch Foundation for Food Allergy and the Dutch Anaphylaxis Network ) . A missive of invitation, the questionnaire and a pre-paid return envelop was sent to suited striplings from our clinic and to striplings who responded to the advertizement. The missive of invitation stressed that engagement was wholly voluntary. When the questionnaire was non returned within a month, the stripling was contacted by phone as a reminder. Adolescents were non paid for their engagement in any phase of questionnaire development or proof. Before cross-sectional proof, the questionnaire was pre-tested in three striplings ( aged 13, 15 and 17 old ages ) . No major jobs emerged during this pre-test. Thereafter, the FAQLQ-TF, the Food Allergy Independent Measure ( FAIM ) and the CHQ-CF87, a generic quality of life questionnaire, were sent by mail to 98 nutrient allergic striplings. Some of them had participated in the point coevals ( 10 % ) or point decrease ( 49 % ) . Descriptive features were asked sing age, sex, type and figure of nutrient allergic reactions, type of symptoms and diagnosing. For the striplings recruited from our clinic, we checked patient records to find whether nutrient allergic reaction had been diagnosed by a DBPCFC. During all phases of questionnaire development and proof, all common nutrient allergic reactions and different types and badnesss of symptoms were represented. The survey was approved by the local medical moralss review committee ( METc 2005/051 ) who deemed that permission from the committee was non required.DevelopmentItem coevals For the development and proof of the FAQLQ-TF, the same methodological analysis was used as for the development and proof of the FAQLQ-CF, which is described in more item elsewhere ( 20 ) . Briefly, possible points for the new questionnaire were generated by questioning 10 nutrient allergic striplings ( aged 13-17 old ages ) . In add-on, literature reappraisal and adept sentiment were consulted. This resulted in an drawn-out point questionnaire of 166 points. Item decrease The drawn-out point questionnaire was sent to a different group of 51 nutrient allergic striplings to place the most of import points by utilizing the clinical impact method ( 22 ; 23 ) . The striplings were asked to bespeak the importance of applicable points utilizing a five-point graduated table. Frequency ( per centum ) was multiplied by average importance ( MI ) , ensuing in the overall importance ( OI ) of each point. The maximum possible OI was 5.0 ( 24 ; 25 ) . Items with the greatest OI were selected for the FAQLQ-TF, except one of any brace of points with an inter-item correlativity & A ; gt ; 0.85 and/or overlapping content ( face cogency ) . The selected points were worded as inquiries holding a seven-point response graduated table runing from ‘not troubled ‘ to ‘extremely troubled ‘ ( 23 ; 25 ) . A psychologist and a linguist reviewed the FAQLQ-TF for lucidity and easiness of usage.Cross-sectional proofConstruct cogency Construct cogency was investigated by computation of correlativity coefficients for the FAQLQ-TF with the Food Allergy Independent Measure ( FAIM ) . This attack has already been successfully implemented to formalize disease-specific HRQL questionnaires ( 9 ; 20 ; 21 ; 25 ) and it is particularly utile in anaphylactic upsets where no nonsubjective measuring of the extent or badness of disease exists ( 26 ) . The FAIM, which was besides used to formalize the FAQLQ-CF ( 20 ) , includes four Expectation of Outcome ( EO ) inquiries and two Independent Measure ( IM ) inquiries. The EO inquiries are based on the sensed outlook of patients of what will go on following exposure which is likely to be a impulsive force of quality of life ( 26 ) . The IM inquiries are based on the same rule and inquire about the sensed figure of nutrients one needs to avoid and sensed impact on societal life. We expected moderate correlativity coefficients ( 0.40-0.60 ) for the FAQLQ-TF with the FAIM. The proof of the FAQLQ-TF was carried out in the Dutch linguistic communication. The English version of the FAQLQ-TF and the FAIM are presented as Figure E1 and Figure E2 in the Online Repository. The Dutch FAQLQ-TF and the FAIM were translated into English by a native English talker and back translated by a native Dutch talker, harmonizing to the guidelines of the World Health Organization ( 27 ) . The original Dutch version was compared with the back translated Dutch version. No of import differences in content or significance of inquiries emerged. Discriminative ability To set up the discriminatory ability of the FAQLQ-TF, we compared the entire FAQLQ-TF mark for striplings who reported anaphylaxis ( i.e. striplings who reported two or more of the undermentioned cardiovascular symptoms ; giddiness, experiencing your bosom round fast, loss of vision, inability to stand, light headedness, prostration, loss of consciousness/passing out ) versus striplings who did non, for striplings who reported many nutrient allergic reactions versus striplings who reported few nutrient allergic reactions, for male childs versus misss ( 28 ) and for striplings who were recruited from our clinic versus striplings who were recruited by advertizement. Dependability The dependability of the FAQLQ-TF was assessed by administrating the questionnaire to 34 striplings on two occasions 10-14 yearss apart. Convergent and discriminant cogency To look into convergent and discriminant cogency, a generic HRQL questionnaire was administered: the Children ‘s Health Questionnaire-Child Form ( CHQ-CF87 ) ( 29 ; 30 ) . This questionnaire is self-administered by striplings and contains 87 points divided into 12 graduated tables. We expected weak correlativity coefficients ( 0.20-0.40 ) for the FAQLQ-TF with the CHQ-CF87.Statistical analysesThe natural FAQLQ-TF and FAIM scores 0 to 6 were recoded as 1 to 7. The entire FAQLQ-TF mark is the average mark of all points with a scope of 1 ‘no damage ‘ to 7 ‘maximal damage ‘ . To measure concept cogency, Spearman ‘s correlativity coefficients were calculated between the FAQLQ-TF and the FAIM. The allotment of the points of FAQLQ-TF into spheres was based on factor analysis ( chief constituent analysis with Varimax rotary motion ) ( 31 ) and face cogency determined by a clinical expert panel ( BMJFdB, JNGOE and AEJD ) ( 14 ; 32 ) . To look into the inter nal consistence of the FAQLQ-TF and the spheres, Cronbach ‘s ? were calculated. An ? greater than 0.70 indicates good internal consistence ( 33 ) . The Mann-Whitney trial was used for mensurating the discriminatory ability of the FAQLQ-TF. The dependability of the FAQLQ-TF was assessed by ciphering the intraclass correlativity coefficient of the repeated FAQLQ-TF measuring ( 34 ) . Finally, convergent and discriminant cogency were assessed by ciphering Spearman ‘s correlativity coefficients between the FAQLQ-TF and the CHQ-CF87 graduated tables. Statistical analyses were performed with SPSS for Windows 14.0 ( SPSS Inc. , Chicago, IL, USA ) .ConsequenceDevelopmentDescriptive features of the striplings involved in the point coevals and point decrease are shown in Table 1. The drawn-out point questionnaire was returned by 46 striplings ( response rate 90 % ) . The OI tonss of all 166 points of the drawn-out point questionnaire ranged from 0.00 to 2.89. The point decrease re sulted in the choice of 28 points ( OI & A ; gt ; 1.37 ) for the FAQLQ-TF ( Table 2 ) .Cross-sectional proofParticipants The questionnaire bundle including the FAQLQ-TF, the FAIM and the CHQ-CF87 were returned by 75 striplings ( response rate 77 % ) . One stripling was excluded because the descriptive features were losing from the questionnaire, ensuing in 74 assessable questionnaires for the cross-sectional proof. Forty-three striplings ( 58 % ) were recruited from our clinic, of which 19 ( 26 % ) had a nutrient allergic reaction confirmed by a DBPCFC. The other striplings from our clinic had a physician-diagnosed nutrient allergic reaction ( skin asshole and/or blood trial ) and the bulk was expecting DBPCFC. All striplings recruited by advertizement ( 42 % ) reported physician-diagnosed nutrient allergic reactions. Descriptive features of the striplings involved in the cross-sectional proof are shown in Table 1. There were no important differences in descriptive features between male childs and misss, between striplings recruited from our clinic and striplings recruited by advertizement or between s triplings with a physician-diagnosed nutrient allergic reaction and striplings with a nutrient allergic reaction diagnosed by DBPCFC. Construct cogency Most points of the FAQLQ-TF correlated significantly with at least one of the FAIM inquiries and with the mean of the FAIM inquiries. Five points did non correlate with any of the FAIM inquiries and were hence excluded from the questionnaire. The validated FAQLQ-TF therefore consists of 23 inquiries. As expected, we found moderate correlativity coefficients between the FAQLQ-TF and the FAIM. The entire FAQLQ-TF mark correlated significantly with the average FAIM ( rho 0.57, P & A ; lt ; 0.001 ) and with the single FAIM inquiries ( Table 3 ) . This important correlativity coefficient was found for striplings with a nutrient allergic reaction diagnosed by DBPCFC and for striplings with a physician-diagnosed nutrient allergic reaction ( entire FAQLQ-TF mark with the average FAIM, rho 0.76, P & A ; lt ; 0.000 and rho 0.52, P & A ; lt ; 0.000, severally ) . These consequences support the concept cogency of the FAQLQ-TF. That is, the FAQLQ-TF steps that portion of quality of life that is a ffected by nutrient allergic reaction. Expectation of Outcome inquiry 3 ( EO3 ) did non correlate with any of the single HRQL points and is therefore improbable to be an appropriate independent step for nutrient allergic reaction in striplings. Therefore, we excluded this inquiry from farther analyses.Sphere construction and internal consistenceThe 23 points of the FAQLQ-TF were subjected to factor analysis ( chief constituent analysis ) , which revealed 5 factors with characteristic root of a square matrixs & A ; gt ; 1. To assistance in the reading of these factors, Varimax rotary motion was performed for 5, 4 and 3 factors. These groupings were reviewed by an adept panel, and based on face cogency the grouping of 3 factors made the most sense. This grouping revealed the undermentioned spheres: Allergen Avoidance and Dietary Restrictions ( AADR ) , Emotional Impact ( EI ) and Risk of Accidental Exposure ( RAE ) . These three factors showed a figure of strong burdens ; all exceed 0 .300, which is regarded as an acceptable standard ( 31 ) . The adept panel allocated 3 points to a more appropriate sphere based on face cogency. The FAQLQ-TF and the spheres had first-class internal consistence with Cronbach ‘s ? transcending 0.70 ( Table 3 ) .Discriminative abilityAdolescents who reported two or more nutrient allergic reactions reported a significantly more impaired HRQL than striplings who reported merely one nutrient allergic reaction ( entire FAQLQ-TF mark 4.3 vs. 3.5 ; p=0.037 ) . There was no important difference in entire FAQLQ-TF mark between striplings who reported anaphylaxis ( cardiovascular symptoms ) and striplings who did non describe anaphylaxis ( 4.5 vs. 4.0 ; p=0.184 ) or between male childs and misss ( 4.0 vs. 4.3 ; p=0.324 ) . Adolescents who were recruited by advertizement reported a significantly more impaired HRQL than striplings recruited from our clinic ( entire FAQLQ-TF mark 4.6 vs. 3.9 ; p=0.015 ) . Dependability The entire FAQLQ-TF mark intraclass correlativity coefficient was 0.98 ( 95 % assurance interval, 0.95-0.99 ) , bespeaking first-class test-retest dependability. Convergent and discriminant cogency The entire FAQLQ-TF mark correlated weakly with 6 of the 11 CHQ-CF87 graduated tables. In add-on, the spheres of the FAQLQ-TF correlated weakly with several CHQ-CF87 graduated tables ( Table 4 ) . This indicates that both questionnaires step constructs that are partially related ( i.e. convergent cogency ) . However, as expected the correlativities are weak and sometimes even absent because the CHQ-CF87 is a generic quality of life questionnaires and hence non every bit sensitive as the disease-specific FAQLQ-TF ( i.e. discriminant cogency ) .DiscussionWe have developed and validated the first health-related quality of life ( HRQL ) questionnaire particular for striplings with nutrient allergic reaction, the Food Allergy Quality of Life Questionnaire-Teenager Form ( FAQLQ-TF ) . We found that the FAQLQ-TF has good concept cogency and first-class internal consistence ( Table 3 ) . In add-on, the FAQLQ-TF discriminates between striplings who differ in figure of nutrient allergic reacti ons. Finally, the FAQLQ-TF showed convergent/discriminant cogency ( Table 4 ) , which supports the demand for a disease-specific quality of life questionnaire for nutrient allergic striplings. It is known that HRQL may be influenced by the current phase of cognitive, societal and emotional development of an person. Therefore, it has been argued that HRQL in striplings should be measured by agencies of a specific instrument ( 14 ; 15 ) . The FAQLQ-TF was specifically designed for nutrient allergic striplings aged 13 to 17 old ages. Age rightness was ensured by bring forthing and including merely points that were regarded as of import by nutrient allergic striplings ( clinical impact method ) . The FAQLQ-TF focal points on the perceptual experiences of the striplings themselves, because the questionnaire is self-administered. Many of the points in this instrument are specific to striplings. An illustration is ‘Carrying an Epipen ‘ . The Epipen issue in nutrient allergic striplings is in harmony with the literature. It has been reported that striplings raise concerns about its size and portability ( 35 ) and sometimes striplings do non transport it based on societal fortunes and sensed hazards ( 36 ) . Despite our age specific attack and the separate development of kid and adolescent questionnaires, it is striking that about two tierces of the adolescent inquiries in the FAQLQ-TF correspond to the kid inquiries in the FAQLQ-CF ( 20 ) . Therefore, although we generated many age specific points, there are seemingly ‘general ‘ nutrient allergic reaction points that are of import in kids and striplings. Furthermore, we found that the three most of import points that impair quality of life were the same in kids and adolescents ( ‘Always be alert as to what you are eating ‘ , ‘The ingredients of a merchandise alteration ‘ , ‘Able to eat fewer merchandises ‘ ) . An unexpected determination was that EO3 ( Chance of deceasing when by chance exposed ) was non correlated with any of the points of the FAQLQ-TF. This may bespeak that fright of deceasing of nutrient allergic reaction is non a driving force of quality of life in striplings, which may be characteristic and specific for striplings. It has been reported that striplings perceived their anaphylaxis as ‘no large trade ‘ ( 35 ) . In add-on, striplings are at the highest hazard of decease from nutrient allergic reaction ( 1-3 ) . This high hazard may be the consequence of underestimate of the badness of nutrient allergic reaction and the belief of striplings that they will non decease from any cause, including their nutrient allergic reaction. In fact, there were no striplings in this survey who reported ‘always ( 100 % opportunity ) ‘ of deceasing when by chance exposed, whereas this was reported by 5 % of kids and 4 % of grownups in other FAQLQ proof surveies ( non shown ) . Although non statistically important, this is a notable observation. The wrong belief of immortality of striplings may ensue in risk-taking behaviour that may increase the hazard of deceasing from a nutrient allergic reaction. Therefore, doctors and other health-care suppliers should be cognizant that underestimate of nutrient allergic symptoms may be of import when reding striplings with nutrient allergic reaction. When comparing the discriminatory consequences of the FAQLQ-TF with the FAQLQ-CF ( 20 ) , two interesting observations emerged. First, there was no important difference in entire FAQLQ-TF mark between striplings who reported anaphylaxis ( cardiovascular symptoms ) and striplings who did non. The same consequence was found in kids ( 20 ) . Second, striplings who were recruited by advertizement reported a significantly more impaired HRQL than striplings recruited from our clinic. This difference was non important in kids, although a tendency was seen ( 20 ) . It may be that striplings see safety and security by being looked after in the clinic, whereas striplings outside the clinic experience more uncertainness and insecurity about their nutrient allergic reaction ( 37 ) . Most striplings recruited from our clinic were known to us for many old ages ( average figure of old ages since first visit 12.5 ( SD 5.4 ) ) . In add-on, it has late been shown that parental trait anxiousness is hig her in parents of kids with a suspected nutrient allergic reaction who refused to take part in a DBPCFC than parents who did take part ( 38 ) . Since it is known that parental anxiousness is related to child anxiousness ( 39 ) , it may be that the striplings in our survey recruited by advertizement have higher degrees of trait anxiousness than striplings recruited from our clinic and may therefore hold more damage in quality of life. This survey may hold some restrictions. First, the proof of the FAQLQ-TF was carried out in the Dutch linguistic communication. The FAQLQ-TF was carefully translated into English utilizing the guidelines of the World Health Organization. The cogency of the English linguistic communication version of this questionnaire is presently being investigated every bit good as versions in several other European linguistic communications. Our experience with the Dutch Vespid Allergy Quality of Life Questionnaire was that the English interlingual rendition validated good ( 25 ) . It is possible, nevertheless, that cultural differences may act upon the ability of our questionnaire to place the most of import points for nutrient allergic patients in different cultural or lingual scenes. Second, patients were recruited at our clinic and by advertizement. These patients may differ from each other, for illustration in footings of degree of information about their nutrient allergic reaction. However, we did non happen important differences in the descriptive features between these groups and other possible differences would non hold adversely influenced the proof process, where a spectrum of badness is good to obtain optimum correlativities. Third, some of the points in this questionnaire are likely to be clip sensitive in the long tally. For illustration, new labelling Torahs could do the labelling points included in this questionnaire obsolete. It is likely that in clip, this questionnaire will necessitate some updating and version. Finally, this study describes merely the cross-sectional proof of the FAQLQ-TF. Currently, the longitudinal proof of the questionnaire is being investigated ( i.e. the capacity of the FAQLQ-TF to mensurate differences in HRQL over clip ) . In drumhead, we have developed and validated the first HRQL questionnaire particular for nutrient allergic striplings, the Food Allergy Quality of Life Questionnaire-Teenager Form ( FAQLQ-TF ) . We found that this questionnaire is valid and dependable and it is short and easy to utilize. The FAQLQ-TF will be therefore a suited questionnaire for clinical research in nutrient allergic striplings in which HRQL is the result of involvement.RecognitionsThis work was funded by the EU through the EuroPrevall undertaking ( FOOD-CT-2005-514000 ) . We would wish to thank Dr. GFEC van Linden new wave lair Heuvell, medical psychologist, and Karel Verbeek, linguist, for reexamining the drawn-out point questionnaire and the FAQLQ-TF and Tina van der Velde for executing the test-retest of the FAQLQ-TF.

Marketing Communications Article essays

Marketing Communications Article essays In completing this analysis of an article, I chose an article by Columbus (2006) that illustrates how marketing departments both in manufacturing and enterprise software companies are striving to stay in touch with their customers more than before, often using new approaches to do this. In terms of the credibility of the article, there is sincerity and honesty in the authors voice, as he is advocating a new perspective on how to understand customers, not a specific product or service to accomplish the task. The author has a bias to the non-traditional approaches companies can use to listen to their customers, and shows an impatience with marketing organizations that only rely on dated cuase-and-effect relationships in relating to their customers. The central theme of this marketing communications article by Columbus (2006) is that its time for marketing departments to snap off the auto-pilot of how they have always done business and embrace user-generated forms of media including blogs. What is fascinating about the article is the move by software company SAP to invite bloggers to a recent event and freely let them report on it. This is a risky move but for the company profiled, SAP, it turned into a huge marketing communications win, as bloggers gave more immediate and unbiased reporting of one of the software companys largest events ever. The central theme continues with getting back in touch with customers and earning their trust. The author asks if the reader would trust their company to do business with them. Thats a provocative statement. The audiences for this article are marketing managers, directors, and vice presidents in manufacturing and software companies. Columbus (2006) makes some excellent points with regard to rejecting the status quo of how marketing has always been done in companies and calls for an embracing of major change. While ...

What Is the Advanced International Certificate of Education (AICE)

What Is the Advanced International Certificate of Education (AICE) SAT / ACT Prep Online Guides and Tips For students looking for a more challenging high school experience or for a chance to earn college credit, many high schools offer advanced college-level programs. The newest one of these is the Cambridge AICE, an international diploma program created via the University of Cambridge in England. Curious about whether this program is right for you? In this article, I'll explain the AICE approach, the coursework necessary to get the diploma, and how it compares to AP and IB classes. What Is the Cambridge AICE? AICE, which stands for Advanced International Certificate of Educationand is pronounced like the word "ace," is aset of challenging college-level classes forhigh school students. It was developed by Cambridge Assessment, a non-profit, non-teaching department of the University of Cambridge in England. Like theAP and IB programs, AICE was designed to give students the option to pursue a more rigorous and ambitiouscurriculumby teaching youkey skills to succeed in college-level work.At the same time, AICE classes and the diploma structure are flexible enough to let students tailor the coursework to their specific interests and strengths. Besides the academic and intellectual appeal of learning in greater depth, AICE lets you earn an advanced diploma toboost your college application. Italso has the potential toget you college credit or let you place out of intro courses once you're a freshman. However, because it is still a newer program, not all colleges viewAICE classes in the same way they do AP classes. You can use the Cambridge Assessments lookup tool tocheck whether your target college accepts AICE. Where Is AICE Offered? Currentlyin the US, AICE is primarily offered in Florida high schools,though there are several other schools offering the diploma scattered throughout the country. In Canada, AICE is only available in Toronto, but there are schools affiliated with AICE throughout the world, primarily in Great Britain. If you’re looking for a school that offers the AICE diploma, you can useCambridge Assessment’s lookup tool to find high schools around you. The Financial Benefits of AICE On top of its emphasis on flexible class offerings and its potential to strengthen your college application, AICE has several financial benefits as well. For one, AICE classes and exams are free for students- your school pays all the fees for this program! For students in Florida, an AICE Diploma is a great way to secure some money for college.If you've earned the diploma and completed 100 hours of community service, you will automatically qualify for the Florida Academic Scholars Award viathe Florida Bright Futures Scholarship Program. But you don't need to earn the AICE diploma to get this scholarship. Some combinations of AICE coursework, community service hours, and minimum scores on the SAT/ACT are also ways to win Florida Bright Futures awards. How Do You Enroll in the AICE Program? You can't sign up for AICE on your own but instead mustrely on your school to provide it- the same way your schooleither does or doesn't provide Honors and AP classes. If your school wants to sign up to offer AICE classes to students, your principal or head of school can go tothe website that explains how to have your school join. AICE is not guaranteed to teach you to levitate books, but there's nothing stopping you from using that argument to convince your principal to sign up. How Is AICE Structured? The AICE program is made up of one-year classes called AS Levels, andtwo-year classes called A Levels. AICE classes can be taken individually, or you can take the two-year program and get an AICE diploma. There are some classes that can be started at the AS Level and then extended to the A Level later. What Are the Classes Like? AICE classes put a lot of emphasis on writing, critical thinking, and delving deep into their subjects. AICE classes aren't very rigidly structured, and AICE exams are somewhat modular. This flexibilitygives teachers a lot more room to spend extra time investigating what seems to be interesting to students and leaving out or shortening other course sections. Individual Classes vs Full Diploma With AICE, you get the choice of either taking individual classes from their course menu, or doing the full course of study needed to get the diploma. If you decide to just take individual AICE classes, colleges will treat them just as they do individual AP classes. These courses will add rigor to your transcript, count more in your weighted GPA, and show colleges that you are willing to challenge yourself and are a motivated student. Getting the AICE diploma requires a much bigger investment of time and effort. But, since each class was designed to be part of the program, the skills and knowledge you learn from one class will benefit you in others. Also, the classes are structured to fit together to give you a more rounded perspective on global issues. To get the AICE full diploma, you need toearn seven course credits within a 25-month period (previously thefull diploma only required six credits). One of these seven credits needs to bethe mandatory core class Global Perspectives and Research. Working on the core was mandatory, but Joe couldn't help feeling a little silly digging around inside a giant apple. What Classes Can You Take? If you're going for the full AICE diploma, the one class you will have to take is the Cambridge International AS and A Level Global Perspectives and Research. This class is the core of the program. But don't worry- it's less a content-heavy class and more a skills-building workshop. In Global Perspectives and Research, you first pick three global topics out of 30 options,such as artificial intelligence, international sport, tourism, and many others. Then, you conduct research to examine these topics from different perspectives, such as the economic impact, ethical dilemmas, environmental forecasts, and so on. Finally, you write a paper, take an exam, and do a group project about your research. All the other classes are your choice. These fall into four groups: Group 1: Mathematics and Sciences Group 2: Languages Group 3: Arts and Humanities Group 4: Interdisciplinary In order to earnthe diploma, you'll need at least one credit each fromGroups 1, 2, and 3. You can have at most two credits from Group 4. Other than that, anything goes. For example, if you're a math whiz, you can load up on the Mathematics and Sciences classes, and only take one class from the Languages Group and one from the Arts and Humanities Group. What do you mean, that's an overload of math? There's no such thing as an overload of math! Here are all the available classes in the AICE Diploma program: Group 1: Mathematics and Sciences Group 2: Languages Group 3: Arts and Humanities Group 4: Interdisciplinary and Skills-BasedSubjects Biology Afrikaans Accounting English General Paper Chemistry Arabic Art and Design Global Perspectives and Research Computer Science Chinese Business Thinking Skills Design and Technology English Language Classical Studies Environmental Management French Design and Textiles Further Mathematics German Digital Media and Design Information Technology Hindi Divinity Marine Science Japanese Language Economics Mathematics Language and Literature in English Environmental Management Physical Education Marathi Food Studies Physical Science Portuguese French Literature Physics Spanish Geography Psychology Tamil Hindi Literature Urdu Hinduism History Islamic Studies Language and Literature in English Law Literature in English Media Studies Music Nepal Studies Portuguese Literature Physical Education Psychology Sociology Spanish Literature Travel and Tourism How Does Grading Work? In each class, you'll do a variety of graded work. In addition to final exams, students write essays, create presentations, and do group projects. Most of this work is graded by your teacher, but some of the essays, presentations, and all the exams are sent away to be graded by Cambridge Assessment. In each class, the range of passing grades goes from A* to E. A* is the AICE version of an A+. Getting an E is basically like getting a C in normal US grading, or like getting a 3 on an AP exam. Depending on your individual AICE class grades, your full diploma will be awarded with Distinction, with Merit, or Pass. The more ornate the certificate, the greater the diploma honors. Distinction diplomas come studded with emeralds and feature a gilded background of the full text ofHamlet. Should You Take AICE? If the only advanced curriculum that your school offers is the AICE program, you should definitely sign up for as many courses as you can reasonably handle and do well in. The classes are similar to AP and IB classes in difficulty level, and colleges love seeing transcripts that show your willingness to tackle hard classes and manage a heavier workload. But what if you have to choose between AICE, AP, and IB? I will lay out the pros and cons of each to help you decide. Should You Take AICE or AP? First, let's talk about the differences between theAICE and AP programs. AICE is designed almost in opposition to the way AP classes are structured. The AICE Diploma is a program rather thana random selection of classes. This means that it can offerclasses in niche subjects, such as tourism and marine science, and then fit those classes into an overall globally minded framework. Also, unlike AP classes, which tend to go wide and broad in their subject areas, AICE classes are more narrow and focused. AICE classes stress essay writing and project-based learning over rote memorization and multiple-choice exams. Because of this, teachers can dive deep into details and deemphasize others, depending on student interest. According to some students, this also means that the AICE exams seem easier- as long as you have a well-reasoned, supported argument and can write well, your answers should get a good score. Finally,whereas college credit for AP classes is based on the score you get on the AP exam, college credit for AICE classes is based on passing the exam, not on the specific score you receive. In other words, a 3 on an AP exam probably won't get you college credit in more selective colleges, but an E in an AICE class might. If you have the choice between AP and AICE, pick AP if: You are a very good test taker who does best with fact-based learning You are interested in a subject AP offers and AICE doesn't offer An excellent teacher is teaching the AP level You've already taken the AICE level of a particular class but are now interested in getting a broader overview of the same subject Your target collegesdo not recognize AICE Pick AICE if: You are interested in getting the full diploma You would like to learn about a subject from a global perspective You want toimprove your writing and public-speaking skills You aren't sure you can get a 5 on an AP exam but would like to try for college credit or advanced placement You live in Florida and canbenefit financially from the Bright Futures Scholarship Florida: land of Disney, sea cows, and free college money for good students. Should You Take AICE or IB? The IB and AICE programs are much more similar than they are different in the way they both approach teaching and the curricula of their classes. The main distinguishing characteristic of AICE is that Cambridge Assessments is notably vocal in its concerns abouthomework load, which is something IB doesn't address. AICE homework is designed to maximize yourlearning without unnecessary repetition or busywork. The designers of AICE talk a lot aboutstudentneed to have time for extracurricular activities as well asfamily and social lives. AICE is also more flexible for students who have strengths in certain subject areas. Unlike with the IB program, with AICE you can get the AICE Diploma by taking mostly classes in the subject group where your strengths or interests lie. If you have a choice between IB and AICE, pick IB if: You are interested in a more structuredprogram in which you won't have to design your own course of study An amazing teacher is teaching your school's IB program Your targetcolleges do not recognize AICE Pick AICE if: You'd like more flexibility in designing your own course of study You aren't sure if you want to go for the full diploma and would like the option of taking individual classes You are interested in starting some classes at the one-year AS Level before committing to the two-year A Level You live in Florida and canbenefit financially from the Bright Futures Scholarship Why buy the A-Level cow when you can get the AS-Level milk for free? What’s Next? Did you know that the AP also has a diploma program? Check outour complete guide to AP Capstone anda complete list of the schools that offer it. Interested in learning everything you can about all the different advanced placement options? Readour explanation of the International Baccalaureate. Wondering how all of your advanced placement classes will benefit you once you get to college? We’ve gotthe scoop on how colleges treat AP credits. Want to improve your SAT score by 160 points or your ACT score by 4 points?We've written a guide for each test about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now:

Chronic Pain Management and Nurse Practitioners Term Paper

Chronic Pain Management and Nurse Practitioners - Term Paper Example Recent increased focus on pain via hospice programs, state, national, international pain gatherings, pain clinics and professional pain organizations confirm the importance accorded to chronic pain and its management in the healthcare sector. This level of attention notwithstanding, a good number of family and primary care nurses and nursing students are poorly armed with the information, skills and awareness to manage chronic pain (Arnstein, P., and Marie, B. St., 2010). In addition, patients and their loved ones lack the latest and the most accurate information on effective pain management (Droes, 2004). These problems are further compounded by certain misconceptions about chronic pain, which include the beliefs that most chronic pain patients receive enough pain treatment and that non-oral routes are preferred for opioid administration (Droes, 2004). The other misconceptions are that relief from pain is not a treatment outcome and that many patients exaggerate their pain. These ar e some of the misconceptions that nurse practitioners should drop to efficiently treat chronic pain (Droes, 2004). This paper explores the difficulties of treating chronic pain and barriers such as inadequate training and education, financial barriers and impacts, and issues of state and federal policies and guidelines on pain management. Specifically, the paper will focus on the healthcare economic issues surrounding nurse practitioners’ pain management efforts. Role of Nurse Practitioners in Chronic Pain Management According to a publication by the Nurse Practitioner Healthcare Foundation released on December 15, 2010, the issue of moderate and severe chronic pain has been largely ignored in the sector just like the issue of derisory management and treatment of chronic pain, not to mention the misuse, abuse, and diversion of prescription opioids (Arnstein, P., and Marie, B. St., 2010). In fact, that millions of U.S. citizens use millions of pain relievers for non-medical re asons annually should be a wakeup call for medical practitioners and the relevant state and federal authorities. Importantly, health care practitioners ought to address these issues to avert and avoid resultant problems such as overdoes, increased illness and injury risks and even death in some cases (Arnstein, P., and Marie, B. St., 2010). These problems not only affect individuals but also impinge on the welfare of the larger community. This situation calls on well-meant nurse practitioners to rise to the occasion and properly prescribe and dispense pain relievers. More concernedly, opioids for chronic pain should be handled with more caution and keenness since the health care economic impacts are direr, more so for patients and members of public who may use opioids in a manner not recommended (Richardson & Poole, 2001). To know their roles in managing and treating chronic pain, advanced nurse practitioners should first understand the problem of chronic pain. First, it is of the e ssence that nurse practitioners appreciate that chronic and acute pains are worldwide health problems, which can be treated. However, chronic pain has not been associated with the benefits of acute pain, which may have protective effects on illnesses and injuries in certain instances. On the other hand, some experts regard chronic pain as a high prevalence disease on its own. In fact, by 2006, about 76

Worldview Beliefs Essay Example | Topics and Well Written Essays - 1250 words

Worldview Beliefs - Essay Example This essay demonstrates and shows that what a person looks like at the present does not matter because as we age, our looks also change so that although we may have once been physically beautiful, with time, this beauty is eroded by age and what is left behind is a shadow of what we once were. However, I believe that inner beauty lasts forever because our character and our actions tend not to change as fast as our physical beauty does. An example of this is the way people care for others and one of these is my best friend who has influenced my worldview on this matter. She is a kind, loving, and helpful person and she has the ability to make others feel better, which makes her a treasured friend to have. In conclusion, I believe that the world would be a better place if only all of us could treat each other with respect and tolerance. We should seek to understand and appreciate that people have diverse opinions due to their backgrounds and experiences in life before passing any judgm ent, as this would stop many of the prejudices which some of us have against others. In addition, I am of the opinion that for people to experience greater success in life they have to develop the virtue of perseverance considering that every undertaking has its challenges. In addition, inner beauty, as opposed to the physical outer beauty, is very important since it outlasts the later. Moreover, inner beauty concerns inherent good characters other than the outward impression, which is often deceiving.... Doing so has also helped me to develop very close friendships with people who I would otherwise have not have had any time for and this has ensured that I have developed friendships which have filled my life. It has enabled me to develop the necessary social skills to interact confidently with people from different backgrounds on an equal basis without any feeling of superiority on my part. Many people consider the ability not to give up or perseverance a virtue and in fact, the majority of the world religions encourage it in their followers. Perseverance, from ancient times, has been one of the keys to success and it is very difficult to achieve any level of success without it. I believe that it involves the ability to be committed to a task that one has set for him or herself, to be able to work hard towards it, and to have the patience and endurance to make sure that this task is fulfilled satisfactorily. Never giving up also involves the ability to be able to bear the difficultie s that one is facing calmly and without any complaint because these tend to explain why many fail to succeed in whatever they are doing. A good example of perseverance is the one that the Wright Brothers had when they were attempting to make a flying machine. Many people had no faith that they would be able to make it and in fact, some even tried to discourage their attempts. Despite all this, the Wright brothers became even more determined to achieve their goal, it is this ability of never giving up that made them create the first airplane, and that is why we are able to travel by air today. There are many definitions of beauty but one of the most of these definitions tends to be based on the physical