George Alexander Louis Of England - 1567 Words

The most recent George was born Prince George Alexander Louis of Cambridge on July 22, 2013 to Prince William of Wales and Duchess Catherine of Cambridge. His birth placed him third in line to the throne behind his father, Prince William, and grandfather, Prince Charles . Prince George joined a royal family tree shaken by Georges, and the new prince’s name called back to the Hanoverian times when four Georges headed the throne successively. This period was one where men of foreign descent reigned over Britain and, oddly enough, ushered in one of the greatest eras of British unity and dominance . The Georges maintained the throne from 1714 to 1830; although some were unorthodox and rude and others stubbornly absolutist, their reign is revered today as distinguished – enough so that the current prince and duchess imparted the name upon their first-born son. An act passed during Queen Anne’s reign, the 1701 Act of Succession, prohibited Catholics from the throne. The next Protestant heir to the throne, George, Elector of Hanover, was 52nd in line. The German heir found little celebrity in Britain, except amongst London’s Hanover Square residents in the West End who celebrated the new king’s arrival. Because of his inability to speak English, mainly due to his unwillingness to learn the language, George I refused to attend Cabinet meetings where he could not understand what was being discussed. Instead, the obstinate George I selected a specific person whom would chair his seatShow MoreRelated American Poet: Phillis Wheatley Essay1208 Words   |  5 PagesAmerican Poet: Phillis Wheatley Phillis Wheatley was an African-born slave in the last quarter of the eighteenth-century in New England. She was born in West Africa and brought to America on the slave ship Phillis. She was, however, much more than chattel-she was a poet. Phillis was the first African American to have a book published. In a time when women were not expected to be able to read or write, and when teaching an African American to be literate was frowned upon, Phillis Wheatley becameRead MoreHistory 3011175 Words   |  5 Pagesdisastrous governance structure under Louis XIV and Louis XVI. Lord Acton, eminent British historian wrote this report to Bishop Mandell Creighton in 1887, Power tends to corrupt, and absolute power corrupts totally. Great men are almost always unprincipled men. William Pitt served as the British Prime Minister from 1766 to 1778. The unrest and discontent in the American colonies was building and would require the Patriot leaders to adopt an open rebellion against England in 1776 . In 1770 William PittRead MoreAnalysis Of Howard Zinn s The United States 1224 Words   |  5 Pagessure that when the war ended, American economic power would be second to none in the world. United States business would penetrate areas that up to this time had been dominated by England. The Open Door Policy of equal access would be extended from Asia to Europe, meaning that the United States intended to push England aside and move in† (Zinn, 413). However, this is not entirely true – despite defeating Japan and vanquishing Germany, the reading of history books reveals that America actually helpedRead MoreThe Private Affairs Of Rulers Have Fascinated Us Since The Beginning Of Civilization1934 Words   |  8 Pagesliterature continued in England, where Shakespeare and Sir Francis Bacon were rising to fame as pop culture symbols. His obsession with witch-hunts inspired Shakespeare’s â€Å"Macbeth†, and he was known to watch suspected witches being tortur ed for information. He also was responsible for the King James Bible, the modern translation we still use today. Outside of his marriage, James had close relationships with many of his male courtiers. James was said to be especially close to George Villiers, who JamesRead MoreEssay about The Origin of Norwich Castle1075 Words   |  5 Pagesrule of Henry III, Norwich Castle was taken by Louis, the Dauphin, a heir to the current King of France, who had been asked to help capture the castle by a coalition of English barons and to also take over the English throne. Louis on his path to take the English throne also took over several other castles, but was paid a large amount of money in order to give up rule over the castles and return them peacefully along with returning to France. After Louis gave up Norwich castle the military importanceRead MoreNapoleon De Lafayette, And Alexander Hamilton2178 Words   |  9 PagesThere are many famous people in history, each person is famous for their own accomplishments, as well as their effect on the world we know today. Some of these famous people in his tory include Marquis de Lafayette, James Madison, and Alexander Hamilton, these people helped change the world for the better. Marie Joseph Pau Yves Roche Gilbert du Motier, Marquis de Lafayette was born into a family of noble military derivation on September 6, 1757, in Chavaniac, France. Lafayette’s father was killedRead MoreJohn Locke : The Second Treatises Of Government2344 Words   |  10 Pagesobtain consent from the government, but he did not believe in upholding a democracy that would practice a ‘majority rule’ method of decision making. Being a Frenchman during the reign of King Louis XIV, Montesquieu had a rather different outlook on society and the government and, therefore, criticized the Louis XIV administration and even based one of his famous works on it. Montesquieu wrote â€Å"The Spirit of the Laws† which would ultimately create what the United States would later see as the idealRead MoreThe Enlightenment And The American Revolution2027 Words   |  9 Pagesthe story of how America came to be. It was similar to David versus Goliath, the American colonists agains t the potent England. England at the time of the Revolution, boasted the largest and most powerful fighting force in the history of the world. The Americans were rebellious country-cousins who wanted freedom from what they regarded as a capricious and tyrannical paternal England so they could govern themselves. The result was America. How did they do it? A look at what influenced and motivatedRead MoreApush Notes: Articles Of Confederation Era1791 Words   |  8 Pagesspecifically listed in the constitution. 10. States retain reserved powers. 1789 George Washington unanimously elected by the Electoral College, inaugurated in NYC. Set the precedent of being â€Å"presidential† Unwritten constitution: * Mostly precedents set by GW * 2 terms of president (now an amendment) * Acting in a â€Å"presidential† manner * Appointing cabinets * Alexander Hamilton- Sec. of Treasury * Randolph- Attorney general * ThomasRead MoreEssay About Napoleon Bonaparte2610 Words   |  11 PagesNapoleon found it hard to serve for a country he didnt belong to, but this changed quickly when he was forced to leave for France with his family after a feud was started between them and the former Corsican leader Paoli. Soon after King Louis XVI was guillotined in 1793, war was declared on Britain and Holland. The inexperienced Napoleon was very successful in first Battle against Britain and was later promoted to brigadier-general and posted in Italy. France was searching

George Washington as Americas Greatest Leader Essay

George Washington as Americas Greatest Leader An independent country requires a strong, wise and dignified administration to guide a highly emotional population through a tough phase while establishing a stable relationship with other nations. At the same time, the first president, guided by his administration, must create a charter to govern the nation. Being the first president of the United States of America and a new face on the world stage, George Washington along with his administration created an excellent blueprint for the recently formed nation. Washington was successful as the first president because his administration maintained peace and neutrality in European affairs, consisted of men†¦show more content†¦He simply declared neutrality by saying that he believed that France had actually started the war. [3] Following Washingtons decision to avoid Frances war, Washington found himself in a situation with the French minister to the United States, Edmond Charles Genet. The new minister arrived in the United States in April 1793 and at once began to hire recruiting agents and to commission privateers for war on English shipping. Again, President Washington declared his neutrality, but this time he clearly said to both England and France that he would not aid either, and he even asserted Americas right to trade freely with both.[4] Peace and neutrality between the United States and Europecontinued throughout Washingtons presidency and beyond. Washington realized that through his decision it was finalized that Europeans did not interfere in American affairs and vice versa. The Europeans would no longer be an immediate threat, but Washington did not overlook them. In his Farewell Address in 1796, Washington stated: While then every part of our country thus feels an immediate and particular interest in union, all the parts combined cannot fail to find in the united mass of means and efforts greater strength, greater resource, proportionally greater security from external danger, a less frequent interruption of theirShow MoreRelatedAnalysis of William M Thayers A Biography of George Washington: The Patriot President691 Words   |  3 Pages In his biography of Americas founding father and first president, George Washington: The Patriot President, author William M. Thayer describes the heroic acts of leadership that Washington displayed while fighting in the American Revolution and during his two terms as President. Using a personal style that appeals to young readers, Thayer provides many glimpses into the private life of George Washington that give a better impression of the man behind one of historys most legendary figures. ByRead MoreGeorge Washington765 Words   |  4 PagesThe Founder of a New Nation There are few figures as large in American history as George Washington. His powerful leadership, determination, and endless patriotism was essential for winning the Revolutionary War, the creation of the United States Constitution, and the establishment of a new government. There are three defining events that happened to George during his life in colonial America. His proper childhood upbringing, his military leadership in the revolutionary war, and his electionRead MoreGeorge Washington : A Hero Of The Revolutionary War927 Words   |  4 PagesOften referred to as the â€Å"Father of Our Country,† George Washington (1732-1799) is regarded as one of the most prominent figures in the early history of the the United States of America and a hero of the Revolutionary War. Honest, humble, noble, farmer, commander-in-chief - all words still used this day to describe our country’s first President. After eight years of war fighting for freedom from British tyranny and corruption, the American colonists were ready for peace, an organized governmentRead MoreGeorge Washington : A Great Leader1719 Words   |  7 PagesAmerican hears the name George Washington, they immediately connect the name to heroic qualities. Washington was one of America s founding fathers that served as a general in the American Revolution and the first President of America. His leadership qualities in the revolution made him a no brainer choice by the delegates to be elected as first president. What made Washington such a great leader? What qualities made him into the leader he was? And finally, what precedents did Washington set for future presidentsRead MoreGeorge Washington : The American Of American National History Essay1288 Words   |  6 PagesGeorge Washington stands at the origins of American national history. Many Americans call him â€Å"the father of our country†. Washington commanded the Continental Army in the Revolutionary War. He led the American colo nists to freedom from British rule. He headed the convention that created the U.S. Constitution, as president of the republic Washington has created a basis for a federal government in which the Americans were able to find their national agreement. Despite his accomplishments as a generalRead MoreThe American Revolutionary War796 Words   |  3 Pagesthe 13 colonies of America could gain there independence from Great Britain. Thousands of soldiers were killed while many others were severely wounded. The American Revolutionary war was one of the greatest wars in American history, because it had many great battles, was led by some of the greatest leaders, and got the 13 colonies independence from Great Britain. To begin, the American Revolutionary War was a war that featured a various amount of great battles. Thousands of people were killed duringRead MoreThe Politics Of The United States World Revolution923 Words   |  4 PagesAfter the independence of the United States in 1776, the new nation needed to establish and decide their global affairs. Since then the leaders of the United States from 1789 George Washington to 1823 James Monroe, which included the Federalists and the Jeffersonian parties. The United States was designed in their policies to ultimately benefit the United States and promote themselves in international affairs, to be considered as a new power in the world. The united states world policies were designedRead MoreAnalysis Of The Book Into The Wild By Jon Krakauer1686 Words   |  7 Pagesfreedom and exemption. Washington and McCandless are similar because they did something most people would not. They both stepped out of the ordinary society and decided to do what they think is best. For example, Washington led the Continental Army against the great British Empire, and Chris left his normal and traditional life, to seek a life of adventure and determined to go on a journey across the United States. Washington became the first president of the United States. Washington was also the onlyRead MoreJean Joseph Paul Yves Roch Gilbert Motier882 Words   |  4 Pagesdeveloped a strong relationship with George Washington, creating a friendship that would last a lifetime. He undeniably was a key component in securing the victory of the American Revolution. Marquis de Lafayette was one of the most successful leaders during the American Revolutionary War. Not long after coming to America, Lafayette was commissioned a Major General in the Continental Army and began a close relationship with George Washington. His loyalty to Washington was a factor that helped him quicklyRead MoreGeorge Washington: Father of a Nation Essay1190 Words   |  5 PagesGeorge Washington: Father of a Nation A desolate wind swept over the American encampment at Valley Forge. Freezing temperatures and blinding snow storms accompanied by heartbreaking defeats had taken their toll on these young freedom fighters. The cry for freedom could no longer be heard over hunger pains and the freezing wind. One lone figure could be seen walking through the camp trying to re-ignite that fire in his dwindling troops who were huddled together for warmth. We can only

Sports Person and Hello Free Essays

Nowadays many people of all ages take part in dangerous sports. Such people epitomize the egoism and the satisfaction only of their own desires and feelings. In the majority of cases they don’t care about their family and close friends, who find no peace waiting for the â€Å"heroes† from their competitions. We will write a custom essay sample on Sports: Person and Hello or any similar topic only for you Order Now Thereby, the main problem is that such people endanger their own lives and the lives of those who might be called out to help them; they put at stake not only their destinies, but also the health and wellbeing of their near relations.It is important to point out that the number of extreme persons is increasing rapidly. This may be due to the great amount of those who this or that way try to escape from the reality and everyday routine, try to overcome complexes and to prove oneself that he or she is worth, or at least, speaking about. Without doubt, dangerous sports contribute to personal evaluation of oneself and to the character-building. However, there are other activities which assist a person in self-actualization and self-esteem.It goes without saying, that participation in dangerous sports involves a lot of physical training and, of course, good knowledge of the inner components of the sport process (for instance, equipment, necessary skills and state of health). It requires firmness, stamina and willpower. In contrast to it, people who take part in such kind of sports are often considered to be out of their minds, as they put at stake their own life in order to have or to show a strong character. For the majority it seems rather illogical and even nonsensical. In conclusion, it is possible to say that dangerous sports have some benefits, even if for the minority. Nevertheless, such people should understand the whole responsibility not only for their own lives, but for the lives of those who care about them and who are ready to relieve. Should dangerous sports be banned? Yes! Millions of people play sport every day, and, inevitably, some suffer injury or pain. Most players and spectators accept this risk. However, some people would like to see dangerous sports such as boxing banned. This essay will examine some of the easons for banning certain sports. Some sports are nothing but an excuse for violence. Boxing is a perfect example. The last thing an increasingly violent world needs is more violence on our television. The sight of two men (or even women) bleeding, with faces ripped open, trying to obliterate each other is barbaric. Other sports, such as American football or rugby, are also barely-concealed violence. Some people argue that the players can choose to participate. However this is not always the case. Many boxers, for example, come from disadvantaged backgrounds. They are How to cite Sports: Person and Hello, Papers

William Arthur Ward Quotes free essay sample

Ward, a man noted for many famous quotations, had anything particular in mind when he said, Adversity causes some men to break; others to break records but Id like to think that he wasnt focusing on any specific discipline, but life as a whole. Ive applied his motto time and time again whenever I have been faced with obstacles, injuries or fierce competition. I personally feel that the quote could not be truer.When the situation at hand becomes difficult, when hope is fading and there are a thousand good reasons why people should back down, or quit; the true champions are the ones that are able to trudge threw the difficulties, and come out on top; often tit miraculous achievements. Throughout my careers in the sports of football and lacrosse I have been in countless situations where the odds were stacked against me. I have participated in close games played in the rain, mud, snow or grueling summer heat. We will write a custom essay sample on William Arthur Ward Quotes or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Injuries have piled up when I needed anything but something to slow me down; but whenever I have been down and out, I fall back on Mr..Wards quote and realize that adverse situations arent times to slow down, back Off or quit. They are really just opportunities to achieve greatness. My academic career has seen its share of difficult times, times when I just oldest seem to get a subject, or times when the workload I was facing seem insurmountable, however, by simply recognizing the situation for what it was worth; a time when the common man would be giving up in despair, I told myself that was better then that, and went on to lead a very successful four years in high school.I have had tremendous success by following Mr.. Wards philosophy; Adversity causes some men to break; others to break records.

Arsenievs Essays - Spirituality, Belief, Religion, Esotericism

Arseniev's Revelation of Life Eternal A Review of Revelation of Life Eternal Nicholas Arseniev was a professor of New Testament and Apologetics at St. Vladimir's He wrote over 174 articles and books and died in 1977. His Revelation of Life Eternal is described as "an introduction to the Christian message." It pulls together many different mystic perceptions and beliefs, and it is an excellent entry into the diverse world of Christian Mysticism. The introduction quickly pulls the reader in by asking several basic questions about why religion even exists at all. These questions are first answered with broad answers, then Arseniev focuses on why Christian Mysticism is the answer to these questions: "We have to believe in God, because this is Truth--life-giving Truth His Reality is something very earnest, very real: it is the only true Reality And He has to meet us, or rather we have to meet Him, for He meets us at every step" (8). This book is especially valuable to those of us who have little or no knowledge of Christian mysticism. It is broken into two parts, and each part is divided into chapters. Many of the chapters follow the pattern of the introduction by asking a broad question first, then defining it within the terms of the beliefs of the mystics. Basic Biblical stories are reviewed through easily comprehended but not patronizing language, allowing the reader to learn the background information for the beliefs of Christian Mysticism. The many sources consulted for the information shared in this book allows the reader to have some faith in what is being read. Many saints, religious books, and scholars are quoted, thus supporting the theories posed. The first chapter "Principles of Religious Cognition" explains why religion is indeed necessary and why humans are naturally drawn to question things that religion alone can answer. From proving this basic need for religion, Arseniev has a platform to prove his personal religious beliefs--those of Christian Mysticism. A few chapters later some of the problems in early and false religions are explored. As each different issue is dismantled, he is able to set up the premise of Christian Mysticism, which has lasted for hundreds of years--contrasting this with religions that have fallen. Plato is explored, thus pulling in platonic and neoplatonic beliefs, which have become integral part of contemporary mysticism and influenced many of the sources with which Arseniev refers. Christ's importance is explored in chapters about the Transfiguration, Resurrection, and Atonement--three of the basic supporting factors within Christian Mysticism. The book is wrapped up with chapters about the importance of God's humility and love, most importantly God's ultimate love for us. I enjoyed this book for many reasons. The language is easy to understand, but it is beautiful and descriptive at the same time. I had little knowledge of Christian Mysticism before reading this book, so I found it to be an excellent introduction. As I read each chapter, the questions posed persuaded me to continue reading, because I became very interested in the answers to the questions. The questions were answered using reputable sources and answers that appealed to common sense and experience. I was actually surprised by how interested I became in the Orthodox church. This book appealed to the knowledge I already had of different religious beliefs, thus pointing out that Mysticism indeed could affect my life directly and keeping my interest high I would highly recommend this book to anyone who is interested in the Orthodox church but has little past experience with it. Nicholas Arseniev's book Revelation of Life Eternal is an excellent introduction to the basic beliefs within Christian Mysticism. It gives the beliefs and the history of religion in general before focusing on the development of Christian Mysticism. It is an excellent source of information on Christian Mysticism for anyone who has little or know knowledge of the subject beforehand.

Resolving Power Essay Example

Resolving Power Essay Example Resolving Power Essay Resolving Power Essay When two objects are placed close enough to each other or are a great enough distance, there will come a point where your eyes will be unable to distinguish the two objects apart. Determine the resolving power of your eyes. Hypothesis If two strands of hair are placed a foot away in front of white background, then the resolving power of the eyes will be approximately half a millimeter or 0.5 mm. Materials * Glass slide and cover slip * Two human hairs * Dissecting needles * Microscope Procedure 1. Brought a microscope to the lab area making sure to use both hands to carry the microscope and that the cord was not dangling. 2. Looked through the instructions making sure there were no problems that could be posed. 3. Organized the lab area and prepared all equipment including slides and the microscope. 4. Placed two human hairs on the slide 1 mm apart and placed the cover slip above. 5. Placed the slide in front of a white background and examined from a distance of one foot. 6. Determined if the two hairs were distinctly separate and recorded observations. 7. Moved the hairs closer together using a dissecting needle and recorded measurements. 8. Determined if the two hairs were distinctly separate and recorded observations. 9. Repeated step 7-8 until the hairs could not be distinguished as separate objects. 10. Separated the hairs. 11. Repeated steps 4-9 with a different student. 12. Cleaned up the lab area and placed the equipment in the designated places. Observations Student A Distance (mm) Distinguishable/Not Distinguishable 1 Distinguishable 0.8 Distinguishable 0.6 Distinguishable 0.4 Not Distinguishable Student B Distance (mm) Distinguishable/Not Distinguishable 1 Distinguishable 0.7 Distinguishable 0.5 Not Distinguishable Conclusion The purpose was achieved. Since the resolving power of our eyes was seen to be an average of 0.45 mm, it can therefore be concluded that the resolving power of our eyes is 0.45 mm. As a result, my hypothesis was proven correct. Text Questions 1. The limit of resolution of my eyes from a one foot distance when using two human hairs was observed to be 0.5 mm and the limit of resolution of my partners eyes from a one foot distance when using two human hairs was observed to be 0.4mm. 2. The resolving power of the unaided eye does differ from one person to another due to the fact that not all individuals have the same vision or strength of eyes. Therefore, not all individuals have the same resolving power. 3. Due to the fact that not all individuals have the same resolving power, the class most likely had a wide range of resolving powers. However, we did not have the chance to record other individuals observations. Nevertheless, if the resolving power of the class were based on our average, it would be 0.45 mm. 4. The resolving power of the eye becomes weaker as the distance becomes greater. If two objects are moved far enough in the distance, it will appear to be one object. The retina of the eye can differentiate items from a certain distance. However, at greater distances, the retina will not be able to distinguish two objects apart. Instead, the retina will form one image of the two objects. 5. The resolving power refers to the ability of an optical system to reveal detail and distinguish objects apart. The ability to focus refers to sharpening and concentrating on an image while hazing out the surroundings.

Sainburys Essay Example | Topics and Well Written Essays - 1500 words

Sainburys - Essay Example 92). Sainsbury’s was founded in 1869. Today it has over 1,000 stores, including 440 convenience stores, and employs around 150,000 employees. Sainsbury plc had revenues for the full year 2012 of 22.29bn. This was 5.65% above the prior years results. Sainsbury is one of the top food retailers in the UK. From the data above it can be easily understood that the company is growing leaps and bounds. However in the last couple of years just like most of the companies, Sainsbury also had to combat the economic downturn. A part from the financial aspect, Sainsbury also needs to adapt to the changing consumer behaviour. The study looks to deliver a probable marketing plan for the company keeping economic volatility in mind. PEST stands for political, economic, social and technological. All these factors are treated as the external of macro environmental factors. Such factors cannot be controlled by the company. However, these factors tend to have a direct on the business strategy of the companies (Kotler, 2001, p. 25). The political factors of UK are likely to have significant effect on the performance of Sainsbury. Presently the government’s debts and the consumer debts are quite high. This has affected the buying behaviour of the consumers. Therefore the company not only has to operate in such tricky market conditions, but also has to develop business gradually. Economic factors affect the businesses highly as these factors influence the cost, demand, profitability and price. During the present economic slowdown the unemployment rate and inflation in food prices are two factors to look out for. Due to the dual affect of inflation and high unemployment rate, the demand for Sainsbury products may decrease. This may slow down the production of food products creating a viscous circle. Therefore the company should look to focus on expansion into new growing markets to manage the risks related to the slowdown of the economy. Today the

Website Review Essay Example | Topics and Well Written Essays - 500 words

Website Review - Essay Example The next section discusses the various chronological events discussed in the life of E.E. Cummings with all dates included. It provides various links to his works and related materials like poems, essays, paintings, other forms of work. The following are the contents and its evaluation: It takes in as input the date of birth, a month of birth, year of birth, sex, mode, BMI, smoking status and then calculates one death day and date. It is a tool which works on primary inputs and makes sure that BMI can be calculated and also lets the user know to calculate the death date, thereby calling it the death clock. It demonstrates itself into â€Å"Obituaries† which mention that all the people may how beautiful and famous they are they would perish away from this earth one day. The page â€Å"Your Will† is a FAQ page which lists the very questions one may have or usually do on an average. All the probable answers are written here to let the users know what they are thinking. The page â€Å"Dead letter office’ would make sure that all the user comments and archives The page â€Å"Testament† details the likes and dislikes of the site owner in accordance to various topics like â€Å"A game†, â€Å"Death Clock 2†, â€Å"Planet of the Apes†, â€Å"911†, â€Å"I hate my Cd burner† and much more. The last page â€Å"Your Prayer† details out the various communication techniques to reach the site owner for ay communication. The website would make sure that all the various compliances are met for the site owner and all the objectives are achieved through the website.

Essay Example | Topics and Well Written Essays - 750 words - 84

Essay Example However, these sources ought to be in the references’ list and cited well in the text. This is because they are not original works of the experimenter but just backing his or her information to elaborate more about the phenomenon under study. The experiment ought to have a hypothesis, which in this case is specific, brief and giving independent variable as well as expected outcome in the depended variable. In most cases, this is only in form of a statement expounding the core relationship that characterizes the entire phenomenon. Its structure should be in such a way to catch attention of the reader by giving him or her aim of conducting this experiment. The report should also give detailed information concerning varied materials used in the study and followed procedure. Hence, highlighting how and when one carried out the entire experiment. This encompasses outlining used experimental design, equipments, procedure and mode of analyzing data. In addition, method and materials’ section addresses control measures that were essential throughout the entire procedure such that the reader can effectively understand the entire process. This is to the extent he or she can accurately repeat the method without making any errors that might occur due to misinformation or incorrectly set method. If it is possible, one can utilize diagrams or images of the already set apparatus with the intention of giving the reader view of how the experiment’s set up should appear incase it is very complex. This section also entails vivid description of all apparatus and any other equipments used throughout the entire procedure. In comparison with other sections, the most outstanding feature about this section is the use of both past and active tenses. Since information relayed in this section includes actions that have already taken place. Results’ section comprises of already tabulated outcomes of the experiment either in table form or just mere statements without

Romeo And Juliet Play And Movie Comparison Film Studies Essay

Romeo And Juliet Play And Movie Comparison Film Studies Essay The crown of English literature for plays, embedded with timeless and priceless gems, rests certainly on the head of William Shakespeare. Shakespeare has created masterpieces in every possible genres of play. Romeo and Juliet is an everlasting (or ever grey due to tragic over tones?!) play which draws undivided or unparallel attention of the writers even during this modern era. Apart from enjoying immense popularity when it was enacted as a drama during the early part of the sixteenth century, the beginning of mid twentieth century witnessed this play being converted into movies in 1968, and 1996. Both the movies stayed faithful to the original storyline; however, the 1996 version, Baz Lurhmann adopted the storyline to reflect the revealing trend of dispute among two feuding families. It is an exciting task to make a detailed study of the play, and its comparison in different aspect with the immensely popular 1996 version directed by the Australian, Baz Lurhmann. Romeo and Juliet, though termed as tragedy carries more of Shakespeares comedy elements. Love is obviously the dominating and most vital theme of this play. The whole play is intertwined on the romantic love between Romeo and Juliet at their first sight. In this play, love supersede other characteristics such as loyalty, emotions etc. In this play, the lovers deny the family and the entire world and proceed with their marriage. This is evident from the words of Juliet, Or if thou wilt not, be but sworn my love, I / And Ill no longer be a Capulet (Romeo and Juliet. 2.2. 38-39). Romeo abandons his close friends, Mercutio and Benvolio and even risks his life and returns to Verona for the sake of his lady love even after being sent in exile. Love becomes a riding force for every incident narrated in the play. The lovers are emotionally triggered and take impulsive decisions; by this, they go against the norms of this world. Also, love is described as a religion. This is clear in the lines describing Romeo and Juliets first meeting. The readers can observe that Juliet has no words to explain her love for Romeo and thus refuses to describe it in words. But my true love is grown to such excess / I cannot sum up some of half my wealth (Romeo and Juliet 2.6. 33-34). Thus, it is clear that both the lovers are not able to explain their love and differentiate it with the society, family and religion. Their inability to draw line between their love and other ties can be said as a vital reason for their tragic end. By this, their love takes a back seat and death and violence occupies the front seat. The delicate ingredients of family feud, immature teenage aspirations and above all the raging love between the teenagers provides a great and ideal platform for Shakespeare to come up with an immortal tragedy. It is quite natural that film makers were inevitably attracted and motivated to make an interesting movie from the play. The project of making a movie on Romeo and Juliet certainly has some challenges to be encountered. Firstly, in the narrative, the vivid descriptions of the various scenarios are brought out in a several lines of verse; while the same can be made into a visual presentation involving much lesser times and words. Secondly, certain specific features in the realm of plays such as soliloquy are brought out in a distinctive style but picturization of the same is a different proposition altogether as the technical advancements has facilitated to project the actors expressions and bodily gestures by way of close-up shots and suitable editing in a forthright manner which is not possible in the play. Again, the advanced film making technique with avenues like lightning, wide variety of locales, costumes, advanced make-up facilities, make-up for an effective combination to produce excellent visual effects as compared to the limitations in the enactment of the play. Thus, the avenues are open for effecting the most picture perfect visualization. Baz Luhrmann has been successful in innovating the adaption of the screenplay in a different background scenario drawing a unique visual style, reflecting the politics and trends that existed in a combination of 1940s, 1970s and 1990s. Luhrmann deposits the play in the modern Verona beach; this can also be interpreted as reminding part decaying Miami and part Mexico City as frequent and high crime rate areas (Berardinelli, 1996). Accordingly, fast cars with roaring engines in the movie replace the horses in the play. Guns come in to occupy the place of swords and daggers. This kind of a hybrid with an old play in new setting makes a startling impression on the viewer. While trying to bring out the directors intent, it would be in order to bring out certain important scene of the play, especially pertaining to the love-scene. The way it has been brought out in picturization acquires a special credit. Firstly, the balcony scene is considered by many scholars to be the highlight of the play where the impact of youth love is brought out vibrantly to be stronger than all the forces that work against it. Luhrmann takes Shakespeares use of 190 lines and reduces it to 90 lines. He also switches the venue from the orchard to the swimming pool. However, he manages to retain the main intent of the lovers (Modern Film Adaptations of Shakespeare). Again, the camera work here is quite impressive: in usual cases the camera is moving frantically, however here the camera remains fixed in a tight close-up as Romeos dialogue, But, soft! What light through yonder window breaks? (Romeo and Juliet 2.2.2), and the camera stays extremely close to the lovers as they disco ver each other and realize how much they are attracted to each other and how deep in love they are with each other. This scene take place in the pool courtyard of the Capulet mansion and is noticeably more muted than other scenes; the importance of words and feelings gain ascendancy allowing Shakespeares poetry to come through in full bloom (Modern Film Adaptations of Shakespeare). While essaying on the directors perspective, it is worthwhile to discuss about the technical credits of the movie: the camera is always seen roving around; there are many instances in the movie where rapid cuts and screaming soundtrack might make the viewer doubt whether he is watching a rock-video! Also, the camera tricks, the special effects such as a roiling storm and the rebellious splash of colors right through the movie gains priority relegating the romantic theme into the background, in the process, lose certain more intangibles of intricate romance. This is more manifested in the first few scenes of the movie and tends to get corrected as it progresses. In conclusion, any adaptation of a Shakespeare play is determined by two major factors. The first is the competence of the director. The second factor is the ability of the main cast members. Any other innovations and unconventional flourishes applied by the director and technicians will not carry any significance. With these viewpoints, the litterateur can appreciate that the play Romeo and Juliet has fallen in the capable hands of directors and actors such as Luhrmann, DiCaprio and Danes. This 1996 film version of the play, despite being interpreted as a loud and brash version, and despite being unacceptable to the high-level experts as a classic, it has certainly helped widen their perspective to venture into any movie that bears the credit based on play by William Shakespeare.

fidel castro :: essays research papers

Fidel Castro was born on August 13, 1926. He attended Catholic schools before graduating from the University of Havana with a degree in law. Castro was a member of the Ortodoxo Party, a social-democrat party, and strongly criticized the government of Fulgencio Batista. On the 26th of July in 1953, Fidel Castro launched an attack on the Moncada army barracks. It failed, and most involved were killed or captured. Fidel was captured and given a trial, which he used to make his famous speech, "History Will Absolve Me". Sentenced to 15 years, he was pardoned after just two. He then went into exile in Mexico, where he trained and assembled the 26th of July Movement. He gained support from Che Guevara and others before leaving aboard the Granma to invade Cuba in 1956. Returning to Cuba, the revolutionaries hid in the Sierra Maestra mountains, gaining support among the peasants. Eventually, Batista was forced to flee in 1959 and Castro took over. Many Cubans left when it became clear that the Revolution was a Marxist one. Economic antagonism from the United States caused Castro to nationalize all American property. The United States Government tried various schemes to assassinate Fidel Castro and continues to economically isolate Cuba. The CIA even tried to invade Cuba at the Bay of Pigs to remove Fidel Castro from power, but the Cubans successfully fought it off. As a result, Castro became closely aligned with the Soviet Union. The Soviets bought large amounts of sugar and supplied Cuba with economic and military assistance. This money fueled many of Castro's social programs, such as his war on illiteracy and free universal health care. Unfortunately, aligning Cuba with the USSR only led to more friction between Cuba and the United States.

Ethical Theories Essay

Moral dilemmas are a part of daily life and the solutions presented to them are usually dependent on the ethics that govern the individual facing them. Every person at one point in time has been faced with a moral dilemma. This can be described as the values which are used to determine the right way to handle a situation and the wrong way to go about it. Each society and community has its own moral index and in some societies, an action may be viewed tolerable or right, while the same action in another community would be viewed as intolerable and frowned upon. The moral index of a society usually goes hand in hand with religious beliefs and communities which are religiously inclined to have strict rules on what is suitable behaviour and what is not. Societies which have more secular values usually tolerate extreme or eccentric behavior. The difference in opinions of different people in what is normally right and wrong has led to the development of various ethical theories. Two of these theories are utilitarianism and duty ethics. An example of a situation which brought about different ethical stand points is the Firestone Company tire recall in 1999 and 2000. The company had discovered that its newly designed firestorm Radial ATX, ATX II and Wilderness AT tires were defective back in 1996, after 8 of the 18 times were singled out after they failed a test that tested the endurance of tires under high speed. Of the 14. 4 million tires sold approximately 6. 5 million tires had to be recalled due to defects in the details which involved the tread and one steel belt separating from the other steel belt and carcass The details has led to serious and even fatal accidents as the cars overturned when the accidents occurred while they were in motion. In an attempt to show difference between utilitarianism and duty ethics we shall consider an engineer working for the company at the time and the stand he or she would take if they subscribed to utilitarianism or duty ethics Utilitarianism can be described as an ethical theory that proposes that the action that brings good or favorable consequences to the majority is not subject to whether it is right or wrong meaning it is not subject to questioning. (Fredrick,2003) This theory was greatly championed by utilitarians such as John Stuart Mill. This theory advocates for actions that produce happiness to the greatest or largest number of people. In an ideal situation this may be possible but usually any action can produce happiness to many or a few people depending on the action. The theory does not usually advocate for the use of ethically correct actions at all times and thus actions which may be viewed as wrong sometimes bring happiness to a large group of people but the actions still remain morally wrong. An engineer subscribing to the utilitarianism way to life would have supported the company stand and the action it took. The company discovered that some tires were defective and did not recall the rest of the tires that had already been sold. This lead to accidents which caused suffering and death and it was not until an investigation into the cause of the accidents that finally forced the Firestone Company to admit liability and recall the tires. The company did not recall the tires because it feared the losses that it would face incase the tires were all defective. The company chose to protect their profits margins at the expense of their clients. (Little, 2003) As an engineer with a utilitarianism view point this action would be the best because recalling would mean great losses and downsizing in terms of job which would mean unemployment for many people working at the company affecting both them and their dependants. The duty ethics proposes that the action taken in any situation should be just and honest and respectful to all persons involved. This ethical principle advances for the upholding of principles regardless to the wrong consequences whether they will be good or bad. (Graham,2004) An engineer working for the Firestone Company would have chosen to recall all the defective tires and conducted a through investigation to the causes of the defaults without external pressure or the threat of law suits as inducement. The engineer moral compass would have guided them to make such a stand regardless to the fallout which is this case would have resulted in major losses to the company. As per the requirements of the engineering profession, this mechanical engineer was ascribed to some basic fundamental ethics and the relevant professional codes of conduct while in the jurisdiction of their duty. These are guidelines aimed at providing safety standards for the engineers while at work and the common good of the society. However, the same was objectively inadequate in the Firestone’s case. As a basic requirement, they should exercise their professional skills and also knowledge in providing contentment in the general human life. Impartiality and honesty should prevail in their service where fidelity to the public should never be compromised above that of clients and also employers. Elsewhere, engineers should pursue a continued development in their profession and bring service to their different clients without any conflict. These are the basic fundamentals of mechanical engineers whose proficiency is provided by the support of the canons of mechanical engineering. In conclusion the moral stand point taken by any individual should always be after requiring all the necessary information. This is because in every decision made, there are always individuals who love and those who benefit. As in the Firestone, the recalling decision would have resulted in loss. After careful evaluation one should decide on the decision that brings minimal losses in the involved activity.

Manyoshu and Kokinshu Interpretive Essay Essays

Manyoshu and Kokinshu Interpretive Essay Essays Manyoshu and Kokinshu Interpretive Essay Paper Manyoshu and Kokinshu Interpretive Essay Paper Essay Topic: Poetry In his famous Kana Preface to the Kokinshu, Ki no Tsurayuki, one of the editors of the anthology, introduces the aesthetic value and core functions of Japanese poetry. As the seed that grows into a flower, Japanese songs, or waka, take human heart and flourish as myriad leaves of words. (Shirane 148) As the master poet, Tsurayuki advises his successors to appreciate the beauty of life, rather than understanding it. One of the functions of waka, Tsurayuki asserts, lies in consoling the hearts of the departed and the living, as the beauty of the song has the mysterious power to assuage even the troubled souls of fierce warriors. Despite the lexical parsimony of waka, the master poets of ancient Japan have honored this legacy and strived to bestow poetic beauty even upon the topic of death. In the Manyoshu and Kokinshu, parting with the loved ones is juxtaposed with mysterious cycles of nature to mediate the emotional burden of loss. Nonetheless, the poeticization of death in two anthologies contrasts in poetic deliverance as well as in narrative structure, as the Manyoshu poet focuses on the poetic deliverance of the protagonist’s emotions, while the Kokishu poem respectively focuses on the transience and emptiness of life. The poeticization of death in Manyoshu is characterized by the protagonist’s emotional confession of continued longing and inability to let go the departed. Upon his wife’s death, the master poet Kakinomoto no Hitomaro composes the following poem, â€Å"crying tears of blood in his grief.† After recollecting his nostalgic romance with his wife in the openning lines, Hitomaro sings, Like the sky-crossing sun sets in the evening Like the light of the moon is obscured by the clouds, My girl, who like the deep seaweed had slept beside me, Had passed away like the autumn leaves†¦ †¦and all I could do was call out her name As I waved my sleeves. I searched for my girl who has lost her way In the thick yellow leaves of the autumn hill But do not know the mountain path. (84-85) By imbuing his wife’s â€Å"passing away† with the rich imageries of cyclical nature, Hitomaro avoids the crude proclamation of death and elevates their parting with elegance and beauty. Never do words meaning death, such as shinu, appear in the original text or the translation of the poem. Like the sun, the moon, and the seasons, his wife, who has now become a fabric of nature, passes away (sugite) from him. Consequent lines with makurakotoba, catalpa gem and catalpa bow, allow the readers to further relate to and vicariously experience his emotions, amplifying the conveyance of grief. It is also important to note that juxtaposition of the loss and imageries of cyclical nature reflects Hitomaro’s hope for his wife to return, as sun rises again and the autumn returns every year. Later in his short poem, the wife is described as having â€Å"lost her way† in the mountain. Despite the mountain symbolizing the insurmountable and unfathomable divide between the two lovers, Hitomaro still yearns for her return believing that he can bring her back if only he had known the mountain path (yamaji shirazu mo). Yet as he cannot venture across the mountain into the forbidden realm, he laments that he can only call out her name and wave his sleeves (sode so furitsuru), a ritual to summon the departed back to life. An unknown poet of Kokinshu also uses nature as a medium for poeticizing death and conveying emotions of loss. After the Horikawa chancellor died and his remains were interred near Mount Fukakusa, the poet composes in Heian style of lexical parsimony, Poem #832 If cherry trees indeed Have feelings, may those Of the fields of Fukakusa This year, at least, Shround themselves in black blossoms. (162) Unlike Hitomaro, the Kokinshu poet neither confesses his lingering feelings nor hopes for the departed to return. However, through a simple imagery of black, mourning blossoms, instead of an emotional narrative, the poet elegantly conveys the burden of his grief. The waka is almost addressed to the cherry blossoms, as the last line ends in volitional form. Furthermore, the essence of the poem is encapsulated in the word sumizome of the cherry blossoms. As if to prepare them for the burial, the poet invokes the cherry blossoms to bloom in â€Å"dyed black (sumizome ni sake).† The word also reminds the reader the word sumu, meaning â€Å"to live.† The prosopopoeia is further intensified by the use of the word, kokoro. Although it is translated as â€Å"feelings† in the text, it may also be read as â€Å"heart†or â€Å"soul.† The poet’s impossible demand for the cherry blossoms not only reflects his remorse, but also informs the reader of the tr ansience and emptiness of life. As one cannot suppress the promised beauty of the cherry blossoms, one can never escape the passing of life. As Tsurayuki opined in his Kana Preface, the cares and deeds of men and women are endless. Yet there is an end to each and every man and woman and the ancient Japanese poets continued to find beauty in death through their myriad leaves of words. Though the autumn leaves will surely fall, the promised mists of spring will come and the fair hills of Yoshino will be adorned, once again, with cherry blossoms. Likewise, though the departed will go across the â€Å"mountain path† and the living will be in â€Å"dyed black,† the songs will live on until the end of time, shedding light into the Japanese heart of kokoro.

Public Health Information Systems Essay Example

Public Health Information Systems Essay Example Public Health Information Systems Paper Public Health Information Systems Paper Executive Summary The development of this White Paper has been facilitated by the Public Health Data Standards Consortium (PHDSC) 1 and the Integrating the Healthcare Enterprise (IHE). 2 The White Paper was developed by the participants of the PHDSC-IHE Task Force. The information in this document represents the views of the individual Task Force participants and may not represent the views of their organizations. The overall goal of this effort is to facilitate standardization of health information exchanges between clinical care and public health. The objective is to engage the public health community in a dialogue with health information technology (HIT) vendors to assure that the work processes and data needs of public health stakeholders in health information exchanges are 1) well understood and agreed upon by stakeholders themselves, and then (2) communicated clearly to the developers of the interoperable clinical Electronic Health Record (EHR) systems and Public Health information systems (EHR-PH Systems). The White Paper consists of three sections. The first section describes public health and population health practices of public health agencies that require health information exchanges with clinical care. The second and third sections describe Immunization and Cancer Surveillance domains in the IHE Technical Tasks for Information Exchanges outline. The Appendix section contains the description of examples of other public health domains (research, chronic care, personal health record, surveys, obesity, cancer, etc. ). The PHDSC-IHE Task Force participants believe that this effort will result in the formation of a Public Health Domain at IHE to begin collaboration between public health and HIT vendor communities to guide the development of the IHE Integration Profiles for the Electronic Health Record Systems to enable electronic information exchanges between clinical and public health settings. So, this White Paper serves as a framing document for the creation of the Public Health Domain at IHE. PHDSC and IHE invite public health experts to review the White Paper. During the review period, we would like to invite representatives of public health domains/programs to submit a description of their domains/programs using the IHE Technical Tasks for Information Exchange outline, so the final White Paper can include other examples of public health domains in addition to the immunization and cancer surveillance domains. This will help to identify potential public health domains/programs for the development of the IHE Integration Profiles in the upcoming year(s). We also would like to invite the reviewers to join our Task Force to participate in the formation of a Public Health Domain at IHE to begin collaboration between public health and HIT vendor communities to guide the development of the IHE Integration Profiles for the Electronic Health Record Systems, to enable electronic information exchange between clinical and public health settings. 1 2 Public Health Data Standards Consortium (PHDSC). URL: phdsc. org Integrating the Healthcare Enterprise (IHE). URL: himss. org/ASP/topics_ihe.asp 6. What is Public Health Mission The mission of public health is to protect the public from health threatening diseases, assure disease prevention by providing access to care for individual patients, promote and restore wellness, and â€Å"to assure the conditions in which people may be healthy. † 3 The patient-centric mission of public health is carried out using publicly-funded healthcare services. Vulnerable or at-risk patients may receive patient care services directly in their homes or at a health clinic funded by a public health agency. There are community health centers funded in the US by the Health Resources and Services Administration (HRSA) that provide a safety net for low income families. Public health funds may also be used to pay for and provide laboratory, pharmacy and other services for eligible populations. In this role, public health care is similar to private health care. The population-based mission of public health is carried out on various levels of government. The public health infrastructure includes agencies that operate on a local, state and/or federal level. In the US, there are 3000 local health departments, 50 state health departments and several federal health agencies, including the Centers for Disease Control and Prevention (CDC), Agency for Healthcare Research and Quality (AHRQ), Indian Health Service (IHS), and many others. In some states, the state health agency plays the key role in delivering services to communities; in other states, local health departments take the leading role. In some jurisdictions, public/private partnerships or other organizational entities may be involved in delivering public health services (e.g. , immunization coalitions – community-based groups that include parents). Stakeholders To fulfill its population-based and patient-centric mission, public health is represented by at least the following stakeholders: 3 Population at large Public health practitioners (including epidemiologists, environmental health specialists, health educators, public health nurses, administrators) Health care providers (including, but not limited to, publicly-delivered healthcare providers, e. g. , safety net clinic) Laboratories Payers Healthcare purchasers Pharmacies Other governmental agencies (e. g. , environmental, law enforcement) Professional Associations Research institutions Individual consumers, particularly vulnerable populations. Institute of Medicine. Future of Public Health. Report. 2002. 2nd edition. URL: iom. edu/? id=15251 7 Public Health Organization During the past 40 years, the population-based services of public health have been delivered using a categorical disease-specialized and services-specific domain approach. For example, public health agencies usually include the following programmatic areas and services: communicable disease control, lead poisoning prevention, vital registration, injury control, mental health services, substance abuse prevention and treatment, chronic disease prevention, newborn screening, immunizations, etc. (Tables 1 and 2). 4 This domain-specific organization of public health is supported by funding allocations that in turn shape the disease/domain-specific organizational structure of public health agencies, public health research activities, and workforce training. 5 Table 1. Personal Health, Population Level Assurance and Environmental Health Services Provided by Local Health Departments (LHD) 6 , 7 Personal Health Services Adult immunization Childhood immunization Tuberculosis treatment Sexually transmitted disease (STD) treatment Women, Infant Children (WIC) Family Planning Services Outreach and enrollment for medical insurance EPSDT LHDs Population Level LHDs Providing. Assurance Services Providing Service, Service, % % 91% Communicable 89% Disease surveillance 90% Tuberculosis 85% screening 85% Environmental Health 75% surveillance 61% High blood pressure 72% screening 67% 69% 58% Tobacco use  prevention HIV/AIDS screening 42% Blood lead screening 46%. Prenatal care Oral health care 4 40% Sexually transmitted disease screening Obesity prevention 31% Vector control Environmental Health Services Food service regulation Public swimming pool regulation Septic tank installation Schools/daycare centers LHDs Providing Service, % 76% 67% 66% 65% Private drinking water protection Lead inspections 57% 66% Hotels/motels regulation 49% 64% 39% 54% Campgrounds/ RVs regulation Smoke-free ordinances Groundwater / surface water protection 67% 56% 53% 38% 40% / 33% Lasker RD, editor. Medicine and public heath: the power of collaboration. 1997. New York, NY. Burke TA, Shalauta NM, Tran NL, Stern BS. The environmental Web: a national profile of the state infrastructure for environmental health and protection. J Public Health Manag Pract; 3(2):1-12. 6 Scutchfield, F. D. , Keck, C. W. Principles of public health practice, 2nd ed. 2003. Thomson/Delmar Learning: Clifton Park, NY. 7 2005 National Profile of Local Health Departments, National Association of County City Health Officials, July 2006. www. naccho. org 5 8 Personal Health Services Obstetrical care LHDs Population Level Providing Assurance Services Service, % 32% Diabetes screening Laboratory services 32%. Home health care School-based clinics 28% 25% HIV/AIDS treatment 26% Correctional health 20% Comprehensive primary care Behavioral/mental health services Substance abuse services Emergency medical services 14% 13% 11% 7% Unintended pregnancy prevention Cancer screening School health activities Chronic disease surveillance Injury control Cardiovascular disease screening Behavioral risk factors surveillance Syndromic surveillance Substance abuse prevention Violence prevention Injury surveillance Mental illness prevention LHDs Environmental Providing Health Services Service, % 51% Public drinking water protection 51% Health-related facilities regulation 46% Food processing 41% Mobile homes / housing inspections 41% Indoor air quality activities 40% Solid waste disposal regulation 36% Tobacco retailers LHDs Providing Service, % 30% 30% 30% 29% 29% 28% 21% 36% Animal Control 21% 33% Hazardous material response Hazardous waste disposal Land use planning Noise pollution Occupational safety health activities Radiation control 19% 26% 25% 24% 14% 18% 16% 14% 12% 10% 9 Table 2. Examples of Healthcare and Public health Responsibilities of State Health Departments (SHD) 8 Responsibilities SHDs Responsibilities SHDs Providing Providing Service,% Service,%. Healthcare Responsibilities Public health laboratory 79 Medical examiner 21 Rural health 79 State mental health authority 19 Children with special healthcare 77 State public health licensing agency 17 needs Minority health 72 State mental institution or hospital 17 Institutional licensing agency 60 Partial/split responsibility for 17 Medicaid State health planning 53 Medicaid state agency 15 development agency Partial/split leadership of 51 Lead environmental agency 15 environmental agency Public health pharmacy 34 State tuberculosis hospital 15 State nursing home 28 Health insurance regulation 15 Public Health Responsibilities. State public health authority 97 Disaster Preparedness 77 Newborn Screening 100 Perinatal Epidemiology 77 Immunizations 87 Violence Prevention 68 Bioterrorism 89 Emergency Medical Services 64 Regulation and Service Provision Injury Control Epidemiology 87 Quality Improvement or 62 Performance Measurement Injury Control Prevention 87 Toxicology 57 Breast and Cervical Cancer 87 Breast and Cervical Cancer 45 Screening Treatment Chronic Disease Epidemiology 85 Radon Control 55 Tobacco Control and Prevention 83 Institutional Review Board 45 State Title XXI Children’s health 28 Cancer Epidemiology 83 Insurance Initiative Environmental Epidemiology 79 8 Beitsch LM et al. Structure and functions of state public health agencies. APHA. 2006:96(1):167-72 10 Public Health Functions As a health care provider, public health clinics carry out all functions of a health care delivery system. As a governmental agency, public health is mandated to protect and improve the health of all people within a legal jurisdiction. It regulates healthcare services and coordinates healthcare delivery and resources allocation. The activities of public health agencies are focused on the following three core functions and ten essential services 9 , 10 : Assessment Monitor health status to identify community health problems; Diagnose and investigate health problems and health hazards in the community; Evaluate effectiveness, accessibility, and quality of personal and population-based health services; Research for new insights and innovative solutions to health problems Policy development and implementation Develop policies and plans that support individual and community health efforts Inform, educate, and empower people about health issues Mobilize community partnerships to identify and solve health problems Assurance Enforce laws and regulations that protect health and ensure safety Assure a competent public health and personal health care workforce. Link people to needed personal health services and assure the provision of health care when otherwise unavailable Public Health Data Sources Individual-patient clinical data comprises a large portion of data used to conduct communicable disease surveillance, case investigation, case management, and care coordination. Aggregated clinical data are used to perform surveillance to detect public health threat events and monitor the population’s health status. To fulfill the goal of protecting the public’s health, health care providers and public health agencies need the capability to exchange pertinent health information about individuals and communities. In addition to clinical data, other data sources are needed for public health decision making. For example, public health practitioners use environmental data, housing data, socio-economic data, geographic data, as well as information generated from surveys and research activities to meet the goals of public health programs. 11 9 Institute of Medicine. Committee for the Study of the Future of Public Health, 1988. Public Health Foundation. URL: www. health. gov/phfunctions/public. htm 11 Yasnof W, Overhage J, Humphrey B, LaVenture M. A national agenda for public health informatics. J Am Med Inf Ass 2001;8(6):535s of Domains, Stakeholders, Functions, Services Interventions, Data Sources Public Health Domains Stakeholders Infectious diseases Injury/Trauma Sexually transmitted diseases Consumer product safety Environmental health Occupational health Substance abuse. Mental health Chronic diseases Bioterrorism Disability Elected official Policy maker Health Department Researcher Private sector Clinician Educator Citizen Community Population Communitybased organizations Core Public Health Functions Assessment Policy development and implementation Assurance Essential Services Interventions Data Sources Data Types Monitoring Surveillance Screening Survey Risk assessment Policy research Policy development and implementation Regulation Outreach Case management Advocacy Social Marketing Education Evaluation Physician’s office patient medical record Registries Patient hospital records Emergency. Medical Services records Governmental regulations and guidelines Research databases Peers of Public Health Domains/Programs. 1 Research 6 Trauma Registries 2 Personal Health Record (PHR) 7 Chronic Diseases 3 Cancer Surveillance 8 Birth and Death Registries 4 Patient Safety and Population Health Perspectives 9 Obesity 5 Surveys 12 Orlova AO and Lehmann HR. A UML-based meta-framework for system design in public health informatics. AMIA 2002 Symposium Proceedings, November 9-13, San-Antonio, TX: 582-586. 12 Health Information Technology in Public Health For many decades, public health agencies and research institutions have been utilizing information technology (IT) to facilitate data management activities (data gathering, analysis, reporting, etc.). Public health information systems are created to support specific needs of disease-specific program areas within health departments, i. e. , newborn screening, birth defects, vital registration, immunization, communicable disease surveillance, chronic disease surveillance, school health, injury prevention, preparedness, etc. (Tables 1 2). These systems deploy various software products that are often custom-made and are not interoperable. Many of these systems contain redundant data; however, the varying data formats and standards preclude data integration across systems for public health decision support and research. These sytems lack the ability to provide real-time data back to providers for care coordination and disease prevention. The sections below describe the public health data gathering activities of clinical data that represent the major portion of public health data of interest. Current Practices on Data Reporting from Clinical Settings to Health Department Programs Most public health information systems are populated with data reported by health care providers. There is mandatory data reporting to CDC on 62 notifiable infectious diseases across all 50 states in the US 13 . This data is reported by clinicians to their local health departments. The latter reports this data to the state health department that in turn reports this data to CDC. In addition, various jurisdictions require clinicians to also report data on the conditions that are of interest for a specific jurisdiction (reportable conditions). Besides infectious disease reporting, various other public health programs receive data from clinician, e. g. , immunization registries, chronic disease registries, etc. In some jurisdictions, clinicians are expected to report data to both their local health department programs and their state health department programs. In many jurisdictions, data is currently reported using paper forms sent by fax or mail. For example in one state, providers (primary and emergency physicians) need to report data on 62 notifiable (mandatory) conditions and 32 reportable (state-specific) conditions using (a) over 50 various disease-specific Adobe Acrobat-generated paper forms required by the state communicable diseases surveillance system. This is in addition to providing data to other numerous programs maintained by the state health department. Lack of integration and interoperability across public health systems leads to the duplication of efforts and frustration among providers and consumers asked to provide the same information on multiple forms of varying formats to various programs. None of these activities are reimbursed by health insurance. According to the national data, public health data systems currently suffer from limitations such as underreporting (only 49% of cases are getting reported to public health agencies), 14 , 15 lack of 13 Centers for Disease Control and Prevention (CDC). Nationally Notifiable Infectious Diseases. URL: cdc. gov/EPO/DPHSI/phs/infdis. htm 14 Campos-Outcalt D, England R, Porter B. Reporting of communicable diseases by university physicians. Public Health Rep 1991;106:579-583. 15 Marier R. The reporting of communicable diseases. Am J Epidemiol 1977;105:587-590. 13 representativeness, lack of timeliness, inconsistency of case definitions across systems, inability to integrate data across the systems, etc. 16 , 17 Figures. 1a-d present schematic views of paper-based data reporting by healthcare providers to various public health data systems at the State and local levels. These views may also be applicable to any web-based data reporting to individual public health data systems maintained by the programs. EHR-based Health Information Exchanges between Clinical Care and Public Health Because of the automation of clinical data – inpatient and increasingly outpatient – via the Electronic Health Record Systems (EHRS), public health programs stand at the threshold of change in the way in which they gather programmatic data. Many of the information systems used by local health departments are not capable of exchanging data through RHIOs or with health care service delivery agencies. Many of them are not capable of sending/receiving HL7 messages and cannot or do not comply with other nationally accepted vocabularies and standards. In addition, many of the systems are not configured to serve as an electronic medical record to receive information from physicians; this restricts their ability to contribute to a longitudinal health care record for those clients for whom they serve as a primary care provider Nationally, electronic health record systems are beginning to be certified taking into account these considerations. The issue of compatibility/interoperability of these systems with public health systems to be able to send, receive and exchange relevant data for both public health and clinical practice needs to be addressed. 18 16 Centers for Disease Control and Prevention (CDC). Lesson Five: Public Health Surveillance. Principles of Epidemiology in Public Health Practice. Third Edition (Print-based). 336-409. Available at: cdc. gov/training/products/ss1000/ss1000-ol. pdf. Last accessed November 29, 2006. 17 Konowitz PM, Petrossian GA, Rose DN. The underreporting of disease and physicians’ knowledge of reporting requirements. Public Health Rep 1984;99:31-35. 18 Laverne Snow. Personal Communications. June 9, 2007. 14 Health Education/Risk Reduction Genetic Disorder Communicable Diseases Communicable Diseases Vital Statistics Provider 1 Provider 1 Immunization Provider 2 Immunization EPSDT Provider 3 Lead and Environmental Epidemiology Provider 2 Injury Control Injury Control Provider 3 School Health Provider 4 School Health Chronic Care Chronic Care Provider 4 Biosurveilance, BT, Preparedness Biosurveilance, BT, Preparedness WIC Provider X WIC Occupational Safety and Health Public Health Laboratory Provider X HEDIS Cancer a b Genetic Disorder Genetic Disorders Vital Statistics Health Education/Risk Reduction Provider 1 Communicable Diseases Provider 2 Immunization HRSA Communicable Diseases Provider 1 AHRQ Lead Registry Immunization Provider 2 Provider 3 Vital Records Injury Control Injury Control School Health School Health Chronic Care Chronic Care Biosurveilance, BT, Preparedness Biosurveilance, BT, Preparedness WIC WIC Public Health Laboratory Occupational Safety and Health HEDIS Provider 4. Provider X CDC Injury Control Immunization EPSDT Provider 3 Communicable Diseases Provider 4 School Health Chronic Care Biosurveilance, BT, Preparedness Provider X HEDIS Cancer c d Fig 1. Paper-Based Data Reporting by Health Care Provider to Various Public Health Data Systems: a Provider’s Data Reporting to Local Health Department Data Systems; b Provider’s Data Reporting to State Health Department Data Systems: c Provider’s Data Reporting to Local and State Health Department Data Systems; d Multiple Providers Data Reporting to State Health Department Data Systems. 15 â€Å"Many public health agencies are examining their existing information systems and seeking to improve their ability to support programmatic needs to detect, assess, and respond to a range of threats to the public, including infectious diseases, pandemics, such as avian flu, bioterrorism, and chronic diseases such as obesity, diabetes and asthma. The challenges of transitioning from a paper environment to an electronic environment involve rethinking the workflow, staff skills, resources, habits, and culture of an organization†. 19 Electronic transmission of data from the clinical care settings to public health agencies via EHRS is essential to (1) support key public health functions and services and (2) supply public health data repositories, e. g. , registries, research databases, etc. , for aggregated analysis of the health status of populations. 20 Provision of real-time aggregated community-level information back to providers bi-directional EHRS-based data exchanges between public health practitioners and clinicians will inform clinical decision support, improve care coordination and response capabilities to a public’s health threat event. The integrated Electronic Health Record-Public Health (EHR-PH) systems will become the backbone of a NHIN and regional HIEs. Fig. 2 represents a schematic view of the difference between the current public health data reporting mechanism (Fig. 2a) and the future standardized EHR-PH health information exchange (Fig. 2b). When the EHR-PH connectivity is completed, various public health data systems will be able to electronically receive data from clinical EHRS, so when an authorized provider enters patient data into his/her EHRS, various public health programs as authorized users can receive/retrieve/view/access their data of interest. 21 To facilitate the development of interoperable EHR-PH systems there is a need for standardization of health information exchanges across the clinical and public health enterprise. The US Health Information Technology Standards Panel (HITSP) 22 identified the following categories of standards for system interoperability: 1. Data content standards, i. e. , vocabularies and terminology standards (CDA2, SNOMED, ICD, X12, NCPDP, Omaha, etc. ) 2. Information content standards (Reference Information Models (RIMs) standards) 3. Information exchange standards, e. g. , messaging standards (HL7) 4. Identifier standards, e. g. , National Provider Identifier (NPI) standard 5. Privacy and security standards the US Health Insurance Portability and Accountability Act (HIPAA) privacy regulations provide a framework to protect privacy 19 Common Grounds: Transforming Public Health Information Systems. Robert Wood Johnson Foundation. 2006 Call for Proposals. URL: rwjf. org 20 Public Health Data Standards Consortium. Electronic health record-public health perspectives. White Paper. PHDSC Ad Hoc Task Force on the Electronic Health Record-Public Health. March 9, 2004. : 27p. plus 9 Attachments. URL: phdsc. org/knowresources/papers/docsandpdfs/PHDSC_EHRPH_WhitePaper2004. pdf 21 Orlova AO, Dunnagan M, Finitzo T, Higgins M, Watkins T, Tien A, Beales S. An electroninc health recordpublic health (EHR-PH) system prototype for interoperability in 21st century health care systems. Am Med Inform Assoc. (AMIA), Annual Symposium, Proc. , 2005. 22 Health Information Technology Standards Panel (HITSP). American National Standards Institute (ANSI). URL: amsi/org/hitsp 16 confidentiality of personal information; however, they do not cover all potential actors in health data exchanges. 23 6. Functional standards, i. e. , workflow/dataflow standards 24 7. Other, i. e. , information technology infrastructure standards, interoperability standards (IHE). HIE Genetic Disorders Communicable Diseases Provider 1 Immunization Provider 3 Communicable Diseases CDA2 Provider 2 Vital Records Provider 1 Genetic Disorders HL7 Provider 2 Immunization Vital Records Provider 3 Injury Control Provider 4 X12 Injury Control Provider 4 School Health School Health NCPDP Chronic Diseases Chronic Diseases Provider X Biosurveilance, BT, Preparedness Provider X Biosurveilance, BT, Preparedness, Syndromic Surveillance LAB IHE HEDIS HEDIS a b Fig. 2. Health information exchanges between clinical care and public health agency: a – current paper form – based information exchange; b – standardized EHR-PH –based information exchange. Fig. 2b presents examples of standards (CDA2, HL7, X12, NCPDP, IHE) that the EHR-PH HIEs will have to support. To help facilitate the development of the standardized EHR-PH health information exchanges, it is critical to start a dialogue between the public health community and EHRS developers to assure that the work processes and data needs of public health stakeholders are well understood and agreed upon by stakeholders themselves and then communicated clearly to the developers of the interoperable EHR-PH systems. The section that follows presents two examples of the beginning of this dialogue by describing one of the public health domains in the IHE suggested framework for the technical tasks for information exchanges. 23 See ncvhs. hhs. gov/060622lt. htm Developing a Vision for Functional Requirements Specification for Electronic Data Exchange between Clinical and Public Health Settings: Examples of School Health and Syndromic Surveillance in New York City. Public health Data Standards Consortium. 2006, 40p plus attachments. 24 17 Technical Tasks for Information Exchanges: Examples of Public Health Domains IHE provided a list of Technical Tasks for the description of the information exchanges related to a domain as follows: 1. What is ? 2. Who are Stakeholders? Technical Tasks for Information Exchanges 3. Expressing the criteria 4. Selecting a site 5. Identifying a patient meeting certain criteria 6. Retrieving additional data elements (queries) 7. Reporting data elements (notifications) 8. Data review/feedback (filters) 9. Analysis/evaluation 10. Mapping 11. Aggregation/Reporting 12. Communication We used Immunization and Cancer Surveillance as examples of public health domains (Tables 1 2) and have attempted to describe them in terms of the IHE proposed technical tasks for information exchanges between clinical and public health EHR-PH systems. The section below includes the descriptions of the existing use cases and standards identified by the immunization domain and cancer surveillance experts to date as well as the existing IHE profiles applicable to these domains. It also includes the list of existing and emerging standards and possible future IHE profiles needed to meet the EHR of Immunization Domain 1) What is the Immunization Domain? Immunization is critical to control many infectious diseases including polio, measles, diphtheria, pertussis (whooping cough), rubella (German measles),

Regulation of Physiological Process by Thyroid Hormones Essay

Regulation of Physiological Process by Thyroid Hormones - Essay Example On the other hand, each function may be controlled by several hormones, which act in concert. The secretion of the hormones in a normal human being is mainly based on negative feedback control, most of which involves the hypothalamic-pituitary axis that detects changes in the concentration of hormones secreted by peripheral endocrine glands. The hormones may also be secreted in response to changes in a controlled variable (Nussey & Whitehead 2001). The following examples illustrate as to how hormones regulate physiological function. The thyroid hormones, namely, thyroxine (T3) and tri-iodothyronine (T4) are secreted by the thyroid gland. They stimulate the oxygen consumption of most of the cells of the body, help in the regulation of lipid and carbohydrate metabolism, and are essential for normal growth and maturation. The thyroid hormones enter the cells after which T3 binds to the thyroid receptors in the nuclei. T4 binds, but not avidly. The thus formed hormone-receptor complex then binds to DNA via zinc fingers and affects the variety of different of different genes that code for enzymes which regulate cell function. The main physiological effect of thyroid hormones is calorigenic action (Ganong 2003). The hormones increase oxygen consumption of most of the tissues in the body except brain, testes, uterus, lymph nodes, spleen and anterior pituitary. The hormones also increase the metabolism of fatty acids. Due to increased calorigenic action, nitrogen excretion is increased and endogenous protein and fat st ores are metabolized, which may lead to weight loss. The hormones also cause hepatic conversion of carotene to vitamin A. Other functions include an increase in cardiac output by direct action on the heart and also by activating heat dissipation mechanisms. The pulse pressure and heart rate are also increased, thus shortening circulation time. In the central nervous system, the thyroid hormones increase the responsiveness of the brain tissue to catecholamines, thus activating the reticular activating system. The hormones also affect brain development and reflexes. They increase the rate of absorption of carbohydrate from the gastrointestinal tract.

The Reasons of Abolishing Marriage Essay Example | Topics and Well Written Essays - 750 words

The Reasons of Abolishing Marriage - Essay Example The other thing that is proposed by the author of the article is to allow marriage between two men of the same sex, to let three men get married, or let a person marry himself etc. This argument destroys the notion of a civil marriage as of a cell integrated into the society and, to some extent, detached from the adjacent cells. It is necessary to have a definition of what marriage is, of the relations that connect the spouses and the nature of the relations between them. Originally the marriage as the social institution was seen as a union of a man and woman who love each other and join to live together and give birth to children. This understanding of the marriage and family defined traditional state policies that are directed to the support of families and the kids. In case this traditional notion of the marriage is lost, the social system of supporting the family will be destroyed and replaced by nothing. The sense of a family as regards to the society in general will be lost als o. As the author admits, the abolishing of the civil marriage may lead to a mess in the sphere of the relations between the members of the family in case of living together, as well as in case of divorce. Moreover, it would be impossible to define the degree of the responsibility that in civil marriage lies upon the parents towards their children. The questions concerning the inheritance often confuse the judges at present, so it is impossible to conceive what the situation would be when nobody knows what relations connect the members of the so-called family.