Ethics Essay Example | Topics and Well Written Essays - 750 words - 1

Ethics - Essay Example Obligations as a Nurse Obligations to my profession and work as a nurse pertaining to this case include doing what is required to follow the government’s decision. As a nurse, it is no less than an ethical dilemma for me, where if I don’t follow the government’s decision, my status as a nurse is challenged and my job is at risk. On the other hand, if I follow the government’s decision and starve Terri to death, I have to fight against my own conscience as a human being, and I know this is a fight I am going to lose, and this may jeopardize my peace of life forever. Laws regarding Euthanasia Laws related to euthanasia vary from one country to another. Some countries consider euthanasia an illegitimate practice which is thus condemned, whereas other countries are more flexible and have specified certain conditions in which euthanasia can be given to a patient. There are also certain countries like Australia that had legalized euthanasia once but later change d the rule. â€Å"On 25 May 1995, the Northern Territory of Australia became the first place in the world to pass right to die legislation.  The Rights of the Terminally Ill Act  lasted 9 months before being overturned by the Australian Federal Parliament† (Exit International, 2012). Today, all territories and states of Australia deem euthanasia illegal. In the USA, there is a particular federal law related to assisted suicide or euthanasia. It is prohibited under general homicide laws in all the 50 states of the USA including the District of Columbia. Laws related to euthanasia are dealt with at the state level instead of the federal level in the USA. 36 states in the USA prohibit all kinds of assisted suicides, seven states in the USA prohibit them under common law, four states in the USA do not have specific laws related to euthanasia, whereas three states including Montana, Washington, and Oregon have rendered euthanasia legal (ProCon.org, n.d.). Stakeholders in the C ase The stakeholders in this scenario include the government, the people of America in general, Terri’s family in particular, and most importantly, Terri herself. Terri was starved to death upon the government’s decision without her or her family’s consent being involved in it. This did not only take Terri’s life, but also had traumatic effect on her family as well as all citizens of America who felt concerned for Terri and were disappointed by this decision of the government. The government is surely one of the stakeholders in this case since the decision making power is fundamentally assumed by the government and the decisions made by the government affect the lives of common people like Terri and her family. Summary of the Impacts Being a nurse is a big responsibility by all means. A nurse is essentially someone who assists people with activities meant to improve their health. The conventional image of a nurse is of a helping, caring, and loving indivi dual. Giving someone euthanasia is one of the extremely challenging tasks for a nurse since it fundamentally challenges the status of nurse as a caring individual and is also emotionally demanding. Our social and religious values guide us to take care of the well-being of all human beings, not some human beings. Euthanasia is against these social and religious values. How long a person lives is to be decided by God Almighty, not human beings. When humans take this decision in their own

LANGUSGE AND THEMATIC ANALYSIS OF THE EXCERPT FORM THE ROVER Essay

LANGUSGE AND THEMATIC ANALYSIS OF THE EXCERPT FORM THE ROVER - Essay Example The major themes observed in this excerpt include prostitution or women liberation according to the author’s perspective, love and lust. Behn uses the profession of prostitution as a tool to demonstrate her definition of women liberation where men and women are treated as equals with same rights. This theme is apparent from the line, â€Å"is all this heaven of beauty shown to move despair in those who cannot buy?† as Hunter (1993, p.103). also states, â€Å"in the Rover the chaotic, unrepressed â€Å"other† body of woman is idealized to allow Behn to express a cultural longing for a prelapsarian Golden Age where sexes love mutually and women are desiring subjects rather than passive objects† The character of Willmore and Angelica are used as an aid to symbolically represent the theme of lust and love because the whole episode that is depicted in this scene is a matter of lust for Willmore while it is love for Angelica. Behn (1967, p. xiv) states, â€Å"f or Willmore†¦ women are objects to be bought and sold, love is merely lust†. This statement is also supported by the non serious demeanor of Willmore in the scene where he is intent on getting his way and uses words as the weapon to persuade Angelica.

Diagnosis Case Study Example | Topics and Well Written Essays - 750 words

Diagnosis - Case Study Example Along with this, there are anorexia and catabolic process of chronic inflammatory process of the disease. All these may combine to cause profound weight loss over a short period of time. 3. Since there is a component of malabsorption, Schilling test may be done to rule out Vit B12 deficiency. Electrolytes to rule out potassium, magnesium, and calcium deficiencies need to be done. Serum albumin would indicate hypoalbuminaemia indicating amino acid malabosrption or protein losing enteropathy. Air-contrast barium enema and CT scan need to be done to better delineate the terminal ileal involvement. Colonoscopic examination with rectal biopsy can yield the histologic nature of the disease. 4. Apart from other general measures like nothing orally, intravenous alimentation, fluid resuscitation, the medical therapy of first choice would have been sulfasalazine. This drug consists of a sulfapyridine moiety chemically bound to 5-aminosalicylate. This undergoes bacterial cleavage, the liberated sulfapyridine is absorbed, and the salicylate component exerts its anti-inflammatory action through inhibition of prostaglandin synthesis, thus reducing the inflammation. 5. 5. The complications that may arise out of this disease, that is, Crohn's disease are intestinal obstruction; fistula formation with contiguous intestinal lumen or urinary tract; small-bowel or colonic malignancy; bile salt malabsorption leading to increased gall stones; and increased incidence of urinary tract oxalate stones. 6. If there is associated chronic inflammation of the bone marrow, there may be anemia with decrease in the platelet count. The anaemia is variable, so are the red cell indices. Megaloblastic anemia with increased MCV is rare. 7. On the basis of these preliminary tests, the diagnosis would be Crohn's disease. This disease presents in a young adult with variable weight loss, right lower quadrant discomfort or pain, and diarrhoea. The diarrhoea is usually moderate often without gross blood. The patient looked pale due to anaemia, and mouth ulcerations were due to aphthous stomatitis, which is a common accompaniment. The right lower quadrant tenderness is consistent with the mass felt per abdomen that reflected adherent loops of bowel. As expected, the blood picture reflected anaemia and leukocytosis. The final diagnosis is made from the appearance of the distal ileum that showed narrowing and thickening of the intestinal wall. 8. The main risk factor is genetic predisposition to the development of the disease. Whites and Jews have increased incidences, and increased preponderance of disease in monozygotic twins support. Exact genetic linkage yet to be discovered. 9. The other risk factors that may be involved are, immune mechanism suggested by extra-intestinal manifestations, abnormalities of cell-mediated immunity, and psychological factors caused by stress. 10. There is considerable individual variation with respect to drug metabolism, hence effects of the drug. Drug metabolism is related to cytochrome P450 family of genes. In humans, enzymes encoded by P450 genes are located in the liver where they metabolize drugs. Through oxidative metabolism, these enhance water solubility of the drug to enhance its excretion. For drugs that are metabolized in this way, this process affects the blood levels of the compound, so the therapeutic efficacy, and sometimes, this is necessary to

BRAND MANAGEMENT Assignment Example | Topics and Well Written Essays - 2000 words

BRAND MANAGEMENT - Assignment Example In other words, the image of a brand depends on what customers perceive and feel about it. Brand image is very strongly related to brand awareness, because customers are unlikely to have any image of a brand that they are unaware of. In this highly competitive commercial environment, it has become imperative for corporate organizations to distinguish the products and services offered by them from that of their peers. As a result, brand awareness, brand image, and brand development strategies have become an integral part of the present day business organization in building their brand equity. Adidas, a German sportswear producer, was instituted in the year 1920 by Adi Dassler. The business started off as a small workshop, but it transformed over the years into a renowned large corporation and turned out to be one of the foremost sportswear brands in the world. The products of the company comprise of sports shoes, sports shirts, bags, and all other sports related goods and equipments. The Adidas Group comprises of three major brands, such as adidas, Reebok and TaylorMade. The figure below illustrates the brands that comprise the Adidas Group: Despite the fact that brand image development is undeniably a grave challenge to brand managers, there has not been much research to assist brand managers in making a choice between different strategies. There are large numbers of researches that have been accentuated on brand personality (Okazaki, 2006; Venable & Rose, 2003). Nevertheless, the most important focus of these researches has been on the consequences and outcomes of brand personality or on dimension factors. There have not been much studies revolving around how brand personalities are build up as well as how they can be augmented. There are a numbers of constituents that are required during the process of branding, and brand personality is one of the crucial elements. By bestowing a brand with a definite personality, brand managers attempt to

Cause and effect Essay Example | Topics and Well Written Essays - 750 words - 2

Cause and effect - Essay Example It is commonly known that when a person engages in physical activities, the heart rate and blood pressure increase, making the heart be exercised as well. Moreover, healthy diets are now getting popularly advertised and embraced for the same reason of having health benefits. In relation to cardiovascular diseases, Ivan Gyarfas states that there are no vaccines against such diseases but there is prevention. He mentions having healthy living as the top reason for such prevention. In the past three decades, studies show that the death rate caused by cardiovascular diseases decreased by forty percent. The reason for two-thirds of the decline is the awareness and practice adopted by people about healthy lifestyle. Diets were designed to reduce calories, fats and salts that improved control of hypertension, the growing popularity of fitness exercises, and smoking cessation--all of which have nothing to do with drug medications(1). This shows that indeed, eating healthy foods, exercise and quitting smoking all lead to a better healthy body. On of the causes cardiovascular diseases that have caught the attention of researchers lately is the psychosocial factor. The authors, Susan Everson-Rose and Tene Lewis claim that this is an important factor that must be considered in treating or preventing the disease and studies must be strengthened so that the relation of such factor will be established as a well-researched standard. The two writers claim that the emotional state of a person contributes as a risk factor to cardiovascular disease. Among the conditions they have explained are anger and hostility which is said to be â€Å"typically characterized by a suspicious, mistrustful attitude or disposition toward interpersonal relationships and the wider environment, considered to be enduring which means, it is a personality trait† (475). â€Å"Anger is an emotion which is considered to be one component of a broader, multi-dimensional construct that includes hostili ty and aggressive behavior†. This emotion is caused by perceptions of unjust events or actions (Everson-Rose & Lewis, 475) which could probably be true or imagined. Injustice causes anger which eventually causes hostility that somehow affect how the heart functions which consequently turn to heart problems. Other factors that are considered psychosocial are environment stressors. Examples of such are work-related stress and acute life stress. As mentioned earlier, researchers are seriously considering the possible effects of such factors in patient however, Lang, Lepage, Schieber Lamy and Kelly acknowledge in their article the fact that this is not fully supported. The reason for this is perhaps the multiple factors that may be involved, practiced by patients who were also used as research materials. Among the other factors that affect the poor acknowledgement of work related risk factors are smoking and high cholesterol (7). Other psychosocial factors are social factors which take on the subsets of social ties, social support and social conflict. It has been observed that people with strong support systems like family and friends; reduce their risk of having heart problems. On the other hand, those who have been isolated either intentionally for the purpose of studies or naturally because of certain personal reasons,

Perspectives of Regulation of Complex Financial Institutes Essay

Perspectives of Regulation of Complex Financial Institutes - Essay Example General complaints about a â€Å"lack of regulatory aggressiveness† ignore the realities of actually bringing enforcement actions in a tough environment. Regulatory enforcement in the United States operates surprisingly well given the difficulties of this operating environment, and critics have not presented credible alternatives to the present system. A second perspective is that major financial institutions escape meaningful regulatory constraints because their power and influence overwhelm regulators and because individuals from regulatory institutions give too much deference to major financial institutions and their key executives and staff. This perspective suggests that financial regulation in the United States is broken largely because of this political dynamic and needs fundamental reform. This paper will examine and look into how regulators and firms deal with each other, how interdependent they are on each other and the outcome of such interdependency. What kind of b enefits and liabilities develop due to their strong ties. Financial institutes will be used as the premise of all discussion. Special attention will be given to potential benefits and risks of such cohesive regulatory networks. Regular dealings between regulators and financial institute beyond the regular rule making boost up co-operation. Ineffect transparency takes a toll. Information disparities also strengthen regulatory cultures and bring down the threshold of external pressure need to effect changes within firms. The conditions that bring this benefit impede flow of information and genuine criticism from outsider. As a result performance standards dip and various other problems crop up. The paper looks into various examples of such fraudulent activities and also the circumstances in which these tensions are more likely to manage without damage from these problems. Strong ties that encourage cooperation within insiders have a huge impact on the flow of information. Information disparity arises and outsiders are asked to stop criticism. A lot of problems shape up as a result. A very prominent example in this case would be the SEC, NASD and NYSE when they acted against conflicts of interests in investment banking and mutual funds, immediately after outsiders. In 2003, at a cost 1.4 billion dollars, regulator prosecutors and large securities firms settled charges. The firms had encouraged investment analysts to mask and exaggerate corporation’s investment value while misleading investors in order to win the corporation’s investment banking business. For many years, this was floating around as a secret in the industry while the press and various congressional hearings had focused on it. While the participants were aware of the ethical implications of such a business, they eventually came to terms with it and started living with it as if it was a normal part of the business. The Lehman Brothers came to the rescue and appealed for new synergy by a nnouncing a new model for dealing between analysts and investment banking. This was widely accepted new paradigm for synergy and stated that â€Å"The analyst is THE key driver of the firm relationship with its corporate client base. Analysts need to accept responsibility and use it to expand the franchise and DRIVE PROFITABILITY

Research a medical topic of interest to you using professional medical Paper

A medical topic of interest to you using professional medical journals such as Jama, nursing or dental or physical, occupational, or speech journals - Research Paper Example This leaves prevention as the only feasible alternative to control the virus. The prevention is done through immunization of attenuated forms of the virus to induce the body to develop natural immunity against the virus (John, 2002). Cases of poliomyelitis have declined in the recent decades but it is still too early to celebrate. The elimination of the second of the three-poliovirus serotypes; type 2 was eliminated in 1999.This marked a milestone achievement and evidence that the global resolve to eliminate paralytic poliomyelitis is attainable. Improvements in immunization and continuous surveillance are ideal in the completion of eradication of polio (Samwel et al, 1991). The feat of polio eradication is highly supported by polio programs, innovations such as global positioning system, mapping, and strategies of immunization at transit points. It is strategic to declare polio as a global health emergency to arouse concerted efforts by countries globally to eliminate the disease. The shift from the use of oral polio vaccine (OPV) to inactivated polio vaccine (IPV) is timely and appropriate. This is because of the magnitude of reduced effectiveness of OPV in locations with high burden of enteric pathogens and diarrheal disease. This challenge can be more pronounced in some areas leaving children who have received several doses still vulnerable to polio attack. The development of viral genetic sequencing technology reveals that OPV viruses are capable of regaining fitness and neurovirulence when continuously transmitted from one person to the other. Based on the information of genetic attenuation, it is imperative that true elimination of polio means zero transmission of poliovirus .It is notable that vaccine viruses apart from being genetically prone to reversal to neurovirulence, are also epidemiologically prone to transmission to unvaccinated children thus causing polio outbreaks. To reduce the cost of the administration of IPV, it is