Saturday, August 31, 2019

Affirmative Action PRO vs. CON Essay

The 108th Congress of the United States brought up the debate of whether to allow public institutions to adopt the Affirmative Action, allowing minorities to have higher opportunities than the majority. Although no specific stand was approached, it clearly shows the growing interest of people on the act of Affirmative Action. I am pro Affirmative Action when dealing with public institutions. However, I believe a private institution should practice equality. Affirmative Action compensates for the past faults and biased treatments toward minorities, provides ample opportunities to unprivileged people who currently can’t be accepted to institutions, and could rid of the biased view many people still have on minorities. Looking back on American history, we can clearly see many prejudiced acts and viewpoints towards the minorities. The most obvious example is with African Americans. Now at present times, Affirmative Action can and will compensate to a degree the hurts and pains minorities suffered. Although people call America the land of opportunity, many people, consisting largely of minorities, never get a chance to succeed. Many colleges screen applicants with a biased standard, calling it tradition. Companies and institutions prevent employees from receiving full privileges, shouting company regulations. Affirmative Action can tear down those obstacles and false standards giving those underprivileged new opportunities. When Asians fluctuated to the United States during the gold rush, many locals responded violently thinking they will take all the jobs there were. Even today, a number of people still hold biased views toward the minorities. It is evident on the existing practices of the Ku Klux Klan. Affirmative Action can change much of those biased views and allow the minorities to be accepted in the eyes of others. Although Affirmative Action should apply to public institutions, equality should be practiced in private institutions. Equal treatments should allow others to participate on making a non-discriminatory system. Equality, not favoritism, should be standards on private institutions. However, on the overall view, I stand pro on Affirmative Action.

Friday, August 30, 2019

Nursing Diagnosis Handbook Essay

â€Å"It isn’t fair. I’ve worked so hard all my life, I don’t deserve this,† thought Mrs. Ross as she looked down at her right leg where a large wound gaped open. Two weeks ago, she had a femoral-popliteal bypass, which got infected. The wound was opened up and was healing slowly by secondary intention. It was painful, raw, and frightening. She put a hand on her chest and raised the head of the bed higher so she could catch her breath and stare out the window. Nursing Assessment Including Client Story Mrs. Ross is a previous landowner and farmer’s wife with extensive acreage. Her husband died 2 years ago, and the land was sold. She lives alone in the farmhouse and has help coming in two times a week. As she grew older, she isolated herself in her home and rarely went out. She has had multiple health problems. In her 30s, she attempted suicide and was rescued. She speaks rapidly and seems unable to hold still. Ten years ago, she was diagnosed with chronic obstructive pulmonary disease, but she continued to smoke two packs of cigarettes a day. Five years ago, she was diagnosed with heart failure, yet still she continued to smoke. Two years ago, she developed disabling pain in her right foot and leg. She stopped smoking and worked hard to get healthy. Her right foot turned almost black, she could no longer walk, and she agreed to have a femoral-popliteal bypass. After surgery, when the infection set in the leg, she was very angry and sputtered at everyone. She was transferred to the long-term care section of the hospital. Vital signs are: BP 96/62; pulse: 99 to 122 beats per minute and irregular; respirations: 20 breaths per minute. Heart sounds are irregular and distant; peripheral pulses are very weak; dorsalis pedis pulse is present in both legs but weak; lung sounds include wheezes and coarse crackles throughout; and oxygen saturation is 88% to 90%, on oxygen at 3 L. A wound vac is attached to the wound to help close the large opening. Mrs. Ross has not been out of bed for 4 days. She is eating minimally.

Thursday, August 29, 2019

Evolution of the Immune System

John Frelinger Dr. Travis Organic Evolution 30 April 2012 Evolution of the Immune System Animals are constantly bombarded by an immensely varied array of disease causing pathogens including bacteria, fungi, viruses and other parasites. The number of microbes living in the human body outnumber the actual human cells by a factor of 10, and for every single species of animal and plant on Earth, there are viruses that infect them. With the unrelenting threat of disease-causing pathogens all around us, and even within us, how can the constantly vulnerable organisms defend themselves?Evolution has provided an answer to this problem—the immune system. The immune system is a vastly complex orchestra of cells working together to help eliminate potentially harmful pathogens from the body. Some form of host defense is found in every multicellular organism, however there are myriad variations in the immune systems of different organisms. Vertebrates have evolved an acquired immune respons e, in which a specific immune system is activated to clear an infection that is initially controlled by a non-specific (innate) immune response.This highly adaptable system is important to the survival of vertebrate species. Surprisingly, however, 90% of animals (invertebrates) do not have this kind of response. Despite lacking a seemingly critical adaptation, invertebrates continue to survive and reproduce. Why does it appear necessary for vertebrates to have an acquired response in order to survive, but the more numerous invertebrate species do not? Research indicates that there is an evolutionary lineage of the immune system that stems from the split of invertebrates and vertebrates.Innate immunity, which is found in all animals, is assumed to be at the beginning of this evolutionary tree. After the diversification of species (vertebrates branching from invertebrates), mechanisms of immunity also diverged. In this paper I will first discuss the function of the innate immune syste m because of its older evolutionary history, followed by the adaptive immune response that evolved later in vertebrate lineages. I will then conclude by placing the development of the innate and adaptive immune system in an evolutionary context.Innate immunity is the first line of defense for an organism and is made up of elements that protect the organism from pathogens. Anatomical aspects such as skin act as an impermeable barrier to infectious pathogens. Chemical and biological factors, including anti-microbial peptides like defensins, are also used to inhibit bacterial growth and prevent colonization. Another immunological factor of the innate immune system are phagocytic cells (macrophages), which are cells that engulf and eliminate foreign pathogens.These cells operate using a variety of different and generalized receptors that recognize a broad range of molecular patterns expressed by pathogens that initiate phagocytosis. One such family of receptors, known as Toll-like Recep tors, recognizes common pathogen elements such as bacterial wall components or viral DNA sequences. This component is found in virtually every multicellular organism, ranging from sponges to humans (Muller and Muller 2003). Plants also express proteins that are very similar to toll-like receptors, indicating that this aspect of the innate immune system predates the divergence of plants and animals.The innate immune system is so valuable to an organism’s survival because it is always present and in many instances can prevent pathogen entry or replication. This, in turn, prevents a harmful infection from ever occurring inside the host. Although invertebrates do not have the acquired immune response, recent research has shown that their innate response is more complex than previously thought. Insects can activate their immune systems to remain in a higher state in order to prepare for a pathogen invasion.During bedbug mating, females are frequently injured in the process because males will stab a female to inject his sperm, infecting her with bacteria and exposing her to other potential infections. In response, females have evolved ways to enhance their immune system prior to mating in anticipation of pathogen invasion (Morrow and Arnqvist 2003). Bumblebees are capable of maintaining a heightened immune system in response to a prior pathogen invasion to aid in the prevention of future infections. Immunity such as this has been shown to pass down vertically to offspring, therefore increasing their fitness (Tyler et al. 006). Slugs have also evolved an interesting alternative response in the form of increased mutation rates of certain immune cell receptors, which allows their immune system to adapt to many foreign elements (Litman and Cooper 2007). While it is inherently different from the acquired immune response, this sensitive management of immune function was previously thought to be reserved as a characteristic of vertebrates and the adaptive immune res ponse. As vertebrates began to diverge and evolve from invertebrates, so too did the immune system.The new adaptive branch of the immune system originally conferred a new selective advantage for vertebrates because of its specificity and immense flexibility in recognizing new pathogens. The clonal selection theory, in which each lymphocyte clonally expresses a specific antigen receptor, can help explain how the immune system can express an extremely wide range of potential receptors capable of recognizing new pathogens. Lymphocytes are undifferentiated cells that ultimately become B-cells (Bone Marrow) or T-cells (Thymus) depending on where they migrate.B-cells possess a uniquely structured immunoglobulin molecule (antibodies exposed on outer surface) that recognizes and binds to a specific molecular counterpart. When a foreign antigen is bound to the antibody, it stimulates the replication of that specific B-cell with the aid of Helper T-cells, which enhance B-cell maturation. This process results in the clonal expansion of cells that recognize the original antigen and subsequent production of antibodies that help in the eradication of the pathogen. An important point of this process is that the pathogens select which lymphocytes expand.It also results in memory B-cells and T-cells that constitute a persistent immune memory for a particular antigen. This expanded pool of memory cells is activated upon a second exposure to the same pathogen, resulting in a much more rapid immune response to clear infection. Other types of T-cells are also produced during this process. For example, cytotoxic T-cells target and kill virally infected cells, while suppressor or regulatory T-cells are activated when the infectious pathogens are eliminated and signal the immune system to subside.Cells such as these also experience selective pressures–ones that react to self-tissue (and harm the host) would be selected against, while those that recognize pathogens would surviv e and replicate. The clonal selection theory addresses many aspects of vertebrate immunity, however, it does not explain all of the mysteries behind the variety of antibody generation. The sheer number of antibodies that can be produced and the finding that the acquired immune response can generate antibodies to manmade molecules that are not present in nature led scientists to explore how such diversity is generated.Research done by Susumu Tonegawa in the 1970’s indicated that B-cells have the ability to produce a huge number of antibodies due to a gene rearrangement process. B cells originally have many sets of gene segments (Variable, Diverse, and Joining) and over the course of its maturation reduce these segments to one of each type for the production of the antibody heavy chain. A similar process of gene rearrangement is involved for the production of the antibody light chain. The light chain and heavy chain proteins then assemble to form the complete antibody molecule that can specifically bind to an antigen.Two genes that are critical for this process to work are RAG1 and RAG2. These genes are known as recombination-activating genes and distinguish the vertebrate immune system from other lineages. These genes are critical to the process because they act as the excision and joining molecules that cut and knit back together the individual VDJ segments that make up the antibody. This results in the huge potential of diverse antibodies that can be produced—hundreds of millions of possible antibody types generated from a much smaller number of gene segments that can react with virtually any antigen.This sophisticated process may have originally been introduced by a mobile genetic element known as transposons. These transposable elements have the ability to excise themselves from one DNA sequence and incorporate themselves into another, very similar to the RAG1 and RAG2 gene functions. After the divergence of jawed and jawless vertebrates, a vi ral infection of the jawed lineage’s gametes may have introduced a transposon into their genome. (Thompson 1995). This may have provided the raw materials necessary to facilitate the development of adaptive immunity.The acquired response appears to have evolved from a single lineage because all vertebrates (excluding jawless fish) retain this RAG-mediated gene rearrangement system. The specificity of this kind of response may have been selected for because of its ability to recognize a diverse number of pathogens, but also because it could conserve more energy resources compared to the generalized defense of the innate response. The adaptive immune response is structured in such a way that it can respond to an almost infinite number of pathogens, while utilizing a relatively limited number of genes.Figure 1 illustrates a potential phylogeny based on some immune system adaptations previously discussed. Figure 1 (Reproduced from Litman and Cooper 2007). Although the vertebrate immune system is extremely adaptable to many potential threats, it is far from perfect. Epidemics such as the Bubonic Plague or the 1918 influenza killed millions of people. Similarly, when the Spanish colonized the New World, they also introduced pathogens that were devastating to the indigenous people.One of the major limitations of the acquired immune response is that it takes a relatively long time to respond after the initial exposure in order to be effective. This time is required because the lymphocytes must clonally expand before a pathogen can be eliminated. For example, in the case of the Native Americans, when they were exposed to the new pathogens, the infections spread to a portion of the population that was large enough to leave them unable to forage for food or to tend to the sick. As a result, it nearly wiped out the entire civilization.This limitation is significant as illustrated by these and many other historical epidemics. These difficulties have led scientists t o think more fully about the effectiveness of the vertebrate immune system. If the immune system has the potential to combat virtually any conceivable threat, why then can’t it always eliminate any potentially harmful pathogen? We also look to immune hypersensitivity and autoimmunity as potential drawbacks of the immune system, indicating further imperfections of the adaptation. When the immune system mistakenly targets self-tissue, it results in serious consequences for the organism.Concepts in evolutionary biology might help address these issues. In this context the immune system does not have to be inherently perfect by design because only some individuals of a population need to survive and reproduce for that lineage to continue. The variation introduced by the immune system generates the diversity necessary for a population to adapt to changing environmental pressures. As others have suggested, a zebra doesn’t have to outrun the lion, just the slowest member of th e herd (Hedrick 2004).The immune system is subjected to the same constraints as other characteristics in regards to natural selection. In this case even if a trait is not optimal, but helps the organism survive and reproduce, it will be selected for, regardless of any deleterious effects experienced post-reproduction. Many, but not all immunologists, believe the development of the adaptive immune system with gene rearrangement was a critical advance. It has been proposed that the development of the adaptive immune system was the â€Å"Big Bang† for the evolution of immune system (Travis 2009).This development might have also enabled the rapid expansion of vertebrates. Moreover, the idea that the adaptive immune system can generate receptors for molecules that are not yet present, makes it extremely flexible and has been called â€Å"forward thinking† (Travis 2009). Thus, while the immune system does not anticipate every change in organisms it is ready for them by const ructing a large repertoire of antigen specific receptors, which confers a big selective advantage. Others have suggested the adaptive immune system conserves resources, and thus is better than the innate system.In contrast, as noted earlier, invertebrates lack a fully functional adaptive immune system and are very successful. Moreover, others have argued that even if the immune system was an advantage, it was only temporary and short lived (Hedrick 2004). Another relevant issue deals with the concept of parasite and host co-evolution. This constant struggle is exemplified by a quote from Lewis Carroll’s â€Å"Through the Looking Glass†, â€Å"it takes all the running you can do, to keep in the same place†. This concept, originally introduced by Leigh Van Valen, has been termed the Red Queen hypothesis.According to this hypothesis, an improvement in fitness for one species will lead to a selective advantage for that species. However, since species are often coevo lving with one another, improvement in one species implies that it gains a competitive advantage over the other species, and thus has the potential to outcompete for shared resources. This means that fitness increase in one evolutionary system will tend to lead to fitness decrease in another system. The only way that a competing species can maintain its relative fitness is to improve on its own design.Although this theory was used to help explain the extinction of species and the evolution of sexual reproduction, it has been applied to many aspects of predator prey relationships including the development of the immune system. Because animals are constantly attacked by fast-adapting parasites, the host immune system cannot possibly gain an advantage over them. The evolution of the immune system is caused by the small advantages conferred as a result of variation in the recognition of pathogens.As suggested by Steven Hedrick, â€Å"by selecting for more elusive parasites, the immune system is ultimately the cause of its own necessity† (Hedrick 2004). Thus paradoxically, the immune system, since it places a strong selective pressure on pathogens and parasites, ultimately has become essential for vertebrates to survive. By placing selective pressure on parasites that can evolve much more rapidly than animals (due to their higher reproductive/mutation rate), it results in parasites that are increasingly more effective at infecting hosts of that species.In terms of the immune system, one strategy that parasites have developed is a means of altering their own antigens to become unrecognizable. In this way they escape the adaptive immune system by altering their structure. For example, trypanosomes can switch the major target antigen for antibodies, which they use as a strategy to extend the amount of time they reside in the host. This results in a more contagious host that will increase the spread of pathogens to new hosts (Stockdale et al. 2008).Similarly, be cause the HIV polymerase is very error prone with no proof reading mechanism, many mutations arise in the HIV proteins during its infection. While the adaptive immune system can make neutralizing antibodies, new variants arise that can no longer be recognized by the antibodies. These new variants have a selective advantage and escape, and thus the adaptive immune system  is always lagging behind. In terms of the host immune response, there is also an extremely high level  of polymorphism of major histocompatibility genes, which enable the population to respond to a wider array of antigens using T-cells.The benefit of this heterozygosity is that it allows the individual to respond to a wider variety of antigens. Moreover this diversity helps ensure that even though some individuals may perish, the particular pathogen will not be able to eliminate the entire population. Some infectious agents have even taken it a step further and evolved ways to utilize the host immune system to i ncrease their own fitness. For example, infections that result in pus filled cysts can be used to carry parasitic progeny and spread to new hosts when they burst.Even though this may help the host clear an infection, the pathogen can use this to increase its own fitness and infect more individuals. The Human Immunodeficiency Virus (HIV) utilizes the host immune system by initially infecting macrophages, and subsequently T-cells, which the virus uses as a reservoir for reproduction and as a means to spread to many different tissues in the body (Orenstein 2001). It also serves the virus to target immune cells for infection because crippling the host immune response akes it easier for the virus to spread throughout the body and eventually to new hosts (due to the higher viral load). In this light, it is possible that invertebrates did not evolve the adaptive immune response because they may have never needed it. By lacking the ability to develop a â€Å"memory† for a particular pathogen, those pathogens did not evolve anti-immune mechanisms to counter the host immune response. An immune memory could lead to more devious pathogens and result in a more harmful infection in the future.This could have been a better strategy for invertebrates as it may have prevented the co-evolution of more virulent pathogens (Hedrick 2004). The immune system has a long evolutionary history in multicellular organisms. The innate immune system is a critical adaptation that helped these organisms survive the onslaught of parasites and pathogens. Vertebrates possess an adaptive immune response that allowed for the recognition of an almost infinite number of pathogenic antigens, however, it appears to have become a one-way road with the coevolution of pathogens.Once this adaptive system appeared in the vertebrate lineage, there was no going back. Because of the immense flexibility of the adaptive immune response, it places huge selective pressures on pathogens to constantly evolve new mechanisms of infecting hosts. Thus in the context of evolution, even with the incredible versatility of the adaptive immune system, it is likely there can not be an ultimate solution to infection by parasites only a new, perhaps unstable, equilibrium. Works Cited Hedrick, S. (2004). The Acquired Immune System: A Vantage from Beneath.Immunity 21, 607-615. Litman, G. and Cooper, M. (2007). Why Study the Evolution of Immunity? Nature Immunology 8, 547-548. Morrow, E. H. , and Arnqvist, G. (2003). Costly traumatic insemination and a female counter-adaptation in bed bugs. Proceedings of the Royal SocietyB: Biological Sciences. 270: 2377–2381 Muller, W. and Muller, I. (2003). Origin of the Metazoan Immune System: Identification of the Molecules and Their Functions in Sponge. Integrative and Comparative Biology 43, 281-292. Orenstein, J. (2001). The Macrophage in HIV Infection.Immunobiol. 204, 598- 602. Stockdale, C. , Swiderski, M. , Barry D. , and Richard McCulloch (2008). A ntigenic Variation in Trypanosoma brucei: Joining the DOTs. PLoS Biol 6. Thompson, C. B. (1995). New insights into V(D)J recombination and its role in the evolution of the immune system. Immunity 3, 531–539. Travis, John. (2009). â€Å"On the Origin of the Immune System†. Sciencemag Vol. 329. Tyler, E. , Adams, S. , and Mallon, E. (2006), An Immune Response in the Bumblebee,Bombus terrestris leads to increased food consumption. BMC Physiology 6.

Wednesday, August 28, 2019

Pregnancy and anorexia Research Paper Example | Topics and Well Written Essays - 750 words

Pregnancy and anorexia - Research Paper Example Even though they are skinny but they can be easily convinced to be overweight and displays an intense fear of becoming fat. This results in dieting habits, excessive exercise, intake of laxatives and not eating. Majority of the cases reported are adolescent girls especially belonging to higher socio-economic class (Anorexia). Anorexia is turning out to be a serious disease that can be critical and more harmful during pregnancy. It may result in premature labor, low birth weight, still birth or fetal death and complications during delivery (Anorexia). The reported incidence of eating disorder is constantly showing a rise in the past 30 years. The disease could take a severe form and may result in hospitalization and death. It is affecting the females between the age-group of 14- 24 years; adolescent and child bearing age (Chizawsky, 2006). Diagnostic criteria: Loss of at least 3 consecutive menstrual periods (in women), do not want or refuse to eat in public, anxiety, weakness, brittle skin, shortness of breath, obsessivness about calorie intake (Anorexia). Medical Consequences: Shrunken bones, mineral loss, low body temperature, irregular heartbeat, and permanent failure of normal growth, development of osteoporosis and blumia nervosa. To have a healthy baby, a pregnant women must gain 25-25 pounds, but if this is told to anorexic she will take it as if she has to gain 100 pounds (Anorexia). This is the psychology which is becoming the root cause of all related complications in pregnancy and therefore anorexic pregnant women face trouble in carrying a baby to the term. Moreover, if the female is underweight and is not eating proper balanced food then the baby is in danger resulting in miscarriages or premature birth, also, this puts the baby at risk for medical complications (Anorexia). The method for undertaking this study encompasses examination of nulliparous nonsmoking women previously diagnosed with eating disorders and

How Does the UK and US Fast Food Industry Represent Globalisation, Dissertation

How Does the UK and US Fast Food Industry Represent Globalisation, Gender, Healthy Lifestyle - Dissertation Example century, where globalisation has transformed almost all the facets of the world and has created a universal raised area for all. Fast food industry is growing at a marvelous and remarkable speed with their immense advertising campaign all over the globe. Since the people are moving ahead at a phenomenal pace, therefore, they do not have much options left to have well-prepared and cooked meals. In addition, the traditional concepts of having meals with the entire family as a part of the traditional culture are also shifting, which has emerged and augmented the concept of quick service restaurants that are even renown as fast food restaurants. Numerous studies and researches have come under performances to identify and get familiar with the trends of the fast food industries. The trends vary from country to country due to the cultural differences the people of different nations have their own set of norms, customs and values, which they follow. The overall trend of the fast food indust ry speaks that during the last few decades the demand for the fast foods is increasing at a rampant pace. Nevertheless, the increasing health awareness have caused many legal actions and cases against these fast food restaurants and this negative publicity has made a radical impact on to the sales of the fast foods in many parts of the word. Dominos Pizza and McDonalds are amongst the fast food restaurants that has emerged into giants and leading chain of restaurants that reach the consumers all over the world. The consequences various studies provide the piece of evidence of eating fast foods regularly are leading to numerous health enormities and this subject of matter is a growing concern in the modern times. Health problems that include high cholesterol, high blood pressure, heart problems are the top-rated diseases that arise due to obesity. Obesity has been one of the most common and widespread problems that have come under experience especially amongst the young generations d ue to eating of fast foods. The investigation and the analysis have come to the conclusion that fast foods have a deficiency in vitamins, minerals and carbohydrates due to the reason that these foods are full of bad fats, contains high amount of salt and other preservatives, which results in obesity and other lethal diseases. However, the outcomes of many of the studies also reveals the truth that fast food industry spends a huge amount of their capital in the investments for their promotional campaigns in order to draw the attention of as many customers as possible towards the eating of the fast foods. The most popular forms of advertisements used by them are the print

Tuesday, August 27, 2019

Synthesis of -carbolines as novel CDK4 inhibitors Lab Report

Synthesis of -carbolines as novel CDK4 inhibitors - Lab Report Example Considering the importance of Cyclin-dependent kinases (CDKs), a set of protein kinases, it is essential to explore its mechanism that makes it relevant for the lab process. The kinases aid in regulating the cell cycles, transcription Mrna processing and differentiation of nerve cells. In the function of these kinases, cyclin is crucial considering that it acts as the regulatory protein which binds the CDKs. Consequently, this means that in the absence of cyclin, less kinase activity takes place because of the absence of cyclin-CDK complexes1. CDK4, acting as a member of the cyclin-dependent kinase family, functions as an intrinsic catalyutic protein kinase complex for cell cycle G1 phase progression. D type cyclins and CDK inhibitor are important for the functioning of the kinase since they suppress the action of tumour in causing cell proliferation. The kinase works in phosphorylation of the retinoblastoma gene product thereby helping in preventing the occurring mutation of the genes responsible for the tumuourigenesis of various types of cancer 2. Further, small compouds such as pentacyclic quaternary salt, act as promising factors in the direction for treatment of cancer. The action of the kinase in causing DNA-interchelation can be reduced by ÃŽ ²-carboline which usually acts as a non-planner maintaining the activity of CDK4. Fascaplysin acts as a pentacyclic quaternary salt used as an anti-cancer agent considering its action in suppressing certain leukemia cells in mice. Further, the salt also end up hindering CDK4 leading to arrest of cell cycle in both normal and tumours ncells in the G phase. The hindering process occurs because it binds to theATP pocket of the kinase, resulting to G arrest via a bidentate hydrogen bond donor/acceptor pair. The chain involving phosphorylation of pRb enables the cell to pass through the G1 checkpoint leading to completion of division cycle because of the associated release of E2F proteins.

Monday, August 26, 2019

Big Problems in Chinese Popular Culture Essay Example | Topics and Well Written Essays - 1750 words

Big Problems in Chinese Popular Culture - Essay Example Moreover, bulk production tactics helped China to provide employment to thousands of Chinese people. Another interesting factor is that the one child policy implemented by China helped them to control the population growth up to certain extent. China’s economy is the largest in Asia it may become the largest in the world in the near future itself. Albert Keidel (2008) has pointed out that â€Å"China’s economy will surpass that of the United States by 2035 and be twice its size by mid- century† (Keidel). Amidst all these positives, it is a fact that unemployment problems in China is growing at a steady rate and the government failed to implement any effective measures to counter it. Unemployment rate in China is around 11% at present which is creating serious problems with access to housing, education, and basic social services. This paper analyses questions such as; How college graduates and peasant workers deal with unemployment in China; What advantages and disadvantages does each group hold and How do crime and corruption, along with social stability and mobility play a role in the PRC today etc. Even though the unemployment rates are coming down, it should be noted that more than 230 million people in China are still jobless. In other words, statistics are not providing the actual depth of the unemployment problems in China. â€Å"What confronts the young generation of today is structural unemployment, mostly resulting from a mismatch between the conditions and nature of jobs and the skills and expectations of the young generation† (Litao & Yanjie, p.i). The expectations of the current youths in China with respect to employment are high. Unlike the old generation, they are not ready to work in hard working labor sectors such as the construction fields or manufacturing sectors. They are looking for white collar jobs and it is difficult for the Chinese

Sunday, August 25, 2019

Maximizing the learning experience for adult learners (Principles for Essay

Maximizing the learning experience for adult learners (Principles for adult learning) - Essay Example Adult learners have unique attributes that affect the ways in which they learn. On reaching adulthood, an individual achieves autonomy and can exhibit self –direction. This aspect influences how they learn because they need to express their autonomy in the learning process. Therefore, an effective adult educator must have strategies of ensuring an involvement of the learners. For learners to express their autonomy in the learning process, it will be crucial for the educator to present them with an opportunity to contribute in the development of study objectives. Moreover, other avenues of engagement in the learning process such as group work and individual presentations will foster autonomy in the learners (Sharma, 2006:45). It is critical for adult educators to have facilitation skills as they will prove effective in providing the individuals with proper guidelines contrary to teaching. Autonomous adults will only need guidelines because they can endeavor in personal studies and research in order to advance knowledge. Moreover, autonomy will require adult learners to establish personal that conform to the objectives of the learning process. The learning experience must provide an avenue for the learners to find self-fulfillment through a successful pursuit of personal goals. Both patients and nurses require having a set of personal goals that can meet an individual’s personal learning needs. Therefore, an educator must exhibit competency in demonstrating the procedure of personal goal setting (Sharma, 2006:45). It is critical for an educator to emphasize the need for the learners to understand the significance of personal goals. In doing this, the educator must highlight the harmony between the class learning objectives and personal goals. Adult learners approach the learning experience with a unique perspective. They anticipate for an opportunity to cooperate in their experiences into the learning

Saturday, August 24, 2019

Buchanan- Human Status and Moral Enhancement (Summary 2nd Half) Essay

Buchanan- Human Status and Moral Enhancement (Summary 2nd Half) - Essay Example Buchanan treats this larger question under two subsets, the first of which deals with the question â€Å"If enhancement did result in posthumans, what implications would this have for the concept of human rights: would it make that concept obsolete, as some have claimed; and if it did, would this be a moral catastrophe, as they have intimated?†. The second subset, which and the further sections are under analysis in this paper, deals with the question â€Å"Could the emergence of post humans result in there being a moral status higher than that of persons and hence require a rejection of the widely held Moral Equality Assumption, the assumption that all who have the characteristics sufficient for being persons are of equal moral status?† (353). The second question which rather addresses the concerns regarding privileging the enhanced group of persons – post persons – and thus resulting in a higher moral status raises questions regarding the very basic assumptions regarding moral equality. Buchanan, in the second section, contemplates on this basic assumption and challenges those concerns on the basis of the â€Å"inviolability†, which should be understood as a threshold concept, of this assumption (363-364). That greater â€Å"personhood† does not confer â€Å"greater inviolability† seems to question the belief that ‘persons’’ interests might be sacrificed in the interests of the ‘post persons’ (364). Even in times of â€Å"supreme emergency† when persons might literally have to be sacrificed for the benefit of many it does not follow that there is a difference between the values of the former and the latter (364). Buchanan justifies himself by refe rring to instances of racism, ethnic minorities, developmental and physical disabilities etc., where similar concerns popped up and were dealt with on the basis of the

Friday, August 23, 2019

Role of Risk in Financial Decision Making Dissertation

Role of Risk in Financial Decision Making - Dissertation Example Risk is going to be the core factor of analysis in this study which will provide an idea of how risk assessment is important for an overall financial decision making process and its impact in the Small and Medium businesses. The literature will cover the post empirical studies to get to the subject adequately and effectively. This will provide the understanding of the subject in regards of risk management, risk analysis and its role in financial and business decision making process (Smit & Watkins, 2012). The process of risk management can be defined as follows. â€Å"Risk management is concerned with the outcome of future events whose exact outcome is unknown and with how to deal with these uncertainties†¦ In general, outcomes are categorized as favorable or unfavorable, and risk management is the art and science of planning, assessing (Identifying and analyzing), handling, and monitoring future events to ensure favorable outcomes† (Conrow, 2003, p. 2). In recent times S MEs (Small and Medium Enterprises) pay much attention to the risk management subject. Such organizations always emphasize on major risks involved in their businesses, this is to reduce overall risk of liability, risk of investment or risk of assets which are involved with their respective small partnered business ownerships. All of these are constraints of finance, if one views them in an investment or capital perspective. All of the above reasons validate that risk assessment is necessary for companies especially which are present with small scale and are on the initial settings to expand their business (Smit & Watkins, 2012). Organizations like retailer stores, utility shops, restaurants or hotels which are a central part of any developing economy apply risk components to analyze risk factors. This is to manage financial methods and business decision making process. In recent times this had been found in hotel management section which is one form of small enterprise business (SME) assess their risks to manage key financial elements like credentials, account receivables, account payables and financial assets like covenants or insurance (Luper, 2012). In SMEs especially present in a competitive market arrangement, the magnitude of financial management is bigger and so as its margin of retrieving risk at the time of business decision making. This is why such organizations utilize key risk applications to derive their financial objectives and make them achieve at right time of a business operation. An idea floats among all the business professionals mindset that better risk assessment leads to better financial management, which is true because risk evolves challenges and a good strategist include those challenges in assessment, before they become problems at a later point of time. Uncertainty takes the origin especially when risk is not overcome at the right time of an SME business and when it is assessed to a level which is adequate to meet financial goals or b usiness objectives of the Enterprise (Luper, 2012). In today’s modern business system, risk assessment has found its place in financial business organizations like Variable Annuity Industries (Melnick & Everitt, 2008). Based on long term planning, VA providers consider risk as a significant factor for designing and improvising annuities. To manage risk on the financial decisions, VA SMEs deploy risk management strategies to

Thursday, August 22, 2019

Right to privacy Essay Example for Free

Right to privacy Essay One of the hallmarks of every free and democratic society is the enjoyment by the people of their right to privacy. An example of the right to privacy is that which is protected and guaranteed under the Fourth Amendment to the United States Constitution. Thus, searches and seizures to be valid must comply with the requirement of â€Å"reasonableness†. In case this requirement is not complied with then any evidence obtained in violation of the Fourth Amendment shall be declared inadmissible in any court of law pursuant to the Exclusionary Rule. One concrete example of the right against unreasonable search is when a police officer squeezes the luggage of a bus passenger in search for drugs. In the case of Bond v. United States, 529 US 334, Bond was a bus passenger when a border patrol agent boarded his bus to check on the immigration status of the passengers. While checking the immigration status of the passengers, the patrol agent it squeezed Bond’s bag and felt an object inside it. When asked, Bond allowed the agent to open it. The agent discovered methamphetamine inside his bag. In this case, the court ruled that the two part-test established under Katz v. United States to make a search valid for purposes of the Fourth Amendment not complied with: a) governmental action must contravene an individuals actual and subjective expectation of privacy; (2) and that expectation of privacy must be reasonable in the sense that society in general would recognize it as such. First, Bond had a reasonable expectation of privacy over his personal belongings and this is manifested by the fact that he brought with him an opaque bag that was placed over his seat. Secondly, the society in general recognizes that such expectation of privacy is reasonable. Although there is the expectation that the said luggage will be handled by other passengers of bus employees, there is no expectation that the luggage will be physically manipulated in an exploratory manner as what the patrol agent conducted in this case. The ruling in this case is particularly important for the protection of the people who are in public vehicles. It bears stressing that the privacy of a person is not limited only to his house, his office, his garage but this right extends even to his personal belongings. Mail Searches The same protection of the right to privacy extends to first-class letters and sealed packages. The rule is that in the absence of any probable cause that will lead police and postal authorities to conclude that there may be illegal contraband inside letters or packages they do not have any authority to inspect and open them for the purpose of searching for any illegal item. The case of United States v. Van Leeuwen is instructive. Even if there is probable cause to believe that there is an illegal contraband inside the letters or packages the same still does not authorize police and postal authorities to open them. Their authority is limited to the right to detain them for a reasonable time sufficient to obtain the required search warrant. It is only when the search warrant is obtained that they may open these letters and packages. The idea behind this principle is simple. The right to privacy and the right against unreasonable search and seizure are so important that suspicions for an illegal contraband inside the letters and packages do not suffice. There is also no justification for police and postal authorities to immediately open these letters and packages since the letters and packages are within their full control which gives them sufficient time to wait until search warrant is secured. Searches and Seizures by Private Persons One limitation of the provisions under the Fourth Amendment is that it extends only to privacy intrusions committed by government agencies and officers. Searches and seizures made by private individuals even if they violate the Fourth Amendment are not protected by the Fourth Amendment. The reason is simple. At the time the Fourth Amendment was included in the US Constitution that same was intended to guard against the potential abuses that government authorities may commit against private individuals. Historically speaking, the Fourth Amendment was originally designed as a response to the controversial writs of assistance that was prevalent before the American Revolution. (â€Å"Fourth Amendment to the United States Constitution†) It seeks to limit the power of government authorities and to protect the privacy rights of the people. Thus, considering that private individuals are on equal footing the framers thought that there was no reason to expand the scope of the Fourth Amendment and include therein private individuals. Thus, evidence obtained by private individuals in the course of an unlawful search provided they acted purely on their own and the police did not encourage nor participate in the private search and seizure is admissible. In the first example, if the discovery of methamphetamine was made by an employee of the bus company tasked to conduct routine inspections and searches, then the same does not constitute unreasonable search and the evidence obtained is admissible in court.

Wednesday, August 21, 2019

Native Americans in California Missions Essay Example for Free

Native Americans in California Missions Essay Spanish wanted to colonize some of America, just like the Europeans. Building religious based Missions all throughout California was a way for them to maintain ultimate social, political, and economic control. Spanish explorers arrived on the border of California during the 16th century. The very first Franciscan mission was built in San Diego during 1769. By 1833, twenty two Spanish Missions existed from Southern California to Northern California. Native Americans made up about one-third of those who lived and worked at the Missions. There were an estimated 310,000 Indians living in California during the 16th century. The Spanish provided the Native Americans with the necessities such as food, clothing, and shelter. Although the California Missions had the right intentions of providing for the Native Americans, the Spanish acted in an inhumane and unfair way. Junipero Serra arrived in San Diego in 1768 and lead a group of Franciscans to find property and more importantly, workers. He welcomed the Native Americans with open arms and open doors. In a primary document written by Junipero Serra himself, he admitted that he used the Native Americans solely for work. However, he said that providing them with food and shelter compensates for their hard work. â€Å"So if families other than Indian come from there, it will serve the same purpose very well—that is, if we can provide for them†¦Ã¢â‚¬ (Serra). Serra’s defenders state that he respected the Natives’ culture. However, his criticizers argue that he used force to urge the Native Americans to live at the Missions against their will. Although the Natives did not agree with Serra’s beliefs and actions, they were very respectful for the most part. For those who did not respect Serra received physical punishment with â€Å"whips, chains, and stocks to enforce religious obedience† (Serra). Junipero Serra was a great leader who made sure the California Missions were in order. The California Mission had worthy intentions and plans for the Native Americans. The Spanish welcomed them into their ‘homes’ and provided them with the essentials such as food, clothing, and shelter. However, living at the Missions had its consequences. The Native Americans were forced to change their entire lifestyles – from their beliefs, their daily routines, to the way they dressed and what they ate. Although anthropologists conducted that some Native Americans enjoyed their new lives, more than eighty percent refused to convert their ways of life (Sandos, 13). For thousands of years, the Natives were accustomed with their own lifestyle and beliefs, and all of a sudden, everything was stripped away from them. Even their personal identity was taken away from them. The Franciscans provided each individual with Spanish names which were to be used instead of their native birth names. â€Å"The missions were not agents of intentional enslavement, but rather rapid and therefore violent social and cultural change† (Archibald, 24). The Native Americans ended up becoming tax pay citizens along with being under Spanish wing twenty-four hours a day, seven days a week. The Franciscans had very different beliefs and traditions from the Native Americans. The Native Americans were forced to convert their religion to Roman Catholics. The Native Americans were more of a â€Å"spiritual† group rather than a religious group. Instead of believing in personified figures, such as Jesus, they believed spirits lie within their nature. Native Americans feed their energy off of nature. They believed that they are protected by the Mother Nature that surrounded them. The Spanish used religion to explain their actions, which made it ‘okay’ for them to convert the Native American’s beliefs because they were backed up by their god (California). Every person living and working at the Mission had to be officially baptized as a rite of passage. On Sundays and holidays everyone was obligated to go to church and worship. The Natives were forced to memorize Catholic rituals, songs, and scriptures. Prayer lasted four hours on Sundays and feast days. On a regular basis on typical days, prayer lasted two hours. Catholicism was a huge part of living at the Missions. The Missions were surrounded by Spanish soldiers so everyone was watched very closely. Once the Native Americans accepted the Spanish lifestyle, it was nearly impossible to escape. It was as if they were held against their own will. A few sources compare the treatment of Native Americans to slavery (Archibald, 48). Slavery is defined as an economic exploitation that benefits only the slave-owner. In the California Missions, the Native Americans worked solely to provide and maintain a certain lifestyle for the Spanish. Besides minimal food and shelter, the Native America’s natural human rights were stripped from them. Native America women made clothing, prepared meals, cleaned the rooms, and whatever domestic chores needed to be done at the Mission. Native American mothers even had to care for Spanish children instead of focusing on their own (Mission). The Native American men had to hunt for food and build new Missions. In addition, they learned carpentry, leatherworkers, smiths, and farm work. The Franciscans controlled their days into a rigorous schedule announced by church bells (Archibald, 104). If the workers were not done with their tasks by the chimes of the church bells, they would suffer major consequences. The Franciscans did not view their actions as imprisonment because they believed that the providence of food and shelter compensates for Natives’ hard work. In reality, the Missions were not a place to live a life of ease nor was it a place to acquire personal fortune and prosperity. The Native Americans were not worked to death like the slaves in southern United States at this time. However, the strict regulation, cruel and unusual punishments and forced new traditions are extremely inhumane acts. According to Julio Cesar, â€Å"When I was a boy the treatment given to the Indians at the Mission was not good at all. We were at the mercy of the administrator, who ordered us to be flogged whenever and however he took notion† (Mission). Every Mission had two priests. One priest’s duties were to preach and teach about religion. The other priest’s duties were strictly on the work field. He instructed and gave the Native Americans and other workers their duties. The lifestyle in the California Missions was set in a very rigorous schedule so it was nearly impossible for the Native Americans to take a break or escape the hardship. The Natives resisted colonization after just a short time living and working at the Missions. There were a few deadly rebellions conducted by the Native Americans. They destroyed Mission property and even threatened to kill priests. The most infamous attack occurred in San Diego. On November 4, 1775, hundreds of men completely destroyed the Cuiamac Rancheria Mission of San Diego. The men also killed three Hispanics, including the Father, Padre Jaime (Sandos, 92). In addition, in 1824, another great Indian rebellion in California occurred at the Missions of Barbara. A large part of the Mission building was wrecked by a large fire. On the same day, hundreds of Native Americans attacked the Spanish defenders and soldiers. Leaders of the rebellion were severely punished. Seven were executed and the others were imprisoned or required to do even crueler labor. The Natives revolted because of their poor treatment and forced labor enforced by the soldiers and Fathers (Sandos, 73). These rebellions were among the many others throughout the 16th century in the California missions. This proves that the Native Americans were furious about getting different beliefs and work forced onto them. The Spanish settlers caused a lot of health problems to flourish all throughout California. Soon after the arrival of Spanish colonists, diseases spread from Southern California to Northern California so Native American fatalities heightened. Highly infectious diseases such as smallpox, measles, and syphilis killed thousands of Native Americans, especially children, so the Indian population dropped drastically (Sandos, 64). About sixty percent of the Mission Native Americans’ death was due to introduced diseases. In just a few decades, the Native American population in California decreased from 310,000 to about 100,000. Since the California Missions held many residences, people lived in such confined spaces which caused contagious diseases to spread rapidly. In order to keep the population at a steady rate for enough workers, Mission leaders separated Native American children from their parents to maintain the children’s health to save them to work at the Missions as they got older (California). The Natives were furious that their families were being separate. Mothers were not there to care for their children, so the Native children were on their own. There was a lack of physicians to care for the ill so not everyone could be helped. Diseases were not the only reason why the Native population dropped drastically. They went through rigorous changes in diet so their bodies were not used to the food they were eating. In addition, malnutrition caused toxins in their bodies. In addition, the intense demanding manual labor is a factor that contributed to their inability to overcome the sickness. Death rates were higher than birth rates so the Mission had to keep recruiting different tribes all throughout California (Mission). By 1834, there were only about 15,000 Native American residents in the twenty two Missions. The Spanish were only in contact with the Native Americans for personal gain. The Franciscans maintained total economic, social, and political control all throughout California. Very few Native Americans chose to stay at the Missions voluntarily. During their time at the Missions, they had to conduct harsh labor and all of their rights were taken away from them. Although they provided the Native Americans with food, shelter, and clothing, the Franciscans treated them like slaves. The Spanish’s involvement backfired since a majority of Native Americans died due to illness, making them nearly extinct. The physical and metal demands required were a major strain on the Native Americans.

Tuesday, August 20, 2019

Impact of Aphasia on Health and Well-being

Impact of Aphasia on Health and Well-being Abstract This discussion paper considers the impact of aphasia on health and well-being, and following an in-depth exploration of relevant literature, provides suggestions for appropriate nursing interventions in respect of this relatively common condition following stroke. The introduction states that effective communication is essential to holistic care and positive outcomes for individuals affected by aphasia. However, when verbal communication is absent, nurses fail to adequately utilise alternative strategies so that the standard of nurse/patient communication is frequently poor. The discussion introduces the Theory of Human Scale Development. This theory emphasises that quality of life depends as much upon self-actualisation and relation-building as on physical health. The theory is used as a framework within the discussion in order to highlight the significance of communication to quality of life, and how its loss has profound psychological and social consequences. By utilising the theory, the discussion demonstrates that nursing care delivery must address loss of self-actualisation and relationship-building abilities, as well as physiological communication skills. The discussion reflects upon how aphasia results in loss of self, and how the situation is exacerbated by inadequate healthcare communication strategies such as nurse-controlled conversation, talking-over, and elderspeak. Suggestions are offered regarding more appropriate strategies. Efficacy of family input is considered; nursing competence regarding language practice therapies is discussed, and the quest approach is explored. Next, the discussion reflects upon the impact of aphasia on relationships. Aphasia denies access to support networks and results in isolation, stress, and loneliness. The individuals predicament is worsened by negative nursing responses such as communication filtering and avoidance tactics. The discussion reflects upon positive nursing strategies, which alleviate effects of aphasia on individuals social health. Concept analysis and self-awareness exercises as methods of enhancing compassion skills are explored. The social model of disability is discussed in order to highlight the benefits to individuals of environmental adaptations. Also, the social benefits of aphasia-group affiliation are discussed. The discussion concludes by emphasising that fundamental human needs involve social and psychological as well as physical aspects. Nursing interventions must therefore address all needs in order to provide holistic care in its fullest sense. Key Words Aphasia: nursing: relationships: self: Theory of Human Scale Development Summary Statements What is already known about this topic Good communication between nurses and patients is essential to the provision of quality healthcare that protects patients rights, autonomy and choice. Aphasia compromises nurse/patient communication leading to discrimination in health services, suboptimal care, poor long-term outcomes, and restricted rights. Communication difficulties faced by individuals with aphasia risks loss of self, and diminishes the beneficial impact of social integration on health. What this paper adds The multifarious impact of aphasia on the lives of individuals with the condition must be recognised and acknowledged by nurses. During their day-to-day nursing activities, nurses can facilitate the immediate communication needs of individuals with aphasia. Nurses can initiate aphasic individuals abilities to function independently and autonomously in the wider world via supporting the maintenance of personal identity and social integration. Introduction It has long been acknowledged and purported that good communication is essential to the provision of quality healthcare as it is integral to effective clinical assessment, health promotion, and patient choice and autonomy. Models of communication and research studies (Peplau, 1952; Fosbinder, 1994; Charlton et al, 2008) suggest that care delivery and health outcomes are improved when nurses use communication as a reciprocal interaction to express concern and commitment, and in return invite trust and human connection. These texts demonstrate that proficient interpersonal skills transform patients from objective clinical tasks to individuals meriting empathic, holistic care. However, because most communication strategies depend upon speech, the expediency of interpersonal relationships becomes severely compromised for individuals who experience aphasia as a consequence of stroke. Indeed, although the World Health Organisations (2001) definition of communication impairment encompasses verbal, non-verbal and graphic abilities, Finke et als (2008) systematic review finds that nurses continue to focus on stroke patients inadequate ability to verbally meet communication needs. Non-verbal messages are assigned a secondary, supporting role, and are therefore not adequately exploited as legitimate alternative strategies. The subsequent poor standard of professional/patient communication, described as appalling in the United Kingdoms National Sentinel Stroke Audit (Intercollegiate Stroke Working Party, 2009, p.12) has serious ramifications. O Halloran et als (2008) literature review suggests that health professionals inability or unwillingness to effectively enga ge with individuals affected by aphasia leads to discrimination in stroke services, suboptimal care, poor long-term outcomes, and restricted rights. Theory of Human Scale Development To avoid the suboptimal care of patients with aphasia, nurses must realise the necessity of effective communication to health and well-being. If nurses are to be motivated to explore, improve and exploit communication strategies as therapeutic tools, they must, in the first instance, understand the devastating impact of aphasia on quality of life. An analysis of aphasia in relation to the Theory of Human-Scale Development (Max-Neef et al, 1991) helps to illustrate its effect on the individual. According to the Theory of Human-Scale Development, quality of life depends upon the satisfaction of nine classes of interrelated ontological fundamental human needs (figure 1). Of these, only subsistence relates to physical health, the others being concerned with psychological and social issues associated with the sense of self and relationships. Because quality of life correlates with the number of satisfied needs, if a synergic satisfier (one satisfier that satisfies multiple needs) such as the ability to fluently verbally communicate, is removed, the impact on life quality is devastating (figure 2). Charmaz (1983; 1995; 1999) symbolic interactionist perspective reaches similar conclusions. These grounded theory studies of chronic illness demonstrate that the self is developed and maintained via self-actualisation and social relationships. Where illness reduces individuals participation in society, and prompts negative reactions from others, feelings of discreditation and loneline ss follow. Individuals beliefs that they are encumbrances on society rather than valuable contributors, lead to suffering and the loss of self. It is essential, therefore, that rehabilitative therapies should result in a synergic effect so that self, relationships, and thus quality of life are improved and maintained to the highest possible level (figure 2). However, many individuals with aphasia bemoan the fact that health professionals consistently focus on physical, biomedical definitions which view the condition as synonymous with physiological stroke events, rather than separate aphasia disability experiences (Liechty and Heinzekehr, 2007; Shadden et al, 2008; Wertheimer, 2008). This leads to the dismissal of psychological and social aspects of communication impairment and a thwarting of attempts to address them. Thus, the biomedical perspective, which defines aphasia as an inability to use or comprehend language as a consequence of injury to the cerebral cortex, results in the comment, I have aphasia, generating the response, You mean you had a stroke (Liechty and Heinzekehr, 2007, p.316). But, as Liechtys autobiographical account illustrates, aphasia is not an objective condition but a subjective reality, and focusing on the physiological brain damage both de-emphasises the pain that aphasia causes and denies the continual struggl es faced (p.316). Liechtys experience suggests that a psychosocial definition is more appropriate to describe the full extent of the consequences of aphasia to the individual. Sundin et als (2000) wider definition describes the condition as a defect in the use of language which causes extensive damage to psychological and social well-being resulting in isolation and depression. This study suggests that understanding the meaning of the illness for the individual rather than concentrating on the underlying physical causes, is the true initiator of holistic healing. O Halloran et al (2008) agree. This systematic review proposes that a biomedical perspective impoverishes care delivery because attributing communication breakdown to the disease process reduces nurses responsibility and motivation to develop ongoing communication strategies. The review suggests that a psychosocial perspective where nurses view communication impairment as an illness experience as well as a medical phenomenon, promotes the ide a that difficulties result from impaired interaction between nurse and patient. This increases nurses feelings of responsibility to overcome communication barriers and seek out the individual behind the disease. It is apparent, then, that reference to the Theory of Human-Scale Development helps to illustrate how a professional attitude which attempts to satisfy all fundamental human needs, not just the physical need of subsistence, subsequently leads to richer, more meaningful outcomes. Although fundamental human needs are to an extent, interrelated (figure 1), they are broadly split into three categories. The discussion paper will explore the impact of aphasia by focusing on self-actualisation and relationship needs. Self-Actualisation Needs Impact of Aphasia on the Self Rogers (1967) personality theory states that self-concept and self-perception are fundamental components of personal identity. He proposes that because life-meaning and behaviour are essentially purposeful, individuals require freedom to make choices, and create and develop their own personalities, in order to construct a valid presence in the world. Of course, language is the core of this process of self-construction. Without language, the ability to narrate lived experiences is lost. The individual cannot inform the world who and what he/she is, or understand who and what others are, hence is unable to find an appropriate place in the scheme of things. Shaddens (2005) literature review describes this predicament as identity theft, a state of affairs in which individuals with aphasia are ignored and invisible. However, Kagans (1995) masking of competence model refutes this, proposing that the individual is transformed rather than rendered invisible by aphasia. The model states that because communication impairment makes it difficult to perceive the individuals functional mind, it becomes difficult to envisage capacity. With capacity hidden, the individual is transformed from a person to a mere physical presence and is often viewed as a burden with little social value. According to Charmaz (1983), witnessing ones former self-image crumbling away is itself a fundamental form of suffering (p.168). Time and again, autobiographical narratives refer to the pain experienced when the self is reduced by an assumption that language loss is synonymous with the loss of intellectual and cognitive abilities (Neal, 1988; Bauby, 2008; Liechty and H einzekehr, 2007). Bauby (2008) summarises the feeling thus, [They] left no doubt that henceforth I belonged on a vegetable stall and not to the human race (p.90). Buber (1958) refers to this objectivising of people as an I-It relationship (as oppose to an I-Thou relationship defined by its reciprocal and mutually respectful nature). Aphasia renders the establishment of a nurse/patient I-Thou therapeutic relationship particularly challenging, because sharing and understanding become difficult to achieve. Unfortunately, this often results in I-It communication within the healthcare arena, which in nursing, is intrinsic to detached task-orientated care. According to Gordon et al (2008), this denies individuals with aphasia the freedom to control and direct their own lives. Gordon et als (2008) observational study concludes that staff control conversations and focus dialogue on their own nursing-task goals. The studys use of conversation analysis demonstrates that patients rarely initiate conversations and therefore have little influence over topics. In addition, due to heavy reliance on the sequential context of dialogue in order to maximise unde rstanding, individuals with aphasia find it difficult to alter the course of conversation to suit their requirements. Such asymmetrical, task-orientated communication is neither therapeutic or responsive to holistic needs. This results in a reduction of the self and a denial of individuals rights to participate in their own care or in the creation of their own future. According to Wertheimer (2008), curbing the freedom to express the self commonly leads to feelings of entrapment. Wertheimers (2008) detailed analysis of post-subarachnoid haemorrhage experiences suggests that language difficulties and loss of control during hospitalisation contribute to depression, and dreams and hallucinations, which frequently involve images of imprisonment and dictatorial authoritarianism. The negative impact of nurse-controlled conversation is exacerbated further by persistent occurrences of talking over patients. Flegels (2008) short article acts as a reminder that talking over is unethical because it contradicts health professionals codes of conduct that stipulate patient autonomy is paramount during care delivery. Quoting Kants (1785) argument that autonomy depends upon the hypothesis that all individuals have unconditional worth, Flegel (2008) believes that talking over signifies to patients that their presence is of no consequence and therefore they are not autonomous. Elderspeak also diminishes autonomy. This speech style is generally used as a means to communicate with elderly patients, but research confirms that it is commonly used by nurses when encountering individuals with physical, cognitive and communication disabilities (Kemper et al, 1998; Williams et al 2004; Melton and Shadden, 2005). Williams et al (2004) describe elderspeak as a demeaning mode of communication similar to baby talk that features exaggerated, simplified, repetitive language. Because elderspeak stereotypes elderly and disabled patients as incompetent and incapable, individual potential and progress may be ignored, thus reducing control and the sense of self even further. Reactions to Loss of Self Unsurprisingly, individuals with aphasia struggle to instigate the fight to rescue the self, and often surrender to discreditation. Charmaz (1983) explanation that self-concept depends upon reflected images of the self by others is confirmed by Simmons-Mackie and Damico (2008). This study of communication therapy sessions suggests that external negative responses to individuals with aphasia leads to internal negative perceptions of the self and a silencing of the voice. Poor nurse communication techniques based on task-orientated conversation, elderspeak and talking over compound this internalisation process. According to Ryan et als (1986) seminal literature review and subsequent theory of dependency over-accommodation, implications of incompetence and diminished capacity which arise from such condescending speech styles lower individuals confidence and self-esteem. This increases dependency and passive acceptance of care, and consequently promotes feelings of worthlessness and powe rlessness. Parr et al (2003) agree. This literature review reports that individuals faced with inadequate communication attempts of service providers, feel so diminished that they often apologise for their own existence. By reflecting on the impact of aphasia on self-actualisation needs, it seems that the nursing role in care delivery should involve supporting the individual to both recover the pre-aphasic self and connect this self to the new disabled identity. In order to achieve this, the nurse must firstly get to know the patient as a person, then secondly, empower that person to regain the creativity, confidence and freedom required to control his/her own life. Nursing Implications Use of Family Liaschenko and Fisher (1999) identify person knowledge as integral to the establishment of effective therapeutic communication and holistic care. The acquisition of this knowledge involves knowing the patients private biography with a view to revealing the unique individual. Where aphasia inhibits direct verbal interaction between nurse and patient, family and friends can relay information and re-construct much history, therefore contributing to the satisfaction of a range of fundamental human needs. According to Williams and Davis (2004), this indirect narrative is invaluable as it allows the nurse to participate in individualised communication when speaking directly to the patient. This deters any tendency for task-focused interaction or elderspeak, which in turn, reinforces the individuals sense of self. There are barriers to implementing such interaction however. Paradoxically, despite, for example, British Government calls for improved professional/patient/carer communication (Intercollegiate Stroke Working Party, 2009), some studies report that nurses efforts to personalise care by informal chat with patients and families are thwarted by sociopolitical systems that prioritise task completion over person knowledge. (McCabe, 2004; Speed and Luker, 2004). Also, Fairburns (1994) study of attitudes to visiting hours reports that nurses often feel patients and relatives resent staff presence as an intrusion upon their private time together. Perhaps the use of patient diaries can help overcome these barriers. Combes (2005) introduction of diaries in the intensive care setting demonstrates that by encouraging families to produce ongoing written narratives, which are left at the patients bedside, readily accessible relevant information concerning what is significant and individual to the patient is made available. This data can be utilised and built upon in later nurse/patient interactions. Research into the use of diaries in aphasia care should therefore be undertaken. Families are also useful when nurses are trying to ascertain the individual with aphasias immediate concerns and opinions. Goodwins (1995) well-cited case study illustrates that needs are more easily interpreted when relatives, familiar with the individuals gestures, facial expressions and idiosyncrasies, and who share common social contexts with him/her, are on hand to translate. Indeed, Finke et als (2008) systematic review finds that, where nurses are prepared to ask families for suggestions, or written directives, regarding the meanings of the individuals non-verbal strategies, communication is much more efficacious. In terms of advocacy, Hedberg et als (2008) study of multi-disciplinary care-planning meetings demonstrates that an in-depth knowledge of the individual with aphasias life and views, equips family members to act as advocates in the negotiation of care needs and future plans. The research therefore concludes that nurses require training in how best to involve relatives in the decision-making process in order to ensure individual needs remain salient. While the recommendation to involve families in the communication process is essentially sound, much of the proposing nursing literature quoted above nevertheless fails to fully explore the potential risks to patient autonomy of relying heavily on alliances with relatives. Translation literature (Englund-Dimitrova, 1997; Bradby, 2001; Leininger and McFarland, 2002) confirms that any form of interpretation via a third person amplifies the chances of misinterpretation. However, the risk is further heightened by relatives conscious or subconscious propensity to distort, omit or add to the patients messages and opinions in order to address their own concerns. Shadden et als (2008) review of autobiographical narratives reports that, while the well-being of patients is the central concern of most families, disability caused by stroke has a significant negative impact on the lives of all close family members. This may result in the interpretation of aphasic communication being influenced by the intermediarys own slanted perspectives. Thus, relatives feelings of guilt, fear, stress, and fatigue may filter out some of the true messages that the individual with aphasia is trying to express. Ryan et al (1986) offers a more cynical consequence to family advocacy by suggesting that it may undermine the individuals power to control situations, and can even disguise the sense of self by recreating and redefining elements of the individuals history, personality and wishes during the advocacy process. Hence, although it is helpful to use family knowledge to obtain patient information, nurses must recognise that individuals needs may not be adequately supplied by biased intermediaries. Nurses must therefore be able to use their own disinterested objective strategies to reach an understanding of the individual with aphasias meaning. Nursing Implications Competence Theory and research which explores the meaning of caring (Halldorsdottir and Hamrin, 1997; Brilowski and Wendler, 2005; Chang et al, 2005) states that a fundamental strategy when nursing any illness is the alleviation of the patients fear that nothing can be done to treat the condition. This literature reveals that while patients appreciate expressive caring behaviours, competence when performing instrumental therapies, is considered imperative to a secure caring base. As Halldorsdottir and Hamrin (1997) assert, caring without competence is meaningless (p.123). It is apparent that in aphasia, where preservation of the self is at stake, the nurse needs to convey competence and confidence in attitude and execution of language practice therapies, so that the individual with aphasia feels secure in the knowledge that recovery of identity is possible and in hand. Nystroms (2009) phenomenological study of interviews and biographies finds that such provision of security via nursing competence encourages patient hope, motivation, and fighting spirit (p.2509). Finke et al (2008) believes that nursing competence in language practice therapy requires training in basic speech therapy, familiarity with augmentative and alternative communication, and regular consultations with speech and language therapists. However, currently, none of these schemes are widely implemented. Hemsley et al (2001) suggests this is due to individual and organisational attitude barriers, which view specialised communication techniques as both too time-consuming and beyond the remit of nurses. Finke et al (2008), proposes that time and resources spent on enhancing nurses communication competence may prove more efficient than relying on minimal task-orientated interactions. This is because ineffective interactions are at high risk of misinterpretation, ineffective at meeting individual needs, result in frustration, fear and despondency, and may contribute to depression. Also, Nystrom (2009) finds that extended time periods required for personal care support, provide ideal opportunities for skilled practitioners to simultaneously offer language practice (thus reducing rehabilitation time and resources), while allaying patient fears. A participant in the research is quoted thus, One nurse talked to me while helping me to eat and get dressed†¦that made me feel calm and secure (pp.2507-8). Nursing Implications Quest Approach Aphasia traps individuals in the present. Struggling to express details of past achievements, individuals situations are worsened by an inability to shape the future. In effect, individuals have lost both identity, and the freedom and creativity to restore it. They have lost their place in the world. Nystrom (2009) believes that the optimal method of regaining place is to defer to individuals pre-stroke identities. An awareness of individuals previous competencies, allows the nurse to personalise language practice, communication strategies and conversation by basing subject matters on familiar contexts of family, work, interests, and achievements. This enables individuals with aphasia to grasp meanings more easily, but it also helps to maintain a sense of the old valued, accomplished self, thus providing a structure on which to base rehabilitation goals. This method, defined by Moss et al (2004) as a restitution approach, is fundamentally flawed because it overlooks the fact that for many individuals, aphasia remains a permanent disability. Preoccupation with the old self could therefore lead to a painful mourning for what is lost. It could even exacerbate feelings of worthlessness by highlighting comparisons between past abilities and present inabilities. Moss et als (2004) exploration of online illness narratives purports that a quest approach is more psychologically healthy. Here, individuals are encouraged to accept their changed circumstances, and envisage and create a different future. For the nurse, this involves using the individuals history, not as a source of goals, but a source of interests on which new modified goals can be built. This requires strong multi-disciplinary co-ordination skills to bring patient, nurse, speech therapist and occupational therapist together in order to fully explore interests, resources, potential and progress. Furthermore, according to Vickery et als (2009) quantitative analysis of self-esteem scales, the nurse must kindly but firmly guide individuals to a realisation of their limitations so that the risk of disappointment is reduced. However, simultaneously, the nurse should demonstrate motivating and commendatory attitudes that elicit a sense of pride from individuals in their gains and success es, which ultimately increases confidence, self-worth and a sense of freedom. Relationship Needs Impact of Aphasia on Relationships Berkman et als (2000) review of social integration theory demonstrates that relationships and affiliations are formidable influences on physical and psychological health. The study explains that relationships provide informational, instrumental (practical), appraisal (decision-making) and emotional support, as well as opportunities for social engagement. All these aspects are essential to the endorsement of meaningful roles, the reinforcement of participation and belonging, and the promotion of affection and pleasure. Charmaz (1983; 1999) reiterates that these factors add to the sense of self as a valuable entity. Any process or condition which leads to alienation, separation or disconnectedness from society, adversely impacts on mental well-being and mortality (figure 2). Generative studies by Durkheim (1952) and Bowlby (1991) suggest that relationships serve to buffer detrimental influences of stressful events. These texts illustrate that when consistent, reliable relationships are absent or damaged, psychological stability is weakened and the risk of depression increases. Berkmans (1988) hypothesis takes this concept further by suggesting that social isolation is itself a chronic stressor resulting in persistent heightened hypothalamic-pituitary-adrenal (HPA) axis responses which consequently accelerate physiologic aging and functional decline. Because conversation is pivotal to interaction and relationship building, aphasia inhibits individuals from exploiting the health benefits of social integration. Pound et al (2006) believe that conversation is primarily transactional, enabling individuals to participate within a supportive society consisting of mutually supportive relationships. Aphasia therefore, results in an inability to access support strategies resulting in isolation and stress. For example, appraisal support is compromised because individuals with aphasia are unable to talk problems over with friends. Likewise, informational and instrumental support may be inaccessible if individuals cannot express their opinions and needs, nor comprehend disseminated messages. While Laver (1975) acknowledges the transactional element of conversation, he also emphasises its interactional nature, which allows the development of social connections. He explains that it is a bonding ritual, which explores and categorises social position, conveys intimacy, conspiracy, affection and belonging, and as such, its loss can lead to a devastating sense of loneliness. For individuals with aphasia, whose health is already severely impaired by stroke, it is imperative that nurses are able to support the relationship-building process, and hence, diminish risks of further health problems associated with social isolation. Ramos (1992) research concludes that this is best achieved by establishing reciprocal or connected nurse-patient relationships which involve the development of emotional and cognitive bonds that persuade the individual to feel the nurse is taking on part of the burden (p.503). Reciprocation also encourages nurses to perceive coping with illness as a shared responsibility. Pound et al (2006) agree, stating that if professionals acknowledge patients are not solo performers, but part of a company of players (p.18), then this idea of joint responsibility is accentuated. However, poor therapeutic relationship development in aphasia remains a common problem. Perhaps this can be explained by Hindles (2003) suggestion that any phenomenon, which undermines nurses competence as communicators, leads to the implementation of communication filter barriers, such as rationalisation and projection. Sundin et al (2000) believe aphasia is a relationship leveller because both nurse and individual with aphasia have difficulty being understood by, and understanding, each other. This situation is uncomfortable for nurses working in a healthcare social construction that is founded upon competency achievement and proficient practice. Balandin et als research (2007) validates this idea. This small qualitative study finds that the undermining of competence and power results in rationalisation and projection in the form of defensive attitudes such as its not my job or the patient doesnt need to communicate (p.58). These avoidance tactics have been so widespread that Stock well (1972) included individuals with aphasia in her list of unpopular patients. Reactions to Diminished Relationships Charmaz (1983) research, confirmed by Davidson et als (2008) case study, reveals how unwillingness or inability of family, friends and professionals to establish effective relationships with individuals affected by aphasia leads to feelings of rejection. This in turn erodes patients perseverance to pursue support and comfort, often resulting in retreat and the seeking of solitude. Lyon (1998) refers to this behaviour as constructive because it provides a protective cocoon (p.12) in which individuals can rest and quietly contemplate their situation. Likewise, Shadden et al (2008) believe solitude-seeking is beneficial as it allows individuals to recapture the self which appears to bolster self-esteem. The authors quote from a patient interv

Background of Circuit City :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Circuit city was founded in 1949 by Samuel Wurtzel under the original name or Ward’s. Due to Wurtzel’s business skills, President Kennedy appointed him to the U.S. Foreign Trade Mission to Switzerland and Austria. Originally opened as a television store, Circuit City has come to sell almost all electronic goods ranging from television and video products to cell phones and car stereo equipment.   Ã‚  Ã‚  Ã‚  Ã‚  Circuit city competes in a consumer electronic market. The main competitors of Circuit City are Best Buy, Comp USA, Wal-Mart, RadioShack, and Amazon.com. Second in sales in this industry, Circuit City operates more than 600 stores nation wide and an additional 1,000 stores in Canada under its subsidiary InterTan Inc.   Ã‚  Ã‚  Ã‚  Ã‚  While Circuit City normally sells a wide variety of products from different companies, in 2004 it stated carrying their own product line. This line includes LCD computer monitors through their Liquid Video brand, other consumer electronics through Verge, and easy, simple, affordable products through ESA brand.   Ã‚  Ã‚  Ã‚  Ã‚  Circuit city grew rapidly between the 1960’s and 1980’s. During the 1990’s the sales rate leveled off and in 1999 their revenue passed the $10 billion mark. They have been trying to revitalize the chain by eliminating certain products, such as appliances, and by lowering operating costs. Currently Circuit City is at a maturity level with declining sales and revenue. Over the past 55 years Circuit City has transformed from a small local television store to an international chain of superstores. Circuit City will continue to be a competitive company in the consumer electronics industry as long as they offer a strategic plan that leads to larger sales.

Monday, August 19, 2019

blue cross blue shield :: essays research papers

Blue Cross Blue Shield of Florida (BCBSFL) Operating Services is Florida’s largest insurer, serving more than 6 million residents in total. Three trends that redefine how Blue Cross Blue Shield of Florida brings value to its members are through consumer empowerment, E-business, and financial services modernization. BCBSFL holds approximately 30% of the HMO market share in Florida, which is twice the share of its nearest competitor. BCBSFL offers a BlueComplements program filled with discounts and services that allow members to stay healthy. Theses advantages include Healthy Alternatives, Vision One, TruVision, Hearx, GlobalFit, SafeTech, and Walgreens Mail Order Pharmacy. BCBSFL offer a Complementary Alternative Medicine Program that allows its member to select Alternative Health Providers such as Massage Therapists, Acupuncturists, and Chiropractors. Members may receive up to 25% savings or more by using an Alternative Health Provider in the American Specialty Health Networks in Florida and nationwide. BCBSFL members may also save 15-45% plus free standard shipping on thousands of health products. For example, vitamins, health-related books, tapes, smoking cessation, and herbal supplements. Vision One is a discount program that allow BCBSFL members to receive comprehensive vision care through a program offered by Cole Managed Vision, which offers savings on both eyes and on eyewear. Members pay $35 for an eye exam for eyeglasses and receive discounts of up to 60% off retail prices for frames and lenses. Also, since this a discounted program offered by Blue Cross and Blue Shield of Florida there is no claims to file for independent vision care centers throughout Florida. TruVision is a Laser Vision Correction Program offered by Blue Cross Blue Shield of Florida to those members who wish to have laser surgery to correct their vision. Affordable laser vision correction services are provided to members for a discounted fee for BCBSFL members of $895 per eye, and TruVisions offers 100% financing with approved credit. The services that TruVision cover are comprehensive eye exams, pre and postoperative care, and an enhancement warranty. Blue Cross Blue Shield of Florida Hearx program offers hearing care and hearing aids. Hearx is the largest hearing care organization accredited by the Joint Commission of Accreditation of Healthcare Organizations. Members receive free hearing examinations and 25% off any hearing aids purchased through Hearx. BCBSFL offer through Hearx offer tolerance testing, speech discrimination, risk consultation, annual cleanings, and hear aid checks at no charge. The GlobalFit Fitness Program at Blue Cross Blue Shield of Florida allows valued members to receive discounted membership fees to top-rated fitness clubs.

Sunday, August 18, 2019

Imperialistic Attitude Conveyed in Jonathan Swift’s Gulliver’s Travels

One must sometimes wonder what an ideal utopian world would be like. The first things to come to mind would probably rather trivial, such as golden roads, chocolate fountains, etc. However, the underlying core of what a utopian society would be like is one that would have an abundance of two seemingly unknown words, morality and humanity. Morality and humanity would be the greatest grace for any society to have, for any government to be driven by. Sadly, this is usually not, nor has it really ever been, the case. Instead, government is run by a largely imperialistic attitude. That is, whatever can satisfy the greed and hunger of a nation is what matters, not the inhumane suffering that follows afterwards. This imperialistic and dehumanized attitude is both explicitly and implicitly shown in two great novels, Jonathan Swift’s Gulliver’s Travels and Voltaire’s Candide, along with some lesser known but no less important stories. Not only is this corrupt imperialism expressed as a whole in these writings, but also in its more detailed aspects, such as globalization of empire, racism, and slavery in a literal and metaphorical sense. The first aspect, empirical globalization, is one that has been rampant for all of the past to the present. By globalization, I do not merely mean exploring another country in a peaceful, knowledge-seeking manner- I wish that were the case. In speaking of this, I am speaking of that which is exemplified so well in the Spanish conquistadors in America, the â€Å"noble† conqueror and king Alexander the Great, and so many more nations and figureheads to mention. These people were and seemingly still are venerated as heroes for finding knew lands, â€Å"taking them†, and becoming incredibly wealthy off those lands res... ...m going on about such things as dehumanization and apathy in speaking of mass imperialism and globalization, but all of these are tied together. The very simple reason for the â€Å"exploitation of man by man for economic gain† is that many people do not care for the lives of anyone but themselves. Others are simply seen as insects that can be used and thrown out. Just property gone bad! All throughout history, humans have sought to create their own utopias. Doing this, most times, ends up creating mass globalizations, imperialism, and xenophobic ideals. Mark Twain said it best, â€Å"I am quite sure that I have no race prejudices, and I think I have no color prejudices nor caste prejudices nor creed prejudices. Indeed, I know it. I can stand any society. All that I care to know is that a man is a human being- that is enough for me; he can’t be any worse† (229).

Saturday, August 17, 2019

Confucius’ Social and Political Philosophy Essay

These days we are focusing on the topics of Confucius’ social and political philosophy. After finishing readings of this section, I would like to give reflections that mainly about Confucius’ view on governing and analyze the traditional culture and administration of our country. This essay will present my opinions about the merits and demerits of nowadays Chinese society’s government. First, let us deal with something that Confucius would say that Chinese society is currently doing well. According to Confucius, when the population is already numerous, make them wealthy will further improve them, and once they are wealthy, to instruct them will improve them further more.[1] I think this passage is suitable for making appraisals to nowadays Chinese society, because China has a large population and Chinese government is taking the road of common prosperity, these are very similar to passage’s description. The road of common prosperity means, for the purpose of enabling more and more people to become prosperous, some people are encouraged to become prosperous first, and at last all people will become prosperous. In my own understanding, I think this passage did not show that Confucius think wealth is more important than education. I think what Confucius want to said is, to make people wealth does not means just make people hold a lot of money, actually it means to let people live a peaceful and wealthy life, which is important to build a harmonious society. In addition, Chinese government also focuses on education, like the government increases the input of fund for rural compulsory education. In another passage, Confucius said â€Å"If common people’s need are satisfied, how could their lord be lacking? If the common people ‘s needs are not satisfied, how can their lord be content?† [2] These above passages show Confucius think it is important to satisfy common people’s needs, to let them live a wealthy life is necessary for reaching this goal, so he would be pleased to see Chinese government is paying efforts to improve people’s life and education. However , it is obvious that there is also something Chinese government is currently not doing well. In recent years, human flesh search engine became very popular. According to Wikipedia, human flesh search is a primarily Chinese internet phenomenon of massive researching  using Internet media such as blogs and forums. What made human flesh search became famous is misconduct in public office were exposed frequently through this way, this means the government is not honest enough. When this kind of things happened, it usually begin with some public servants wearing or using luxuries in public activities, then people think it is suspicious that public servants can afford those kind of luxuries, so they begin human flesh search to find out what happened. Confucius would be displeased, because the dishonest behaviors of some public servants are damaging government’s reputation. According to Confucius, he said he would sacrifice armament and food, but he though a state cannot stand once it has lost the confidence of the people.[3] That means Confucius regard the confidence of the people as the most important thing for a government. There is also an old saying that the lord is a boat and common people is water, means when a lord gain the supports from his people, it is like the water make the boat float over water-surface. And it works both ways. The correct attitude towards common people will gain people’s support, the bad reputation cause by dishonest governing will lose people’s support, it is no doubt that Chinese society is not doing well at this point. Confucius also said â€Å"Raise up the straight and apply them to the crooked, and the people will submit you. If you raise up the crooked and apply them to the straight, the people will never submit.† [4] When we understanding this passage and relating it to nowadays society, I think the â€Å"straight† can be understand as the public servant who work honesty and really care of common people’s interests. Likewise, â€Å"crooked† can be understand as the public servant who abuse power and damage common people’s interest. Chinese government did not build up a complete supervise system to punish the corrupt officials and it is what government should do in the future. The key to adopting Confucius’ philosophy centers on discarding the dross and selecting the essence. Chinese society is doing a good job in striking a balance between social improvement and inheritance on traditional culture, like the idea about building up a harmonious society. I think Chinese society should be as Confucian as it is today, because although we can carry forward things from tradition, we cannot carry forward everything from tradition, we need to keep pace with the times. Some of Confucius’ view on governing cannot accommodate itself to the Chinese society’s development. For example, Confucius said, let the lord be a true  lord, the ministers true ministers, the fathers tr ue fathers, and the sons true sons.[5] In this passage, Confucius was only requiring the lord to fulfill his obligation, but he did not require any democratic rights which are extremely important to nowadays society. In ancient China, People did not have their right to choose a lord they want, but nowadays people are supposed to have their democratic rights and choose the government they want. The Chinese society must comply with the world development trend. We should accept the good things showed in the passage, like the idea â€Å"to do what you are deemed to do†, but for governing, we are not supposed to take its idea like â€Å"people serve their lord and cannot against the lord† Chinese society does not take the wrong way and its governing is becoming more and more democratic, so it is Confucian enough and it just need to keep this style. In conclusion, there is still lot of things that we can use the experience of Confucius for reference, the view on governing is just a part of it, and Confuciusâ€℠¢ philosophy is always the important asset for us.