Thursday, November 28, 2019

How The Choices Of The Characters Affected Each Other Essays

How the Choices of the Characters Affected Each Other How the Choices of the Characters Affected Each Other In everyday life, the outcome of your day can be altered by the simplest or most complicating choices. Antigone's decision to bury her brother, Creon's choice to sentence Antigone to death, and again Antigone's choice to end her life were important decisions that other characters based their conclusions around. The choices of the characters in Antigone change the outcome of the play and the lives or choices of other characters. The famous "first" decision of Antigone was to bury her brother Polyneices against Creon's order and Ismene's opposition. Three deaths including her own resulted from this controversial decision that shaped the play. Was Antigone doing this to seem saintly or because she felt it was her duty as a sister? "I will bury him myself. If I die for doing that, good" (123). This answer lies within Antigone. The action Creon took to solving his problem of Antigone's actions against his issue was to sentence her to a slow death of starvation. "Away with her at once, and close her up in her rock-vaulted tomb. Leave her and let her die" (150). Little did Creon know that this would cost him his most valuable treasure, his family. A long term solution to a short term problem was a way to explain Antigone permanent decision to kill herself. "We saw her hanging by the neck. The rope was of woven linen of her dress" (159). Her choice lead to Haemon and his mother's decision to also kill themselves out of grief for one another. ". . .the poor, demented boy leaned on his sword and thrust it deeply home in his side. . ." (159), "She is dead, your wife, the mother of him that is dead - the death-wound fresh in her heart" (159). How a person uses his or her day determines not only the fate of themselves but also the attitudes and actions of others. The subtle and somewhat dramatic choices the characters of Antigone choose, steer the play thought many twist and turns making it a memorable dramatic.

Sunday, November 24, 2019

Presidents Drug Policy essays

Presidents Drug Policy essays The President's National Drug Control Strategy 2004 focuses on three key areas: the prevention of drug use, providing treatment for drug addiction, and damaging the economic basis of the drug trade. In the strategy, the President notes a special role for law enforcement, school and community. In addition, the arrest of drug dealers is an important component of the policy. Despite its many positive points, like a focus on treatment, the President's drug policy has several important flaws. Overall, the President's drug policy will be held to be successful if it holds up to long-term goals like reducing drug use and crime that is associated with the use of illegal drugs. Law enforcement plays an important role in the President's drug policy. Importantly, the policy proposes "close alliances between treatment and law enforcement" as part of a larger alliance between the community and government. As an example, the policy notes the case of Shirley Morgan and the growing drug trade in rural Portland near Mount Hood. She headed a community group that coupled a volunteer coalition that collected intelligence on drug activities with the activities of the local police In addition to the need for community involvement with law enforcement, the policy notes the importance of law enforcement targeting higher ups in the drug trade. As such, the policy notes the efforts of the multi-agency Special Operations Division (SOD), which works to coordinate the action of different federal agencies with state and local agencies, including Columbian and Mexican counterparts. This coordination plays an important role in stopping "trafficking organizations can span dozens of states and hundreds of jurisdictions." School and community are important components of the President's drug policy. As noted earlier, the policy focuses keenly on the cooperation of community groups with ...

Thursday, November 21, 2019

Public Policy Research Paper Example | Topics and Well Written Essays - 1000 words

Public Policy - Research Paper Example NAPWA’S importance discussed in this paper is in regards to the criminalization of those with HIV/AIDS who gives the virus to another individual whether or not that was the individual’s intent. NAPWA argues this point and yet shares the view that those who intentionally infect another individual with the virus should be criminally prosecuted but not those who unintentionally pass the virus on (Lesieur) Matt Lesieur, NAPWA’s vice president of public policy presents NAPWA’s 2011 Public Policy Agenda in regards to HIV Criminalization (Lesieur) Across the country laws are being presented that are designed to criminally prosecute the transmission of HIV infection (Lesieur) NAPWA’s Public Policy department has stood up to address these laws and legislations that are trying to be incorporated. NAPWA argues that carrying out with these laws and legislations designed to criminally prosecute the transmission of HIV infection would cause serious hindrances in the HIV/AIDS community. ... This is where NAPWA argues the point of the unintentional criminalization of the transmission of the virus. NAPWA feels that â€Å"From a public health perspective, applying criminal law to cases not involving intent can actually impede HIV prevention† (Lesieur) Individuals aware of this law who may feel the law is unjust will be less opting to learn their status. Doing this could possibly cause an even greater spread of the virus. The benefits of an individual finding out his/her status is the proper care of that individual as well as keeping that individual’s partner safe. The proper care comes through appropriate medication and thorough education. Every individual with breath in his/her body still has a life to live no matter what they’re living with. Teaching individuals how to live with the HIV/AIDS virus is just as important as teaching or preparing your teenager about to graduate from High school to go out and live in college or just out on their own in ge neral. The generalization of the laws designed to prosecute the transmission of the HIV/AIDS virus is a hindrance to this awareness, education and prevention. NAPWA’s Matt Lesieur also argues that â€Å"The criminalization of HIV transmission also tends to increase the discrimination against people living with HIV, and other stigmatized groups such as migrants, injecting drug users, sex workers and men who have sex with men† NAPWA didn’t just have a difference of opinion in regards to these laws and legislations that are trying to be put into place but more a â€Å"reasonable† solution. NAPWA’s suggestion instead is as follows: -Criminal law should not be used as tool to prevent the transmission of HIV. Rather Governments should expand public health programs grounded in

Wednesday, November 20, 2019

The Case for the Metropolitan Insurance Essay Example | Topics and Well Written Essays - 750 words

The Case for the Metropolitan Insurance - Essay Example But what good is the image when it is not properly stored Documentum serves as the file cabinet where the documents and images are arranged and stored. The introduction of the document imaging system and the establishing of the database Documentum has provided opportunities in to cut down costs in aspects of the business' operations. They are enumerated and discusses as follows: documents coming in everyday. One can just imagine the volume of storage space occupied by the microfiche images and equipment. File Cabinets, indexing materials and rooms must be provided for the storage of the images. Since microfiche images are not considered as "legal archives", there is really a need to provide storage and indexing mechanism for the paper documents. File folders, envelopes, cabinets, rooms and indexing materials represent a rather large cost to the business. Added to this is the labor cost associated with the people employed to attend and safeguard the documents and images. The Imaging system eliminated the need for microfiche images and paper document storage. Because of this, there is no more need to purchase filing and indexing materials. Provision for storage space such as rooms is no longer necessary. Furthermore, the pre-existing materials and rooms can be sold or used in other business works. ... Added to this is the labor cost associated with the people employed to attend and safeguard the documents and images. The Imaging system eliminated the need for microfiche images and paper document storage. Because of this, there is no more need to purchase filing and indexing materials. Provision for storage space such as rooms is no longer necessary. Furthermore, the pre-existing materials and rooms can be sold or used in other business works. The Metropolitan can also cut down labor costs as the system does not require many filing personnel. b. Maintenance Costs Paper documents and microfiche images can be corroded by environmental elements thereby reducing it to a useless material. This problem becomes more important since the insurance business operates in a very wide time frame. This temporal criterion makes it imperative that the documents are properly maintained. Furthermore, insects or animals may reside in the file cabinets and consume/ruin records. There is a need to purchase chemicals to prevent corrosion and animal destruction. Maintenance personnel must also be properly trained for them to be able to protect the documents. All of these represent a large capital cost for Metropolitan. Since the document's images are stored in the computerized database and since this is considered "legal archives", the paper documents need not be thoroughly taken cared of. Environmental and animal concerns are also eliminated. These improvements lessen the need for chemicals and maintenance personnel. 3B. Explain how the System shortens cycle time. The system also shortened cycle time because it eliminated the need for manual imaging of the pertinent documents. It can even image

Monday, November 18, 2019

Case study Corporate social responsibility and NGOs ( International Essay

Case study Corporate social responsibility and NGOs ( International Business) - Essay Example Precisely, enterprises have operation chains that cut across different societies, communities, cultures and national frontiers where they encounter unique business environments that pose both challenges and opportunities; most importantly, multinational corporations must be responsive to the myriad social and ethical concerns in their specific environments of operations (Husted & Allen 2006 p.838). Ethics and social values are integral aspects of management since businesses have an obligation to take responsibility for the adverse effects of their actions and operations both on the local environment and on the populations in the global business environment (Bennett 2002, p.394). In view of the ambivalent nature of the global business environment, thanks to the challenges and opportunities of globalization and technological advancements, the concept of Corporate Social Responsibility has emerged as one of the crucial areas of management focus today (Lim & Tsutsui 2012, p.69). The heightened global focus on ethical behaviour and societal values implies that multinational corporations have to prove themselves as responsible global actors in their dealings in markets where their operations are hosted across the world. For that reason, multinational corporations the world over are increasingly paying more attention to Corporate Social Responsibility today more than ever before, par ticularly given its crucial significance in determining not only business success, but also enterprise survival in the long term (Branco and Rodrigues 2006, p.111). For all the good reasons conceivable, international businesses as well as organisations of various kinds are starting to explore the significance of pursuing a more proactive and comprehensive approach towards CSR as a solution to the myriad challenges of globalization, which undermine sustainable development (Herrmann 2004, p.205). Given that actions

Friday, November 15, 2019

Principles of Motivational Interviewing

Principles of Motivational Interviewing Motivational Interviewing Assignment Introduction: For the purpose of this assignement this student will identify 4 principles of Motivational Interviewing (MI) based on Miller and Rollnick’s (2002a) skilful clinical method of communication, comparing and contrasting these principles with the Digial Recording from my Laboratory work, concluding with the contribution that MI has made to the provision of nursing practice. What is Motivational Interviewing: The World Health Organisation (WHO) clearly identified Health Promotion as â€Å"†¦ the process of enabling people to increase control over, and to improve, their health†¦Ã¢â‚¬  (WHO 1986), however, there have been â€Å"feelings of frustration† recorded from primary health care workers (HCW) when interacting with patients in relation to making healthy lifestyle changes. This has been attributed in part, due to a lack of motivation in patients and therefore the patient may be adverse to change (Percival, 2013). Miller Rollnick (2002b) hope that HCW by using a collaboration of MI techniques may bring about positive change within a patient, by promoting their hopes and aspirations for the future, drawing on their tangible strengths and using motivation as the mechanism to achieve this change. Indeed, Miller and Rollnick (2002c) defined MI as: â€Å"It is a collaborative, not a prescriptive, approach, in which the counsellor evokes the person’s own intrinsic motivation and resources for change.† Principles of Motivational Interviewing: Miller Rollnick in 2002 identified a number of guiding principles for MI; expressing empathy, develop discrepancy, roll with resistance and support self-efficacy, further reviewed by Rollnick et al. (2008) and expressed using the acronym RULE: Resist the righting reflex, Understanding person’s motivation, Listen with empathy and Empower the person. To achieve success in MI using these principles, there are certain skills that must be utilised in a positive and effective outcome, for instance asking open questions, affirming the strengths of the patient and reflecting back or summing up what you have heard. Assess and critique of digital recording using identified principles: Resist the Righting Reflex: A natural and automatic reaction of the HCP is to make things â€Å"right† by fixing a problem, this stems from their training and experience in healthcare. Through the role play I feel that I spent too long trying to redirect the patient back to the topic of smoking, wanted to right the situation and I wouldn’t take verbal and nonverbal cues that the patient did not want to talk about smoking at that given time, it seemed to me that she had a greater desire to vent her feelings about her current marital situation including the recent infidelity, from a biopsychosocial perspective this was central to her recovery, and yet I returned on a number of occasions to the question of smoking albeit in a covert manner. The patient was in a state of pre-contemplation (Prochaska and DiClemente 1986), whereby she didn’t want to engage in any confrontational situation, believing that she did not need to change her habits regarding smoking, upon reflection the patient appeared pressured to into accepting change which further exacerbated her lack of desire to change. It appears that there was an increase in persistent resistance from the patient, which was as a direct outcome of me reverting back to the issue of smoking, therefore it is probable to say that in this scenario as a result of my desire to â€Å"right† the situation, I in fact made it worse, creating an underlying tension which was not beneficial for the patient’s recovery. I feel that a better approach would have been to gently broach the subject, with an understanding and acceptance that this was not the right time to discuss smoking cessation as the patient had other ongoing stressors. If by looking at and talking with the patient about her current biopsychosocial and socioecological stressors, I may have developed greater insight into what exactly may motivate this patient, therefore giving me clearer collateral to help develop my objective of discussing smoking cessation. Exploring and understanding the individual’s motivation: The patients own motives for change are more often than not prone to initiating change, however, in this scenario there was no indication that the patient was voicing any indicators that they wanted to change their smoking habbit, yes, she had mentioned that she had given up in the past and though I tried to develop that area it was met with resistence. Instead of trying to reason why this person isn’t motivated, I should have looked at what it is exactly that motivates her, irrespective of her current situation. There was scope to develop this as the patient showed great concern for her children, a key discrepancy in her concerns and her current smoking habit, this is a focal point that I should and could have developed further. In her current situation the patients confidence appeared to be extremely low, however I could have measured a true subjective rating in her confidence level by asking her a simple rating question â€Å"to rate from 0-10 how ready are you†¦Ã¢â‚¬ . This would have given me a springboard on which to probe for further motivational factors. Again by asking simple open ended questions such as: â€Å"what do you want to achieve? or how important is this for you?† it would have given greater insight into what motivates the patient by denoting what their goals are. As such, my focus was to talk about smoking cessation and unfortunately I didn’t pay much attention to signals; identifying what interests and concerns the patient was currently experiencing. There were small marked areas of ambivalence, which some (Mill Red 2008) regard as normal in MI and it was apparent at this time that the cons to giving up smoking outweighed the pros thus the patient appears to be somewhat unmotivated. Listening with empathy Empathy entails the HCP to listen to and engage with the patient in a non-judgmental manner. I expressed an understanding of how personal this experience was for the patient asking them to focus on their own issues and recovery, it could have been very easy for me to have been blasà © about the circumstances leading up to the admission, accepting what the patient was telling me in a non judgmental way. Giving a summary reflection, I paraphrased what the patient had told be asking for affirmation that I had an understanding of the current situation, which helped me to contextualise and use the patients own frame of reference. I listened for ‘change talk†, but couldn’t identify any desire, ability, reasons, need, commitment or taking steps towards instigating change, therefore the patient may not have been ready to engage in MI, however, it was a brief encounter of 5 minutes, giving me good insight into the patients current situation. The patient may not have been able to articulate their true convictions because of fear, lack of cognizance or increased anx iety due to her physical ill health and also the far reaching impact of her partner’s infidelity. Upon reflection my opening of â€Å"tell me about your problem† was poor and should have been more open and empathetic could have been more, I should have used â€Å"tell me about it† I felt that I displayed some very good attributes to listening empathetically; my body language and posture were open, engaging and receptive. I was non-confrontational or judgemental and verbally exhibited this through an appropriate use of tone and pitch, however, as mentioned earlier, I missed some important cues and felt that I didn’t ‘roll with resistance’, though it must be noted that working in a psychiatric environment there are less time constraints and more opportunities to develop an augmented MI working relationship with a patient. Empower the patient: Erickson et al. (2005) deemed that a person can increase their belief in the probability of change based on their ‘past successes’, so by focusing on the patient’s strengths and allowing them to achieve their own goal(s) the HCP can give the responsibility, ownership and control of choices back to the patient. It is within this stage that the HCP has to be a facilitator and motivator to the patient. Again the use of ‘scale questions’ can be very beneficial to the patient allowing them to rate how they perceive their situation allowing them to focus on their skills and strengths. As with all interventions in nursing, the skillset is with the clinician and MI can only work effectively if used correctly. Throughout the role play there were a number of positive example of where I was empowering the patient, starting with â€Å"I am not hear to lecture or preach to you, just to talk to you†¦Ã¢â‚¬  this I felt set expectations with the patient though it could have been more specific to smoking cessation. Focusing on strengths and positives; I asked â€Å"what did you do before to give†¦Ã¢â‚¬  showing the patient that they have succeeded in stopping smoking in the past. The patient expressed concerns about intrinsic family issues, though acknowledging that these are important, I advised the patient to focus and ‘concentrate on themselves in the here and now’. There were a number of pitfalls that I should have avoided such as using technical terms ‘psychosocial/biopsychosocial’ as the patient may not have understood what I meant, I should have kept it short and simple, mirroring the language used by the patient. Another area that should have been avoided was when I asked â€Å"when did you start smoking again? I know you don’t want to talk about it but..† as I feel that this reaffirmed a negative with the patient, contrasting strongly with the strengths and positives previously identified. Patients’ own arguments for change can be more persuasive than any arguments that an HCP may put forward, but it must be noted. Concentrate on the here and now†¦ It is fundamental that the HCP engages with the client in an open, non-confrontational manner with the HCP not falling into the trap of being the expert trying to assess the patient, apportioning blame or having preconceived ideas/beliefs regarding the patient. Conclusion: The Contribution that MI has mad to Nursing Practice. MI by the virtue of its patient centredness, MI affords itself to be used in a wide array of clinical settings through the use of interpersonal relationship (Rollnick and Miller 1995) allowing healthcare providers to be at one with the patient (Sobell Sobell 1993). There have been, in excess of 200 Randomised clinical trials validating the efficacy of MI in a wider cohort of nursing interventions (REF). It appears from the research that there are more studies needed to validate the true clinical efficacy of MI, however, MI has been used successfully in a multiplicity of settings from from smoking/alcohol cessation, improved efficacy in medication adherence, clients with Cancer (Thomas et al. 2012) HIV, weight management, indeed MI could and should be used all encounters between HCP and patients. The UK’s National Health Servce is rolling out a programme through all sectors about making every encounter count† which has its basis in MI. The WHO actively encourages the use of MI for those working on a quit lines when used in combination with theoretical approaches (WHO, 2014). Talking therapies have been complimented by the symbiotic use of MI in the promotion of health and as such must be embraced across all segments of the health sector, affording self-efficacy in positive outcomes for the patient. References: Mill Red 2008) Erickson, S. J.,Gerstle, M., Feldstein, S.W. (2005). Brief interventions and motivational interviewing with children, adolescents and their parents in paediatric health care settings. Archives of Paediatric and Adolescent Medicine, 159, 1173–1180 Miller, W. R. (1983). Motivational interviewing with problem drinkers. Behavioural Psychotherapy, 11, 147–172. Miller W.R. (1995) Motivational Enhancement Therapy with Drug Abusers http://motivationalinterview.org/Documents/METDrugAbuse.PDF(Accessed 13/10/2014) Miller W, Rollnick S (2010) What’s New Since MI-2, 2’nd International Conference on Motivational Interviewing, Stockholm, Sweden. (Last accessed: 14/10/2014) http://www.motivationalinterview.org/Documents/Miller-and-Rollnick-june6-pre-conference-workshop.pdf Miller, W. Rollnick S. (2002a pg. 41) Motivational Interviewing: Preparing People for Change, 2nd edn. Guilford Press, New York Miller, W. and Rollnick, S. (2002b) Motivational Interviewing: Preparing People for Change, 2nd edn. Pg 22 New York; The Guilford Press Miller, W. and Rollnick, S. (2002c pg.41) Motivational Interviewing: Preparing People for Change, 2nd edn. New York; The Guilford Press. Moyers, T. Rollnick S. (2002) A motivational interviewing perspective on resistance in psychotherapy. Psychotherapy in Practice 58, 185–193. Percival, J. (2013) Healthy lifestyle changes – getting beyond the ‘difficult’ conversationNovember 2013 | Volume 23 | Number 9 RCN London Prochaska J.O, DiClemente C.C (1986) Towards a comprehensive model of change. In Miller WR, Heather N (Eds) Treating Addictive Behaviors: Processes of Change. Plenum Press, New York NY, 3-27. Rogers C. (1951) Client-Centered Therapy. Houghton-Mifflin, Boston, MA. Rollnick, S. Miller, W. and Butler, C. (2008) Motivational Interviewing in Health Care. London; The Guilford Press. Sobell M.B. Sobell L.C. (1993) ProblemDrinkers. Guilford Press, New York. Thomas, M.L. (2012), Elliott, J.L., Rao, S.M. Fahey, K.F. Paul, S.P Miaskowski, C. A Randomized, Clinical Trial of Education or Motivational-Interviewing–Based Coaching Compared to Usual Care to Improve Cancer Pain Management: Vol. 39, No. 1, January 2012 Oncology Nursing Forum White, W.L. Miller, W.R. (2007) The use of confrontation in addiction treatment: history, sciences and time for change. Counsellor 8, 12–30. WHO (2009) Milestones in Health Promotion, Statements from Global Conferences. Accessed 17/10/2014 /http://www.who.int/healthpromotion/Milestones_Health_Promotion_05022010.pdf?ua=1 WHO (2014) Training for tobacco quit line counsellors: telephone counselling. WHO, Geneva. 1

Wednesday, November 13, 2019

Genetic Engineering is the Future Essay -- Expository Essays Research

Genetic Engineering is the Future The debate over genetic engineering has emerged as one of the hot topics of today's political mainstream. With new discoveries happening everyday, science is coming closer to achieving perfection in the art of genetic manipulation. But is it all worth it? Some people argue that genetic engineering is a corporate scandal, and simply allows large companies to make more money. I will show through my research that the benefits of gene alteration far outweigh the claimed consequences. The actual process of gene transfer is very complicated. The first companies to employ genetically altered products emerged only 40 years ago. With fast developing technology, researchers are able to examine entire stands of DNA. What scientists discovered is a three step process that is involved in the transfer of Genes. First, RNA becomes synthesized in the DNA, and the genetic code of the organism is inscribed. This is called transformation. Next the RNA is introduced to a new cell, called transduction. (Welsh, pg. 43) The first successful cell transfer was in bacteria. Once RNA was induced there was a conjugal transfer of the DNA between bacteria cells. (Welsh, pg. 45) The host bacteria adopted the same traits of the mother DNA cell. What scientists realized is that this process can be manipulated. Once sequences of DNA were analyzed there was an explosion of knowledge that was gained. Scientists unlocked the genes that were responsible for hundreds of different functions in plants and animals. In the agricultural industry, there is always a demand for better products. Strands of DNA in seeds have been researched greatly. What basically happens is science perfects hybridization. ("Food and ... ... Genetic Engineering. Probe Ministries International. . Heaf, David. Lists of Pros and Cons of Genetic Engineering. . Home Page. Arizona State University. 5 Apr. 2003 . Murray, K.. "Genetic Engineering: Possibilities and Prospects for its Application in Industrial Microbiology." JSTOR (1980): 369-386. 5 Apr. 2003 . Siegl, Gunter. New Aspects of Positive Strand RNA Viruses. Washington DC: American Society of Microbiology, 1990. Sonnino, A. Induced Variation for Potato Improvement. Lima, Peru: Information Sciences Department, 1991. Â