Communicable Disease Paper Essay

Hepatitis B is a viral infection that is caused by the hepatitis B virus (HBV). It attacks the liver and can cause both acute and chronic disease. Acute HBV is less than six months and ones immune system is able to fight and clear the infection. Chronic HBV lasts longer than six months and ones immune system is unable to fight the infection leading to liver failure, cancer or cirrhosis. Occasionally chronic HBV can go undetected for years due to a person being asymptomatic (Mayo Clinic, 2011). Mode of Transmission In highly infected areas of the world, HBV is most commonly spread from mom to baby at birth or from person to person in early childhood (World Health Organization [WHO], 2013). The HBV is also spread via parenteral contact with infected blood or blood products, sharing of or accidental needle sticks and having unprotected sex with one who’s blood, saliva, semen or vaginal secretions are infected and enter your body (Copstead and Banasik, 2010). Signs and Symptoms Signs and symptoms of HBV may never appear or appear over a two to six month period. Signs and symptoms include abdominal pain, dark urine, fever, joint pain, loss of appetite, nausea and vomiting, weakness and fatigue and jaundice (yellowing of the skin and or sclera) (Mayo Clinic, 2011). Complications Having chronic HBV can lead to serious life threatening complications such as, cirrhosis, liver cancer, failure, hepatitis D infection or kidney failure. Liver cirrhosis occurs when HBV has caused inflammation to liver leading to scaring and formation of fibrotic cell tissue that blocks hepatic blood flow and cell function. This in turn results in overgrowth of new cells attempting to regenerate causing decreased liver function Liver cancer and failure can occur if a patient has cirrhosis due to being a risk factor (Copstead and Banasik, 2010). Treatment Treatment of HBV is supportive. Care focuses on nutrition, hydration and comfort (WHO, 2013). For those who have been infected with acute HBV, may not even need treatment but only management of symptoms. Those infected with chronic HBV may need more invasive treatments such as, antiviral medications or need a liver transplant (Mayo Clinic, 2011). Antiviral medications are used to slow and fight the virus from destructing the liver. Liver transplants are an option if a patient has end-stage liver disease where traditional treatments have not worked and are a qualified candidate (Copstead and Banasik, 2010). Demogrphics Approximately 60,000 people die every year from HBV (WHO, 2013). There are about 200 billion people living around the world with HBV with an estimated 1. 2 million living in the United States (CDC, 2013). In 2011 the United States was estimated to have 18,800 actual new cases of the HBV (CDC, 2013). Those who are at greatest risk for developing HBV are Asian and Pacific Islanders, African Americans, gay and bisexual individuals, those who have multiple sex partners and do not practice safe sex or are intravenous drug users. Gay and bisexual men make up 20% of new HBV cases and 50% Asian and Pacific Islanders are living with HBV (CDC, 2013). Most Asian and Pacific Islanders were infected with HBV as infants or children and 1 in 12 are living with it and are not even aware. Determinants of Health Environmental factors such as living conditions, social networks and social support systems are all key drivers for one becoming infected with the HBV. For example, a homeless person who has a poor health status, is uninsured, unemployed and has a lack of education is more likely to be diagnosed with HBV. Also certain races are more likely to be infected with the HBV, as stated above, Asian and Pacific Islanders make up 50% of the population living with HBV (CDC, 2013). In addition there is a lack of resources available to protect, improve and maintain one health due to the cost and lack of good health services to individuals with low socioeconomic backgrounds. Therefore, focus needs to be made on improving access to care as well as treating the environmental and social factors of health. Epidemiologic Triangle The epidemiologic triangle is used to analyze the natural history of a disease. It asses the agent â€Å"what†, host â€Å"who† and environment â€Å"where† (Maurer and Smith, 2013). The biological agent for hepatitis B is a virus. The host’s demographics can range from infancy into adulthood and any race is susceptible to the virus. The body’s defenses are more likely to fight off acute than chronic HBV. A person’s behavior as well plays a large role in one becoming infected. Those who are intravenous drug users or have a history of multiple sex partners are my susceptible to developing HBV. Environmental factors based on social and economic considerations could be direct person-to-person contact of bodily fluids via kissing or sexual intercourse or receiving contaminated blood products from infected individuals. Within the workplace, an individual could accidently prick himself or herself with a contaminated needle increasing their chances of becoming infected. Role of Community Health Nurse It is important for the community health nurse to educate and promote prevention of HBV. Teaching risk reduction interventions and strategies such as not having unprotected sex and using condoms can help prevent transmission of hepatitis B. For those who have already become infected with the HBV it’s important to provide timely referrals for sexual health related services to further prevent others from becoming infected. Making the hepatitis vaccinations more accessible and available is an effective way to prevent hepatitis B. Educating health and human service providers about hepatitis B promotes quality of care and awareness as well as reduces chances of transmission. Ensuring adequate resources are available (state and local surveillance) to accurately monitor disease trends, transmission and how effective treatment is can improve and ensure correct data collection. It’s also important that the nurse refers patients to accessible care and treatment facilities so that compliance can be obtained and the rate of transmission, morbidity and mortality can be reduced. National Organization The World Hepatitis Alliance is a non-profit international umbrella non-governmental organization that represents every region of the world with viral hepatitis. They raise awareness, reduce the stigma associated with viral hepatitis, work with the WHO and provide preventive care as well as support and access to treatment. Their goal is eradication of HBV and HCV. They plan on achieving this goal by having more countries with a complete hepatitis strategy in place, regional patient organizations in all WHO regions, on going support for global hepatitis groups, acceptance at a global level of HBV and HCV, increased alliance and a more diversified funding base for the alliance. Conclusion There are two billion people worldwide that are infected with HBV and more than 350 million are infected with chronic liver infections, which increases their risk of death significantly (Maurer and Smith, 2013). Fortunately, there is a vaccine for hepatitis B but it has not become easily accessible to those in developing countries. This is a virus that can be prevented if individuals are being educating on the causes and risks as well as ways to protect themselves. It is up to us healthcare providers to spread awareness and makes our patients more knowledgeable about the types of communicable disease in our world so that they can make healthy choices.

Lather and Nothing Else (Short Story) by: Tellez Essay

Q: What is the possible message of Tellez’s story? Explain In the short story â€Å"Lather and Nothing Else†, the possible message of the story would be how our roles determine our actions. In society today the work we do, the responsibilities we have and the work or decisions we choose to do is what would determined our actions. In the short story theres two main facts proving that our roles do determine our actions. Firstly, when Captain Torres talks about killing the revolutionaries subject proves how he once killed those specific people because of his job and that is what he is known for: â€Å"some of them we brought back dead; others are still alive. but they’ll be all dead.† not one will escape; not a single one (Tellez 35)†. These comments proves and explains how Torres is really eager to kill everyone. This shows Torres’s role how he acts like a dictator and kill the revolutionaries. His action were chosen for him and that were to kill the revolutionaries. Secondly, the part when the barber talks to himself and convinces himself that he has to do his job no matter what: â€Å"I would gave to shave his beard just like any other, carefully, neatly, just as though he were a good customer, talking heed that not a single pore should emit a drop of blood (Tellez 36)†. This part shows how the barber’s role is to shave the beard without any choice, because that is his job and this is what he is known for. His actions is chosen for him too because of his profession. These situations shows our profession determines our actions, our decisions and our actions will determine our work. Whether it is a future that we would enjoy or a future we will not enjoy.

Mobile Voting System Essay

The proper execution of democratic rights has become linked to the availability and reliable functioning of advanced information and communication technology (ICT). Countries all over the world are implementing computerized voting system for it has some striking advantages over traditional paper voting. Designing an air-tight and reliable computerized voting system is therefore a great task, in that, the system that must be developed must protect the privacy of the voters and electoral candidates, be easily understood and used by the entire voting populace – no matter who they are or where they come from. This project MOBILE VOTING SYSTEM is designed to allow users spontaneously vote on issues with any of the most widely used PDA technologies ( e.g. GSM, laptops, iPad, iPhone etc.) with ease and as much security as possible. Chapter One: Introduction Introduction Elections are understood to be the key of democracy all over the globe and voting is one of the electoral routes that ensure the continuity of democratic system in any civilization. Voting is a formalized way of allowing the general public or a group of people make their choice on administration matters in a free a fair manner. However, voters now lose confidence in the voting process due to fact that election rigging and riots is graduating and assuming a dangerous dimension. Most people now believe that even when they are given the chance to participate in the ongoing election process, their leaders will still be chosen through selection and not the results of the election, others concluded that paper ballots simply couldn’t be counted, even though businesses, banks, lottery systems, and other entities in our society count and deal with paper all the time. Times are changing. We now live in the Internet era, where decisions can be made quickly enough, and there is a perception that anyone who does not jump on the technology bandwagon is going to be left far behind. Businesses are moving online at astonishing speed. The growth of online interaction and presence can be witnessed by the exponential increase in the number of  people with home computers and Internet access. Despite the natural eagerness to treat our election process as the precious, delicate and fragile process that it is, the question of using the new advances in technology to improve our elections is natural. Adding mobility to the voting system (i.e. ability to vote anywhere at any time) is another added strategy to the growth of our voting system. Statistics has proven that more than  ¾ of the world’s population has at least one of the common PDAs. Ability to vote on phones will boost our voting system to a large extent. Statement of Problem There are various factors responsible for flaws in the traditional paper voting system. Chief among the factors include Incompetency on the part of the electoral commission to act as an umpire in the electoral process Do-or-Die syndrome of the contending parties to capture political power by all means Numerous incidence of violence/riots Hoarding of the electoral box by a contending party Low turnout of voters as compared to the number of registered voters; this issue could be attributed to the lack of mobility in the electoral process. Lack of trust in the electoral process by voters due to historical mishaps of insecurity. Objectives Any alternative to the traditional ballot box voting must not compromise the fundamental rights of citizens to express their free political will without any technological, psychological or any other restriction or bias. Mobile voting system provides the following set of objectives: To provide a security tight voting system. To provide a voting system that has compatibility with as many mobile PDAs as possible. To encourage participation in the balloting process by many voters who are currently discouraged by the time and inconvenience of having to attend at a physical location. Significance of the Problem Mobile voting system when implemented will be of great benefit to humanity since in one way or the other, democratic election is part of human lives. It would make obsolete the need for ballot boxes and papers, because the system would simulate these, it provides options to conduct voting in a centralized and decentralized manner, time management, reduced total cost of the election, ability to vote anywhere and anytime thereby increases the efficiency and effectiveness of the voting system. Though, the initial cost of developing Computerized Mobile Voting Systems would be high but the long run effects would be that election costs, processes and time would drastically reduce. In essence, the benefits from the implantation of this project can never be overemphasized. Chapter Two: Literature Review Introduction: This chapter includes a critical look at the existing research and case studies that have significance with this research project. It has been done by consulting other people’s work in order to understand and investigate the problem of the research project. In conducting literature review, scholarly articles, books and other sources relevant to a particular issue, area of research or theory has been surveyed. After reviewing all materials, a description, summary, and critical evaluation of each work is granted. The automation of business and governmental processes has long been a success story in many countries. As the use of mobile phones for voice and data communication increase, users continue to demand for more services to be offered by mobile phones due to the comfort they present. Recently a number of governments have employed e-voting systems in some of their elections and referendums using mostly computer terminals and a few with mobile voting systems. Theoretical background This project is a Web application to be developed with the major web technologies having: Database Design, Queries and Connectivity (PHP and My  SQL) User End Design (HTML, CSS, JAVASCRIPT) Server Testing (XAMP/WAMP SERVER) Testing (Internet Explorer, Chrome, Firefox) Hyper-Text Markup Language (HTML) is the predominant markup language for web pages. It provides a means to describe the structure of text-based information in a document by denoting certain text as links, headings, paragraphs, lists, among others and to supplement that text with interactive forms, embedded images, and other objects. HTML is written in the form of tags, surrounded by angle brackets. The following is an example of an HTML code fragment that assign a title to this web application: Mobile Voting System  is the start tag. is the corresponding end tag and â€Å"Mobile Voting System† is the content of the element. Cascading Style Sheet (CSS) defines how HTML elements are to be displayed. It is a collection of styling rules. Hypertext Preprocessor (PHP ) is an open source server side programming language extensively used for web scripts. It is a popular server-side scripting language designed specifically for integration with HTML, and is used often in conjunction with MySQL in web applications. It is available on many platforms, including Windows, Linux and Mac OS. the following is an example of a php script that MySQL: an open source Relational Database Management System (RDBMS) that uses Structured Query Language (SQL), the most popular language for accessing, querying a database. Because it is open source, anyone can download MySQL and tailor it to their needs in accordance with general public license. WampServer/Apache Server : WampServer is a free server bundle that uses Apache server. When installed on the system, it includes Apache, MySQL, and PHP. Apache is a popular web server that many Internet Service Providers (ISPs) and individuals use to host web pages. I installed Apache as a web server on the system. Created web pages are stored in the system’s special  folder, www directory in the local disk, in order for pages to be viewed. Review of Related Literature Mobile voting combines technology with the democratic process, in order to make voting more efficient and convenient for voters. Mobile voting allows voters to either vote by computer and any Personal Digital Assistance (PDAs) either from their homes or at the polling station. Brazil is a world leader in electronic elections, having conducted them since 1990. The elections in October 1998, was one of the largest electronic elections in history, with over sixty million voters casting ballots by computer for local and national candidates. 57 percent of the voting population – voted electronically in elections for local, state and 30national offices.

Healthcare Administration Term Paper Example | Topics and Well Written Essays - 750 words

Healthcare Administration - Term Paper Example The interaction of patients with the physicians and the hospital setting builds a favorable ground upon which patients can access quality care and be taken care of by the physicians. The interaction between the parties involved seeks to promote the welfare of all of them. Hospitals are designed to provide care to patients in order to promote their health and wellbeing. Health care facilities raise their welfare by achieving the purpose for which they were established. On the other hand, physicians have a duty to ensure that patients are provided with quality care whenever they need it. Patients have the right to access health care services and quality care from physicians in hospitals and other health care facilities. Fostering healthy relationships between patients, physicians, and hospitals enhances the efficiency and effectiveness of providing health care services (Ebrahim & Anken, 2008). Contract Principle and Breach of Warranty in the Health Care Setting The health care setting is made up of numerous stakeholders, namely: patients, physicians, healthcare facility administrators, regulatory agencies, insurers, and the government among others. These stakeholders interact on differentiated grounds and for variant reasons. However, the common denominator is that one of these stakeholders can enter into a contract with another. Warranties are also operational in the health care setting, especially in patient-physician interaction. Government sponsored health care programs constitute contracts between health care facilities and the government through the relevant programs run by the government in that line. On the same note, patients can enter into contracts with insurers to secure insurance coverage. Over and above this, patients and physicians can engage in contractual relationships relative to provision of care. On the other hand, warranties in the health care setting encompass any assurances made by one party to another, whose breach results in remedial consequences (Afo, Thomason & Karel, 2006). Remedies are only sought after the warranty between two or more parties has been breached. Elements of Proving Negligence The four elements of proof necessary for a plaintiff to prove negligence include duty of care, breach of duty, injury, and proximate cause (Cassels & Janovsky, 2001). Health care providers are charged with a duty to care for the patient(s) based on an established relationship between the patient and the care provider. However, the heath care provider is not liable for any person who is not regarded as a patient in the capacity of the provider. The provider is expected to act in full capacity in ensuring that the patient’s care needs are met, failure to whic h negligence may result. Breach of duty is realized when the care provider fails to meet predetermined care standards or even deviates from a commonly known competent professionalism. This malpractice is in most cases realized from hazards and /or risks associated with a given medical procedure. To avoid this malpractice, care providers often ensure that they make use of informed consents before performing medical procedures that are highly likely to result in breach of duty. Failure to undertake care duty towards a patient by a care provider could also result in negligence. Injury that results from a medical malpractice

A critical evaluation of the role of Budgetting Essay

A critical evaluation of the role of Budgetting - Essay Example results in nothing more than dysfunctional behaviour has initially been proposed by Hope and Fraser (2003) as part of the Beyond Budgeting Round Table (BBRT). This report is a review of relevance of budgeting in contemporary business contexts and an attempt to suggest which one among ‘better budgeting’ or ‘beyond budgeting’ will be effective to the CFO of Halfords Group plc. This report is prepared to submit to the CFO as he asked me to review literatures and prepare a report based on ‘budgeting- lost relevance’ after he participated in a conference that made him concerned about the matter. In finance and accounting, budgeting is a formal plan expressed in monetary terms and is prepared in a current financial year to provide managers and other stakeholders with an estimate of the anticipated costs and revenues for the next financial year (Chandra, Menon and Mishra, 2007, p. 264). Traditionally, budgets served a number of useful purposes such as 1) planning annual business operations, 2) coordinating various activities in the organisation, 3) communicating these plans to various responsibility managers or departments, 4) motivating managers to achieve desired organisational goal, 5) controlling all activities in the firm and 6) evaluating managers’ performance (Drury, 2006, p. 426). Because of that budgeting looks both forward and backward, it identifies resources that the company is likely to generate and the need in its near future to serve as a measure of current and past performance of department and individual managers (Fabozzi and Drake, 2009, p. 334). Why budgeting has been traditionally considered as an effective strategic tool for management accounting was that it was nothing but a plan relating to future and it helped management take various critical decisions pertaining to strategic planning, budgetary planning and operational planning (Walker, 2006, p. 305). Budgeting has also played a very significant role in strategic and operational

Entreprenuership Report Essay Example | Topics and Well Written Essays - 2000 words

Entreprenuership Report - Essay Example The marketing department determines the patterns of demand in the market. This therefore informs the production in order set an appropriate supply for the products in the market. The report below discusses the process of introducing a new product in an already existing market. In doing this, the report includes an extensive situational analysis, resource allocation, marketing, distribution among other essential operations that will help secure a substantial market for the new product. Introducing a new product in an already existing and active market requires the consideration of various features of both the market and the new product. Marketing refers to a management function concerned with the determination, anticipation and satisfaction of the market demand. An appropriate marketing department should earn a product whether old or new a substantial size of the market capable of achieving the product profitability. Among the key factors considered in the market research, include the name of the product, the price that must consider the cost of doing business and the profitability among other essential features of the market (Parente, 2005). Marketing is an essential department in the introduction of the new product; the marketing team must carry out effective market researches and market analysis in order to determine all the factors that will influence the demand for the new product. This way, it advises other essential department in the company such as the pro duction department on the quantity of products and the features to incorporate in such products in order for the products to gain profitability desired. United Kingdom is a developed economy; this implies that the people have a higher purchasing power. The smart TV market can therefore sustain yet a new product, which will compete effectively against the many other products currently in the market. However, such a market makes informed

Foundations of Microeconomics Consumers and Firms Essay

Foundations of Microeconomics Consumers and Firms - Essay Example The output of the plant is 300,000 units per day at a cost of $30 per unit. The total revenue per day is 300,000 * $30 = $9,000,000. According to Parkin (2005), "A firm shuts down if the price falls below the minimum of average variable cost. The shutdown point is the output and price at which the firm just covers its total variable cost" (p.244). As we can see, the total revenue exceeds the variable costs and it would be recommended to continue to produce. If sales continue to stagnate and drop, there will come a point at which shutdown will be advisable. When sales have reduced to the 250,000 unit level, it will be necessary to begin layoffs. The revenue at that point would be 250,000 * $30 = $7,500,000 and equal to the variable cost. To avoid shutdown, labor costs would need to be reduced. The relationship between a change in price and the change in demand is known as elasticity. If a change in price results in no change in demand, this is known as perfectly inelastic demand (Parkin 2005 p. 84). This would be seen in the market for necessities such as electricity or heating fuel. If the ratio of price change is equal to the change in demand, this is known as unit elastic demand (Parkin 2005 p.84). With some items, such as food, an increase in price only results in a small change in demand. Consumers will cut back, but not eliminate, the product. This is known as inelastic demand (Parkin 2005 p.84). ... The demand change is equal to 10 / 30 * 100 = 33.33%. The change in demand has a larger percentage decrease than the percentage of increase in price and is an elastic demand. Part Three As a policy maker concerned with correcting the effects of gases and particulates emitted by and local power plant, I would first look to command and control regulations. This is the simplest approach for the government and would transfer the cost of reducing the emissions to the consumer and the firm. While this may be the simplest, it may not be acceptable to environmentalists or the parties burdened with the cost. It is also difficult to enforce. Vouchers are another method that should be considered. However, since the problem is a local power plant, the tactic might be ineffective. The firm could purchase vouchers and still continue to discharge pollutants. Charging an emissions fee for the amount discharged may be viewed as a penalty or fine for polluting and would be a cost passed on to the consumers. Taxing the pollutants would have the advantage of providing an economic incentive for compliance. These taxes, known as Pigovian taxes, can be useful in getting a firm to act as if they are bearing the total cost of the externalities (Parkin 2005 p.348). The tax method seems to be the most efficient. Under the tax method, the tax rate is set at the cost of the externalities. The pollutants fall to the point that the cost to produce plus the tax reaches market equilibrium. Polluting above that point raises the cost beyond the marketable price. This would efficiently control the discharge and put the money in the hands of the government to be used to cover the external costs or tax reduction. References Parkin, M. (2005). Microeconomics (7th ed.). Boston: Pearson

US History Essay Example | Topics and Well Written Essays - 750 words

US History - Essay Example It even had parallels to other existing societal trends in other countries such as the United States. In fact, there were a handful of Nazi groups in the United States that enjoyed free rein before the bombing of Pearl Harbor. During his imprisonment in 1925, Adolf Hitler came up with his theories for a political movement that placed the Aryan (German) people at the top of a hierarchy of races. This movement, later called the Nazi movement, aimed for Aryan supremacy and a central Aryan government that would eliminate â€Å"impure breeds† such as Jews and other races. Hitler’s philosophies mirror the American policies of the 1920’s. During this period, America adopted an isolationist policy and had a general popular sentiment that looked down upon immigrants, Catholics, Jews and Blacks (Kennedy et al., 382). Hitler himself admired America during this period and commended them for their immigration policies and popular sentiment that did not favor people of different races. He specifically noted the â€Å"race-based anti-immigration laws and for the subordination of the "inferior" black population.† and attributes their success to their efforts at keeping themselves racially pure (â€Å"Nazi†) This view, however, did not last as he denounced the United States as â€Å"a mongrel nation †¦half Judaised, half Negrified† following America’s adoption of greater racial freedom and rights. He believed this would cause the United States’ early defeat during the war (â€Å"Nazi†) Before the bombing at Pearl Harbor, Nazi groups, while vilified by most, existed in the United States. However, the handful that did demonstrate publicly in the United States melted away in the aftermath of Pearl Harbor. America, in the face of outright hostility from Germany, did not join the fray after Germany’s advances in Europe. This was due to its isolationist policy, and its reluctance to be dragged into the war. Although, they believed the

Supreme Court Essay Example | Topics and Well Written Essays - 250 words

Supreme Court - Essay Example In this case the opinions are called concurring. Divided decisions are more common. If from one to four Justices dissent on the majority decision, the Chief Justice will assign a majority opinion that speaks for the consensus of the Court. In addition, a minority opinion will be assigned to one of the Justices who voted against the majority, termed the dissenting opinion. This Justice explains the reason they and possibly other dissenters saw legal reason to vote against the majority. In a very divided decision those Justices who voted with the majority did not agree as to why. In addition, those who voted with the minority didn’t agree with each other either. In this very rare instance, multiple Justices may write separate opinions, possibly all nine. Some may write additions to other opinions if their view of the legalities concerning the case was close but not the same. In a per curium decision the opinion(s) may be unanimous and are usually very short in length. These are the cases that either was not important enough to be heard by the highest court or a technical issue precluded the Justices from hearing the

E-Business Essay Example | Topics and Well Written Essays - 750 words

E-Business - Essay Example Once Grandma’s Treats has a proper website in place, the next priority is to maximize traffic to the website. There are numerous ways of promoting a website such as; banner advertising, cross media advertising, search engine registration etc. It recommended that Granma’s Treats initially implements the following modes of promoting website. Banner advertising is undoubtedly is the most popular form of advertising on the web. Banner advertising involves putting banners which serve as hyperlinks to your website, on various popular sites. There are both paid and unpaid forms of banner advertising available these days. The unpaid form of banner advertising is referred to as banner exchange – which involves putting banners of other website on your website in return for having your banner placed on other websites (Wilson. 1999). It is recommended that Grandma’s Treats doesn’t indulge in the banner exchange program as having banners on the e-commerce will distract the visitors. So, the best alternative is to go for paid banner advertising, it is important to make a wise decision when choosing a site for placing banner advertisement. The site must be related to gourmet food industry o else the site must be popular locally in he region in which Grandma’s Treats does business. The design of the banner ad is crucial. It should stand out and make people click instinctively (Ryder). Placing banner on the right side of the page is also a good idea as it will be easily noticed, since normally people read from left to right (Ryder. 2007). In order to maximize traffic it is essential to have banner ads on numerous websites. A disadvantage of banner advertising is that it is difficult to track how much they contribute to total sales (Wilson. 1999). However, banner advertising does guarantee increased traffic and it is one of the oldest forms of advertising on the web and it

Dantes Inferno Essay Example for Free

Dantes Inferno Essay On the evening of Good Friday in the year 1300, Dante is travelling through a forest, when he gets lost. In the morning, he finds a mountain and tries to climb it, but is stopped by a lion, a wolf, and a leopard. The spirit of the poet Virgil appears and offers to take him to the top of the mountain to Heaven when his love, Beatrice, is, but the way first leads through Hell. Virgil and Dante enter through the gates of Hell and see a crowd of people along the banks of the river. Virgil tells Dante these are the souls who neither sinned nor worshipped God, and are therefore rejected by both Heaven and Hell. Charon takes them across the river. The Second Circle is guarded by Minos and is the first of four rings in which souls are punished. In the Second Circle, the souls of the lustful are blown about by never-ending winds. In the Third Circle, the souls of the gluttons are soaked by heavy rain and clawed by the three-headed dog, Cerberus. Continuing downwards, they meet the entrance to the Fourth Circle, which holds the greedy. These souls must charge at each other with boulders repeatedly. Virgil and Dante next proceed to f the city of Dis. Dis is a city within the larger region of Hell, however the demon guards refuse to open the gates. A messenger arrives from Heaven to force the gates open for Dante and Virgil. The Sixth Circle of Hell holds the Heretics, and in this circle that Dante encounters Farinata, a rival political leader. A deep valley leads into the First Ring of the Seventh Circle of Hell, where there are three inner rings. The first is where those who were violent toward others spend eternity in a river of boiling blood. The second ring is for those who were violent toward themselves, and the third ring is for those who were violent toward God. The monster Geryon transports Virgil and Dante across a great abyss to the Eighth Circle of Hell, known as Malebolge, Here, there are also many layers. The first is for the panderers and seducers, who receive lashings from whips. The second is where the flatterers must lie in a river of human feces. The simoniacs in the third layer hang upside down in baptismal fonts while their feet burn with fire. The fourth layer is for the astrologists and diviners, who are forced to walk with their heads on backward. In the fifth layer, those who have accepted bribes are torn apart by demons. In the sixth layer, the hypocrites must walk in circles for eternity while wearing robes of lead. In the seventh layer, thieves sit in a pit of vipers and turn to vipers when bitten, and then regain their human form when they bite  another thief. In the eighth layer, Dante speaks to Ulysses who will spend forever with those guilty of Spiritual Theft. In the ninth layer, those of scandal walk in a circle with wounds that open and close repeatedly. In the tenth and final layer, falsifiers suffer from plagues and diseases of all kinds. Through the Giants’ Well, Virgil and Dante proceed to the Ninth Circle of Hell, which leads to a great frozen lake named Cocytus. Virgil and Dante are picked up and placed in the lowest region of Hell by the giant Antaeus. Like the previous Circles, the Ninth Circle of Hell also contains numerous different inner Rings. In the First Ring, those who betrayed their kin stand frozen to their necks in the lake. In the Second Ring, those who betrayed their country stand frozen to their heads. However, those who betrayed their guest are destined to spend eternity lying on their back in the frozen lake in the Third Ring. In the Fourth and final ring of the Ninth Circle of Hell, an eternity in complete icy submersion is given to those who betrayed their friends. In the center of this circle is the three-headed Lucifer. His body comes from the center of the Earth where he fell when God sent him down from Heaven. In each of Lucifer’s mouths are Judas, Cassius, and Brutus. Virgil instructs Dante to climb down Lucifer, and travel out of Hell and back onto Earth. They return to Earth on Easter morning. Analysis In the first canto, Dante uses the dark forest to express the flaws he saw in the world around him at the time Inferno was written. Also, when Dante encounters the leopard, the lion, and the she-wolf. The leopard represents fraud, the lion represents pride, and the she-wolf represents incontinence. Dante is most affected by the presence of the she-wolf because, while incontinence is the least severe category of sin, it is the one to which he is most susceptible. Christian symbolism is extremely prevalent throughout Inferno, and it is first introduced in the second canto. Hell is not just described as the underworld, but a place where sinners are punished for eternity. In the inscription on the gates into Hell, each part of the Trinity is represented. The â€Å"potency divine† represents God the Father, the â€Å"wisdom supreme† is Christ, and the â€Å"primal love† is the Holy Spirit. Along these same lines, the use of the Trinity is also used in the last canto, when we are  introduced to the three-headed Lucifer. The three heads could represent the Father, Son, and Holy Spirit as well. In the fourth canto, Dante explains that Limbo is for those who have not been baptized, thus addressing one of the great moral problems of Christianity. Baptism is considered necessary to go to Heaven, but it does not seem fair that people who do not know of Christianity should suffer for something they have no control over. Dante takes care of this problem by keeping those who are not Christian in Hell, but giving them a much less painful fate by giving them eternity in Limbo. The timeframe of Dante’s Inferno is extremely relevant in terms of Christianity. Dante begins his journey through Hell on Good Friday and emerges and returns to Earth on Easter day. This means that he was â€Å"dead† for the time period following the crucifixion of Christ, and he has risen with him. To look further into the other religions represented in Inferno, the tower in the city of Dis that Dante refers to is a mosque, to further emphasize that anyone who does not believe in Christianity is a nonbeliever and should be in Hell. It is also interesting to look at the role Dante plays throughout Inferno. Throughout, it is clear that Beatrice has kept a careful eye on Dante’s progress and is prepared to intervene when necessary to ensure that he gets to her. In the first canto, when Dante is lost, Beatrice sends Virgil to guide him, and when Virgil and Dante are not admitted into Dis, Beatrice sent a messenger to let them in. Without Beatrice, Dante would be lost. She is the only reason he has a chance at making it to Heaven. Dante faints and weeps numerous times, further indicating his weakness and his reliance on Beatrice and Virgil. He expresses fear of the wild beasts in the first canto and of many of the other demons in the other circles. These weaknesses emphasize how little he does for himself. He follows the path that is laid out for him by Beatrice and Virgil, and does nothing more than that. In many contexts, Dante is held as a hero, but he is really just relying on others.

Investigation on finding the Molar Mass of Butane Essay Example for Free

Investigation on finding the Molar Mass of Butane Essay Aim: To find the molar mass of butane, by finding the number of moles of gas in the container and comparing it to the mass of butane in the container Theory Butane (C4H10), also called n-butane, is the unbranched alkane with four carbon atoms, CH3CH2CH2CH3. Its only other isomer is methylpropane: CH(CH3)3. It is an organic compound which belongs to the alkane group or organic compounds. It is a highly flammable, colourless and odorless gas at r. t.p. this, along with the fact that is an easily liquedified gas, is why it is used in lighters as a fuel. Its Relative Molecular Mass is 58.12g, and it is barely soluble in water like most organic compounds: 0.0061 g/100 cm3, at 20 à ¯Ã‚ ¿Ã‚ ½C. In the experiment we shall find the mass of butane by calculating the change in mass of the lighter before and after the experiment. We shall find the number of moles in the container by finding the volume, pressure and temperature of butane inside the container, and then use the formula PV = nRT (where P: Absolute Pressure measured in millibars, V: Volume of gas measured in dm3,T: absolute temperature in Kelvin, and R is the universal gas constant, which equals to 83.14472 dm3à ¯Ã‚ ¿Ã‚ ½mbarà ¯Ã‚ ¿Ã‚ ½K-1à ¯Ã‚ ¿Ã‚ ½mol-1). Since we could not measure the temperature or pressure inside the container, we measured the atmospheric pressure and temperature. We assumed that if we waited for enough time, the temperature inside the container will be equal to the atmospheric temperature. Secondly, the atmospheric temperature = pressure inside the container and the pressure exerted by the column of water. The pressure exerted by the column of water = mgh. [Reference: www.wikipedia.com] Prediction I feel that the mass of one mole of butane will be approximately 58, as this is the RMM of Butane (correct to 0 d.p.). Apparatus * Lighter (filled with Butane) * Water * Trough * Digital Thermometer [à ¯Ã‚ ¿Ã‚ ½ 0.01à ¯Ã‚ ¿Ã‚ ½C] * Top-pan balance [à ¯Ã‚ ¿Ã‚ ½ 0.01g] * Burette [à ¯Ã‚ ¿Ã‚ ½ 0.05 cm3] * Pressure Gauge [à ¯Ã‚ ¿Ã‚ ½ 0.5mb] * Meter Rule [à ¯Ã‚ ¿Ã‚ ½ 0.0005m] * Table showing Vapour Pressure of water at various Temperatures Modifications to Method * We dipped the lighter in water before any of the trials, and then dried it using ethanol in an attempt to reduce the margin of error in the mass reading due to water droplets sticking the lighter. * The Burette was filled completely with water. * We did not take the final volume reading when the level of water in the burette was equal level with the water in the trough. Instead, we measured the height of the water column above the level of water in the trough. * We found the volume of water between the tip of the cylinder and the 0cm3, and included that in our calculations of the volume of water. Fair Test * After every trial, we dipped the lighter in ethanol and then shook it to dry to ensure that was minimal inaccuracy in the mass reading due to water droplets sticking to the lighter. However, it is impossible to get rid of all the water droplets. Therefore we dipped the lighter in water and dried it using ethanol before any tests in an attempt to ensure that the extra mass (though minimal) due to water droplets on the lighter remained constant throughout the experiment and thus could be ignored. * We filled the burette completely with water, to ensure that no gases were inside the burette before the trial, which would have affect the pressure readings. * The pressure inside the container is equal to the pressure due to butane and moisture. Using a table, we shall find the pressure due moisture, and subtract it from our pressure reading to get the pressure due to butane alone. * We waited a little which after the trail before measuring the air temperature to ensure that the temperature of butane inside the burette was the same. * We used water inside the burette since butane barely dissolves in water. * We removed the metal piece at the top of the lighter, as water droplets could easily stick to it. Also, it ensured that the butane could not catch fire. Safe Test * We removed the metal piece of the lighter, to ensure the butane could not catch fire. * We were careful while dipping the lighter in ethanol, not to release butane as ethanol is flammable. Conclusion In the experiment, when we opened the nozzle of the lighter, butane escaped from the lighter, causing a decrease in mass of the butane inside the lighter. The butane rose to the top of the burette, since butane is less dense than water. This caused the pressure at the top of the butane to be greater than the atmospheric pressure. Since liquids are mostly incompressible, the increase pressure at the top, created a force on the top of the water column, pushing it down. Hence the volume of gas (butane and vapour) inside the burette would increase, causing the pressure of gas to decrease until it is equal to the atmospheric pressure. This process kept on occuring as more and more bubbles of butane and moisture reached the top, hence at the end of each trial the pressure inside the burrrete can be estimated to be equal to the atmospheric pressure. From the graph, it has been calculated that the RMM of butane is 53.946à ¯Ã‚ ¿Ã‚ ½60.2% using the formulae RMM = mass/n and pV= nRT. There are no anomalies, since the graph passes through the error bars of all 4 points. Evaluation In the experiment, the accuracy is fairly high as the experimental value for the RMM of butane is 54, while in theory it is 58.12 (percentage error of only 7.089%), which shows that very few systematic error occured during the experiment. This is also shown by the fact that the y-intercept is 0.0125, which is very close to 0, showing an almost completely proportional relationship between mass and n. Regarding the precision of error, the margin of error has been calculated as 60.2% and is far to high, resulting in a poor precision. However the experiment was more precise than this value of 60.2% shows it to be, because from the graph one can see that all the points lie close to the line of best fit. In the experiment, various errors could have occured, such as: Systematic Errors: * Error in readings of pressure due to high uncertainty. Random Errors: * The pressure due to the water column has no been taken into consideration. * We are assuming that the temperature inside the burette is equal to atmospheric pressure, which may not be true. * Water droplets may have still stuck to the lighter, causing an error in mass. To reduce the margin of error we could have: * Calculated the pressure exerted do to the water column, and subtracted it from the atmospheric pressure to find the pressure inside the container. * Taken a larger container than a burrette, so that we could release more butane and cause a larger change in mass, so that the uncertainty of 0.01g would have a smaller affect on the margin of error. * Used a seperate lighter for each trial, eliminating the error caused due to water droplets clinging to the sides of the lighter.

Media In Malaysia Like Rtm Media Essay

Media In Malaysia Like Rtm Media Essay 1 Malaysia concept (1 Malaysia) was unveiled by the incumbent Prime Minister, DatoSri Najib Razak upon taking office on 3rd April 2009. The goals to present this policy is to unite the nation, to form the equity in the economic dimension, enhance the social cohesion and also make sure the people live in harmony and peace between different races (1 Malaysia.com , 2009). According to the Malaysias Prime Minister Najib Tun Abdul Razak, Satu Malaysia means the mutual respect between the different races in Malaysia and also to contribute to the success of vision 2020. According to the research done by the Merdeka Centre for Opinion Research, conducted from 19 June 2012 until the 1st of July, there are over 75% of Malaysian aware to this policy with 23% of people agree that it help to promote the unity among races and 18% of people think One Malaysia concept is about the equitable among the different races in nation. Besides, this survey shows that 46% respondents agreed the One Malaysia policy would be able to achieve the objectives, the rest are not agree with it, which mean there are over 50% of respondent are not even aware and understand about the policy. The survey proved the majority of respondent felt that the government has successfully creating awareness on the Satu Malaysia concept among the nation, but this concept is not completely accepted by all the Malaysians. As we know, mainstream media used by government to create awareness on the One Malaysia concept, and used on enhance the acceptance of the concept by the citizen of Malaysia. Mainstream media plays an important role to give information, report news and educate the audience about government policies, especially in the pluralism society like Malaysia. Mainstream media do not differentiate between our citizens on the basis of their background or ethnic origin, the media mostly deliver the message in the different languages like Bahasa Malaysia, Chinese, Tamil and English. For example, there are different channels in mainstream TV channels to broadcast the news programs with different languages, even the One Malaysia programs also have different version of languages. This is to make sure all the citizens can receive the information that they can easily to understand. The mainstream media in Malaysia like RTM, Media Prima and Bernama are controlled by government, and the alternative media like MalaysiaKini and The Insider are the popular news site to report the unvarnished news and event in Malaysia. Athough the alternative media occupy the small section of media in Malaysia, it still have a lots of audience an supporter compare to the mainstream media. Mainstream media used to promote the One Malaysia concept, for example the newspaper as tools to publish Malaysian government propaganda. Every day, there are many newspapers published mainly in Bahasa Malaysia, Chinese, Tamil and English, most of them are government-controlled. Mainstream newspaper report on every stunts of the One Malaysia policy and emphasis only on the benefit of the concept and projects, it never reveal or focus on the negative side of the policy. For example One Malaysia store, one of the project by KARISMA. When the project was finally launched, the mainstream newspaper mostly report on how the 1M store can benefit to citizen and set it as headline or give the news a wide space in layout, but when the criticism arise because of the low quality of One Malaysias products, newspaper only publish out the news with small space or never appear. It shows the mainstream media are partial and only shows what they want to show and filtered the important information befo re publish out. Another example like RTM, local television channels licensed to broadcast in Malaysia, it used by government to promote the policy too. TV station will broadcast the video clips about One Malaysia concept, for example the one Malaysias advertisement. For every important day like Merdekas Day, TV will Keep showing the One Malaysia Merdeka advertisement and Satu Malaysia theme song to make a strong impressive on the audience. Besides, mainstream media will report about the major event of 1 Malaysia that happen in town, for example the Sitiawans Chinese New year Open House. This CNY event was live broadcasted through RTM1, and it successfully gets a wide coverage in Malaysia and even the reporter of CCTV from China attended to make a live report. This event is for the CNY celebration and help to foster unity among the various races in Malaysia, by showing this event on TV, it help to promote the One Malaysia concept and also to gain support from the chinese community, so that the One Ma laysia concept can be widely accepted in nation. Nowadays, mainstream media especially free to air TV channels and radio station now losing a large numbers of audiences and readers, the credibility of mainstream media was suspected. People will not totally accept the messages of mainstream media before verify the facts through online. Most Malaysians are now become more polite and wiser to distinguish the facts, people start to search information through online, and they verify and confirm the facts before accepting the truth. One of the hot topics was the censored news of Bersih 3.0 on 28th April 2012. The British Broadcasting Corporation (BBC) and ASTRO (Malaysian pay TV station) broadcasted the two different version of news, the BBCs original broadcast been censored and the interview of the respondent about Bersih 3.0 filtered by Astro. This video clip will not appear on the mainstream media channels like RTM1. Astro is not government-owned media, but it is indirectly control by the government. This shows that most of the media in Malaysia have no freedom, the reporting is not true and be biased towards one side which is the dominant group. In my own opinion, although the mainstream media occupy most of the media space in Malaysia, it is not powerful enough to change people mind and influence on the behavior of citizens, this probably because of the distortion of truth and biasness of mainstream media. Nowadays, more and more people start to voice out and express themselves in cyberspace. It shows the influential power of social networking sites. The example of social networking sites like facebook, blog, twitter and YouTube are now becoming the source to get news and information, especially the unvarnished news. Most people said that the mainstream media tell lies and partial, they rather believe the alternative media instead of biased reporting. According to the limited effects theory by Lazarsfeld, media are not powerful enough to influence on individuals which is also known as limited effect perspective. He also claims that the heavy media users were the person whose advice was being held by others. Thus, the heavy media users will become the gatekeepers and opinion leaders. Opinion leaders used to advice the followers and this is later known as the two step flow. The Prime Minister in Malaysia, Dato Sri Najib Razak as the opinion leader and also a heavy media user, he created a website called 1Malaysia with a tagline The Personal Website of DatoSri Najib Razak to provide a place for open discussion and also to encourage the acceptance of One Malaysia concept by the citizens of Malaysia. The website now become one of the mainstream media in Malaysia, it always shows on the top of Google page for the keywords One Malaysia. He understands the influential power of internet, and also the less popular of mainstream media, he started to take part in social networking sites like Twitter, Facebook and blog, all of these sites have gathered over millions of followers. Our Prime Minister act as the opinion leader not only for the real life but also in the cyberspace, this is one of the ways he used to promote the One Malaysia concept and influence his followers. This is known as two step flow. The message about One Malaysia concept share from mainstrea m media in Malaysia can easily reach to audience but this does not mean the mainstream media can influence people to accept the policy, the most influential things is the idea of opinion leader instead of mainstream media . Another example like the critic or commenter who bombard the biasness of mainstream media will be viewed as the nation hero and opinion leader, for example Namwee. He has a huge of followers on facebook, he act as the opinion leader to critic the biasness of media and also the BN politicians. His opinion could influence his followers because people craving of hearing the actual truth about the government leaders and policies. According to Lazarsfeld, media rarely had power to change people mind because it is almost always mediated by the individual differences. Individual influences in psychological make ups cause media influence to vary from person to person. Everyone has different ideas, mainstream media only can deliver the messages or information of One Malaysia concept to the citizens but not powerful enough to influence people decision, and make people accept to the concept. This is because audiences have the right to choose what to expose, this is known as selective process. The selective process, information that is inconsistent with a person already held attitudes will create psychological discomfort or cognitive dissonance. People generally work to keep their knowledge of themselves and their knowledge of the world somewhat consistent via selective processes. People tend to avoid the cognitive dissonance after made a decision. Thus people will avoid the facts that can prove the decision was wrong, so the more potential dissonance, the more we tend to avoid. People will denial and pretend that they never seen the evidence. Because of people have right to choose what to expose in mainstream medias messages, the One Malaysia concept cannot be completely accepted by the citizens. The mainstream media in Malaysia keep promoting the concept, but this policy might not the ideal policy to some of the citizens, they can choose to deny the message or choose to remember some part of the concept they like. In the selective process, there are three form of selecti vity, for example the selective exposure, selective retention and also the selective retention. Selective exposure, people tend to expose themselves to information that same to their pre-existing attitudes and belief. For example, the mainstream TV station RTM1 broadcast the One Malaysia program, audiences can choose not to watch the program and switch to another channels if they dont agree with the concept or not interested to the information. This is because they obey to their subconscious and dont want to change the pre-existing belief. Selective retention, people tend to remember the best and interested messages that are most meaningful to them. For example, the mainstream media keep showing the benefit of One Malaysias projects, the IPT students only choose to remember the stunts of One Malaysia Siswa Card (KADS1M), because this project is benefit to them and help them to reduce the daily cost of living, they only pay attention and accept the message that can fulfill their demands. Selective perception, people will change the meaning of messages so that they become consistent with pre-existing attitudes and belief. For example, When media shows the advertisement of 1Malaysia store and promote the products, audience will think purchasing 1Mproduct is a stupid action because in their pre-existing belief One Malaysia products are low quality and they never consider to purchase those products. These three forms of selectivity show media cannot control how audience think, how audience act and even accept to the One Malaysia concept. The ways the mainstream media are used to promote the acceptance of the One Malaysia concept successfully creating awareness among the Malaysian, but this does not mean that people are completely admit the concept and support the idea of the policy. As we all know, the mainstream media actually under controlled by the dominant group, the government and The Barisan National. No one dare to eject or deny the government policy, they remain silence since they have no freedom to speak out the idea, and they scare to bear the consequences of against government so they choose to admit it, for example the preventive detention law. So people remain silence because they think their views are in minority but in fact there is no one to speak out their opinion. According to the Spiral of Silence theory by Neumann (1974), a people view control the public scene and others disappeared from the public awareness as it adherents became silent. People fear of being isolation and know what actions and be haviors should take to avoid their likelihood of being socially isolated. For example, some people tend to keep their negative opinion toward the government policy to themselves when they think they are in the minority. This context is called Spiral of Silence. In conclusion, mainstream media in Malaysia are not powerful enough to change people mind, but it do have certain influence. Therefore, under the assumption of the two step flow process, selective process, and the Spiral of Silence theory, the messages of the mainstream media would not be able to reach the citizen directly. Thus, the effect of the mainstream media in Malaysia is considered as limited effect. In my opinion, the government has successfully creating awareness on the policy among the citizens of Malaysia through the mainstream media, but not the acceptance of the concept. The completely acceptance of the concept among nation might happen if there is no partial and biased information from the mainstream media, if media are more control by the dominant group, the less trust of Malaysias citizens can give to the mainstream media.

Euthanasia Essay - Civil Remedies and Assisted Suicide :: Free Euthanasia Essay

Civil Remedies and Assisted Suicide      Ã‚  Ã‚  Ã‚  Ã‚   This essay goes into the need for civil remedies to guard against assisted suicide actions by family, guardians, etc. Some states have already enacted such legislation, and others are in the process. This is a simple, safe legal procedure for protecting against the threat ot assisted suicide/euthanasia.    On May 2, 1994, a Michigan jury acquitted Jack Kevorkian of charges related to his publicly proclaimed assistance in the suicide of Thomas Hyde. The verdict points up the way in which the pathos of individual cases often leads criminal case juries to react emotionally, failing to give considerate attention to the general effects on older people and people with disabilities of signaling societal acceptance of death as the solution to human problems. This is a weakness in our society at the present time.    This is one of several strong reasons why more states should follow the lead of Minnesota, Tennessee, and North Dakota, all of which have recently enacted "civil remedy" statutes that, entirely apart from criminal remedies, allow private parties to obtain injunctions against those who assist suicides. Injunctions are granted by judges, without juries, and a judge can punish violators with sanctions for contempt of court.    Regrettably, the Kevorkian acquittal is not an isolated case of jury nullification of laws protecting suicide victims. Recent history demonstrates that no physicians, and few non-physicians, have been successfully prosecuted for assisting suicide. The emotional tug of individual cases makes prosecutors reluctant to seek punishment and juries reluctant to impose it. An article in the November 5, 1992 issue of the New England Journal of Medicine co-authored by Dr. Timothy Quill (who himself escaped penalty when a grand jury refused to indict him for his openly announced participation in assisting a suicide[1]) notes, "In every situation in which a physician has compassionately helped a terminally ill person to commit suicide, criminal charges have been dismissed or a verdict of not guilty has been brought."[2] Other studies confirm this conclusion, which in fact is not limited to circumstances of "terminal illness" or "compassion."[3]    While there have been a few successful criminal prosecutions of non-doctors, they have been extremely rare. A 1986 article in the Columbia Law Review concluded: [A]ll indications are that assistance statutes are rarely, if ever, used. ... [D]espite the thousands of suicides each year, only about fifty news reports regarding some form of prosecution in the past decade for some type of assistance to suicide have been located. Euthanasia Essay - Civil Remedies and Assisted Suicide :: Free Euthanasia Essay Civil Remedies and Assisted Suicide      Ã‚  Ã‚  Ã‚  Ã‚   This essay goes into the need for civil remedies to guard against assisted suicide actions by family, guardians, etc. Some states have already enacted such legislation, and others are in the process. This is a simple, safe legal procedure for protecting against the threat ot assisted suicide/euthanasia.    On May 2, 1994, a Michigan jury acquitted Jack Kevorkian of charges related to his publicly proclaimed assistance in the suicide of Thomas Hyde. The verdict points up the way in which the pathos of individual cases often leads criminal case juries to react emotionally, failing to give considerate attention to the general effects on older people and people with disabilities of signaling societal acceptance of death as the solution to human problems. This is a weakness in our society at the present time.    This is one of several strong reasons why more states should follow the lead of Minnesota, Tennessee, and North Dakota, all of which have recently enacted "civil remedy" statutes that, entirely apart from criminal remedies, allow private parties to obtain injunctions against those who assist suicides. Injunctions are granted by judges, without juries, and a judge can punish violators with sanctions for contempt of court.    Regrettably, the Kevorkian acquittal is not an isolated case of jury nullification of laws protecting suicide victims. Recent history demonstrates that no physicians, and few non-physicians, have been successfully prosecuted for assisting suicide. The emotional tug of individual cases makes prosecutors reluctant to seek punishment and juries reluctant to impose it. An article in the November 5, 1992 issue of the New England Journal of Medicine co-authored by Dr. Timothy Quill (who himself escaped penalty when a grand jury refused to indict him for his openly announced participation in assisting a suicide[1]) notes, "In every situation in which a physician has compassionately helped a terminally ill person to commit suicide, criminal charges have been dismissed or a verdict of not guilty has been brought."[2] Other studies confirm this conclusion, which in fact is not limited to circumstances of "terminal illness" or "compassion."[3]    While there have been a few successful criminal prosecutions of non-doctors, they have been extremely rare. A 1986 article in the Columbia Law Review concluded: [A]ll indications are that assistance statutes are rarely, if ever, used. ... [D]espite the thousands of suicides each year, only about fifty news reports regarding some form of prosecution in the past decade for some type of assistance to suicide have been located.

Shakespeares Hamlet and Gertrude: Love or Hate? :: Shakespeare Hamlet Essays

Hamlet and Gertrude: Love or Hate Imagine it, while away at college you receive word that your beloved father who had seemed in good health only a short while ago has died leaving your mother and yourself. This situation would be enough to bring great depression to even the strongest of souls but for Hamlet, the fictional prince of Denmark in Shakespeare's play of the same name, this is not his imagination but cruel reality. Not only has his father passed but, as if to mock the very memory of the former king, Gertrude, Hamlet's mother and queen, has married again within two months. This shock is further compounded by the fact the her new husband is none other than her former brother-in-law, Claudius. Unable to return to the university due to his over whelming despair, Hamlet is trapped by his loving parents and not allowed to leave Denmark until certified well. It is at this time he receives word from his friend Horatio that the spirit of his father has returned and walks the night. During the Elizabethan period of English literature, man and nature were thought to be linked as part of a "great chain of being". To Hamlet, the fact that his father had returned showed that this chain had been disrupted by some evil in the world of man. That he had returned as a ghost could mean only one thing, his death was not an accident. The ghost beseeches Hamlet to avenge him but warns him, "taint not thy mind, nor let thy soul contrive against thy mother aught . . . leave her to heaven". This statement by the ghost was left open enough for Hamlet to develop many questions about his mother's actual involvement in his father's death. At first, Hamlet's rage is confined to his uncle Claudius but quickly and violently shifts towards his mother, dwelling upon the horrible thought that she might have been involved. "Oh most pernicious women!" He screams, "O villain, villain, smiling, damned villain!" Hamlet speaks as though he has temporarily forgotten his promise to his father and has become insane with anger. The insanity through anger is a reoccurring motif throughout the play. After Hamlet has simmered down to the point where he is again lucid, he vows to his friend Horatio that he will take revenge upon Claudius, and he will do so by acting insane until the time is right. It's clear by what the ghost has said that Claudius is guilty of murder, but what about Gertrude? She clearly disgusts Hamlet due to her hasty marriage.

Red Faction :: essays research papers

*************************** 29. Refuse Disposal Plant *************************** Open the elevator door by hitting the button to the right. Head forward, and Gryphon will run up ahead to the incinerator controls. ======================================================================= = Hendrix: This is Ultor's main trash disposal facility. = ======================================================================= ======================================================================= = Hendrix: That's an Ultor Personnel Suppression combot. I didn't = = know they had any on Mars! = ======================================================================= ======================================================================= = Hendrix: I can't see Orion's group on my monitors anymore. = ======================================================================= While Gryphon takes the first left, go forward up the ramp and through the door. Climb the ladder up ahead, then climb a second ladder to get to the roof. You'll be shot at by the combat as you climb, but just ignore it and get up there. He'll have a tough time hurting you while you're up here. Follow the instructions and you shouldn't lose a single point of health, despite the holes he might create with his rockets. As you look around the outer edge of the massive roof, you'll see several groups of ammo crates. Make your way around the outer edge as you make your way to each one to find ammo, medkits, armor, and a rocket launcher. Make sure to snuggle up to each crate and jump on top of it to make sure you get every last piece of ammo and equipment that you can. Once you're done, equip the rocket launcher and climb back down using a ladder away from the one you climbed up. The combot should be shooting at you, so begin making your way to the lower level door. Most importantly, keep moving and take some shots at the combot with the rocket launcher while you can. Keep taking shots at the combot and luring him out the large door on the ground floor until Hendrix cuts in. ======================================================================= = Hendrix: There's a disposal pit at the lowest point of this level. = ======================================================================= ======================================================================= = Hendrix: Try to lure the bot out onto the pit's covering, then open = = the doors from the control room. = ======================================================================= At this point, you've damaged the combot enough and he's really ticked off. Now just turn around and run back to the disposal pit. Once the combot approaches the last corridor leading to the pit's covering, run to the right and climb the ladder to the control room (where Gryphon is cowering in fear). The combot will be unloading everything he's got at you, but ignore it and quickly hit the right button to open the pit, then hit the left button to turn on the ceiling fan to blow the combot down into it. Rather than waiting and watching to make sure it happens,

Good Will Hunting Identity Essay Essay

The identity theorist’s Erik Erikson and James Marcia were crucial contributors to the psychological interpretation of a person’s personality and social development. Erik Erikson is most famously known for his theories on the adolescent search for identity and his ideas regarding a person’s self-discovery. James Marcia expanded further on Erikson’s concepts through his proposal of the four identity statuses, which include moratorium, foreclosure, diffusion, and achievement, as well as the four human crises’. As psychology is becoming more and more developed in our modern society, it has become more socially acceptable to criticize or expose the issues psychology entails, particularly human identity, which often times can be the most controversial topic. In the blockbuster film, Good Will Hunting, the main character Will has natural genius capabilities but struggles to understand his place in the world due to a dramatic past and his tough exterior as an orphan from South Boston. Although it is arguable that Will appreciated his talent but preferred to live his life as it was before recognition, Will Hunting depicted the theories of identity through his relationship with Skylar and his guidance from Sean. Even though Will enjoyed his life of literature and education behind closed doors, it was indeterminable whether Will was content with his life or eager to leave his comfort zone in Southie to challenge his intellect at the beginning of the film. For example, while working as a janitor at MIT Will solves a problem that the current students at the institute had yet to conquer, however Will would not admit to the professors that he had solved it. This shows that Will lacks aspects of self-realization because once the professors realize he is the genius, Will mocks the therapy sessions and mathematical lessons that the professors organized in order to help him reach his full potential. In addition to that, Will’s best friends depict the epitome of â€Å"city kids† who balance blue collar jobs with nighttime bar reunions and it is evident that because this is the only life Will has ever known, he is hesitant to lead the life he is stereotypically supposed to. It takes the guidance from Will’s best friend Chuck, to finally persuade Will to take advantage of his gift, not for himself, but for his friends and  every other kid with the same lack of opportunities who would give anything for Will’s intelligence. At first Will was uncomfortable with realizing his intelligence but eventually he learned he needed to take advantage of his skills. Sean’s influence on Will proved that Will experienced the process of identity discovery proposed by James Marcia because of Sean’s ability to help Will out of his identity crisis. According to Marcia a person experiences four identity crises including future work, moral standards, religion, and political view. During the movie, Sean helps Will by guiding him past the future work crisis through therapy sessions and Sean’s real life experience recollections. In addition, Sean enables Will to overcome his moral standard crisis particularly regarding women. Throughout the movie Sean is able to overcome Will’s sarcastic defense mechanisms and on their last session when each man reveals they were abused as children, Sean sees the true person that Will is and realizes he has properly prepared him for a future job in the real world. Sean encourages Will’s relationship with Harvard Student Skylar because he wants Will to recognize his ability to have an emot ional relationship with a woman without pushing them away, which ultimately proved his change in moral standard. When Will meets Skylar she is unlike any girl he has ever known, and as their relationship grows serious, Will’s fear of commitment supports his struggle with his identity status. After Will receives Skylar’s number he is not contemplating commitment nor immediately calls her. Psychologically he is at the stage of moratorium where he delays decisions about Skylar before going out with her again as well as not disregarding his options with other woman, as he tells his psychologist Sean that he has slept with many woman. However, when Will takes Skylar to the dog track he proves his committal to her as his girlfriend, which supports the proceeding identity status of foreclosure. Next, after their relationship grows serious, Skylar asks Will to come to California with her as she attends Stanford yet Will refuses her offer and feels the need to distance himself from her. The issue escalates further when Skylar tries to comfort Will about his tragic past, which infuriates Will even further. After their break-up Will searches for the  meaning of life with help from his best friend’s who purchase him a car to help him commute to a new job which would enable him to break from his â€Å"tough city guy† image. Between the time of breakup, job interviews, and guidance from Chuck Will discovers his potential and strives to successfully use his talent through the identity status of diffusion. Finally Will reaches the achievement identity status as he leaves Boston to reunite with Skylar in California, which proves to be the greatest decision of his life. Overall, Will did undergo the four identity statuses and experience the crises that James Marcia and Erik Erikson proposed in their theories of self-discovery. Will’s relationship with Skylar particularly proves that Will underwent the four identity statuses of moratorium, foreclosure, diffusion, and achievement because of his refusal to get emotionally attached to her at first, and then by the conclusion of the movie, ready to commit his life to her. Also, through the guidance of Sean Will overcame the identity crises of future work and moral standards. In the end, although it appeared as if Will could never behind his reputation of a South Boston rebel, through his relationships with Skylar and Sean Will was prepared to reach his full potential.

4-Day-School-Week: Less is not always more Essay

Problems occur when policy makers tend to make changes when they don’t need to be made. The public school system has many ways that it can improve but changing the time frame of the original school week from five to four days will not solve all the issues, instead, it will create newer unforeseen problems. It has been a controversial issue whether or not the school week should shorten by a day. Some are of the opinion that a four-day school week saves money for the individual schools, which would be beneficial to the school system as a whole. According to Schmidt, â€Å"The district expects to save between $85,000 and $100,000 in 2008-09 because of the modified schedule. The contract with its transportation provider assures the district of $65,000 in savings. That’s nearly $3,000 per day. Other savings will result by reducing electrical usage and having fewer days that furnaces are required to heat the buildings to a comfortable level. (Schmidt 4).† In the articl e, the claim is that applying these cuts will result in saving the school money, however that is not entirely true. The four-day week would actually financially hurt the school rather than save costs. The transition from a five-day a week schedule to a four-day a week schedule will be difficult and detrimental by the fact that existing students will need to adjust to the new schedule after attending five-day school weeks up until this point. See more:  Capital budgeting essay According to Schmidt, â€Å"Despite reducing the number of instructional days from 172 to 149, MACCRAY students have gained more than 17 hours of instructional time by adding 65 minutes to each instructional day. Because there are fewer days, there are fewer breaks for recess, lunch, and time between classes — making more time for academic pursuits. (Schmidt 3).† However, Schmidt’s claim is invalid because the transition could also backfire because the students will eventually fall behind with their district requirements. This would cause an accumulation of unanswered questions, which will then lead to incomplete homework, and eventually test  scores will drop noticeably. That would dramatically change the way in which students are assigned and complete homework, with the current homework spread across a 5-day-school-week homework become easier to manage. On the other hand, a 4 day-school-week will require denser combined homework because without Friday, for ex ample, the school work will divide individually between Monday through Thursday. Not only will homework pressure increase, but the length of each individual class lecture would need to increase to adequately cover the course material. With the additional burden of teachers getting laid off, a 4-day-school-week would make it harder for number of students who are having a difficult time keeping up with class material. Furthermore, a single absence will dramatically cause a student to fall behind in the course because one day of course material is a greater workload than previously and therefore more at stake. Students that fall behind will need to repeat courses, which will take away even more of the limited available space from the upcoming class students. Not only will the classrooms be overcrowded, but the teacher cannot manage to answer every question from each individual student. This pressure felt by many students and will cause delays in graduation and, even worse, an increased dropout rate. An improvement in education requires a shift in focus toward education rather than a focus on increased leisure time. The three day weekend will at first seem enticing to the students, the faculty, and potentially the taxpayer; however, the risk is not worth taking considering where America is at educationally, as a nation. In a recent article, written from Liepmann, â€Å"In 2010, American students rank 17th in the world. (Liepmann 3).† We have 16 Countries surpassing us educationally, even though the USA is one of the most developed countries in the world along with 39 other countries. This reveals that the United States are already below the education standards and not to mention some undeveloped countries have better educational systems. Suoja and Creger state, â€Å"A spreadsheet provided by the state shows elementary students getting about 50 fewer hours of instructional time. Secondary students would have received 25 to 45 fewer hours. Under the state numbers, the dist rict would need to add two weeks to the yearly schedule to make up the time. (Creger, Suoja 2).† The students simply cannot afford to  lose any additional school time due to an initial potential saving. The country would only get financially worse by raising under-educated civilians as the foundation of America. Many believe this cut will help rescue America from the economic crises by lowering taxes. However, upon further investigation, it would introduce too many risk factor and damage our economy further rather than aid it. Consequently, some students will not be able to graduate on time, and challenging courses will have higher drop rates or lower grades. This would harshly impact every American in the long term while only temporarily appearing to benefit in the short term. Ultimately, preserving the 5-day-week schedule is more beneficial than the alternative, while leaving things as they are may not address our current issues, I am confident that we as Americans can devise better educated solutions together, rather than create new problems to solve old problems. Works Cited Liepmann, Erica. â€Å"U.S. Falls In World Education Rankings, Rated ‘Average'† The Huffington Post. 07 Dec. 2010. TheHuffingtonPost.com. 10 July 2013 . Schmidt, Gregory. â€Å"USATODAY.com.† USATODAY.com. USA Today. 10 July 2013 . Creger, Mike, and Suoja, Matt. â€Å"State denies 4-day week again.† Lake County News-Chronicle [Two Harbors, MN] 15 July 2010. Opposing Viewpoints In Cont

A Discussion of Control Infection in Healthcare

Introduction Control infections have become more high profile than ever before and have seen the prevention and control during the early years of the twenty-first century. Infection is incontrollable and inevitably devastating, it is a painful fact of life, which is the cause of enormous health problems and the chief cause of death. Infection control is essential in all general care settings in which patients receive health and social care and this will protect the healthcare workers, patients and visitor from hazards and risks.This research concentrates predominantly on infection control in healthcare settings, including the policy of infection prevention related to health and safety policy in the UK for both hospitals and communities under Hygiene Code of Practice in 2006 and the policies and procedures through the prevention and control, which are related to the guidance of infection under the Health and Social Care Act 2008, in order minimise the prevalence of infection and to pr otect the health and safety of both healthcare workers and patient (Department of Health, 2006).In addition, this research contains several issues of risk of spreading infections in healthcare environment and the facilities. Moreover, this research will not disclose or breach any sensitive and confidential information under the Confidentiality Act 2008 (NMC, 2008). Searching the literature A methodical search was conducted using the following systematic which is applicable to the databases, including Medline, CINAHL and PubMed which were searched by using the words â€Å"control infection’ cross-referenced with â€Å"hospital† with 36,000 data results.In addition, several databases were used to compare the changes of ratio from 2002 to 2012. However, several results were not included due to lack of evidence and being non-published. In addition, the university library website was used in order to collect adequate information related to infection by setting on engine th e words infection control cross-referenced statistic†, which gives the hits of 1300 journals and research articles. The articles were considered eligible if reviewed by a reliable publisher, including Oxford journal and BJI. These journals and research articles were reported as an original research, in hich a researcher examined the relationship between the public and the health care setting and these used to review the previous report to collect the updated data. However, more than 50 data were excluded due to inadequate evidence and lack of information related to infection control. Moreover, the majority research was conducted under eligible originations where successfully collected all the relevant data which related to infection control, including Parliamentary, Department of Health, Health Protection Agency and National Audit Office.These organisations were used to identify and review the implication between the statistics of infection and health providers, such as the in fection control professionals. These databases were developed to standardise the protocols for classification and identification of infection prevalence, which have been widely adopted for researchers throughout the world. In addition, this research used altered books to provide information and evidence in order to support the data that have been undertaken from different publisher.The Royal Marsden Hospital Manual Clinical Nursing Procedures (2011) and Infection Prevention Control (2007), books contained information regarding the principles of infection control. Main Body Florence Nightingale is perhaps the first nurse on record to acknowledge the importance of infection control and she initiated the infection control protocols through gathering information and demonstrates the reduction of mortality of infection (Perry 2007). Florence Nightingale noted that during the Crimean War more patients were dying from infections than from certain injuries.However, Quan (2006) stated that, Florence Nightingale did not believe in the presence of microorganism, she found that putting together an ill patient in one area with inadequate space, ventilation and light contributed to the spread of infections. Dougherty & Lister (2011) highlighted that, people who are in hospital or receiving healthcare elsewhere have an increased vulnerability to infection, due to the fact that being in a hospital puts patients in closer proximity to other people with infection conditions. According to the Kings Fund (2012), stated that one of the major concerns of patients and the public are he result of high rates of healthcare-associated infections across the NHS. In addition, healthcare-associated infections are infections that are acquired across hospital and other health care environment, including community and hospital, or due to result of a health care intervention and procedure. According to the Department of Health (2004), it stated that Healthcare Associated Infection (HCAI) is a fatal problem of NHS There are 300,000 patients every year developing HAIs and it is estimated that during a patient’s duration stay in the UK hospital, around 1 in 10 patients can pick up an infection.The National Audit Of? ce (2006) estimates that HAIs contributes to the death of around 5,000 patients each year and costs the NHS up to ? 1 billion per year in the UK. According to the Parliament (2009), it highlights that HAIs, is a consequence of infections, which are acquired from a patient’s treatment by a healthcare worker during the course of their duties. These are often identified in care setting, but can also be associated with medical care delivered in a community.HAIs begins from micro-organisms which a patient carries safely on skin or body and eventually this will become a problem when the micro-organisms have a prospect to breech the body’s defences as a result, for example, intravenous devices, catheterisation and open wound (Dougherty & Lister, 20 11). Furthermore, the Department of Health (2004), has found that infected patients are around 7 times more likely to die in hospital than uninfected patients.The mortality rate of patients in the UK each year is estimated to be around 5, 000 as a direct result of HAIs, which is one of the causes of another 15,000 deaths. Parliament (2011) the prevalence of healthcare-associated infections, which was conducted in 2006 in hospitals in England 8. 2% Moreover, according to Doebbeling et al (2012) who conducted a research to identify commonly cited programmes absorbed throughout a wide variety of HAIs projects and hospital settings it has been revealed that in one year of tudies found in hospitals with an infection control team were more likely to reduced the incidence of HAIs by up to 33%. This research proved by Gamage et al (2012) through conducting further studies in all healthcare providers with infection control team in hospital, which eventually reported almost half per cent in t he reduction of the prevalence rate of HAIs from 10. 5% to 5. 6%. However, the survey has revealed found that healthcare provider with no infection control programme has been persistently increasing the prevalence rate in HAIs of up to 18%.On the contrary, the Nursing and Midwifery Council’s Code of Professional Conduct (2002) argues that nurses are accountability to act as an advocate to prevent HAIs. This statement supported by the NMC Code of Professional and Conduct (2004), highlighted that, nurses must act in order to isolate and minimise risk of patients and it should not regularly defendable to infection control team, which also reinforced by the Health and Safety at Work Act 1974 places a duty on healthcare providers to avoid the risk of infections if technically as possible (Jeanes, 2005).Dougherty & Lister (2004) stressed that, the standard of care, which set by senior staff often misled by healthcare workers, including the policy and procedure of infection control, such the Personal Protective Equipment Regulations Act 1992 (PPE). This is supported by Atkins (2001), that some of the staff did not have enough time to attend mandatory training for infection control, which shows negative impact of unawareness for infection control protocols and procedures, which eventually cause of poor level of care, such as lack of hygiene, which lead to HAIs.However, Perry (2007) argued that lack of standard of care is often not the cause of HAIs, due to the fact, that before the admission of most patients to hospital have already been acquired infections. This statement supported by NHS (2006), before patients decided to be admitted to hospital, the symptoms of infection have already occurred and in this case the health care provider should not be criticised for the increasing number of HAIs. According to the report of National Audit Office (2008), there are 79% of nfection control programme in NHS Trust, which mostly complied to the measurement of effective ness of infection control, such as standards setting and audit. However, only 11% was formally approved for the infection control programme that may reduce the programme’s authority within several NHS Trusts. In addition, stated, 66 % is the required data of infection that needs to be collected, unfortunately, due to lack of computer software and hardware, only 27% was calculated the rates of infection.In this case, 60% of infection control teams considered being unsatisfied with the support of NHS Trust due to inadequate clerical support, which may affect the performance in improving infection control (National Audit Office, 2011). In addition, Kings Fund (2012), the impact of large-scale cuts to the NHS has been widely reported and discussed in which the healthcare providers are concerned with the increasing incidence of HAIs in the UK.According to a latest survey for GPs and doctors in hospital, which was conducted in 2011, the report found that due to large-scale cuts by the government, the incidence of HAIs will be possibly increase in 2012 and it can have negative impact on healthcare providers . The survey found that, 79% of the 664 health workers, who participated in the survey, stated that it could be more challenging to tackle the prevalence of HAIs, due to a reduction of support of occupational health services and this eventually affects fewer patients getting effective care that is needed to prevent HAIs (National Audit Office, 2011).According to the Health Protection Agency (2008), highlighted that the department of commission in 2006 conducted the following year survey and found that 75, 694 patients were surveyed within acute care hospitals in the UK and 5,743 had HAIs, which gives a prevalence rate of 7. 95%. However, in the national survey, which was conducted in 2005, the reports found that the prevalence rate of HAIs was 8%, the statement shows that the prevalence rate of HAIs in 2005 was slightly higher with 0. % compared to 2006 sur vey (Health Protection Agency, 2005). Ultimately, Parliament (2006) found that the most common site of HAIs were Urinary tract infections with 23. 2%, Lower respiratory tract infections with 22. 9%; Surgical site infections 10. 7%; Bloodstream infections (Bacteraemia) 6. 2%; Skin and soft tissue infections 9. 6%; Other 27. 4%. It clearly shows in the report by Parliament 2006, that the highest rate of HAIs was urinary tract infections with up to 23. %. This report supported by National Healthcare Safety Network (2011) states that urinary tract infection (UTIs) are the most common factor of HAIs and most patients who have acquired urinary tract infection in the hospital approximately 75% are linked with urinary catheter, which is a tube inserted into a bladder through the urethra to drain the urine. The prevalence rate of patients who receive urinary catheters during the duration of stay in hospital is between 15-25%.Charlett et. al. (2009) stated that, long-term catheterisation is f requently used for older patient and others for management options, where different treatments for bladder dysfunction are unsuitable or ineffective . In the UK, a district nurse’s caseload for the long-term catheterisation has been estimated to be around 4% and the catheterised patients prevalence in nursing homes is approximately 9% and possibly up to 40% in some areas (Health Protection Agency,2008),Moreover, Getliffe and Newton (2006) carried a sample of research of small representatives of patients’ records from nursing homes, hospitals and district nurses in which 3 PCTs was undertaken. The survey of CAUTIs resulted in 50% response rate from both the nursing homes and the hospitals 57% and 62. 5 respectively but only 6. 5% from the district nurses, due to problems in distribution of questionnaires to some district nurses. The results found that up to 8. % respondents in the community and hospitals considered that the continuation of urinary catheterisation is use d management option for older patient to prevent bladder dysfunction. On the contrary, a recent research which was carried out Badoz et al (2007) found that the studies of 4010 older patients (65 years old) living in both hospitals and the community in 11 European countries and the prevalence reported of indwelling catheter use was 5. % (range 0-23%) and the result found that, the risk of CAUTIs infections was 6. 5 times greater and catheterised patients were more likely to die within a year than those for patients non-catheterised Furthermore, the majority of existing surveillance on CAUTIs has been conducted in acute care settings, where usually the health of the patient is already compromised by co-morbidities, due to a long period of insertion of the urinary catheter.The study revealed that in primary and community care setting, the prevalence rate of CAUTIs and other healthcare-associated infections are significantly lower (Department of Health, 2003). However, Badoz et al (200 7) specified that, catheterisation is linked with evident risks, which is the most common cause of CAUTIs and CAUTIs are commonly documented as a major source of HAIs in the UK and frequency of catheter use makes substantial overall morbidity for patients and a cost to the NHS.This statement is reinforced by Pellowe (2009), that the recent debate is fuelled due to the fact that patient use catheter is associated with high morbidity of CAUTIs, which accounts for 80% of HAIs. On the other hand, Addison and Foxley (2008) stated that, CAUTIs are frequently seen as the acceptable and tolerable cause of urinary catheterisation carried out for a range of purposes, such as instillation of drugs and intractable incontinence. On the contrary, urinary catheter use is linked with a variety of adverse effects, involving death (Pellowe, 2009).This supported by Nicolle (2008) stated that, the two most important solutions in order to prevent CAUTIs are not to use a catheter and if a catheter is nee ded to minimise the period of use, catheter must be inserted only when there are acceptable symptoms and removed as soon as they are no longer indicated and CAUTIs perchance evaded for some male patient through using external condom catheter. The study revealed that this occurred for 28% of catheterised patients.Furthermore, the majority of existing surveillance was conducted in primary and community care settings; the prevalence rate of CAUTIs is significantly lower (Department of Health, 2003. In recent studies of 4010 older patients (65 years old) living in the community, the prevalence reported of indwelling catheter use was 5. 4% (range 0-23%) and the result found that, the risk of catheter-associated urinary tract infections was 6. 5 times greater and catheterised patients were more likely to die within a year than those for patients with non-catheterised (Getliffe & Newton, 2006).On the contrary, according to the RCN (2008) found that around 22% of healthcare workers were not aware and uncertain the role of guidelines for the prevention of CAUTIs of several healthcare providers. This is supported by Pellowe (2009) that, the reasons of an increasing prevalence of CAUTIs in hospital and community is due to relatives of patient that is lack of knowledge about infections and those part-time health workers who do not undertake with mandatory training which is mandated by the Health and Social Care Act 2008 that is came into force in April 2009.The Health Protection Scotland (2009) urinary catheterisation is a routine procedure regularly carried out by qualified nurses, however, several numbers of health workers are not aware of the risk of catheter-associated urinary tract infections which related to the procedure and less likely to meet the necessities in performing catheterisation, due to the fact, that some healthcare workers are skill deficiency and lack of expertise (Bissett, 2005).This supported by Humphries (2011) that reports have repeatedly shown th at several healthcare workers who do not perform hand hygiene before and after performing nursing task is one of the major reasons of the increasing number of CAUTIs. In this case, health workers and patients can leave as many as 1,000 colony-forming units of Klebsiella species on hands more likely to acquire gram-negative bacilli and staphylococcous aureus, which are reported causes of HAIs (Pellowe, 2004).On the contrary, Hadaway (2009) stated that, lifting a patient and touching anything in a patient’s room before performing certain nurses tasks, even after performing hand hygiene is unavoidable, due to the fact, that these are the daily routines of a healthcare workers role in order to ensure the health and safety of a patient. National Hand Hygiene NHS Campaign (2007), defines hand hygiene, as â€Å" the entrance door to better infection control and safer patient care†.Hand hygiene techniques have been implemented for many years into healthcare workers daily routi ne, the NHS have been evaluated on the proper technique to wash hands after being in close contact with patients or after performing certain treatments with patients. Performing hand hygiene thoroughly will certainly be beneficial for both healthcare workers and patients to prevent risk in HAIs (Wendt, 2004).According to Pratt et al, (2007), stated that, existing evidence-based strategies determine that in outbreak settings, contaminated hands of both healthcare workers and patient’s visitors are responsible for transmitting infections and that effective hand decontamination can significantly diminish HAIs rates in high-risk areas, such as operating theatre. Furthermore, Pessoa & Silva (2004) highlighted that studies revealed of epidemiological evidence determine that hand-mediated transmission is recognised as the most contributing element the present infection risks to hospital in-patients.This statement reinforced by Pratt et al, (2007), that hand decontamination before an d after contact with patients is essential in order to prevent transmission of germs. In addition, according to the Department of Health (2006), the NHS Code of Practice on the Prevention and Control of Healthcare Associated Infection, which came into force in October 2006, was established to support health care providers in the UK in order to plan and implement policies for HAIs.These include the criteria by which healthcare providers and managers of NHS ensure patients must perform hand hygiene for clean environment in order to keep the risk of HAIs as low as possible. According to Pittet (2002), the importance of adherence to the guidance of hand hygiene will certainly provide an outline of the effects and aspects that impact on the hand hygiene compliance, which emphasised the national and international guidelines.Furthermore, the issue regarding hand hygiene was addressed in excellence principles for hospital cleanliness, which has developed by the Infection Control Nurses Asso ciation and the Association of Domestic Mangers (NHS, 2004). According to Wendt, C. et al (2004) stated that patients are more likely to put at risk and increase the chance for developing HAIs once informal healthcare workers in contact with patient are not performing hand hygiene properly.It is essential that hands must be decontaminated before every period of care, which includes direct interaction with patients’ food or skin and in order to minimize cross contamination of the healthcare environment (Boyce and Pittet, 2002). However, healthcare workers should not always be responsible for the increasing numbers in spreading HAIs, due to the number of patients admitted in the hospital who have already acquired infections and healthcare workers have no time to assess the patient, due to short staffing (McGuckin, 2004).This is supported by the RCN, Chief Executive & General Secretary Dr Peter Carter, stated that the outcome of cutting staff numbers by up to a quarter and termi nating almost third of nursing jobs will certainly have a deep and possibly dangerous impact on patient health and safety (RCN, 2011). Moreover, El-Masri and Oldfield (2012) stated that healthcare workers are aware of the policy and procedure of hand hygiene and it should be performed before and after contact with patients and the truth of the matter, is nurses and doctors have more behaviour problem than a knowledge problem.Furthermore, Erasmus et al (2010) conducted a research of hand hygiene behaviour to explore the practicality and effects of hand hygiene behaviour of nurses, research design 17 nurses which is equivalent to 25% were invited to participate. The nurses had been observed for 3 weeks intervention for hand hygiene behaviour and the result found only 10% of 25% of nurses had performed hand hygiene, which is far too low.This research supported by Creedon (2008) explores healthcare workers’ compliance with behaviour hand hygiene in four acute care hospitals in Ir eland and the result revealed that the highest non-compliance by behaviour is the Doctors and medical students at 41% of indications, which was followed by nurses and student nurses at 28%. However, healthcare workers are aware of recommendations concerning hand hygiene, but education and knowledge do not in themselves motivate HHB (McGuckin et al, 2004).In recent years, hand washing with water and soap had been considered as the right amount of personal hygiene; however, the evidence concerning the hand washing and the spread of illness has only been proven in the last 20years (Kumperus, 2010). According to Ignaz Semmelweis and Oliver Wendell Holmes the mid-1800s, found that HAIs, is known to be caused by infectious agents, which are transmitted through hands (Cole, 2007).It was acknowledged healthcare providers the important measure of hand hygiene, which can significantly lower the danger of disease, in particular among vulnerable children in the UK (Trick, 2008). On the contrary , frequency hand hygiene can increase skin dehydration and replace the altered or depleted skin lipids that contribute to the barrier function of normal skin Several studies found that more than 30 times of regular hand hygiene can cause skin damage and irritation (Jenner et al, 2006).Moreover, according to Giuliano et al (2012) stated that alcohol gel hand rubs are more effective to prevent the transmission of potential pathogens from health worker’s hands to patients than hand washing with plain or anti-microbial soap. This statement argued by McGuckin et al (2004) that hand rubs gel is only used as a hand cleaner in some circumstances but washing hand with ati-microbial soap and water is important, especially if your hands are visibly contaminated with blood or body fluids and hand washing techniques will certainly have certainly reduced the contamination rates significantly.Conclusion Healthcare-associated infection remains a problem for the community, hospitals and other healthcare providers. The factors, which have continue to drive, the concerning growth in HAIs are numerous but well known. Particularly with patients, which heightens their susceptibility and vulnerability to HCAIs through weakened immunity. In addition, the cost of healthcare-associated infections in the UK is high which is around ? 1 billion per year.The involvement of healthcare workers in assessing the cost of infection and prevention control programmes will certainly reduce the increasing number of HCAs, which can be benefited in NHS and major savings can be achieved. In addition, the healthcare workers must have clear understanding of the latest infection and prevention control recommendations, which healthcare worker’s advocacy and participation in team efforts can play a vigorous role in preventing the increasing number of HCAIs in patients.The routine data collection of the CAUTIs should be more standardised to determine the scale of the risk associated with CAUTIs , in oder to develop the longitudinal database of catheterised patients and to provide essential data which infection control initiatives in hospital and community care can be evaluated and major obstacles will certainly strengthen epidemiological analysis of impact and risk of CAUTIs. The healthcare workers should have adhered to and shown more positive intentions to comply with hand hygiene guidelines and procedures.Healthcare workers should need to be educated regarding the awareness of skin damage and the value of regular, frequent use of hand hygiene. Hospital trusts and community care should have had procedures and delivered board with agreement that infection and prevention control is the responsibility of all healthcare workers and should have complied with the Code of Practice and should followed with good infection control practice for performance objectives. References Addison, R. , Foxley, S. , 2008. Role in Urinary Catheter Management. London: Blackwell Publishing ltd. Atkins, C. , Greenwood, N. Habibi, R. , Mackenzie, A. , 2011. General practitioners, primary care and support for carers in England. Oxford: Blackwell Publishing Ltd Badoz M. , Berntrand X. , Crouzet, J. , Husson, D. ,2007 Control of the duration of urinary catheterization: impact on catheter-associated urinary tract infection, Journal of Hospital Infection, 67(3), pp. 253-275. Bissett, L. , 2005. Reducing the risk of catheter urinary tract infection. Nursing Times. 22 March 101(12) p. 64 Boyce. M. , Pittet, D. , 2002. 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