Postgraduate Studies - Free Essay Example

Sample details Pages: 4 Words: 1239 Downloads: 2 Date added: 2017/06/26 Category Law Essay Type Narrative essay Topics: Student Essay Study Essay Did you like this example? PERSONAL STATEMENT à ¢Ã¢â€š ¬Ã‹Å"The task of modern educator is not to cut down jungles, but to irrigate deserts.à ¢Ã¢â€š ¬Ã¢â€ž ¢ -C.S. Lewis. I am presently undertaking my dual graduate degree of B.A., LL.B. (Hons.) in Constitutional Law, from Institute of Law, Nirma University, Ahmedabad, Gujarat, India (ILNU). I got enrolled in the 5 yearsà ¢Ã¢â€š ¬Ã¢â€ž ¢ integrated professional law course after completing my High School in Humanities Stream with History, Political Science, Sociology and Languages. The integration of Bachelor of Arts (B.A.) and Legum Baccalaureus (LL.B.) in India is a post globalization marvel. ILNU presented me with 15 non-legal modules in Humanities and Social Sciences, which is quite a unique feature in my legal academic quest, as no other university in nation-state offers so many modules in ten semesters. The award of degree certificate is on acknowledgement of 271 credits grounded on 58 credit based modules. My fortÃÆ' © h as always been normative analysis of any scientific or theoretical enquiry. I have a respectable hold on political theory, philosophy and thought. The real asset of my temperament is inter-disciplinary approach and due regard to historical development and gendered reasoning. My enthrallment in juridical studies has streamed from Constitutional Law. Appreciation and admiration towards Legal Theory is culmination of readings in political theory and sociology. I deciphered modalities of à ¢Ã¢â€š ¬Ã‹Å"Jurisprudenceà ¢Ã¢â€š ¬Ã¢â€ž ¢ by the academic discipline, viz., à ¢Ã¢â€š ¬Ã‹Å"Sociology of Lawà ¢Ã¢â€š ¬Ã¢â€ž ¢. Also, à ¢Ã¢â€š ¬Ã‹Å"principles of statutory interpretationsà ¢Ã¢â€š ¬Ã¢â€ž ¢ and à ¢Ã¢â€š ¬Ã‹Å"natural justiceà ¢Ã¢â€š ¬Ã¢â€ž ¢ in Administrative Law are among my areas of interest. The comparative approach in common law countries, especially England, US, Australia and India is one of my strengths. I am a progeny of experimental Indian education system. The fault lie s in higher education in India with regard to its quality. Attention should be paid to the teaching profession for the pedagogical cure of the Indian education structure. Hence, the need for a commitment to grow and learn advanced nuances, from younger as well as from senior generations. This is possible only if I regard my whole life bound in university campus, inside or outside the classroom. Research interests include, particularly pragmatics in law and trends in judicial process. My readings centre round in pursuit of indulgence in à ¢Ã¢â€š ¬Ã‹Å"justiceà ¢Ã¢â€š ¬Ã¢â€ž ¢ as an idea and concept. This seed was sowed in my mind when I was 16 years old and for the first time read about theory of justice by John Rawls in a high school textbook. I found similarity between à ¢Ã¢â€š ¬Ã‹Å"difference principleà ¢Ã¢â€š ¬Ã¢â€ž ¢ and à ¢Ã¢â€š ¬Ã‹Å"talismanà ¢Ã¢â€š ¬Ã¢â€ž ¢ of Gandhi printed on cover page of the political theory book. The academic sub-discipline, à ¢Ã¢â€š ¬Ã‹Å"Sociol ogy of Lawà ¢Ã¢â€š ¬Ã¢â€ž ¢, where my extensive reading of Roscoe Pound, Roger Cottrell and Nicholas Timasheff, prepared me for legal theory in a better way. Advancing module on à ¢Ã¢â€š ¬Ã‹Å"Justiceà ¢Ã¢â€š ¬Ã¢â€ž ¢ was based on Prof. Michael Sandelà ¢Ã¢â€š ¬Ã¢â€ž ¢s book, à ¢Ã¢â€š ¬Ã…“Justice, whatà ¢Ã¢â€š ¬Ã¢â€ž ¢s the right thing to do.à ¢Ã¢â€š ¬Ã‚  I developed analytical and critical approach after scientifically reading Bentham and Mill from a utilitarian angle and Nozick from libertarian side. In an effort to sort the various epistemic doubts I meticulously read Spinoza, Hobbes, Locke, Machiavelli, Kant, Hegel and Marx. The value of theorization came when I was able to appreciate essays and articles of Homi K. Bhabha. I was able to engage in dialogues with senior academic fraternity. ILNU provided me with a good opportunity by introducing me to module titled à ¢Ã¢â€š ¬Ã‹Å"Theorizing India: Construction, Contestation and Critiqueà ¢Ã¢â€š ¬Ã¢â€ž ¢. I sharpened my qu estioning skills by including legal history of India which is in contemporary times a British vintage and heritage. To fathom the modern legal edifice of India, framed by constituent assembly, one ought to know English legal traditions. Because Indian so called à ¢Ã¢â€š ¬Ã‹Å"founding fathersà ¢Ã¢â€š ¬Ã¢â€ž ¢ were law graduates from England and America. It was a prerogative for them to inherit the British sense of justice through common law practices. Indian Constitution has been accredited with a jigsaw of constitutions. It has been inspired by the English declaration of Magna Carta as well as Socialist revolution in Soviet Russia. I was able to mature and cultivate more into understanding of à ¢Ã¢â€š ¬Ã‹Å"comparative constitutional lawà ¢Ã¢â€š ¬Ã¢â€ž ¢ by going through voluminous text of Constitution Assembly Debates and a critical treatise of H.M. Seervai pertaining to Indian Constitutional Law by subscription to classical constitutional approach, which is predominantly Bri tish. Being a student of law my choice of textbook for jurisprudence was P.J. Fitzgeraldà ¢Ã¢â€š ¬Ã¢â€ž ¢s à ¢Ã¢â€š ¬Ã‹Å"Salmond on Jurisprudenceà ¢Ã¢â€š ¬Ã¢â€ž ¢ and a notable book on Jurisprudence by R.W.H. Dias. I made myself busy by acquainting myself with all schools of thought and reading classical translated texts. The historical school of Savigny; positivist of Kelsen, Hart and Fuller and their creditable debate; the à ¢Ã¢â€š ¬Ã‹Å"idea of justiceà ¢Ã¢â€š ¬Ã¢â€ž ¢ by Stammler. Other classical texts of Aquinas, Hohfeld, Finnis, Austin and Holmes enriched intellect. Syncretic approach and ethics based assimilation of theories made me augmentative and illuminated. Additional readings in contextual theory are of à ¢Ã¢â€š ¬Ã‹Å"Feminismà ¢Ã¢â€š ¬Ã¢â€ž ¢. I pedantically read three different translations of Simon De Beauvoirà ¢Ã¢â€š ¬Ã¢â€ž ¢s Second Sex. Also, about Civil Disobedience in modern democratic setup, where I got myself into trajectories of Thoreau, Rawls, Ga ndhi, Hegel, Jefferson and Socratesà ¢Ã¢â€š ¬Ã¢â€ž ¢ arguments in crito. Furthermore, I explored dimensions in marxist structure and superstructure archetype by Alan Stone; works of Pashukanis, Adorno and sub discipline, à ¢Ã¢â€š ¬Ã‹Å"Sociology of Musicà ¢Ã¢â€š ¬Ã¢â€ž ¢ which gave clarity about Frankfurt school or the Critical School in more guided way. Scholars like Dicey, Wade, Friedmann, Paton, Duguit, Rene and Montesquieu who enticed me more with essential concepts of separation of power, rule of law and legislative and judicial roles. I quite generated a variety of interest base in psychoanalysis by getting introduced to Freud and Zizek. The list sometimes get exhaustive when I go in vacation my reading will extend on to à ¢Ã¢â€š ¬Ã‹Å"hermeneuticsà ¢Ã¢â€š ¬Ã¢â€ž ¢, à ¢Ã¢â€š ¬Ã‹Å"historical methodsà ¢Ã¢â€š ¬Ã¢â€ž ¢, à ¢Ã¢â€š ¬Ã‹Å"archaeologyà ¢Ã¢â€š ¬Ã¢â€ž ¢ and various works of Laclau, Gadamer, Agamben, Butler, Nietzsche, Foucault, Lacan, Derrida, Deleuze, Kafka, Haber mas, Max Muller to name a few. The impressions of Gandhi and Vivekananda in moral philosophy and also of oriental thought has huge impact on me, personally and academically. In the co-curricular activities, I was a Student Editor of Nirma University Law Journal (NULJ) ISSN: 2249-1430, a bi-annual refereed journal, which is also indexed at Indiaà ¢Ã¢â€š ¬Ã¢â€ž ¢s most used and extensive database S.C.C. Online and Manupatra. While working there I mastered various reference styles and often had to convert them into appropriate ones. I established myself comfortably in OSCOLA, MLA, Chicago, APA and Bluebook 19th edition styles of referencing. I, out of my choice dedicated my commitment to academic research by associating with the aforesaid journal, which made a novel contribution to world knowledge domain. I was also a member of Internal Quality Assessment Cell (IQAC), of ILNU. I believe I have an aptitude for theoretical scholarship and for subtleties of legal theory. When it to comes to independent thinking, I am very apposite. Hence, I ruminate over having LL.M. with specialization in Legal Theory from prestigious establishment like the London School of Economics and Political Science (LSE), which is second to none. The manifested stature of LSE is non-analogous. While pursuing this course I would like to explore various advances in jurisprudence in a more arduous way. So to be well-fitted with the best of minds in a cosmopolitan, multicultural and plural atmosphere. Modules in LSE, which I would like to have for a special pursuit are Law and Social Theory, Political Thought. My commitment to research and Constitutional Law makes it quite evident that applying for specialization in Legal Theory in LL.M. at LSE is the reflection of my superior choice and non-settlement for mediocrity. Don’t waste time! Our writers will create an original "Postgraduate Studies" essay for you Create order

Public Health Ethical Concerns and Potential Barriers Essay

Introduction Public health is an important aspect of human life and there is need for the healthcare practitioners to ensure that they give proper healthcare services to human beings in ensuring their protection. Public health is an art and a science mandated with the responsibility of preventing disease thereby prolonging life of an individual and promotion of the health through different health organizations, societies, public, and private (Aginam, 2005). The major part of public is dealing in the disease prevention rather than curing since the practitioners believe in the core principle that prevention is better than cure. Even though it gives much weight in the prevention, public health also assists in the treatment of various†¦show more content†¦Individuals need to have their freedoms and rights protected in the event of ensuring that the practitioner provides the best healthcare service (Aginam, 2005). Public health ensures ethical considerations of the patients in th e prevention of the various diseases that affect the citizens of a given environment. There are so many other ethical concerns other than the listed above. Most governmental institutions for the different economies mandated with the responsibility of enhancing public health develop different ethical codes (Martin Johnson, 2001). Individuals have the right to be healthy and receive proper medical attention concerning prevention and treatment of the various infectious diseases and complications. Their rights for such public health provisions should be upheld in an attempt to provide the best services for the person. In addition, every individual has the right to get access to various sources of data and information on the different public health issues affecting an environment (Aginam, 2005). It is important to enlighten a community on such rights in order to reduce the prevalence of certain diseases as well as the costs involved in their prevention and treatment. Public health ethi cal concerns are very vital within a given economy or nation as through proper administration of the required healthcare service, both curative and preventive a healthy population is maintained thereby giving the economy a productive labor. As a result, theShow MoreRelatedThe Effects Of Genetically Modified Foods On Human Health1379 Words   |  6 Pagesclear is that there is not enough information on the consequences of genetically modified foods on human health as of yet. Furthermore no agreement among the scientific community has been reached on the risks or safety of this technology, although it seems to possess wide, uncertain and, potentially dangerous implications for human health, which are inextricably linked to moral/ethical concerns. Genetically modified foods is most commonly used to refer to crop plants created for human or animalRead MoreChildhood Immunizations And Universal Vaccination1371 Words   |  6 Pageshave been a deliberated and debated topic among much of the population. Those who are in support of vaccination, including healthcare providers, believe that vaccinations are not only in the best interest of each child’s health, but also in the best interest of the public’s health as a whole. Many vaccine supporters also believe that the benefit of vaccinations outweigh the risks associated with them (Song, 2014, p. 542). Those who are not in support of vaccinations, or display hesitancy regardingRead MoreWhat is Business Conduct? Essay examples1196 Words   |  5 PagesBusiness conduct is a must in order to satisfy the outcome of the business and is crucial in preventing unethical concerns from occurring within the business. In todays, modern competitive business market, it is essential to note that business conduct is an uprising concern that holds both advantages and disadvantages in all industries. An industry where business conduct is seen as a concern is in the mining industry. The mining industry is an industry that is economically stable and the industry consistsRead MoreHealth Care Reform And Insurance1583 Words   |  7 PagesHow can we justifiably change the status of how we receive health care? In today society, health care services are imbalanced in serving its members. Reform is what is desired of most people who feel that the present standards are insufficient. In fact, numerous reports have surfaced in support of the rights to health care. There will be different reviews examined to determine how health care reform can accommodate the misfortune as well as the fortunate. 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Social workers, indifferent to their type of service are encouraged to promote ethical values and standards. However, the shift to ethics in research involving human participation was particularlyRead MoreChildhood Obesity : A Public Health Crisis1237 Words   |  5 PagesIntroduction Childhood obesity is a public health crisis in Canada. Research shows that childhood obesity is related to morbidity and mortality in adulthood (Tremblay, 2010). According to one study about 31% of Canadian youth between the ages of 2-17 years are obese and overweight, which put them on a greater risk for developing chronic conditions in their early adulthood years (Vine Elliot, 2014). Children spend most of their time during the day in the schools, hence, it is very important that

Vitamin C free essay sample

Does the amount of Vitamin C on the label of commercially available tablet exaggerate the amount of Vitamin C? The aim of this experiment is to determine whether manufacturers of commercially available Vitamin c tablets exaggerate the amount of vitamin C Abstract: The purpose of this experiment was to test Vitamin C in commercially available Vitamin C tablets. It was discovered that the percentage Vitamin C content was lower than what was stated on the label. This, however, could be due to fillers and ionization, amongst other variables. Planning: Hypothesis: The amount of Vitamin C in the tablet is not exaggerated Independent variable: Dependent variable: Fixed variables: Indicator used: Phenolphthalein Apparatus: i‚ · Burette i‚ · Pipette i‚ · Beaker i‚ · Ehlernmeyer flasks i‚ · Glass rod (stirring rod) i‚ · Vitamin C tablet i‚ · Standard solution: 0,1mol. dm3 NaOH i‚ · Warm water i‚ · Indicator: phenolphthalein Method: 1. Crush one Vitamin C tablet, put it on a page and weigh it (take the mass of the page into consideration. Record the mass 2. Pour 75ml warm water into beaker 3. Mix the crushed tablet with the water using a glass rod 4. Fill the burette with standard solution (NaOH) up to the zero mark (make sure the tap is closed) 5. Run some NaOH solution out of the burette to allow the solution to flow through the tap as well. Record the amount of solution you have left in the burette 6. Attach the burette to a stand 7. Pipette 25ml Vitamin C solution into an Ehrlenmeyer flask 8. Add 4-5 drops of phenolphthalein 9. Put the flask underneath the burette with ample space for stirring 10. Open tap to pour standard solution into the flask. 1. Stir continuously 12. When the colour change starts to become more obvious and permanent, slow down, adding one drop at a time eventually 13. Record the amount of NaOH solution in the burette 14. Repeat steps 7-13 a minimum of 2 more times Results Vitamin C content on label: 600mg Mass of crushed Vitamin C tablet: 1100mg Water and Vitamin C solution: 75ml (25ml per trial) Drops of phenolphthalein: 5 NaOH concentration: 0, 1mol. dm3 Table showing the readings of NaOH (base) solution in the burette 123 Initial Reading (mol. dm3)015,531 Final Reading (mol. dm3)15,53146,5 Volume of base used (mol. dm3)15,515,515,5 Average volume of base used: 15,5mol. dm3 Balanced equation: H2C6H6O6 + NaOH i? NaHC6H6O6 + H2O NaOH c= n/v 0,1= n/15,5 n= 1,55 mols NaOH NaOH:H2C6H6O6 1:1 1,55:1,55 Volume of acid= 25ml c= n/vM= 2(1)+6(12)+6(1)+6(16) = 1,55/25 = 176 amu Ascorbic acid = 0,062mol. dm3 n= m/M gX1000= mg 1,55= m/176272,2g X 1000= 272200mg m= 272,2g The label says the Vitamin C content is 600g Therefore the actual % Vitamin C content= 272,2/600 X 100 = 45,3% Vitamin C Conclusion: In accordance with my results, the Vitamin C content in these tablets is exaggerated. However, there are factors that could alter these results, making them inaccurate. I therefore conclude that no conclusion has been made, until further experiments prove otherwise. Discussion: Vitamin C tablets are used to supply the body with the necessary amount Vitamin C that it didnaâ‚ ¬Ã¢â€ž ¢t get through diet. Vitamin C repairs and replenishes many organs, it is necessary for functions such as the biosynthesis of collagen and many more, and it prevents many diseases (such as scurvy). Too much Vitamin C can also be unhealthy and lead to problems, although most of the waste nutrients are excreted. It is, by law, that the Vitamin C content is stated on the packaging but whether or not the amount is correct, is unknown. Titration help us to calculate the actual amount of Vitamin C in a tablet but this could be inaccurate. Vitamin C ionizes easily, even more so in warm water. Therefore the amount of Vitamin C in the tablet could be higher because of this reason. Another reason for this amount is that these tablets contain fillers such as starch (which takes up space but doesnaâ‚ ¬Ã¢â€ž ¢t have any effect). Manufactures canaâ‚ ¬Ã¢â€ž ¢t put the incorrect amount of a substance on medicine because the repercussions could be hazardous. This experiment could also be inaccurate due to the number of titrations done. In the future more titrations should be done, the experiment should be done more precisely and efficiently, Bibliography i‚ · Ms Horn, The Settlers High school i‚ · Rudolph, Samantha,The Settlers High School Wesites: 23 January 2011 1. http://www. juliantrubin. com/fairprojects 2. http://www. sciencebuddies. org/science-fair-projects/project_ideas. shtml 3. afieldblog. om/2010/09/23/liesegang-rings-in-nature 4. classroom. all-science-fair-projects. com 5. http://www. projects. juliantrubin. com/science_fair_project/renewableenergy/solar_tracker_2. html 6. http://www. odec. ca/projects/2008/full8e2/ 7. http://www. free-science-fair-projects. com/Science-Fair-Projects-Search. aspx? Grade=11Category=All 8. n. wikipedia. org/wiki/Henrys_law 9. http://www. usc. edu/C SSF/History/2005/Panels/S05. html 10. http://wiki. answers. com/Q/Would_adding_spf_30_sunscreen_to_spf_50_sunscreen_make_it_sp f_80_sunscreen 11. http://www. instructables. om/id/Homemade-Sunscreen/ 12. http://www. instructables. com/id/Homemade-Sunscreen/ 13. www. ehow. com 14. http://www. super-science-fair-projects. com/medicine-health/suntan-lotion-ph-testing-science-projects. html 15. http://www. patentstorm. us/patents/5691158. html 21 March 2011 1. http://www. wisegeek. com/how-do-i-choose-the-best-vitamin-c-tablets. htm 2. http://www2. ohlone. edu/people/jklent/labs/101B_labs/Vit%20C%20analysis. pdf 3. http://www. anyvitamins. com/vitamin-c-ascorbicacid-info. htm 4. www. chemistryexplained. com 5. http://ods. od. nih. gov/factsheets/VitaminC-QuickFacts

Not a Biological Necessity free essay sample

Mead was born in Philadelphia in 1901. She earned a doctoral degree in anthropology from Columbia University, where she studied under the legendary anthropologist Ruth Benedict (p. 56). In 1925, Mead traveled to American Samoa for an extensive fieldwork project studying adolescent girls. She used this research as the basis for her first book, Conning of Age in Samoa (1928), which became a best seller and introduced a generation of nonspecialists to the field of anthropology. In 1929, Mead traveled to New Guinea for a similar study, which resulted in her second major book, Crowing Up in New Guinea (1930). She continued doing fieldwork throughout the world, but maintained strong ties to New York, where for most of her career she worked at the American Museum of Natural History. In the course of her career, Mead became known as an expert on both a diverse group of cultures and on human culture generally—on the ways that human beings form, maintain, and modify social relations. She refused to accept the common division of the world into civilized and primitive cultures, insisting instead that all cultures had things to learn from each other. The accessibility of her scholarly work, combined with her willingness to write articles for the popular press (she wrote a monthly column for Redbook magazine for seventeen years), put a human face on the often-obscure discipline of anthropology and gave Mead enormous influence with the American public. The following essay, Warfare: An Invention—Not a Biological Necessity, was originally published in Asia magazine in 194*0. It is based on one of Meads most cherished beliefs: that people can change by learning from other cultures. In this essay, Mead draws on her vast experience with other cultures to refute the popular argument that the inherent aggressiveness of human beings makes warfare inevitable. 3k Is WAR A BIOLOGICAL NECESSITY, a sociological inevitability, or just a bad invention? Those who argue for the first view endow man with such pugnacious1 instincts that some outlet in aggressive behavior is necessary if man is to reach full human i. Pugnacious: eager to fight, combative. G .-.. . !. WAR AND PEACE Mn MARGARET MEAD stature. It was this point of view which lay back of William Jamess famous essay, The Moral Equivalent of War, in which he tried to retain the warlike virtues and channel them in new directions. 2 A similar point of view has lain back of the Soviet Unions attempt to make competition between groups rather than between individuals. A basic, competitive, aggressive, warring human nature is assumed, and those who wish to outlaw war or outlaw competitiveness merely try to find new and less socially destructive ways in which these biologically given aspects of mans nature can find expression. Then there are those who take the second view: warfare is the inevitable concomitant of the development of the state, the struggle for land and natural resources of class societies springing, not from the nature of man, but from the nature of history. War is nevertheless inevitable unless we change our social system and outlaw classes, the struggle for power, and possessions; and in the event of our success warfare would disappear, as a symptom vanishes when the disease is cured. One may hold a compromise position between these two extremes; one may claim that all aggression springs from the frustration of mans biologically determined drives and that, since all forms of culture are frustrating, it is certain each new generation will be aggressive and the aggression will find its natural and inevitable expression in race war, class war, nationalistic war, and so on. All three positions are very popular today among those who think seriously about the problems of war and its possible prevention, but I wish to urge another point of view, less defeatist perhaps than the first and third, and more accurate than the second: that is, that warfare, by which I mean organized conflict between two groups as growfs, in which each group puts an army (even if the army is only fifteen Pygmies) into the field to fight and kill, if possible, some of the members of the army of the other group—that warfare of this sort is an invention like any other of the inventions in terms of which we order our lives, such as writing, marriage, cooking our food instead of eating it raw, trial by jury, or burial of the dead, and so on. Some of this list any one will grant are inventions: trial by jury is confined to very limited portions of the globe; we know that there are tribes that do not bury their dead but instead expose or cremate them; and we know that only part of the human race has had a knowledge of writing as its cultural inheritance. But, whenever a way of doing things is found universally, such as the use of fire or the practice of some form of marriage, we tend to think at once that it is not an invention at all but an attribute of humanity itself. And yet even such universals as marriage and the use of fire are inventions like the rest, very basic ones, inventions which were perhaps necessary if human history was to take the turn it 2. William Jamess famous essay: In the 1906 essay mentioned here, the American philosopher and psychologist William James (18421910) argues that the natural instincts of human beings toward competition, patriotism, and militarism can be channeled positively into public wotks projects and the fights against poverty and disease. WARFARE: AN INVENTION—Nor A BIOLOGICAL has taken, but nevertheless inventions. At some point in his social development man was undoubtedly without the institution of marriage or the knowledge of the use of fire. The case for warfare is much clearer because there are peoples even today who have no warfare. Of these the Eskimo are perhaps the most conspicuous example, but the Lepchas of Sikkim3 are an equally good one. Neither of these peoples understands war, not even the defensive warfare. The idea of warfare is lacking, and this lack is as essential to carrying on war as an alphabet or a syllabary4 is to writing. But whereas the Lepchas are a gentle, unquarrelsome people, and the advocates of other points of view might argue that they are not full human beings or that they had never been frustrated and so had no aggression to expend in warfare, the Eskimo case gives no such possibility of interpretation. The Eskimo are not a mild and meek people; many of them are turbulent and troublesome. Fights, theft of wives, murder, cannibalism occur among them—all outbursts of passionate men goaded by desire or intolerable circumstance. Here are men faced with hunger, men faced with loss of their wives, men faced with the threat of extermination by other men, and here are orphan children, growing up miserably with no one to care for them, mocked and neglected by those about them. The personality necessary for war, the circumstances necessary to goad men to desperation are present, but there is no war. When a traveling Eskimo entered a settlement he might have to fight the strongest man in the settlement to establish his position among them, but this was a test of strength and bravery, not war. The idea of warfare, of one group organizing against another group to maim and wound and kill them, was absent. And without that idea passions might rage but there was no war. But, it may be argued, isnt this because the Eskimo have such a low and undeveloped form of social organization? They own no land, they move from place to place, camping, it is true, season after season on the same site, but this is not something to fight for as the modern nations of the world fight for land and raw materials. They have no permanent possessions that can be looted, no towns that can be burned. They have no social classes to produce stress and strains within the society which might force it to go to war outside. Doesnt the absence of war among the Eskimo, while disproving the biological necessity of war, just go to confirm the point that it is the state of development of the society which accounts for war, and nothing else? 3. Lepchas of Sikkim: Sikkim is a small state in the Himalayan mountains of northeastern India. Its original inhabitants, the Lepchas, are noted for their peaceful traditions. About fifty thousand Lepchas still live in India and eastern Nepal. 4. Syllabary: a writing system in which a character represents a syllable rather than a single sound (as a character in an alphabet does). 5 MARGARET MEAD †¢ WARFARE: AN INVENTION—NOT A BIOLOGICAL Ni . WAR AND PEACE 42 We find the answer among the Pygmy peoples of the Andaman Islands in the Bay of Bengal. 5 The Andamans also represent an exceedingly low level of society: they are a hunting and food-gathering people; they live in tiny hordes without any class stratification; their houses are simpler than the snow houses of the Eskimo. But they knew about warfare. The army might contain only fifteen determined Pygmies marching in a straight line, but it was the real thing none the less. Tiny army met tiny army in open battle, blows were exchanged, casualties suffered, and the state of warfare could only be concluded by a peacemaking ceremony. Similarly, among the Australian aborigines, who built no permanent dwellings but wandered from water hole to water hole over their almost desert country, warfare—and rules of international law—were highly developed. The student of social evolution will seek in vain for his obvious causes of war, struggle for lands, struggle for power of one group over another, expansion of population, need to divert the minds of a populace restive under tyranny, or even the ambition of a successful leader to enhance his own prestige. All are absent, but warfare as a practice remained, and men engaged in it and killed one another in the course of a war because killing is what is done in wars. From instances like these it becomes apparent that an inquiry into the causes of war misses the fundamental point as completely as does an insistence upon the biological necessity of war. If a people have an idea of going to war and the idea that war is the way in which certain situations, defined within their society, are to be handled, they will sometimes go to war. If they are a mild and unaggressive people, like the Pueblo Indians, they may limit themselves to defensive warfare; but they will be forced to think in terms of war because there are peoples near them who have warfare as a pattern, and offensive, raiding, pillaging warfare at that. When the pattern of warfare is known, people like the Pueblo Indians will defend themselves, taking advantage of their natural defenses, the mesa village site, and people like the Lepchas, having no natural defenses and no idea of warfare, will merely submit to the invader. But the essential point remains the same. There is a way of behaving which is known to a given people and labeled as an appropriate form of behavior. A bold and warlike people like the Sioux or the Maori6 may label warfare as desirable as well as possible; a mild people like the Pueblo Indians may label warfare as undesirable; but to the minds of both peoples the possibility of warfare is present. Their thoughts, their hopes, their plans 5. Pygmy peoples of the Andaman Islands in the Bay of Bengal: Until the twentieth century, the inhabitants of the Andaman Islands, which lie off the eastern coast of India, were huntergatherers who had virtually no contact with modem civilization. In 1901, the estimated two thousand Andamanese had twelve distinct, constantly warring tribes. 6. The Sioux or the Maori: The Sioux, or Lakota, are a Native American tribe that originally inhabited the northern Great Plains; the Maori are the indigenous people of New Zealand. The Pueblo Indians inhabited the American Southwest. are oriented about this idea, that warfare may be selected as the way to meet some situation. So simple peoples and civilized peoples, mild peoples and violent, assertive peoples, will all go to war if they have the invention, just as those peoples who have the custom of dueling with have duels and peoples who have the pattern of vendetta will indulge in vendetta. And, conversely, peoples who do not know of dueling will not fight duels, even though their wives are seduced and their daughters ravished; they may on occasion commit murder but they will not fight duels. Cultures which lack the idea of the vendetta will not meet every quarrel in this way. A people can use only the forms it has. So the Balinese7 have their special way of dealing with a quarrel between two individuals; if the two feel that the causes of quarrel are heavy, they may go and register their quarrel in the temple before the gods, and, making offerings, they may swear never to have anything to do with each other again. Under the Dutch government they registered such mutual not-speaking with the Dutch government officials. But in other societies, although individuals might feel as full of animosity and as unwilling to have any further contact as do the Balinese, they cannot register their quarrel with the gods and go on quietly about their business because registering quarrels with the gods is not an invention of which they know. Yet, if it be granted that warfare is after all an invention, it may nevertheless be an invention that lends itself to certain types of personality, to the exigent needs of autocrats, to the expansionist desires of crowded peoples, to the desire for plunder and rape and loot which is engendered by a dull and frustrating life. What, then, can we say of this congruence between warfare and its uses? If it is a form which fits so well, is not this congruence the essential point? But even here the primitive material causes us to wonder, because there are tribes who go to war merely for glory, having no quarrel with the enemy, suffering from no tyrant within their boundaries, anxious neither for land nor loot nor women, but merely anxious to win prestige which within that tribe has been declared obtainable only by war and without which no young man can hope to win his sweethearts smile of approval. But if, as was the case with the Bush Negroes of Dutch Guiana,8 it is artistic ability which is necessary to win a girls approval, the same young man would have to be carving rather than going out on a war party. In many parts of the world, war is a game in which the individual can win counters—counters which bring him prestige in the eyes of his own sex or of the opposite sex; he plays for these counters as he might, in our society, strive for a tennis championship. Warfare is a frame for such prestige-seeking merely because it calls for the display of certain skills and certain virtues; all of these skills—riding straight, shooting straight, dodging the missiles of the enemy, and sending ones own straight to the mark—can be equally well exercised in some other framework and, equally, the virtues—endurance, bravery, loyalty, steadfastness—can be displayed in other 7. Balinese: the people of the island of Bali, in present-day Indonesia. 8. Dutch Guiana: the country presently known  as Suriname, located on the northeast coast of South America between Guyana and French Guiana. 10 MARGARET MEAD * WARFARE: AN INVENTION—Nor A BIOLOGICAL 3. WAR AND PEACE 244 contexts. The tie-up between proving oneself a man and proving this by a success in organized killing is due to a definition which many societies have made of manliness. And often, even in those societies which counted success in warfare a proof of human worth, strange turns were given to the idea, as when the Plains Indians gave their highest awards to the man who touched a live enemy rather than to the man who brought in a scalp—from a dead enemy—because killing a man was less risky. Warfare is just an invention known to the majority of human societies by which they permit their young men either to accumulate prestige or avenge their honor or acquire loot or wives or slaves or sago lands or cattle or appease the blood lust of their gods or the restless souls of the recently dead. It is just an invention, older and more widespread than the jury system, but none the less an invention. But, once we have said this, have we said anything at all? Despite a few instances, dear to the hearts of controversialists, of the loss of the useful arts, once an invention is made which proves congruent with human needs or social forms, it tends to persist. Grant that war is an invention, that it is not a biological necessity nor the outcome of certain special types of social forms, still, once the invention is made, what are we to do about it? The Indian who had been subsisting on the buffalo for generations because with his primitive weapons he could slaughter only a limited number of buffalo did not return to his primitive weapons when he saw that the white mans more efficient weapons were exterminating the buffalo. A desire for the white mans cloth may mortgage the South Sea Islander to the white mans plantation, but he does not return to making bark cloth, which would have left him free. Once an invention is known and accepted, men do not easily relinquish it. The skilled workers may smash the first steam looms which they feel are to be their undoing, but they accept them in the end, and no movement which has insisted upon the mere abandonment of usable inventions has ever had much success. Warfare is here, as part of our thought; the deeds of warriors are immortalized in the words of our poets; the toys of our children are modeled upon the weapons of the soldier; the frame of reference within which our statesmen and our diplomats work always contains war. If we know that it is not inevitable, that it is due to historical accident that warfare is one of the ways in which we think of behaving, are we given any hope by that? What hope is there of persuading nations to abandon war, nations so thoroughly imbued with the idea that resort to war is, if not actually desirable and noble, at least inevitable whenever certain defined circumstances arise? In answer to this question I think we might turn to the history of other social inventions, inventions which must once have seemed as firmly entrenched as warfare. Take the methods of trial which preceded the jury system: ordeal and trial by combat. 9 Unfair, capricious, alien as they are to our feeling today, they were once 9. Ordeal and trial by combat: medieval methods of trying cases. Trial by ordeal subjected the accused to burning or drowning as a way of allowing God to signal guilt or innocence. Trial by combat allowed the accuser to challenge the accused to a duel, which would prove the alleged offenders guilt or innocence. the only methods open to individuals accused of some offense. The invention of trial by jury gradually replaced these methods until only witches, and finally not even witches, had to resort to the ordeal. And for a long time the jury system seemed the one best and finest method of settling legal disputes, but today new inventions, trial before judges only or before commissions, are replacing the jury system. In each case the old method was replaced by a new social invention; the ordeal did not go out because people thought it unjust or wrong, it went out because a method more congruent with the institutions and feelings of the period was invented. And, if we despair over the way in which war seems such an ingrained habit of most of the human race, we can take comfort from the fact that a poor invention will usually give place to a better invention. For this, two conditions at least are necessary. The people must recognize the defects of the old invention, and some one must make a new one. Propaganda against warfare, documentation of its terrible cost in human suffering and social waste, these prepare the ground by teaching people to feel that warfare is a defective social institution. There is further needed a belief that social invention is possible and the invention of new methods which will render warfare as out-of-date as the tractor is making the plow, or the motor car the horse and buggy. A form of behavior becomes out-of-date only when something else takes its place, and in order to invent forms of behavior which will make war obsolete, it is a first requirement to believe that an invention is possible. UNDERSTANDING THE TEXT 1. What underlying assumption about human nature does Mead reject in this essay? What evidence does she supply for rejecting this assumption? What arguments does Mead support through the examples of the Eskimos and the Lepchas? How do these two tribes differ? In what way are they similar? Which are most important for her argument, their differences or their similarities? How do the examples of the warlike Andaman Pygmies and Australian aborigines complement her arguments? 3. What factors does Mead see as determining whether a civilization will wage war? What kinds of changes would be required to eliminate this tendency? 4. What exactly does Mead mean by categorizing warfare as an invention? How does this idea change the traditional view of war? How does it give humanity hope of eliminating war?

Ruby Moon Monologue free essay sample

Ruby Moon is set in Flamming tree grove, about a couple Ray and Sylvie who’s child Ruby goes missing. The worried parents continue to spend all their days and nights trying to piece together any information they can find about their missing daughter Ruby. As they review everything they know about the case the story turns into a detective inquest, they question all the eccentric characters on the street to try and seek clues as to what actually happened to their daughter Ruby. The characters include a Parrot-owning Christian, a wanna be clown, an ex-solider, a seductive temptress, a former babysitter and a mad scientist. Each one of these characters is a potential suspect in the murder or disappearance of Ruby Moon. The whole play follows the journey of two parents struggling to come to terms with the fact that their little baby girl is gone. Ruby Moon’s dramatic form, performance style, techniques and conventions to convey ideas, influence the way in which an audience interprets what is presented or represented in the theatre. We will write a custom essay sample on Ruby Moon Monologue or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page I choose to create my monologue based on Ruby Moon due to the fact that the plot seemed very interesting and I wanted to explore more in depth as to what actually happened to Ruby as she went to visit her Grandmas. My interpretation of the piece is coming from Ruby’s perspective and describing what really happened at each of the houses. I don’t specifically say exactly who killed her as that is up to the audiences interpretation as I thought it was a very clever technique to use I kept it in. The suspense of not knowing who killed her is such a key element in this play as every character plays a part in her disappearance however big or small. Each character in my adaption all see Ruby before she disappears, but who was really responsible? No one ever knows? What contribution towards ruby did each character have? Dulcie- The Old Catholic Spinster with the talking parrot. Ruby didn’t like Dulcie and wanted to cause as much trouble to her as possible without getting caught. She would steal Dulcies parrot and teach it sinful words so when Dulcie would talk to it, it would swear or say something rude. Dulcie and Ruby never got along because of the fact that Ruby wasn’t catholic and she encouraged her to be. When Ruby went to church she caused havoc throughout the whole service and it wasn’t uncommon to see her be thrown out on usual occasions. This always upset Dulcie and made her believe Ruby had the devil in her and this created a strong hatred towards her. Sid- The sketchy clown who always had a particular strong liking for Ruby due to her youthful young appearance and innocent features. He always looked forward to her trips over to his house as he would make her face disappear and make her look ten years older then she was. He always considered her to be one of his closest friends as they used to play dress ups and other games. Sid was known for prying on young youths that’s why he was told he must retire as a clown as he was suspected for being a paedophilia. He didn’t sexually assault ruby he merely admired her company and wanted her to be his close friend and nothing more was needed. He had a deep crush on veronica Vale and longed to be with her even though that was never going to happen as veronica did not like him. Veronica- The best singer on Flamming tree grove who sounded like an angel and offered men satisfaction. Veronica would give Ruby singing lessons in exchange for her going to the bottle shop to buy her whisky. Ruby would never stay long as Veronica had men lined up all the time waiting to come over to her house and hear her sing. So her visits to Veronicas were always very short and sweet. Sonny Jim- The old retired solder who told worn torn stories of his past with his dog companion by his side. Ruby was absolutely obsessed with him he had this charm that made him so likeable and his uniform just added another dimension. His stories would keep her on the edge of her seat always wanting more. Jim and Ruby always used to tell stories and talk late into the afternoon and that’s all they did nothing harmful just talk. He would occasionally put his uniform on for her and parade around the house but this was a rare treat for her and wouldn’t happen every visit. He did however seem like the most obvious to commit the crime as eyewitnesses say they saw him in the graveyard digging up an old grave which he suspected was Ruby’s however it was just a doll. Dawn- The obsessive-compulsive babysitter with a mad temper who was completely infatuated by Ruby and wanted to be just like her. She always pretened to be the best babysitter for Ruby by acting like a big sister however when Ruby wasn’t there she would go down in her basement and make dolls which would resemble Ruby. She would make hundreds of them day and night until she would make a perfect one. One she had made them she would dismantle them signifying her absolute hatred for the girl and how much better Ruby was then she was. The dolls would symbolise the same things, as the voodoo dolls so anything dawn did to them she thought the same would happen to Ruby. She was the one responsible for giving Ruby her doll and created the pieces, which could be sent to Sylvie, and Ray’s house however she was not the one who sent them. Carl Ogle- The mad crazy terrible scientist whose experiments always failed. He was always making up weird and crazy experiments, which would help the scientific community to recognise his talent. He experimented with making concoctions, which were supposed to do certain things and make people better however they would always fail. So whenever Ruby came over to his house her would always ask her if she would like to try his latest and greatest concoction. She never seemed to refuse and in the end it was all those crazy things carl gave her that finally sent her over the edge. He was still not responsible for killing her however. He did send the packages of the dismantled pieces of the Ruby doll to Ruby’s house which he found in the trash of the house across the street. The main idea for all the characters and there part they played in the disappearance of Ruby came from the original play by Matt Cameron however much of it I made up as it flowed nicely into my adaption. I still do not say who killed her however I highly hint some suspects could have definitely but I specifically say whom. A main contributor to the things I wrote came from past child disappearance stories where children walk out their front doors and never return home again due to being kidnapped. Some of the characters have aspects from the suspects who may have taken real children in those stories. Ruby moon is similar to the play stolen as it involves the unjust conditions, which adults conduct towards children. Stolen involves aboriginal children being taken away from their parents to be forced to grow up like the European culture. Where as ruby focuses on the nature of human beings and how disgusting they can be. They both focus on family loss, which is encountered through the hardships of having to leave your family and disappearing without a trace. They both involve kids being taken against their own free will and what happens once they are gone. Once a child has been separated from their family their growth and development is compromised, as the parents are not by their side. Stolen focuses these repercussions, which cause a great deal of hardship for the family and the children. Taking the children away-enforced hardship that stumped growth and early learning. My performance focusing on Ruby’s experiences will be conducted with me sitting on a chair telling people what actually happened to me and why I am like what I am today. My costume will be similar to Ruby’s red dress however the colour is optional between red or blue because red symbolises alive and blue symbolise death. My costume can be a mix so as the audience is still confused whether I am actually alive or not. I will have no shoes on my hair will be in two little piggy tails to signify that I am still a little child. I will have a little dolly, which is called little ruby, and I will hold that the whole time. My costume is mainly based on the one seen in the play however certain aspects have been changed to fit in with my adaption of it. My adaption encompasses much of the plays information however presents it in a slightly different way.

Famous Medieval and Renaissance Couples

Famous Medieval and Renaissance Couples Throughout history, men and women have joined together in partnerships both romantic and practical. Kings and their queens, writers and their muses, warriors and their lady-loves have at times had an impact on their world and on future events. The same could be said for some fictional couples, whose often-tragic romances have served to inspire both literature and true-life romantic adventures. These passionate, political, and poetic couples from the Medieval and Renaissance ages will go down in history. Abelard and Heloise Real life scholars of 12th-century Paris, Peter Abelard and his student, Heloise, had a torrid affair. Their story can be read in A Medieval Love Story. Arthur and Guinevere The legendary King Arthur and his queen are at the center of a huge corpus of medieval and post-medieval literature. In most stories, Guinevere had a real affection for her older husband, but her heart belonged to Lancelot. Boccaccio and Fiammetta Giovanni Boccaccio was an important 14th-century author. His muse was the lovely Fiammetta, whose true identity is undetermined but who appeared in some of his early works. Charles Brandon and Mary Tudor Henry VIII arranged for his sister Mary to wed King Louis XII of France, but she already loved Charles, the 1st Duke of Suffolk. She agreed to wed the much older Louis on condition that she be allowed to choose her next husband herself. When Louis died shortly after the marriage, Mary secretly wed Suffolk before Henry could embroil her in another political marriage. Henry was furious, but he forgave them after Suffolk paid a hefty fine. El Cid and Ximena Rodrigo Dà ­az de Vivar was a notable military leader and the national hero of Spain. He acquired the title el Cid (sir or lord) during his lifetime. He really did marry Ximena (or Jimena), the kings niece, but the exact nature of their relationship is obscured in the mists of time and epic. Clovis and Clotilda Clovis was the founder of the Merovingian dynasty of Frankish kings. His pious wife Clotilda convinced him to convert to Catholicism, which would prove significant in the future development of France. Dante and Beatrice Dante Alighieri is often considered the finest poet of the Middle Ages. His devotion in his poetry to Beatrice made her one of the most celebrated figures in western literature. Still, he never acted on his love, and may never even have told her personally how he felt. Edward IV and Elizabeth Woodville Handsome  Edward was attractive and popular with the ladies, and he surprised quite a few people when he married the widowed mother of two boys. Edwards bestowal of court favors on Elizabeths relatives disrupted his court. Erec and Enide The poem Erec et Enide  is the earliest extant Arthurian romance by 12th-century poet Chrà ©tien de Troyes. In it, Erec wins a tournament to defend the assertion that his lady is the most beautiful. Later, the two go on a quest to prove to each other their noble qualities. Etienne de Castel and Christine de Pizan The time Christine had with her husband was a mere ten years. His death left her in financial straits, and she turned to writing to support herself. Her works included love ballads dedicated to the late Etienne. Ferdinand and Isabella The Catholic Monarchs of Spain united Castile and Aragon when they married. Together, they overcame civil war, completed the Reconquista by defeating the last Moorish holdout of Granada, and sponsored the voyages of Columbus. They also expelled the Jews and began the Spanish Inquisition. Gareth and Lynette In the Arthurian tale of Gareth and Lynette, first told by Malory, Gareth proves himself to be chivalrous, even though Lynette heaps scorn upon him. Sir Gawain and Dame Ragnell The story of the loathly lady is told in many versions. The most famous involves Gawain, one of Arthurs greatest knights, whom the ugly Dame Ragnell chooses for her husband, and is told in The Wedding of Sir Gawain and Dame Ragnelle. Geoffrey and Philippa Chaucer He is considered the quintessential medieval English poet. She was his devoted wife for more than twenty years. While they were wed  Geoffrey Chaucer  led a busy, successful life in service to the king. After her death, he endured a solitary existence and wrote his most notable works, including  Troilus and Criseyde  and  The  Canterbury Tales. Henry  Plantagenet  and Eleanor of Aquitaine At the age of 30, the bold, beautiful  Eleanor of Aquitaine  was divorced from her husband, the meek and mild King Louis VII of France, and married the brash young 18-year-old  Henry  Plantagenet,  future  king of England. The two would have a tempestuous marriage, but Eleanor bore Henry eight children- two of whom became kings. Henry Tudor and Elizabeth of York After his defeat of Richard III,  Henry Tudor  became king, and he sealed the deal by marrying the daughter of an undisputed king of England (Edward IV). But was Elizabeth really happy married to the Lancastrian enemy of her Yorkist family? Well, she gave him seven children, including the future king Henry VIII. Henry VIII and Anne Boleyn After decades of marriage to Catherine of Aragon, which produced a daughter but no sons,  Henry VIII  threw tradition to the wind in pursuit of the captivating Anne Boleyn. His actions would ultimately result in a split with the Catholic Church. Sadly, Anne also failed to give Henry an heir, and when he tired of her, she lost her head. John of England and Isabella When  John  married  Isabella of Angoulà ªme, it caused some problems, not least because she was engaged to someone else. John of Gaunt and Katherine Swynford The third son of  Edward III,  John  married and outlived two women who brought him titles and land, but his heart belonged to Katherine Swynford. Though their relationship was at times rocky, Katherine bore John four children out of wedlock. When  John, at last, married Katherine, the children were legitimized, but they and their descendants were officially barred from the throne. This would not stop  Henry VII, a descendant of John and Katherine, from becoming king a century later. Justinian and Theodora Considered by some scholars to be the greatest emperor of medieval Byzantium,  Justinian  was a great man with an even greater woman behind him. With  Theodoras support, he reclaimed significant portions of the western empire, reformed Roman law and rebuilt Constantinople. After her death, he achieved little. Lancelot and Guinevere When political necessity joins a young woman to a king, should she ignore the dictates of her heart?  Guinevere  didnt, and her passionate affair with  Arthurs greatest knight  would lead to the downfall of Camelot. Louis IX and Margaret Louis  was a saint. But he was also a mamas boy. He was only 12 when his father died, and his mother Blanche served as regent for him. She also chose his wife. Yet Louis was devoted to his bride Margaret, and together they had 11 children, while Blanche grew jealous of her daughter-in-law and died with her nose out of joint. Merlin and Nimue Arthurs most trusted advisor may have been a wizard, but  Merlin  was also a man, susceptible to the charms of women. Nimue (or sometimes Vivien,  Nineve,  or Niniane) was so charming she was able to  ensorcell  Merlin and trap him in a cave (or sometimes tree), where he was unable to help Arthur in his time of darkest trouble. Petrarch and Laura Like Dante and Boccaccio,  Francesco Petrarca, the  founder of  Renaissance Humanism,  had his muse: the lovely Laura. The poems he dedicated to her inspired poets of succeeding generations, most notably Shakespeare and Edmund Spenser. Philip of Spain and Bloody Mary Poor Mary, the Catholic queen of England, loved her husband madly. But  Philip  couldnt stand the sight of her. To make matters worse, the largely Protestant population of her country simply would not convert back to Catholicism, and they resented the presence of a Catholic foreigner in Marys household. Heartsick and stressed, Mary had several hysterical pregnancies and died at the age of 42. Raphael Sanzio and Margherita Luti The charming, suave, amiable  Raphael  was so popular he became known as the prince of painters. He was very publicly engaged to Maria Bibbiena, the niece of a powerful cardinal, but scholars believe he may have  secretly married  Margherita Luti, the daughter of a Sienese baker. If word of this marriage got out, it would have severely damaged his reputation; but Raphael was just the type of man to throw caution to the wind and follow his heart. Richard I and Berengaria Was  Richard the Lionheart  gay? Some scholars believe it to be the reason he and  Berengaria  never had children. But then, their relationship was so strained Richard was ordered by the pope to patch things up. Robert Guiscard and Sichelgaita Sichelgaita (or Sikelgaita) was a Lombard princess who married  Guiscard, a Norman warlord, and proceeded to accompany him on many campaigns.  Anna Comnena  wrote of Sichelgaita: When dressed in full armor, the woman was a fearsome sight. When Robert died during the siege of Cephalonia, Sichelgaita was right by his side. Robin Hood and Maid Marian The legends of  Robin Hood  may have been based on the activities of real-life outlaws of the 12th century, though if so, scholars have no definitive proof of who precisely served as their inspiration. Marian stories were a later addition to the corpus. Tristan and Isolde The story of  Tristan and Isolde  was incorporated into Arthurian tales, but its origins are a Celtic legend that may be based on an actual Pictish king. Troilus and Criseyde The character of Troilus is a Trojan prince who falls in love with a Greek captive. In Geoffrey Chaucers poem she is Criseyde (in William Shakespeares play she is Cressida), and though she declares her love for Troilus, when she is ransomed by her people she goes to live with a big Greek hero. Uther and Igraine Arthurs father  Uther  was king, and he coveted the wife of the Duke of Cornwall, Igraine. So Merlin cast a spell on Uther to make him look like Cornwall, and while the real duke was out fighting, he slipped in to have his way with the virtuous lady. The result? Cornwall died in battle, and Arthur was born nine months later. William of Normandy and Matilda Before he seriously took aim at the crown of England,  William the Conqueror  set his sights on Matilda, daughter of Baldwin V of Flanders. Though he was distantly related to her and the pope condemned the marriage as incestuous, the pair went through with the wedding. Was it all for love of the lady? Perhaps, but his alliance with Baldwin was critical in cementing his position as Duke of Normandy. Still, he and Matilda had ten children, and to patch things up with the pope, they built two monasteries at Caen.

Industrial Ergonomics case study Example | Topics and Well Written Essays - 500 words

Industrial Ergonomics - Case Study Example NIOSH conducted a qualitative field study. It began by asking the employees who used snowmobiles regularly—the only ones that were a part of this study-- about their jobs, their medical history and their job-related health problems. They made measurements of the seat, handle bars, and throttle control of snowmobiles to see if they could be adjusted to better fit people. They measured how much and how often workers are jolted when they ride snowmobiles on the bumpy roads. They also tested workers’ hands for nerve functions by administering a vibrotactile sensitivity test because disturbance of the vibrotactile sense can indicate early signs of vibration-induced injury. However, outside of testing workers’ hands for nerve functions and coordination, the other areas of complaints were not tested. Furthermore the researchers had only the workers’ word about their health prior to beginning to work for the National Park Service. Also, there was no control group. Admittedly, the researchers tried to approximate as best they could the scientific approach to determine how much of the employee complaints were due to travelling to the bumpy roads by attaching saver units to the snowmobiles to measure, record and store acceleration data on all three channels after being triggered by a shock or jolt that exceeded 1 g. These units could store 1346 separate events, but were filled after four hours! Secondly, some of the workers had hand tremor and decreased hand coordination related to snowmobile use. Another finding was that the grips on the handle bars were too narrow and not close enough to the rider to be safe and comfortable. Consequently, NIOSH stated that the most important feature to adjust was the steering bar, which if moved closer to the body with grips oriented to provide for neutral wrist positions would reduce grip forces and improve shoulder

ArelorMittal's policy in relation to dealing with cultural and social Essay

ArelorMittal's policy in relation to dealing with cultural and social environments - Essay Example Last year the company shipped more than quarter of million tons to the region. Renault has announced to set up a factory in Morocco to serve the customers of Europe and North Africa. The company has mills in Spain and France and supplies steel to Casablanca. ArcelorMittal has extended their footprints in Morocco which was identified as the potential country of the Maghreb region. In order to meet the requirements of Renaults, ArcelorMittal made serial deliveries to Melloussa from December, 2011. The company entered into agreements with leading appliance producing corporations and ensured supply of steel for the production process. To offer steel to the oil and gas industry the company is refining the products as well as identifying the existing steels which are suited for the energy sector. New markets are opening up for the company on the edges of Europe. Turkey is one such country. France and Canada are some of the countries where ArcelorMittal has entered. The company also has ope rations in Brazil and Mexico. Altogether the presence of the company is in 60 countries worldwide. Problems in integrating business The company needs to shift beyond the good intensions on social issues and turn the words into deeds. Although the company plays its part in corporate social responsibility it continues to pollute the environment. According to the new report of Global Action on ArcelorMittal the company risks the lives and displaces local communities. The resettlement plans for the local people were unclear while the company started iron ore mining operations in Nimba County, Liberia (ArcelorMittal Group-a, 2012, pp. 21-24). The people were deprived from permanent employment in the mine and posed a threat o the Mount Nimba Nature Reserve. According to the authorities of the Friends of the Earth Liberia the lack of transparency in the management is a concern when one studies the track records of the company on other countries. The residents of Eastern Europe and South Af rica complain that the company has done little in reducing the high levels of air pollution. The approach of the company towards reduction of air pollution has not been effective although several meetings were conducted with the local communities (ArcelorMittal Group, 2010, pp. 14-15). The European steel plants of ArcelorMittal benefited from huge amount of loans directed to them from the International Finance Corporation but the area of reducing pollution still remains ignored. The safety investments of ArcelorMittal have remained unchanged for Kazakhstan for quite a long time. In spite of the health and safety projects 35 miners lost their lives in the mines of the company in 2008 in two separate incidents. The city of Temirtau is chocked with pollution even now. Questions can be raised regarding the ethics of the company. The company established a mechanism for the employees with which they can raise their concerns against an issue in the working environment (ArcelorMittal-a, 201 2). The procedures are confidential and whistle blowing. The trade unions also work for the purpose of upgrading the safety requirements. The company grievance mechanisms were developed to be in line with the principles of human rights and business of United States. Exit from the market In order to cut down the debt problems, ArcelorMittal took the initiative in scaling down the investments

Discussion Coursework Example | Topics and Well Written Essays - 250 words - 4

Discussion - Coursework Example In addition, it is better than the parole because statements are allowed at the sentencing hearing. During reporting, the victim impact statements are to be incorporated in the pre-sentence report. Although the statements should be either written or oral, there is room for videotape, audiotape, or any other electronic device. This gives great opportunities for the victim to provide information to the court. The parole board does not guarantee a persons release when summoned for the board scrutiny. The person must be reviewed, and the board must find him worthy being among the people in the society. They are very particular on information concerning the inmate, which range from personal to communal interrelationship. The board must consider the age, mental stability, and remorse for the offence. If an offender agrees to the terms, of these three, they are checked further on the conduct during incarceration, and the time served on the current offence. Lastly, the board confirms on the rehabilitative progress, and guarantees the offender freedom if they have passed all those

Musculoskeletal Case Study: Rheumatoid Arthritis

Musculoskeletal Case Study: Rheumatoid Arthritis Rheumatoid Arthritis with Hip Arthroplasty   Ã‚   S.P. is admitted to the orthopedic ward. She has fallen at home and has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: *She is a *75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5 feet 3 inches; weight is 118 pounds. She has a *50-pack-year smoking history and denies alcohol use. She has severe rheumatoid arthritis (RA), with evidence of cartilage and bone destruction, along with joint deformities. She had an upper gastrointestinal bleed in 1993, and had coronary artery disease with a coronary artery bypass graft 9 months ago. Since that time she has engaged in* very mild exercises at home. Vital signs (VS) are 128/60, 98, 14, 99 ° F (37.2 ° C), SaO2 94% on 2 L oxygen by nasal cannula. Her oral medications are *rabeprazole (Aciphex) 20 mg/day, *prednisone (Deltasone) 5 mg/day, and *methotrexate (Amethopterin) 2. 5 mg/wk. **What anatomical stage of Rheumatoid Arthritis does SP have? (1) Stage I-Early No destructive changes on radiograph, possible radiographic evidence of osteoporosis Stage II-Moderate Radiographic evidence of osteoporosis, with or without slight bone or cartilage destruction, no joint deformities (although possibly limited joint mobility), adjacent muscle atrophy, possible presence of extra-articular soft-tissue lesions (e.g., nodules, tenosynovitis) Stage III-Severe Radiographic evidence of cartilage and bone destruction in addition to osteoporosis; joint deformity, such as subluxation, ulnar deviation, or hyperextension, without fibrous or bony ankylosis; extensive muscle atrophy; possible presence of extra-articular soft-tissue lesions (e.g., nodules, tenosynovitis) Stage IV-Terminal Fibrous or bony ankylosis, stage III criteria List at least four risk factors for hip fractures. (4 pts) Age. The risk for hip fractures increases as we age. In 2010, more than 80% of the people hospitalized for hip fractures were age 65 and older, according to the National Hospital Discharge Survey (NHDS). Sex. About 70 percent of hip fractures occur in women. Women lose bone density at a faster rate than men do, in part because the drop in estrogen levels that occurs with menopause accelerates bone loss. However, men also can develop dangerously low levels of bone density. Cortisone medications, such as prednisone, can weaken bone if taken for long term. Rabeprazole (Aciphex) and methotrexate (Amethopterin) could cause dizziness and more prone to falling. Physical inactivity (very mild exercises at home). Weight-bearing exercises, such as walking, help strengthen bones and muscles, making falls and fractures less likely. Not participating in regularly weight-bearing exercise, may lead to lower bone density and weaker bones. Tobacco use. Can interfere with the normal processes of bone building and maintenance, resulting in bone loss. 2.Place a star or asterisk next to each of the responses in question 1 that represent S.P.s risk factors. (1) Case Study Progress       S.P. is taken to surgery for a total hip replacement. Because of the intracapsular location of the fracture, the surgeon chooses to perform an arthroplasty rather than internal fixation. The postoperative orders include: Chart View Why is the patient receiving enoxaparin (Lovenox) and warfarin (Coumadin)? (4 pts) In your answer, also explain how these 2 medications are used together and the rationale behind how they are used. Deep venous thrombosis (DVT) may form in leg veins as a result of inactivity, body position, and pressure, all of which lead to venous stasis and decreased perfusion. DVT, especially common in older adults and obese or immobilized individuals, is a potentially life-threatening complication because it may lead to pulmonary embolism. The most commonly used anticoagulants are unfractionated heparin (UH), low-molecular weight heparins (LMWHs), hirudin derivatives, and coumarin compounds. Unfractionated heparin (heparin sodium, commonly known as heparin) acts directly on the intrinsic and the common pathways of blood coagulation. Heparin inhibits thrombin-mediated conversion of fibrinogen to fibrin. It also potentiates the actions of antithrombin III, inhibits the activation of factor IX, and neutralizes activated factor X by activating factor X inhibitor. LMWH is effective for the prevention and treatment of DVT. LMWHs are derived from heparin, but the molecule size is approximately one third that of heparin. Enoxaparin (Lovenox), dalteparin (Fragmin), and ardeparin (Normiflo) are examples of LMWHs. LMWH has a greater bioavailability, more predictable dose response, and longer half-life than heparin with less risk of bleeding complications. LMWH has the practical advantage that it does not require anticoagulant monitoring and dose adjustment ( Hirsh , Bauer , Donati , Gould , Samama , Weitz , 2008). LMWH is administered subcutaneously in fixed doses, once or twice daily. Coumarin compounds, of which warfarin (Coumadin) is the most commonly used, exert their action indirectly on the coagulation pathway. Warfarin inhibits the hepatic synthesis of the vitamin K- dependent coagulation factors II, VII, IX, and X by competitively interfering with vitamin K. Vitamin K is normally required for the synthesis of these factors. Oral anticoagulants are often administered concurrently with heparin. Warfarin requires 48 to 72 hours to influence prothrombin time (PT) and may take several days before maximum effect is achieved. Therefore a 3- to 5-day overlap of heparin and warfarin is required. The clotting status should be monitored by activated partial thromboplastin time (aPTT) for heparin therapy and the international normalized ratio (INR) for coumadin derivatives. The INR is a standardized system of reporting PT based on a referenced calibration model and calculated by comparing the clients PT with a control value. Other tests to monitor anticoagulation may b e used. For DVT prophylaxis, low-dose unfractionated heparin, LMWH, or warfarin (Coumadin) can be prescribed depending on the clients level of risk and weight. Unfractionated heparin is typically taken by subcutaneous (subQ) route and prescribed at 5000 units q12h subQ for clients at low and moderate risk or 3500 to 5000 units q8h subQ for clients at high risk. LMWH is usually scheduled at 30 mg q12h subQ or 40 mg daily subQ. LMWH is rapidly replacing heparin as the anticoagulant of choice to prevent DVT in clients at high risk. In fact, LMWH is considered the most effective form of prophylaxis in hip surgery, in knee surgery, and following major trauma. Low-dose warfarin is usually reserved for clients with the highest DVT risk. It is quite common for a person to be taking both Coumadin and Lovenox at the same time. Lovenox begins working right away, while Coumadin does not. In fact, in the period of time when a person first begins taking Coumadin, the drug may actually increase the risk of clots for a short period of time. Therefore, Coumadin and Lovenox are often taken together. The Lovenox prevents clots while the Coumadin begins working. The Lovenox can be stopped once the INR is in the appropriate range. 4.S.P. received blood as an intraoperative blood salvage. Which statements about this procedure are true? (Select all that apply.) a.The blood that is lost from surgery is immediately re-administered to the patient (Salvaged blood should be washed. Salvaged blood that is not washed or otherwise processed (eg, centrifuged) has low hemoglobin levels (7 to 9 g/dL), residual anticoagulant, dysfunctional platelets, thrombogenic substances, free hemoglobin levels, and fat emboli that might lead to coagulation abnormalities). b.(True) The blood lost from surgery is collected into a cell saver    (Centrifuge-based RBC salvage with the intraoperative cell salvage machine (commonly referred to as a cell saver) starts with the surgeon aspirating blood from the surgical field through a suction wand. The blood is mixed with an anticoagulant as it is aspirated (eg, heparin or citrate) to prevent coagulation [16]. Typically, heparin in saline with a concentration of about 30,000 units/L is used. This solution is slowly and automatically added to the aspirated blood at a rate of 15 mL per 100 mL of collected blood [16]. During subsequent washing of the collected blood, all but a trace of heparin is removed). c.One hundred percent of the red blood cells are saved for reinfusion (other components in the blood such as platelets and contaminants can also adhere to these filters, but at least 85 percent of RBCs pass through the filter and into the patient). d. This procedure has the same risks as blood transfusions from donors. e.(True) The salvaged blood must be reinfused within 6 hours of collection. (Blood collected by intraoperative blood salvage may be stored either at room temperature for up to six hours or at 1 to 6 °C for up to 24 hours, provided that blood is collected under aseptic conditions with a device that provides washing and that cold storage is begun within six hours of initiating the collection. Such stored blood must be properly labeled). List four critical potential postoperative problems for S.P. (4 pts) Infection. Fever above 38 °C (100.4 °F) is common in the first few days after major surgery. Most early postoperative fever is caused by the inflammatory stimulus of surgery and resolves spontaneously. However, postoperative fever can be a manifestation of a serious complication. A thorough differential diagnosis of postoperative fever includes infectious and noninfectious conditions that occur following surgery. Fever may arise due to a surgical site infection (SSI), or from other hospital-related conditions, including nosocomial pneumonia, urinary tract infection, drug fever, and deep vein thrombosis. In evaluating a postoperative patient with fever, it is important to consider a broad differential, and not to assume that fever is due to infection. Fever as a manifestation of infection may be reduced or absent in immunocompromised patients including those receiving glucocorticoids, cancer chemotherapy, post-transplant immunosuppression, and also in some patients who are elderly or have chronic renal failure. Hypoxemia, specifically a PaO2 of less than 60 mm Hg, is characterized by a variety of nonspecific clinical signs and symptoms, ranging from agitation to somnolence, hypertension to hypotension, and tachycardia to bradycardia. Pulse oximetry will indicate a low oxygen saturation (below the 90 to 92% range). Arterial blood gas analysis may be used to confirm hypoxemia if the pulse oximetry indicates a low O2 saturation. Low oxygen saturation may be corrected by encouraging deep breathing and coughing or by increasing the amount of oxygen delivered. The most common cause of postoperative hypoxemia is atelectasis. Atelectasis (alveolar collapse) may be the result of bronchial obstruction caused by retained secretions or decreased respiratory excursion. Hypotension and low cardiac output states can also contribute to the development of atelectasis. Other causes of hypoxemia that may occur in the PACU include pulmonary edema, aspiration, and bronchospasm. Hypotension is evidenced by signs of hypoperfusion to the vital organs, especially the brain, the heart, and the kidneys. Clinical signs of disorientation, loss of consciousness, chest pain, oliguria, and anuria reflect hypoxemia and the loss of physiological compensation. Intervention must be timely to prevent the devastating complications of cardiac ischemia or infarction, cerebral ischemia, renal ischemia, and bowel infarction. The most common cause of hypotension in the PACU is unreplaced fluid and blood loss; thus, treatment is directed toward restoring circulating volume. If there is no response to fluid administration, cardiac dysfunction should be presumed to be the cause of hypotension. Deep venous thrombosis (DVT) may form in leg veins as a result of inactivity, body position, and pressure, all of which lead to venous stasis and decreased perfusion. DVT, especially common in older adults and obese or immobilized individuals, is a potentially life-threatening complication because it may lead to pulmonary embolism. Clients with a history of DVT have a greater risk for pulmonary embolism. Pulmonary embolism should be suspected in any client complaining of tachypnea, dyspnea, and tachycardia, particularly when the client is already receiving oxygen therapy. Manifestations may include chest pain, hypotension, hemoptysis, dysrhythmias, or heart failure. Definitive diagnosis requires pulmonary angiography. Superficial thrombophlebitis is an uncomfortable but less ominous complication that may develop in a leg vein as a result of venous stasis or in the arm veins as a result of irritation from IV catheters or solutions. If a piece of a clot becomes dislodged and travels to the lung, it can cause a pulmonary infarction of a size proportionate to the vessel in which it lodges. How will you monitor for excessive postoperative blood loss? (5 pts) Observe the dressing and incision for signs of bleeding Restlessness Confusion Anxiety Feeling of impending doom Decreased level of consciousness Weakness Rapid, weak, thread pulses Dysrhythmias Hypotension Narrowed pulse pressure Cool, clammy skin Tachypnea, dyspnea, or shallow, irregular respirations Decreased O2 saturation Extreme thirst Nausea and vomiting Pallor Cyanosis Obvious hemorrhage The rate and volume of bleeding, vital signs, and laboratory results should be closely monitored to assess the best approach to and aggressiveness of intervention. It is important to not allow the patient to become moribund before initiating life-saving measures. Post op Day 1, S.P. states that she is having 8/10 pain. List 3 thingsthat you would assess in order to determine why she is having the pain and then state 2 nursing interventions. (5 pts) Complications associated with femoral neck fracture include nonunion, AVN, dislocation, and degenerative arthritis. Postoperative pain is usually most severe within the first 48 hours and subsides thereafter. Variation is considerable, according to the procedure performed and the clients individual pain tolerance or perception. The client should be observed for indications of pain (e.g., restlessness) and questioned about the degree and characteristics of the pain. Identifying the location of the pain is important. Incisional pain is to be expected, but other causes of pain, such as a full bladder, may also be present. Pain assessments can be measured with a variety of scales such as asking a client to rate his or her pain on a scale of 0 to 10. Perform a comprehensive pain assessment to include the following: characteristic, onset and duration, quality, intensity and severity. In the early postoperative period, there is a potential for neurovascular impairment. The nurse assesses the clients extremity for (1) colour, (2) temperature, (3) capillary refill, (4) distal pulses, (5) edema, (6) sensati on, (7) motor function, and (8) pain. Provide client optimal pain relief with prescribed analgesic as ordered to relieve acute pain and to prevent pain from becoming too severe. Teach and assess clients correct use of patient-controlled analgesia to ensure effectiveness. Use nonpharmacological interventions to relieve pain, such as distraction, massage, relaxation, and imagery, for client use in lieu of or in conjunction with analgesics to obtain pain relief. According to the lateral traditional surgical approach, there are two main goals for maintaining proper alignment of S.P.s operative leg. What are they, and how are they achieved? (2 pts) The client and the family must be fully aware of positions and activities that predispose the client to dislocation (greater than 90 degrees of flexion, adduction, or internal rotation). Many daily activities may reproduce these positions, including putting on shoes and socks, crossing the legs or feet while seated, assuming the side-lying position incorrectly, standing up or sitting down while the body is flexed relative to the chair, and sitting on low seats, especially low toilet seats. Until the soft tissue surrounding the hip has healed sufficiently to stabilize the prosthesis, usually for at least 6 weeks, these activities must be avoided. Use elevated toilet seat Place chair inside shower or tub and remain seated while washing Use pillow between legs for first 8 weeks after surgery when lying on the side allowed by surgeon or when supine Keep hip in neutral, straight position when sitting, walking, or lying Notify surgeon if severe pain, deformity, or loss of function occurs Postoperative wound infection is a concern for S.P. Describe what you would do to monitor her for a wound infection. (4 pts) Redness (rubor, hyperemia from vasodilation), heat (colour, increased metabolism at inflammatory site), pain (colour change in pH; change in local ionic concentration; nerve stimulation by chemicals (e.g.,histamine, prostaglandins; pressure from fluid exudate), swelling (tumour, fluid shift to interstitial spaces; fluid exudate accumulation), edge approximation, odor, type of exudate. Vital signs, WBC. Taking S.P.s RA into consideration: what interventions should be implemented to prevent complications secondary to immobility? (6 pts) The physiotherapist usually supervises active-assistance exercises for the affected extremity and ambulation when the surgeon permits it. Ambulation usually begins on the first postoperative day. The nurse in collaboration with the physiotherapist monitors the clients ambulation status. The ambulating client should pick up the feet rather than shuffling them so that muscular contraction is maximized. When confined to bed, the client should alternately flex and extend the legs. When the client is sitting in a chair or lying in bed, there should be no pressure to impede venous flow through the popliteal space. Crossed legs, pillows behind the knees, and extreme elevation of the knee gatch must be avoided. Some surgeons routinely prescribe use of elastic stockings or mechanical aids such as sequential compressive devices to stimulate and enhance the massaging and milking actions that are transmitted to the veins when leg muscles contract. The nurse must remember that these aids are usel ess if the legs are not exercised and may actually impair circulation if the legs remain inactive or if the devices are sized or applied improperly. When in use, elastic stockings must be removed and reapplied at least twice daily for skin care and inspection. The skin of the heels and posttibial areas is particularly susceptible to increased pressure and breakdown. The use of unfractionated heparin (UH) or low-molecular weight heparin (LMWH) is a prophylactic measure for venous thrombosis and pulmonary embolism. Advantages of LMWH over UH include (1) less major bleeding, (2) decreased incidence of thrombocytopenia, (3) better absorption, (4) longer duration of action, (5) as effective or more effective, and (6) no laboratory monitoring required. A primary nursing responsibility is the identification of clients at risk for the development of pressure ulcers and implementing pressure ulcer prevention strategies for those identified as being at risk. Prevention remains the best treatment for pressure ulcers. Devices such as support surfaces, special transfer equipment, and heel boots are useful in reducing pressure and shearing force. However, they are not adequate substitutes for frequent repositioning. The clients position should be changed every 1 to 2 hours to allow full chest expansion and increase perfusion of both lungs. Ambulation, not just sitting in a chair, should be aggressively carried out as soon as physician approval is given. Adequate and regular analgesic medication should be provided because incisional pain often is the greatest deterrent to client participation in effective ventilation and ambulation. The client should also be reassured that these activities will not cause the incision to separate. Adequate hydration, either parenteral or oral, is essential to maintain the integrity of mucous membranes and to keep secretions thin and loose for easy expectoration. Deep breathing and coughing techniques help the client prevent alveolar collapse and move respiratory secretions to larger airway passages for expectoration. The client should be assisted to breathe deeply 10 times every hour while awake. The use of an incentive spirometer is helpful in providing visual feedback of respiratory effort. The nurse should teach the client to use an incentive spirometer, which involves the following: inhale into the mechanism, hold the ball for about 3 seconds, and then exhale. This procedure should be done 10 to 15 times, and then the nurse should encourage the client to cough. It is recommended that an incentive spirometer should be used every 2 to 3 hours while awake. Urinary tract infections are another risk for people who may spend long periods of time on their back. This can promote urinary stasis or stagnation in the flow of urine from the kidneys to the bladder, and thus, lead to infection. Prolonged immobility also causes an increase of minerals and salts to circulate in the blood that can promote the formation of kidney stones. Constipation is a common problem that may result from decreased physical activity. Other factors may aggravate bowel evacuation. These include loss of privacy and embarrassment if toilet assistance is needed; uncomfortable positioning while using the commode; excessive delay in elimination because of the inconvenience in going to the bathroom; and the unavailability of caregiver assistance if help is needed to use the commode. Bowel irregularity may produce abdominal discomfort, as well as cause loss of appetite. 11.In patients with RA, very often Prednisone is prescribed for a patient with an acute exacerbation. Which laboratory result will the nurse monitor to determine whether the medication has been effective?(1 pt) Blood glucose test Liver function tests C-reactive protein level Serum electrolyte levels Explain your answer (what does this test show?) Data on high-sensitivity C-reactive protein have been reported, elevated levels of C-reactive protein appear to correlate best with symptoms of pain and stiffness rather than extent or progression of disease. To detect inflammation and test for the activity of the disease; may be used to help differentiate osteoarthritis and RA; an increased level of CRP occurs in RA but not in osteoarthritis. 12.A patient with an exacerbation of rheumatoid arthritis (RA) is taking prednisone 40 mg daily. Which of these assessment data obtained by the nurse indicate that the patient is experiencing a side effect of the medication? (1 pt) The patients blood glucose is 165 mg/dL (9.2 mmol/L). The patient has no improvement in symptoms. The patient has experienced a recent 5-pound (2.3 kilogram) weight loss. The patients erythrocyte sedimentation rate (ESR) has increased. Prednisone is used as an anti-inflammatory or an immunosuppressant medication. Prednisone treats many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders. Long-term side effects include Cushings syndrome insulin resistance (especially common with ACTH production outside the pituitary), leading to high blood sugar and insulin resistance which can lead to diabetes mellitus. Insulin resistance is accompanied by skin changes such as acanthosis nigricans in the axilla and around the neck, as well as skin tags in the axilla. 13.What predisposing factor, identified in S.P.s medical history, places her at risk for infection, bleeding, and anemia? (1 pt) Medication administration rabeprazole (Aciphex) 20 mg/day, *prednisone (Deltasone) 5 mg/day, and *methotrexate (Amethopterin) 2.5 mg/wk History of upper gastrointestinal bleed in 1993, and had coronary artery disease with a coronary artery bypass graft 9 months ago 50-pack-year smoking history 14.Briefly discuss S.P.s nutritional needs. (2 pts) As a person grows older, there are decreases in lean body mass (the metabolically active tissue), basal metabolic rate, and physical activity. Combined, these factors decrease the caloric needs for energy. The older person frequently reduces the consumption of needed protein, vitamins, and minerals and may take in empty calories, such as candy and pastries. When these factors are added to already existing medical problems, it is easy to see why poor dietary practices develop. In addition, poor dentition, ill-fitting dentures, anorexia, multiple losses affecting the social setting of meals, low income, and medical conditions involving the GI tract play a role in the type and amount of foods that are eaten. Socioeconomic factors are of critical importance when assessing the nutritional status of an older adult. The nurse must be aware of common medical and psychosocial factors in the older adult and should incorporate interventions for overcoming these problems in the plan of care. Some of the physiological changes associated with aging affect the nutritional status of older adults. The following changes are of particular interest: 1. Changes in the oral cavity (e.g., change in bite surfaces of the teeth, periodontal disease, drying of the mucous membranes of the mouth and tongue, poorly fitting dentures, decreased muscle strength for chewing, decreased number of taste buds, decreased saliva production). 2. Changes in digestion and motility (e.g., decreased absorption of cobalamin, vitamin A, and folic acid and decreased GI motility). 3. Changes in the endocrine system (e.g., decreased tolerance to glucose). 4. Changes in the musculoskeletal system (e.g., decreased bone density, degenerative joint changes). 5. Decrease in vision and hearing (e.g., procurement and preparation of food are more difficult). Certain illnesses that are more prevalent in the older population are considered to be diet related. These include atherosclerosis, osteoporosis, diabetes mellitus, and diverticulosis. Multiple drugs are often required to treat these and other common chronic illnesses of the older client. These drugs often have an adverse effect on the appetite of older adults, increasing the possibility of inadequate intake caused by anorexia. Interventions: Calcium and Vitamin D Older adults need more calcium and vitamin D to help maintain bone health. Have three servings of vitamin D-fortified low-fat or fat-free milk or yogurt each day. Other calcium-rich foods include fortified cereals and fruit juices, dark green leafy vegetables and canned fish with soft bones. If you take a calcium supplement or multivitamin, choose one that contains vitamin D. Vitamin B12 Many people older than 50 do not get enough vitamin B12. Fortified cereal, lean meat and some fish and seafood are sources of vitamin B12. Ask your doctor or a registered dietitian nutritionist if you need a vitamin B12 supplement. Fiber Eat more fiber-rich foods to stay regular. Fiber also can help lower your risk for heart disease, control your weight and prevent Type 2 diabetes. Eat whole-grain breads and cereals, and more beans and peas along with fruits and vegetables which also provide fiber. Potassium Increasing potassium along with reducing sodium (salt) may lower your risk of high blood pressure. Fruits, vegetables and low-fat or fat-free milk and yogurt are good sources of potassium. Also, select and prepare foods with little or no added salt. 15.Explain four teaching points you can teach S.P. to help her protect herself from infection related to medication-induced immunosuppression. (4 pts) For older adult clients, the rate of HAI is 2 to 3 times higher than for younger clients. Age-related changes of decreased immunocompetence, the presence of comorbidities, and an increase in disability all contribute to higher infection rates. Infections common in older adults include pneumonia, urinary tract infections, skin infections, and TB (Furman et al.). Infections in older adults often have atypical presentations, and cognitive and behavioural changes appear before alterations occur in laboratory values (Furman et al.). Suspicion of disease should typically begin when changes in ability to perform daily activities or in cognitive function occur. Fever should not be relied upon to indicate infection in older adults because many have lower core body temperatures and decreased immune responses. Interventions include: 1. Handle Prepare Food Safely Food can carry germs. Wash hands, utensils, and surfaces often when preparing any food, especially raw meat. Always wash fruits and vegetables. Cook and keep foods at proper temperatures. Dont leave food out refrigerate promptly. 2. Wash Hands Often 3. Clean Disinfect Commonly Used Surfaces Germs can live on surfaces. Cleaning with soap and water is usually enough. However, you should disinfect your bathroom and kitchen regularly. Disinfect other areas if someone in the house is ill. You can use an EPA certified disinfectant (look for the EPA registration number on the label), bleach solution, or rubbing alcohol. 4. Cough Sneeze Into Your Sleeve Dont Share Personal Items Avoid sharing personal items that cant be disinfected, like toothbrushes and razors, or sharing towels between washes. Needles should never be shared, should only be used once, and then thrown away