Saturday, January 25, 2020
Effects of Homework in Therapy Sessions
Effects of Homework in Therapy Sessions Activities given to clients to complete in between therapeutic sessions have become a commonly used component of psychological therapies, especially cognitive approaches (Beck et al., 1979). What is sometimes called homework has been used to help address a wide variety of clinical problems including depressive disorders, schizophrenia and social phobia. This essay critically examines the empirical studies on homework and its influence on treatment outcomes. The term homework can include a wide variety of different activities given to clients. Scheel et al. (1999) provide some typical examples of those most often used by cognitive therapists: those involving reframing meanings, validation of internal experiences, social interactions and decision making. It has been hypothesised that homework is effective by encouraging the client to practice new skills learned in therapy outside of those therapeutic sessions (Burns, Adams Anastopoulos, 1985). While the term homework has been criticised for its unpleasant connotations with schoolwork (Coon et al., 2005), the real, practical question is whether the process itself actually improves patient outcomes. Despite its broad use within cognitive therapy, there has been relatively little research into its effectiveness until recently (Kazantzis, Deane Ronan, 2000). Broadly two types of studies have been carried out to examine the effect of homework on treatment outcomes: correlational and those with a control group. Correlational studies have generally found a positive association between adherence to homework and a more positive outcome. For example Burns and Spangler (2000) found that compliance to homework was significantly associated with reduced depression. These authors also report that their effect sizes were large, translating to an average reduction of 16.6 points on the Beck Depression Inventory for those who completed their homework compared with a reduction of only 2.4 points for those who did little (or no) homework. Other studies have also reached similar conclusions (e.g. Burns Nolen-Hoeksema, 1991; Leung Heimberg, 1996). Despite these positive results these types of st udies are always open to the criticism that they are weak evidence because of their correlational design. It may be, for example, that homework compliance is simply a result of improvement rather than a cause. Better designs incorporating a control group which can, therefore, impute causality have not produced such definitive results, are far fewer, and older. Some have shown positive effects for homework (e.g. Kazdin Mascitelli, 1982), while others have failed to show a positive effect (e.g. Blanchard et al., 1991). This uncertainty was underlined by a meta-analysis of both the correlational and control group studies carried out by Kazantzis et al. (2000) which reported a weighted average effect size for 27 such studies as 0.36 only a small to moderate effect far smaller than that reported by Burns and Spangler (2000). This meta-analysis has also been criticised for including studies that were not controlled and some which had poor designs (Lambert, Harmon, Slade, 2007). The majority of studies since Kazantzis et al.s (2000) meta-analysis have also been correlational. Coon and Thompson (2003), for example, examined the use of homework in older adults with mild to moderate depression. Using a regression analysis they found homework was associated with better outcomes but this is still effectively only correlational data. Rees, McEvoy and Nathan (2005) recruited participants with both anxiety and depression and found homework was associated with better outcomes. But, again this study was correlational in design. For anxiety disorders, however, even correlational studies have proved less conclusive than for depression. Some studies of anxiety have found positive correlations (e.g. Wetherell et al., 2005), while others have not (e.g. Woody Adessky, 2002). For more serious mental disorders such as schizophrenia, empirical work is only just emerging and the results of two studies have found no relationship between improved schizophrenia symptoms and home work compliance (Dunn, Morrison Bentall, 2006; Granholm et al., 2006). In conclusion, the picture emerging from the empirical literature is positive for the effect of homework compliance on outcome only when the correlational data is examined. This work suggests mild to moderate depression is responsive to homework, while anxiety disorders and psychosis is less so. Unfortunately these types of studies find it difficult to counter the argument that homework compliance is simply a result of a better outcome, rather than a cause. Controlled experimental designs, which can make this causal distinction, have been few and are generally much less conclusive. Consequently, while the use of homework in cognitive therapy seems likely to do little harm (although the term may have some stigma attached), the extant research is yet to definitively demonstrate it has more than a marginal benefit. References Beck, A. T., Rush, A. J., Shaw, B. F., Emery, G. (1979). Cognitive therapy for depression. New York: Guildford Press. Blanchard, E. B., Nicholson, N. L., Radnitz, C., Steffek, B. D., Appelbaum, K. A., Dentinger, M. P. (1991). The role of home practice in thermal biofeedback. Journal of Consulting Clinical Psychology, 59, 507-512. Burns, D. D., Adams, R. L. Anastopoulos, A. D. (1985). The role of self-help assignments in the treatment of depression. In: E. E. Beckham W. R. Leber (Eds.), Handbook of depression treatment, assessment, and research (pp. 634-668). Homewood, IL: Dorsey Press. Burns, D. D., Nolenn-Hoeksema, S. (1991). Coping styles, homework compliance, and the effectiveness of cognitive-behavioral therapy. Journal of Consulting Clinical Psychology, 59, 305-311. Burns, D. D., Spangler, D. L. (2000). Does psychotherapy homework lead to improvements in depression in cognitive-behavioral therapy or does improvement lead to increased homework compliance? Journal of Consulting Clinical Psychology, 68, 46-56. Coon, D. W., Thompson, L. W. (2003). The relationship between homework compliance and treatment outcomes among older adult outpatients with mild-to-moderate depression. American Journal of Geriatric Psychiatry, 11, 53-61. Coon, D. W., Rabinowitz, Y. G., Thompson, L. W., Gallacher-Thompson, D. (2005). Older Adults. In: N. Kazantzis, F. P. Deane, K. R. Ronan L. LAbate (Eds.). Using Homework Assignments in Cognitive-behavioral Therapy (pp. 117-152). New York: Routledge. Dunn, H., Morrison, A. P., Bentall, R. P. (2006). The relationship between patient suitability, therapeutic alliance, homework compliance and outcome in cognitive therapy for psychosis. Clinical Psychology and Psychotherapy, 13, 145-152. Granholm, E., Auslander, L. A., Gottlieb, J. D., McQuaid, J. R., McClure, F. S. (2006). Therapeutic factors contributing to change in cognitive-behavioral group therapy for older persons with schizophrenia. Journal of Contemporary Psychotherapy, 36, 31-41. Kazantzis, N., Deane, F., Ronan, K. R. (2000). Homework assignments in cognitive behavioral therapy: A Meta-Analysis. Clinical Psychology: Science and Practice, 7, 189-202. Kazdin, A. E., Mascitelli, S. (1982). Covert and overt rehearsal and homework practice in developing assertiveness. Journal of Consulting and Clinical Psychology, 50, 250-258. Lambert, M. J., Harmon, S. C., Slade, K. (2007). Directions for future research on homework. In: N. Kazantzis L. lAbate (Eds.). Handbook of homework assignments in psychotherapy (pp. 407-423). New York: Springer. Leung, A. W., Heimberg, R. G. (1996). Homework compliance, perceptions of control, and outcome of cognitive-behavioral treatment of social phobia. Behaviour Research Therapy, 34, 423-432. Rees, C. S., McEvoy, P., Nathan, P. R. (2005). Relationship between homework completion and outcome in cognitive behaviour therapy. Cognitive Behaviour Therapy, 34, 242-247. Scheel, M. J., Seaman, S., Roach, K., Mullin, T., Mahoney, K. B. (1999). Client implementation of therapist recommendations predicted by client perception of fit, difficulty of implementation, and therapist influence. Journal of Counseling Psychology, 46, 308-316. Wetherell, J. L., Hopko, D. R., Diefenbach, G. J., Averill, P. M., Beck, J. G., Craske, M. G., et al. (2005). Cognitive-behavioral therapy for late-life generalized anxiety disorder: Who gets better? Behavior Therapy, 36, 147-156. Woody, S. R., Adessky, R. S. (2002). Therapeutic alliance, group cohesion, and homework compliance during cognitive-behavioral group treatment of social phobia. Behavior Therapy, 3, 5-27.
Friday, January 17, 2020
Nespresso Essay
Nespresso was not in a very good situation. It was time to change to do something new and they realized for that reason that it was necessary to search an entrepreneur. Somebody ambitious , strong head , and creative who was able to take radically decisions and begin a new era of succeed of Nespreso. This person was Mr Lang. How could we sell Nespresso in supermarkets ? was the initial question. Question that was answered with a great strategic decision which was developed by Nespresso in order to penetrate in a new market and be more productive. ââ¬Å" A small operation in a separate company with separate productâ⬠Lang said. At the beginning it was no clear what he wants to do , and if this strategy will be effective but he doesnââ¬â¢t care about it and he continued developing this risked strategy. Lang realized that Nespresso prospect in the office sector was limited but they was potential in the household market. At the time it did not exist a big market research of the households market , so it was a very good opportunity for them. ââ¬Å"Positioning Nespresso away from the more utilitarian office coffee and targeting consumers at the top of the household marketâ⬠was his main objective Land got ââ¬Å"green lightâ⬠from the Nestle? general management in order to develop this strategy but only in Switzerland to be proven during a period of time. If the sales increase the management agreed and the business could continue. When something is new there will be always a lot of ifs and buts , but it must to risk and dare to do something innovative and original to got succeed.
Thursday, January 9, 2020
Learn About the Universal College Application
While the Common Application is still the online application format of choice for the majority of colleges that do not use their own applications exclusively, a few dozenà schools have also begun to accept the Universal College Application. Some use this newer format exclusively or in addition to their own institutional application, but many accept both the Universal College Application and the Common Application, leaving the choice up to the applicant. So whatââ¬â¢s the difference? The Common Application is accepted by nearly 700à colleges and universities across the country and internationally as of the 2016-2017 application cycle. About a third of these colleges are Common Application exclusive, meaning that they do not have a separate institutional application or accept applications in any other format. The Common Application actively originally promoted a philosophy of ââ¬Å"equity, access, and integrity,â⬠meaning that member colleges used a holistic approach to their application review process, taking into account letters of recommendation, the personal essay, and any other supplemental information provided by the student in addition to test scores and high school grades. This requirement, however, has eased recently as the Common Application works to bring more schools into the fold. The Universal College Application has neverà promoted any specific philosophy or application requirements. Colleges must simply be accredited institutions that adhere to the National Association for College Admissions Counseling Statement of Principles of Good Practice in order to use the Universal College Application. Only 34 colleges and universities currently use this application, and they vary widely in size and prestige, including everything from Ivy League and other highly selective schools to small, private liberal arts colleges. Like the current Common Application, colleges on the Universal College Application do not have to require letters of recommendation or a personal essay. Most members do still require these elements, but some, including the Milwaukee School of Engineering, the University of Tampa, and Nazareth College, have chosen to make the personal essay optional. But even for the majority of schools who do require an essay, the Universal College Application does not have specific prompts. The personal essay can be on any topic the student chooses (an option that was eliminated from the Common Application in 2013) as long as itââ¬â¢s no longer than 650 words. Aside from these differences, these two applications are fairly similar. Both ask the same basic questions on biographical and family information, academic records, and extracurricular activities, and there arenââ¬â¢t many significant differences in the format of the applicationsââ¬âwhich isnââ¬â¢t too surprising, as they were, in fact, created by the same company, Applications Online. But will using a different application put you ahead of the pack during the application review and admissions process? As far as most colleges are concerned, no. According to the Princeton admissions office, ââ¬Å"We view the two applications as equivalent and treat them equally. Please feel free to submit whichever application you prefer. Cornell, another Ivy that accepts both formats, takes a similar stance. From their admissions website: ââ¬Å"Although there are slight differences in the applications, it is important to recognize that both applications provide us with the critical information that our selection committees will need to make thoughtful admissions decisions, and they will be viewed equally.â⬠At the end of the day, both applications serve the same purpose: to help the admissions office decide if youââ¬â¢re a good fit for their school. But if youââ¬â¢re still unsure of which application to use, here are a few more fast facts that might tip the scales in favor of one or the other: Looking to get a head start on the application process? The Universal College Application launches a month earlier than the Common Application, on July 1 rather than August 1.If youââ¬â¢re applying to a number of schools, keep in mind that the Common Application has more than 650 member colleges compared to the Universal College Applicationââ¬â¢s 34, so the odds are much better that most, if not all, of the colleges on your list accept it. Make a list of all of your colleges and which applications they accept; if only one or two are on the Universal College Application, it will certainly save you some time to stick to the Common Application.The Universal College Application has a few additional features that may appeal to the technologically savvy applicants out there. It is compatible with most tablets and mobile devices, so you can edit your application on the go. Also, if you have a website or other online content that youââ¬â¢d like to share with the schools youââ¬â¢r e applying to, this application has a section to add those links. (Do yourself a favor, though, and leave the link to your Facebook out of that section.) Ultimately, whether you apply to your dream school via the Common Application, the Universal College Application, or the collegeââ¬â¢s own institutional application, the most important decision you should be making during the process is not the paper (or website) you put the information on, but how to present yourself in the best possible light to tell the college who you are and why youââ¬â¢d be a great addition to their student body. Also, with the Common Application loosening the restrictions on its membership and with the emergence of the new Coalition Application, the future of the Universal College Application is uncertain. While the other two applications have been gaining members, the Universal College Application lost a dozen members in the past couple of years. As of the 2016-2017 admissions cycle, 34 colleges and universities accept the Universal College Application, ranging from highly selective Ivy League institutions to small, private liberal arts colleges and research universities. Any accredited institution that adheres to the National Association for College Admissions Counseling Statement of Principles of Good Practice is permitted to use the Universal College Application. The following is a list of schools that currently accept the Universal College Application. Click on a school for more information including admissions requirements, SAT and ACT data, costs and financial aid, and more. American University in Bulgariaâ⬠¢ Location: Blagoevgrad, Bulgariaâ⬠¢ AUBG official website Beloit Collegeâ⬠¢Ã Location: Beloit, Wisconsinâ⬠¢Ã Beloit College Profileâ⬠¢Ã GPA, SAT and ACT Graph for Beloit College Bryant Universityâ⬠¢ Location: Smithfield, Rhode Islandâ⬠¢ Bryant University Profileâ⬠¢ GPA, SAT and ACT Graph for Bryant University University of Charlestonâ⬠¢ Location: Charleston, West Virginiaâ⬠¢ Official UC website The University of Chicagoâ⬠¢ Location: Chicago, Illinoisâ⬠¢ University of Chicago Profileâ⬠¢ GPA, SAT and ACT Graph for the University of Chicago Cornell Universityâ⬠¢ Location: Ithaca, New Yorkâ⬠¢ Cornell University Profileâ⬠¢ GPA, SAT and ACT Graph for Cornell Fisher Collegeâ⬠¢ Location: Boston, Massachusettsâ⬠¢ Fisher College Profile Harvard Universityâ⬠¢ Location: Cambridge, Massachusettsâ⬠¢ Harvard University Profileâ⬠¢ GPA, SAT and ACT Graph for Harvard Johns Hopkins Universityâ⬠¢ Location: Baltimore, Marylandâ⬠¢ Johns Hopkins University Profileâ⬠¢ GPA, SAT and ACT Graph for JHU Johnson Wales Universityâ⬠¢ Location: Providence, Rhode Islandâ⬠¢ Johnson Wales University Profile Lake Erie Collegeâ⬠¢Ã Location: Painesville, Ohioâ⬠¢Ã Erie College Profile Landmark Collegeâ⬠¢ Location: Putney, Vermontâ⬠¢ Landmark College Profile Lawrence Technological Universityâ⬠¢ Location: Southfield, Michiganâ⬠¢ Lawrence Tech Profile Lynn Universityâ⬠¢ Location: Boca Raton, Floridaâ⬠¢ Lynn University Profile Milwaukee School of Engineeringâ⬠¢ Location: Milwaukee, Wisconsinâ⬠¢ MSOE Profile Nazareth Collegeâ⬠¢ Location: Rochester, New Yorkâ⬠¢ Nazareth College Profile Newberry Collegeâ⬠¢ Location: Newberry, South Carolinaâ⬠¢ Newberry College Profile Notre Dame of Maryland Universityâ⬠¢ Location: Baltimore, Marylandâ⬠¢ NDMU Profile Princeton Universityâ⬠¢ Location: Princeton, New Jerseyâ⬠¢ Princeton University Profileâ⬠¢ GPA, SAT and ACT Graph for Princeton Randolph Collegeâ⬠¢Ã Location: Lynchburg, Virginiaâ⬠¢Ã Randolph College Profileâ⬠¢Ã GPA, SAT and ACT Graph for Randolph College Rensselaer Polytechnic Instituteâ⬠¢ Location: Troy, New Yorkâ⬠¢ RPI Profileâ⬠¢ GPA, SAT and ACT Graph for RPI Rhodes Collegeâ⬠¢Ã Location: Memphis, Teennesseeâ⬠¢Ã Rhodes College Profileâ⬠¢Ã GPA, SAT and ACT Graph for Rhodes College Rice Universityâ⬠¢ Location: Houston, Texasâ⬠¢ Rice University Profileâ⬠¢ GPA, SAT and ACT Graph for Rice Rochester Institute of Technologyâ⬠¢Ã Location: Rochester, New Yorkâ⬠¢Ã University of Rochester Profileâ⬠¢Ã GPA, SAT and ACT Graph for U of R University of Rochesterâ⬠¢ Location: Rochester, New Yorkâ⬠¢ Rochester Institute of Technology Profileâ⬠¢ GPA, SAT and ACT Graph for RIT Savannah College of Art and Design (SCAD)â⬠¢Ã Location: Savannah, Georgiaâ⬠¢Ã Savannah College of Art and Designà Profileâ⬠¢Ã GPA, SAT and ACT Graph for SCAD Southern Vermont Collegeâ⬠¢ Location: Bennington, Vermontâ⬠¢ SVC Profile University of Tampaâ⬠¢ Location: Tampa, Floridaâ⬠¢ University of Tampa Profileâ⬠¢ GPA, SAT and ACT Graph for the University of Tampa Thiel Collegeâ⬠¢Ã Location: Greenville, Pennsylvaniaâ⬠¢Ã Thiel College Profile Utica Collegeâ⬠¢ Location: Utica, New Yorkâ⬠¢ Utica College Profile Vanderbilt Universityâ⬠¢ Location: Nashville, Tennesseeâ⬠¢ Vanderbilt University Profileâ⬠¢ GPA, SAT and ACT Graph for Vanderbilt Wentworth Institute of Technologyâ⬠¢ Location: Boston, Massachusettsâ⬠¢ Wentworth Profile Wilson Collegeâ⬠¢ Location: Chambersburg, Pennsylvaniaâ⬠¢ Wilson College Profile University of Wyomingâ⬠¢ Location: Laramie, Wyomingâ⬠¢ University of Wyoming Profile Check out this list for colleges that accept the Common Application.
Wednesday, January 1, 2020
Journal Review Behavioral Study Of Obedience Essay
Journal Review of Behavioral Study of Obedience In 1963, Stanley Milgram conducted research, where the findings were published in the article, ââ¬ËBehavioral Study of Obedience.ââ¬â¢ Milgram wanted to study the conflict between obedience to authority and personal conscience, by conducting an experiment where participants were ordered by authority to deliver strong electric shocks to another person. From an ad posted in a newspaper, Stanley Milgram choose 40 male participants between the ages of 20 and 50 years old. Subjects were told that they were participating in a study about memory and learning, and were paid $4.50 for their participation. The role of the experimenter who was assigned to give authority was consistent, acted by a 31-year-old high school teacher. The role of the victim was also consistent, played by 47-year-old who was trained for his role. According to Milgram ââ¬Å"The subject read a series of word pairs to the learner, and then read the first word of the pair along with four terms. The learner was to indicate which of the four terms had originally been paired with the first wordâ⬠and answer by pressing one of 4 switches, that the subject can see. If the learner were to get an answer incorrect, the subject would administer a shock and increase the voltage of the shocks as the test continued. The shock generator had 30 lever switches all ranging from 14 to 450 volts. The experimenterââ¬â¢s response was standardized towards the reactions subjects had if they did notShow MoreRelatedBehavioral Study Of Obedience By Stanley Milgram1053 Words à |à 5 Pages ââ¬Å"Behavioral Study of Obedienceâ⬠by Stanley Milgram (1963) Stanley Milgram Yale University Group 1: Wasis Ali, Christopher Okpala, Michelle Walden, Estefany Majano General Psychology 1010 Ms. Thompson Spring Semester, March 17, 2014 Introduction In 1961, The Journal of Abnormal and Social Psychology published an article by Stanley Milgram, a researcher at Yale University, and his study testing obedience towards political influence vs towards morals and values taught from an early ageRead MoreSocial Influences on Behavior1114 Words à |à 5 Pagesscenarios, conformity and obedience play a large role in how people tend to think and behave, especially if they get carried away. Obedience refers to compliance to an authority figure or with others in a group. On the other hand, conformity refers to an individual changing their thoughts, attitudes, and behaviors to accommodate with the standards of a group or their peers. Both of which are pure examples of how human behavior changes based on certain social situations. Obedience and conformity both occurRead MoreThe Ethical Standards Of Modern Psychology1320 Words à |à 6 PagesThere are many research studies conducted in the past that would not be considered ethical today. This essay will review two research methods, whilst taking into account the ethical standards of modern psychology. The focus of this essay will be; ââ¬ËLandisââ¬â¢ Facial Expressions Experiment 1924ââ¬â¢ carried out by Carney Landis and ââ¬Ëââ¬â¢Milgramââ¬â¢s Obedience Experimentââ¬â¢ carried out by Stanley Milgram. Both experiments were carried out under immoral circumstances and perhaps should never have been allowed to takeRead More Stanley Milgramââ¬â¢s Behavioral Study of Obedience Essay1797 Words à |à 8 Pagesobedient must be slaves.â⬠ââ¬â¢ Henry David Thoreau In the early 1960ââ¬â¢s Stanley Milgram (1963) performed an experiment titled Behavioral Study of Obedience to measure compliance levels of test subjects prompted to administer punishment to learners. The experiment had surprising results. Purpose of the research. Stanley Milgramââ¬â¢s (1963), Behavioral Study of Obedience measured how far an ordinary subject will go beyond their fundamental moral character to comply with direction from authority toRead MoreEssay on The Milgram Experiment1572 Words à |à 7 PagesThe Milgram Experiment (Hart) Stanley Milgramââ¬â¢s experiment in the way people respond to obedience is one of the most important experiments ever administered. The goal of Milgramââ¬â¢s experiment was to find the desire of the participants to shock a learner in a controlled situation. When the volunteer would be ordered to shock the wrong answers of the victims, Milgram was truly judging and studying how people respond to authority. Milgram discovered something both troubling and awe inspiring about theRead MoreThe Effects Of Corporal Punishment On Children932 Words à |à 4 Pageschild in two states here in the United States. Statistics currently show, 90% of American parents agree with the use of corporal punishment on their children. It is more common to see corporal punishment with poor families and minorities show from studies. What most donââ¬â¢t realize is physical punishment is not the only method considered harmful, screaming and using bad language in front of children are as well (S trauss Gelles 95). There are a number of adverse effects caused by corporal punishmentRead MoreEssay Ethics in Social Psychological Research1536 Words à |à 7 Pagesanalysis of ethical matters that arise when people are used as subjects in such studies. Research ethics requires the application of necessary ethical convention to a variety of topics involving any scientific study. There are quite a number of experiments brought to what is known as the Internal Review Board. The IRB s sole purpose is to look at any and all experiment that must be taken with considerable amount of ... well, review before they can actually take place. There are commonly three purposes forRead MoreThe Effects Of Time Outs And Spanking On Children1711 Words à |à 7 Pageshave led to charges of cruelty abuse. The purpose of this is study was to see how effective the standardize time out procedure and modified time outs to incorporate contingent delay. The study consisted of upper- middle-class mothers of 36 boys aged 4-8. They all attend a large suburban public elementary school and have each demonstrated failure to comply with parental behavioral demands. Fathers and girls were excluded from the study in order to have better control. Session one involved presentingRead MoreEthical Issues in Social Psychological Research6240 Words à |à 25 Pagesadhering to these ethical principles as a backbone to social psychological research. As well as not taking humans and societies for granted. In doing so, I will refer to two studies that have generated various ethical issues. The first study was conducted in 1963 by Stanley Milgram on destructive obedience. The second study was conducted in 1976 by Middlemist, Knowles, and Matter on the effects of invasions on personal space. In the beginning I will provide a summary of the ethical principles followedRead MoreEthics in Research Psychology Essay1809 Words à |à 8 Pagesimportance of respect and concern for the dignity and welfare of the participants thr oughout the duration of the research study. To facilitate this, institutional review boards have been put into place. The IRB provides safeguards that make certain the research is ethical and does not pose a risk to study participants. The research psychologist submits a detailed description of the study, and the committee members determine the ethical nature of the proposed research. More specifically, the IRB will assess
Monday, December 23, 2019
Social Media Is An Instrument Of Mass Interaction
Introduction:- In todayââ¬â¢s world social media is popular amongst everyone. It is a medium to make friends, share, emotions, thoughts and ideologies, post pictures, or participate in social debates, etc. Social media is also able to help the government, organisations and businesses alike, to interact with their clients, suppliers and other third parties. To understand the meaning of social media it is important to understand the basic principles that lay its foundations. - Media ââ¬â as in an instrument for communication to the masses like newspaper, televisions, radio, and in the most recent times the internet. - Social ââ¬â as in the interaction between people, as beings that require companionship. So social media is an instrument of mass interaction, a way for organisations and people to communicate with each other in a social and public sphere. Some popular examples in the current society of social media platforms are Facebook, Twitter, Instagram, Myspace, Flickr, LinkedIn, Pinterest, YouTube, Google+, Tumblr, etc. This report hopes to demonstrate why businesses should use this medium, how they do so and in what ways can small businesses hope to optimise this platform, toward growing their business and customer base. Why Businesses Use Social Media Current businesses use social media several ways - to increase their brand awareness, boost their products, to achieve a desired brand perception. 1. A report by eMarketer (2013) says that by 2017 there will be 2.55 billionShow MoreRelatedThe Development Of Self Concept Essay818 Words à |à 4 Pagesindividuals play in our lives; later, in the game stage, we can understand the roles of several different people simultaneously in our lives, when we can participate in complex team games such as football or soccer. According to Mead s (1972) symbolic interaction approach, game playing is an illustration of children s becoming a member of society. In a game, children initiate their socialization process and development of self-concept by taking the roles of others. Children often create invisible, imaginaryRead MoreMead s Theory Of Self And Society1518 Words à |à 7 PagesMead s Theory of Self and Society According to this theory, Mead suggested that people live in a world that is in a large part constructed in accordance with social and societal norms. He believed that objects, events, and behaviors come from the interpretation people give them, and interpretations vary from one group to another. 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Media such as newspaper, television and film, are important sources of information, education and entertainment. It can be used to learn more about the world and the people in it. In this regard it can be said that the media represent, interpret and endorse aspects of social experience (Oââ¬â¢Shaughnessy and Stadler, 2005). The media are also implicated in social regulation, or in other terms, the government of society. The media are implicatedRead MoreContent analysis of 9 creative concepts Essays1470 Words à |à 6 Pages 2013 TABLE OF CONTENTS PAGE Declaration 3 1. Introduction 4 2. Quantitative content analysis 4 3. Media audience theory 4 4. Questionnaires surveys in media research 7 5. Self assessment and self reflection 9 Sources consulted 10 Declaration I hereby declare that this assignment is my original work, written by me and that is my own effort and that no part has beenRead MoreHow Social Media Has Become A Trusted Means Of Information Better Than Traditional Method918 Words à |à 4 Pages Social mediaââ¬â¢ consist of two words. Social refers to communication among individual or group of people. Media which means to advertise and communicate ideas or information through newspapers, magazines, TV, radio, billboards, direct mail, telephone, fax, and internet. Social media is a means of connecting people together through social network. It started in 1978 during the first bulletin board system was exchanged over phone with other users. When internet took off, consumers started to voiceRead MoreMaking Meanings Essay1692 Words à |à 7 Pagesï » ¿CURTIN UNIVERSITY OF TECHNOLOGY SCHOOL OF MEDIA, CULTURE AND CREATIVE ARTS ASSIGNMENT COVER SHEET To be attached to all assignments (ALL SECTIONS MUST BE COMPLETED) STUDENT NAME:â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.................. STUDENT ID:â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦ UNIT NAME AND NUMBER:â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦ DUE DATE:â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦. WORD COUNT:â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦1408â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦. TUTORIAL DAY ANDRead MoreSocial Media And Social Networking975 Words à |à 4 Pages Social media, according to (Andreas Kaplan and Michael Haenlein, 2009) is a mass of internet based application that builds on the technology and content foundation of Web 2.0 and which allows the creation and exchange of user generated content. Social media is an internet base tool that increases information sharing. Social media is a medium for social interaction, using the most available publishing techniques, and it uses, a web-based application to transform communication, making dialogues moreRead MoreThe Uses And Gratifications Theory Essay1656 Words à |à 7 Pageseffect media products have on audiences, Chandler (1994) states that instead the uses and gratifications theory focuses on what audiences do with media. Chandler continues that this audience model focuses around why and how people select and use media texts in order to fulfil particular social or psychological gratifications. This essay will explore findings from early uses and gratifications research studies and wha t these said about the relationship between audiences and the mass media. It willRead MoreMass Media Coverage On The World962 Words à |à 4 PagesMass media coverage, which is most common in developed nations, has been a key benefactor that plays a significant role in the modern world by broadcasting information quickly. A poll conducted by the Pew Research Center for the People and Press found in the United States that television ranks number one as the leading source of daily news followed by newspapers, radio, and the internet. Knowledge has never been so easily accessible than it is now, with the latest news being available to us, whenever
Sunday, December 15, 2019
Lebron James Desicion Free Essays
In case you havenââ¬â¢t heard, one of the best basketball players on the globe had a one hour special to announce his free agency decision in the summer of 2010. LeBron James went on ESPN on July 8th to tell the basketball world he was taking his talents to south beach to join the Miami Heat. ââ¬Å"The Decisionâ⬠as it became know, brought LeBron quite a bit of hate not only from fans from Cleveland (the team he was previously on) but from fans all around the league and even some players. We will write a custom essay sample on Lebron James Desicion or any similar topic only for you Order Now The main reason for this is because he was viewed as selfish and egotistical in making a one hour special just to tell people where he was going to play basketball next season. Most people see the surface of the situation but donââ¬â¢t take into account everything that went on outside the publics focus. Even events like this have a lot going on in the background that the sports industry should take a look at. People seem to over look the fact that it wasnââ¬â¢t LeBronââ¬â¢s idea to have the special, he just went along with it. Like every other superstar athlete or celebrity, LeBron has a managing team that makes most if not all of his media related decisions or appearances. He has a publicist, an agent, a stylist and a business manager. This business managers name is Maverick Cater and he is the one who released this statement to ESPN, ââ¬Å"Due to the unprecedented attention and interest surrounding LeBronââ¬â¢s decision, we have decided to make this announcement on national televisionâ⬠. LeBron saw this as an opportunity to raise money for the Boys ; Girls Club of America, a foundation he has been very publicly supportive of. His marketing team saw this as an opportunity to sell LeBron ââ¬Å"The Iconâ⬠because popularity for him meant ââ¬Å"cha-chingâ⬠for them. ESPN went along with it because LeBron is a huge star and they were interested in boosting ratings. ââ¬Å"The Decisionâ⬠, ratings wise was a huge success for ESPN. According to preliminary number from Nielsen co, in the nations 56 biggest television markets, about 8 million homes turned on the program. It was estimated that 12-14 million people were watching when LeBron made his infamous choice. That is a record for a non-sporting event. The popularity of the interview brought a revamped fan base for the NBA. Fans tuned in to see how he would fair with his new team, some wishing him success but most rooting for him to fail. Above all else people watched to see the show put on by the latest NBA team to acquire 3 star athletes. One of the statutesââ¬â¢ LeBron had when agreeing to the televised interview was that he would be allowed to sell the advertising and the profits would go the Boys ; Girls Club of America. The program drew big ticket companies like McDonalds, The University of Phoenix, Bing and Vitamin Water for sponsorships. Together they raised over 3 million dollars. LeBron grew up in the inner city and was from a very poor family. He knows first hand what itââ¬â¢s like to be a kid that doesnââ¬â¢t have access to opportunities for recreation. The money was divided between fifty nine Boys and Girls clubs across the country. $60,000 went to a club just outside of Cleveland to repair a leaky roof, refurbish a dingy gymnasium and a new playground. Another club in the area received $70,000 which was used to install a new gym floor and purchase bleachers and twenty new computers. LeBron might have pist off a few of his older fans but he defiantly gained supports from the kids. Some of the uproar after ââ¬Å"The Decisionâ⬠has to be created to the mismanagement of the broadcasting. Most people saw problems with the fact that the special was an hour long for a decision that should take about two seconds to say on TV. ESPN went along with it however, and promised the viewers would know his decision within fifteen minutes of the start of the broadcast. In reality the words ââ¬Å"Miami Heatâ⬠didnââ¬â¢t leave his mouth until thirty minutes into it. If that wasnââ¬â¢t enough to agitate the audience, the first half hour of the show was made up of Jim Gray, the interviewer, asking more than a dozen soft ball questions that were more like watching chitchat than compelling television. Combine the agitating half hour wait with the disappointment of LeBronââ¬â¢s perceived ââ¬Å"easy way outâ⬠decision is enough to have most fans changing the channel in frustration immediately hearing the verdict. From LeBronââ¬â¢s point of view, besides the back lash from his televised free agent decision, he made the best carrier choice. Cleveland had showed repeatedly that they werenââ¬â¢t capable of surrounding him with enough talent to win a championship. Why not sign with a clearly better team that happened to have your best friend in the league on it in Dwayne Wade. He did have to take a 30 million dollar pay cut to join The Heat but hey, whatââ¬â¢s 30 million to LeBron James. As we know now, in the end it worked out for the better. Dwyer, Kelly. ââ¬Å"Lebronââ¬â¢s Decision was awful but his carities are thankful. â⬠Yahoo Sports. Yahoo, 27 Apr 2011. Web. 6 Mar 2013. ;http://sports. yahoo. com/nba/blog/ball_dont_lie/post/lebrons-decision-was-awful-but-his-charities-are-thankful? rn=nba,wp2143;. Gregory, Sean. ââ¬Å"The LeBron James Hour: Is This Prime-Time Overkill? Read more: http://www. time. com/time/nation/article/0,8599,2002477,00. html Flint, Joe. ââ¬Å"ESPNââ¬â¢s ââ¬ËThe Decisionââ¬â¢ scores but leaves questions in its aftermath. â⬠Los Angeles Times. LA Times, 09 Jul 2010. Web. 6 Mar 2013. http://latimesblogs. latimes. com/entertainmentnewsbuzz/2010/07/espns-the-decision-scores-but-leaves-questions-in-its-aftermath. html. Broussard, Chris. ââ¬Å"LeBronââ¬â¢s announcement coming soon. â⬠ESPN NBA. ESPN, 08 Jul 2010. Web. 6 Mar 2013. http://sports. espn. go. com/nba/news/story? id=5360533. How to cite Lebron James Desicion, Essay examples
Saturday, December 7, 2019
Logistics Engineering and Systems
Question: Describe about the Logistics Engineering and Systems. Answer: Introduction Definition of the Problem The world we live in is always in risk of getting affected from extreme effects of natural and artificial calamities. Such catastrophic incidents have been taking place since the origin of this planet. With respect to the last decades, it is seen that there has been adverse effects of such calamities resulting to death and injuries to several people. Thus, it is imperative for emergency logistics management to play a pivotal role in the global issue with respect to such incidents. Such serious accidents require relief and rescue operations as well as recovery activities from the part of the logistics systems after the calamity. These adverse effects of natural and artificial disasters needs swift, effective relief functions and such activities become a challenge for them as they need to create a supply structure, distribution network, assessment of disaster, coordination, inventory management etc. This system like any other process also tries to improve its process from time to time to provide service that is more efficient to the affected (Dai, 2014). Objective There always remains a goal for the execution of such activities and so the main objective of this study is to assess the activities during calamity rescue and relief and to recognize the experience for addressing such logistic challenges. The other aim is to create policies that can be gained from the evaluating the current case. Methodology of the Project There have been many research based on the emergency logistics management and the researchers have identified some relevant matters that they have mentioned in their study. This study only concentrates on the emergency logistic activities undertaken after the Haiti earthquake. The study thus includes the transportation, product supply, relief and rescue operations, medical facilities, communications etc. The methodology used for this study is later discussed in this paper. Organization of the Project report The project is done on the Haiti Earthquake 2010, which cost lives of thousands and injuries to millions. The report is prepared by analyzing all the logistic support and data used during that time to rescue and relief the people affected there. Literature Review The literature review provides some discussions related to the modern knowledge on disaster management and relief and includes specific evidence and adds knowledge about the operations related to calamity relief by concentrating on the agencies that react to such incidents. The review finds out the cooperation among the organizations from the start to end of an emergency logistic system. The logistics require a wide range of transport to provide efficient and relevant deliveries from outside to the affected area. It also looks after a process or system, which will provide priority to the relief inputs. The items received from various regions needs to be stored in an inventory so that it can be moved when required. Moving or migrating people from the affected region to safety is also a prime concern for the logistic system. There should always be coordination for the usage of the transport asset to accelerate the relief process (Li,and Sheng, 2013). The logistics needed in the emergency relief are created through a process where the organizations primarily acquire the equipments and stores the supplies in a single place. The firms then distribute the emergency facilities and provide training to the desired personnel. There exists a common agreement to provide aid to the affected victims. A resource inventory is created so that is becomes easier to allocate the commodities during emergency. The logistic teams react differently after a disaster has taken place. It then uses it primary process to provide ailment to the victims. It provides maps to the people going to the affected area and provides safety sheets to the employees in order to abide by them. They move in the back up machineries and tools so that it is used when deemed necessary. They even provide food, clothing and medical support to provide the basic amenities to the affected people. A shelter to stay is also allocated as many may have lost their houses in such advers e accidents. A proper communication system is generated so that there remains a contact with the outside world during this crisis period. A proper supply chain exists in the emergency logistic system where the suppliers or donors are the government and other organizations and foundations, followed by the recipients like the NGOs. The transportation facilities are conducted mainly by the army, government or the NGOs and local bodies after which the reliefs are received by the people in need (Nickerson et al.2015). Methodology The methodology applied for this study was created to reach the goals of the research and to answer the questions to the research accordingly. The research question in mind is the lesson learned from the Haiti Earthquake rescue and relief operations and the policies, which can be implemented after assessing this study. The results of this study show the correct operations within an occurrence and that can be used to create theories in different types of research. The theories constructed either are taken from the older ones or have been new theories. The actual study is based on the earthquake in Haiti in 2010. The information collection is concentrated on the rescue and relief operations during the primary stage, and secondary data collection from the reports of the government and the NGOs. The results of this study are based on the secondary information. The evaluation process comprises of a series of focus group discussions, which in the basis of the People First Impact methodology. There were key informant interviews with respect to the stakeholders from the communities of Haiti and International foundations. These international foundations comprised of CARE, project agencies of ECB, INGOs, the government and sector networks like Sphere etc. the relevant information interviews analyzed the huma nitarian response that have gone well and things which havent. The activities, which could have been improved according to the present response and essential recommendations for the humanitarian community (zdamar, and Ertem, 2015). The literature review undertaken was a desk-based study related to the literature reviews made earlier regarding the Haiti earthquake like the statements, reports and strategies, other experiences of disaster and assessment of those literature reviews. The study also explains the method used for the focus group interviews and shows the way in which the data received is in accordance to the OECD-DAC criteria. Limitations There were various factors, which restricted the methodology of this study. The assessment team fumbled to gain relevant data from the agencies and to gain the essential elements for the interviews. Thus, the informant interviews were exclusive of Haitian government, UN, diplomatic community etc. There were some concentrated group discussions where the participants were limited due to a short notice period provided to them. The information received during the discussions was short as the time of debriefing was limited. The survey conducted was generally based on the urban areas and so the information did not provide a global overview of the disaster. Case Study Selection and Justification The case study selection is the crucial part for the assessment of the emergency logistics system as it can reveal a lot of new information and data, which can be useful for the researchers to create new theories about logistic management. The earthquake in Haiti with a magnitude of 7.0 MW, the total infrastructure of the country fell as there was a loss of the communication system, medical and transport facilities and the connection with the outer world got disconnected as the airport and the port got damaged thus postponing the relief work. The response to this calamity was just after the incident when the government and international foundations reached the scene within 36 hours with a coordinated effort from the National Disaster Management, the army, the NGOs like Red Cross and the foreign and national government to evacuate the place and provide relief and rescue operations to the victims. Around 10,000 volunteers were involved in the operation to provide ailment and support to the victims (Beresford, and Pettit, 2013). The international response through UN providing $10 million as emergency fund and other countries providing monetary, supplies and military help to the country also reduced the tension in Haiti. Results and Discussion The results of the study cover the regions of response, evacuation, resettlement, supplies etc. it also analyzes the major problems like the accessing the blocked roads to resume transport, reestablishing the communication system, guaranteeing supply of necessary goods etc. It also reveals the rescue and relief capacity of the country as seen that Haiti having limited number of armed forces had initial problems for rescue operations. The country being an island also faced problem as the airport the ports were destroyed (Gong, Chen, and Hu, 2012). The evacuation and the settlement process needed time as being a small country, and most of it destroyed the victims needed to be taken into temporary shelters and government buildings with the threat of aftershocks as well. The secondary treatment of the disaster comprising of the international and NGO response also took a vital part. Logistics Management With the advent of such a mishap in Haiti, merits and the challenges pertaining to the logistics management has been identified. Merits Swift Response Allocating the needed supplies Requesting to the national and international sector to provide supply Providing troops to the affected regions and providing equipments for rescue Real-time supervision of the situation and evacuating the victims. Effective emergency plans. Restoration of the communication and medical facilities Challenges Lack of communication among the various troops of different countries Unbalance of rescue force in some regions Inadequate national reserve for supplies Uncoordinated international donations Lack in Government coordination Small army force Concentration of population in the affected area Therefore, the logistics management pros and cons have been identified. Recommendation The evaluation of this study recommends that there are some questions regarding logistics, which has not been answered properly and they are: Coordination of demand and supply at the total environment Improving the level of emergency logistics relief supply chain for better result Controlling of the distribution of relief under the emergency situation These are the problems related to the emergency logistics and proper and efficient support over these topics can be useful for the maximization of the emergency logistics level. Conclusion The paper thus aims to innovate efficient regulations and rules so as to mitigate the problems faced by the emergency logistic management. The study of Haiti earthquake was taken to find out the logistics supply chain and system operating in the country and the level of quick response after the incident. The answers procured from the assessment of this study will be useful to generate new and innovative guidelines and policies for emergency logistics system to optimize their work for the near future. Reference List Beresford, A. and Pettit, S., 2013. Humanitarian aid logistics: the Wenchuan and Haiti earthquakes compared. InSupply Chain Management: Concepts, Methodologies, Tools, and Applications(pp. 666-687). IGI Global. Caunhye, A.M., Nie, X. and Pokharel, S., 2012. Optimization models in emergency logistics: A literature review.Socio-economic planning sciences,46(1), pp.4-13. Dai, J., 2014, May. Earthquake Disaster Emergency Logistics of Transport Route Optimization Research. InInternational Conference on Logistics Engineering, Management and Computer Science (LEMCS 2014). Atlantis Press. Gong, B., Chen, X. and Hu, C., 2012. Fuzzy entropy clustering approach to evaluate the reliability of emergency logistics system.Energy Procedia,16, pp.278-283. Li, C., Guo, L. and Li, Z., 2014. Design of Decision-Making System of Emergency Logistics Information System Based on Data Mining.JDIM,12(6), pp.383-386. Li, Z. and Sheng, W., 2013. Establishment of Emergency Logistics System for Earthquake Disasters.Logistics Technology,7, p.039. Najafi, M., Eshghi, K. and Dullaert, W., 2013. A multi-objective robust optimization model for logistics planning in the earthquake response phase.Transportation Research Part E: Logistics and Transportation Review,49(1), pp.217-249. Nickerson, J.W., Hatcher-Roberts, J., Adams, O., Attaran, A. and Tugwell, P., 2015. Assessments of health services availability in humanitarian emergencies: a review of assessments in Haiti and Sudan using a health systems approach.Conflict and health,9(1), p.1. zdamar, L. and Ertem, M.A., 2015. Models, solutions and enabling technologies in humanitarian logistics.European Journal of Operational Research,244(1), pp.55-65. Sheller, M., 2013. The islanding effect: post-disaster mobility systems and humanitarian logistics in Haiti.Cultural Geographies,20(2), pp.185-204. Tuzkaya, U.R., Yilmazer, K.B. and Tuzkaya, G., 2015. An Integrated Methodology for the Emergency Logistics Centers Location Selection Problem and its Application for the Turkey Case.Journal of Homeland Security and Emergency Management,12(1), pp.121-144. Xu, J., Wang, Z., Zhang, M. and Tu, Y., 2016. A new model for a 72-h post-earthquake emergency logistics location-routing problem under a random fuzzy environment.Transportation Letters, pp.1-16.
Saturday, November 30, 2019
Pros And Cons Of Vaccinations Essay Example
Pros And Cons Of Vaccinations Paper The question is, how effective are these vaccines? Are they more beneficial or harmful to us? Are they serving their purpose? Could a person survive in this world without ever being minimized? In this small research paper, I will discuss the pros and cons of getting vaccinated. I will provide data from which each person will be able to make their own decision on whether vaccination is necessary or not. There are many pros and cons to getting vaccinated. Here are a few pros. Though there are numerous different types of vaccines, they all have a common purpose: to create immunity inside an individuals body against deadly diseases by injecting antigens of that very disease. This is so that in a situation where the minimized individual was exposed to the specific disease, he or she would already have memory phagocyte cells to fight off the virus before symptoms loud even get a chance to occur. We will write a custom essay sample on Pros And Cons Of Vaccinations specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Pros And Cons Of Vaccinations specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Pros And Cons Of Vaccinations specifically for you FOR ONLY $16.38 $13.9/page Hire Writer One source mentioned that by vaccinating the population, we are protecting the health of communities by preventing its spread. It is said that many epidemic that caused thousands of people to die were completely or almost completely wiped out thanks to the invention of vaccinations. However, a minority, but significant group of people believe that the decline in reported incidences of these diseases have been related to newly established hygiene procedures such as washing our hands after using the restroom and before eating meals. There are also quite a few cons, mainly in the form of side effects, to vaccinations. The few general and usually mild side effects are pain, redness, headaches, fever, swelling and/or a small lump at the site of injection. More serious side effects include allergic reactions, seizures and a disease that is still under research, autism. If a child initially has a weak immune system, or their parents cover the mild effects of the vaccines with drugs, the childs body will retain the vaccine pathogens. This retention is what triggers or at least contribute to the development of hill illnesses such as juvenile diabetes, asthma, neurological disorders, leukemia and event cot deaths. Other cons such as for the vaccine for shingles, only protects fifty percent of those vaccinated. There has been report of other severe side effects but unfortunately, the research in that area is very minimal. Another issue that most parents fail to realize about vaccines is their contents and where they originate. Apart from the antigens, vaccines also contain: Aluminum: a neuron-toxin which has been associated w/ Alchemies, disc-ease, dementia and seizures; aluminum is carcinogenic in vibratory mice and added to vaccines to promote antibody response. Themselves: a sodium salt derived from the deadly poison mercury and used as a disinfectant and preservative; temporal has been linked to brain and kidney damage as well as immune and neurological disc;orders; it is a component of vaccines for DEPT, tetanus, hepatitis B and Hip. Formaldehyde: a major component of embalming fluid, which of course is pumped into dead people to keep them dead; a known cancer-causing chemical, this toxic substance is used to inactivate viruses and detoxify bacterial toxins; remolded has also shown to be injurious to the liver and to trigger gene mutations. Carbolic acid: believed to cause gender mutation; a deadly poison used as a disinfectant, dye ANTI (AGAINST) BIOTIC (LIFE): Neomycin, Streptomycin and a variety of other drugs to which increasing numbers of the population are demonstrating serious allergies and to which increasing numbers of microbes are developing genetically-transmitted tolerance ACETONE: used in fingernail polish remover and as a solvent ALUM: used as a preservative GLYCERIN: a trip-atomic alcohol extracted from natural fats which are putrefied and decomposed; toxic effects damage the kidneys, liver, lungs and pronounced local tissue damage, gastrointestinal damage and death TOXIC CHEMICALS DRUGS: trace elements of other chemicals such as extraordinaire, servitor, hydrolysis gelatin, euphonium chloride, methamphetamine; some of which are known or suspected of causing cancer. My personal opinion on vaccinations is divided. Given all the serious possible side effects, I dont believe children should get vaccinated. Though statistic show a mall percentage of children being vaccinated actually developing these diseases, there is still a percentage which I deem too high to take the chance with my own kids. Also, quite a few diseases that are still being vaccinated for have completely disappeared, which means that there is no one to catch the disease from. So why risk getting the possible but very serious side effects from a vaccine that is for a disease that we will most likely not ever even encounter. On the other hand, vaccines have proved themselves to be efficient in the case Of small pox, malaria and other epidemics. For this reason, I believe that vaccinations do work and should be given to traveling adults whom like to venture to under developed countries that do not have the same privileges as the United States. Places where terminal and easily transmitted diseases are common.
Tuesday, November 26, 2019
The eNotes Blog The Ultimate Student-ID Discount Guide of2019
The Ultimate Student-ID Discount Guide of2019 Between paying rent, buying groceries, and maintaining a social life, being a student can get expensive. The good news is that there are tons of discounts out there to help you get more bang for your buck without having to completely sacrifice your lifestyle. Whether youââ¬â¢re on or off campus, be sure to keep your student ID close to save more and spend less. Bookmark this post or download our handy PDF, because youll want to keep these 100+ savings accessible all year long. Apparel Ann Taylor: 15% off purchase by verifying your email with UNiDAYS or showing your student ID in store American Eagle Outfitters: 20% student discount when you shop online at ae.com Banana Republic: 15% off your full-priced purchase with valid school ID Charlotte Russe: 10% off site wide when registered with UNiDAYS Club Monaco: 15% off full-price and sale merchandise in stores and online to college students who sign up with their school email Dr. Martens: 15% off when registered with UNiDAYS Eastern Mountain Sports: 15% off purchase when registered with UNiDAYS Forever 21: 21% off online purchases when registered with Student Beans J. Crew: 15% discount on any in-store purchases with valid school ID Leviââ¬â¢s: 15% discount in-store and online with valid school ID and email Madewell: 15% discount for college students who present valid school ID at in-store checkout Medelita: 20% off by scanning or taking a picture of current student ID and submitting an online form Missguided: 30% off online purchases for students registered with UNiDAYS Necessary Clothing: 20% discount on all online purchases by registering with StudentRate Toms: 10% discount on all full-priced styles to students Topshop: 10% discount after verifying your student status withà Student Beans Vineyard Vines: 15% off purchases online and in select stores for eligible students Zaful: Exclusive student deals and 15% off all items site-wide Retail 1800Flowers: 20% off online orders when registered with UNiDAYS Amazon: 50% off Amazonââ¬â¢s Prime service which includes streaming video and unlimited two-day shipping, after a six-month free trial Best Buy: Exclusive offers and discounts on a variety of products when students sign up with Student Deals Eight Smart Mattresses: Various discounts and special financing plans for students FedEx: 30% off on documents and 20% on shipping services with FedEx Office with valid school ID Overstock: Free Club O membership with exclusive rewards, cash back, and free shipping on all orders Pottery Barn: 15% off orders in-store and online with validation of school email or student ID Sally Beauty Supplies: Free Beauty Student Savings Club Card for beauty school students after presenting ID or filling out an application in-store Samââ¬â¢s Club: Discounts on membership and savings on college essentials with a Collegiate Membership Target: 15% off entire purchase when creating a college registry West Elm: 15% off in-store purchases with valid student ID. Save on your online order by registering .edu email address Tech Phone Adobe: Various discounts on software, such as 60% off on Creative Cloud, for full-time students Apple: 5% off most purchases for students and educators. For example, save up to $200 on a new Mac or a new iPad with Appleââ¬â¢s Education pricing ATT: Various wireless plans and programs for college students AVG: 30% off online by registering with Student Beans Dell: Discounts on laptops, desktops, and more through Dell University Lenovo: Lenovoââ¬â¢s Academic Purchase Program offers student discounts on laptops, tablets, and desktop computers. Discounts vary depending on school Logitech: 25% off on products by verifying your student status with UNiDAYS Microsoft: Save up to $194 on a Surface Pro 3, 10% on accessories, and get special pricing on software Norton: Up to 50% savings on security and AntiVirus software Skullcandy: 20% off online purchases when registered with Student Beans Sony: Up to 10% savings on merchandise when you sign up for the Sony Student Store membership T-Mobile: Special plans alongside discounted smartphones and tablets when you register with Student Rate Insurance Allstate: Various discount plans for college students Farmers: College students with a 3.0 GPA, on the Deanââ¬â¢s List, on the Honor Roll, or ranked in the top 20% of their class can get a discount on insurance. Submit proof of eligibility, including a report card, when applying for the discount. Geico: As a full-time students, you could qualify for a several money-saving discounts Nationwide: Students between the ages of 16 and 24 who are enrolled in school full-time can qualify for the good student discount. Homeschooled students can also qualify but need to be in the top 20% of the nations standardized tests State Farm: Students may qualify for a good student discount or student away at school discount. Stock and Go: 10% off everything when registered with UNiDAYS Travelers: Students may qualify for various discounts based on good grades and safe driving. Students can also receive a discount if they successfully complete an approved drivers education course. Entertainment AMC Theaters: Discounted movie tickets on Thursdays with valid school ID Apple Music: Discounted membership price for up to 4 years The Art Institute of Chicago: $19 tickets for general admission, $14 tickets for Chicago students, and $16 tickets for Illinois residents Carnegie Hall: $15 student tickets through July 31, 2019 Cinemark: Discounted tickets at various locations with valid school ID Memphis Symphony Orchestra: $10 tickets with valid school ID Metropolitan Opera: Discounted tickets for full-time undergraduates and graduate students. Prices will vary by show. New England Aquarium: $2 off admission and IMAX tickets Spotify: $4.99 per month along with a free Hulu and Showtime subscription Travel Transportation Choice Hotels: Earn 15% off at participating hotels with the Student Advantage Card. Choice Hotels include Comfort Inn, Comfort Suites, Quality Inn, Sleep Inn, Clarion, Cambria Suites, MainStay Suites, EconoLodge, Rodeway Inn, and Ascend. Coach USA: Discounted tickets depending on your schoolââ¬â¢s bus line. Discounts will vary. Greater Cleveland RTA: U-Pass for around $25 per semester General Motors: Discounts on vehicles, products, and services with the GM College Discount Hotels.com: 10% off rooms when booking online with UNiDAYS Penske: 10% off all truck rentals for students, plus an additional 10% if you book your one-way rental online Zipcar: $15 student membership plus $25 free driving credit when you join Zipcar online at zipcar.com Publications The Economist: $2.36 per week for students and a weekly delivery in print, full access to Economist.com, and full access to The Economist apps. Various subscription offers available Guilford Press: 40% discount on books, videos, newsletters, and journals with no minimum order and free shipping with Guilford Press for full-time students Scribd: $4.99 a month with a student subscription The New York Times: Basic subscription for $1 a week with unlimited access to NYTimes.com and the app. Other discounted subscription options available. The Wall Street Journal: $1 per week for students. Some schools offer a complimentary WSJ subscription with valid school ID The Washington Post: $5 every 4 weeks with unlimited access to washingpost.com and the app Health Fitness Aaptiv: 50% off a monthly or yearly subscription by registering with UNiDAYS Barre 3: 20% off workout classes when you subscribe to barre3 online at barre3.com BPI Sport: 20% off their order of supplements and products when registered with Student Beans Pharmapack: 10% off by verifying your school email with UNiDAYS Tough Mudder 30% discount to all verified University and College students in the United States Food * à Discounts will vary based on location * Arbyââ¬â¢s: 10% off entire meal with student ID Buffalo Wild Wings: 10% off entire meal with student ID Burger King: 10% discount at some locations with student ID Chick-Fil-A: Free small drink with any purchase at some locations with student ID Chipotle: Free soda with your meal (depending on location) with a student ID Dairy Queen: 10% discount on entire meal at certain locations with valid student ID Dominoes: Various discounted deals depending on location Dunkin Donuts: 10% discount on your purchase with valid school ID Firehouse Subs: 10% off first order at participating locations Kroger: 5% discount on groceries McDonaldââ¬â¢s: Free hamburger, cheeseburger, or McFlurry with purchase at select locations. Papa Johnââ¬â¢s: Various discounts offer depending on location Qdoba: Free drink with meal purchase Schlotzkyââ¬â¢s Deli: 10-15% discount on orders Shariââ¬â¢s Restaurants: 10% off meal Shoneyââ¬â¢s: 15% discount on meal with valid school ID Subway: 10% off subs, salads, and snacks at certain locations with valid student ID Sweet Tomatoes: 10% discount on the salad buffet Taco Bell: 10% off meal at participating locations TCBY: 15% savings with valid school ID Waffle House: 10% discount at certain locations with valid student ID Here are some other websites dedicated to promoting special discounts and exclusive offers for students. Student Advantage Card: The Student Advantage Card partners with major retailers, travel providers, and more to offer exclusive discounts for students for a yearly standard rate. Student Rate: Student Rate is dedicated to connecting students with current discounts across the web. Once you register your student ID, theyââ¬â¢ll send discounts straight to your inbox. UNiDAYS: A free discount service used to verify student status with a wide variety of businesses. Simply sign up with your student email to gain access to an abundance of deals from your favorite brands and services. International Student Identity Card: The only internationally-recognized student ID, the ISIC provides over 160,000 benefits in 130+ countries for a standard monthly fee. Whether youââ¬â¢re an incoming freshman or a seasoned senior, there are too many discounts not to take advantage of while youââ¬â¢re still a student. If you know of any deals or discounts that didnââ¬â¢t make our list, send us an email and let us know. We want to make our Ultimate Student Discount Guide a reliable resource for students, so be on the lookout for updated content and new features.
Friday, November 22, 2019
Bioethics of Euthanasia
Therefore, the family is also an institution which generates the same attachment to objectivity that encourages a certain set of goals. Ultimately though, it is oneââ¬â¢s subjective experience that has itââ¬â¢s own social, physical, mental, and spiritual habits and attachments that cause the mind and body to perform and exist in a particular way. The overarching illegality of euthanasia across North America is supported by religious institutions which act as the sole moral platform for questioning the professional conduct of medical practitioners. The hegemonic belief that is fostered views euthanasia as a breach of non-maleficence, though doctors have and will likely continue to comply with life-ending aid in North America, regardless of recent deliberation regarding legislation. A legalization of euthanasia could ease tensions for physicians and patients dealing with chronic fatal health conditions, but would require specific criteria for legality. The debilitating suffering from a terminal illness should be the first criteria, as well as an autonomous request made by the sufficiently competent patient. Those who advocate for the legalization of euthanasia are part of a particular morality that sees beyond the mystical value of medical non-maleficence and opposes overarching institutional moralities that forbid life-ending decisions. Also of concern is the slippery slope argument, whereby any level of legal euthanasia would likely incite requests for more flexible criteria, publicly bringing into question the intangible value of human life. A central notion of biomedical ethics that stands as a major contender against the legalization of euthanasia is non-maleficence. To generally adhere to the principles of non-maleficence, physicians should not provide ineffective treatments to patients as these offer risk with no possibility of benefit and thus have a chance of harming patients. In addition, physicians must not do anything that would purposely harm patients without the action being balanced by proportional benefit (Beauchamp, 155). This benefit is not necessarily beneficial to the terminally ill individual who has requested euthanasia. The benefit referred to in the medical field is generally an extension of life and a restoration of health, which is not a reality for the terminally ill, rather a benefit might be an end to incurable suffering. Because many medications, procedures, and interventions cause harm in addition to benefit, the principle of non-maleficence provides little concrete guidance in the care of patients, and acts as a fairly weak argument against euthanasia. A helpful distinction when debating the validity of physician assisted suicide is that of ââ¬Ëkillingââ¬â¢ and ââ¬Ëallowing to dieââ¬â¢. If a patient is too frail to undergo restorative treatment, it can be said that the withholding of that treatment is allowing the patient to die. On the other hand, ââ¬Ëkillingââ¬â¢ entails taking action that would hasten the onset of death. There is considerable overlap between these two concepts, to the point that a clear distinction is not readily discernible (Beauchamp, 172). The prima facie nature of allowing a patient to die, as expressed by Beauchamp is acceptable under certain conditions whereby a medical technology is considered futile, or ineffectual, or a patient and/or surrogate decision maker has validly denied a medical technology (173). In the case that a patient is suffering unnecessarily, and has denied or been denied the opportunity for treatment due to severity of illness, should euthanasia not be an acceptable option? This action would undoubtedly fall under the category of ââ¬Ëkillingââ¬â¢, but if the nearest solution is the imminent death of a terminally ill patient, the concept of non-maleficence should not apply to a deliberate hastening of the patientsââ¬â¢ biological shutdown. It can also be argued that fading to death in palliative care with little to no cognition is of little value, and coming from a strictly utilitarian perspective, in some cases, may be unnecessary. If an elderly patient has no immediate family, and is in the final stages of a degenerative disease, the option of the patient to deny extended care and hasten the imminence of death should ot be considered immoral. The approval of certain cases such as the example above would definitely introduce a ââ¬Ëslippery slopeââ¬â¢ argument whereby the notions and parameters of conducting euthanasia would be challenged, inflated, and publicly scorned. The infamous example of Dr. Kevorkian is indicative of the demand for physican-assisted suicide, and the flexible moralities of perhaps many physicians who are faced with the challenge of allowing a patient to pursue a hastened death. Michigan doctor Jack Kevorkian was convicted of second-degree murder for delivering a lethal injection to a 52-year-old man suffering from Lou Gehrigââ¬â¢s disease. It was the first time in five trials that Kevorkian was found guilty of a crime after participating in, by his count, at least 130 assisted suicides. Likened to ââ¬Å"a medical hit manâ⬠by the prosecution, Kevorkian compared himself to Martin Luther King and told the court he was no more culpable than an executioner. The 70-year-old doctor had dared prosecutors to charge him and threatened a hunger strike if convicted. ââ¬Å"Suicideâ⬠). The case of Kevorkianââ¬â¢s assisted suicides shows that public hegemonic belief places all burden on the physician involved, for it is technically legal to carry out or attempt suicide, but not with the aid of any other person, especially a clinician. These laws tend to make sense in every realm except the medical world, where euthanasia is an issue that arises with the terminally ill, and particular moralities strongly advocate for the right to die under certain circumstances, as illustrated by Kevorkianââ¬â¢s rash threats of a hunger strike if convicted. Obviously viewing himself as a liberator, Kevorkianââ¬â¢s particular morality quickly earned him a reputation, and having participated in over one hundred assisted suicides, he stands not as a reputable opposition to hegemony, but rather a moral pariah. Kevorkianââ¬â¢s comparison of his ââ¬Ëmoral fallacyââ¬â¢ with the conduct of an executioner is an interesting philosophical idea, and also illustrates the exclusivity of moral professionalism within the medical world. This is mostly apparent in the United States where there is a domination of privatized health care, and plenty of capital punishment. The application of morality is varied when it comes to death and dying, in a society where a 20 year old can be put to death for committing murder, and in the same society, a terminally ill, suffering patient cannot decidedly seek a peaceful death without moral intervention. In both cases, strong moral impositions are made, and guide the fate of both individuals. The convict has a chance at rehabilitation, and renewing his moral adherence and contribution to society, but is not rewarded the chance because his actions stripped him of his dignity. On the other hand, the dying patient is not permitted to seek assistance in death because common morality forbids it, much like the same common morality denies the convict a second chance. The patient is denied euthanasia because the hegemonic function of the medical field is to avoid non-maleficence, so according to the same morality, the criminal is denied rehabilitation and put to death because the function of the law is to appropriately punish offenders. This paradox shows how two distinct versions of the same common morality are stamped like a ââ¬Ëcookie cutterââ¬â¢, yielding the anticipated results of the societal function: the patient canââ¬â¢t die because medicine is designed to keep him alive, and the criminal canââ¬â¢t live because capital punishment is designed to eliminate him. Therefore, it is not unreasonable to suggest that the application of euthanasia in the medical field should be acceptable in certain circumstances, and that exclusive clinical moralities should allow deliberation on the subject, and not continue to function in a ââ¬Ëcookie cutterââ¬â¢ fashion. In Canada and the United States, laws distinguishing ââ¬Ëactiveââ¬â¢ and ââ¬Ëpassiveââ¬â¢ categories of euthanasia are divided into four sections: ââ¬Å"deliberately killing persons who wish to die or assisting them in suicide (active voluntary euthanasia and assisted suicide), deliberately killing persons whose wishes are unknown or opposed to such treatment (active involuntary euthanasia), withholding or withdrawing life-preserving means from those who do not want them used (forgoing treatment of competent individuals), and letting persons die by withholding or withdrawing life-preserving means when their wishes are unknown or when they want, or would tolerate, such means to be applied or maintained (forgoing treatment of incompetent individuals)â⬠(Dickens, 136). According to these legal parameters, it would seem that active and passive euthanasia should only occur when indicated by the patient, living will, or a surrogate, such as active voluntary euthanasia, an d the forgoing of treatment to competent individuals. These two forms provide the patient with the moral decision to adopt the institutional values of their choice and affect their course of longevity and suffering. In the cases of active involuntary euthanasia, and the withholding of treatment from incompetent patients it can be said that, morally, the physician has no right to change the course of the patientââ¬â¢s treatment without clearance from a living will or surrogate. To conduct active involuntary euthanasia, or withhold treatment for no apparent reason indicated by the patient or surrogate, negligence would necessarily apply and represent the justified fault of the attending physician. Dealing with death is a subjective experience that generates fear, and causes humans to seek comfort in institutional beliefs, whether that be family, religion, other forms of spirituality, or modern medicine itself. Death reminds humans of their biological capacities and fleeting opportunities for experience in life, and generates a desire to medicalize suicide. ââ¬Å"We want physicians to provide the means to end life in an antiseptically acceptable fashion. Knives, guns, ropes, and bridges tend to be messy. We seek a more aesthetically pleasing way of terminating life, one that leaves the patient looking dead, but not disgusting. For this, as in so much else in the 20th-century quest for happiness, we turn to the physicianâ⬠(Paris, 33). Much like we seek aesthetic modifications from plastic surgeons, and mental stability from psychologists, we turn again to professional doctors for a method of dealing with the harsh reality of death. Though euthanasia may be an acceptable option for some people in certain sets of dire circumstances, it is the fear of death generated by the triumphs of medicine that provide the illusion that death and suffering are something a physician can cure. Medicinal miracles and the rise of technological medicine give people the impression that old losses are new triumphs, at least insofar as one can be kept alive for longer with chronic diseases. This notion sparks the fear of suffering before death, and that morbidity will be extended instead of compressed. Essentially then, it is the physician who bears all weight of the laws pertaining to euthanasia, which seems unjust when there is little more that medicine can do for a terminally ill patient than aid in their peaceful departure from life. The argument that legalized euthanasia would initiate the slippery slope, and ââ¬Å"hospitals would become cruel and dehumanized placesâ⬠are refuted by the suggestion and observation of the exact opposite (Schafer). As Schafer suggests, ââ¬Å"experience has shown that what happened was exactly the opposite of what was predicted by the naysayers: Doctors and hospitals have become kinder and gentler, patientsââ¬â¢ wishes are better respected than previously and society has come to accept the importance of individual autonomy at the end of lifeâ⬠(3). Clearly, the legalization of euthanasia would not entirely disrupt the nature of medical care in Canada, and with current debates indicating the possibility of change, society may undergo a change of ideas in the near future. The idea that euthanasia may provide a patient with more dignity at death than what is often referred to as ââ¬Ësedation to unconsciousnessââ¬â¢ is becoming more common, and should not be deemed unacceptable next to palliative care. With the right safeguards in place, euthanasia should be one of many life-ending options available to Canadians near the end of their life, with palliative care being a morally adjacent decision. The subjective experience of death is oneââ¬â¢s own, and even familial institution can only do so much to comfort the process of being terminally ill. Therefore it should be a decision of the patient to seek medical help, either in the form of sedation and longevity, or immediate peace. Bioethics of Euthanasia Therefore, the family is also an institution which generates the same attachment to objectivity that encourages a certain set of goals. Ultimately though, it is oneââ¬â¢s subjective experience that has itââ¬â¢s own social, physical, mental, and spiritual habits and attachments that cause the mind and body to perform and exist in a particular way. The overarching illegality of euthanasia across North America is supported by religious institutions which act as the sole moral platform for questioning the professional conduct of medical practitioners. The hegemonic belief that is fostered views euthanasia as a breach of non-maleficence, though doctors have and will likely continue to comply with life-ending aid in North America, regardless of recent deliberation regarding legislation. A legalization of euthanasia could ease tensions for physicians and patients dealing with chronic fatal health conditions, but would require specific criteria for legality. The debilitating suffering from a terminal illness should be the first criteria, as well as an autonomous request made by the sufficiently competent patient. Those who advocate for the legalization of euthanasia are part of a particular morality that sees beyond the mystical value of medical non-maleficence and opposes overarching institutional moralities that forbid life-ending decisions. Also of concern is the slippery slope argument, whereby any level of legal euthanasia would likely incite requests for more flexible criteria, publicly bringing into question the intangible value of human life. A central notion of biomedical ethics that stands as a major contender against the legalization of euthanasia is non-maleficence. To generally adhere to the principles of non-maleficence, physicians should not provide ineffective treatments to patients as these offer risk with no possibility of benefit and thus have a chance of harming patients. In addition, physicians must not do anything that would purposely harm patients without the action being balanced by proportional benefit (Beauchamp, 155). This benefit is not necessarily beneficial to the terminally ill individual who has requested euthanasia. The benefit referred to in the medical field is generally an extension of life and a restoration of health, which is not a reality for the terminally ill, rather a benefit might be an end to incurable suffering. Because many medications, procedures, and interventions cause harm in addition to benefit, the principle of non-maleficence provides little concrete guidance in the care of patients, and acts as a fairly weak argument against euthanasia. A helpful distinction when debating the validity of physician assisted suicide is that of ââ¬Ëkillingââ¬â¢ and ââ¬Ëallowing to dieââ¬â¢. If a patient is too frail to undergo restorative treatment, it can be said that the withholding of that treatment is allowing the patient to die. On the other hand, ââ¬Ëkillingââ¬â¢ entails taking action that would hasten the onset of death. There is considerable overlap between these two concepts, to the point that a clear distinction is not readily discernible (Beauchamp, 172). The prima facie nature of allowing a patient to die, as expressed by Beauchamp is acceptable under certain conditions whereby a medical technology is considered futile, or ineffectual, or a patient and/or surrogate decision maker has validly denied a medical technology (173). In the case that a patient is suffering unnecessarily, and has denied or been denied the opportunity for treatment due to severity of illness, should euthanasia not be an acceptable option? This action would undoubtedly fall under the category of ââ¬Ëkillingââ¬â¢, but if the nearest solution is the imminent death of a terminally ill patient, the concept of non-maleficence should not apply to a deliberate hastening of the patientsââ¬â¢ biological shutdown. It can also be argued that fading to death in palliative care with little to no cognition is of little value, and coming from a strictly utilitarian perspective, in some cases, may be unnecessary. If an elderly patient has no immediate family, and is in the final stages of a degenerative disease, the option of the patient to deny extended care and hasten the imminence of death should ot be considered immoral. The approval of certain cases such as the example above would definitely introduce a ââ¬Ëslippery slopeââ¬â¢ argument whereby the notions and parameters of conducting euthanasia would be challenged, inflated, and publicly scorned. The infamous example of Dr. Kevorkian is indicative of the demand for physican-assisted suicide, and the flexible moralities of perhaps many physicians who are faced with the challenge of allowing a patient to pursue a hastened death. Michigan doctor Jack Kevorkian was convicted of second-degree murder for delivering a lethal injection to a 52-year-old man suffering from Lou Gehrigââ¬â¢s disease. It was the first time in five trials that Kevorkian was found guilty of a crime after participating in, by his count, at least 130 assisted suicides. Likened to ââ¬Å"a medical hit manâ⬠by the prosecution, Kevorkian compared himself to Martin Luther King and told the court he was no more culpable than an executioner. The 70-year-old doctor had dared prosecutors to charge him and threatened a hunger strike if convicted. ââ¬Å"Suicideâ⬠). The case of Kevorkianââ¬â¢s assisted suicides shows that public hegemonic belief places all burden on the physician involved, for it is technically legal to carry out or attempt suicide, but not with the aid of any other person, especially a clinician. These laws tend to make sense in every realm except the medical world, where euthanasia is an issue that arises with the terminally ill, and particular moralities strongly advocate for the right to die under certain circumstances, as illustrated by Kevorkianââ¬â¢s rash threats of a hunger strike if convicted. Obviously viewing himself as a liberator, Kevorkianââ¬â¢s particular morality quickly earned him a reputation, and having participated in over one hundred assisted suicides, he stands not as a reputable opposition to hegemony, but rather a moral pariah. Kevorkianââ¬â¢s comparison of his ââ¬Ëmoral fallacyââ¬â¢ with the conduct of an executioner is an interesting philosophical idea, and also illustrates the exclusivity of moral professionalism within the medical world. This is mostly apparent in the United States where there is a domination of privatized health care, and plenty of capital punishment. The application of morality is varied when it comes to death and dying, in a society where a 20 year old can be put to death for committing murder, and in the same society, a terminally ill, suffering patient cannot decidedly seek a peaceful death without moral intervention. In both cases, strong moral impositions are made, and guide the fate of both individuals. The convict has a chance at rehabilitation, and renewing his moral adherence and contribution to society, but is not rewarded the chance because his actions stripped him of his dignity. On the other hand, the dying patient is not permitted to seek assistance in death because common morality forbids it, much like the same common morality denies the convict a second chance. The patient is denied euthanasia because the hegemonic function of the medical field is to avoid non-maleficence, so according to the same morality, the criminal is denied rehabilitation and put to death because the function of the law is to appropriately punish offenders. This paradox shows how two distinct versions of the same common morality are stamped like a ââ¬Ëcookie cutterââ¬â¢, yielding the anticipated results of the societal function: the patient canââ¬â¢t die because medicine is designed to keep him alive, and the criminal canââ¬â¢t live because capital punishment is designed to eliminate him. Therefore, it is not unreasonable to suggest that the application of euthanasia in the medical field should be acceptable in certain circumstances, and that exclusive clinical moralities should allow deliberation on the subject, and not continue to function in a ââ¬Ëcookie cutterââ¬â¢ fashion. In Canada and the United States, laws distinguishing ââ¬Ëactiveââ¬â¢ and ââ¬Ëpassiveââ¬â¢ categories of euthanasia are divided into four sections: ââ¬Å"deliberately killing persons who wish to die or assisting them in suicide (active voluntary euthanasia and assisted suicide), deliberately killing persons whose wishes are unknown or opposed to such treatment (active involuntary euthanasia), withholding or withdrawing life-preserving means from those who do not want them used (forgoing treatment of competent individuals), and letting persons die by withholding or withdrawing life-preserving means when their wishes are unknown or when they want, or would tolerate, such means to be applied or maintained (forgoing treatment of incompetent individuals)â⬠(Dickens, 136). According to these legal parameters, it would seem that active and passive euthanasia should only occur when indicated by the patient, living will, or a surrogate, such as active voluntary euthanasia, an d the forgoing of treatment to competent individuals. These two forms provide the patient with the moral decision to adopt the institutional values of their choice and affect their course of longevity and suffering. In the cases of active involuntary euthanasia, and the withholding of treatment from incompetent patients it can be said that, morally, the physician has no right to change the course of the patientââ¬â¢s treatment without clearance from a living will or surrogate. To conduct active involuntary euthanasia, or withhold treatment for no apparent reason indicated by the patient or surrogate, negligence would necessarily apply and represent the justified fault of the attending physician. Dealing with death is a subjective experience that generates fear, and causes humans to seek comfort in institutional beliefs, whether that be family, religion, other forms of spirituality, or modern medicine itself. Death reminds humans of their biological capacities and fleeting opportunities for experience in life, and generates a desire to medicalize suicide. ââ¬Å"We want physicians to provide the means to end life in an antiseptically acceptable fashion. Knives, guns, ropes, and bridges tend to be messy. We seek a more aesthetically pleasing way of terminating life, one that leaves the patient looking dead, but not disgusting. For this, as in so much else in the 20th-century quest for happiness, we turn to the physicianâ⬠(Paris, 33). Much like we seek aesthetic modifications from plastic surgeons, and mental stability from psychologists, we turn again to professional doctors for a method of dealing with the harsh reality of death. Though euthanasia may be an acceptable option for some people in certain sets of dire circumstances, it is the fear of death generated by the triumphs of medicine that provide the illusion that death and suffering are something a physician can cure. Medicinal miracles and the rise of technological medicine give people the impression that old losses are new triumphs, at least insofar as one can be kept alive for longer with chronic diseases. This notion sparks the fear of suffering before death, and that morbidity will be extended instead of compressed. Essentially then, it is the physician who bears all weight of the laws pertaining to euthanasia, which seems unjust when there is little more that medicine can do for a terminally ill patient than aid in their peaceful departure from life. The argument that legalized euthanasia would initiate the slippery slope, and ââ¬Å"hospitals would become cruel and dehumanized placesâ⬠are refuted by the suggestion and observation of the exact opposite (Schafer). As Schafer suggests, ââ¬Å"experience has shown that what happened was exactly the opposite of what was predicted by the naysayers: Doctors and hospitals have become kinder and gentler, patientsââ¬â¢ wishes are better respected than previously and society has come to accept the importance of individual autonomy at the end of lifeâ⬠(3). Clearly, the legalization of euthanasia would not entirely disrupt the nature of medical care in Canada, and with current debates indicating the possibility of change, society may undergo a change of ideas in the near future. The idea that euthanasia may provide a patient with more dignity at death than what is often referred to as ââ¬Ësedation to unconsciousnessââ¬â¢ is becoming more common, and should not be deemed unacceptable next to palliative care. With the right safeguards in place, euthanasia should be one of many life-ending options available to Canadians near the end of their life, with palliative care being a morally adjacent decision. The subjective experience of death is oneââ¬â¢s own, and even familial institution can only do so much to comfort the process of being terminally ill. Therefore it should be a decision of the patient to seek medical help, either in the form of sedation and longevity, or immediate peace.
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