The Future Of The Web - 1074 Words

The future of the web relies on open web standards. Discuss. Introduction The Internet is an amazing space of creativity and originality. As the years go on, and the Internet is becoming more integral in the modern world, this means that a few believe that the creators of the content should follow rules. These rules are further to help cover web developers with open source development. This essay will discuss what open web standard is, who is the organization around it, and what can be taken from these policies. What is Open Web Standard? The first question to be raised about this topic is what exactly is open web standard. Well, the standards come from the World Wide Web Consortium (W3C). The W3C standards are â€Å"for application†¦show more content†¦However, web standards are not the Internet equivalent of law. It is more of code that is widely popular among websites. These website help each other to create a better product for the user. â€Å"we’ve built web technologies in the bazaar-style of the open source development ethos, but standardizing those technologies is a cathedral-building activity†. (Burson, 2015) If one were to break down this statement by Burson, it would show several key points. The term open source development shows that multiple developers work together on the same source to solve their issues. Claiming that this is ‘cathedral-building activity’ is to show that these cathedrals help users to capitalize on standardization. What Do The W3C Want? Arguably the main organization for web standards, The World Wide Web Consortium is the top advocate for the standards. This is an organization that wants to lead the Internet to its full potential. In other words, this group wishes to create a social value for the Internet. As well as, making the Internet available to people around the world without discrimination. (W3C) Benefits Of Open Web Standards Now that the general idea of open web standards is understood, another question to be asked is what are the benefits of this? Well there are several answers to that question. The most common would be cost; mainly that one could save on cost. If one compares the web standards to older style websites it can save cost by

Transcendentalism And Ralph Waldo Emerson And Henry David...

There have been numerous religious rebellions throughout history, but none quite like that of Transcendentalism. This movement embodies the idea that spiritual growth can be achieved through personal journey instead of conflicting with organized religion. By the time of the movement’s onset, newly gained religious freedom in the United States allowed for new ideas and beliefs to prosper freely. At the heart of this movement was Transcendentalism philosophy famous ambassadors, Ralph Waldo Emerson and apprentice Henry David Thoreau. These men believed nature is what forces us not to depend on other ideas but to develop our own. Born in Boston, Massachusetts on May 25, 1803 as the fourth child in a family of eight, Ralph Waldo Emerson was†¦show more content†¦Ralph Waldo Emerson and Henry David Thoreau expressed their feelings, doubts, and predictions about the current state of the American people in the 19th century in individually written essays. Henry David Thoreaus Walden and Ralph Waldo Emersons Nature, represent parallel beliefs concerning simplicity, material goods and the power of the individuals mind and spirit. â€Å"In the presence of nature, a wild delight runs through the man, in spite of real sorrows. Nature says, -- he is my creature, and maugre all his impertinent griefs, he shall be glad with me† (Nature) How can you really know yourself when you are being socially defined by the people and material objects that surround you? Although Ralph Waldo Emerson and Henry David Thoreau shared similar views and beliefs relating to Transcendentalism, the approach each author took in writing and making the ideas that were so important and concrete was not always so closely related. Thoreaus argument calls for less government and more independence while Emersons consistence need for more self-reliance and independence from others. Thoreau viewed God as the higher authority over government, â€Å"The church is a sort of hospital for mens souls and as full of quackery as the hospital for their bodies.† (Walden) In Self-Reliance, Emerson express the idea that the individual should be completely reliant on God. â€Å"When a man lives with God, his voice shall be as sweetShow MoreRelatedTranscendentalism : Henry David Thoreau And Ralph Waldo Emerson847 Words   |  4 PagesTranscendentalism relates to freedom in several ways. Freedom is the power or right to act, speak, or think as one wants without hindrance or restraint. Ralph Waldo Emerson and Henry David Thoreau are two transcendentalists that have different views on freedom. Our project, representing freedom, shows a person how to live his or her life in a way of freedom shown by Emerson and Thoreau. Together, we did research on the transcendentalists: Henry David Thoreau and Ralph Waldo Emerson. We studiedRead MoreTranscendentalism : Ralph Waldo Emerson And Henry David Thoreau967 Words   |  4 PagesRalph Waldo Emerson and Henry David Thoreau are two of the most inspiring and accomplished writers to ever walk upon this Earth. They dared to question how people lived and how people should live. They were light years ahead of their time with their transcendentalist ideas. Transcendentalism can be defined by this quote, â€Å"People... have knowledge about themselves and the world around them that transcends... what they can see, hear, taste, touch or feel†(History). This is a perfect explanation forRead More Ralph Waldo Emerson and Henry David Thoreau as Fathers of Transcendentalism730 Words   |  3 PagesRalph Waldo Emerson and Henry David Thoreau as Fathers of Transcendentalism Transcendentalism was a movement in writing that took place in the mid-nineteenth century. It formed in the early to mid nineteenth century and reached it climax around 1850 during an era commonly referred to as the American Renaissance, America’s Golden Day, or the Flowering of New England. The basic tenets of Transcendentalism involve the relationships between one’s self and the world at large. First, the searchRead MoreThe True Transcendentalist: Thoreau and Emerson775 Words   |  3 Pagesemotion, individuality, and nature. But one of the greatest literary movements the one that will be focused on is transcendentalism. Transcendentalism is intuition and individual conscience that helps lead to the truth. When transcendentalism began to start two people played a major role Ralph Waldo Emerson and Henry David Thoreau, but who is truly a transcendentalist. Ralph Waldo Emerson was born in Boston, Massachusetts on May 25, 1803. His father was a minister as well as seven of his male familyRead MoreEarly American Transcendentalism1204 Words   |  5 PagesEarly American transcendentalism has one of the greatest influences towards American society because it is not only a philosophy, but also a religion and physical progression. During the early nineteenth century, Ralph Emerson, Henry Thoreau, and other radical individuals challenged the present day theories of values, ethics, and what it means to live life to the fullest (Timko). If early American transcendentalists were living among civilians today, would present day civilians think the earlierRead MoreRalph Waldo Emersons Connection To Transcendentalism1223 Words   |  5 PagesI have chosen to write about a Massachusetts-born American poet and essayist Ralph Waldo Emerson who was part of the Transcendentalist movement which geared philosophical thinking that involved viewing wome n as equal. Philip F. Gura, Transcendentalism and Social Reform, History Now, assessed May 14, 2017, https://www.gilderlehrman.org/history-by-era/first-age-reform/essays/transcendentalism-and-social-reform. Emerson s support for women s suffrage prompted him to write A Reasonable Reform toRead MoreTranscendentalism : The And The Movement1027 Words   |  5 Pages Transcendentalism Web Quest Directions: Research the answers to these questions online using reputable websites. As you work, copy and paste the website URLs that you use at the bottom of this document (you do not need to create a Works Cited page). Type your answers into this document. Make sure that all of your answers are in your own words. You will be submitting this document via www.turnitin.com and need to be sure that you are not plagiarizing. If you plagiarize from an online source orRead MoreThe Literary Movement of Transcendentalism Essay examples872 Words   |  4 Pages nbsp;nbsp;nbsp;nbsp;nbsp;Transcendentalism was a literary movement in the first half of the 19th century. The philosophical theory contained such aspects as self-examination, the celebration of individualism, and the belief that the fundamental truths existed outside of human experience. Fulfillment of this search for knowledge came when one gained an acute awareness of beauty and truth, and communicated with nature to find union with the Over-Soul. When this occurred, one was cleansed ofRead MoreThe Views Of Nature Expressed By Emerson And Thoreau848 Words   |  4 PagesAnalyze the views of nature expressed by Emerson and Thoreau in this week’s readings. Then compare and contrast them to one another. You might also want to apply these themes of nature overall thought of the Transcendentalists as a genre or discipline. Transcendentalism reports an easy idea that people fairly and evenly have ability about themselves, what’s around them and that goes above, â€Å"transcends† what people can do beyond their five senses. There are people that believe in themselves to endureRead MoreTranscendentalism and Transcendental Meditation1471 Words   |  6 PagesTranscendentalism and Transcendental Meditation The Transcendentalist adopts the whole connection of spiritual doctrine. He believes in miracle, in the perpetual openness of the human mind to new influx of light and power; he believes in inspiration, and in ecstasy.(Emerson 196). These two lines written by Ralph Waldo Emerson exemplify the whole movement of transcendentalist writers and what they believed in. Though to the writers, transcendentalism was a fight for a belief, unknown to them

Ethics and Mental Health for Deinstitutionalizing -myassignmenthelp

Question: Discuss about theEthics and Mental Health for Deinstitutionalizing. Answer: Introduction Deinstitutionalizing began in the1960s when the people diagnosed with a developmental disability or mental disorder were placed in communities with mental health services rather than psychiatric hospitals [20,21,24]. Leon Eisenberg a renowned psychiatrist has said that deinstitutionalization has been beneficial for the mentally ill. This can be supported by a recent study done by Steven P. Segal,M.S.W., Ph.D.,Stephania L. Hayes,M.A., O.T.R.,Lachlan Rimes,B.A. under the title The Utility of Outpatient Commitment 2. Mortality risk and protecting Health, Safety, and Quality of life. In this study, Steven P. Segal along with his colleagues assessed the outpatient communities in Australia. They found out that there was a notable low mortality risk and the quality of life was enhanced in the case of the mentally ill in comparison to the psychiatric hospitals. As through this government policy, the mentally ill were able to move out of the insane asylums run by the government and were able to live in community health care centers. So according to the definition of deinstitutionalization, it is not the reduction of the hospital censuses but it is the extension of the alternate services beyond a hospital setting. Although the closing of the psychiatric hospitals is the main part of this process it is only a part of the process. It is not all that deinstitutionalization stands for. Therefore this statement Since the closure of mental institutions, the community has been over-run with dangerous people who do not get the care they need. Like it or not, they need to be kept separately from the rest of the community for everybodys good is neither completely false nor it is completely true in nature. Deinstitutionalization has had three components firstly it is the release of the mentally ill from psychiatric hospitals to communities with alternative facilities, secondly ensuring that new admissions are not made to these alternative facilities and thirdly provision of the car e that these noninstitutionalized mentally ill need in these communities. Through these components, we can see that the last one is the most important. The altered life circumstances for these mentally ill will need new changes and configurations in the health services that they need. Therefore the statement made by the member of the parliament shows how he is fearful that our community is over-run by the mentally ill. But what it is pointing out clearly is that these mentally ill are not getting the care they deserve in these alternate services. It is showing how the government has failed to provide the care that these people need in a community care setting. [11] Body Throughout the world, the process of deinstitutionalization has been given mixed reviews. In order to understand deinstitutionalization, we need to see what scientific and societal changes led to this process [17].Firstly the scientific discoveries of many psychiatric drugs helped to treat the mentally ill. Secondly, which is quietly debatable even now, the society understood that the mentally ill do not need to be locked but should be treated for their illness. Thirdly federal funding with programs like Medicare and Medicaid were sourced for community health centers for the mentally ill rather than psychiatric hospitals. It must be understood that the first and the second component of deinstitutionalization which are release of the mentally ill from psychiatric hospitals to communities with alternative facilities, secondly it is ensuring that new admissions are not made to these alternative facilities did rapidly proceeded than the third component which is provision of the care that these noninstitutionalized mentally ill need in these communities. The President of the American Psychiatric Association Dr. John A. Talbott who states how the psychiatrists that were involved in the formation of the policies related to deinstitutionalization, oversold the certainty of the community treatment which at present is hurting the credibility of this process. The widespread scientific discoveries in the 50s and 60s including penicillin to treat psychosis led to the leaders in being prodded to take action in believing that mental illness is far more prevalent in the society than it was first thought. This is completely true that mental illness is prevalent in our society in far more numbers than it was believed earlier. But the degree and symptoms of each mental illness vary greatly. While depression and anxiety are also termed as mental illness PTSD or Post Traumatic stress disorder is also a form of mental illness that may have violent episodes. The growing political and economic liability that the legislators were facing due to the taxes being used to support the mental institutions was a final push for deinstitutionalization. The extravagant claims that were made by the psychiatrists for the community health care centers for the mentally ill, only added to the urgency to create it. The scientific professional community has had made a mistake of being overly optimistic and the political community was all about saving money. The statement Tranquilizers became Panacea for the mentally ill is quite apt for this change. The rationale to pursue deinstitutionalization had elements of pragmatism and idealism that reflect the concern for the wellbeing of the mentally challenged and ill. Many assumptions were made for the community based mental health care as for how this will be more humane than the psychiatric hospital care. This has proved to be quite true as studies such as The Utility of Outpatient Commitment 2. Mortality risk and protecting Health, Safety, and Quality of life conducted by Steven P. Segal,M.S.W., Ph.D.,Stephania L. Hayes,M.A., O.T.R.,Lachlan Rimes,B.A show [18]. But these assumptions had to be empirically tested as they cannot be realized until the severally mentally ill are included in the data pool. How will we realize whether they are being given the adequate and mandatory resources that are needed to implement these services? Secondly, it was assumed that the community-based health care centers will prove to be cost-effective in comparison to the psychiatric hospitals. Now has b een seen that there are numerous hidden costs associated with these community-based health centers that were firstly ignored. It is crucial that not all of the psychiatric hospitals are closed as it is important to acknowledge that these alternative services require a structural overhaul to ensure that they are providing comprehensive and intensive care in a setting that is not like a psychiatric hospital. When the three components of deinstitutionalization are concurrently implemented it can result in being beneficial for the mentally ill. As the quality of care for these people is improved substantially and they experience a greater satisfaction in their everyday life. They obtain a certain normality in their life even after suffering from these illnesses. They are able to live independently to a certain degree and are numerous times are employed in the society thus making them productive to the society. But these positive developments cannot be applied to all mentally ill individ uals. The severely mentally ill these new long-term community dwellings could be extremely challenging to sustain on their own. Numerous individuals will get easy access to drugs and alcohol which can make the conditions worse for their recovery and symptoms. There are concerns about the severely mentally ill who would have access to the community and society after living for many years in the psychiatric hospitals. Lets take the example of people who suffer from bipolar disorder, major depression, schizophrenia and schizophrenia disorder. These people have been in hospitals for long and are passive to a point where they are used to following orders. In a community setting these people have sufficient structure and support to tend and cater to their needs. They have their sanctuary.[22] It is not always that these mentally ill people are rehabilitated peacefully in the community. That is where the problem arises and the statement like these Since the closure of mental institutions, the community has been over-run with dangerous people who do not get the care they need. Like it or not, they need to be kept separately from the rest of the community for everybodys good is made [4,6]. Many of these individuals pose new challenges to the clinicians and planners as they suffer from side effects of psychoactive drugs such as denial, and fear of tardive dyskinesia [14]. In a state of denial, a mental patient is skeptical about his or her treatment. Mentally ill are also admitted to the criminal justice system but due to deinstitutionalization number of these people are in the society. So when these circumstances along with a shortage of resources are mixed it results in shunting of the mentally ill. The society already has a low tolerance for the mentally ill as we have see n cases where even minor offence by mentally ill have resulted in arrest and incarceration. Many of these offence are often the results of manifestations of their illness. Through deinstitutionalization, we have developed a heightened awareness for the mentally ill. We want to be more humane and understanding towards them. Mental illness varies in a great degree and so is their ability to handle unpredictability and stress. Therefore the kind of programs that would help them varies according to their needs. These needs could range from either living alone, needing psychiatric interventions, would be better in living in a residential setting or less invasive care. Whether they would be able to work also depend on the degree of their illness. [19] The service planners have grouped the mentally ill as a one, asking a single question What should be done for the mentally ill?. The focus is on individual need and rehabilitation or should we rephrase this question as what should be done for this person who is suffering from a mental illness?. It is crucial to understand that some of the mentally ill need the hospital care and deinstitutionalization is not a replacement for the care some need. Deinstitutionalization was introduced to eliminate the countertherapeutic practices that were being followed in the psychiatric hospitals but we do not need to eliminate these hospitals altogether. Unfortunately, the initial planning and implementation of these community centers were based on the assumption that we would no longer need any extensive resources for these mentally ill who need inpatient care. But experience has clearly shown that severely mentally ill need the hospital care for long periods of time and sometimes it could last the ir lifetime. The number of patients admitted to these hospitals precisely depends on the alternative services given in these facilities. So if these facilities have an array of integrated community based services and excellent infrastructure to support it tradeoffs are possible. Where the patients that are recovering well from their symptoms can be shifted to these facilities from the hospitals. For the success of deinstitutionalization we need to know that hospitals and these alternative services have to go hand in hand. Mental health professionals have an ethical obligation to respond to the stigma and discrimination that the mentally ill face in our society [16]. If a member of the parliament will make statements like these the people would feel that mentally ill are dangerous for the society and should be locked. This mistreatment for the mentally ill strips them of the expectation and hope they need to recover from their illness [13]. In this essay, we have studied how deinstitutionalization is helping the mentally ill by giving them a better quality of life and giving them a certain degree of independence. Some are even working and adding as a productive member of the society. We even learned how all mentally ill cannot be grouped as one group. Therefore it is necessary that the mental health professionals educate the people and community about this. They need to educate people that a mentally ill person has equal rights for getting treated and to be treated with respect in the society. In a rep ort by the NIMHE or the National Institute of Mental Health in England, it was stated that recovery for the mentally ill depends on many factors. Factors such as family support, community involvement, minimization of the stigma associated with their illness, clinical care, any meaningful activity or work and peer support. Many of these factors are community-based. These interventions need the support of the community. Counselors and educators are needed in the community to minimize the discrimination that the mentally ill face [3]. Approaches to the assertive community treatment where a team of multidisciplinary professionals work in a community setting for the recovery of a severely mentally ill (SMI) are needed [7]. Through these approaches and models, we can ensure that the mentally ill will be treated fairly in the community and would have lower chances of going homeless or be involved in a crime. Other models such as peer support model and supportive employment model are also f ound effective in many studies. These models are also helpful as the cost of providing care for a mentally ill decreases if he or she has recovered well enough to work. The health workers working in these community settings need specific training to work with SMI population. The movement of care from a hospital setting to a community settings needs specific training that these individuals should go through and ensure that the community around them supports the recovery process of a SMI. [10] Many of the mental health professionals are obliged to learn about the cultural aspect of the care a SMI needs. The services have to be culturally relevant. These services should be planned according to both the rural and urban community settings. This is not only needed because of the variations in the community settings in these areas but also on the fact that the social support varies in these areas. Mental health professionals should aim to involved an SMI in their recovery process [23]. Each and every individual has a set of values and goals it is necessary that a health professionals realize this and be informed about these individuals personal goals. The phrase Ask the Patient works well here. Consulting their family and friends is an extension for this care. Conclusion Mental health issues are often co-occurring with chronic physical problems. Therefore it Is needed that mental health care is integrated into community and primary based care. Through this essay, we have learned that community mental health is more therapeutic and humane than a hospital setting. But its full potential can only be realized when certain preconditions and factors are met. Due to these unmet factors, people fear the mentally ill. Which in turn encourages them to make statements like the one the member of the parliament made. That statement highlighted the fact that there are shortcomings in the care for the mentally ill in community settings on the part of the government and planners. There is too little knowledge in the community about the SMI. There are disjunctions in the following of the three factors or components of deinstitutionalization that are depopulation from the hospitals, diverting new admissions in the alternative services and development of the community- based services. We need to realize that the central problem is not locking the severe mentally ill in psychiatric wards but the central problem is provided adequate treatment and care to these individuals in a community-based setting. With the help of the psychosocial treatments and antipsychotic drugs, we can treat these individuals in an open community setting like apartments, halfway houses and care homes [8]. Nevertheless we do need to realize that there are a minority of some severely and chronically mentally ill persons that need the structured care of a psychiatric hospital. These people have to have a twenty-four hour specialized structured care and therefore we cannot eliminate mental health institutions from our society. We must aim for a continuity of support and care in the community [9]. Where the continuity of care is most important and these individuals need to be tended to in early years of deinstitutionalization. This is also the time where they can be monitored and seen whether they are fitting in the community setting or not. The lack of funding in training the health professionals have led to the failure of denationalization to a great level. Therefore additional funding along with educating the society about the mentally ill will help in achieving the success we need with deinstitutionalization. We have to highlight the plight of these victimized and isolated percentage of our population. They need the support and care of the community that can give them a life of satisfaction [2]. They should not be fear as dangerous and should not be subjected to harassment and stigma. When the mentally ill are unsupported only then they are at high risk to others and first and foremost to themselves. They should not be given a choice to trade the isolation they face in a hospital ward to the life of isolation they would face in an apartment or care house. References Bedaso A, Yeneabat T, Yohannis Z, Bedasso K, Feyera F. Community Attitude and Associated Factors towards People with Mental Illness among Residents of Worabe Town, Silte Zone, Southern Nations Nationalities and Peoples Region, Ethiopia. PLOS ONE. 2016;11(3):e0149429. doi: 10.1371/journal.pone.0149429. Cleary M, Jackson D, Hungerford C. Mental Health Nursing in Australia: Resilience as a Means of Sustaining the Specialty. Issues in Mental Health Nursing. 2013;35(1):33-40. doi: 10.3109/01612840.2013.836261. Chow W, Priebe S. Understanding psychiatric institutionalization: a conceptual review. BMC Psychiatry. 2013;13(1). doi: 10.1186/1471-244X-13-169. Fuller Torrey E. Deinstitutionalization and the rise of violence. CNS Spectrums. 2015;20(03):207-214. doi: 10.1017/S1092852914000753. Jose A. Attitude of the Adults towards Mentally Ill. International Journal of Psychiatric Nursing. 2016;2(2):1. doi: 10.1016/j.apnu.2016.09.003 Kunitoh N. From hospital to the community: The influence of deinstitutionalization on discharged long-stay psychiatric patients. Psychiatry and Clinical Neurosciences. 2013;67(6):384-396. doi: 10.1111/pcn.12071. Lee C, Liem S, Leung J, Young V, Wu K, Wong Kenny K et al. From deinstitutionalization to recovery-oriented assertive community treatment in Hong Kong: What we have achieved. Psychiatry Research. 2015;228(3):243-250. doi: 10.1016/j.psychres. Marginean R, Marginean O. P.The psychosocial rehabilitation of people with severe mental illness: a study of the impact of an assertive community treatment program. European Neuropsychopharmacology. 2013;23:S491. McCall R. Review: The consequences of early institutionalization: can institutions be improved? - should they?. Child and Adolescent Mental Health. 2013;18(4):56. doi: 10.1111/camh.12025. Mezzina R. Community Mental Health Care in Trieste and Beyond. The Journal of Nervous and Mental Disease. 2014;202(6):440-445. doi: 10.1097/NMD.0000000000000142. Moxham L. Where you live and who you live with matters: Housing and mental health. Journal of Prevention Intervention in the Community. 2016;44(4):247-257. DOI:10.1080/10852352.2016.1197720 Pescosolido B. The Public Stigma of Mental Illness. Journal of Health and Social Behavior. 2013;54(1):1-21. doi: 10.1177/0022146512471197. Reed N, Josephsson S, Alsaker S. Community mental health work: Negotiating support of users' recovery. International Journal of Mental Health Nursing. 2017;1(1):98. doi: 10.1111/inm.12368 Reta Y, Tesfaye M, Girma E, Dehning S, Adorjan K. Public Stigma against People with Mental Illness in Jimma Town, Southwest Ethiopia. PLOS ONE. 2016;11(11):e0163103. doi: 10.1371/journal.pone.0163103. Santos J, Barros S, Santos I. Stigma. Global Qualitative Nursing Research. 2016;3(1):233339361667044. doi: 10.1177/2333393616670442. Schnyder N, Panczak R, Groth N, Schultze-Lutter F. Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis. The British Journal of Psychiatry. 2017;210(4):261-268. doi: 10.1192/bjp.bp.116.189464. Shen G, Snowden L. Institutionalization of deinstitutionalization: a cross-national analysis of mental health system reform. International Journal of Mental Health Systems. 2014;8(1):47. 10.1186/1752-4458-8-47 Segal S, Hayes S, Rimes L. The Utility of Outpatient Commitment: II. Mortality Risk and Protecting Health, Safety, and Quality of Life. Psychiatric Services. 2017;:appi.ps.2016001. 10.1176/appi.ps.201600164 Spaulding W, Sullivan M. Treatment of Cognition in the Schizophrenia Spectrum: The Context of Psychiatric Rehabilitation. Schizophrenia Bulletin. 2016;42(suppl 1):S53-S61. doi: 10.1093/schbul/sbv163. Taylor Salisbury T, Killaspy H, King M. The relationship between deinstitutionalization and quality of care in longer-term psychiatric and social care facilities in Europe: A cross-sectional study. European Psychiatry. 2017;42:95-102. doi: 10.1016/j.eurpsy.2016.11.011 Taylor Salisbury T, Killaspy H, King M. An international comparison of the deinstitutionalisation of mental health care: Development and findings of the Mental Health Services Deinstitutionalisation Measure (MENDit). BMC Psychiatry. 2016;16(1). doi: 10.1186/s12888-016-0762-4. Thoits P. Im Not Mentally Ill. Journal of Health and Social Behavior. 2016;57(2):135-151. doi: 10.1177/0022146516641164. Winters S, Magalhaes L, Kinsella E. Interprofessional collaboration in mental health crisis response systems: a scoping review. Disability and Rehabilitation. 2015;37(23):2212-2224. doi: 10.3109/09638288.2014 Yohanna D.Deinstitutionalization of People with Mental Illness: Causes and Consequences. Virtual Mentor. 2013;15(10):886-891. doi: 10.1001/virtualmentor.2013.15.10.mhst1-1310

TRYPSIN LAB Essay Example For Students

TRYPSIN LAB Essay Title: The Effects of Substrate Concentration and Temperature on the Rate of Hydrolysis of the Enzyme Trypsin. Abstract: Quantitative measurements can relate both temperature and substrate concentration to the enzymatic activity of trypsin. By analyzing the data, it is suggested that at BAPNA concentrations below those corresponding to Vmax are rate limiting, as less active sights are available for adhesion. The values of Vmax and Km relate a temperate catalytic efficiency of trypsin. The temperature range of most efficiency for the enzyme was those between 36 and 54 degrees Celsius. Introduction: Enzymes are specialized proteins that aid in formation or breakdown of larger protein or multi-protein complexes. Trypsin is a pancreatic protease that digests proteins by hydrolyzing the peptide bonds in proteins. It has a high degree of specificity and will only hydrolize the peptide bonds that occur on the carboxyl side of the amino acids lysine or arginine. Generally hydrolytic reactions occur with the addition of water to breakdown a large protein into two protein fragments. Substrate concentra tion and temperature both would interfere and affect with the hydrolysis of Na-benzol-L-arginly-p-nitroanalide (BAPNA) into arginina and p-nitroaniline (PNA). An increase in the substrate concentration would most likely enhance the conversion into PNA, as collisions between the enzyme and substrate would increase. Temperature and pH can both influence the kinetics of an enzyme (Karp 100). Trypsin, being an organic enzyme, would probably work most effectively at temperatures consistent with biological life, falling in the ranges of 34C and 40C. The change in PNA concentration can be plotted against BAPNA concentration or temperature. To measure the kinetics of an enzyme, two variables can be found, Vmax and Km. Km is the estimated substrate concentration required for the reaction to advance at one half Vmax. Vmax is the maximal velocity of the reaction. These two values can be determined from the double reciprocal of the Michalelis-Menton equation or the Lineweaver-Burke Plot, with t he y intercept being 1/ Vmax, and the x intercept being -1/ Km. the equations are as follows:Michalelis-Mentonvelocity of reaction= Vmax (substrate concentration)/( Kms) Lineweaver-Burke plot 1/velocity= Km/ Vmax*1/sibstrate concentration+1/ VmaxMethods: Part 1: Effect of Substrate Concentration on Velocity Cuvette one was placed into the spectrophotometer containing the following: 0.1 ml of 10X buffer (400 mM Tris-HCl and 160 mM CaCl2), and 0.9 ml H2O. The absorbance was then read using a wavelength of 410 nm, and the absorbance number was used as a blank for the rest of the lab. The cuvette contained no PNA (the colored substrate) and hence is the reading when no reaction is taking place. The wavelength was chosen because the substrate is colored yellow, and a color other than yellow was needed to penetrate the cuvette, (410 nm is blue light). The absorbencies were then found using the following concentrations (in mM): 0.020, 0.040, 0.060, 0.080, 0.100, 0.120, 0.160, and 0.200. Th e results were then plotted with the absorbance being the dependent variable and the concentration the independent. The extinction coefficient, also called the molar absorption coefficient, could then calculated using the equation provided by the Biology 152 Lab Manual, E=A/cl were E is the extinction coefficient, A the absorbance, c the product of concentration, and l the length of the light path. With the extinction coefficient found, the rate of reaction could be found. We will write a custom essay on TRYPSIN LAB specifically for you for only $16.38 $13.9/page Order now 0.1 ml of 10X buffer and 0.4 ml of H2O were added to two cuvettes and gently mixed. 0.4 ml of 1 mM BAPNA was then added to each. To cuvette one, an additional 0.1 ml of H2O was added and mixed and placed in the spectrophotometer. This was the control to measure the hydrolysis of BAPNA in the absence of enzyme. In the second cuvette 0.1 ml of enzyme was added and mixed, then placed into the spectrophotometer. Readings of the absorbencies were taken every 15 seconds for ten minuets. The extinction coefficient was then used to convert each absorbance reading to PNA concentration. .u274dda8a04e60d77318424d0e2adb49c , .u274dda8a04e60d77318424d0e2adb49c .postImageUrl , .u274dda8a04e60d77318424d0e2adb49c .centered-text-area { min-height: 80px; position: relative; } .u274dda8a04e60d77318424d0e2adb49c , .u274dda8a04e60d77318424d0e2adb49c:hover , .u274dda8a04e60d77318424d0e2adb49c:visited , .u274dda8a04e60d77318424d0e2adb49c:active { border:0!important; } .u274dda8a04e60d77318424d0e2adb49c .clearfix:after { content: ""; display: table; clear: both; } .u274dda8a04e60d77318424d0e2adb49c { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u274dda8a04e60d77318424d0e2adb49c:active , .u274dda8a04e60d77318424d0e2adb49c:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u274dda8a04e60d77318424d0e2adb49c .centered-text-area { width: 100%; position: relative ; } .u274dda8a04e60d77318424d0e2adb49c .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u274dda8a04e60d77318424d0e2adb49c .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u274dda8a04e60d77318424d0e2adb49c .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u274dda8a04e60d77318424d0e2adb49c:hover .ctaButton { background-color: #34495E!important; } .u274dda8a04e60d77318424d0e2adb49c .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u274dda8a04e60d77318424d0e2adb49c .u274dda8a04e60d77318424d0e2adb49c-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u274dda8a04e60d77318424d0e2adb49c:after { content: ""; display: block; clear: both; } READ: EToys EssaySeven tubes were prepared with the following a constant of 10X buffer, water, and enzyme. Added to the mixture were the following amounts (in ml) of BABNA before placing into the spectrophotometer: 0.05, 0.10, 0.20, 0.30, 0.45, 0.60, and 0.80. Corresponding amounts of H2O were then added in the following amounts (ml): 0.75, .70, .60, .50, .35, .20, and .00.The absorbencies were read every 15 seconds for 2.5 minuets. The PNA concentration was then plotted as a function of time. The slope of the linear portion of the graph represented the initial velocity of substrate hydrolysis as a function of time. The linear properties of the graph begin to wane as the BAPNA supply decreases over time. The increasing of PNA concentration will drive the initial velocity of the equation equal of lesser to Vmax and extent the linear portion of the graph. More trypsin would invariably provide more active sites to which BAPNA molecules can bind. The initial velocity of substrate hydrolysis is thus greater. Dropping the concentration would have the opposite effect, lowering the initial velocity of the reaction, limiting the linear region, as the former extends the linear region. Part 2: Effect of Temperature on VelocityObtain constant amounts of 10X buffer, H2O, BAPNA, and enzyme and place into cuvettes, saving the addition of enzyme until last. Acquire prescribed temperature by lowering the bottom of the cuvette into a bath for two minuets. When removed, add the enzyme, place in the spectrometer with the same 410 nm setting and record absorbances every 15 seconds for two and a half minuets. Repeat for the following temperatures (C): 10, 38, 45, 47, 50, and 54. Use data to determine the ideal temperature for enzyme action. The reaction rate against the BAPNA concentration of the hydrolysis of BAPNA displays a preliminary linear increase in the rate of reaction with a gradual decrease in the change of rate with substrate concentration to Vmax. The Lineweaver-Burke plot graph (Fig 1) estimated the value of Vmax to be 0.0627 mM/min, while the Km estimated was 0.413 mM. The equation for the double reciprocal was 1/velocity=(6.586) 1/substrate conc.+15.947. The curve representing the rate of reaction versus time demonstrated a low rate of reaction for the low temperature extremes, including 10C. The most efficient temperature demonstrated by our experiment was that of 54C. However when the temperature was increased to 56C, the reaction declined. Each graphical representation of the individual temperatures carried with it similar characteristics. Each possessed an initial linear relationship, and then each began to level off as the extinction coefficient was reached. The results of our first experiment displayed that as the concentration of substrate in a solution of enzyme increases, the rate of reaction increases. Enzymes work on the principal that substrate is formed by random collisions between enzyme and substrate. Hence more of either will increase the production of product. Our data showed this too is true, as product was formed at a faster rate with more enzymes, than of those solutions containing less. The values of Km and Vmax (0.413 mM and 0.0627 respectively) obtained from Fig 1 imply that trypsin has a moderate affinity for its substrate. Trypsin is also sensitive to temperature. Higher temperatures seemingly denature the enzyme, changing its structure and hence it is no longer able to fit in the substrates active site. Being a biological enzyme, it would assume to work well at temperatures associated with biological life, which it did, working optimally within the range of 36-54 degrees Celsius. Below this temperature, little activity was observed as the molecules were moving in a slower fashion, and the shape once again is changed. Karp, G. (1996) Bioenergetics. Pages 91-103 in Karp, G., Cell and Molecular Biology: Concepts and Experiments Second Edition. John Wiley Sons Inc., New YorkBibliography:

Indias Culture essays

Indias Culture essays Few countries in the world have such an ancient and diverse culture as Indias. Indias physical, religious and racial variety is as important as the history of how it become what Modern India. In India, religion is very important to the people. It is a major part of the entire Indian tradition. For the majority of Indians, religion takes over every aspect of life, from commonplace daily chores to education and politics. Hinduism is the dominant faith, practiced by over 80% of the population. Besides Hindus, Muslims are the most prominent religious group and are an essential part of Indian society. Common practices are now a part of most religious faiths and all communities share many of the festivals that mark each year with music, dance and feasting. Each has its own pilgrimage sites, heroes, legends and even culinary specialties, mingling in a unique diversity. Hinduism and Buddhism are very similar, being the most practiced by the Indians. The exact explanation of Hinduism cannot be easily defined. There is no unique philosophy that forms the basis of the faith of the majority of India's population. It cannot be traced to a specific founder nor does it have a "holy book" as a basic scriptural guide. Unlike most other religions, Hinduism does not advocate the worship of one particular deity. One may worship Shiva or Vishnu or Rama or Krishna or some other gods and goddesses or one may believe in the 'Supreme Spirit' or the 'Indestructible Soul' within each individual and still be called a good Hindu. This gives an indication of the kind of contrasts this religion is mar ked by. At one end of the scale, it is an exploration of the 'Ultimate Reality'; at the other end there are cults that worship spirits, trees and animals. Buddhism, another religion followed by in India, originated as an offshoot of Hinduism, but eventually it became popular all over Asia. Buddhism is based on the principle that ever...

Donts for Getting Letters of Recommendation for Graduate School

Donts for Getting Letters of Recommendation for Graduate School Writing letters of recommendation is generally part of a faculty members job. Students need these letters to get into graduate schools. Indeed, grad school admissions committees generally wont accept applications that lack these important letters because they reflect the professor or faculty members assessment of a student applicant. Students need not feel powerless in the process because they do, indeed, have a great deal of influence over the letters that faculty members write. While professors rely on a students academic history in writing letters of recommendation, the past isnt all that matters. Professors impressions of you are important too - and impressions constantly change based on your behavior. There are things you should avoid to ensure that the professors you approach for letters see you in a positive light. To avoid problems, dont: Misinterpret a Faculty Members Response Youve asked a faculty member to write you a letter of recommendation. Carefully interpret his response. Often faculty members provide subtle cues that indicate how supportive a letter they will write. Not all letters of recommendation are helpful. In fact, a lukewarm or somewhat neutral letter will do more harm than good. Virtually all letters that graduate admissions committee members read are very positive, usually providing glowing praise for the applicant. However, a letter that is simply good- when compared with extraordinarily positive letters - is actually harmful to your application. Ask faculty  members if they can provide you with a helpful letter of recommendation rather than simply a letter. Push for a Positive Response Sometimes a faculty member will decline your request for a letter of recommendation outright. Accept that. She is doing you a favor because the resulting letter would not help your application and instead would hinder your efforts. Wait Until the Last Minute Faculty members are busy with teaching, service work, and research. They advise multiple students and likely are writing many letters for other students. Give them enough notice so that they can take the time required to write a letter that will get you accepted into graduate school. Approach a faculty member when he has the time to discuss it with you and consider it without time pressure. Dont ask immediately before or after class. Dont ask in a hallway. Instead, visit during the professors office hours, the times intended for interaction with students. It often is helpful to send an email requesting an appointment and explaining the purpose of the meeting. Provide Unorganized or Inaccurate Documentation Have your application materials with you when you request your letter. Or follow up within a couple of days. Provide your documentation all at once. Dont offer a curriculum vitae one day, and a transcript on another. Anything you provide the professor must be free of errors and must be neat. These documents represent you and are an indicator of how serious you view this process as well as the quality of work you will do in grad school. Dont make a professor have to ask you for basic documentation. Forget Submission Materials Include program-specific application sheets and documents, including websites to which faculty submit letters. Dont forget to include login information. Dont make faculty ask for this material. Dont let a professor sit down to write your letter and find that she does not have all of the information. Alternatively, dont let a professor try to submit your letter online and find that she doesnt have the login info. Rush the Professor. A friendly reminder sent a week or two before the deadline is helpful; however, dont rush the professor or offer multiple reminders. Forget to Express Appreciation Your professor took the time to write for you - at minimum an hour of his time - so take the time to thank him, either verbally, or by sending a thank you letter or note. Remember that you want your letter writers to be in a good mood when they write your recommendation and to feel good about you and their decision to support your application to graduate school. Write a thank you note to your recommender and when you ask for another letter in the future (and you will - either for another graduate school program or even a job), the faculty member will be much more likely to write you another helpful and positive recommendation letter.

Rab Ne bana di Jodi analysis Essay Example | Topics and Well Written Essays - 750 words

Rab Ne bana di Jodi analysis - Essay Example Rab Ne bana di Jodi analysis Being somewhat reserved and anxious not to displease the beautiful young woman, he tried to be as good a husband to her as he can be. But he is not very successful in establishing a good relationship with her and a distance begins to creep in; the once vivacious young woman become morose and withdrawn after the death of her father. Finally, in desperation, Surinder, with the help of his somewhat radical hairdresser friend, assumes an alter ego – one that appears much younger due to his style of dressing. As Surinder, he grants permission to his young wife to join dance classes in order to enter a dance competition and during the first session, he presents himself to her as her partner for the dance competition. Throughout the rest of the film, he preserve his dual identity – of the straightforward, somewhat boring and staid husband in a kurta pyjama versus the dashing young man dressed in tight jeans and T-shirts, named Raj. The first scene where Raj finds himself paire d to his wife and discovers that she does not recognize him with his changed appearance and style of dressing is one of the most important scenes in the film. This leads on to several sequences where Raj slowly gains the young woman’s confidence and ultimately finds out how much affection and regard she holds for her husband. He is dressed in tight jeans and a T shirt, which he is uncomfortable wearing, but his anxiety to observe his wife and what she is doing overpower his discomfort.

Information Technology Infrastructure Library ( ITIL ) Assignment

Information Technology Infrastructure Library ( ITIL ) - Assignment Example Question 2 It is important to identify these business requirements at the initial level because the supply chain management system must align with all these business requirements and ITIL best practices. The business objectives for this scenario after implementing ITIL are: Recognizing and documenting the scope of support services along with dependencies and interfaces interlinked with the suppliers Document the accountabilities and roles of sub-contractors and imperative suppliers Implementing change management process within the organization for updating contracts Evaluating, monitoring and generating reports on performance of the suppliers to identify improvements Incorporating system auditing Risk assessment for calculating risks associated with all trading partners and contracts Evaluating the value as well as profits of trading partners and contracts Implementing and maintaining a database including all the records for trading partners and contractors Deliver Value to the custo mer Ensure product delivery on time Question 3 The goal for designing a service for one solution is to ensure stability and incorporation within all activities and processes of all IT function providing end to end business alignment by supporting functionality and quality. The primary objective for a service design stage is to introduce a new service design in to the live environment. Likewise, it is essential to take a holistic approach rather than just precisely focusing a domain because, the design may impact other dependencies available in the system i.e. service portfolio and service catalogue, the architecture, the technology, management system, tools, current service management processes and essential metrics. Goals of designing service are: Must meet business requirements that is associated with compliance, risk, quality, security, efficient IT and business resolutions Must meet allocated cost Not be too complex and time consuming to develop Risk mitigation before implementi ng service in the live environment Design metrics to measure service design performance Question 4 Configuration baselines that are also called standardized configurations is associated with configuring a service, product or infrastructure that has been reviewed and agreed previously and for changes in future, only formal change procedures can be used. These formal change procedures incorporate the structure and complete details associated with the configuration that demonstrates a configuration item related to each other. As per the current scenario, baseline configurations for one solution are: Service Design Baseline After a change Question 5 As demand management is considered as a vital part of service management, one solution can adopt off peak pricing, volume discounts and differentiated service levels can affect the transportation of demands in precise patterns. Though, capacity can still be compensated by demands. One solution can utilize unused capacity for delivering servi ce levels to the customers. In this, way, customers can receive the required product in a timely manner by and the unused capacity will deliver value by higher levels of assurance. In contrast to insufficient capacity, quality of services will be impacted as well as limits the growth of the organization, for example, one solution. Service level agreements with the customers, planning

Review of Patient Safety Standards for Hospitals by Joint Commision on Healthcare Essay Example for Free

Review of Patient Safety Standards for Hospitals by Joint Commision on Healthcare Essay The safety goals outlined for hospitals are intended to stimulate greater awareness of the elements of vulnerability or risk associated between patient and worker. Ultimately, patient safety, worker health and safe practice methods can have a positive influence on saving lives, reducing risk and controlling costs. The goals attempt to outline a uniform standard. When adopted by a health care organization, a successful culture of safety that benefits everyone has an opportunity to develop. The following are the Commission’s patient safety goals with respect to hospitals. The first goal is to improve the accuracy of patient identification. Patients are given the wrong medications, taken to the wrong surgical rooms, and specimens get contaminated or mixed up. To address this issue and achieve improved accuracy, implementation of two patient identifiers attempts to reduce these errors. First, the patient should be identified reliably by their name, telephone number or other number that is person specific. The second is to verify that the treatment matches the patient. The verification of the identifiers should be done with two individuals checking the same patient or having one person identify the patient, with a second verification assisted by the addition of a technology item, like a barcode. The second goal is to improve the effectiveness of communication among caregivers. Each clinical aspect of healthcare utilizes a different vocabulary. A patient may be seeing a psychiatrist, a physical therapist and a cardiologist at the same time. While each profession has a foundation of science that is designed help them communicate in a uniform manner, each clinical area will have specific language and understanding that may not translate from one specialty or discipline to another. Critical results of tests and diagnostics that are outside the normal range and indicate a life threatening situation must be communicated. Reports must be delivered and critical results given on a timely basis so the patient can be treated as soon as possible. Third, is the goal to improve the safety of using medication. Medications that are not labeled properly or medications that are similar in name or packaging can obviously lead to a 1 deadly consequence. Suggested ways to achieve this goal is to make sure all medications, and containers are labeled correctly. Some of the specific suggestions to achieve this safety goal are to adopt the use of oral unit-dose products, prefilled syringes, or premixed infusion bags when these products are available. The fourth goal is to reduce the risk of health care-associated infections. Many people are in fear of going to a hospital. They may feel at risk of getting a communicable disease. And while that is a possibility, few are aware that they may experience infections directly associated with the delivery of the medical service or treatment. The simplest and most obvious way to protect the patient from infection is to feverishly adhere to the Centers for Disease Control or World Health Organizations guidelines for hand washing. The late physician and scientist Ignaz Semmelweis would be astonished to see this method universally adopted. Although, with as much science that has since validated his pioneering work, he could be annoyed to see a lack of compliance, considering the volumes of evidence published which supports his early theory. Patients are acquiring hospital based infections at an alarming rate, according to an NBC news story which was based on data from the Agency for Healthcare Research and Quality. And a brief review of the CDC report from 2011 on rates of infections clearly shows a link between number of days in the hospital and acquired infections. The longer a patient is in the setting, the more likely it is that the patient is at risk. The likelihood of risk depends on the kind of treatment the patient receives. Risk assessment tools are essential to understanding which staff, providers, or independent practitioners need to be educated to understand the types of infections and their origins as they relate to their practice area. The families and patients must likewise be educated to understand the risks, complications and microbial hazards that are inherent to the treatment or service they are receiving. Finally, goal fifteen is for the hospital to identify safety risks inherent in its patient population. This goal is a contributing factor to why Patient Safety Coordinators and certifications to become one are becoming more popular. Particularly, the goal speaks to the population that is at risk for suicide. While this goal is stated to apply only to psychiatric hospitals and patients being treated for emotional or behavioral issues, most all hospitals have at least a small population that could fit into this category. While not every hospital has a psychiatric floor, or even a psychiatrist on call, patients that appear or make a statement that they fear harming others or themselves may be detained temporarily at the discretion of the medical staff. The terms and length varies from state to state. Georgia’s law, O. C. G. A. Â § 37-3-41 allows basically for a forty-eight hour detainment period. But, that can be extended indefinitely if the treating physician deems it necessary and appropriate based on their examination.

Psychedelic Drugs (aka Psychedelics) Essay -- essays research papers

Psychedelic Drugs (aka Psychedelics) Introduction: Throughout human history people have sought experiences that somehow transcend every day life. Some sort of wisdom that might progress their knowledge of self and of the world that they live in. For some reason they believed that the tangible world just could not be all there is to life. Some believed in a greater force that controlled them, some believed of invisible beings that influenced their lives, some of an actual other world that paralleled their own. Many of these people also believed that it was possible to catch a glimpse of these forces, beings, or worlds through a variety of means that propel individuals into altered states of consciousness. These techniques include meditation, hypnosis, sleep deprivation, and (what will be discussed here) psychoactive drugs, more specifically psychedelic drugs. Although in the modern world such drugs have developed an almost taboo status, it is impossible to ignore the tales of enlightenment reported by ancient cultures and even those rebels that use such drugs illegally today. While the American government has been one of the main influences on today’s society’s negative attitudes towards psychedelic drugs, they have granted some scientist and psychologists permission to experiment with such agents, and despite the controversy and varying results there seem to be many positive uses of psychedelic agents. These positive uses and the research that has been directed toward these uses will be reviewed in the following, as well as a brief history of psychedelic drugs. History:   Ã‚  Ã‚  Ã‚  Ã‚  Native Americans are probably the people most known for their use of psychedelic drugs. Being a very religious people, their entire society revolved around the spirit world, and some believed that access to this world was possible by eating certain plants that were abundant in their surroundings. In what are now Mexico and the Southwestern United States, tribes familiarized themselves with mescaline, the active ingredient in the peyote cactus. Another drug that was used by tribes in these and many other areas was psilocybin, the active hallucinogenic ingredient of the mushroom Psilocybe mexicana and other psilocybe and conocybe species that grow on the pacific coast of North, South, and Central America. Ritual use of psilocybin and mesca... ... research the government has allowed scientists and psychologists, there have been amazing discoveries of the capacities of these drugs. It has been proven that they are able to extend psychotherapy’s view of the human mind, they are able to promote massive personality changes, and to enhance the learning and problem solving experience. It has even been suggested that psychedelics are able to enhance any aspect of mental functioning.   Ã‚  Ã‚  Ã‚  Ã‚  One must look beyond the stereotypes that psychedelics have earned in the twentieth century, and also modern science, that presupposes that any thing that cannot be explained within its own contexts either does not exist or is but a fanciful idea. However, the realm of psychedelics is uncharted area, and when dealing with such experimental substances, such as these psychedelic agents, one must proceed with caution, as was mentioned earlier the agents are powerful tools and can be used with skill or reckless abandon, and therefore can yield positive responses or deadly consequences. If used with care psychedelics will allow many psychologists and patients to embark on a perhaps endless journey of self-discovery.

Pros and Cons of Obamacare

Controversy always surrounds change. Healthcare is this kind of controversial topic where people refuse to accept changes, even though changes must be made. Obamacare details many changes, how they will be made, and whom they will affect. As with any bill, there are pros and cons that exist as the bill helps many, but makes some a little worse off. Taking into account the pros that include the minimum benefits package and expansion of Medicare coverage as well as the cons that include rising costs to government and a shortage of doctors, I would vote against the bill.Obamacare is an extensive bill that completely transforms the healthcare system. The main part of the bill is the individual mandate that requires all citizens and legal immigrants to have health care coverage. If individuals do not have health insurance by 2014 there is a monetary penalty. In order to allow many Americans to obtain coverage, it outlines a major change in insurance practice in that companies are no longe r allowed to deny individuals health insurance because of pre-existing conditions; individuals are able to buy into health insurance at anytime.Obamacare expands Medicaid for those who cannot afford health insurance; the expansion will supply more than 17 million more Americans with health insurance than before the bill. People who are employed can fulfill this health insurance requirement by enrolling in their employer’s plan. Health insurance must be provided through employers if the company has 10 or more employees. Small businesses will be subsidized so that they can afford to provide insurance.People without insurance through their employer will be able to buy plans through health insurance exchanges, where most will qualify for subsidies, greatly reducing the premiums. Exchanges are run by the state or non-profit organizations and require that all insurance companies offer certain plans that make it easier for Americans to determine the differences between companies and plans so they can choose one that is best for them. The cost of implementing the changes the bill puts forth will be paid for through budget cuts and taxes.Though the bill provides many individuals with the opportunity to have health insurance, taxes and budget cuts will not be enough to sustain it (MacGillis 2010, 85-92). Within Obamacare there is a minimum benefits package that outlines the benefits that I believe every American has a right to. The package allows for equality under health insurance and allows those who are less well off to be able to have access to the benefits even if their coverage is minimal.The package includes: â€Å"ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance abuse services, prescription drugs, rehabilitative services and devices, laboratory services, preventative care and wellness care, chronic disease management, and pediatric services (including vision and dental care). † The federal government outlines the services that must be included in the exchanges to make sure everyone has the minimum coverage. The government also makes sure that individuals are not being taken advantage of by profit seeking insurance companies.Even though the government controls the plans there is still competition between the companies because of the other benefits that the insurance companies may offer in addition to those that are required. Without competition the insurance companies would take advantage of the consumers and charge higher prices solely to make a profit. The minimum benefits package helps all Americans not only receive better benefits, but also easily compare insurance plans (Whitman 2010, 32-34). Along with the minimum benefits package Obamacare addresses the problem of spotty prescription drug coverage found in Medicare.Currently, there is a gap in coverage when the beneficiary consumes between $2,250 and $5,100 worth of prescription drugs a year. Many people do not realize that they have fallen into this donut hole until they are required to pay for the full amount of their drugs, but are unable to (Dorgan, 2006). The new policy will make the insurance companies pay for 75 percent of the drug expenses and leave the consumer to pay 25 percent. However, when the drug expenses reach the catastrophic threshold of more than $5,100, then the insurance Medicare will pay for 95 percent of the drug costs.The government has already started to try and close this gap by subsidizing those who fall into the donut hole. Each year they will slowly increase the subsidy until the consumer only has to pay 25 percent. By addressing the donut hole that has occurred in the current health coverage Americans will be better off and no longer face drug expenses that they are unable to pay (Goldstein 2010, 113-121). However, the major changes come with huge monetary costs. Even with huge increases in taxes the government will not be able to pay for it. Oba macare requires all businesses to provide insurance; if the business chooses not to they must pay a penalty. The quantity of the penalty is less than the cost of insurance; so many businesses opt out of providing insurance plans. If employees do not receive insurance through their workplace, they must buy insurance plans on the exchanges. The plans provided on the exchanges are heavily subsidized in order to make sure that they are affordable for the average American. When more Americans buy from the exchanges the government must provide more subsidized plans, creating a huge expense for the government.Since the penalty for the businesses is so low, the government is unable to directly use that money to completely subsidize the insurance exchanges and instead must use money from the federal fund, further increasing our deficit. Moreover, another problem Obamacare faces with increasing costs is that more benefits can be added to the minimum benefits package as Congress sees fit. With the addition of more benefits the package and coverage for individuals will become more expensive and those expenses will fall directly on the government.The government will continue to add benefits making it more and more expensive to insure. Overall, the rising costs of providing more benefits and the costs of subsidizing the exchanges are far too great to sustain and therefore make Obamacare implausible (United States, 2013). Another problem Obamacare faces is how all of the newly insured individuals will be able to receive care. Currently, America faces a shortage of physicians; this insufficient amount of physicians is projected to worsen as Medicare expansion almost doubles the strain of physicians with the passing of the new bill.Obamacare takes into account the need to increase the amount of doctors with changes to health-care delivery and improved prevention. However, these increases will not be enough. The U. S. will face a shortage of more than 125,000 physicians in the next 15 years; however, only 27,000 new doctors are trained a year, and each year many more doctors retire (Feldman 2011, 113). Massachusetts already has put in place a health care reform that increases the number of people insured. However, they have already noticed the effect this increase in insured citizens has on the amount of doctor’s needed to treat the increased amount of patients.â€Å"A survey of Massachusetts’s physicians displayed that almost 40% of family practitioners and 56% of internists reported that they were not accepting new patients† (Feldman 2011, 115). Before the implementation of this new reform, Massachusetts’s practitioners and internists were able to accept any new patients that were applying. This is not only a problem for primary care doctors, but also specialty doctors. Current healthcare statistics reveal that a doctor sees on average 38 patients a day.That is, a patient every seven minutes of an eight-hour day. This data do es not even include the time doctors spend returning calls, entering data, and speaking to consultants. With the new expansion in health insurance there will not be enough time in the day for physicians to see all of their patients. The new expansion of coverage will lead to patients scheduling more appointments because they no longer have to pay for them. They will schedule appointments for a common cold or simply for just something to do and someone to talk to.In order for Obamacare to successfully work there must be more doctors or a more efficient way of dealing with the increased number of patients (Feldman 2011, 113-122). The positives of Obamacare, the minimum benefits package and more prescription coverage, do not outweigh the negatives, which include rising costs and a shortage of doctors. The cons are huge factors that must be addressed in order for Obamacare to be successful. If we are unable to pay for the treatments or even to provide the proper medical professionals to treat the increase in patients, then the basic goal of the bill cannot be achieved.Overall, I believe that though Obamacare is addressing a desperate need within our society, the method by which it attempts to implement reform is not realistic, and in fact will create more harm to society than good. Instead of implementing Obamacare, I would vote against the bill and believe that the President and Legislature should go back to the drawing board and figure out how to insure all citizens can have insurance without increasing our federal deficit and overwhelming our healthcare system.

Request for Sponsorship Essay

Alcaraz Group Sales Manager-Area 1 Splash Direct Sales Division Splash Corporation Highest Fraternal Greetings! As a part of our fervent campaign in bringing forth excellence from every individual and celebrating the freedom of thought and self-expression of every people, we, the Kappa Sigma – Kappa Delta Sigma Confraternity, a duly recognized confraternity in the University of the Philippines, will be holding our annual HIMIGSIKAN on 26th of February 2013, 7pm, at Meanwhile Bar, Balibago Angeles City. HIMIGSIKAN, our confraternity’s major event, is the much-awaited student-oriented musical affair not only for UP students but for the youth and all music lovers as well that highlights a coveted acoustic performance competition from different student organizations in our university. This year’s theme shall be â€Å"Sarap at Pait ng Pagsasama, Ilalahad sa Awit ng Barkada† In line with this, we are cordially asking for your assistance for the success of our event’s endeavor. Rest assured all solicitations will only be used to enhance and to further improve our plans for the event. We are looking forward to you for being a part in this fervent cause. We are hoping to hear from you soon. May God’s richest blessings be unto you! Sincerely Yours, Teddy Calilung Grand Lord Sigman Kenn Carlov Twano Sigman Master Scribe [pic] [pic] ———————– University of the Philippines Extension program in Pampanga Claro M. RectoHighway, CSEZ,Pampanga Co. reg. no. CN200618309 Co. TIN 006-532-105 www. kappasigmafraternity. net kappasigmakappadeltasigma@yahoogroups. com KAPPA SIGMA-KAPPA DELTA SIGMA CONFRATERNITY VDFGCOSFGCONFRATERNITYCONFRATERNITY Council of Masters and Lady Sigmans A. Y 2012-2013 Grand Lord Sigman: Teddy Calilung Deputy Grand Lady Sigman: Jessa Claire Pangilinan Sigman Master of Initiation: Michael John Aguas Sigman Lady of Rites: Ila Bernice Malenab Sigman Master Scribe: Kenn CarlovTwano Sigman Lady Master of Scroll: Monica Del Puerto Sigman Lady Master Bursars: Jhoane Capili Janne Kazel Punzalan Sigman Lady Master Herald: Analyn Pineda Prof. Penelope Nalo Faculty Adviser

Radical Islam in the Philippines essays

Radical Islam in the Philippines essays In Southeast Asia lies the Republic of the Philippines, a country that has a long history of colonization and Muslim conflict. With a population of about 94 million, what goes on in this small island country has a large impact on a number of people. In this paper I will look at the historical events that have led up to the current status of Islam in the country, examine the history and intentions of the Islamic groups within the Philippines, and project what the future holds for them based on what we currently know. The Philippines is a country that has been controlled time and time again by various foreign powers throughout its history. In the 13th and 14th centuries, explorers from Europe and parts of Asia ended up settling in the country. At this time, Muslims migrated there from what was Arabia at the time, and "at the end of the fourteenth and beginning of the fifteenth century, Islam as well established on the islands of the Sulu Archipelago, and from there it spread to the southern coast of Mindanao" (Yegar 185). The Mindanao area still today is seen as the central locale of the Filipino Muslims and the Islamic movement there. Spain proceeded to bring over Christianity to the islands 200 years after Islam had already been introduced. Japan and the United States also colonized the Philippines after the Spanish, leaving a significant amount of structural and cultural influence with them that would help lead up to the ethnic and religious clashes within the country. The Philippines gained its independence in 1946, allowing the Christian settlers in the northern and middle islands to obtain majority rule in the government. However, in the southern Bangsamoro area of the islands felt that their ethnic ideals had not been addressed. This Muslim-rich area makes up approximately 20% of the overall population of the country. As tensions began to rise between the northern Christians and the southern Muslims, insurgent groups bega...

Voice Controlled Computer Technology Essay

Voice Controlled Computer Technology Essay Voice Controlled Computer Technology Essay In the wake of this techno-savvy generation, we bring to market a revolutionary computer product. Most computers in existence can barely use voice controlled mechanism in serving the user, but what we have brought to the people can use voice and help the owner carry out diverse activities through speaking. The traditional over reliance on keys to navigate the web, undertake online search and pose questions expecting answers is taken through a paradigm shift to speaking. IMC bring to the public a new experience in the computer technology and strives to ensure that one gets the value of his money. Consumers are able to access any other relevant information and post enquiries any time through the mail that will be provided. Daily media display will feature in local dailies and top television channels across the world. As a result, ultra-modern approach to information and communication technology is brought to your satisfaction. The Voice Controlled technology in the computer is installed in the other communication gadgets like Smartphones, and this is the similar design in the new brand of computers. The procedure to make this dream realization is exceedingly simple. It will even make the computer more of like a pet by assigning a name to it say, â€Å"Butty†. When one has this feature in the computer, many things can be accomplished at the instant of mere speaking with utmost convenience and high efficiency. This technology is customer focused and more practical to the increasing need of communication in the contemporary society. It is an instant problem solver, and user-friendly thereby certify the general social philosophy of man to provide services to humanity. Adoption of this new technology today will help one get things done without sitting and pressing the computer keyboard. Our essay writers can prepare a custom paper on this topic. Visit and hire the best academic writer starting at $13/page!

Martins Four Subsidiary Philosophical Questions Essay

Martins Four Subsidiary Philosophical Questions - Essay Example In this view, then it emerges that the idea put across is about knowledge of things. Therefore, the communist has the tendency of assuming that God is not intelligent enough to create the universe. The idea brings about the theory of knowledge that presupposes that man knows all thus limiting the human knowledge. According to Martin (2006), epistemology undermines an office as shown by the way of life compelled by injustices. The axiological view of the communist is that man has the value and capability to challenge the masterworks of creation. The axiological view associates with the theory of value that has an interest in the study of goodness in philosophy. There are the values themselves and the value judgments in question for the communist. According to Martin (2006), simply implies ultimate value. In other words, it is what is naturally good? Lastly, the communist teleological views concern the purpose of a person in life. Teleological life entails the destiny of a person, goal, and purpose in life. According to martin, (2006), there are two very fundamental approaches to life. Martin strongly argues that the concept of work has greatly evolved from every day’s

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

Assignment 2 - Essay Example VAP has a mortality rate ranging between 0 and 50%, indicating that medical researchers need to dedicate more research input to the development and identification of strategies which healthcare personnel can use to prevent, detect, and manage ventilator-associated pneumonia. Researchers have conducted quite a significant number of studies regarding this medical issue, but the results have not been readily available to numerous nurses due to the lack of strategic resources for accessing research findings. As a result, Health for All, an American NGO that advocates for universal healthcare, contacted my research institution with a proposal to conduct a study about the ways of detecting, preventing, and managing (VAT). Researchers bear the ethical obligation of ensuring that their research findings are accessible to all relevant stakeholders, including research participants. In order to devise effective dissemination strategies, the research team first of all developed a dissemination p lan. The team made the dissemination plan in the first stages of the research study. In designing the dissemination plan, the research team considered four crucial factors. These include the goals of the dissemination effort, the key stakeholders and the target audience, the medium through which to reach the target audience, and the execution process of the dissemination plan. ... The findings will be presented to the financiers in the form of a report. This report will detail the objectives of the study, the research techniques, the findings, and then evaluate the results against the objectives of the study to make it easy for the financier to determine whether the findings meet the research objectives. Following the conclusion of this initial goal, the research team will provide department heads at the research institution with information concerning the research. In this process, the research team will first of all send memos and circulars to all the concerned department heads informing them about the successful conclusion of the research, its purpose, and its importance. The team will then send hardcopies and softcopies of all the research material to all the heads, containing information about the rationale behind the research, the methods used to gather data, the research participants, the limitations, the results, and the meeting of all relevant researc h ethics policies. The primary target audience of this research is primary care nurses. They bear the greatest need of accessing the research findings so that they may apply it to evidence-based practice and, consequently, improve patient outcomes of ICU patients suffering from ventilator-associated pneumonia. The best possible method of disseminating the research findings is to use media that allow extensive simplification of information, so as to attract the interest of primary care nurses. The research team will achieve this aim by using flyers, brochures, newsletters and research briefs. The researcher will distribute the fliers and brochures to hospitals throughout the district, and the hospital authorities will then distribute them to the primary

Port Management Case Study Example | Topics and Well Written Essays - 3000 words

Port Management - Case Study Example Santos is considered to be a good harbor for ships, fishing and trade purposes. (The ports of Brazil, 1942) The Santos port approaches to increase the rate of exports by cheap means of transport. It enhances the trade by providing a track to the countries linked with the Atlantic Ocean. It has its origins associated to the coffee trade. It also facilitated to advance the sanitary situation of the region. It also played an essential role in the industrial growth of the State of So Paulo and of the entire Brazil. The Port of Santos is situated in the town that has the same name in the coast of southeastern Brazilian state of Sao Paulo. It is the port that transported most of the goods to the Arab countries in the year 2005. Goods worth at US$ 2.1 billion moved across the terminal heading towards the Arab countries in North Africa and the Middle East. In conditions of quantity, shipments reached 5.3 million tons. There are 64 private terminals at the Port of Santos and total area is 7.7 million square kilometers. It gave refuge to 44.7% of the Brazil's exports to the Arab states, which made a sum of US$ 4.7 billion up to November, 2005. (Edgar Rodrigues; Clifford Harper, 2005) The chief commodity to export i... It is also a chief transshipment port for good and commodities created in all the Southern cone countries (Brazil, Chile, Paraguay, Argentina, Bolivia and Uruguay). For instance, in the past, Santos went beyond Buenos Aires as Latin America's second-largest manager of containers. Land access and division within the ports are two important issues. The port is provided by quickly to be finished toll road that supplies high powered, quick access to So Paulo. Just about 90 % of the export and import cargo is conceded or from the port by trucks. There are Five railway companies, under allowance since 2000, serve the port. The port had an aim of covering 10 million tons of load carried by rail at the end of 2002, an ambition that was met. Investments of rail facilities in the port possessions and use of concessions have radically improved the efficiency of rail car use. 20% of container traffic from the port is controlled by rail, around twenty thousand TEUs per month. Rail investment in infrastructure on port possessions is a significant factor of increased access to the port. With no corresponding investment in rail infrastructure In further elements of the state, however, the use of rail for shifting goods also from the port will be limited. Projects are being generated that will permit leasing of rail infrastructure for private workers, created investment dollars. Rail services, in amalgamation with inland water barge, symbolize a significant access mode for agricultural commodities, particularly soy. Other policies have been used to develop the port's efficiency. The port is maneuvered twenty four hours a day with a twenty four hours reservation method for trucks due to overcrowding on the local road system, and port organizers are

Día De Los Muertos: The Day of the Dead

DÃ ­a De Los Muertos: The Day of the Dead The Day of the Dead, or all souls day, is the official Catholic holiday following All Saints Day. The date of the DÃ ­a de los Muertos, is November 2nd. The date of this event is typically attributed to St. Odilio, an abbot of Cluny, France. St. Odilio wished to offer special prayer and singing to the Office of the Dead. The day was created in honor of those who died. During this time, there are three Requiem Masses, said to assist the soul of the deceased from Purgatory to Heaven. The modern view of death is attributed to the Aztec, as they themselves celebrated. They believed that after death, a person would rise though nine levels of, in order to reach their destination, Mictlan, the place of the dead. It was also believed that at birth, the destination of the person would be decided, and would not take into consideration how that person lived their life. It was also believed that the fashion in which one died would determine the region of their destination one would inhabbit. When the person arrived at the destination, one would either linger, awaiting movement to the next destination, or would transform. In the Aztec calender, two months are devoted to honoring the deceased. The ninth month was dedicated to deceased infants. The tenth month was dedicated the deceased adults. During the Spanish Inquisition of 1521, indigenous beliefs were fused with those of the Catholic church. As a celebration adapted by many Catholic nations globally, the central idea remains the same. If a person dies after living a humane life, he or she goes to Purgatory, also known as Hell (commonly known by this term for its slang uses.) After paying for their sins, by being cleansed in the Purgatorial flames, that person goes to the afterlife. If a person did not live a humane life, he or she would spend eternity suffering in the Purgatorial flames. It was believed however that the family of the deceased would assist the person in leaving Purgatory, by praying. During the DÃ ­a de los Muertos, family of the deceased often attends services, as well as creates an alter in their home. The typical the alter in the familys home is adorned with marigolds, the official flower of the dead, as well as a candle for each of the deceased. Incense is often used in conjunction to these items. Also, as part of the ofrenda, or offering, food is often prepared. The dead are believed to spiritually partake from the food, and the living later consume the food. In some countries, it is also common to view the play Don Juan Tenorio. Another common item is the sugar skull, as well as cardboard caskets with a skeleton which jumps out, and also masks, which are believed to show an expression which one cannot show normally. During the celebration of the dead, calaveras are published. These calaveras are similar to obituaries, except for those prominent in government or society, the person is often alive. The calaveras are published often in local newspapers in a versus style. They often will describe the character of the person, and what he or she has done for the comunity. One of the most popular pieces of the celebration are sugar skulls. The origin of these pieces are unknown, but it is often suggested, that they date back many centuries. The origin for the giving of the sugar skull, is believed that in ancient times, the human skull would be given as a commemorative. As this tradition grew, this became obsolete, as well as extremely unhygienic and grizzly. The sugar skull is believed to have been an alternative to this, having, in plain form, the rough shape and color of the human skull. In conclusion, the day of the dead brings forth a celebration in reflectance toward the dead. While the celebration is not performed in mass in non Hispanic nations, it is officially recognized by the Catholic church, which is responsible for a vast portion of religion globally. The celebration has been performed for many centuries, but is not commonly celebrated in counties from non Hispanic decent, such as most of Europe, and most of North America, with the exception of Mexico. Due to its vast importance in Hispanic nations, the celebration has carried out since 1521, and will most likely continue on past the lives of many generations to come. Bibliograpy http://spanish.about.com/gi/o.htm?zi=1/XJzTi=1sdn=spanishcdn=educationtm=159gps=343_145_1436_727f=00su=p897.6.336.ip_tt=2bt=1bts=0zu=http%3A//www.nacnet.org/assunta/dead.htm http://spanish.about.com/cs/culture/a/dayofdead.htm

The Etiology of Autism Essay -- Disease, Disorders

In the United States, the Center for Disease Control and Prevention reports that between 1 in 80 and 1 in 240, for an average of 1 in 110 children have an autism spectrum disorder, â€Å"ASD† (Nirv, Shah 2011). According to the National Institute of Neurological Disorders and Stroke, up to six out of every 1,000 children may be diagnosed with some form of autism. In addition, boys are four times more likely than girls to have autism. This means that as many as 1.5 million Americans today are believed to have some form of autism. Unfortunately, the numbers appear to be increasing rapidly. Autism is a disability that frequently appears during the first three years of life. It is the result of a neurological disorder that affects the functioning of the brain and impacts the normal development of the brain in the areas of social interaction and communication skills (Bee & Boyd, 2009). It is the most prevalent developmental disorder to date. Autism is one of five disorders com ing under the umbrella of Pervasive Developmental Disorders (PDD), a category of neurological disorders characterized by "severe and pervasive impairment in several areas of development," including social interaction and communications skills (Zager, 2006). The etiology of autism is a topic of controversial debate, while researchers strive to achieve a common objective. The goal is to identify the cause of autism to understand the complex interplay between environment and gene regulation (NCBI, 2009). Although individuals with autism have existed for many centuries it was not recognized and labeled until mid 20th century. Therefore, early detection, intervention and an individual educational plan are essentials for the progress of ASD. The etiology of ASD... ...teristics-of-autism Muhle R, Trentacoste SV, Rapin I.Pediatrics. 2004 May; 113(5):e472-86. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/19774457 National Institute of Neurological Disorders and Stroke Autism Information Page. Retrieved from: http://www.ninds.nih.gov/disorders/autism/autism.htm Richards, S., Taylor, R., Smiley, L. 2009; Exceptional Students: Preparing Teachers for the 21st Century TARGET: Texas Guide for Effective Teaching Educational Implications Texas Statewide Leadership for Autism Training (March 2009). Retrieved from: http://www.txautism.net/docs/Guide/Introduction/EducationalImplications.pdf Autism Spectrum Disorders. Retrieved from:http://www.yourlittleprofessor.com/spectrum.html Bibliography on Iodine and Autism. Retrieved from: http://gingerjens.blogspot.com/p/bibliography-on-iodine-and-autism.html

A Country Doctor A Story By Franz Kafka History Essay

/A state physician is a narrative by Franz Kafka implying challenges and defeats a state physician had to confront in an effort to salvage the wellness of a patient stat mis off.He starts out on a journey to procure the wellness of an indisposed patient but it was n't a smooth seafaring.He had to lift above every challenge that came his manner. The physician was ready for his journey that seemed long and boring, and in his company was a pretty miss ( his retainer miss ) with whom they had to go.The physician had to get in clip at his finish at least to salvage the state of affairs at manus but the ways and agencies of making his finish proved futile. His ain Equus caballus had died the old dark, and the servant miss had to run all round the small town availing all the resources but all was in vain. No 1 in the small town was willing to impart a Equus caballus at that clip of the twenty-four hours and for such a long and boring journey.The physician was frustrated at the bend of events, he merely stood at that place open, gazing in to the empty infinite unable to travel as snow gathered upon him doing him weak.He did n't give up yet for he knew ever there would be light at the terminal of the tunnel.The servant miss ( Rose ) was there standing at the gateway beckoning a lantern.He strode through the tribunal pace once more, but he could n't see any manner out of the tribunal ; in defeat and confusion he kicked at the elderly door of the pigpen and the door opened broad.A crisp odor of Equus caballuss me the physicians nose.A dim stable lantern swang from a rope in the room.A adult male stooping on his buttocks appeared with a curious expression on his face.He crawled out of the little room but within a split of a 2nd he was back, with two good reinforced Equus caballuss.The physician ordered the servant miss to impart a manus to the adult male and she did with harness. Everything seemed ready and everyone was ready for the long journey.The groom insisted on driving the remainder but his determination was turned down by the physician claiming the groom was a alien and they had hardly known each other, allow entirely non cognizing the terrain. A crisp statement emerged between the state physician and the groom.The groom had to retreat himself out of the journey and insisted to remain behind with physicians servant miss.What a blow to the state physician. He had to cover with this challenge and besides get down on his journey that seemed inevitable.Although the physician was frustrated but he came to believe of it.The adult male was a alien who came in to the physicians life and offered a shoulder to tilt on when everyone else had failed him. How was he to go forth behind his servant miss with the alien? The groom clapped his custodies a mark of going to the gig, and so it was, they left in a lightening velocity. The physician arrived at his patients farmyard late that dark when the Moon was high above the sky. He met a instead baffled household members whose faces glittered with hope at the sight of the state physician. The sort of response the physician received sent some message that he was late for his assignment. The whole small town had cast their hopes on the state physician to salvage their ailing boy, whose wellness seemed to acquire worse twenty-four hours by twenty-four hours, the air was stuffy although the physician went directly and examined his patient. The patient was weak and his wellness unpromising- but he wrapped his weaponries round the physician ‘s cervix, as a mark of licking by the hurting. The physician had one challenge in head, that he was to safe the wellness of the patient no affair what for the whole household had pressed trust on him. But believing of Rose and how he was to deliver her from the custodies of the alien made him ill, how could he salvage her and yet he was stat mis off? He thought he had better gone back and salvage his servant miss from the custodies of the groomed alien. The Equus caballuss looked set for the return journey but the physician had allowed the patient ‘s sister to take away his fur coat, intending he was get downing to present his services to the patient. An old adult male from he household handed over a glass of rum to the physician and patted him on the shoulder, as a mark of friendly relationship and hopes that all was traveling to be good with the patient but the physician was non amused by the act, alternatively he felt defeated and defeated. This meant the whole household expected nil less than the best from him, what a challenge it was he was the territory physician and ever delivered his services to a point he realized it was beyond the bound but still he was underpaid. Rose was still in his head non to reference of the patient who was in a serious status every bit good. His Equus caballus had died last dark but no 1 was at that place to portion his torment. He was frustrated. The size of the lesion on the right side of the physician ‘s patient and the status of the patient startled the physician, he knew the male child was non traveling to retrieve shortly or subsequently but still he had to reconstruct hopes in the faces of the male child ‘s household who stood around the patient ‘s bed this meant the physician experience that much was expected from him even though the patient ‘s position was non traveling to better the male child demanded a re-assurance from the physician that he would be good and up on his pess. The whole small town had lost religion in the physician due to the long hours he had spent on their patient and nil was forthcoming they came in great figure and stripped the physician ‘s apparels for the cheapjack work the physician had done. The physician was frustrated by this undignified act the villagers ‘ and counterpart who had ab initio lost religion and assurance in him as if this was non adequate le tdown ; the physicians made him put following to his patient stripped off. This was a challenge to he sophisticate for the physician had to lift above by happening a manner out he had to lure his patient by sweet words, words of hope that all would be good with him and shortly he would be up and about, the patient succumbed to the physician ‘s sweet words and genuinely believed he would retrieve in a fortnight holding played his cards right the physician rapidly collected his properties and off he went on a return journey where he could deliver the life of his servant girl- Rose- from the custodies of a groom alien The whole narrative state physician might be considered a incubus for a figure of grounds ; before he embarks on his journey, the state physician had to cover with quite a figure of challenges that came his manner. His Equus caballus had died the old dark and the villagers were non willing to take him any of although the servant miss had gone round the small town looking for one in vain this seemed to be a nightmare owing to the fact that his journey demanded pressing handiness of resources, when the physicians looks like he is saved by the groom who willingly gives him a brace of Equus caballuss still much is expected from the physician by the groom i.e. He had to give out his servant miss to the groom for the good workss he had done, traveling his journey without his servant miss was more of a incubus to the physician.The incident at the patients farmyard remained a incubus to the physician.Subject of treachery is good brought out by Frank Kafka.The groom betrays the physician by w orsening to attach to him in his journey stat mis off and alternatively remained behind with the physicians servant girl.Although he had helped the physician out of his quandaries but treachery was n't a good thing from him.On the other manus the physician seems to be frustrated by being misused by the territory, he is ill paid but expected to put to death his services to a point where he feels its beyond bound.Franz Kafka ridicules the manner relationships are handled in the society, the groom, although he was a alien, he had a clean bosom that saw the physician embark on his journey stat mis off. He plays the nice cat and finally saves the physician.Franz Kafka compares this virtuousness to the undignified character of the villagers.They are so average and excessively demanding ; they expect a batch from the physician yet no 1 was willing to impart a Equus caballus to the physician when he needed 1. This suggests that relationship strings are loose and everyone is separated from t he other, there should be a cohesive relationship within the people that stay together. Depriving the physician off his clothe by the villagers is a symbol of discourtesy from the villagers led by the small town elders.Elders of the small town should be on the fore-front in seeking to learn good ethical motives amongst the villagers ; but alternatively they lead by bad illustration.Moral decay is apparent. Poverty has taken toll of the whole small town in that territory therefore the writer brings out the subject of poorness. Other than the Equus caballuss, no other agencies of conveyance was available for the state physician. He spends a batch of clip availing assorted resources and ends up defeated, he reached his finish safely, thanks to the groom for his kindness.The sort of life style experienced in the small town by the physician is a cogent evidence of poorness the ill room was airless and a danger to the patient.The physician had lost religion in his ain profession by stating he had delivered more than plenty of his services but he was ill paid, this means that he barely met his basic demands. Although the writer concentrated strictly on the subject of treachery but besides had some facets of the subject of rousing.The villagers looked barbarian and lack basic instruction, when the physician nods his caput as a mark of licking, no 1 amongst the villagers could read the marks or state either, if they had known the marks the better.They did n't give the physician ample clip to analyze the patient but alternatively went a caput and humiliated the physician in forepart of the whole small town ; had they known to be patient and take affairs with wisdom and non bitterness. Last the writer brings out misrepresentation as a subject that runs through the narrative. He ( the physician ) is deceived by the groom who subsequently took over his servant miss. The physician besides uses misrepresentation to salvage his ain life from the custodies of the wicked villagers. He deceives his patient and got his manner out of the small town.He besides goes a caput and deceives the whole small town that he could mend the patient although he knew it was a difficult nut to check.