Quality of Life for the Patient and Family Essay

Quality of life has a different meaning for everyone. Many personal thoughts and feelings can come into play when caring for others during the end stages of life. However as a nurse and caregiver, these opinions must be put aside at this significant time. For some health care providers, we may feel that keeping the patient comfortable and having them surrounded by family is most important. However, for the patient, personal culture, lifestyle and value for one self as well as a sense of independence in handling this time alone is most imperative. Therefor a nurse must consider the individual’s past experiences, present lifestyle and personal hopes in which they choose to live in relation to their goals, expectations, standards and concerns at this stage. One must meet not only the physical needs of the patient but the psychosocial demands in this sensitive time of need. Seeking aggressive medical treatment vs. palliative care is something that is very personal and differs from individual to individual. Nurses’ opinions and suggestions of the â€Å"best care† should not be voiced to the patient or family, even if asked directly. For Mrs. Thomas, time also plays an important role. She is young and may have many other worries than those of an older age experience in preparing for end of life. A nurse must consider what areas of life are important to her and what is the relative importance of each of these areas. Personal perception that counting on family support is huge, but may not be possible in Mrs. Thomas’ situation as her children live out of town. STRATEGIES TO IMPROVE QUALITY OF LIFE The nurse should look at several strategies that directly impact the patient as well as the family. Quality of life not only looks at the health status  the patient but those directly involved in the care of the patient. This encompasses a broader set of planning including finances, housing, and employment. This will have a direct impact on the entire family. Three important strategies that are helpful to relieve overall stress and promote optimal coping skills include: 1) patient awareness of disease process, 2) available support from healthcare providers and 3) addressing physical as well as the psychosocial needs of the patient. Healthcare professionals must be prepared and speak directly with the patient and family when it is determined best to the physician’s ability, that the identified disease of breast cancer will cause death. Advance planning and preparation may be helpful in dying well if Mrs. Thomas is more aware about her status of disease. Physicians and nurses must change the plan of aggressive medical treatments of curing the disease of breast cancer and concentrate providing support and a comfortable well being of the deteriorating disease process. This in turn should provide a plan of care for relief of pain, contentment to the patient and focus on the overall whole being of quality of life. The homecare team can include doctors, nurses, home health aides, social workers, and clergy as well as trained volunteers. Most team members provide on-call 24 hours a day, 7 days a week to deliver support. The patient and family should feel the comfort in calling these resources at anytime. The nurse must remind Mrs. Thomas and her husband that they are not â€Å"bothering† any team member by asking for assistance. The team must always work together and communicate the patient’s goals for end-of-life care. It is important for all to realize this is very individualized for each patient and family member. Each individual strategy should include caring for the whole person physically, emotionally, socially and spiritually. It important for the team to develop strengths based perspectives of psychosocial interventions and listen to what the patient and family have to say to enable them to cope better. In doing so, the team must also communicate on each encounter with Mrs. Thomas and family as well as each other to assure that her and the husband’s needs are being met. HOLISTIC CARE A holistic nursing care plan in valuable in delivering care to the entire person in supporting the physical, mental, spiritual, emotional, social and  environmental needs. With this approach, nursing care needs to move away from viewing Mrs. Thomas as merely a ‘diagnosis’ and treating her as a whole person. Nursing goals should be to develop immediate trust with the patient and family, provide comfort, supportive care, and symptom management. This can be achieved by effective communication and providing a calm, relaxed setting for Mrs. Thomas. Allowing her to speak openly and honestly about her feelings and emotions of grief, physical complaints such as pain, nausea, and difficulty sleeping is a good way to start to develop a trusting nurse/patient relationship. As a nurse, one must be supportive and be willing to listen openly. Once Mrs. Thomas begins to express these types of things, the nurse must review and evaluate every visit to improve specific concerns with her. More importantly, healthcare providers must display an openness to hear new concerns and prioritize the needs of the patient and family. FUNCTIONAL ABILITY Assessments to maintain the self functional ability for Mrs. Thomas should include creating a plan to achieve realistic goals and allow self care as long as possible. This in turn can give control back to Mrs. Thomas, help raise confidence and value her quality of life. Mrs. Thomas’ physical, social and environmental conditions should also be considered to help her care for herself. Discussing the 24/7 availability of visits from registered nurses and social workers, involving family and friends or volunteers that can help with running errands and meal preparation for adequate dietary intake, and discussing appropriate medical equipment to assist with ADLs such as performing personal hygiene can prove to be helpful. PROVIDING ADDITIONAL CARE When self-care is no longer possible, the importance of more frequent nurse and/or social worker visits, and interaction of clergy is valuable. In addition, further involvement of additional family, friends, home health aides or volunteers to assist not only with running errands, meal preparation and assistance with ADLs but being present in the home for longer periods to care directly for Mrs. Thomas becomes more imperative. The nurse can assist in making sure appropriate DME equipment is in the home. In  addition, this turns out to be a time when additional emotional support is of great concern for Mr. Thomas. CHRONIC DEPRESSION Mr. Thomas already suffers from chronic depression and now has to endure immense and continuous stress to care for his wife with advanced breast cancer. Over time this takes a toll his health, ability to work, finances, and their own personal and family needs. Involvement of not only the nurse, but also social worker and bereavement counselor can help Mr. Thomas tremendously. Encouraging him to take his medications will help both him and his wife. Also, reassurance that it is okay to want quiet time and allowing others to help to care for his wife should be verbalized to him in a caring manner. Taking some of the financial worries away from Mr. Thomas may help as well. The social worker can discuss resources that are of no cost from community volunteer organizations and review the reimbursement of covered services from the insurance organization at the beginning and in ongoing care of his wife. Sharing the right information with the patient’s family is very important and can assist in better coping. Again, the home care team must offer an environment that provides the openness to hear all concerns and overall needs of not only the patient but also her family.

Criminology Theories-Differential Association and Strain Theory Essay

Abstract   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In criminology, theories play an important role especially in understanding the settings, motivations, assets, behaviors and actions of criminals. These theories serve as their guidelines in order to detect and sometimes read the plans of their enemies. Unfortunately, these theories are not one hundred percent accurate, however, learning these aspects are still essential. Differential Association and Strain Theories are most commonly used in the field of criminology. These theories aim to explain the totality and the instinctive or social development of criminal ideation in a person. The theories mentioned are extremely necessary for authorities to understand and to be familiar with. Criminal Theories – Differential Association Theory vs. Strain Theory   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Theories in criminology tend to be unclear and lacking in justifiable broadness. The lack of clarity can sometimes end up in apparent inconsistencies, although more attention to the structure of a scientific theory and its requirements might reveal more agreement among theorists than now recognized. In fact, rarely do available theories offer guidance that does not require heroic leaps of conjecture. Practicality is not a requirement of a valid theory since theories might be void but still of use. However, condition for a theory to be considered certifiable is none other than practicality. Criminology is the scientific study of crime; hence, theories need to have adequate basis in order to prove true and be considered useful. Another denotation of the term Criminology is the study of law making, law breaking and the response to law breaking. This definition of criminology is also a useful way to categorize the theories. Theories of law breaking are the most common and essential in the field of Criminology. The questions that usually come out is â€Å"why do people commit crime?† or â€Å"What makes countries more prone to crime than other?† These theories serve as the guide of practice and a protocol to assist the implementation of law and reading of crimes (Vito, Maahs & Holmes, 2007 p.14).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The research paper aims to describe specific theories and analyze its over-all concept as well as comparisons. The main theories highlighted in this paper are Differential Association Theory and Strain Theory. These theories are explained and scrutinized in order to obtain various points of essentials and utilize it in order to come up with a critical analysis of the said theories. The following are questions that are considered objectives of this research work. What are the theories of Differential Association Theory and Strain Theory? Discuss the concepts embedded in each theory and obtain the important data present. What are the comparisons and differentiations of the following theories? What are the important points to be noted in each theory? The research study does not deal with any under topics except for these theories. By the end of the paper, a conclusion regarding the over-all study is present. Differential Association Theory   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The Differential Theory has been brought by Edwin Sutherland, and this has been considered as one of the best constitutions in the field of criminology. The evolution of criminology and formation of this theory have started because of this man’s desire to have a new direction in the field of criminology. He has rejected the biological determinism and the extreme individualism of psychiatry, as well as economic explanations of crime. The need for money or resources is never a motivating factor for a person to commit a crime. Due to this curious out-searching, he has arrived in the theory of Differential Association Theory. Another term for this theory is the â€Å"Social Learning Theory†, wherein psycho-cognitive and analytic observations are implemented. Different association proposes that criminal associations and normative conflict vary across community types; hence, this variation is linked in the rationale for varying crime rates (Hoffman 2003).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The concept of this theory states that delinquency is learned just as all other forms of behavior are learned. It implies that Different Association Theories are those associated in various factors such as changing community, the individual itself, the environment and family upbringing. These are the things that influence the person’s behavioral concept, and if not guided properly, criminal acts may be produced. Sutherland (1947) proposed that crime and delinquency are learned in small-group contexts through the acquisition of a preponderance of messages defining law-violating behavior as acceptable or appropriate. (Dennis & Neff, 2007) Moreover, this theory emphasizes on the genetic origins of criminal behavior, thus implying biological initiatives in crime control. In contrast to both classical and biological theories, Differential Association Theory poses no obvious threats to the humane treatment of those identified as criminals (Hoffman 2003). The conditions of this theory also suggests that the more frequent, intense, salient, and enduring a youth’s exposure to prodelinquency definitions, the more likely they will be to adopt these definitions and to use them to rationalize or justify engaging in delinquent behavior. Delinquency stems from a positive identification with law-violating behavior learned in interaction within primary groups, which is an exact opposite of strain-induced negative emotions (Dennis & Neff, 2007). Testing Theory Validity According to the journal of Van Gundy and Rebellon (2006), differential association theory can be used in tracing out the behavior of crime acts in an individual. A test has been conducted in teenagers who are into use of Marijuana. Specifically, among respondents who reported using other illicit drugs in 1980, only 2.8% simultaneously reported that they had abstained from the use of marijuana in the same year. The researchers gathered these individuals and they obtain an interview as well as drug sample from this group of people. The focus is too asses the origins of criminal behavior guided by the conditions of marijuana usage. According to the respondents who have been reported using drugs other than marijuana, the presence of moral attachments, commitments or involvements are either fragile, low or absent. It has been noted that these individuals have higher association with substance-using peers than do those who report abstaining from such drugs. These results suggest that variables derived from existing delinquency theory are capable of explaining about fifty percent of the relationship between prior marijuana use and other illicit drug use. In terms of differential association, the results obtained from the two controlled groups lies differently. The presence of reinforcement agents (peers, drug-using community, etc) and negative events are also being examined if these factors can directly affect the said behavior. It has been noted that the individuals who have been using other drugs aside from marijuana have intense negative feelings towards family, difficulties and other personal areas of their lives. On the other hand, the other group also manifests negative feelings; however, the difference is the degree and coping towards these causations. In the end of their experiment, the criminal behavior that develops in a person is not brought by economical needs or the problems itself but with the environment present around the client. Strain Theory Strain theory is another proposed subject in this argument. The theory of Strain suggests that a key motivational factor in delinquency and misconduct is strain, which is some perceived or actual state of discomfort. The strain of pursuing goals within diverse opportunity structures may lead to adaptations such as crime, delinquency, and other deviant behavior (Hoffman 2003). One example in this statement shows when a teenager desires for money, since the things that money can buy–nice clothes, CDs, movies, and so on—and the lack of money causes inability to obtain such wants. This event now produces strain in the part of the teenager. This strain in turn leads to attempts to resolve the problem through theft (a direct attempt to resolve financial insolvency) or alcohol and drug use (an indirect attempt to deal with the shame of insolvency). Either way, the theory of strain works by the induction of psychological strain itself (Apel et. Al 2003).   Another definition provided by Dennis and Neff (2007) supports the claims of Apel (2003). General strain theory (GST) suggests that delinquency results from a youth’s emotional response to negative relationships with others. The negative relationships embody situations in which a youth fails to obtain a valued goal, loses something of value, or is presented with some type of noxious or aversive stimuli. Thus, a juvenile who is failing in school, or who loses contact with a parent due to abandonment or death, or who experiences some type of victimization can be said to be experiencing strain. The emotion of anger or frustration resulting from the experience of strain, rather than the strain itself, leads the youth to engage in law-violating behavior. The main point in this statement is the occurrence of strain is not directly the valued point of origin in the case of Stain theory. The reason behind is the power of a person to control or manipulate the situation is still present; however, if in case the person breaks down because of this strain experience, that is the time wherein a person manifests valiant and law-breaking actions (Siegel, 2004 p.71). Moreover, different types of delinquency or crime results from different forms of adaptation to anomie-induced strain. Property crimes, such as theft, represented innovative adaptations. Using alcohol and other drugs, on the other hand, could be thought of as a retreatist mode of adaptation; i.e., behavior that not only symbolically rejects the institutionalized means to achieve a positive goal, but also rejects the goal itself (Dennis & Joan, 2007). Strain comes from various origins depending on the case situation of an individual. Not every case of a person entitles him in a single strain response but rather, multi-evident causations. Using alcohol and drugs, for example, can be considered forms of â€Å"self-medication,† which may provide a sense of relief. Often than not, financially or resource depressed societies are more likely to be populated by â€Å"strained† individuals. In this case, these communities suffer from more blocked opportunity structures. Hence these communities tend to create an atmosphere conducive to anger and frustration, key antecedents to delinquent behavior. Such kind of community breeds crime, as according to the theory, and acts of wrongdoing. Differential Association Theory vs. Strain Theory Differential theory by definition stated above originates from the intrinsic characteristic of a person, influenced by the individual’s environment and molding assists. The criminal behavior is primarily because of influence of those individuals who are also linked in the same act of criminal acts. A person learns to commit crimes little by little until a person commits it without any hesitation. The psychosocial environment greatly suggests such conditioners as the primary causation of crimes. The raise of crime rates are because of the instilled negative thoughts, inappropriate guidance and lack of attachments, commitments or relationships. On the other hand, Strain theory talks about the causation of crimes not directly because of strain but due to failure in tolerating these kinds of stimuli. They are both result of negative impregnation of environmental pressures that in the end leads the client vulnerable to breakdown. The theory suggests that a person performs acts of delinquency not because of attachments or relationships but rather because of the pressuring strain. The crime rates, according to this theory, justify the increased criminal persona in places wherein financial depression or extreme difficulties are present. The last resort of the individuals is nothing but to commit crimes. In an example given, a person is ready to kill just to get the material possession that the person wants to acquire. We can determine some connections between the two since both of them are etiological conceptualizations of criminal behavior. In the case wherein, a depressed community is surrounding a person, significantly full of drug addicts and negative and influencers, a person still strives to obtain moral life. Let us say that this person has a good job as well as good family relationships. The strain in his job is greatly pressuring his everyday living. Fortunately, the person can still withstand such condition. However, because of the influence brought by the environment, such as the person’s peers, he begins declining his work productivity. Given a situation wherein his brothers are hospitalized and he just got fired from work, he badly needs money. In this case, the person breaks down and resort to theft. The situation calls forth occurrence of the two theories in simultaneous condition. The surrounding environment of the client influences the breeding of negative emotions, which cause the person to have fragile stand in his principles. The strain theory becomes evident when the strain of loosing a job and need for money enters in. In the end of the discussion, the person commits the crime based on influential factors as well as straining. Conclusion In conclusion, of this paper, the answer to the proposed questions in the introduction is properly addressed in the body of the research paper. The significance of such theory in criminology is the substantial or even estimated estimate analysis of the person’s criminal behavior origin. In such cases, the authorities require to learn such principles because this can help understand the motives, intentions and plans of the whole crime actions as well as the criminal itself. However, we should not be limited in these two theories alone since, human beings vary the same as their intentions and modes of focus. These theories are not applicable in other cases, therefore the best thing to do is to understand the whole concept of theory and at the same time train the assessment skills in order to avoid theoretical falsehood. References Apel, R., Brame, R., & Bushway , S. (2003, September 1). The effect of teenage employment on delinquency and problem behaviors. Social Forces Dennis, W. E., & Ness, J. L. (2007, March 1). Male Versus Female Substance Abuse Patterns Among Incarcerated Juvenile Offenders: Comparing Strain and Social Learning Variables. Justice Quarterly : JQ Hoffman, J. P. (2003, March 1). A contextual analysis of differential association, social control, and strain theories of delinquency. Social Forces, Holmes, R. M., Maahs, J. R., & Vito, G. F. (2007). Criminology: Theory, Research, And Policy. Jones and Bartlett Publisher. Siegel, L. J., & Senna, J. J. (2004). ntroduction to Criminal Justice. Thomson Wadsworth. Van Gundy, K., & Rebellon, C. J. (2006, July 1). CAN SOCIAL PSYCHOLOGICAL DELINQUENCY THEORY EXPLAIN THE LINK BETWEEN MARIJUANA AND OTHER ILLICIT DRUG USE? A LONGITUDINAL ANALYSIS OF THE GATEWAY HYPOTHESIS. Journal of Drug Issues

Character Analysis Of Shakespeare Romeo And Juliet English Literature Essay

Character Analysis Of Shakespeare Romeo And Juliet English Literature Essay Juliet, daughter of Lord and Lady Capulet is beautiful and begins the play by being naà ¯ve about love and marriage. As she enters her teenage life she appears innocent with a remarkable character. She feels affection for Romeo, the son of Montague’s, their greatest enemy. She goes into great lengths disobeying her parents and even forging her own death, just to be with Romeo Montague. At the Capulet party, Juliet meets with Romeo and she falls for him even though she had agreed to marry Parris. However, she is suspicious of his intentions as he is from an unfriendly family, Montague. To prove the sincerity of his love for her, she requests him to marry her. Juliet’s love for Romeo makes her to forgive him when he kills her cousin, Tybalt. She opts to marry Romeo even though it is risky than to marry Paris. Juliet also shows a new stage of maturity by forgiving her nurse’s disloyalty and breaks her parents bond as well as her nurse’s. Though suicide is c onsidered as a negative option in life matters, Juliet uses it to demonstrate the strength and dedication of her love for Romeo. Juliet loves: This is shown when Juliet decides to marry Romeo, a Montague, from family enemy. She agrees to marry him because of the undying affection she feels for him, even though, she was supposed to marry Parris. Also because of her coming from a noble family she lacks freedom to wander around the city unlike Romeo. At midnight she climbs over walls and also gets into midnight swordfights. This also demonstrates her courageousness. Because of her love, she forgives Romeo for killing her cousin. Although suicide is at all times an unconstructive choice, for Juliet it is her last demonstration of the power and dedication of her love for Romeo. Juliet is forgiving: She forgives her love Romeo who had killed her cousin Tybalt. Her courageousness is also seen when she entrusts her whole life to Romeo and not believing the worst reports about him when he ge ts into a fight with her cousin. She is also able to shut her confidant, her nurse out of her life when she turns her back to Romeo. The nurse is considered a comic and vulgar figure in the play. She makes lewd comments and lengthy speeches which help to provide breaks in the tension of the misfortunes happening. The nurse loves Juliet so much than her mother and goes beyond anything to make Juliet happy. She cared for Juliet her entire life. As a result, she accepts to be the mediator between Romeo and Juliet. She organizes a wedding night and helps the two to get married. However, she is unable to understand the reason for Juliet endangering her life for Romeo; she prefers her leaving a relationship that is not easy to maintain and marry Parris who has a soft life. To her, love is sexual and practical unlike Juliet refers to love as passionate and idealistic. The nurse’s advice to Juliet is considered as betrayal and costs their friendship. Due to this, Juliet decides to es cape than confiding in her closest advocate. Similar to everyone else in the play, the nurse faces failure and sorrow.

Impact of alcohol on the family Essay Example | Topics and Well Written Essays - 1000 words

Impact of alcohol on the family - Essay Example anxiety; to forget about difficulties or feel less disheartened; to rejoice or merely to feel happy (See Figure 1) (Understanding the relationship between alcohol and mental health, n.d., p. 5, 13). There were approximately 863,300 alcohol associated admittances to the hospital in the year range of 2007-2008. This is an augmentation of 69 percent since 2002-2003 when there were nearly 510,200 alcohol associated admittances. In 2007-2008, approximately 62 percent of alcohol associated admittances were for males. Among both males and females, there was more admittance in the older age categories in comparison to the younger age categories. In England in the year 2007, there existed 134,429 recommendation items for drugs for the rehabilitation of alcohol dependence prescribed in primary care surroundings in the community. This is an enhancement of about 31 percent since 2003 when there were 102,741 prescription components. In 2007, in England, there were about 6,541 demises directly associated with alcohol. This has grown by 19 percent since 2001. Of these alcohol associated deaths, the majority (4,249) expired due to alcoholic liver disease (Statistics on Alcohol: England, 2009, p. 8). The unfavorable impact of alcohol mistreatment on families, and its role in relations’ break-up are issues when considering the involvement of alcohol to communal exclusion. Heavy drinking is a general issue in family disintegration, and marriages where one or both associates have an alcohol problem are doubly expected to result in divorce as marriages where alcohol problems are not present. The psychological effect on children can be vast, often bringing about the development of alcohol issues later in their individual lives. The youngsters who are of 15 years of age having a problem drinking parent are likely to have 2.2 to 3.9 times more psychiatric disorder in comparison to other youngsters. The alcohol consumption has been found to higher among the teenagers who have problem

Ancient Egyptian Cosmetic and Style Essay Example | Topics and Well Written Essays - 2250 words

Ancient Egyptian Cosmetic and Style - Essay Example The ancient Egyptian community was highly recognized and appreciated fro their high level of cleanliness and their concern to personal appearance for instance: It was a pre-requisite for he priests to be clean since they were considered to be a connection between the gods and the community. Additionally, in the ancient times, the Egyptians applied various methods in order to improve the level of their personal cleanliness, these methods were inclusive of: Shaving various body parts such as armpits, the genital area, beards and the head. Taking several baths a day was also considered pertinent in that it ensured that persons remain clean through out the day. Other methods such as the use of Ground Carob Pellets were also used to rub the skin in order to reduce body odor. Consequently, the use of cosmetics was extended to areas such as preparation of dead bodies for burial. Special body creams were used to cleanse the body before mummification an example is the burial of some three women from the Tuthmosis III Court in 1400 BC who were buried after being cleansed by using a very expensive cream made from a combination of oil and lime juice. There were various ancient Egyptian cosmetics that were used on different parts of the body ranging from facial to other body parts. These varieties included: Oil, lime juice, red ochre, henna, and kohl, white and black make-ups. Different techniques were applied to produce a variety of cosmetics. To begin with, the production of oil involved pressing the finest fruits or seeds such as the Moringa nuts which were combined with inorganic and organic materials that were grounded and used as pigments. Additionally, the production of Kohl; an eye paint was carried out through grinding some green malachite, cerussite, lead carbonate (white in color), galena (lead ore) and occasionally minimum amounts of laurinite and phosgenite. These materials were then ground into powder and mixed with

Compare and contrast positivism and classicism and outline thier role Essay

Compare and contrast positivism and classicism and outline thier role as an explanation for criminal behaviour in Ireland - Essay Example Finally, role of both theories in determining criminal behavior in Ireland is studied. Classical and positivist school of thought are basic part of early criminological development. Cesare Beccaria proposed Classical perspective which was inspired by â€Å"On Crimes and Punishment† in 1764. He was concerned about reforming the brutal ways of punishment for bad deeds prevailed throughout Europe. He was a man of law who believed in philosophical and procedure based punishment that can provide moral support for criminal justice. According to Classical school of thought, man is a rational being who is blessed with free will. This knowledge and sense of choice enables man to judge the good or bad and its consequences for everyone including himself. Man is fully capable to understand and avoid crime considering the logical consequence of crime as punishment (O’Mahony, 2002, p.221). O’Mahony(2002) states the principles as: people should be treated equally before the law and punished only in accordance with the law; that punishment should be based on the act rather than the class of person who commits the act; the punishment should be based on a pleasure/pain reckoning so that the pain of punishment will always outweigh the pleasure to be gained from crime; and, perhaps most importantly ,that punishment should be commensurate with the seriousness of the offence and, though a prompt and effective deterrent, should be kept to the minimum†¦Most importantly, since man acts on the basis of his rational, self-regarding, cost/benefit analysis of the situation, he can be swayed to avoid crime, if he sees that it carries a high risk of appropriately severe punishment.(p.221) According to Joyce (2006), this school of thought developed from the enlightenment movements in Europe and expressed through liberalism, they believed in having society as a contract

Expanding small business Essay Example | Topics and Well Written Essays - 750 words

Expanding small business - Essay Example Sam was told that the company should have adopted change management methods and planned change policies prior to bringing about change. According to Nelson and Winter (1982) routine interactions within the working environment forms the basis of organizational culture and a predictive pattern emerges. Deal and Kennedy 19820 describe it as â€Å"the way we do things here†. The importance of this routine is gaining importance as has been acknowledged by Cohen et al (1972) and Hedberg et al (1976. Topmost in handling change is to motivate the people to achieve the purpose of the change. This means highlighting the glorious future and contrasting it with the disgraceful past. However it has to be conveyed positively with rewards accompanying results. Effective communication will be required to generate support and participation at all levels. Teamwork and togetherness is the core issue here. To bring about active involvements in the procedure the employees have to be given a vision of the future. The vision requires standing up for fair practices with genuine efforts backed by world class products and to inform the customers that they could depend upon the company to be competitive and more efficient. The objectives are the values the vision creates and the value features are the consistent commitment to quality and service to be provided to the customers. For the change to be effective and for the realization of the company vision it is imperative that all the stakeholders support the various steps all along the way. The attempts have to be genuine and in common interest for benefits all round. The primary requirement is to have the knowledge of all sources of power in the company and to harness them and motivate them to work for a common goal. The ideal is to get them to agree on and obtain a consensus to avoid sudden conflicts of interest midway between any initiatives. It is often

Child Slavery in West Africa's Cocoa Plantations Research Paper

Child Slavery in West Africa's Cocoa Plantations - Research Paper Example The paper tells that it is ironical that while children in cocoa growing countries live a miserable life, large manufacturers in Europe and the US reap huge profits selling chocolates made from cocoa. These children work in almost slave-like conditions while millions of consumers derive pleasure by consuming cocoa products. According to UNICEF, nearly 200,000 children are made to work in West and Central Africa through human trafficking. Mostly, these children are exported from Mali, Nigeria, and Cameroon. The cocoa farms in these countries operate in violation of basic human rights. Cote d'Ivoire and Ghana’s economy largely depends on the cocoa exports and the prices farmers fetch from the international market. International prices are not in their control and the value gain depends on the yield they get from their farms. Much of the work, even today, is done manually and farmers have never thought of exploiting technology to replace manual labor over last several decades due to its easy and abundant availability. At times, weather also plays their role in success and failure of cocoa crops. All these factors, and the traditional way of farmers’ thinking in using manual labor for having the lowest possible cost in producing cocoa, they continue to use child labor as they cost them much lower in comparison to adult labor. Cote d'Ivoire also known as Ivory Coast is the largest producer of cocoa beans followed by Ghana. Most of the child laborers in these countries arrive from Mali. Mali is one of the poorest countries not only in the region but in the world with a GDP of less than $1000 per capita as per the CIA Factbook as on 2010 with over 30% of the population below poverty line. The unemployment rate has been estimated huge 30% as per 2004 estimation. Over 80% people in Mali earn their living from agriculture. With hardly any earning opportunities available Malians are forced to move other neighboring countries. That is why poor families in Mal i agree to send their children to Cote d'Ivoire and Ghana.

The effect of music on ones social life Essay Example | Topics and Well Written Essays - 1250 words

The effect of music on ones social life - Essay Example The effect of music on one’s social life A study is set on the different types of behaviors that the listener attaches each the genres of music studied. Of importance to look into is the scope with which the genre of music chosen has influence on the behavior change and influence of the listener of the music. There are a considerable number of music genres. Among the several genres are rock, and roll, Hip Hop, soul, and rhythm and blues. Each of the aforementioned genres has different origins. They evoke different and diverse influences on the listener’s behavior. Listeners of every kind of music mentioned attach different levels of enthusiasms towards listening to their genre of preference. In finding out the influence of the genres on their listeners’ behavior, one needs to embark on a study of personality traits of the listener. Every genre would influence every personality trait in a special and unique manner. Of importance in the study is to find out the importance that listeners of music attach to the ge nre of preference in question. Rock and Roll dates its origin to a long time back in history. This notably was in the 1940s and 1950s. The genre found its invention from African Americans. This genre of music most probably roots its foundation from the United States. The genre often attaches its caliber to the elites. It is more popular among the high-class individuals than to the lower class individuals. The elite class tends to listen to the genre more than the other classes of people. Many concerts and entertainment scenes featuring rock and roll music receive a high turnout of the elite class than others classes in lifestyle. The word â€Å"rock† that the founders of this genre used to refer to it was a disguised manner of quoting the word sex. Hip Hop is a major known genre of music among the youth. Its acknowledgement and spread is significant among the black Americans. The genre of music roots from the, black American, people. Its sole purpose was to address the plight of blacks in America. It is associated considerably with the low-income class and the poor. Its origin dates back to the period of history during the 1970s. Many of the artists of Hip Hop are characters who at one moment in time had experiences with the effects of black supremacy. They might as well be descendants of former victims of the historical atrocities the black underwent. Among the several themes, this genre of music that address mistreat experienced by the blacks. The victims underwent the inhumane experiences during the slavery period. This genre of music tends to inform the authorities of the various problems faced by the black Americans. Sharp criticism of betrayal and neglect by the power holders is among the diverse expressions of the message from this genre of music. Soul music dates back to deep early ages in history. This is notably the time between the 1950s and 1960s. The origin of this genre of music is from the U.S. This genre of music explores a more seductiv e way of presentation than rock and roll music. It is common among individuals who feel the touch of romance with the songs. It plays on a cool and sentimental tone. The overriding theme in a remarkable numbers of soul music is romance and feelings of love that the characters attach to each other. The main associates with this genre of music are the elite class. Soul music is mainly played in instances of paying and merrymaking. It helps show romance and togetherness of parties involved.

Informed consent , ethics and research Assignment

Informed consent , ethics and research - Assignment Example It is clear from the examples that Cassell and Young use that Informed Consent is, as they say, â€Å"poorly adapted† to Health Services Research. (2002) The main reason for this is that most HSR involves the reshuffling of entire organizational structures, which is obviously something that one particular person cannot really opt out of if they dont like the way the trial is proceeding. This is different from clinical research, where the Helsinki Declaration requires that a patient can leave the trial at any time. Cassell and Young use the example of a midwifery practice in rural England, and point out that patients â€Å"will not be able to opt out of the intervention †¦ if it becomes the standard local model of care.† (2002) That is, they will have to keep using the modified version afterwards if the organization decides they will, since that is their only option. It is clear that some alternative method of consent that reflects the realities of Health Services Research should be pursued. J Cassell, & A Young. (2002). Why we should not seek individual informed consent for participation in health services research. Journal of Medical Ethics, 28(5), 313-7. Retrieved December 7, 2009, from ProQuest Medical Library. (Document ID:

History of Architecture Essay Example for Free

History of Architecture Essay 1. Comparing and contrasting Minoan and Mycenaean architecture, describe how the two architectures are different and why. Minoan architecture was characterized by a number of structures that acted as epicenters for religious, commercial, and administrative lifestyles. In the recent past, archeologists discovered tombs, palaces, towns, and roads in Crete which symbolized the Minoan landscape. All this evidences the pre-historic culture that survived in the Aegean Sea. Minoan palaces were used to hold gatherings, workshop for artists and food stores. The palaces were multi-storied buildings with impressive exterior and interior staircases. The tombs were built in round shape with a flat wood-framed roof. It was not until Neopalatial period, 1700-1400 BC that Minoan towns started to emerge and easier linkage between the towns and palaces, roads were developed via the interior of the island (Marquand, 2008). On the other hand, Mycenaean architecture came into being in the Mycenaean period and most of their architecture is indebted to architecture of Minoans of Crete. An outstanding characteristic feature of Mycenaean architecture comprises of megaron, usage of exceptionally large stone blocks, corbel vaulting, and large fortification walls. Besides, the Bronze Age Cities’ plan and layout on the mainland resembled that of palaces of Crete to a large extent. Some of the major Mycenaean architectural projects were huge tombs, city planning, and palace. Palaces in the Minoan period had an open, vast courtyard whereas in Mycenaean megaron –indoor hall. Mycenaean architecture is also said to have been characterized by professional engineering works -evidenced by size of stone blocks used in constructing walls. Later their work was referred to as Cyclopean architecture by the Greeks and another distint feature from from the Minoans was the technique used in corbel vaulting. Therefore, Mycenaeans can be said to have been more technical in the architectural works as compared to the Minoans (Marquand, 2008). 2. Discuss the evolution of the Greek temple form from its early days as a megaron to how it is represented in the Hellenistic period. How and why did it evolve in the way that it did? A number of earliest Greek Temples are up to date the orientalizing and geometric periods. The temple had a votive model which in most cases was found in tombs and the basic geometric style of an ornament. The persistent advancement of the Greek Temple was was characterized by an addition of more columns, increased size, and inclusion of general underlying base of three steps. Therefore, the columnar screens and base generated a symbolic and visual transition from the normal world to the space of the temple. The progression of the Greek Temple involved a number of stages: the first stage is the megaron –indoor hall- which saw it being used as temple and it was initiated in the Mycenaean period; second stage was characterized by initiation of peristyle and an increased size; stage three was evidenced by completion of the peristyle, integration of the monumentality of Egyptian temple, symmetrical construction, and architectural design in conformity with requirements of Golden Se ction (Marquand, 2008). The Greek Temple has therefore totally remained to be a monument and it does not seem to combine its setting with the Mycenaean and Minoan designs. The temple is also a major achievement by human beings to have accomplished and the Temple represents an exceptional object from the natural environment. Consequently, the Temple has continued to serve as a commemoration of the geographical sacredness and provision of sanctification through a terrace that acted as the temple’s pedestal. It is also worth noting that the aforesaid column parts of the Temple does not match to natural forms such as plants or trees since the basic assumption was to evoke a human rationale and reasoning as opposed to monumentalism. The masterpiece of Greek architecture continued to evolve into classical designs (500-323 BC) and Hellenistic designs (323-27 BC) and it was evidenced by improved engineering skills applied in constructing towers (Ibid, 2008). 3. Describe the sensory experience of the Panathenaic Procession that would lead you to the Acropolis and up into the complex. It is quite evident that when one takes a closer look in the historical books of ancient Greek and during the Classical period that there was a direct relationship between religion, politics, and art or architecture. Historians have established that first temples were created to house cults and in particular to facilitate religious practices in the community. Parthenon as a temple was spectacularly placed in the ‘Holy City’ of Acropolis and hence acted as a means with which people could link the temple to their past. A notable feature is the Panathenaic Procession as it represented the religious and social lifestyles of the Athenians. Besides, the Procession was part and parcel of festivities that honored Athena, panathenaea which was commemorated annually. The procession comprised of ritual presentation of new cloaks or peplos to the ceremonial Athena statue (Neils, 1992). After every four years, a presentation of a huge peplos was made to the Grand Panathenaea within the Parthenon. Subsequently, every other successive year, Panathenaic Procession was marked by peplos presentation to Athena within the Erechtheum. As a formality, the Panathenaic Procession was started at Diployn Gate and traversed Agora with the final destination being in Acropolis. The activity of most importance to the women as during the period they performed a lot of activities such as weaving and presenting huge peplos to Athena every fourth year in Pathenon and smaller peplos to Athena in Erechtheum on yearly basis. Phases of Procession were represented by the frieze of the Parthenon that extended to a length of about 160 Metres. It stretched from the South West end of the Temple –with horse riders- to the North and West sides before heading to South, West sides (Neils, 1992).

Bismarcks appointment of Minister President of Prussia Essay Example for Free

Bismarcks appointment of Minister President of Prussia Essay Bismarcks appointment of Minister President of Prussia (1862) was the most important turning point in the course of German nationalism in the period 1815-1919? By 1919 Germany had been united, and the nature of nationalism had changed from a freedom seeking, democratic force into one which demanded popular subservience to the state. German nationalism had clearly changed radically over the period of more than one hundred years and defining the turning point at which it changed is difficult due to the sheer number of factors that impacted upon it as well as the vast number of events and organisations which interfered with its development. Otto von Bismarck would become viewed in later years as the father of German nationalism. When he came to power 1862 the Kaiser was looking for a man who could oppose the liberals and force through a favourable army bill. However, within just nine years Germany would have become united, not without the help, though not always willing, from Bismarck. Bismarck effected the unification of Germany almost single-handedly. However, many of the opportunities which Bismarck actually attempted to manipulate were neither created by him nor very successful. Bismarck did not always manage nationalism as effectively as it is suggested. The Franco-Prussian War in 1870-71 forced to unite with the southern states in Germany when in reality it would have been unlikely that he desired this. Prussia was still attempting to absorb the north German states and to add the southern states, especially with their un-Prussian culture, risked diluting Prussias culture too far. It is clear that in 1890 Bismarck was managed by nationalism because he was forced to resign due to the outpouring of nationalist feeling that resented him attempting to hold Germany in check. He represented the old Germany, a Prussian dominated one and in an effort to find a German chancellor he was removed from office. Even the Dual Alliance in 1879 demonstrated how German nationalism forced him to take actions against his will. With his Prussian upbringing his loyalties more likely lay with Russian rather than Austria and the decline of Austria was increasingly clear for all too see, to join the young, powerful Germany with this crumbling empire would do nothing to help the country yet nationalistic feeling in Germany forced the Alliance. Bismarcks appointment in 1882 was an important moment in German nationalism but the theory that one man had such an impact upon the fate of a nation does not stand so well in light of deeper scrutiny. The Congress of Vienna held in 1815 helped create an environment which would help the growth of German nationalism. Prussias gains in the west of Germany were actually intended by the Allies to be a burden. They had given the smallest of the Great Powers the most difficult job as acting as a barricade against France. However, this would backfire on the Allies when it would later become Germanys massive industrial growth. It also affected the nature of Prussia, whereas she had previously been a predominantly Eastern European power she now had a pan-German outlook, though it appeared to begin with that she had little in common with her western population. The distance between the two main blocks of land meant that transporting goods between the two would prove difficult and this would spur the creation and development of the Prussian Customs Union in 1818 which would later become the Zollverein in 1834. However, when at the Congress of Vienna the Allies faced the question of what is Germany they fell back on historical precedent, the Holy Roman Empire. This can be seen as a retrospective step because it actually excluded areas of both Austria and Prussia, as well as making many of the smaller states much larger. The Congress of Vienna was not a turning point in German nationalism, but without it the nature of Germany could have been very different from that with which we are familiar if it existed at all. The creation of the Zollverein in 1834 was a critical turning point for German nationalism, formed from the Prussian Customs Union in 1818. Thomas Nipperdy described the creation of the Zollverein as the outstanding event in all-German history. Given the basis as a pan-German union it improved the contacts between all of the German states, encouraging them to work together for mutual benefit and broke down barriers between the regions of Germany both officially and culturally. It is often the case that economic unity leads to political as appears to be the case with the EU, formerly the European Economic Community (EEC) and the push for a European constitution. However, German political unity was far from inevitable, many Germans now saw political unity as obsolete because they achieved all the benefits of such a union without the risk of losing any of their own unique regional culture. The Zollverein was also critical in training a new cadre of diplomats for Prussia and teaching them to administer a German organisation, experience which would be invaluable in the post-unification era. Bismarck once declared in a speech to the North German Reichstag in 1869 that He who has his thumb on the purse has the power and by taking the economic leadership of the German states Prussia rose importantly and a Kleindeutsch solution to the German problem became much more feasible. It also struck a double blow in this respect. It not only made a Prussian-led Germany more likely but it made an Austrian-led Germany less likely. Because of her exclusion from the customs union the Austrian economy suffered and her already fragile market became on step closer to failing and this would be one of the major reasons for her defeat to Prussia. The use of the economy mirrored the nature of German nationalism; initially it was a liberal move, the reduction of trade barriers embodied by the introduction of the Zollverein. However, by the time unification was achieved economic policy turned its back on liberalism and the economic protectionism Bismarck employed against Russia helped show how far nationalism had changed. The Zollverein would form the template upon which the German Empire would eventually be founded, a kleindeutsch dominated by Prussia. Some historians even go so far to view the whole of the unification of Germany as purely an economic transaction, that it was not driven by political ideology but by the cold logic of money and economic expansionism. The Zollverein did represent an important twist in the history of German nationalism but it did not utterly change the face of the ideology but simply made the prospect more likely. In addition to this, the success of the Zollverein would provide the necessary environment for the rapid expansion of industry within German and this would have a critical impact upon nationalism. 1848 can very easily be viewed as the critical turning point in the history of German nationalism. It is often seen as a turning point about which history failed to turn, and it is this very failure which makes it such an important date in the history of German nationalism. 1848 presented revolutionary factions within Germany, and other countries throughout Europe, with a window of opportunity. In Paris the Second Republic is established in a welter of violence; in Sicily the Palermo Uprising takes place; in Hungary revolution boils over; Swedish revolutionaries are gunned down by their government and in Ireland the potato famine sparks the Tipperary Revolt. To the established order it appeared that stability was breaking down and anarchy threatened them. It was in this climate of exceptional change that the German revolutionary effort failed. The dithering incompetence of the middle classes, coupled with their glaring impotence discredited liberal politics and any idea of a revolution from below. This would prove potentially dangerous for the development of German nationalism. Divorced from its liberal and democratic roots it became a force of the right and of the paternalist government. This resulted in the desire for individual freedoms being sacrificed for the will of state. The government was paranoid about the dangers of the socialist movement within Germany, but they actually shared many common ideals, most markedly the concept of the priority of the state over the individual. It became obvious that power and change could not be achieved without the power of an army to back themselves; Bismarck summarised this problem in his most famous speech the great questions of the day will not be decided by speeches and majority decisions that was the error of 1848 but by iron and blood. Given our knowledge of how German nationalism developed into a violent, racist, militaristic force it is clear to see that 1848 was a seminal moment in its development, the pre-1848 liberal, French-styled nationalism became a force of the militant right. 1848 also represented a turning point for German nationalism in a European context. It appeared that countries were naturally progressing from being authoritarian monarchies to becoming nationalistic, liberal democracies. Germanys refusal to follow this trend fundamentally altered the nature of German nationalism. This turning point about which history failed to turn left something rotten at the core of German nationalism. The change from idealism to brutal pragmatism, combined with the machinations of Bismarck and the authoritarian government meant that the German peoples cause was subverted and used as a weapon against those European powers who had abused Germany for such a long time. On the 18th of January 1871 the German Empire was proclaimed in the Hall of Mirrors at Versailles. This can easily be seen as a turning point in German nationalism, it finally created what the nationalists had been striving for over the past half century. Though it is true that the majority of what then became Germany existed in the North German Confederation created 4 years earlier after Prussias victory over Austria it represented a subtle but important shift in the history of German nationalism and the process of reaching the announcement played a very important role in defining the new Germany. Even the date upon which the Empire was announced held special significance, 270 years earlier the first Elector of Brandenburg was crowned King in Prussia. This clearly symbolically established Prussian hegemony over the newly created German Reich. Even the fact that the proclamation was made at Versailles was more significant than simple a quick expediency. Were the proclamation were to be made in Berlin, the capital of the new Empire, it would have most likely been made in Parliament. For Bismarck this would have been intolerable, in his eyes it was the army and their feudal, warlord leaders who had united the new empire rather than the romantic liberals and their speeches and majority votes. The Reich was declared in the home of imperial power, Versailles was the benchmark against which all other symbols of imperial might were measured and it clearly showed how the ruling elite of the new Germany planned to rule the country. It would be easy to say that it was a simple political humiliation for the French to have their enemies declare their new country in the French capital but to do this would ignore the deeper significance of both the time and place it was made. Nationalism within Germany underwent many changes over the period from 1815 to 1919. It suffered from a gradual change from its ideals over the time and it is difficult to differentiate between the impacts that the different potential turning points had on German nationalism. However, the most seminal moment in the history Germany nationalism was when it shifted indelibly from the idealists views to the pragmatic views of the industrialists within the country. 1866 can be seen as the turning point in the unification of Germany rather than a turning point in the nature of German nationalism. The failure of democracy in 1848 at a time when many other revolutions had succeeded left many Germans with the view that it would only be through violence and warfare blood and iron that their dreams would ever be realised.

Anchorage in Orthodontics- A Review

Anchorage in Orthodontics- A Review Orthodontics is the branch of dentistry concerned with facial growth, the development of the dentition and occlusion, and the diagnosis, interception and treatment of occlusal anomalies. The goal of orthodontic treatment is to improve the persons life by enhancing dental and jaw function and dentofacial aesthetics. This is achieved by obtaining optimal proximal and occlusal contact of teeth (occlusion) within the framework of normal function and physiologic adaptation, acceptable dentofacial aesthetics and self-image and reasonable stability (Graber and Vanarsdal, 1994). Conventional orthodontic treatment is achieved using fixed and removable appliances to achieve a planned end point of treatment. Orthodontic anchorage is an important concept in orthodontic treatment, and can be reinforced by many types of appliances. Orthodontic headgear has traditionally been considered to be the gold standard appliance for reinforcing anchorage. However, an increasing awareness of the drawbacks of headgear, mainly poor patient compliance and serious eye injuries, has led to the development of appliances in which the evidence base supporting their use is incomplete. In addition, it has been suggested that functional appliances which are traditionally used for growth modification, can be used for   anchorage preparation. In this section, the concept of anchorage in orthodontic treatment is reviewed. The definition of anchorage is presented including its relationship to space requirements, extractions and certain appliances, including the potential of using functional appliances for anchorage. As the effectiveness of some of these appliances has been evaluated by randomized trial methodology (RCT), an account of the bias that can arise in RCTs is given and the potential effect this bias may have on the trial results. Finally, the important aspect of measurement of variables in orthodontic research is reviewed focusing on the reliability and validity of new measurement methods using computer software and digital models. 1.2.1 Definition and importance Anchorage in orthodontics can be defined as the resistance to unwanted tooth movement [1]. When an orthodontist/dentist plans treatment they evaluate the anchorage requirement by estimating the amount of space that is needed to correct the malocclusion. Anchorage   or space may be obtained by extracting teeth, moving teeth into certain position and/or the use of orthodontic appliances. Achieving anchorage can be obtained by one of the following methods: 1.2.2 Maximising the potential of available teeth: In this method a force is applied between two points (tooth or groups of teeth) and tooth movement is controlled by making one point more resistant to movement than the other. This is done by careful planning of the site of force application. Examples include: Active movement of one tooth versus several anchor teeth, for example correcting the centreline by moving one tooth at a time. Teeth of greater resistance to movement are utilized as anchorage for the translation of teeth that have less resistance to movement. A common example of this is closing space by pitting the posterior teeth (greater resistance) against the anterior teeth (less resistance). Increasing the number of teeth in the anchor unit, examples are: Adding the second molar to the fixed appliance. Adding the anterior teeth to reinforce posterior anchorage by bending loops mesial to the first molars. Adding teeth from the opposing arch to the anchor unit by utilizing inter-arch elastics. Making movement of anchor teeth more difficult, for example putting a tip- back bend in first molars. Using ankylosed teeth as anchors. 1.2.3 Providing an additional form of orthodontic appliance: The anchorage gained from the previous methods is limited. As a result, it is necessary to reinforce the anchorage with an additional appliance. The most commonly used orthodontic anchorage devices are: Extra oral anchorage (EOA) with headgear Intraoral anchorage with palatal and lingual arches. 1.2.4 Headgear Headgear is an orthodontic appliance that is used to apply forces to the teeth utilising structures outside the oral cavity. Headgear is usually applied to the first maxillary molar via a tube attached to the molar band. The force necessary to provide extra oral anchorage is 200 to 250 gm applied for 10-12 hours per day [2]. Headgear was first used for anchorage by Kingsley in 1866 to retract upper incisors in an upper premolar extraction case [3]. This was followed by Angle in 1888 and Case in 1907 [3]. In 1953, Kloehn developed the contemporary design of headgear that orthodontists   use today [3]. Since then, headgear has been used conventionally when maximum anchorage is required. As a result, it may be considered the gold standard for anchorage in orthodontic anchorage. 1.2.5 Disadvantages of headgear: The use of headgear has the following disadvantages or risks: Compliance: From the early days of headgear use, it was clear that substantial compliance was required and failure to wear headgear, for the prescribed amount   of time, was recognised [3]. Headgear compliance is measured as the discrepancy between actual hours of wear and reported hours of wear and has been evaluated in several studies. Results of these studies have been discouraging as the actual hours of wearing headgear appear to be much lower than that required [4-6]. For example, Brandao et al in 2006 suggested that patients who had been asked to wear their headgear for 14 hours a day, reported wearing their headgear an average of 13.6 hours a day while the actual hours of wear were only 5.6 hours [4]. Cole [6] and Cureton [5] also found that the reported hours of wear were much less than the actual hours of wearing headgear . Soft tissue injuries: Apart from minor injuries to the surrounding intraoral and   extra oral soft tissues, serious ocular injuries have been reported both in Europe and the United States. In some of these instances blindness has resulted as a final result of the injury. Ten eye injuries have been reported in the literature; 2 in the UK, 3 in France, 2 in Italy, 1 in Germany and 2 in the United States [7, 8]. These injuries resulted from one of several factors including dislodgement during sleep, improper removal of headgear or improperly playing with the headgear. Nickel Allergy: A small portion of the population will exhibit sensitivity to the Nickel alloy in facebows [9-11]. Nickel allergies in response to orthodontic appliances are not considered a major health risk. Exacerbation of pre-existing eczema: there has been a case reported in the literature in which an increase in the severity of a pre-existing atopic eczema was observed after headgear wear [12]. It is evident from the problems mentioned that the most significant drawbacks of headgear use are non-compliance and serious eye injuries. Several measures have been taken to overcome these two problems with varying amounts of success. 1.2.6 Improving headgear compliance: Suggestions have been made in the literature to encourage patients to increase the actual number of hours in which headgear is worn; these include the following: The use of a headgear calendar [13], The use of a headgear timer or electronic monitoring device and informing the patient of its presence [14], The use of conscious hypnosis for patient motivation during headgear wear [15], Treatment by a defined behavioural model which depends on a schedule for wearing headgear, in addition to parental observations and rewards based on patient compliance. This behavioural model is flexible and will evolve according   to the patients response and needs [16], Promoting headgear wear by considering gender differences, making patients more aware of their malocclusions and the effect of treatment [17]. 1.2.7 Headgear safety mechanisms: Several features have been added to headgear in an attempt to prevent elastic   recoil injuries or unintentional detachment of the headgear. These include: Lock mechanisms which prevent release of the facebows from the molar tubes [18], Snap-release headgears which prevent elastic recoil of the facebows when an excessive force is used [7], Plastic safety straps which attempt to limit the movement of the facebows [7], Intraoral elastics to attach the inner bow to the molar tube [7], Blunting and smoothening the ends of the facebows to reduce the potential for injury [7]. It has been recommended that at least two of these mechanisms are used simultaneously in addition to clear verbal and written instructions to the patients and parents [19]. In summary, headgear is considered the gold standard appliance for providing anchorage. However, in order for it to work effectively, it requires a significant amount of patient cooperation and compliance. There have been many attempts to improve headgear compliance, which is a reflection of the failure to overcome this problem. Finally, there   are several safety issues related to headgear, which may discourage patients and orthodontists from its use. The ideal solution would be to use an anchorage device that provides at least the same anchorage potential as headgear, but requires little or no compliance. This has led to the development of surgical anchorage devices. 1.2.3 Surgical anchorage In this thesis I will use the term surgical anchorage to denote all types of anchorage devices which are surgically placed in the maxilla or mandible. The use of implants for orthodontic anchorage is a rapidly developing field and appears to be very promising. It has evolved from using conventional restorative implants in the line of the arch to more specialized palatal implants and mini-plates, to mini-screw implants. Types of surgical anchorage include mini-screw implants, mini-plates and midpalatal implants. The mini-screw implant is a modification of screws used for fixation of maxillofacial fractures. Although they have varying lengths and diameters, they are generally smaller than maxillofacial fixation screws, hence the term mini. It is also important to distinguish mini-screw implants from midpalatal implants which can be used for orthodontic anchorage, as the latter are endosseous implants and a modification of prosthetic implants. Mini-plates are small surgical plates that must be surgically screwed to bone under the soft tissue. Mini-screw implants may provide anchorage reinforcement because of the combination of mechanical retention immediately after insertion (primary stability) and a degree of osseointegration. Mini-plates provide a stable structure fixed to bone for application of forces and midpalatal implants offer stability by osseointegration. Despite the widespread adoption of this type of technology, there is a dearth of high quality clinical research into their effectiveness. The literature concerning their use is referenced in section III as part of the systematic review. 1.2.4 Class II functional appliances Functional appliances are orthodontic appliances that utilize the facial and masticatory musculature to produce orthodontic forces. They are commonly used in the treatment of Class II malocclusions. They can either be removable, for example the Clarks Twin Block appliance, or fixed, for example, the Herbst appliance. In the UK, the most popular functional appliance for treating Class II malocclusions is the Twin Block [20]. Functional appliances were developed to treat malocclusions by growth modification,   by encouraging differential growth of the mandible and maxilla. In Class II malocclusions the objective is to encourage growth of the mandible and/or restrain growth of the maxilla. While this theoretical effect of functional appliances is often quoted, the evidence behind these concepts is lacking.   Recently, there have been a number of randomized clinical   trials evaluating the skeletal effect of functional appliances. These are summarised in a Cochrane systematic review published in 2013 which assessed and analysed outcomes of 17 studies [21]. These studies produce interesting results. When early two-phase treatment with a functional appliance was compared to adolescent one phase treatment (patients who did not receive a functional appliance), there was no difference in the final ANB (MD -0.02 °, 95% CI -0.47 to 0.43. P = 0.92). Similarly, when a comparison was made for early treatment between headgear and functional appliances, there was no difference in the final ANB (MD -0.17 °, 95% CI -0.67 to 0.34, P = 0.52). When functional appliance treatment was performed in adolescents and compared to untreated controls, there was a statistically significant difference in ANB (MD -2.37 °, 95% CI -3.01 to -1.74, P It was concluded from the results of these trials that the amount of skeletal change (growth modification), from the use of functional appliances is small and is unlikely to be   clinically significant. Nevertheless, it is clear that these appliances are very effective in the correction of Class II malocclusion primarily through dentoalveolar movements. The following effects of Twin Block treatment are clinically useful: Enhancing facial appearance [22, 23] Distalising upper molars and molar correction [24, 25] Reducing the overjet [24-30] Proclination of lower incisors [24-26, 28, 30, 31] Retroclination of upper incisors [24-26, 28, 30] A case report using Twin Blocks to treat a Class II division II case suggested that a Twin Block can be used instead of headgear derived anchorage [32]. When we consider the preparation of orthodontic anchorage it is common clinical experience that molar correction and the reduction of the overjet are major factors in reducing the anchorage requirements of a case. As a result, some clinicians use functional appliances in anchorage preparation with the aim of avoiding dental extractions or other forms of anchorage. A common method of achieving this is by utilizing a 2-phase treatment protocol during adolescence [33]. The first phase of treatment is achieved by using only a functional appliance. This phase usually continues until the overjet and/or molar relationship is corrected. The clinician may then choose to retain the correction obtained by the functional appliance by keeping the functional appliance in place or by using a simple removable appliance [34]. This is immediately foll owed by a second phase of active fixed orthodontic treatment. 1.2.5 Extraction As mentioned in the previous section, the anchorage requirements of a case are related to the space available in the upper and lower arches. It is common orthodontic practice to change anchorage requirement by the extraction of teeth [2]. The literature examining factors influencing the extraction decision can be divided into three different methodologies according to the method of study. These are: (i) the studies that directly ask clinicians their stated reasons for extraction, (ii) studies that measured the influence of the presence or absence of a cephalometric radiograph on the decision to extract, and (iii) studies that define some patient characteristic, such as cephalometric variables or orthodontic indices, and attempt to identify a correlation between these characteristics and whether or not extractions had been undertaken. I will discuss these studies in the following section: 1.2.5.1 Clinicians stated reasons influencing the extraction decision Only one study, Baumrind et al, directly asked orthodontists the factors that were related   to their decision to extract teeth as part of a course of treatment [35]. In this study full orthodontic records of 72 patients were given to 5 clinical instructors in a University setting in the USA. They were given a treatment planning form to complete for each patient; included in the form were questions about the extraction decision and the reasons for extraction. The clinicians stated that the most important reasons for extraction were crowding (49%), followed by incisor protrusion in 14% and profile improvement in 8%. Other, less frequent, reasons were Concern over Class II severity and concern for post- treatment stability (5%). No other single reason was stated as the most important reason in more than 2% of the forms. When considering all replies, crowding was cited in 72% of forms, incisor protrusion in 35%, profile improvement in 27% and Class II severity in 15%. No other si ngle reason was stated in more than 9% of forms. This was a simple cross-sectional study, in which the patient records and the participants were a convenience sample. It does, however, provide some relevant information on the reasons for extraction. 1.2.5.2 Cephalometric radiographs influencing the extraction decision: There have been several studies that have evaluated the effect of radiographs on the extraction decision. For example, Devereux et al [36] carried out a study in which a group of orthodontists were sent the orthodontic records of 6 patients on a CD, not containing lateral cephalometric radiographs or tracings, and were asked if they would extract teeth (T1). At this point, the orthodontists did not know that they were to be asked to examine the cases again after a washout period. After a period of 8 weeks (T2), the orthodontists were sent the records of the same 6 patients, but the lateral cephalometric radiographs and tracings were included in the records. They were asked again if they would extract teeth. The decisions made by this group (group A) were compared to another group of orthodontists (group B) who had full patient records, including lateral cephalometric radiographs and tracings, at both T1 and T2. It was found that the orthodontists in group A were 1.7 (95% CI, 1.0-2.8) times more likely to change their extraction decision than those in group B (odds ratio). In a similar investigation, Nijkamp et al investigated the influence of lateral cephalometric radiographs on the treatment planning decision [37]. This was a crossover design in which diagnostic records of 48 patients were given to 10 orthodontic postgraduates and 4 orthodontists. They were asked to formulate a treatment plan based around a dichotomous decision regarding three treatment options; (i) extraction, (ii) the use of a functional appliance and (iii) the use of rapid maxillary expansion. The diagnostic records at T1 included dental casts, but did not include a lateral cephalometric radiograph. T2 was 1 month later, and included both dental casts and lateral cephalometric radiographs and values. This design was repeated so that at T3, which was one month after T2, only dental casts were included; and at T4, which was one month after T3, dental casts and lateral cephalometric radiographs were included in the diagnostic records. Agreement between the treatment planning decision with and without the lateral cephalometric radiograph was assessed. In order for the treatment plans to agree, decisions about all three treatment options had to be the same. There was no statistically significant difference in the treatment plans between the use of only dental casts or with additional cephalometric information (P = 0.74). Another study by Han et al evaluated the effect of the incremental addition of diagnostic records on the extraction decision [38]. Five orthodontists provided a treatment plan for 57 patients. Orthodontic records were given to each of the five orthodontists in the following order: Session 1: study models only Session 2: study models and facial photographs Session 3: study models, facial photographs, and panoramic radiographs Session 4: study models, facial photographs, panoramic and lateral cephalometric radiographs. Session 5: all the previous records in addition to a lateral cephalometric tracing. The time interval between each session was 1 month, and the records were re-numbered between sessions. In each session, the orthodontists were asked to select a treatment pathway from a decision tree. The end point of each of the treatment pathway was a decision on whether or not to extract. The treatment planning decisions for each of the orthodontists in session 5 was considered the gold standard for that clinician. As a   result, the proportion of agreement between the treatment plan in each of the four sessions and the treatment plan in session 5 was obtained. The proportions of agreement between sessions 1, 2, 3, 4 and session 5 were 55%, 55%, 65% and 60% respectively. Therefore,] they concluded that study models alone are adequate for treatment planning, and that the addition of other types of diagnostic records made only a small difference. These three studies were good quality cross-sectional studies. The randomisation and method of washout were clear strengths of the studies. In addition sample size calculations were undertaken in two of these studies; Devereux et al and Nijkamp et al. 1.2.5.3 Patient characteristics influencing the extraction decision: The final type of studies evaluating the extraction decision are studies which attempt to identify a correlation between patient characteristics and whether or not extractions had been undertaken. Two studies, Xie et al and Takada et al, used a mathematical model to construct a decision-making Expert System (ES), which could formulate treatment decisions. [39, 40]. ES is a branch of artificial intelligence in which the computer programme simulates the decision-making and working processes of experts and solves clinical problems. They developed a model in which twenty-five patient characteristics were tested on 180 treated patients [39]. The rate of coincidence between the recommendations given by the optimized model and the actual treatments performed was found to be 100%. The characteristics that influenced the extraction decision were the anterior teeth uncovered by incompetent lips and IMPA (L1-MP). Another similar study was carried   out by Takada et   al whenÂà ‚   they selected   25 patient   characteristics   and 188 treated patients in their model [40]. The rate of coincidence between the recommendations given by the model and the actual treatment performed was 90.4%. The characteristics mostly influencing the extraction decision were incisor overjet and upper and lower arch length discrepancies. Heckmann et al investigated the influence of the angulations between the first and second lower molars on panoramic x-rays, on the extraction decision [41]. They used a sample of 30 patients treated by a premolar extraction approach, and a further matched sample of patients treated with a non-extraction approach. Pre- and post-treatment panoramic x-rays were scanned and computer software used to measure the angulations between lower first and second molars. Comparison between the mean angulation of the molars before treatment in the extraction and non-extraction group was not significant. Li et al compared mean cephalometric parameters and model analysis of Class II division 1 patients who were treated with either an extraction or non-extraction approach [42]. The sample consisted of 81 patients; 42 who had 4 premolar extractions and 39 who had non- extraction treatment. The extraction group had statistically significant greater values for the following parameters; arch length discrepancy, curve of spee, upper incisor tip, Frankfort-mandibular plane angle and lower anterior facial height. Bishara et al compared patient characteristics of Class II division 1 patients who were treated with either an extraction or non-extraction approach [43]. The sample consisted of 91 patients; 44 had first premolar extractions and 47 who had non-extraction treatment. A statistically significant difference was found between the extraction and non-extraction groups with regards to the following parameters; upper and lower arch length discrepancy, upper and lower lip protrusion in relation to the aesthetic plane in male patients, and the protrusion of the lower lip in female subjects. These studies were retrospective in nature. There were variations among the studies in the application of inclusion criteria in an attempt to control the characteristics of patients included in the study. Nevertheless, selection bias was inevitably present in these studies. Bias due to periodical changes may also be present due to the retrospective nature of the studies. In summary, studies evaluating the factors influencing the extraction decision are few in number. They have been carried out by gathering the opinion of clinicians in cross sectional studies or by conducting retrospective investigations on a sample of cases in which teeth were extracted as part of orthodontic treatment. The main deficiencies of the studies were due to inadequate selection and number of the study sample; and bias arising from their retrospective nature. References: 1.Roberts-Harry, D. and J. Sandy, Orthodontics. Part 9: Anchorage control and  distal movement. British Dental Journal, 2004. 196(5): p. 255-263.   2. Mitchell, L., An Introduction to Orthodontics. Second Edition ed. 2002, Oxford,  UK: Oxford University Press. 3. Charles T, P., Jr., Cervical headgear usage and thebioprogressive orthodontic  philosophy. Seminars in Orthodontics, 1998. 4(4): p. 219-230. 4. Brandao, M., H.S. Pinho, and D. Urias, Clinical and quantitative assessment of  headgear compliance: a pilot study. American Journal of Orthodontics Dentofacial Orthopedics, 2006. 129(2): p. 239-44. 5. Cureton, S.L., F.J. Regennitter, and J.M. Yancey, Clinical versus quantitative  assessment of headgear compliance. American Journal of Orthodontics   Dentofacial Orthopedics, 1993. 104(3): p. 277-84. 6. Cole, W.A., Accuracy of patient reporting as an indication of headgear  compliance. American Journal of Orthodontics Dentofacial Orthopedics, 2002.  121(4): p. 419-23. 7. Samuels, R.H.A. and N. Brezniak, Orthodontic facebows: safety issues and  current management. Journal of Orthodontics, 2002. 29(2): p. 101-7.   8. Samuels, R.H., A review of orthodontic face-bow injuries and safety equipment.  American Journal of Orthodontics and Dentofacial Orthopedics, 1996. 110(3): p.  269-272. 9. Burden, D.J. and D.J. Eedy, Orthodontic headgear related to allergic contact  dermatitis: a case report. British Dental Journal, 1991. 170(12): p. 447-8.   10. Lowey, M.N., Allergic contact dermatitis associated with the use of an Interlandi  headgear in a patient with a history of atopy. British Dental Journal, 1993. 175(2):  p. 67-72. 11. Kerosuo, H.M. and J.E. Dahl, Adverse patient reactions during orthodontic  treatment with fixed appliances. American Journal of Orthodontics Dentofacial  Orthopedics, 2007. 132(6): p. 789-95. 12. McComb, J.L. and C.M. King, Atopic eczema and orthodontic headgear. Dental  Update, 1992. 19(9): p. 396-7. 13. Cureton, S.L., F.J. Regennitter, and J.M. Yancey, The role of the headgear  calendar in headgear compliance. American Journal of Orthodontics   Dentofacial Orthopedics, 1993. 104(4): p. 387-94. 14. Doruk, C., U. Agar, and H. Babacan, The role of the headgear timer in extraoral  co-operation. European Journal of Orthodontics, 2004. 26(3): p. 289-91.   15. Trakyali, G., et al., Conscious hypnosis as a method for patient motivation in  cervical headgear weara pilot study. European Journal of Orthodontics, 2008.  30(2): p. 147-52. 16. Gross, A.M., G. Samson, and M. Dierkes, Patient cooperation in treatment with  removable appliances: A model of patient noncompliance with treatment implications. American Journal of Orthodontics, 1985. 87(5): p. 392-397.   17. Clemmer, E.J. and E.W. Hayes, Patient cooperation in wearing orthodontic  headgear. American Journal of Orthodontics, 1979. 75(5): p. 517-24.   18. Samuels, R., et al., A clinical evaluation of a locking orthodontic facebow.  American Journal of Orthodontics and Dentofacial Orthopedics, 2000. 117(3): p.  344-350. 19. ADVICE ON THE USE OF HEADGEAR, D.A.S.C. The British Orthodontic  Society (BOS), Editor. 20. Chadwick, S.M., P. Banks, and J.L. Wright, The use of myofunctional appliances  in the UK: a survey of British orthodontists. Dental Update, 1998. 25(7): p. 302-8.   21. Thiruvenkatachari, B., et al., Orthodontic treatment for prominent upper front  teeth (Class II malocclusion) in children. Cochrane Database of Systematic  Reviews 2013, Issue 11. Art. No.: CD003452. DOI:  10.1002/14651858.CD003452.pub3., 2013. 22. OBrien, K., et al., Early treatment for Class II malocclusion and perceived  improvements in facial profile. American Journal of Orthodontics Dentofacial  Orthopedics, 2009. 135(5): p. 580-5. 23. Singh, G.D. and W.J. Clark, Soft tissue changes in patients with Class II Division 1  malocclusions treated using Twin Block appliances: finite-element scaling  analysis. European Journal of Orthodontics, 2003. 25(3): p. 225-30. 24. OBrien, K., et al., Effectiveness of early orthodontic treatment with the Twin-block  appliance: a multicenter, randomized, controlled trial. Part 1: Dental and skeletal  effects. American Journal of Orthodontics Dentofacial Orthopedics, 2003.  124(3): p. 234-43; quiz 339. 25. Keeling, S.D., et al., Anteroposterior skeletal and dental changes after early Class  II treatment with bionators and headgear. American Journal of Orthodontics   Dentofacial Orthopedics, 1998. 113(1): p. 40-50. 26. Illing, H.M., D.O. Morris, and R.T. Lee, A prospective evaluation of Bass,  Bionator and Twin Block appliances. Part IThe hard tissues. European Journal of  Orthodontics, 1998. 20(5): p. 501-16. 27. Thiruvenkatachari, B., et al., Comparison of Twin-block and Dynamax appliances  for the treatment of Class II malocclusion in adolescents: a randomized controlled  trial. American Journal of Orthodontics Dentofacial Orthopedics, 2010. 138(2):  p. 144.e1-9; discussion 144-5. 28. OBrien, K., et al., Effectiveness of treatment for Class II malocclusion with the  Herbst or twin-block appliances: a randomized, controlled trial. American Journal  of Orthodontics Dentofacial Orthopedics, 2003. 124(2): p. 128-37. 29. OBrien, K., et al., Early treatment for Class II Division 1 malocclusion with the  Twin-block appliance: a multi-center, randomized, controlled trial. American  Journal of Orthodontics Dentofacial Orthopedics, 2009. 135(5): p. 573-9.   30. Tulloch, J.F.C., W.R. Proffit, and C. Phillips, Outcomes in a 2-phase randomized  clinical

Marbury v Madison Trial :: essays papers

Marbury v Madison Trial Marbury v. Madison The issue before the Supreme Court was the question of the court’s own constitutional authority, and to decide whether or not to issue the writ and if this would make the court seem weak. The facts of the case that were presented in the court was that this particular case was, in fact, being thrown before the Supreme court, and there was an argument as to whether or no the court real had the jurisdiction to decide this case at all. The result of this case was that the Supreme Court decided to entitle Marbury his court order. It was the first time the Court openly declared an act of Congress unconstitutional. The Court ruled that Congress exceeded its power in the Judiciary Act of 1789 and it established its power to review acts of Congress and declare invalid those it found in conflict with the Constitution. I actually think that the framers of the constitution would have consented to the idea of the Court to have this power of Judicial Review, because it works out quite well for the system of checks and balances because without it Congress would almost have too much power and I am sure the framers wouldn’t have accepted that. If the decision had not have validated the idea that the Supreme court had the power of Judicial Review, then Americans would have been a little concerned about the competency of the Court and would have thought that it was acting outside it’s jurisdiction. Justice Marshall stated that the power to decide this case did not come from the constitution, but from an act of Congress. The Supreme Court further more had original powers that extended beyond the constitution, so, in this case, it had the right to pass judgment.

Pragmatism as a Philosophy :: Skepticism, Rationalism, Metaphysics

I have often heard people use the word pragmatic to describe actions, laws or feelings, but I never really looked at pragmatism as a philosophy before. As we studied this semester I found myself asking one question about each philosophy we covered. We discussed skepticism and the claim that we have no knowledge (Lawhead, W., The Philosophical Journey, 2009, p. 55). We compared rationalism and empiricism which posit that we do have knowledge, but disagree on whether that knowledge comes from intellect or experience (Lawhead, p. 55). Along with that we covered Kant’s attempt bridge the gap between rationalism and empiricism, known as constructivism (Lawhead, p. 120). We moved on to the different varieties of relativism, and I still found myself asking the same thing. So what? In other words, does any of this really matter? Then we got to pragmatism, and I found that it asked the same question. Pragmatism looks for the practical value of a belief. If I look at the oth er subjects we have studied pragmatically, I can determine which ideas have the most value to me. Apart from the epistemological philosophies, another area we have also covered is metaphysics. Within metaphysics we have covered dualism and two forms of monism, materialism and idealism. Each of these beliefs deal with what reality actually is. Idealism claims there is one type of reality and that it is mental or spiritual in nature (Lawhead, p. 97). If, as Berkeley claims, matter is a useless concept (Lawhead, p. 206), it would be useless for us to try manipulating the world around us. Since we do try to manipulate our world, Berkeley’s idealism does not work with how we live. It is not practical. The other form of monism, materialism, more specifically physicalism, may hold more practical value than idealism. In materialism, reality is entirely physical (Lawhead, p. 205). Physicalism is a materialist view that the mind can be completely explained by the physical makeup of the brain (Lawhead, p. 214). This has practical value because it leads to the ability to study the min d, and allows the mind to interact with the rest of the world. This form of monism seems to be the more practical of the two, but monism is not the only way to look at reality. Pragmatism as a Philosophy :: Skepticism, Rationalism, Metaphysics I have often heard people use the word pragmatic to describe actions, laws or feelings, but I never really looked at pragmatism as a philosophy before. As we studied this semester I found myself asking one question about each philosophy we covered. We discussed skepticism and the claim that we have no knowledge (Lawhead, W., The Philosophical Journey, 2009, p. 55). We compared rationalism and empiricism which posit that we do have knowledge, but disagree on whether that knowledge comes from intellect or experience (Lawhead, p. 55). Along with that we covered Kant’s attempt bridge the gap between rationalism and empiricism, known as constructivism (Lawhead, p. 120). We moved on to the different varieties of relativism, and I still found myself asking the same thing. So what? In other words, does any of this really matter? Then we got to pragmatism, and I found that it asked the same question. Pragmatism looks for the practical value of a belief. If I look at the oth er subjects we have studied pragmatically, I can determine which ideas have the most value to me. Apart from the epistemological philosophies, another area we have also covered is metaphysics. Within metaphysics we have covered dualism and two forms of monism, materialism and idealism. Each of these beliefs deal with what reality actually is. Idealism claims there is one type of reality and that it is mental or spiritual in nature (Lawhead, p. 97). If, as Berkeley claims, matter is a useless concept (Lawhead, p. 206), it would be useless for us to try manipulating the world around us. Since we do try to manipulate our world, Berkeley’s idealism does not work with how we live. It is not practical. The other form of monism, materialism, more specifically physicalism, may hold more practical value than idealism. In materialism, reality is entirely physical (Lawhead, p. 205). Physicalism is a materialist view that the mind can be completely explained by the physical makeup of the brain (Lawhead, p. 214). This has practical value because it leads to the ability to study the min d, and allows the mind to interact with the rest of the world. This form of monism seems to be the more practical of the two, but monism is not the only way to look at reality.

Chile - The Pinochet Era :: American America History

Chile - The Pinochet Era Background: Salvador Allende Gossens was elected the first Marxist president of Chile in 1970. He governed Chile from 1970 until 1973, the year of his death. The Allende government was not very successful. It approved sharp increases in the minimum wage whilst attempting to prevent price increases in consumer goods, in an effort to end Chile's economic slump. This resulted in disaster for the country, as inflation soared, strikes became common and opposition towards the Allende government increased. This led to a violent coup on September 11, 1973, in which military authorities, led by General Augusto Pinochet Ugarte, took power over Chile. Allende was killed during this attack. This period in Chile's history put an end to many years of democratic rule in Chile. It also had dramatic and life-changing effects on Chileans, as at least ten percent of the population, or approximately two hundred thousand people, were affected by repressive situations. These situations included arrests, threats, a relative in prison, killed or "disappeared", and expulsion for political reasons from the place of work or university. Main Focus of Research: On the 11th of September 1973, the Chilean armed forces staged a coup d'etat, in which president Allende was killed. A junta was installed which was composed of three generals and an admiral. It was led by the new president, General Augusto Pinochet Ugarte. Pinochet not only took control of the government, but also of the military. Many thousands of people died in the fighting which erupted between those in support of and those in opposition to the junta. Soon Pinochet emerged as the dominant figure and the rest of the junta acted as a sort of legislature. During a short period, General Pinochet received support of many people, political parties and other nations, as they believed that the dictatorship of Pinochet would restore the status quo as it had been before 1970. It was not long before these supporters realised that the military officers in power had different objectives, including the repression of all left wing and centre political forces. The junta imprisoned, killed and tortured its opponents; dissolved congress; put limitations on the press; and banned political parties. An intelligence service known as DINA was established shortly after the coup. They kept secret detention centres where political prisoners were tortured, murdered or brutalised. A private enterprise economy was installed. The policies of Pinochet's government encouraged the development of free enterprise and a new entrepreneurial class, and resulted in an increase in exports of fruit, forestry and sea products, stabilising the economy.