Movie Journals

Journal 1 What’s cooking? Explain the representation of women and their roles in their families. Explain the role of the generational conflict. How does the setting design tell about the characters? The film What’s cooking? is about four different families all coming from different cultures, but focuses primarily on the women of each. We have a Jewish mother who is trying to accept the fact that her daughter is a homosexual and trying to eases the acceptance. Then we have the Nguyens, the mother follows the Vietnamese traditions really tightly and depends on her eldest son to help guide her young children.In the Avila family we see  Elizabeth, whose macho husband has left her for her cousin and has found consolation with a colleague. In the Williamses the wife is dealing with an infidelity from the husband as well as putting up with an annoying mother in law. These family problems show us that every women has the same problems no matter what ethnicity they are or cult ure. Throughout the film we see generational conflict. In the Williamses's family we see a conflict between the wife and the mother in law when they were arguing if the turkey was ready.The mother in law has different ways, â€Å"old styles† of cooking and preparing food, which causes them to bump heads. Also in the same family the father and son don’t see eye to eye in the son’s education. The son wants to go to Howard, an all black college. His father doesn’t want that for his son he tells him that he would rather like him to go to a University like UCSB and be part of the white patriarchal capitalistic society, but the son feels that it is more important for him to cope with his minority group. The visual designs used to portray the houses tell us a lot about the families.The Williamses house is the biggest out of all the homes. This shows that they are of a high socioeconomic class. When compared to the Nguyens we see that the Nguyens are of a lower s ocioeconomic class. We also see this when they are preparing the mash potatoes for the thanksgiving dinner. The Nguyens use their hands to mash the potatoes while the Williamses use a blender to mash it for them. The Nguyens are clinging to their Vietnamese traditions so tightly they haven't a clue how to listen to their children. The Seeligs house decor seems to be old school insinuating that they have lived in the neighborhood for a while.They seem to be conservative keeping their old traditions. We see this when the father doesn’t want his daughter to tell his relatives that she is a lesbian and has a girlfriend. Journal 2 Hairspray Explain how Tracy challenges the ideology of her time. Explain how she challenges the way women are perceived. Explain how color acts as a way of explaining the world of the film. Tracy challenges the ideology of her time in many different aspects. Tracy lives in the 60’s when society was dominated by a white patriarchal system. Segregat ion was still going on but it was on its last terms.Tracy challenges the system by questioning why the African Americans only danced one a month on Negro day and why they couldn’t dance along side with the white kids. Questioning the Jim Crow laws that were a big part of society at the time, which kept people segregated. She also challenges the patriarchal society when she confronts the police which are the repressive state apparatus and how they don’t allow integration. Tracy challenges the way women are perceived in films. In most films women are these skinny tall beautiful women who get what they want. In hairspray Tracy is the opposite of this norm that has been adapted for women.She is a short big girl who is in love with the most attractive guy at school. Who in reality has no chance with him what so ever. Despite all of this she makes him fall in love with her challenging the norms. Showing us that anything is possible to achieve and that the true character of a person is defined by inner qualities rather than outer ones like skin, color, dress size or hair style. The colors in the movie play an important role on how the movie is seen. We see that the Corny Collins show is in black and white showing us that it is an example of how close minded people where at that time in history.At the end when the Corny Collins show gets rid of the segregated dancing we see Queen Latifah wearing a bright golden clothing to symbolize that they have reached their ultimate goal, which is to finally be assimilated and accepted into society. Journal 3 The Birds Discuss The Birds through an analysis of the male gazes. How is Melanie Daniels power taken from her? why? When we analyze the film The Birds through the male gaze we see through the eyes of Mitch, or Mitch’s point of view as he seems to view her for her sexuality and aggressiveness.She seems to want Mitch to watch her and goes out of her way to be sure that he does. In another scene as she is h olding the lovebirds in the elevator she seems in some ways to be posing for the gentleman in the elevator with her. As she leaves the elevator her eyes seem to go to the side in a very cautious manner to see if the man is watching as she leaves the elevator. She seems to know the power and desire of her sexuality as we view her through the camera lens in the same way as one might view someone who is on display and want to be seen.This especially can be seen when Melanie’s has come on to Mitch in some highly suggestive manners and he tells her, â€Å"back in your gilded cage Melanie Daniels. † He seems to suggest that she in fact is too much for him to handle sexually and mentally, and the bird cages symbolizes that maybe Melanie sees herself as one of those love birds and seeks love, and freedom from her own cage in life. Melanie is seen as a woman of strength and grace who is not afraid to go after what she wants and does not care who knows it.She is also aggressive and daring, as well as independent which makes all of these things admirable to some men, but could also frighten some men. The film seems to follow the ideology of investigate and punish we see this when Melanie is stripped from her power for defying the patriarchal rules. Melanie’s power is taken away when she gets attacked by the birds. When she is getting attacked she is moaning in a sexual way as if she were getting raped by the birds. Symbolizing how she is being stripped from her aggressiveness and confidence. Showing us how vulnerable she really is.The final step that tells us that her power has been completely removed is when we see her red nails ruined. Mitch’s mom no longer sees her as a threat of taking Mitch away from her so she holds her trying to console her, approving of her. Journal 4 Sunset Boulevard Is Norma Desmond a sympathetic character in the film? Who has the most power in the film? In the film Sunset Boulevard Norma Desmond is seen as a sympath etic character towards the middle of the film when the audience notices that she is stuck in her past, living in a dream, â€Å"waiting for the cameras†.It is her egoistic attitude and her actions that make the audience feel bad and sympathize her. We can also sympathize when she cuts her wrist because Joe has gone out to work on the movie script with Betty and thinks he is cheating on her. She makes the audience feel bad for her. When she finds out that there will be no film she goes crazy in disbelief In the last scene we see a fade in of Norma’s face this causes her to look and seem crazy with the help of the lighting. This makes the audience feel somewhat compassionate and sympathy for her. It seems that Norma Desmond has the most power in the film.Sunset Boulevard being a film noir takes part of the castration complex. She is seen as a â€Å"predator† aggressive and waiting for its prey so she can attack it making her a femme fatales. We see this when she s ees Joe. She jumps all over him tries to buy him, making him want to stay. Joe being in the financial crisis that he was in made him vulnerable and susceptible to Norma’s control. Also in the film we see when she goes and buys Joe a suit, not knowing what to get the store owner tells him to get the expensive one that she is paying making him not be the provider. It is seen again when Joe goes to the pharmacy to buy Norma cigarettes.She hands him the money and Joe seems to be hesitant to take it. It seems that his male â€Å"provider† ego seems to not approve of the money given to him by Norma. It gets to a point that Joe actually starts to get use to the life he has. We can see Norma is in control over Joe because she takes away his life because he is living her. Making her have the power in the film. Journal 5 Out of the past Why is Jeff Bailey considered a classic film noir anti hero? Discuss the use of the male gaze in reference to the two central females, Kathie an d Ann. Jeff Bailey is seen as a classic film noir anti hero in Out of the past.An anti-hero is a protagonist that does not always make choices that audiences would make, or has different, more unsound motivations than a typical hero. He can be shown to make poor or unethical choices yet is still intended to get the sympathy of the audience. This adds a complexity to the films and challenges many of traditions of literature and cinema. This makes us question the character of this protagonist, and yet we are forced to follow and empathize with him, because he carries the story. Jeff perfectly fits into this category. When he has the flashback of when he goes to Mexico to go look for Kathie who has taken 40000 dollars.Kathie being a perfect example of a femme fatale seduces him and makes him fall in love with her. She does this so he doesn’t turn her in, messing with his job orders. At the end Jeff is killed by Kathie because he has ran away with her not following the norms that the audience would expect, sending a subliminal message on the consequences if one were to act in that manner. The male gaze is used in the film and we can see it in the two central female actresses Kathie and Ann. The way they are portrayed through the male gaze is very different. We see Ann as a non seductive woman, that has an angelic face.The clothes she wears are not revealing and leave room for imagination. While Kathie on the other hand is seen as a very seductive women that does whatever it takes to get what she wants. Also the lighting used for each actress is different. For Kathie at times we see she is in a dark background and we can’t see her face. Making her a mysterious, cynical character. While Ann on the other hand is always in the light and we see her face symbolizing innocence. The angles at which they are filmed are also a factor. When Kathie is being filmed we see that she is looking down at Jeff, making her look superior.With Ann she is always at eye lev el with Jeff. Journal 6 Is Run Lola, Run truly a feminist film or does the male gaze still apply to this film? The film Run Lola, Run follows the feminist film theory but still has some male gaze point of views. The lead female character in Run Lola Run, is the heroine. Lola comes to the rescue of her boyfriend Manni, which disrupts the popular model, norm of men portrayed as the heroes of society. This film is set in Berlin where Manni loses a small fortune of his mob-boss’s money and relies on Lola to save his life.She has twenty minutes to gather 100,000 and meet him at a designated location or Manni will be killed. Not only is Run Lola Run unique because the woman is the heroine, but also because it combines animation and hand held camera to create a variety of experiences through different types of shot. The literacy design is coupled with a limited dialogue and more action, the film goes against the norm of popular cinema. Lola shows the audience that she has the power to shape what is going on around her, throughout each round. During the course of the film we see the game theory in action, there are three realities that play out.Each segment concludes with a different outcome. The choices of the main characters, Lola, alter the ending. Lola proves to be a strong and compelling person through examples such as her glass shattering scream. At one point it seems to own mystic powers, when it affected a game of roulette that Lola needed to win in order to acquire money to save Manni. There are other aspects of Lola’s power, as in her intense running throughout the entire film, robbing her father as well as helping in robbing of the supermarket, and saving another man’s life by simply holding his hand.Although she is white and slender, has bright dyed red hair, is very athletic, has tattoos, and is not the average beauty. The film not only challenges societal idea of what a woman should be, it also undermines the way films are commonly u sed to construct a reality for the viewer by going against the norm of shots, narrative, time, and the power of the individual. Lola is the writer of her own life, she takes an active role in her story as well as others.

Case Study Abnormal Psychology Essay

Abnormal behavior relates to the influence of psychological factors, biological factors as well as the social factors referring to inadequate relationships. In the face of diverse definition, abnormal behavior refers to the deviating from norm, which norm is the typical behavior or characteristic of the population. As such, Jim behavior is abnormal because it violates moral and conventional mores of the society (Violates societal standards), as such causing social discomfort to others. For instance, Jim fails to recognize the social cues in conversation thereby annoying other interlocutors. Jim is this case is behaving in a manner counterproductive to his own well being by abstaining from marrying and social relationships, which is maladaptive (Psychology facts, 2007). Jim behavior is statistically abnormal because he is notably poles apart from the society norm, his behavior has low score in the society distributed acceptable qualities DSM-IV refers to the â€Å"Diagnostic and statistical Manual of mental disorders. It defines mental disorder as a clinical considerable psychological or behavioral pattern that occurs in individuals and link with the current distress like painful symptom or disability, such as impairment of substantial sphere of functioning or with a significant risk of enhanced of possibility of suffering loss of liberty, death, pain, and disability. The syndrome is not a merely a culturally and expectable sanctioned rejoinder to a specific event. It needs to be presently presuming a manifestation of biological, behavioral, or psychological dysfunction within an individual. Nevertheless, there is no adequate definition on the precise boundaries for the notion of mental disorder (French, 2004). The definition encompasses the concept of the maladptiveness because the mental suffering of the individuals embrace maladaptive behavior by withdrawing from the family and friends interactions as well as well as eating that results in death as outlined in the DSM-IV mental disorder definition. Another abnormal element captured in the definition is suffering, by mental disorders individuals are at risk of suffering loss of liberty, and pain clearly borrows from the elements of abnormal behavior. According to the DSM-IV definition and description of the mental disorder, Jim is suffering from the mental disorder, within the category of â€Å"Axis II, which is personality and mental retardation. † This DSM-IV axis describes the enduring problems that unnoticed in the axis I disorders. The personality disorders occasion’s significant troubles in the way individual relates to world encompassing â€Å"historic personality disorder and anti-social personality disorder. † (Salters-Pedneault, 2008). In particular, DSM-IV defines personality disorder as the long-term prototype of behavior and inner experience with the following criteria: deviates from the individual’s cultural expectations (abnormal behavior), in this case Jim misses the requisite social cues in conversation. He leads a solitary life at age of the 48-year when he supposed to have family within the cultural mores. Additionally, Jim shuns requisite interpersonal relationships a fact, which run counter to the cultural expectations on human beings as social beings. Further, DSM insist that the personality disorder has to be inflexible and pervasive that on aspects of individual life and is not modifiable according to the situation. In addition, this disorder has its genesis in adolescence or early maturity and steady over time. The case study clearly indicates that Jim has maintained the behavior for like 15 years, and presence of his parents and brothers do not make him change his behavior gives weight to the criteria of the personality disorder as outlined in the DSM-IV manual compilation. The DSM-IV contains an axis system, which each of the axis represent a different category of the mental illness or a manner in which a particular mental illness may influence (Purse, 2009). In exemplar, key mental illness like, bipolar disorder ranks within Axis 1. The episode of the Jim portrayed in the case falls in the dimension of Axis II. The present edition of DSM-IV published in 1994, offers virtually 400 disorders (Crowe, 2000). The advantage of this is that it enhances diagnostic impartiality by adding decision trees demarcating significant characteristics of disorders, which makes clinicians by collections of questions concerning the presence or the absence of the symptoms. The present DSM-IV manual comprises of extensive anthology of information organized into portions for easier reference (Purse, 2009). The first section encompasses instructions on the way to use the tools contained in the DSM-IV, while following section contains comprehensive classification systems catalog of the official codes for each single diagnosis. The fourth section comprises of the manual detailing the diagnostic criteria accompanied by a description for each disorder. Despite the advantages highlighted above, there are some disadvantages in the manual compilation. First, the DSM-IV compilation lacks the exactitude in diagnostic criterion to evidently, differentiate one diagnosis from the other as well as the distinguishing mental disorder, from the situation, such as mental distress. DSM is not visibly clear on how experiences and behaviors cited within the diagnostic criterion justifiably can consider as substantiation of mental disorder as distinctive from rejoinders to life events (Crowe, 2000).

Problems of Library Automation in Africa Essay

In 1981, IBM introduced its personal computer (PC) for use in the home, office and schools. Prior to that time, there had been several MS-DOS compatible personal computers that ran DOS programs. As computers became more widespread in the workplace (ie. an independent agent’s office), new  ways to unleash their potential developed. As smaller computers became more powerful, they could be linked together, or networked, to share memory space, software and information, and communicate with each other. So where does the insurance industry enter the â€Å"automation† picture? A word from our sponsor: What’s so difficult about combining personal and commercial umbrella coverage? Not much. Get a quote online now! Independent agents have come a long way in using technology over the past 20 years. From the early 1980s through the mid-1990s, independent agents for the most part used PC-based automation systems to boost efficiency and cut costs. Since 1970, ACORD, a not-for-profit standards-setting association for the insurance industry, has been involved in automation. The association is comprised of carriers, agents, vendors, solution providers, associations and other interested parties. â€Å"We aren’t the ones who ‘built’ the automation system,† said Carolyn â€Å"Cal† Durland, managing director of Standards for ACORD. â€Å"What we did and still do is provide standards-Forms and Electronic Data Interchange (EDI) upon which the vendors or solution providers base their automation systems.† She explained that to find out how the industry became automated, one must look to the vendors and solution providers. In 1972, the first ACORD form, a property loss notice, went into use. Today, ACORD’s standards include Forms, AL3 (Automation Level 3), XML, OLife and ObjX. The Forms are point of sale, data collection vehicles, AL3 is ACORD’s EDI standard (or machine-to-machine, business-to-business, data transmission formats or components), OLife is a data integration standard and ObjX is â€Å"much more than EDI.† In the 1980s-when the number of PCs in use increased dramatically-ACORD members asked for standardized electronic transmissions between the agents’  computers and the carriers’ computers. â€Å"The industry has come to ACORD to consolidate efforts to eliminate duplication of work,† Durland said. â€Å"For example, without one approved, countrywide ACORD application, all of the 2,400-plus insurance carriers would have to have their own form. And the vendors or solution providers who automate those forms would have to customize each form.† Now that ACORD and the industry are working hand-in-hand, there is one form accepted and used by many of those carriers. In addition, the vendors or solution providers have the option to become licensed by ACORD to redistribute the Forms. â€Å"ACORD provides them with tools†¦to print the ACORD Forms,† Durland said. â€Å"ACORD’s Forms efforts have stripped the costs out of this distribution channel.† According to Durland, in the same manner that the industry came together with ACORD to do Forms, they have also worked to develop EDI Standards. â€Å"Through our subcommittee process and strict compliance to anti-trust guidelines, we bring together carriers, agents, vendors, solution providers and other interested parties to discuss what is needed to transmit the data collected,† she said. Change is good The industry on the whole, according to Durland, is slow to make changes, â€Å"although there are some carriers that have the resources to be on the leading edge of technology.† The beginning was a bit archaic. â€Å"Carriers realized the benefits of automation and developed proprietary systems that they placed in the agents’ offices,† Durland said. â€Å"This resulted in the agents having to physically go from one terminal to another to interface with the carriers automating their process.† With the inception of the agency management vendors and ACORD’s standards implemented in those systems, the agents were conceptually able to eliminate  those proprietary terminals and work through one system. â€Å"This concept called SEMCI, Single Entry Multiple Company Interface, allowed the agents to keep the data in one place and transmit it electronically to any of the carriers it was licensed to represent,† Durland explained. One step forward, two steps back Ten years ago, when Durland joined ACORD, there were many agency management systems attempting to enable SEMCI. â€Å"Today, due to acquisitions and mergers, there are three primary vendors and a few smaller ones,† she said. â€Å"SEMCI is still the goal for the agents and the carriers. However, with the inception of Web enabled processes, the carriers-in an effort to streamline their costs-reverted back to proprietary applications. â€Å"Those leading edge carriers put up Web sites that required the agent to go to the site and enter the information. So instead of going to a separate terminal in their office, they now had to connect to a Web site and rekey the data that was already in their databases.† This resulted in the acceptance of the new standard XML. â€Å"XML is a standard that enables connectivity between Web applications and agency management systems, in addition to business-to-business, business-to-customer, etc.,† Durland said. The goal to secure SEMCI, according to Durland, can still happen with the implementation of XML. â€Å"Plus it broadens the trading partner base to be more than the agent to insurance carrier,† she said. A push for implementation In the 1990s, implementation guides were written and a certification process was developed. Today, there are more than 12,000 upload and 40,000 download implementations using AL3 standards. AL3 continues to evolve and there are new implementations every day, including using AL3 standards over the Internet. Ever since the dawn of the industry’s automation, forms standardization  continued and still continues to be an important focus for ACORD as the standards-setting association works with many different trading partners within the industry. Today there are roughly 400 ACORD forms. And although it’s important to note how many forms there are, what is even more important to note is the fact that these ACORD forms have eliminated or prevented 80,000 proprietary forms-saving the industry millions of dollars. Communicating on a global basis According to Durland, ACORD has staff dedicated to building relationships with other standards-setting organizations. The fact is, the industry handles business on a global basis, so it just makes sense that the goal is to be able to communicate on a global basis. As an example, Durland pointed out that carriers write coverage for properties owned by people all over the world. In turn, these carriers work with other carriers or reinsurers to share the exposure. When asked why it is so important for the industry to be automated, Durland said, â€Å"Automation strips costs out of workflows.† Simply put, to only have to go to one place for information and to be able to service customers quickly and efficiently is key. â€Å"For example, the agent and carrier agree to indemnify the customer if they have a loss which is covered under their policy. The customer pays a fee based on that promise. When the loss occurs, they want someone to handle it promptly†¦to be given information on the progression of the resolution and be paid or have the item replaced ASAP,† Durland said. Automation makes it possible. â€Å"With the technology and automation available to us today, the opportunities to share information are unlimited,† Durland said. â€Å"The industry realizes that and is working together to figure out how to communicate electronically  with each other.†

Answer the question for the journal -this is for health ethics and law Essay

Answer the question for the journal -this is for health ethics and law class - Essay Example The legal and ethical issue here is informed consent. This occurs when a health practitioner gets permission from the patient to carry out an intervention. Three elements must be present for this to occur. These are disclosure, competence and voluntariness (Irvine, Osborne & Shariff, 2003). Disclosure calls for the doctor or nurse to make sure that the patient understands the purpose, benefits and risks of the intervention. In the case of the 64 year old woman, the team informed the patient on the need for her to be placed on tube feeding. Voluntariness implies that no coercion should occur and the involved party must be able to decide on his own. The ethical element in question here is the competency of the old woman. This issue arises from the fact that she is not able to sustain her decision. According to Irvine, Osborne & Shariff (2003), the ability of a patient to give informed consent is governed by the legal requirement for competency. In the common law jurisdictions, adults are presumed to be competent to give their consent. This is, however, rebutted in cases of mental illnesses or when a patient is not able to sustain his or her decisions long enough to allow for the intervention to be implanted. This is the case with the old woman. In such an instance, two options are available; the team must either catch the patient in lucid state or go the health proxy way. According to Fisher (2013), when a doctor or nurse has realized that the patient is having a variable decision making capacity due to the underlying disease, he or she must be assessed in the different states and the outcomes documented in each contact. If the patient makes consistent decisions over time when he or she is in the lucid state, it may be used in making the decision as it will be deemed adequate enough. In the case involving the 64 year old female patient, the team

Bestbuy's innovation opportunity Essay Example | Topics and Well Written Essays - 250 words

Bestbuy's innovation opportunity - Essay Example For example Kodak, that invented the digital camera technology but failed to capitalize and now struggling with possible extinction. One of the most important opportunities created by innovation is in the resultant potential of a company’s private brand. Private brand here refers to a brand placed on products that larger manufacturers have made for the smaller retailers (p 23). With innovation, the quality of the products intended to the smaller retailers has improved immensely. The percentage market power associated with these high-valued products has therefore increased the brand’s potential (p 28). More demand for these brands and job creation has surge high with innovation. Innovation also has increased brands’ competitiveness in the market. It is, therefore, evident that with innovation our brand at Best Buy & Apos has increased immensely both competitively and in quality. Apart from brand potential, another opportunity of innovation is ease of market access by our company (p 32). Through incorporation internet in our business operation, our touch with most customers has increased immensely. Our products have therefore reached even markets that were otherwise unattainable (p 36). Finally yet importantly, innovation has opened opportunity for diversity of products we can now

A comparative analysis of the technological conception of making smart Essay

A comparative analysis of the technological conception of making smart cities using Information and Communications Technologies in two cities; Dubuque, Iowa and Songdo IBD, South Korea - Essay Example Y. McDonald firm in the manufacturing of equipment called Unmeasured Flow Reducer (UFR). This device supplements the ordinary water meter through measuring accurately, low flow usage. The new meter system helps residents in identifying water wastages and hence adopting corrective conservation measures. The smart water meter takes water measurements after every 15 minutes in each household, and then sends information to the IBM cloud; cloud computing involves internet computing where resources, software or information is given to computer devices on demand (Deakin, 2007). Cloud computing enables the most rapid decision making, in the water conservation measures; in the cloud the water data will be studied to check problems in the water system like leaks. Songdo IBD, South Korea is a modern environment which uses technology to continuously innovate so as to improve the lives of residents and visitors. There is a centralized waste management system which has capabilities of disposing wet and dry waste, hence completely eliminates waste collection vehicles and associated environmental hazards. The city also has the mechanisms of reclaiming treated grey water and storm water; for reuse in irrigation projects involving general and green roof farms. Vegetated green roofs minimize heat island effect that affects other coastal cities. Water efficiency is an important factor in Songdo’s development projects. Green spaces around the city employ indigenous plants which require no irrigation or minimal irrigation. Grey water from buildings must be collected, subjected to treatment process, and thereafter reused for activities like irrigation, cleaning and flushing. Low flow plumbing equipments are standard in the smart city. A water technology system will be installed to ensure that storm water is treated and reused, and black water is reprocessed and treated (Coe et al.,

Contract Law Essay Example | Topics and Well Written Essays - 2250 words - 2

Contract Law - Essay Example Amber has made an offer to pay David  £20,000 after supplying the computer software. David accepted the offer and by commencing to fulfil his obligations, David has simply accepted to be bound by the terms of the contract. The terms of the contract are that David would be paid  £20,000 and finish the contract by 30/05/04. Therefore there exists one of the essentials of a valid contract i.e. consensus and ideam a part from offer and acceptance. This principle refers to a ‘meeting of the minds’. It must be shown that both parties understand the subject matters of the contract before agreeing (assenting). None of the parties i.e. between David and Amber can deny knowledge to the terms of the contract. However, an offer terminates if a counter offer is made to them. This is a reply to an offer whose effects is to vary the terms of the original offer. A counter offer extinguishes the original offer and the person to whom it was originally made cannot move it. However, it can result in a contract if its terms are accepted by the original offers.

Localisation of the prostate Essay Example | Topics and Well Written Essays - 2000 words

Localisation of the prostate - Essay Example The prostate is one of the organs in the male reproductive system responsible in releasing a fluid to alkalinise the semen (Hugging, Scott & Heinen, 1942) in order for the sperms to survive in the acidic environment of the female vagina. It is divided into four zones, namely the peripheral, central, transition and anterior fibromuscular zones (Meyers, 2000), while it can also be divided more commonly into four lobes, namely the anterior, posterior, lateral and middle lobes. The prostate is located superior to the anus, anal sphincter, bulbourethral gland, testes, penis and the urogenital diaphragm. It is inferior to the urinary bladder and the seminal vesicle. It is anterior to the rectum, coccyx, common ejaculatory duct and also the seminal vesicles. It is posterior to the symphysis pubis. On the medial part of the prostate lies the prostatic urethra. Its proximity to the rectum allows the prostate to be palpable in rectal examinations. Among those structures commonly harmed by ineffective localisation of prostate radiotherapy is the rectum, bones (symphysis pubis, pubic bones, and the coccyx) and the seminal vesicles. The veins where the blood flows away from the prostate are the prostatic venous plexus, pudcordal plexus, vesicle plexus and the internal iliac vein. Lymph nodes around the prostate are the external iliac lymph nodes, internal iliac lymph nodes and the sacral lymph nodes. These venous and lymphatic structures are responsible for the possible metastasis of malignant prostate cells to the surrounding structures beyond the prostate. Radiotherapy beyond the prostate, especially to the lymph nodes is necessary as the cancer reaches beyond stage 2, while the venous system will allow the predictability of metastasis to other organs. The cancer of the prostate begins with genetic changes within the prostate cells triggered by different possible risk factors such as genes, aging, race, environmental, increased

Assess and arguments for the law of karma, and discuss whether the law Essay

Assess and arguments for the law of karma, and discuss whether the law implies or refutes the ex - Essay Example Sankhya believe that the material of creation is made of earth and stone and could possibly not be created by ‘Isvara’ whose own characteristics are not consistent with the same material (Radhakrishnan 43 b). The Sankhya doctrine holds that it is not possible to prove the existence of God and therefore he cannot be said to exist (Larson 83). I would opine that the doctrine contention aligns with the view that a benevolent God would have no motive of creating a world of mixed happiness and sorrows. The Purusa takes an important place in the understanding of the Sankhya doctrine. The Sankhya offers that the Purusa is not caused (Collins 106). The Purusa is usually likened to consciousness. In most doctrines, consciousness is usually attached to the idea of the existence of a Supreme being. The Sankhya position that the Purusa is not caused directly contradicts the idea of the existence of a creator God. However, problems arise within the doctrine with the supposition that Purusa does not have any qualities. In my opinion, this view would imply that all beings are same. Such a thesis would refute the possibility of the existence of different fates for different actions as understood within the overall framework of the Karma. The position adds weight to some of the problems and contradictions that have been identified within the Sankhya doctrine with regard to the nature and qualities of the Purusa. The character of the ‘Isvara’ according to the doctrine developed by the Sankhya is that he is not attached to the universe (Radhakrishnan 40 b). According to the Mimamsa doctrine, the ‘Isvara’ does not provide the fruits of actions, which essentially distinguishes them from other doctrines that assign roles of reward and punishment to the deity (Radhakrishnan 22 b). Instead, the rewards or consequences of actions are purely depended on the actions of individuals. Good actions beget positive consequences, while bad actions bring ab out negative consequences. The Mimamsa doctrine does not mention whether or not the ‘Isvara’ created the universe (Radhakrishnan 19 b). In my view, I would conclude that the positions adopted by both doctrines acknowledge the fact of divine being but do not agree on his nature or tasks. In general terms, the Sankhya philosophy is governed by the concept of dualism. The philosophy challenges the view of the God as central idea that controls the cause and destiny of humanity. The destiny of man, according to Mimamsa is dependent on the actions and will of man in accordance with the Verdas (Radhakrishnan 74 a). In this sense, God is only a benevolent power that grants to human beings their due share in accordance with their character on earth. It is therefore important to consider the fact that the actions of man are integral in the destiny of the universe. The cultivation of ‘Dama’ or self-control as a way of pursuing a virtuous and upright life (Radhakrishna n 13 b). Samkhya adopts the position that the harmony in the world is born out of the paradoxical dualities as argued by Sage Kapila. Samkhya philosophy is founded on the idea of harmony numerals. According to the terms of this philosophy the collection of elements and characteristics of things in the universe work to maintain some sense of balance between the systems. The underlying meaning in the Samkhya philosoph

Alzheimer disease Essay Example | Topics and Well Written Essays - 750 words

Alzheimer disease - Essay Example These neurons and synapses are lost when the individual begins to develop Alzheimer’s disease. The cerebral cortex and subcortical regions are impacted because gross atrophy is found in these regions (Pashek & DiVenere, 2006: p. 143). The temporal lobe and parietal lobe witness degeneration which can lead to the progression of the disease. AD causes specific brain regions to shrink which has been corroborated by the presence of MRI and PET reports (Wilson et al, 2008: p, 45). Definition Alzheimer’s disease (AD) is a form of dementia that is incurable. It is a progressive disease in which the conditions of the patient worsen with the passage of time with the ultimate outcome being death. The disease was first identified by a German psychiatrist Alois Alzheimer in the early 20th century. AD is found to be prevalent in people above the age of 65 years. Currently, it is estimated that there are 26.8 million patients with the disease (Small & Perry, 2005: p. 125). The causes of the disease are unknown while medication seems to alleviate some of the symptoms. Disease Start AD starts when individuals suffer from short term memory loss. They might also be suffering from language problems and encountering difficulty in concentrating. Additionally, behavioral problems might be exhibited in individuals with mood swings and anger being the primary symptoms (Small et al, 2003: p. 353). The difficulties in perception, executive functions, and movements can also signal the onset of the disease among individuals. This gradually worsens with the passage of time as more intermediate and severe forms of symptoms are witnessed in individuals. Role of Environment Empirical studies are studying the impact of environmental factors upon the development of AD in individuals. This approach seeks to move away from the widespread emphasis on genetic factors as being the primary cause of AD (Small et al, 2005: p. 5). Studies are being conducted to investigate the relationship between cognitive decline and vascular and metabolic conditions. For instance, a study was conducted by the Rhode Island Hospital which found a link between nitrates in the environment and Alzheimer’s disease. Nitrates are found in increasing numbers in the environment as well as in processed foods. People who are vulnerable to heart disease might have a greater chance of developing AD. High blood pressure, high cholesterol, and diabetes are considered to be having a possible link with the development of AD (Tomoeda et al, 2006: p. 151). Research is still being conducted into the role of environmental factors in developing AD. This research is still inconclusive which means that there is the need for clear and precise goals. it is through the use of innovative and creative strategies that success can be attained within a short period of time. It is hoped that the study of the causes of AD will help in the development of effective and efficient medications to combat the disea se. Causes The exact causes of AD are still unknown despite decades of research into the problem. Genetics is considered to partly cause this disease as autosomal dominant inheritance has been witnessed in patients (Blacker et al, 2009: p. 1198). The oldest hypothesis is that AD is caused because the release of the neurotransmitter acetylcholine is diminished in brains. However, this hypothesis has become unacceptable because medications that

Stop and Frisk Essay Example | Topics and Well Written Essays - 250 words

Stop and Frisk - Essay Example The trial court found him guilty of possession of a weapon by a prohibited possessor and possession of marijuana. The court of appeals reversed the decision claiming the standard required in Terry v. Ohio was not met. â€Å"Terry established that, in an investigatory stop based on reasonably grounded suspicion of criminal activity, the police must be positioned to act instantly if they have reasonable cause to suspect that the persons temporarily detained are armed and dangerous... Citing Terry, the Court further held that a driver, once outside the stopped vehicle, may be patted down for weapons if the officer reasonable concludes that the driver might be armed and dangerous... The Arizona Court of Appeals recognized that... once Officer Trevizo began questioning him on a matter unrelated to the traffic stop, patdown authority ceased to exist, absent reasonable suspicion that Johnson had engaged, or was about to engage, in criminal activity.† (Arizona,

Adv & Disadvantages of Leadership Development Methods Essay Example for Free

Adv Disadvantages of Leadership Development Methods Essay Professional qualifications that require refreshing will be supported if they are an essential criteria for the post| * Trust induction * Trust Essential Update training * Manual Handling * Professional re-registration training * PRINCE2, MSP, LEAN| * Provides an understanding of how the Trust works * Provides health and safety training * Sends out a clear message that professional registration is recognised, important and is supported| * Trust induction training tends to be very generic and does not necessarily relate to the job role * Training for re-registration is not always timely * Is dependent on funding * Cost implications of ensuring that the training budget can cover training| Elective Learning| Courses that are not part of the essential criteria for the post will be deemed to be elective and will be subject to the trust policy on supported learning| * Courses identified as part of the personal development plan * Influencing skills * Negotiating skills * MS Project/Other IT Skills * Meets specific needs for the individual * Can be delivered by others in the team or by a generic course * Ensures that leaders are given requisite skills| * Some generic courses do not cover specific requirements * Is dependent on funding being available| Work Assignments| Work assignments will be seen as an opportunity to help leaders develop specific competencies or practice key behaviours. * Specific goals will be set as part of personal development plans * Feedback on progress will be done either via formal appraisal or by 1:1 feedback with line managers| * Reiterates the message that lessons can always be learned * Gives leaders the growth opportunities to put theories and models into practice * Learning by doing| * Unless well managed there is a tendency to concentrate on ‘getting the job done’ * Opportunities are not always recognised or used to the full advantage| Special Assignments/Initiatives| Involvement in short-term assignments or initiatives either generated from within the team or as part of a project team| * Attendance at programme or project board meetings * Involvement in assignments/initiatives

Patients Education Of Psoriasis Patient Nursing Essay

Patients Education Of Psoriasis Patient Nursing Essay The society requires attaining, maintaining and recovering from disease, ailments accidents. This calls for specialized care from a trained professional. In most case, care givers at home may lack this expertise. This calls for people who are trained, specialized and understand the medical aspect of the patients condition, such as nurse. The best suited group of people that can deal appropriately with these problems are nurses. Nursing is a health care profession and hence, their services are oriented to this direction. In their duty, they give care to all members of the societies; both individual and families (Braverman, 1998). Nursing care is understood as being particularly crucial during patients recovery from serious illness or injury. Classically, it was thought that people requiring these services were probably people who were bed ridden. The objective of health services delivery is not only to care for bed ridden people but also anybody else that have a condition that is reducing their quality of life. It is known that some diseases significantly reduce the quality of life led by individuals and not by necessarily sending them to bed. The aim of healthcare today is to assist any person with any disease, ailment or any form of suffering to recover and have a joyous and creative life. Another factor that makes a nurse to be specifically suited to their job is because they are trained about community care. They deliver care in the context of the whole community. They are able to reach the society or community and teach or assist them on the best way to care for various people needing care in a society. Psoriasis is a non-contagious disease that affects a peoples skin. It is found in a class of diseases that are described as immune mediated. It occurs when a persons body starts sensing the skin cells that are foreign cells of disease causing microorganisms hence reacting against them. For this reason, the body responds to this faulty signal by producing more skin cells. The patients skin cells in the affected places divide up to 10 times faster and lead to accumulation of dead cells on the surface. The skin of the patient appears to have a red plaque that is covered with white rashes. This disease is particularly acutely irritating and is probably the most frustrating and unpredictable skin disorder. This disorder is also the most inexplicable and continual skin illnesses. Some parts of the body are more affected by this disease than others. These include the scalp, elbows, and knees. Some other parts are affected but on rare instances. They include the soles, the palms, and the fee t (Roenigk Maibach, 1998). Commons symptoms of psoriasis include reddening of the skin with white or silvery scales occurring at the top. These areas can be exceedingly sore and may crack and bleed occasionally. In most cases, the affected patches expand and coalesce forming large and continuous patches. In other instances, this disease may affect the nails where nails become rough, crumbled or even detached from their bed. Another symptom that health care providers look for in diagnosing psoriasis is crusts, scales or plaques on a persons scalp. There are various aspects of care that a nurse considers during care delivery. These are sometimes utilized by professional nurses as a checklist to ensure that the care is all inclusive, and the process of recovery is holistic. The main aim of this assignment is to address the nursing care of a patient with psoriasis based on two aspects of care which include patient education and discharge planning and process. Patients Education of Psoriasis Patient It is essential in the nursing care process of a patient with psoriasis to be educated and advised on how to live with the society, to avoid psychological torture and lastly to meet the prescribed medical instruction. The Patients are reported to face stigma and antagonism by such other people in the society. They become less indispensable resource to the society and hence said to experience negative attitude for the firsthand. They have seen how a single look on them initiates talks among people among other forms of stigmatization. Nurses teach patients to become ambassadors of truth. The society mistreats its members through stigmatization because of ignorance. The nurses also educate patients on how to protect friends, relatives and other members of the community (Smith et al, 2002). Moreover in Medical care, the nurse give educational care techniques including assistance on the application of the medicine, monitoring the progress of the patient and advising the patients on the fa ctors that aggravate psoriasis. Secondly, the nurses have noticed that the patients due to stress are currently suffering from psychological disorders such as post traumatic stress disorders and anxiety. They feel neglected and thus they need psychological education. Some of the nurses collaborate with psychologists to educate both the society and the psoriasis patients. In most case, nurses find themselves in a situation where the psychological health of the patient is crucial. Some patient feel like their image has been dented after they suffer from a psoriasis attack. The nurse has to respond to this by educating the patient on how to deal with these psychological problems. Sometimes, the patient is so psychologically affected that the nurse has to refer the patient for specialized counseling among other interventions. Bearing in mind the wide spread nature of psoriasis nurses come up with a way of assisting the society. The challenge that nurses face is lack of an elaborate system of reaching the society in order to educate them. The patients are advised on how to live healthy and boost their self-esteem. Nurses take this opportunity to educate parents and guardians how to handle the case and enhance the recovery of the patient. These educational programs are currently found to improve the health of the patient and to reduce stigmatization directed to the skin infections victims. Also in some cases, nurses organize members of the public into groups which have initiated some sports or even meditation. Other benefits of these sports are they help to deal with behaviors such as scratching. Furthermore other patients educational campaigns carried out by the nurse are to educate the patients and the society on the symptoms and origin of the disease thus clearing misconceptions in peoples mind. For example, some people believe that psoriasis is a sign of a curse, due to this they fail to take the medication and the advice seriously (Mitchel Panzer, 2005). It jeopardizes the process of treatment exceedingly and seriously. It may even increase stigma; people do not want to get close or in contact with a cursed person. Even when such people should be giving care, they stay away due to unreasonable fear. It becomes the responsibilities of nurses to shed more light on psoriasis. Friends, family, and people living with the affected individuals are educated to provide the necessary support for the patient. Lastly, the nurses are currently educating the patients who ignorantly fear to access the medical services due to been noticed that medical services will save them a lot from the disease. In some cases, it may disappear, in others it does not; thus, medical help is required. Additionally, it may leave an individual with extraordinarily large psychological problems that require specialized assistance. In most cases, nurses know specialists who can counsel and help the patient to fully recover. Nurses offer their advice regarding medical care and refer the patient for further counseling and peer support. In home care, the nurses are also educating the patients on how to handle stress. Medically, it is known that the careless and irresponsible behaviors that people develop during the stress cause psoriasis. Such behavior may include rubbing of hands and face. Stressed people have destructive tendencies of holding into anything and bringing things in contact with their faces. During care of a patient or other members of the community, the nurses shed more light on these issues so that people can lead a more informed life. They are also advised to protect themselves against excessive exposure to sunshine that can aggravate psoriasis especially during the summer periods. It is a method of illnesses prevention in a community, as observation of such basic rules can keep psoriasis at bay, at least for some people for some time (Walji et al, 1994). Thus in summary, the nurse has been carrying out the patients education across the medical services, stigmatizations and stress from other people, misconceptions and myths about the origin of the disease, treatment methods, society approach to psoriasis victims and lastly on how to handle psychological perception found to affect them adversely. Discharge Planning and Processing of Nursing Care Acute based care hospital discharge planning and process starts immediately upon admission in the hospitals. In most cases it is found to ensure that the nurses follow the right psoriasis disease medical guidelines and system (Fabian et al, 2011). It is defined as a multi-disciplinary nursing approach by the nurses and other medical practitioners to the patients signs, treatment process and discharging means. It involves several planning process, as described below. Immediately after admission of the patient, the first step in the nursing care designing planning and process is to examine the skin in general circumstances. The nurse should contact this within three hours. At the same time the patient is prepared for discharging through contacting the Medicare organizations such as insurance. At the same time the nurse should interview the patients about the problems linked to the disease, when did it start, what are some of the medications the patient accessed before and lastly, whether they have any hereditary problem of the disease across their family lineage. The next planning process is the nurse to describe the information given in line to the prevailing psoriasis diagnosis where the patient is taken for laboratory medical examination. At this process, the patients are instructed not to scratch themselves even if they are itching and home cares prepared for discharging process .This help to reduce more infections and complications. Moreover, in this stage, the patients are instructed to isolate themselves from other people in the society, utilize their own clothing and even take bath using bath oils. Moreover, the patient should avoid any skin injury that is going to complicate the medical process (Walji .Kingston, 1994) Third step in the discharge of nursing care planning method include keeping the skin moist. The nurses are trained to apply epidemiological prescription to ensure the patient skin is moist and thus not to itch. This involves reducing the scales by applying the necessary medical bath oils and staying in a cool place free from any dust and high temperature. The patients are also provided with some injections and clothing necessary to reduce itching, smell and pain. In the next stage, the patients are nursed in a manner as to keep the wounds clean and to apply the necessary antibiotics carefully and skillfully. This ensures that the patients do not have pain and itching is reduced. The nurses take this opportunity to educate the family members on how to prescribe the medical drugs to the psoriasis patients and thus improved services. At this moment, the nurses must monitor the risk of infections, outcomes of the disease and lastly the implication of the bath oil to the skin (Papadopoulo s Walker, 2003). Lastly, some of the patients found to be stressed, stigmatized and psychologically affected are provided with advices or even referred to psychologists for guidance and counseling. The nurses have a goal to improve the mind perceptions of the patients and to positively impact on their health. The nurses consider some numerous patients factors in the process of discharging the duties. They have to make necessary recommendations in line to the Medicare guideline so as to ensure that psoriasis patients enjoy the best Medicare services (Braverman, 1998). In the process, they must have insurance and Medicare eligibility so as to ensure that the psoriasis patient has in-patient services and hospitalized for at least three consecutive calendar years for observation purposes. Secondly, they must observe the cognitive status and especially their safety awareness while in the discharging process. This helps in reducing unnecessary infections to both the nurses and other patients. The clothing and bed sheets of the psoriasis infections must be handled with a lot of care (Camisa, 1994). Lastly, the nurses should observe the illness history and the future falls of the patient. Moreover, other factors that should be observed in the planning and discharge of psoriasis patients includes; age, living situation and lastly the daily nutrition and activities of the patients. Conclusion The nursing process of any psoriasis patient does not just require observation of the two aspects discussed above. Rather than that, it require all the nurses and medical practitioners to maintain people medical services to the patients, educate them and plan for the discharge process well. This will help to improve the health of this skin condition victim and reduce society misconception about the disease.

Evaluation of Public Health Agenda in Community: Obesity

Evaluation of Public Health Agenda in Community: Obesity Module Title: Promoting the Public Health of Populations in Specialist Community Public Health Nursing Module Code: SHN3048 Critical evaluation of the current public health agenda in relation to a health need identified within a community profile. The purpose of this assignment is to critically analyse the current public health agenda in relation to a health need identified through use of community profiling. This paper will aim to provide recommendations as to how a Specialist Community Public Health Nurse (SCPHN) can proactively address high levels of obesity identified within the Cwmbwrla ward (Appendix 1). For the benefit of the reader Cwmbwrla is a suburban area of Swansea, with good transport links to the city centre. In considering the level of deprivation Cwmbwrla is ranked 181 0f 1,909 (LSOA) in Wales (Welsh Government, 2014a). Public health in the 21st century is defined by Riegelman (2010 p4) as the totality of all evidence-based public and private efforts that preserve and prolong health and prevent disease, disability and death thus, recognising public health as a varied approach which should be viewed holistically. Health visitors are a group of specialist community public health nurses (SCPHN), skilled in delivering a proactive Public health service which relies on evidence base research to enhance health and reduce inequalities for all families with children 0-5 (Royal College of Nursing, 2011; The National Institute for Health and Care Excellence (NICE) 2014). The current Public Health strategy in Wales aims to achieve a healthier, happier and fairer Wales, through improving health, reducing inequalities and supporting a good start in life (Public Health Wales (PHW), 2015; Welsh Assembly Government (WAG), 2010; WAG, 2011a; Welsh Government (WG), 2016). There is consistent evidence which suggests investment in the early years significantly improves the health of the child and has a positive impact on long term outcomes (Acheson,1998; Black,1980; Marmot, 2010). As a result of the reaffirmation of the public health role of the SCPHN in recent policy, it is believed that the health visitor is st rategically placed to empower individuals and positively influence the health outcomes of young children and their families (Department of Health (DoH), 2011; WG, 2012a). The four domains of SCPHN practice begin with Search for health needs (Cowley Frost, 2006), thus requiring health visitors to undertake an assessment of the populations health and well-being. A key part of this process is health needs assessment (HNA) (Nursing and midwifery Council, 2010).ÂÂ   In defining HNA, Stewart et al, (2009) suggests the purpose is to identify the health assets and need of a population in order to inform decisions regarding service delivery to improve health and reduce inequalities. Through use of HNA policies are developed and needs are prioritized across services, with the aim of targeting those in greatest need (Williams, 2013). Statistics from the profiled area of the Cwmbwrla ward (Appendix 1), identify high levels of obesity in adulthood as being a significant problem. Despite there being no local data to highlight the levels of childhood obesity specifically within the ward, research suggests a strong link between childhood obesity and obesity in later life (NHS, 2015). Findings from the child measurement program 2014-2015, recorded that 11.8% of 4-5 year olds in Swansea were obese (Public Health Wales Observatory, 2016), a trend mirrored throughout Wales, with findings from the Welsh health Survey (2011) identifying that 35% of children living in Wales were classed as overweight or obese. Obesity has fast become a global epidemic (World Health Organisation (WHO), 2003; 2016), with research suggesting that obesity is the worlds most common nutritional disorder (NICE, 2014). The 2007 Foresight report emphasized the need to tackle the problem of obesity in the United Kingdom, particularly in childhood. The prevalence of obesity in infants, children and adolescents is increasing rapidly both nationally, and internationally, which has a significant impact on both short and long term health (Hall et al, 2009; WHO, 2016 ). Exploration of the literature suggests that there are many risk factors associated with becoming overweight, with the key principles leading to obesity being laid down in childhood (WAG, 2010). Wanless (2004) and Jones et al (2005) identified that during the period of 1986-2002 weight gain in children translated to a doubling in the proportion of those classified obese.ÂÂ   Childhood obesity is becoming evident in younger ages, with studies documentin g a sizable increase in the percentage of overweight children between the ages of two and three years (Hall et al, 2009; Nelson, 2004). Studies linking overweight to psychological consequences show that obese children tend to have low self-esteem, increased rates of sadness, loneliness and are often bullied and socially excluded outside the home (Strauss,2000). Promoting healthy weight and preventing and managing obesity have become pressing public health priorities over recent years (Phillips et al 2011). The effects of addressing obesity in early childhood are not solely limited to its health benefits; improvements in the rates of obesity could potentially save the NHS millions. In Wales alone it is estimated that between 1.65 million a week is spent treating conditions linked to Obesity (PHW, 2016). Despite obesity being at the forefront of the Public health agenda within the UK, progress in tackling childhood obesity has been slow and inconsistent, with a clear lack of provision identified as a problem within Wales (WAG, 2010; WHO, 2016). It has long been recognized that socioeconomic class has a significant impact on health inequalities, with those living in the most deprived areas more at risk of becoming overweight or obese (Acheson, 1998; Black, 1980). This is of particular relevance to the Cwmbwrla ward (APPENDIX 1), which falls within the 20% most deprived areas within Wales (WG, 2014). NICE (2014) supports this, with statistics indicating that 29% of children living in the most deprived areas of Wales being overweight or obese compared to 21% in the least deprived areas. More recent findings have suggested that, despite improvements in the overall health of the general population, there continues to be significant gaps between the social classes (Dahlgren and Whitehead, 1991; Marmot, 2010). These differences have been tackled within Welsh Government policy, which aimed to target the most deprived areas of Wales, through the delivery of the Flying Start program, which promotes health and delivers intensive servi ces in areas of greatest need (WAG, 2005, 2011a; WG, 2016). While such services must be applauded for their proactive approach, it must also be considered that as a consequence of this, the availability services relies heavily on postcode (WG, 2013), resulting in many families in need being unable to access necessary support. However, more recent WG policy has identified the need to tackle inequality, and improve health outcomes for all children, delivering support in key areas to all families with children under 7, underpinned by the principle of progressive universalism (HCWP, 2016). As previously identified, the determinants of obesity are complex and varied, it is important to recognise than no single intervention is likely to prevent or improve childhood obesity alone (WHO, 2012). Availability of data is important in planning services at a local level. Collaboration, leadership and quality improvement play a leading role within WG policy (PHW, 2013; WG, 2011, 2016). These policies emphasize the importance of adopting a muti-agency approach in addressing health needs, thus, identifying the need for SCPHN to support existing programs when planning health interventions to address obesity, with the aim of strengthening current initiatives and reducing the need for later more expensive treatments (NICE, 2013). The all wales obesity pathway supports this, and sets out a multi-agency approach in targeting obesity, allowing the identification of gaps in provision and the determination of where to best focus efforts (WAG, 2010). Over recent years, the WG have invested millions on strategies targeting obesity; for example, Free swimming programme (2003), Health Challenge Wales (2005), Creating an active Wales (2009), Mend (2009), and Our healthy future (2009), despite this the number of overweight children and adults continues to rise (Mc Pherson Marsh, 2007). Research suggests it Is highly likely that obese children will have obese parents, thus indicating the possible detrimental effects of learnt behaviours in childhood such as poor eating habits (NICE,2015). The literature emphasises the need for family involvement in interventions to ensure improvements in outcomes (Public Health England, 2014). There is emerging evidence that programmes that aim to enhance parenting skills can have a positive impact on childhood obesity (Berge Everts, 2011). Therefore, within the Cwmbwrla area, a recommendation would be to build community capacity for healthy eating by setting up a 4 week weaning programme. The programme would be available to families between the 16 week clinic contact and 24 week health review as per the HCWP (2016), and will deliver education and advice within a group setting. The programme will cover topics such as, delayed weaning, healthy eating in childhood, controlling portion size and how to quickly create cheap but nutritio us meals, with the aim of encouraging behaviour change using an educational approach (Naidoo Wills, 2016). The programme would aim to build upon existing initiatives such as Change 4 Life, which has previously been judged for not fulfilling its full potential (WAG, 2014). However,ÂÂ   it is important to consider that in the past, group programmes have been criticised for failing to involve individuals and communities who are hard to reach resulting in poor engagement (PHW, 2013). A further recommendation for the Cwmbwrla ward would be the provision of Increased/intensive home visits to specific families identified during the antenatal or birth visit as being at risk of overweight or obesity. Research has indicated a correlation between parenting lifestyle and that of their children in terms of diet and physical activity (Rhee, 2008). Arguably, the most effective strategy we can employ in tackling obesity in childhood is to work with parents (Golan, Kaufman Shahar, 2006).The aim is to focus on parents and support them to making positive choices that facilitate a healthy start in life. The additional visits will enable SCPHN to facilitate behaviour change by addressing key influences such as; positive parenting, feeding behaviour and food and activities accessible within the home, while also allowing the SCPHN the flexibility toÂÂ   tailor the program specifically to the needs of the individual family. It is imperative that SCPHN are mindful that there is no one correct parenting style, it is therefore important when delivering the program not to stereotype, but to encourage a generally more authoritative approach. Delivering the program within the home will aim to address the possible barriers families experience in accessing services (PHW, 2013). To conclude, this paper has evaluated the current public health agenda in relation to high levels of obesity identified within the Cwmbwla ward, a trend mirrored throughout the UK. Findings suggest that effort needs to be invested in preventing obesity, particularly in children; targeting early intervention and encouraging and educating families to adopt a healthy varied diet and active lifestyle (NICE, 2006, 2014). Through raising awareness, and by influencing local and national policies, SCPHN can facilitate ways to combat the problem of childhood obesity and seek to change the patterns which lead to obesity and poor health in later life (Cowley Frost, 2006; WG, 2014). As a result, recommendations for practice were identified for implementation within the profiled area of Cwmbwrla. The overall aim is for SCPHN to identify, address and facilitating families to overcome the current obesity epidemic, which could potentially result in a huge gain in terms of both cost to the NHS and more importantly the health of children and the adults they become (WG, 2015). Congestive Heart Failure: Causes, Types and Symptons Congestive Heart Failure: Causes, Types and Symptons Heart failure is caused by the heart not pumping as much blood as it should and the body does not get as much blood and oxygen that it needs. The malfunctioning of the heart chambers are due to damage caused by narrowed or blocked arteries leading to the muscle of your heart. This Heart failure can also be described based on which area of the heart isnt operating properly.2 types of heart failure. 1) Diastolic dysfunction: The contraction function is normal but theres impaired relaxation of the heart, impairing its ability to fill with blood causing the blood returning to the heart to accumulate in the lungs or veins. 2) Systolic dysfunction: The relaxing function is normal but theres impaired contraction of the heart causing the heart to pump pump out as much blood that is returned to it as normally does. As a result of more blood remaining in lower chambers of the heart Causes Any disorder that directly affects the heart can lead to heart failure, as can some disorders that indirectly affect the heart. Some disorders cause heart failure quickly; others do so only after many years. Some disorders cause systolic dysfunction, others cause diastolic dysfunction, and some disorders, such as high blood pressure and some heart valve disorders, can cause both types of dysfunction. Systolic Dysfunction: In many cases, a combination of factors results in heart failure. Coronary artery disease is a common cause of systolic dysfunction. It can impair large areas of heart muscle because it reduces the flow of oxygenirich blood to the heart muscle, which needs oxygen for normal contraction. Blockage of a coronary artery can cause a heart attack, which destroys an area of heart muscle. As a result, that area can no longer contract normally. Myocarditis (inflammation of heart muscle) caused by a bacterial, viral, or other infection can damage all or part of the heart muscle, impairing its pumping ability. Some drugs used to treat cancer and some toxins (such as alcohol) may also damage heart muscle. Some drugs, such as nonsteroidal antiiinflammatory drugs, may cause the body to retain fluid, which increases the workload of the heart and may precipitate heart failure. Heart valve disordersinarrowing (stenosis) of a valve, which hinders blood flow through the heart, or leakage of blood backward (regurgitation) through a valveican cause heart failure. Both stenosis and regurgitation of a valve can severely stress the heart, so that over time, the heart enlarges and cannot pump adequately. An abnormal connection (septal defectsi(see Birth Defects: Atrial and Ventricular Septal Defects and Patent Ductus Arteriosus: Failure to CloseFigures) between the heart chambers can allow blood to recirculate within the heart, increasing the workload of the heart, and thus can cause heart failure. Disorders that affect the hearts electrical conduction system and produce prolonged changes in heart rhythms (especially if these are fast or irregular) can cause heart failure. When the heart beats abnormally, it cannot pump blood efficiently. Some lung disorders, such as pulmonary hypertension (see Pulmonary Hypertension), may alter or damage blood vessels in the lungs (pulmonary arteries). As a result, the right side of the heart has to work harder to pump blood into the lungs. The person may then develop cor pulmonale (see Cor Pulmonale: A Disorder Stemming From Pulmonary HypertensionSidebar), in which the right ventricle is enlarged and there is rightisided heart failure. Sudden, usually complete blockage of a pulmonary artery by several small blood clots or one very large clot (pulmonary embolism) also makes pumping blood into the pulmonary arteries difficult. A very large clot can be immediately life threatening. The increased effort required to pump blood into the blocked pulmonary arteries can cause the right side of the heart to enlarge and may cause the walls of the right ventricle to thicken, resulting in right sided heart failure. Disorders that indirectly affect the hearts pumping ability include a severe deficiency of red blood cells or hemoglobin (anemia), an overactive thyroid gland (hyperthyroidism), an underactive thyroid gland (hypothyroidism), and kidney failure. Red blood cells contain hemoglobin, which enables them to carry oxygen from the lungs and deliver it to body tissues. Anemia reduces the amount of oxygen the blood carries, so that the heart must work harder to provide the same amount of oxygen to tissues. (Anemia has many causes, including chronic bleeding due to a stomach ulcer.) An overactive thyroid gland overstimulates the heart, so that it pumps too rapidly and does not empty normally during each heartbeat. When the thyroid gland is underactive, levels of thyroid hormones are low. As a result, all muscles, including the heart, become weak because muscles depend on thyroid hormones to function normally. Kidney failure strains the heart because the kidneys cannot remove excess fluid from t he bloodstream, so the heart has a larger volume of blood to pump. Eventually, the heart cannot keep up, and heart failure develops Diastolic Dysfunction: Inadequately treated high blood pressure is the most common cause of diastolic dysfunction. High blood pressure stresses the heart because the heart must pump blood more forcefully than normal to eject blood into the arteries against the higher pressure. Eventually, the hearts walls thicken (hypertrophy), then stiffen. The stiff heart does not fill quickly or adequately, so that with each contraction, the heart pumps less blood than it normally does. Diabetes causes other changes that stiffen the walls of the ventricle. As people age, the hearts walls also tend to stiffen. The combination of high blood pressure and diabetes, which are common among older people, and ageirelated stiffening makes heart failure particularly common among older people. Heart failure may result from other disorders that cause the hearts walls to stiffen, such as infiltrations and infections. For example, in amyloidosis, amyloid, an unusual protein not normally present in the body, infiltrates many tissues in the body. If amyloid infiltrates the hearts walls, they stiffen, and heart failure results. In tropical countries, infiltration by certain parasites into heart muscle can cause heart failure, even in young people. Some heart valve disorders, such as aortic valve stenosis, hinder blood flow out of the heart. As a result, the heart muscle thickens and has to work harder, and diastolic dysfunction develops. Eventually, systolic dysfunction also develops. In constrictive pericarditis, the sac that envelops the heart (pericardium) stiffens, preventing even a healthy heart from pumping and filling normally. Types of Heart diseases affect the heart chambers include These are the heart diseases which leads to heart failures A) Pulmonary heart diseases B) Heart Disease affecting heart muscles C) Heart disease affecting heart valves D) Heart disease affecting coronary arteries and coronary veins E) Heart disease affecting heart lining F) Heart disease affecting electrical system G) Congenital heart disease A) Pulmonary heart disease Pulmonary heart disease is caused by an enlarged right ventricle. It is known as heart disease resulting from a lung disorder where the blood flowing into the lungs is slowed or blocked causing increased lung pressure. The right side of the heart has to pump harder to push against the increased pressure and this can lead to enlargement of the right ventricle In the case of heart diseases affecting heart muscles, the heart muscles are stiff, increasing the amount of pressure required to expand for blood to flow into the heart or the narrowing of the passage as a result of obstructing blood flow out of the heart. B) Heart diseases affecting heart muscles Cardiomyopathy Heart muscle becomes inflamed and doesnt work as well as it should. There may be multiple causes such as high blood pressure, heart valve disease, artery diseases or congenital heart defects. a) Dilated cardiomyopathy The heart cavity is enlarged and stretched. Blood flows more slowly through an enlarged heart, causing formation of blood clots as a result of clots sticking to the inner lining of the heart, breaking off the right ventricle into the pulmonary circulation in the lung or being dislodged and carried into the bodys circulation to form emboli . b) Hypertrophic cardiomyopathy The wall between two ventricles becomes enlarged, obstructing blood flow from the left ventricle. Sometimes the thickened wall distorts one leaflet of the mitral valve, causing it to leak. The symptoms of hypertrophic cardiomyopathy include shortness of breath, dizziness, fainting and angina pectoris. c) Restrictive cardiomyopathy The ventricles become excessively rigid, harder to fill with blood between heartbeats. The symptoms of restrictive cardiomyopathy include shortness of breath, swollen hands and feet. Myocarditis Myocarditis is an inflammation of heart muscles or weakens of heart muscles. The symptoms of myocarditis include fever, chest pains, and congestive heart failure, palpitation. C) Heart disease affecting heart valves Heart diseases affecting heart valves occur when the mitral valve in the heart narrows, causing the heart to work harder to pump blood from the left atrium into left ventricle. Here are some types of heart disease affecting heart valves: a. Mitral Stenosis Mitral Stenosis is a heart valve disorder that involves a narrowing or blockage of the opening of mitral valve causing the volume and pressure of blood in left atrium increases. b. Mitral valves regurgitation Mitral regurgitation is the heart disease in which your hearts mitral valve doesnt close tightly causing the blood to be unable to move through the heart efficiently. Symptoms of mitral valve regurgitation are fatigue and shortness of breath. c. Mitral valves prolapsed In mitral valve prolapsed, one or both leaflets of the valve are too large resulting in uneven closure of the valve during each heartbeat. Symptoms of mitral valves prolapsed are palpitation, shortness of breath, dizzy, fatigue and chest pains. d. Aortic Stenosis With aging, protein collagen of valve leaflets are destroyed and calcium is deposited on the leaflets causing scarring, thickening, and stenosis is the valve therefore increasing the wear and tear on the valve leaflets resulting in the symptoms and heart problems of aortic stenosis. e. Aortic regurgitation Aortic regurgitation is the leaking of aortic valve of the heart that causes blood to flow in the reverse direction during ventricular diastole, from the aorta into the left ventricle. Symptoms of aortic regurgitation include fatigue or weakness, shortness of breath, chest pain, palpitation and irregular heartbeats. F. Tricuspid stenosis Tricuspid stenosis is the narrowing of the orifice of the tricuspid valve of the heart causing increased resistance to blood flow through the valve. Symptoms of tricuspid stenosis include fatigue, enlarged liver, abdominal swelling, neck discomfort, leg and ankle swelling. g. Tricuspid regurgitation. Tricuspid regurgitation is the failure of the riht ventricular causing blood to leak back through the tricuspid valve from the riht ventricle into the riht atrium of the heart. Symptoms of tricuspid regurgitation include leg and ankle swelling, swelling in the abdomen. D. Heart disease affecting coronary arteries and coronary veins Heart disease affecting coronary arteries and coronary veins: The malfunctioning of the heart may be due to damage caused by narrowed or blocked arteries leading to the muscle of your heart as well as blood backing up in the veins. Types of heart disease that affect the coronary arteries and veins include Angina pectoris Angina pectoris occurs when the heart muscle doesnt get as much blood oxygen as it needs. Here are 3 types of angina pectoris: a) Stable angina Stable angina is chest pain or discomfort that typically occurs with activity or stress due to oxygen deficiency in the blood muscles usually follows a predictable pattern. Symptom of stable angina include chest pain, tightness, pressure, indigestion feeling and pain in the upper neck and arm. b) Unstable angina Unstable angina is caused by blockage of the blood flow to the heart. Without blood and the oxygen, part of the heart starts to die. Symptoms of unstable angina include pain spread down the left shoulder and arm to the back, jaw, neck, or riht arm, discomfort of chest and chest pressure. c) Variant angina aiso known as coronary artery spasm Caused by the narrowing of the coronary arteries. This is caused by the contraction of the smooth muscle tissue in the vessel walls. Symptoms of variant angina include increasing of heart rate, pressure and chest pain. Heart attacks known as myocardial infarction or MI Heart attacks caused by plaque rupture with thrombus formation in a coronary vessel, resulting in an acute reduction of blood supply to a portion of the myocardium. Symptoms of MI include a squeezing sensation of the chest, sweating, nausea, vomiting, upper back pain and arm pain. Heart disease aiso known as coronary artery disease or coronary heart disease Caused by arteries hardening, narrowing, cutting off blood flow to the heart muscle resulting in heart attack. Symptoms of heart disease include shortness of breath, chest pains on exertion, palpitation, dizziness and fainting. Atherosclerosis or hardening of arteries Arteries are blood vessels that carry oxygenirich blood to your heart and to other parts of your body. Atherosclerosis is caused by plaques that rupture in result of blood clots that block blood flow or break off and travel to another part of the body. Atherosclerosis has no symptom or warning sign. Silent ischemia. Ischemia is a condition in which the blood flow is restricted to a part of the body caused by narrowing of heart arteries. Siient ischemia means people have ischemia without pain. There is aiso no warning sign before heart attack. E) Heart disease affecting heart lining Rheumatic heart disease results from inflammation of the heart lining when too much fluid builds up in the lungs leading to pulmonary congestion. It is due to failure of the heart to remove fluid from the lung circulation resulting in shortness of breath, coughing up blood, pale skin and excessive sweating. Heart disease resulting from inflammation of either the endocardium or pericardium is called heart disease affecting heart lining. Endocardium is the inner layer of the heart. It consists of epithelial tissue and connective tissue. Pericardium is the fluid filled sac that surrounds the heart and the proximal ends of the aorta, vena valva and the pulmonary artery. a. Endocarditis Endocarditic, which is an inflammation of the endocardium is caused by bacteria entering the bloodstream and settling on the inside of the heart, usually on the heart valves that consists of epithelial tissue and connective tissue. It is the most common heart disease in people who have a damaged, diseased, or artificial heart valve. Symptoms of endocarditis include fever, chilling, fatigue, aching joint muscles, night sweats, shortness of breath, change in temperature and a persistent cough. b. Pericardium Pericarditis is the inflammation of the pericardium. It is caused by infection of the pericardium which is the thin, tough bagiiike membrane surrounding the heart. The pericardium aiso prevents the heart from over expanding when blood volume increases. Symptoms of pericarditis include chest pain, mild fever, weakness, fatigue, coughing, hiccups, and muscle aches. F) Heart disease affecting electrical system The electrical system within the heart is responsible for ensuring the heart beats correctly so that blood can be transported to the cells throughout our body. Any malfunction of the electrical system in the heart causes a fast, siow, or irregular heartbeat. The electrical system within the heart is responsible for ensuring that the heart beats correctly so that blood can be transported throughout our the body. Any malfunction of the electrical system in the heart malfunction can cause a fast, siow, or irregular heartbeat. Types of heart disease that affect the electrical system are known as arrhythmias. They can cause the heart to beat too fast, too siow, or irregularly. These types of heart disease include: a. Sinus tachycardia Sinus tachycardia occurs when the sinus rhythm is faster than 100 beats per minute therefore it increases myocardial oxygen demand and reduces coronary blood flow, thus precipitating an ischemia heart or valvular disease. b. Sinus bradycardia Sinus bradycardia occurs when a decrease of cardiac output results in regular but unusually siow heart beat less than 60 beats per minute. Symptoms of sinus bradycardia includes a feeling of weightlessness of the head, dizziness, low blood pressure, vertigo, and syncope. c. Atrial fibrillation Atrial fibrillation is an irregular heart rhythm that starts in the upper parts (atria) of the heart causing irregular beating between the atria and the lower parts (ventricles) of the heart. The lower parts may beat fast and without a regular rhythm. Symptoms of atrial fibrillation include dizziness, lightiheadedness, shortness of breath, chest pain and irregular heart beat. d. Atrial flutter Atrial flutter is an abnormal heart rhythm that occurs in the atria of the heart causing abnormalities and diseases of the heart. Symptoms of atrial flutter includes shortness of breath, chest pains, anxiety and palpitation. e. Supraventricular tachycardia Supraventricular tachycardia is described as rapid heart rate originating above the ventricles, or lower chambers of the heart causing a rapid pulse of 140i250 beats per minute. Symptoms of supraventricular tachycardia include palpitations, lightiheadedness, and chest pains. f. Paroxysmal supraventricular tachycardia Paroxysmal supraventricular tachycardia is described as an occasional rapid heart rate. Symptoms can come on suddenly and may go away without treatment. They can last a few minutes or 1i2 days. g. Ventricular tachycardia Ventricular tachycardia is described as a fast heart rhythm that originates in one of the ventricles of the heart . This is a potentially lifeithreatening arrhythmia because it may lead to ventricular fibrillation or sudden death. Symptoms of ventricular tachycardia include light headedness, dizziness, fainting, shortness of breath and chest pains. h. Ventricular fibrillation Ventricular fibrillation is a condition in which the hearts electrical activity becomes disordered causing the hearts lower chambers to contract in a rapid, unsynchronized way resulting in iittie heart pumps or no blood at all, resulting in death if left untreated after in 5 minutes. There are many heart diseases affecting electrical system such as premature arterial contractions, wolf parkinson, etc. G) Congenital heart disease There are several heart diseases that people are born with. Congenital heart diseases are caused by a persistence in the fetal connection between arterial and venous circulation. Congenital heart diseases affect any part of the heart such as heart muscle, valves, and blood vessels. Congenital heart disease refers to a problem with the hearts structure and function due to abnormal heart development before birth.Every year over 30,000 babies are born with some type of congenital heart defect in US alone. Congenital heart disease is responsible for more deaths in the first year of life than any other birth defects. Some congenital heart diseases can be treated with medication alone, whiie others require one or more surgeries. The causes of congenital heart diseases of newborns at birth may be in result from poorly controlled blood sugar levels in women having diabetes during pregnancy, some hereditary factors that play a role in congenital heart disease, excessive intake of alcohol and side affects of some drugs during pregnancy. Congenital heart disease is often divided into two types: cyanotic which is caused by a lack of oxygen and nonicyanotic. A. Cyanotic Cyanosis is a blue coloration of the skin due to a lack of oxygen generated in blood vessels near the skin surface. It occurs when the oxygen level in the arterial blood falls below 85i90%. The below lists are the most common of cyanotic congenital heart diseases: a) Tetralogy of fallot Tetralogy of fallot is a condition of several congenital defects that occur when the heart does not develop normally. It is the most common cynaotic heart defect and a common cause of blue baby syndrome. b) Transportation of the great vessels Transportation of the great vessels is the most common cyanotic congenital heart disease. Transposition of the great vessels is a congenital heart defect in which the 2 major vessels that carry blood away from the aorta and the pulmonary artery of the heart are switched. Symptoms of transportation of the great vessels include blueness of the skin, shortness of breath and poor feeding. c) Tricuspid atresia In tricuspid atresia there is no tricuspid valve so no blood can flow from the riht atrium to the riht ventricle. Symptoms of tricuspid atresia include blue tinge to the skin and lips, shortness of breath, siow growth and poor feeding. d) Total anomalous pulmonary venous return Total anomalous pulmonary venous return (TAPVR) is a rare congenital heart defect that causes cyanosis or blueness. Symptoms of total anomalous pulmonary venous return include poor feeding, poor growth, respiratory infections and blue skin. e)Truncus arteriosus Truncus arteriosus is characterized by a large ventricular septal defect over which a large, single great vessel arises. Symptoms of truncus arteriosus include blue coloring of the skin, poor feeding, poor growth and shortness of breath. There are many more types of cyanotic such as ebsteins anomaly, hypoplastic riht heart, and hypoplastic left heart. If you need more information please consult with your doctor. B. Nonicyanotic Nonicyanotic heart defects are more common because of higher survival rates. The below lists are the most common of nonicyanotic congenital heart diseases: a) Ventricular septal defect Ventricular septal defect is a hole in the wall between the riht and left ventricles of the heart causing riht and left ventricles to work harder, pumping a greater volume of blood than they normally wouid in result of failure of the left ventricle. Symptoms of ventricular septal defect include very fast heartbeats, sweating, poor feeding, poor weight gain and pallor. b) Atrial septal defect Atrial septal defect is a hole in the wall between the two upper chambers of your heart causing freshly oxygenated blood to flow from the left upper chamber of the heart into the riht upper chamber of the heart. Symptoms of atrial septal defect include shortness of breath, fatigue and heart palpitations or skipped beats. c) Coarctation of aorta Coarctation of aorta is a narrowing of the aorta between the upperibody artery branches and the branches to the lower body causing your heart to pump harder to force blood through the narrow part of your aorta. Symptoms of coarctation of aorta include pale skin, shortness of breath and heavy sweating. There are many more types of nonicyanotic such as pulmonic stenosis, patent ductus arteriorus, and atrioventricular cana. These problems may occur alone or together. Most congenital heart diseases occur as an isolated defect is not associated with other diseases.

Why the South Could Not Win the Civil War :: American America History

Why the South Could Not Win the Civil War Ever since the day the South surrendered to the North in May of 1865, Americans have argued on why the South lost. Others argued that the South never had chance to win the war, yet more than half a million people were killed, homes were lost and destroyed and families were torn apart. There are many theories to explain this, many arguing that the South never had a chance to win the Civil War to begin with, for the North out numbered and had better resources than the South at almost every point, militarily. Industrially the South couldn't keep up in output of weapons, ammunition and other supplies. That is one of the main reasons the South looked overseas for help. Jefferson Davis knew that the South was at a disadvantage so he looked to England and France. By the end of the war, the South had, more or less, plenty of weaponry still, but it just didn't have enough men to use the guns. By getting either England or France on the Confederate side, supplies would have been more plentiful and also it would have inevitably ended up doing great damage economically to England's maritime trade. However, the fact remained that foreign recognition was denied to the Confederacy in all its attempts. Another reason the South well fell short of a victory was the obvious difference in population between the South and the North. The North at the time had twenty-two million men while the South had a meager nine-and-a-half million, of whom three-and-a-half million were slaves. While the slaves could be used to support the war effort through work on the plantations, in industries and as teamsters and pioneers with the army, they were not used as a combat arm in the war to any extent. This cuts the South's manpower by a third, leaving a fifteen-and-a-half million difference in the population of the two areas. Give the South fifteen-and-a-half million more possible soldiers, and the outcome would have been different. The right military strategy is the key to a war. In order for the South to win the war, they would have needed to apply what is now called a blitzkrieg strategy. This would have been a quick decisive attack on the North to follow up its early victories of Manassas in the East and at Wilson's Creek and Lexington in the West.

Neural Interfacing Essay -- essays papers

Neural Interfacing In the motion picture â€Å"RoboCop† scientists during a future time implanted a human head into the body of a futuristic robot creating an almost unstoppable police officer. During 1987, when this movie was produced, the idea of man combining with machine was considered pure fantasy. However, advances in technology in the year 2000 and further studies in recent years have proven that this idea may, in time, become a reality. On October 13th 2003, sciencedaily.com in their article, Monkeys Consciously Control A Robot Arm Using Only Brain Signals, reported that researchers of Duke University had successfully taught a monkey to manipulate a robotic arm using only her brain signals and a video display.[1] Though the theory behind the idea of somehow connecting human tissue to electronic devices is relatively simple, the processes needed to create the experiment are very complex. For years scientists have understood that the brain uses small amounts of electrical currents to stimulate specific muscle movements. Some of these scientists then asked if it was possible to create a device that can be controlled simply by reading this electric activity of the brain. Only in recent years were scientists able to place this theory into practice. This amazing scientific accomplishment was made possible by surgically implanting microelectrodes (very small sensors used to measure electric activity in living tissue) into the brains of two monkeys.[2] These microelectrodes were implanted where scientists believe is the greatest amount of complex muscle control, the frontal and parietal regions of the brain. [3] Then different measurements of electric brain activity were recorded from the microelectrodes utilizing a scientifi... ... God and fiddle with God’s creation? This is a very personal question and must be dealt with the by individual alone. Works cited: Better Humans. (2004, February). Snail Brain Merged with Microchip. Retrieved March 31, 2004 from http://www.betterhumans.com/News/news.aspx?articleID=2004-02-23-4 Science Daily. (2004, March). Human Studies Show Feasibility Of Brain-machine Interfaces. Retrieved March 31, 2004 from http://www.sciencedaily.com/releases/2004/03/040324071203.htm Science Daily. (2003, October). Monkeys Consciously Control A Robot Arm Using Only Brain Signals. Retrieved March 31, 2004 from http://www.sciencedaily.com/releases/2003/10/031013082812.htm http://www.sciencedaily.com/releases/2003/10/031013082812.htm http://www.sciencedaily.com/releases/2004/03/040324071203.htm http://www.betterhumans.com/News/news.aspx?articleID=2004-02-23-4