GM Food Annotated Bibliography Example | Topics and Well Written Essays - 250 words

GM Food - Annotated Bibliography Example The statistics therein would provide information to validate such criticisms. In this article, the authors argue for safety of GM foods which they refer to as genetically engineered, GE foods. With a background of what GM foods are and their production, the authors appreciate that genetic modification of crops could pose a threat to human health. However, it refutes that the GE foods in distribution are a threat to human health. The article argues against the traditional approaches of examining safety of GM foods on animals as being impractical and as such recommends modern scientific approaches. Such approaches are used by various agencies in the US responsible for regulation of GM foods hence their safety. This is a useful article to affirm that GM foods in distribution are safe and refute findings from studies on animals being inferred to humans noting that GM foods pose health

History Assignment Example | Topics and Well Written Essays - 250 words - 7

History - Assignment Example A. Boxer rebellion is the outcome of a rebellious action from a group called ‘Boxers’ which was a Righteous and harmonist group in china. The main aim of this group was to get rid of all the foreign influence present in china and retain their own cultural heritage. During 1899, this group was battling against Christian foes in which many foreign officials got killed. This group was the reason for weakening the power of chin dynasty and also influenced the republic revolution which made china a republic nation. 4 . Lin Zexu -Lin Zexu was the scholar and official of high moral conduct in the Qing dynasty of china. He was famous for his ardent fight against the opium trade to protect his people from destruction. 5. Pu Yi – the Last Emperor of China – Pu Yi was the youngest Chinese emperor who was given the throne by the empress Dowager cixi in 1908.He was a cruel emperor and often tortured his servants for minor offences and was dethroned during the Chinese revolution. 6. Constitution of 1890 in Japan – The Japanese leaders in 1890 formed a constitution called â€Å"meji constitution† to impress the westerners of their power and strength. In this constitution the supreme power was with the emperor and other had minor rights to vote. 7. Treaty of Shimonoseki – This treaty is also known as Treaty of Maguan and was signed on April 17, 1895 between Japanese Empire and Qing Dynasty of China. According to this treaty the China mainly acknowledged the independence of Korea and renounced any belonging to

Multidisciplinary Team Pain Management

Multidisciplinary Team Pain Management Introduction In spite of advances in pain management (Apfelbaum et al., 2003; Fotiadis et al., 2004; Powell et al., 2004; Wu and Richman, 2004), postoperative pain still remains a major clinical problem confronting healthcare providers (Klopfenstein etal., 2000; Klopper et al., 2006; Sjà ¶strà ¶m, Dahlgren and Haljamà ¤e, 1999). Many patients continue to experience postoperative pain (Gilmartin and Wright, 2007; Manias et al., 2005; Schafheutle et al., 2001) with about 69% of them experiencing moderate to severe pain after surgery (Apfelbaum et al., 2003). According to the International Association for the Study of Pain (1979: 250), pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage described in terms of such damage. This definition emphasises on the subjective nature of the pain experience which can be influenced by multiple factors (International Association for the Study of Pain, 2003). As a result of this, McCaffery (1983: 14) defines pain as whatever the experiencing person says it is, existing whenever she says it does. Apart from pain signifying an actual or potential tissue damage, it is of no significance and leads to detrimental effects (Apfelbaum et al., 2003). Unrelieved postoperative pain can lead to disturbed emotional states, sleep deprivation, reduced physical and social performance, impaired quality of life (Reyes-Gibby, Aday and Cleeland, 2002; Strassels, Cynn and Carr, 2000), patient dissatisfaction (Shang and Gan, 2003), delayed discharge (Rejeh et al, 2008), increased use of healthcare resources (Fortner et al., 2003; Mystakidou et al., 2005; OMahony et al., 2005) and its associated high costs of hospitalisation (Huang et al., 2001). From an ethical point of view, postoperative pain should be properly managed to prevent needless suffering and avoidable complications (Kehlet, 1989), so as to increase function and to improve the quality of life (Goudas et al., 2001; Reyes-Gibby et al., 2002; Strassels et al., 2000). Notwithstanding several barriers prevent the successful management of pain. The aim of this proposal is to justify the need for a study that will explore the barriers to effective postoperative pain management from a multidisciplinary health team approach. The proposal will commence with a literature review on barriers to effective pain management followed by the appropriate research methodology that can be used in carrying out the study. Finally, the contributions of the research in filling the gaps of previous studies will be discussed. Literature Review In spite of numerous studies conducted on the different aspects of pain, the factors that affect pain management have not been completely identified (Rao, 2006). Greater research efforts are therefore required to identify the factors that affect the effective management of pain (Weissman et al., 2004). Barriers to effective pain management have been classified into that of the patient, clinician and the healthcare system (Cleeland, 1987; Joranson, 1993; Von Roenn et al., 1993; Ward et al., 1993;). Specifically, patient-related barriers have been categorised into communication (Glajchen et al., 1995), psychological (Glajchen, 2001) and attitudinal factors (Ward et al., 1993). According to Im, Guevava and Chee (2007), there is poor patient communication concerning pain and undermedication due to language barrier and insufficient money to purchase additional drugs. Psychological issues such as anxiety, distress, depression, anger and dementia have also been shown to cloak the symptoms of pain leading to poor pain management (Glajchen, 2001). Also, patient attitudes serve as the greatest impediment to the effective management of pain. These include fear of addiction (Dar et al., 1992; Ferrell, 1991; Melzak, 1990), tolerance (McCaffery and Beebe, 1989), side effects (Levin et al., 1985), fear of injections (Twycross and Lack, 1984), feelings of fatalism (Diekmann et al., 1989; Levin et al., 1985), association of pain with worsening disease states (Diekmann et al., 1989; Twycross an d Lack, 1984), belief that pain is inevitable and unmanageable (Ward et al., 1993), fear of distracting clinicians from treatment focus (Cleeland, 1987; Diekmann et al., 1989) and the desire to please clinicians (Cleeland, 1987; Twycross and Lack, 1984). On the other hand, insufficient knowledge, poor pain assessment skills, negative attitudes and physician reluctance to prescribe analgesics have also been shown as some of the clinician-barriers to effective pain management (Cleeland, 1993; Von Roenn et al, 1993). A study conducted in Iran revealed that institutional policies and regulations, limited time, poor communication, work overload, powerful physicians and the subjection faced by the nursing profession are some of the nursing-related barriers to postoperative pain management (Rejeh et al., 2008). Another study conducted by Rejeh et al. (2009) also depicted nurses limited authority, poor patient relationship, inadequate educational preparation and the interruptions in pain management measures serve as impediments in the effective management of postoperative pain in Iran. Some of the barriers in the healthcare system include strict regulatory scrutiny (Cleeland et al., 1994), changes in reimbursement policies (in cases where older patients have to pay for the cost of outpatient prescription drugs) (Glajchen et al., 1995), the lack of neighbourhood pharmacies, poor means of transportation and the absence of higher doses of opioids in the health system (Glajchen, 2001). Ultimately, these factors lead to inappropriate selection of analgesics and its subsequent poor management of patients pain (Glajchen, 2001). It can be realised from the literature that, most of the barrier-related studies on pain have mainly been in the form of quantitative studies conducted on chronic conditions such as cancer(Glajchen et al., 1995; Glajchen, 2001; Im et al., 2007; Joranson, 1993; Ward et al., 1993) and AIDS (Brietbart et al., 1998). This approach often leaves the reader in questioning why and how these factors serve as barriers. Moreover, studies conducted on clinician-related barriers (Rejeh et al., 2008; Rejeh et al., 2009; Van Niekerk and Martin, 2003; Von Roen et al., 1993) have always taken a uni-modal approach (either physicians or nurses) while neglecting other professionals such as the anaesthesiologist/ anaesthetist who also play a part in postoperative pain management. By virtue of this, a comprehensive understanding of the barriers that are faced by the multidisciplinary health team involved in postoperative pain management will enable a more targeted approach to improved patient care (Manias etal. 2005; Schafheutle etal. 2001). Research Methodology My research seeks to gain an in-depth understanding of the factors that impede the effective management of postoperative pain from a multidisciplinary health team approach. As a result, a qualitative design will be most appropriate in the conduction of the study in Ghana. The reason for choice of the location is that no previous studies have been conducted on the issue in this geographical area. Prior to the commencement of the study, ethical approval will have to be sought from the various ethics committees of the hospitals that would be included in the study. Some of the ethical issues such as the participants autonomy, confidentiality and anonymity during the study period will be addressed appropriately. All participants would be informed of the purpose and design of the study, as well as the voluntary nature of their participation. Informed consent will be obtained from the participants in the form of writing and will be signed by them to serve as   evidence for their voluntary participation. Semi-structured interviews will be used in collecting the data so as to gain in-depth information to specific questions (Hove and Anda, 2005). Like most qualitative studies, the findings of this study cannot be generalised to other settings but would provide rich information on the barriers faced by health care professionals in managing postoperative pain. This will then pave the way for appropriate strategies to be implement in solving this problem. Healthcare professionals with a minimum of 5-year working experience in surgical units, in major hospitals in each region of Ghana would be included in the study. The reason is to acquire professionals who have sufficient work experience to enable them analyse barriers affecting the management of post-operative pain. Also, purposeful sampling technique will be used for recruiting participants in this study. In the conduct of this study, data collection and analysis will proceed concurrently until the development of themes related to health professionals barriers affecting post-operative pain management is achieved. Data collected will be analysed using content analysis (Morse and Field 1995; Sandelowski, 2000) to generate codes, categories and themes. By means of theoretical sampling, additional participants will be selected until theoretical saturation is achieved and no new information emerges. Participants will be contacted after the analysis and will be given a full transcript of their respective coded interviews with a summary of the emergent themes to determine whether the codes and themes matched their stated barriers. Maximum variation of sampling (in terms of the type of profession, years of working experience) will also enhance the conformability and credibility of data. This sampling strategy will enable the me to capture a vast range of views and experiences (Streubert and Carpenter 2003). Contributions of the Research Conducting a research is not an end in itself, but a means to an end. As a way of finding solutions to the problem of ineffective postoperative pain management, it will be prudent to understand the causes of these barriers so as to devise appropriate strategies. The success or failure of pain management largely depends on factors that influence the health professionals practical care for patients with post-operative pain. The findings of this study will provide insights into the factors that affect the management of postoperative pain from a multidisciplinary health team approach. By so doing, it will not only integrate diverse perceptions but also incorporate other key stakeholders in postoperative pain management (anaesthesiologist/anaesthetist) who have been left out in previous studies. Moreover, the proposed study will contribute to already existing literature by giving appreciable insights on the factors that affect the entire health team in the management of postoperative pain. Also, the involvement of the major stakeholders in postoperative pain management will stimulate the interest of each of the professionals groups thereby enlightening each other about the barriers and how they can be solved. Ultimately, this will improve patient care, enhance staff satisfaction and boost the integrity of our health institutions.

Macbeth - Images and Imagery :: Macbeth essays

MacbethL Imagery One of the most important tools in literature is imagery. It is not just in there to fill up paper; rather, there is at least one dramatic purpose for each image and there are many different types of imagery. This essay seeks to prove that in the play Macbeth the author William Shakespeare uses darkness imagery for three dramatic purposes. Those three purposes are, to create atmosphere, to arouse the emotions of the audience and to contribute to the major theme of the play. The darkness imagery in Macbeth contributes to its ominous atmosphere. In the very beginning of the play the three witches are talking and the first witch says "When shall we three meet again? In thunder, lightning, or in rain?" (Macbeth 1. 1. line 1). This is a good example of darkness imagery because when you think of the crashing thunder, lightning and rain, they all remind you of evil and ominous things. Later on the Sergeant is talking with Duncan and Malcolm when he states "Ship wrecking storms and direful thunders break" (1. 2. l26). Again this darkness imagery contributes to the ominous atmosphere of the play, having reference to thunder and dark storms. Finally, Lady Macbeth and Macbeth are talking in the scene just before the murder of Banquo and Macbeth says "Light thickens, and the crow makes wing to the rooky wood: Good things of day begin to droop and drowse, whiles night's black agents to their preys do rouse" (3. 2. l50-53). This example of darkness imagery is saying that the day is turning into night, all the good things are going to sleep, and the evil creatures are coming out . The evil in this previous quotation and the two before adds to the ominous atmosphere. Since the imagery creates an ominous atmosphere it would then lead to the second dramatic purpose, to arouse the emotions of the audience. Darkness imagery is a very good tool for arousing the emotions of the audience. It enables people to create a mental picture of the what they are reading. For instance, in this instance of darkness imagery Duncan and Macbeth were talking when Macbeth says aside "Stars, hide your fires! Let not light see my black and deep desires" (1. 4. l50-51). When words like dark and desire are put in that context it creates many horrible mental pictures about murders and fights which arouses peoples emotions. Ross is later talking with an old man when he states "By the clock `tis day, and yet dark night strangles the traveling lamp" (2.

Improving Youth Roles in Poverty Reduction

IMPROVING YOUTH ROLES IN POVERTY ERADICATION Poverty is one of the biggest problems that is faced by almost every nation world wide, including Indonesia. It is a clinched problem that is influenced by various factor such as income rate, access to education, public health services, environmental issues, and another basic needs. Eradicating poverty has always been discussed in both regional and international meeting and conferences, yet there is no suitable approach can be found to fight against it.Indonesia, as a developing country in Asia, has more than thirty million people living under poverty line. Government has been trying to actuate many program that seemingly can reduce the number of poverty. It is essential to be perceived that poverty is not only individual problem, this is also considered as structural problem which means that it needs an integrated method and approach to handle it. Regarding this, government is not the only party that has responsibility to work on poverty eradication, it’s a must that the society be involved in.Talking about society participation in reducing poverty numbers, youth is the most potential element that has a role as the agent of changes that carries out social missions to better a country’s life. Young people need to play a key role in shaping the future of their nations and communities and yet they are often excluded from the decision making processes. They should be at the forefront of global change and innovation. Empowered, they can be key agents for development and peace. Youth has fresh, creative ideas and perspectives which can be very helpful in finding solutions to development problems.However, this is not going to run smoothly if young people has no concern about the future life of their country nor have any sense of belonging to the country which will be the obstacles to the government to succeed this approach. Attracting young people to actively and productively engaged in government program of empowerment is the prior task. This has to be started from a very early level of education, young people has to have a great empathy toward social issues. This feeling of empathy will bring them closer to concrete actions and efforts to fight against poverty.Youth can take a part in different ways, those are: 1) giving help in fundraising or charity event, this can help many lives to get better access to basic needs and provide them a better living standard, 2) conducting social projects related to poverty reduction, youth as social control can attempt many social projects in distinctive areas in order to help government works on society empowerment and address local development challenges in their communities, 3) contributing ideas and initiatives towards government policy, youth is the representative of the whole citizen can work together to find the best solution for fight against poverty and for sure build a strong relations between the state and society by collaborating with yo uth â€Å"champions† within government, 4) being a social entrepreneur, it is a sort of entrepreneur who runs a business whose profit is going to be allocated to the poor, 5) getting involved in youth organizations for change, this is kind of organizations which is being spread out around the globe, it helps young people develop their skills and awareness towards social and environmental issues and 6) advocacy, generally defined as an action for carrying out public interest, youth in advocacy can give important contribution in monitoring service provision at different levels.

Us History Exam notes

An area in social life, Independent of government where Informed citizens can come together and discuss and Influence political action, a domain that used to be solely for political figures and upper society. What were the major components of the public sphere In colonial North America? The public sphere expanded with the raising of literacy rates and the view that participating in politics and reading was fashionable. Some of the influences were numerous coffee shops and pubs, lots of bookshops, Boston Newsletter, first continuously published newspaper.Which early American stands out for his contributions? Benjamin Franklin What were his three major contributions to the growth of the public sphere? Editing the Pennsylvania Gazette which was considered the best edited, founding the Junta, a forum for mutual Improvement and for discussion about politics, and the Library Company of Philadelphia which was the flirt establishment of circulating literature. What component of freedom was e ssential to the establishment and growth of the public sphere? Freedom of expression. Which famous libel trial demonstrated that this freedom was becoming ingrained in he popular imagination? 735 Publisher Zinger brought up on charge of libel against the governor, calling him corrupt, and after he showed evidence that the governor was corrupt he was found not guilty. This showed the public that the truth will always win. Columbian exchange- transatlantic flow of goods W > E – tomatoes, potatoes, cotton, tobacco, corn E > W – sugarcane, rice. Horses, pigs, sheep Black Legend- Based on Lass Cases' book shows image of Spain as uniquely brutal and exploitative colonizer, gives other countries Justification to colonize, challenge Spain's old French and Dutch are what kind of empires?Commercial, looking for trading, gold and the Northwest passage England Is what kind of empire? Colonizing, Individual men looking for land, and through the possession of land, freedom and bring them back to the home country to make it wealthier, not focusing on colonization or trade Northwest Passage- Route to Asia through N America English colonization begins with Jamestown in 1607 by Virginia Company 5 Attributes to English Freedom: 1. King subject to rule of law (Magna Cart) 2. Security of persons and property 3. Habeas corpus- cannot be held indefinitely w/out charge 4.Right to face your accuser 5. Right to trial by Jury Mercantilism: There is always a winner and a loser in trade, best to be the person with money, exports should always exceed imports Virginia- tobacco in Chesapeake region, swampy Pennsylvania- Religious freedom for Quakers, no slavery Georgia- meant to be a refuge for the English poor, became large slave owning plantation state, rice and indigo Carolinas: Indigo and Rice Rhode Island and New Jersey- religious freedom Massachusetts- formed with original Plymouth colony.