Stanley V. Illinois Essay Example For Students

Stanley V. Illinois Essay Stanley v. Illinois92 S.Ct. 1208 (1972)Nature of Case: The plaintiff is Peter Stanley. He said that his rights to equal protection of the law under the 14th Amendment have been violated. He believes that the Illinois law that makes children of unwed fathers wards of the state upon death of the mother violated his rights. Facts: Joan and Peter Stanley lived intermittently together for 18 years, in which they had 3 children. When Joan Stanley died, Stanleys children were declared wards of the state and placed with court appointed guardians after a dependency hearing by the State of Illinois. Stanley claimed that he had never been shown to be an unfit parent. He believed that since married fathers and unwed mothers could not be deprived of their children without proving this, neither should he. The Illinois Supreme Court accepted the fact that Peter Stanleys unfitness had not been proven but rejected that he was deprived of his rights under the 14th amendment. We will write a custom essay on Stanley V. Illinois specifically for you for only $16.38 $13.9/page Order now Issue: Did the State of Illinois violate the Equal Protection Clause when it denied Peter Stanley a hearing on his fitness to keep his children?Holding: Yes, a hearing is guaranteed by equal protection under the law, for both married fathers and unwed mothers unwed fathers. Rule:1. Justice White, speaking for the majority believes that the decision in this case is similar to Bell v. Burson, in which held that the state could not deprive a person of there drivers license pertaining to a speeding violation without a hearing. He stated: The states interest in caring for Stanleys children is de minimis if Stanley is shown to be a fit father. It insists on presuming rather than proving Stanleys unfitness solely because it is more convenient to presume than to prove. 2. They concluded that all Illinois parents are constitutionally entitled to a hearing on their fitness before their children are removed from their custody.Denying such a hearing to Stanley and those like him while granting it to other Illinois parents is inescapably contrary to the Equal Protection Clause. 3. The rule of law that justifies the holding of the case is: It is cardinal with us that the custody, care, and nurture of the child reside first in the parents, whose primary function and f reedom include preparation for obligations the state may neither supply nor hinder (Prince v. Mass.). 4. The integrity of the family unit has found protection in the due process clause of the Fourteenth Amendment, and the Ninth Amendment. We observed that the State registers no gain towards its declared goals when it separates children from the custody of fit parents. 5. Indeed, if Stanley is a fit father, the state spites its own articulated goals when it needlessly separates him from his family.One might fairly say of the Bill of Rights in general, and the Due Process Clause in particular, that they were designed to protect the fragile values of a vulnerable citizenry from the overbearing concern for efficiency and efficacy that may characterize praiseworthy government officials no less, and perhaps more, the mediocre ones.Words/ Pages : 536 / 24

Indonesiaâ€History and Geography

Indonesia- History and Geography Indonesia has begun to emerge as an economic power in Southeast Asia, as well as a newly democratic nation. Its long history as the source of spices coveted around the world shaped Indonesia into the multi-ethnic and religiously diverse nation that we see today. Although this diversity causes friction at times, Indonesia has the potential to become a major world power. Capital and Major Cities Capital Jakarta, pop. 9,608,000 Major Cities Surabaya, pop. 3,000,000 Medan, pop. 2,500,000 Bandung, pop. 2,500,000 Serang, pop. 1,786,000 Yogyakarta, pop. 512,000 Government The Republic of Indonesia is centralized (non-federal) and features a strong President who is both Head of State and Head of Government. The first direct presidential election took place only in 2004; the president can serve up to two 5-year terms. The tricameral legislature consists of the Peoples Consultative Assembly, which inaugurates and impeaches the president and amends the constitution but does not consider legislation; the 560-member House of Representatives, which creates legislation; and the 132-member House of Regional Representatives who provide input on legislation that affects their regions. The judiciary includes not only a Supreme Court and Constitutional Court but also a designated Anti-Corruption Court. Population Indonesia is home to over 258 million people. It is the fourth most populous nation on Earth (after China, India and the US). Indonesians belong to more than 300 ethnolinguistic groups, most of which are Austronesian in origin. The largest ethnic group is the Javanese, at almost 42% of the population, followed by the Sundanese with just over 15%. Others with more than 2 million members each include: Chinese (3.7%), Malay (3.4%), Madurese (3.3%), Batak (3.0%), Minangkabau (2.7%), Betawi (2.5%), Buginese (2.5%), Bantenese (2.1%), Banjarese (1.7%), Balinese (1.5%) and Sasak (1.3%). Languages of Indonesia Across Indonesia, people speak the official national language of Indonesian, which was created after independence as a lingua franca from Malay roots. However, there are more than 700 other languages in active use throughout the archipelago, and few Indonesians speak the national language as their mother tongue. Javanese is the most popular first language, boasting 84 million speakers. It is followed by Sundanese and Madurese, with 34 and 14 million speakers, respectively. The written forms of Indonesias multitude of languages may be rendered in modified Sanskrit, Arabic or Latin writing systems. Religion Indonesia is the worlds largest Muslim country, with 86% of the population professing Islam. In addition, almost 9% of the population is Christian, 2% are Hindu, and 3% are Buddhist or animist. Nearly all of the Hindu Indonesians live on the island of Bali; most of the Buddhists are ethnic Chinese. The Constitution of Indonesia guarantees freedom of worship, but the state ideology specifies a belief in only one God. Long a commercial hub, Indonesia acquired these faiths from traders and colonizers. Buddhism and Hinduism came from Indian merchants; Islam arrived via Arab and Gujarati traders. Later, the Portuguese introduced Catholicism and the Dutch Protestantism. Geography With more than 17,500 islands, of which more than 150 are active volcanoes, Indonesia is one of the most geographically and geologically interesting countries on Earth. It was the site of two famous nineteenth-century eruptions, those of Tambora and Krakatau, as well as being the epicenter of the 2004 Southeast Asian tsunami. Indonesia covers about 1,919,000 square kilometers (741,000 square miles). It shares land borders with Malaysia, Papua New Guinea, and East Timor. The highest point in Indonesia is Puncak Jaya, at 5,030 meters (16,502 feet); the lowest point is sea level. Climate Indonesias climate is tropical and monsoonal, although the high mountain peaks can be quite cool. The year is divided into two seasons, the wet and the dry. Because Indonesia sits astride the equator, temperatures do not vary much from month to month. For the most part, coastal areas see temperatures in the mid to upper 20s Celsius (the low to mid-80s Fahrenheit) throughout the year. Economy Indonesia is the economic powerhouse of Southeast Asia, a member of the G20 group of economies. Although it is a market economy, the government owns significant amounts of the industrial base following the 1997 Asian financial crisis. During the 2008-2009 global financial crisis, Indonesia was one of the few nations to continue its economic growth. Indonesia exports petroleum products, appliances, textiles, and rubber. It imports chemicals, machinery, and food. The per capita GDP is about $10,700 US (2015). Unemployment is only 5.9% as of 2014; 43% of Indonesians work in industry, 43% in services, and 14% in agriculture. Nonetheless, 11% live below the poverty line. History of Indonesia Human history in Indonesia goes back at least 1.5-1.8 million years, as shown by the fossil Java Man - a Homo erectus individual discovered in 1891. Archaeological evidence suggests that Homo sapiens had walked across Pleistocene land bridges from the mainland by 45,000 years ago. They may have encountered another human species, the hobbits of the island of Flores; the exact taxonomic placement of the diminutive Homo floresiensis is still up for debate. Flores Man seems to have become extinct by 10,000 years ago. The ancestors of most modern Indonesians reached the archipelago around 4,000 years ago, arriving from Taiwan, according to DNA studies. Melanesian peoples already inhabited Indonesia, but they were displaced by the arriving Austronesians across much of the archipelago. Early Indonesia Hindu kingdoms sprang up on Java and Sumatra as early as 300 BCE, under the influence of traders from India. By the early centuries CE, Buddhist rulers controlled areas of those same islands, as well. Not much is known about these early kingdoms, due to the difficulty of access for international archaeological teams. In the 7th century, the powerful Buddhist kingdom of Srivijaya arose on Sumatra. It controlled much of Indonesia until 1290 when it was conquered by the Hindu Majapahit Empire from Java. Majapahit (1290-1527) united most of modern-day Indonesia and Malaysia. Although large in size, Majapahit was more interested in controlling trade routes than in territorial gains. Meanwhile, Islamic traders introduced their faith to Indonesians in the trade ports around the 11th century. Islam slowly spread throughout Java and Sumatra, although Bali remained majority Hindu. In Malacca, a Muslim sultanate ruled from 1414 until it was conquered by the Portuguese in 1511. Colonial Indonesia The Portuguese took control of parts of Indonesia in the sixteenth century but did not have enough power to hang on to their colonies there when the much wealthier Dutch decided to muscle in on the spice trade beginning in 1602. Portugal was confined to East Timor. Nationalism and Independence Throughout the early 20th century, nationalism grew in the Dutch East Indies. In March of 1942, the Japanese occupied Indonesia, expelling the Dutch. Initially welcomed as liberators, the Japanese were brutal and oppressive, catalyzing nationalist sentiment in Indonesia. After Japans defeat in 1945, the Dutch tried to return to their most valuable colony. The people of Indonesia launched a four-year independence war, gaining full freedom in 1949 with U.N. help. The first two presidents of Indonesia, Sukarno (r. 1945-1967) and Suharto (r. 1967-1998) were autocrats who relied upon the military to stay in power. Since 2000, however, Indonesias president s  have been selected through reasonably free and fair elections.

Plate Tectonics and Weathering and Erosion Essay

Plate Tectonics and Weathering and Erosion - Essay Example Some territories of our planet suffer from annual earthquakes constantly, but it does not mean that population of these regions has got used to such events. In reality unpredictability and dreadful consequences of any natural disasters keep people in tension and fear, proving the fact that human life is fragile and unsecured. The main causes of earthquakes are the following: breaking of frail rocks and formation of hollow spaces in the Earth’s crust; volcano’s eruption; movement of tectonic plates, which collide with each other, causing heavy pushes. Making precise prognosis concerning the impending earthquake has been always rather complicated, however, nowadays scientist with a help of special equipment and methodic try to enhance people’s awareness and safety. Frequently, studying animals’ behavior can be very useful, due to their strange reactions before earthquakes. Hence, dogs start to wail and cats become more aggressive and even frantic. Noticing s uch changes in animals’ behavior, person gets opportunity to prepare himself for inevitable event. According to this, it is important to fix all furniture in the house and lay in a supply of primary necessities.

Critical Perspectives on Management and Organisations Essay - 1

Critical Perspectives on Management and Organisations - Essay Example Sexuality refers to the ability of an individual to become sexually stimulated and sexual arousal mostly exists between a man and a woman (Yardley-Nohr, 2007, p15). This has prompted the question of why females are selectively required to control the emotions of men in massage therapy. Desexualisation refers to the deprivation of an individual of his or her sexual features through surgical procedure that gets rid of testicles or ovaries. In the Sullivan work, desexualisation meant a way of suppressing sexuality as a method of management control. Organizations make every attempt to suppress the sexual feeling that may emerge at the workplace. Scholars have not come to the agreement on the way to control sexuality at workplace (Braun 2013, p23). Some scholars advocate for the regulation of sexuality while others are against it and advocate for desexualisation. In this essay, the arguments of Sullivan presented in the paper, ‘With (out) pleasure: Desexualisation, gender and sexuality at work’ are succinctly discussed. Heteronormativity refers to a sexual bias that views heterosexuality as the most preferred sexual orientation. Sullivan believed that the desexualisation in massage therapy construed women as victims and men as the aggressors and discusses how the main aim of organizational desexualisation gears to control the problems created by sexuality at work. It is unreasonable to control sexuality where actual acts and feelings of sexual desire exist. Several institutions have advocated for desexualisation of massage. In fact, therapists have attempted to dissociate themselves from the sexual work. Moreover, individuals attempted to uphold the reputation of the organization. Ladies have to keep the men in pain so that they do not think of the issues concerning sex. The discriminations rest the role of desexualisation on individuals. When the client of therapy is a man, he maintains masculinity while the women struggle to control

Develop a Services Marketing Plan of Fitness First Research Paper

Develop a Services Marketing Plan of Fitness First - Research Paper Example This essay approves that the management of Fitness First should waive the signup fee as sign up is free in almost all other fitness clubs. Also instead of an annual fee membership or bi-annual fee, it should offer tri monthly and bi-monthly memberships as none of the other follow this strategy and this will also attract consumers as they have to be bound with the company for a smaller period of time. It should also offer a discount to those who wish to continue after the tri-monthly or bi-annual membership is completed. This report makes a conclusion that for the improvement of promotion element of marketing mix it is suggested that Fitness First should focus on integrated promotional mix. All the media used should focus on same message and consumers must be attracted towards the services. Focus should be placed on publicity element where Fitness first can take part in different events and sponsor different relevant activities to help grow its name. Another point which is discussed earlier is the risk factors which Fitness First must try to eliminate like risk of death during exercises which pose a bad name on the brand. To eliminate such risks Fitness First should ask those who wish to join it to produce a medical certificate and advertise the same to make people realize how concerned Fitness First is about the safety of its members. Placement strategy is already good as Fitness First is available in 12 convenient locations but still it needs to be figured out if expansion option is available. This can be done more properly by conducting consumer research.

Study On The Definition Of Evidence Based Practice

Study On The Definition Of Evidence Based Practice I have studied Nursing for 4 years in the Philippines and I have not encounter the term Evidence Based Practice. It took me by surprise that such subject exist. On my first day of class at Thames Valley University I have learned that EBP is about exploring a medical intervention through research of published research articles based on clinical trial conducted by various researchers and clinicians. The process starts by proposing a research question, and I chose to focus on Pain Management but I have notice that pharmacological management is too common. For such reason, I have decided to aim the attention of my research to Non-pharmacological Management such as Diversional Therapy. This kind of therapy is seldom used in the clinical setting because a lot of medicines are being discovered and used as often. As the process continues, I have learned how to properly critically appraise an article and notice its importance no matter how old it was and enhance my problem solving skills. Fur thermore, adjusting and somehow changing the learning method is a big alteration I have encounter as I need to spend a lot of time reading and making the paper. After all the amplitude I put into making this Folder of Evidence, I consider the entire course a success. I have learned so much of new things that somehow I ignored before. Mapping Grid: Module Learning Outcomes Evidence 1 Evidence 2 Evidence 3 Evidence 4 Identify and critically examine priorities for improving practice. Page 12 Para 1 [P] Asses the ability to identify evidence and critically appraise its value. Page 15 Para 2 [P] Critically analyze the change description and understanding about the nature of evidence in health care practice. Page 12 Para 1 [C] Page 18- 21 Para 2, 3, 4, 5, 6 [P] Evaluate the possibility and effectiveness of evidence for change in practice. Page 24- 25 Para 2, 5 [P] Learning Log: Study Day 1: 11th October 2010 Topic Understanding the Nature of Evidence Key Concepts/Issues Evidence Based Practice History Development Teaching/Learning Lecture Group Discussion Information Skills Development Classroom Activity AM Exploration of the Concept of Evidence Based Practice. PM Sources of Evidence Developing Search Skills Library Session (1) Brief Notes Evidence based practice is providing the best evidence of treatment to facilitate effective treatment/intervention. A discussion of what to be expected from folder of evidence as it highlights how the folder will be collated and how to set aims and objectives for FOE. Study Day 2: 25th October 2010 Topic Questioning Practice/Research Questions: Finding Evidence Key Concepts/Issues The relationship between questions and types of evidence; Questioning own practice explore types of research questions. Developing simple and structure search strategies Teaching/Learning Lecture Group Discussion Group Presentation Information Skills Development Classroom Activity AM Group Presentation: Evidence Based Practice Group Poster Presentation Concepts Definitions and Understandings Session Relationship Between Questions and Types of Evidence Descriptive and Relational Questions PM Writing Searchable Questions for Evidence Based Practice PICO Identifying Preliminary Search Terms Developing Search Skills Library Session (2) Brief Notes We discussed how to proposed a searchable question and how important it is. I formulated a topic based on my own interest and experience beforehand. Revision of question also was supervised and breakdown using PICO framework. Study Day 3: 8th November 2010 Topic Differentiating Between Research Paradigms. Key Concepts/Issues Evidence Based Practice Experimental Research Naturalistic Research Teaching/Learning Lecture Group Discussion Quiz Information Skills Development Classroom Activity AM Quiz Review Research Designs Discussion of Types of Questions (researchable and unsearchable questions). Group Work to Refine Final Practice Issue and Search Question Refine PICO Framework for Search PM Inclusion and Exclusion Criteria Appraisal Tools, CASP, SIGN, AGREE Group Work Assessment and Discussion of Two Papers Retrieved Last Week. (Question, Design, Methods and Results). Brief Notes I have learn the different types of research designs that supports my research scheme for the 5 primary articles together with supporting documents that will be used in making EBP. This session also emphasizes the importance of PICO as this will help how to refine searches. Different appraisal tool was also discussed and its importance as this provide effective filter for the reliability and validity of published literature. Study Day 4: 29th November 2010 Topic Systematic Reviews/Meta-analysis: An Introduction Appraising Evidence Part 1. Key Concepts/Issues Systematic Reviews Developing Critical Appraisal Skills Teaching/Learning Lecture Group Discussion Group Presentation Individual Exercise Classroom Activity AM Group Presentation Features of Systematic Review Group Discussion How Does an SR Differ From a Traditional Review? Appraising a Systematic Review Individual Exercise and Group Discussion. PM Using Appraisal Tools Appraising of an RCT and a Qualitative Study Using CASP or an Alternative Appraisal Tool. Group Discussion Analysing the Appraisal Process and Effectiveness of the Appraisal Tool. Brief Notes A systematic review is a study that identifies, appraise, select ans synthesize a collection of research articles with relevance to each piece of work. Critically appraising a systematic review article excludes lesser quality studies to minimize error and bias in the findings. It Assess the validity of research by means of determining whether the methods used during the study can be trusted to provide a genuine, accurate account of the treatment being studied. Study Day 5: 6th December 2010 Topic Establishing the Quality of Evidence Key Concepts/Issues Making Judgements About the Quality of Evidence Synthesising Evidence Teaching/Learning Lecture Group Discussion workshop Individual Exercise Classroom Activity AM GRADE How to Move from Evidence to Recommendations. Workshop- Grading Evidence PM Tutorials Independent Work or Further Electronic Searches. Brief Notes As I appraise each primary articles collected, a summary of critical appraisal of the 5 primary articles was made. This strategy helped me to make an apprehension toward the affirmation of each articles towards making the summative 3. Study Day 6 13th December 2010 Topic Implementing EBP Key Concepts/Issues Translating Evidence Into Practice Implementing EBP Guiding Principles for Implementing EBP Barriers to Implementing EBP Teaching/Learning Lecture Group Discussion Group Presentation Individual Exercise Classroom Activity AM Group discussion Identify Barriers to Implementing Evidence Base in Practice Identify Strategies to Implementation that Avoid/Overcome these Barriers. PM Students to work in pairs to devise a search strategy for use in one electronic database to identify an article that describes and evaluates the introduction of evidence based change in practice. Brief Notes Implementation has its various barriers to consider such as time, support, lack of knowledge, lack of motivation of the workers and too much research evidence. As a group activity we critique an implementation article as to determine the process of implementation of the studied intervention. Study Day 7 10th January 2011 Topic Evaluating EBP Key Concepts/Issues Evaluating Changes in Practice Application of a Framework for Evaluating Change. Final Module Evaluation Teaching/Learning Lecture Group Discussion Group Presentation Individual Exercise Classroom Activity Measurement for Improvement/Change Sustainability of Change Examine Effectiveness of Evaluation Strategies. Module Evaluation and Individual Tutorials Brief Notes It discussed about the evaluation process of a study and the use of guidelines in each step. Evaluation meant by achieving a research aims and objectives and most importantly if the study conducted able to answer the hypothesis, as this entails whether the study is effective or not. SUMMATIVE WORK Summative 1: Concept of Evidence-based Practice The challenge for best quality of care, combined with the need for recommended usage of resources has heightened the pressure on health care professionals to ensure that clinical procedures is based on sound evidence. Frequent change and advancement in treatments, an increasingly numbers of research information, and the increase of expectations from clients to provide the best care possible, place high demands on healthcare providers to maintain a service that is based on current best evidence. (Bennett and Bennett, 2000). Evidence-based practice (EBP) is a clear path to healthcare wherein health professionals use the best evidence possible, such as the most suitable information available, clinical decisions for individual patients. EBP values, enhances, and builds on clinical expertise, knowledge of disease process, and patho-physiology (McKibbon,1997). Evidence-based practice presume knowledge of and skills in literature searching, research methodologies apprehension , appraisal an d apprehension of research. It also requires healthcare professionals to have access, critique and coordinate literature study with clinical experience and clients aspect. In order to gain a greater interpretation about the nature of evidence in the context of health care, consideration needs to be given to the history of the evidence-based health care movement while the concept was originated in medicine, it has influenced a wide range of health professions (Trinder Reynolds, 2000). In addition, it is an approach to decision-making that has permeated all aspects of healthcare. Its characterize can be seen in many of the leading health systems and government health policies across the world. EBP model highlights the value of research as a source of information which is potentially less biased than other sources for informing practice, it also clearly acknowledges the importance of integrating this research with clinical expertise and clients perspectives (Sackett et al., 2000). Moreover, it involves complex and reliable decision-making based not on available evidence alone but also on patient characteristics, situations, and preferences. Changing practice is not easy to do therefore careful selection of the topic is very significant. For the benefit of the patient is of first importance when selecting a topic, however it can not be the main basis as to literary evidence is inadequate to figure what are the benefits. Researchers must also consider the time, level of consumption and other resources for the study. Research evidence is most frequently found in peer-reviewed journals as this is where results are first published and where enough detail on methodology exists to make informed judgements on the validity and clinical relevance of the findings (Bury Jerosch-Herold, 1998). Research using the strongest and most appropriate study design for the question being studied, will provide the best evidence. Summarizing the evidence is a vast intellectual endeavor according to Fitzpatrick (2007). Healthcare workers must be capable combining ideas and recommendations from an extent of references to make appropriate advices. Implementing a plan is consider challenging because standards and regulation of an organization can either help or ruin an EBP approach to care. Evaluation process involves short term and long term coverage to provide essential data. Word count= 503 Reference List: Bennett S Bennett J (2000) The process of evidence-based practice in occupational therapy: Informing clinical decisions. Australian Occupational Therapy Journal. 47 p171-180. McKibbon K (1997) Evidence-based practice. Bulletin of Medical Library Association. 86(3)p396-401 Trinder, L., Reynolds, S. (Eds). (2000). Evidence-Based Practice A critical appraisal. Oxford: Blackwell Science. Sackett D, Richardson W, Rosenberg W, Haynes R (2000).Evidence based medicine: How to practice and teach EBM (2nd edn). Edinburgh: Churchill Livingstone. Bury T Jerosch-Herold C. (1998). Reading and critical appraisal of the literature. Evidencebased healthcare. A practical guide for therapists Oxford: Butterworth Heinemann. p136-161 Fitzpatrick J (2007. Finding the research for evidence-based practice,part one: The development of EBP 103 (17) p.32-33 Summative 2: Critical discussion on formulating question using PICO There are many times that new information is required when contemplating clients in order to analyze clinical problems and make treatment resolutions, and these questions pertains to a specific client or groups of people. Questions usually arise concerning the effectiveness and choices of an intervention, how treatments are best implemented and whether there are any associated difficulties included (Bennett and Bennett, 2000).The question for this study is about the effectiveness of Diversional Activities as a form of pain management to paediatric clients. Pain management is the alleviation of agony and suffering of a patient with the use of Pharmacological and Non-pharmacological treatment or nursing intervention. Diversional therapy is a non-pharmacological approach and a client centered practice that recognizes the leisure and recreational experiences of an individual (Diversional Therapy Association of Australia,2008).Through the act of psychological and behavioral factors regard ing pain, complimentary medicine are significant in altering pain experiences. These interventions bears to minimize fear, worry, pain and heighten a clients bodily process. According to Bennett and Bennett (2000), when there is uncertainty, the need for information can be interchange into a clinical question. Clearly framing a question not only clarifies what to aim, but it can also facilitate the search for answers. Sackett et al. (1997) point out that the identification of congruent data for answering a particular clinical question may be facilitated by diving the question into components including: A client or a dilemma being considered, an intervention or indicator being considered, outcomes of interest you would like to measure or achieve and a comparison. PICO represents an acronym for Patient, Intervention, Comparison and Outcome. These four components are the essential elements of the research question in EBP and of the construction of the question for the search of evidence (Santos et al. 2007). The PICO strategy can be used to compose several kinds of research analysis, originated from clinical practice, human and material resource management, the search of evidence assessment instruments, among others. The research question allows for the correct definition of which evidence is needed to solve the clinical research question, focuses on the research scope and avoids unnecessary searching (Fleming, 1999). Based on the clinical question formulated and utilization of PICO, a literature search strategy can then be formulated that includes search terms reflecting each component of the question. The next step in the evidence-based practice process is to search the literature for evidence that may assist in acknowledging the question posed. The literature search will be focused by the clinical question that has been identified with use of PICO, as well as other relevant information (Bennett and Bennett, 2000). While evidence for informing clinical decisions may come from various sources including clinical experience, education, textbooks, discussion amongst colleagues and from clients, evidence from well-performed research may be less prone to bias or to the tendency to believe what we want to believe ( Tickle-Degnen, 1999).The internet and the portals of open-access journals allow for accessibility to knowledge, keywords such as non-pharmacological, complimentary medicine and diversional therapy were used to search for the 5 primary articles to be used for this study. An article must be good and interesting, should be well written, and old articles are also considered. Moreo ver, comprises a body of knowledge in academic and scientific based from an original research. Word count= 548 Reference List: Bennett S and Bennett J (2000) The process of evidence-based practice in occupational therapy: Informing clinical decisions. Australian Occupational Therapy Journal. 47 p.171-180 Diversional Therapy Association of Australia(2008) what is diversional therapy?[online]. Available at:http://www.diversionaltherapy.org.au/Home/tabid/38/Default.aspx Flemming K.(1999) Critical appraisal 2: Searchable questions.NT Learn Curve 3(2) p. 6-7. Sackett DL, Straus S, Richardson S, Rosenberg W, Haynes RB (2000) Evidence-based medicine: how to practice and teach EBM. Churchill Livingstone. 2nd edition. Santos C, Pimenta C, Nobre M.(2007) The PICO strategy for the research question construction and evidencesearch. Rev Latino-am Enfermagem maio-junho. 15(3) p.508-11. Tickle-Degnen,L. (1999). Organizing, evaluating and using evidence in occupational therapy practice. American Journal of Occupational Therapy; 53 p.537 539. Summative 3: Synthesis of research findings. This part of work is the review of the 5 primary articles chosen for the topic effectiveness of diversional activities for pain management to pediatric clients. The articles will be analyzed by using CASP tool, examining each relevant findings and by compare and contrasting ideas of each authors, thus, resulting to further evaluation of such intervention in hospital and non-hospital setting for its efficacy. This research desires to have a thorough understanding of non-pharmacological intervention in managing pain to children that soon will complement pharmacological management by provide stronger evidence. Pain is a dreadful feeling and emotional experience related to injury or damage to children s body, it is usually caused by trauma, disease, medical procedure or surgery. Pain may affect children s appetite, sleeping patterns and lessen energy level hence disabling child to do things. Pediatric pain is complex and often difficult to assess, that is why effective pain management in children is a challenge to medical practitioners because there are many special considerations when providing treatment. On the other hand, non-pharmacological therapies or diversional activities are treatment that do not use medicines to decrease or control child s pain. They may convey comfort to the patient during a long standing condition or illness. Certain activities may help improve the child s state by making him/her more comfortable and relaxed. It involves methods such as teaching and leading your child through thinking exercises and other techniques. It can also be used before and after a child undergoes painful experience, such as medical procedure or surgery. Vessey et al. (1994) stated that, Distraction is the single most commonly used diversional activity among children. Fernandez (1986) stated that distraction refers to the direction of attention to a non-noxious event or stimulus in the immediate environment. When a patient worries too much about his/her pain causes more pain than what is really there. Vessey et al (1994) surveyed 100 children, aged 3 years to 12 years, majority are males (62%) to examine the effectiveness of Distraction method during venipuncture or needle prick, the child s memory may lead to stressful psychological responses, such as crying, and physical responses such as venous constriction during the procedures. It is important that in conducting a study the respondent s age, developmental level and prior hospital experience must be considered during the selection, Broome (1985). Furthermore, Researchers uses the Wong-Baker FACES pain rating scale in evaluating children s perception of pain. Wong-baker pains scal e is know to be a reliable and valid device for children 3- 18 years of age in evaluating their pain,Wong and Baker (1988). In using distraction, the patients may paint, play with friends, watch TV and play with board games or video games and other novelty toys to help them relax and deflect their attention during the procedure since it provokes curiosity and require children to use their auditory, visual, tactile and /or kinesthetic senses. These activities may keep them from thinking about the pain. Weekes et al (1988) Distress is known to cancer patients for years during and after the completion of anti cancer treatments. According to National Institute of Clinical Excellence (NICE), (2005) the role of imagination can play in a childs ability to cope with painful operations. The NICE concluded that there was a strong evidence for the use of hypnosis in alleviating chronic pain associated with cancer. Richardson et al (2006) mentioned that hypnosis is a method where the subject is guided by another to respond to suggestions for changes in subjective experience such as perception, sensation, emotion, thought or behavior. It can be utilized in a variety of ways to cut down stress, acquire coping strategies and halt the experience of pain. Self-hypnosis tends to ease self management of symptoms, hence providing a sense of self-efficacy and control over pain and distress, however, it creates less therapeutic benefit compared to therapist- directed hypnosis. It is evident that patien ts who underwent hypnosis reported less anxiousness and pain while using direct and indirect forms of hypnosis, demonstrating leveled effectiveness. Though, there is some evidence that under hypnosis, girls exhibited more distress behavior compared to boys, Katz et al (1987). Richardson et al (2006) concluded that hypnosis has potential as a clinically valued intervention that could impart to the establishment of procedure- related pain and distress in pediatric cancer patients. Oshikoya et al ( 2008) reported that complementary and alternative medicine has been advantageous for children by some parents, such benefits includes prevention of illness, maintenance of good health, relief of musculoskeletal pain, control of asthma symptoms, treatment of mild respiratory problems, relief of sickle cell anemia and enhancement of the immune system in cancer. 80% of the parents used alternative medicine to cure their children during the study, however, 7% discontinue the use of such practice because the symptoms of the illness come about in their children with exacerbation after their regular medications had been discontinued. Moreover, Kemper et al (2010) expressed that pediatric patients benefit from stress reduction by means of using complimentary medicines and techniques such as biofeedback which teaches the child to control and calm body s reactions when there is pain, it is one of the treatments researched most extensively for migraine, Allen (2004). Guided ima gery is used by letting the patient imagine that he/she is his/her favorite place, the patient will feel safe and relaxed and pain may be decrease. Relaxation and self-hypnosis methods that re mostly used for migraines and headache by asking the child to breathe slowly and deeply and let the patient imagine that his/her muscles are relaxing.. Holroyd and Drew (2006) stated that cognitive behavioral therapy has been utilized successfully to help manage headaches, depression, and anxiety, Lawler and Cameron (2006). This practice has proven effective in reducing migraine headaches, improves mood and cognitive function through an experiment. Also, Acupuncture and Massage can help both adults and pediatric patients who have chronic headache and can be provided by family members, which allows for more regular, inexpensive and favorable treatments. Salantera et al (1999) investigates 265 nurses about the knowledge and abilities of nurses towards pain management of pediatric clients. Health care practitioners such as nurses, are well placed to provide such supportive interventions in both pharmacological and non-pharmacological treatments. According to Ross et al (1991) Healthcare providers lack of knowledge and negative attitudes may lead to under medication and under treatment of pain. Nurses are close to the children the whole day and have more chance to use non-pharmacological pain management methods in their work. Clarke et al (1996) that education about pain was most inadequate in areas of non-pharmacological interventions to relieve pain, the difference between acute and chronic pain, and the anatomy and physiology of pain. Nurses knowledge differed according to their age, education, and place of work, and uses a fairly wide range of non-pharmacological pain alleviation methods, most of the time the nurse was in the activ e role and the child was passive, restricting the child to take an active part in their own pain comfort. Studies shows that children like to have some responsibility for their own care. Furthermore, Pederson and Harbaugh (1995) explicit that there are obstacles in terms of using non-pharmacological pain management in hospital setting and found to be that excess workload, lack of proper materials, lack of knowledge and skills, and not knowing the child were the most common problems nurses confronts. Some of them felt that they receive very brief education on non-pharmacological pain management, and 90% had no documented evidence of the use of any non-pharmacological modalities to relieve pain that will serve as nurse s guidelines. The nurses who thought they had good knowledge about non-pharmacological management got a lower score from the survey, nurses consider themselves knowledgeable in stress reduction but not in play therapy and hypnosis method. Effective pain management in ch ildren requires cognition of both pharmacological and non-pharmacological methods. There are evidence found that nurse s characteristics, such as age, knowledge, experience, intuition, attitudes and beliefs, as well as nurses personal experience with pain, determines their implementation of pain interventions and knowledge about it. Nurses should be encouraged to actively seek new information and extend their training. More comparative, dismantling, constructive, and process oriented research strategy is required in the area of non-pharmacological pain management and different practice of pain alleviation should be generalized. Non- pharmacological approach has been found to be an effective adjunct method for the control of pain. A wide range of complementary and alternative medicine therapies are being used by children, including herbs and dietary supplements. Given the influence of psychological and behavioral factors on pain, non-pharmacological interventions are important in altering pain perception/behaviors. Diversional activities are intervention used for managing pain in both children and adult to reduce fear and, minimize distress and pain and increase a childs sense of control. For these techniques to be effective, it must be appropriate to patient s age and developmental abilities and must also be appealing to the recipient. There is still continues need to educate the medical community regarding the long term outcomes of pain control. Word count = 1514 Reference List: Allen KD (2004) Using biofeedback to make childhood headaches less of a pain. Pediatric Annual. 33: 241-245 Broome M (1985). The child in pain: A model for assessment and intervention. Critical care quarterly, 8: 47-55 Fernandez E (1986). A classification system of cognitive coping strategies for pain. Pain. 26: 141- 151. Holroyd KA, Drew JB (2006) Behavioral approaches to the treatment of migraine. Seminar Neurology. 26: 199- 207 Katz E, Kellerman J, Ellenberg L (1987) Hypnosis in the reduction of acute pain and distress in children with cancer. Journal of Pediatric Psychology; 12: 379- 394 Kemper K, Breuner C, (2010) Complimentary, Holistic, and Integrative Medicine; Headaches. American academy of pediatrics, 31(2) p.17- 23 Lawler SP, Cameron LD (2006) A randomized, controlled trial of massage therapy as a treatment for migraine. Annual Behavioral Medicine. 32: p50-59 National Center for complimentary and alternative medicine, NIH (2007) Non-pharmacological pain management therapies for children. Available at http://nccma.nih.gov National Institute for clinical excellence (NICE) (2005) Service guidelines for improving outcomes in children and young people with cancer-second consultation. Available at http://www.nice.org.uk/pdf/cacancer_2ndcons_manual.pdf Oshikoya K, Senbanjo I, Njokanma O, Soipe A ( 2008) Use of complimentary and alternative medicines for children with chronic health conditions in Lagos, Nigeria. BMC complimentary and alternative medicine 8 (66), p.1- 8 Pederson C, Harbaugh B. (1995) Nurses use of Non-pharmacological techniques with hospitalized children. Issues comprehensive pediatric Nursing; 18: 91- 109 Richardson J, Smith J, Pilkington K (2006) Hypnosis for procedure-related pain and distress in pediatric cancer patients: A systematic review and methodology related to hypnosis interventions. Journal of Pain and symptom Management, 31 (1) p.70- 83 Ross RS, Bush JP, Crummette BD (1991) Factors affecting nurses decisions to administer PRN analgesic medication to children after surgery: an analog investigation. Journal of pediatric Psychology, 16: 151-167 Salantera S, Lauri S, Salmi T, Helenius H (1999) Nurses knowledge about pharmacological and non-pharmacological pain management in children. Journal of Pain and symptom Management, 18 (4) p. 289- 299 Vessey J, Carlson K, McGill J (1994) Use of Distraction with Children during an acute pain experience. Nursing Research, 43(6) p. 369-372 Weeeks DP, Savedra MC (1988) Adolescent cancer: coping with treatment- related pain. Journal of Pediatric Nursing; 3: 318- 328. Wong D, Baker C (1988) Pain in children s comparison of assessment scales. Pediatric Nursing, 14: 19- 17.

Shakespeare and the Wedding Ring Tradition :: William Shakespeare

The Wedding Ring Tradition Significance of Rings To Shakespeare During Shakespeare's time, the wedding and engagement rings indicated commitment. The rings Portia and Nerissa gave to Bassanio and Gratiano, that they were never to remove, were just that. "I give them with this ring, Which when you part from, lose, or give away, Let it presage the ruin of your love And be my vantage to exclaim on you" (3.2.171-4). The rings stood for the man's commitment to his wife just as rings Bassanio and Gratiano would give to Portia and Nerissa at their weddings would stand for the wives' commitment. Rings were common mainly among the richer parts of society, who could afford such a token. Mary Queen of Scots sent a diamond ring to Thomas Duke of Norfolk to indicate her willingness to marry him. However, peasants would give smaller tokens or none at all. It was usually the case that everyone in a village knew who was married, so no symbol was necessary. In the case that a man wishes to break a wedding contract, he must give back double all of the tokens he has received, usually a collection of small items. This made it even less practical for the poorer people in society to give rings. The fact that Portia and Nerissa gave rings to Bassanio and Gratiano is mainly an indication of their wealth. The commitment could have been symbolized by any token given to the men, but using a ring also shows that they are wealthy. Elizabethans would know that the ring itself was of no consequence to the marriage, but rather what it stood for was important. Origin Of The Tradition Engagement rings initially served a double purpose. In the days when brides were purchased, these rings were partial payment for the bride in addition to symbolizing the groom's intentions and woman's agreement. Diamonds were first found in Medieval Italy and due to their hardness symbolized enduring love. Shakespeare and the Wedding Ring Tradition :: William Shakespeare The Wedding Ring Tradition Significance of Rings To Shakespeare During Shakespeare's time, the wedding and engagement rings indicated commitment. The rings Portia and Nerissa gave to Bassanio and Gratiano, that they were never to remove, were just that. "I give them with this ring, Which when you part from, lose, or give away, Let it presage the ruin of your love And be my vantage to exclaim on you" (3.2.171-4). The rings stood for the man's commitment to his wife just as rings Bassanio and Gratiano would give to Portia and Nerissa at their weddings would stand for the wives' commitment. Rings were common mainly among the richer parts of society, who could afford such a token. Mary Queen of Scots sent a diamond ring to Thomas Duke of Norfolk to indicate her willingness to marry him. However, peasants would give smaller tokens or none at all. It was usually the case that everyone in a village knew who was married, so no symbol was necessary. In the case that a man wishes to break a wedding contract, he must give back double all of the tokens he has received, usually a collection of small items. This made it even less practical for the poorer people in society to give rings. The fact that Portia and Nerissa gave rings to Bassanio and Gratiano is mainly an indication of their wealth. The commitment could have been symbolized by any token given to the men, but using a ring also shows that they are wealthy. Elizabethans would know that the ring itself was of no consequence to the marriage, but rather what it stood for was important. Origin Of The Tradition Engagement rings initially served a double purpose. In the days when brides were purchased, these rings were partial payment for the bride in addition to symbolizing the groom's intentions and woman's agreement. Diamonds were first found in Medieval Italy and due to their hardness symbolized enduring love.

The First Day In Australia

Would like to talk about my first day in Australia in this essay. I arrived in Sydney on the 3rd of April 201 3 and it was raining heavily. However, everything looked interesting to me. Was planning to visit Commonwealth Bank at Martin Place as soon as I stepped out of the airplane. When got there, was surprised because the architectural style of the building was luxurious and antique, and it felt very Western. Then I met a teller who greeted me kindly. He made jokes to me. They were funny jokes, but at that time, I did not answer.I was regretful I could not say anything to him in English. After that, I left for a backpacker hostel that is known as a popular place for foreigners. Unfortunately, there were a lot Of people waiting to Stay in there. Thus, I had to move another one. Finally I found a different backpacker hostel. As I opened the door of my room, its melancholic atmosphere overwhelmed me. Eventually, I decided to stay only 3 days because of the uncomfortable, unfamiliar ai r and because the accommodation fee was unfair.In the first night, I was not able to sleep deeply. Lying in the bed, really worried about my life in Australia. Being unsure about my future made me afraid. Time has slipped along. Compared with the past, many things have changed recently. Nowadays I am trying to improve my life in Australia constantly in order to step forward by studying English and making friends. If I have an opportunity, I would like to settle in Australia.

Word Choice Elicit vs. Illicit - Proofread My Papers Academic Blog

Word Choice Elicit vs. Illicit - Proofread My Papers Academic Blog Word Choice: Elicit vs. Illicit Some words sound so alike you’d struggle to hear the difference, even when they’re obviously distinct on paper. Understandably, it’s easy to get such words confused. For example, â€Å"elicit† and â€Å"illicit† are similarly pronounced; however, they diverge significantly in spelling and meaning, so you wouldn’t want to mix them up in your written work. But what exactly is the difference? And how should these terms be used? Elicit (Draw Out or Evoke) The term â€Å"elicit† is a verb meaning â€Å"to draw forth or bring out† and often used when something is done to provoke a reaction or obtain information: At first he ignored me, but a few probing questions eventually elicited an answer. Usually, â€Å"elicit† is reserved for deliberate attempts to gain a response, but it can simply describe being affected by something: The death of her childhood hero elicited an emotional response. Illicit (Illegal or Forbidden) Something â€Å"illicit† is either illegal or counter to society’s moral standards: Until recently, Cuban cigars were an illicit tobacco product. Although Ted and Diane were happily married to other people, they could not deny their illicit love. Note the second sentence above is merely something of which society disapproves (an extramarital affair) rather than something illegal. Elicit or Illicit? As you can see, these terms have very little in common beyond the way they sound when spoken. For example, it wouldn’t make sense to say something â€Å"illicited a response† or to refer to stolen goods as â€Å"elicit items†! Luckily, since â€Å"illicit† is a synonym for â€Å"illegal† and both start with â€Å"ill-,† it’s pretty easy to remember which word to use in any given situation: Is what you’re describing against the law or forbidden? If so, use the adjective â€Å"illicit†; Are you describing something that has provoked a response? If so, use the verb â€Å"elicit.†

A Day in the Life of Noble essays

A Day in the Life of Noble essays Describe a day in the life of noble and his family. A noble was a person of the official or upper class. They were men of great wealth. Their wealth came mainly from real estate appointed to them by the king. They were highly respected and were expected to live up to certain roles. A nobles household was a hive of activity. A noble would have many servants to attend his every need. A day in the life of a noble man would consist of.... When a nobleman and his wife woke up, their first task for the day was grooming. Before beginning their day they would pay very close attention to their personal cleanliness and appearance. This was achieved by the men removing body and facial hair with bronze razors, tweezers and scrapers, they also anointed their bodies with perfumed oils. Because Egypt was a warm place to live in their clothing was lightly clad. They men went bare chested except for many large pieces of expensive, bright, beaded and jeweled colars and jewellry. He also wore a broad, pleated white linen kilt and sandals. His short-cropped hair was covered in a wig. The noblemans wife paid particular attention to her hair and cosmetics. She would surround her eyes with kohl and malachite, which served for beautification and protection. Their dress was much more different to those of the men. They would wear simple ankle length sheaths of linen with broad straps over the shoulders. A woman would accessorize her outfit with beautiful jewellry. Once the nobleman had completed his toilet he would then receive the reports from his overseers and foremen. His scribes were always available to write any letters or dispatches that he needed. He also kept all the estate records. A noble man would enjoy three daily meals. He would be able to choose form a large banquet of foods. Their meals consisted of bread, cakes stews, fish, barley, cereal, fruit and would even indulge five types of poultry, sixteen form ...

9.1 Select and Discuss an Image Coursework Example | Topics and Well Written Essays - 500 words

9.1 Select and Discuss an Image - Coursework Example As can be depicted from the art, it was able to portray John Sloan adherence to realism and hence socialism. The central focus of the art is the beach with the people in it, most probably depicting the behavior of people inside; consequently, showing the realist nature. His preference for expression of what is happening in the contemporary settings, as can be seen by the woman touching her hat, in the middle ground. The other people, still in the middle ground have turned their focus on the woman, appreciatively, as they continue lounging on the beach sand. They embrace each other with joy and passion, as can be seen by those women supporting themselves on the men. Intuitively, the artist constructively uses women in his piece as objects of desire in the society. He depicts the ability of different genders to interact with one another with a recommendable touch, within our contemporary world. The use of happy women in the picture also portrays Sloan’s realism view about the modern New Yorkers. One can assume that the women in the middle ground are happy beside the male characters because of the presented gleeful atmosphere. This insinuates the new independence found within the New York residence that makes them interact freely with each other. Just like realist before him, he was able to capture the essence of independence found in the urban life. Nonetheless, the artist also depicts beauty of urban life in his art. They are wearing gleaming hats which fits them in a glamorous manner. Further, the women have also worn dresses which discern the curves and beauty of their bodies, as shown by the one adjusting he art. The realism nature of the piece also comes out when accessing the artist’s ability to depict urban genre scenes. As aforementioned, the beach had few visitors at the time; he makes use of dark palette, bold and sketch brushwork to give the island park an

Ethical Pitfalls in Negotiation Essay Example | Topics and Well Written Essays - 1000 words

Ethical Pitfalls in Negotiation - Essay Example As lying holds risk as well as ethical issues, it should be eradicated from the negotiation strategies. However, lying depends on the values, culture and situation. A lie may be accepted in Poker business but may be not acceptable in some other business. Therefore, depending on different situations and cultures the extent to which misrepresentation and lying is deemed is acceptable. Though, discretion in making statements and claims should not be perplexed with misrepresentation. A negative commitment is another pitfall in negotiation, to prove credibility, every commitment made should be executed. It is irrational to harm ones self interest in order to hurt the opposite party. The statements of these types are generally made when one is under stress and through negative emotions. Taking an over belligerent stand very early in negotiation can turn off the opposite negotiator. Therefore, others should be allowed to open negotiation or one should practice to tone down opening statements or positions. A commitment to a process is a significant requirement. The situation is made worse, if there is failure to assert the position. As it forces the opposite negotiator to compete till the resistance is met. ... It is viewed as a war that is unfavourable to achieve the integrative prospective in most of the negotiation circumstances. Therefore, there is a need to develop listening skills and communicate clearly. If there is valid argument it needs to be addressed or at least rebutted. One should not close off to the attempts made by the other negotiator to be persuaded (Bucaro, Frank). Ethical aspects of negotiation in today's globalization It is a time of encompassed values and ethics, and there is quite a lot of stress on the importance of values and ethics in day to day life. Therefore, taking personal responsibility, ethical behaviour and ethics play an even more significant role in the present business world and globalization. In any business the question of what is of good for others, be it employees, customers, family or such other relation takes priority over ones desires and needs. Generally ego takes preference over good relationship building and ethical business practices. Ego can harm and disrupt true services. Therefore, while working the job should be strived to make a difference in other people's lives that is for the common good of the people. In simple words an ethical balance should be maintained and the central factor should be focused on others priorities. Before considering a decision, the concept of common good is of utmost importance a simple question such as what can one do to get the other coop erate can go a long way in giving precedence to other peoples needs, feelings and concerns. Business sometimes demands to be focused narrowly. On certain times ones approach alone seems to be the best approach. However, it is essential that there are people around who can give invaluable advice to know whether one is doing what