Thursday, November 28, 2019
Blood Of Children Sampling Essays - Stem Cells, Cord Blood
Blood Of Children Sampling Should parents pay a blood bank to store the blood from their newborn baby's umbilical cord and placenta, in case that child or another family member ever needs it to treat cancer or leukemia? Expectant parents are being urged to do so by companies that have sprung up during the past few years to sell cord-blood banking as a form of "biological insurance" against such dreaded diseases. The pitch is based on reports in medical journals, such as a major study published last week in the New England Journal of Medicine, showing that cord blood can sometimes be used in place of a bone marrow transplant. Like bone marrow, cord blood is rich in stem cells, which can churn out many different types of cells to rebuild a patient's blood supply and immune system after high doses of radiation and chemotherapy. And a patient's own cord blood, or that from a relative, is more likely than cord blood from an unrelated donor to be a good tissue match and to be accepted by the recipient's body. Some experts in bone-marrow transplantation and blood banking frown on the cord-blood business, arguing that people are being frightened into wasting money on a service they will probably never need. Moreover, private companies are growing in tandem with public banks, and some scientists worry that private banking will limit public access to cord blood. They are concerned because the cord blood in private banks remains the property of the donor family and is not available to patients seeking a compatible donor. But the companies say that however remote the possibility that the blood will be needed, people who choose to bank their own cord blood have a right to do so. In most cases their cord blood would be thrown away in the delivery room if they did not pay to bank it. There are only a few cord-blood banks in the United States, and most hospitals do not have specially trained staff members to collect the blood. Like bone marrow, cord blood must be matched to the recipient by tests for six inherited traits that determine an individual's tissue type. Cord blood does not have to be as precisely matched as bone marrow, but still, the closer the match, the better the odds of success. The weaker the match, the more likely it is that the recipient's body will reject the transplant, or the transplant will attack the recipient's tissues, in a life-threatening reaction called graft versus host disease. The companies that freeze cord blood and bank it point out that a person's own cord blood is a perfect match, and a sibling's cord blood a more likely match than a specimen from a stranger. And so, the argument goes, the best way to protect an entire family from the unthinkable is to save the newborns' cord blood. Promotional literature for one company, Cord Blood Registry, in San Bruno, Calif., emphasizes that people with cancer in the family may have a special interest in cord-blood banking, along with those who have the hardest time finding matches, which includes members of racial minorities, especially families in which the parents are of different races. According to a spokeswoman, Scoti Kaesshaefer, the company reaches parents-to-be by promoting itself to doctors, nurses and childbirth educators, and by leaving information at hospitals. Among the promotional materials the company provided to the New York Times were copies of articles from other newspapers suggesting that cancer among children is on the rise. The company also has a Web site and an 800 number with a recorded greeting that instructs callers to have their credit cards ready. The idea of saving one's own cord blood seems to be catching on. Cord Blood Registry, which describes itself as the largest private cord-blood banking firm in the United States, has stored 10,000 samples during the past three years: 1,500 in 1995, 3,000 in 1996 and 6,000 in 1997. The company charges an initial fee of $1,200 to collect a sample and freeze it, and then $95 a year to keep it stored in liquid nitrogen at the blood bank at the University of Arizona. Customers include people with perfectly healthy children, who just want extra peace of mind, as well as some families who have lost a child to leukemia or another disease and fear for the health of their other children. In its three years of operation, eight customers have retrieved their cord blood for use in medical treatment, said Kaesshaefer. All eight samples were used
Monday, November 25, 2019
The Importance of National Identity in Social Relations â⬠Humanities Essay
The Importance of National Identity in Social Relations ââ¬â Humanities Essay Free Online Research Papers The Importance of National Identity in Social Relations Humanities Essay As a result of this case another issue should be raised, that of the intensification of negative prejudice toward an ethnic out-group, stemming from the regular contact between two different national groups (Campbell cited p. 211). More specifically, a big number of Albanians came to Greece over the last decades as financial immigrant, legal or not. Their increased presence in the Greek territory (and, consequently the labour market) has led to the development or the aggravation of some Greeks negative attitude towards them and the raise of related stereotypes: Albanians are dangerous, dirty, deceitful, ungrateful and so on. The Albanian student mentioned above was the victim of the groundless rage of people who perceived of his bearing the flag as an injury to their national identity. This attitude is an example of self-identification and identification of the other, based on vague and fictitious criteria: not sharing the same history, coming from a different country, having different religion, customs and so on. When taking into consideration the extent of emphasis placed on the event and the cost for the student, it is difficult to overlook the importance of national identity in social relations. It has often been claimed that the idea of the nation is a construction that serves political or other interests. Hutchinson and Smith (1994 p. 48) quote Eric Hobsbaum who claims that ââ¬Å"the nation was one of many traditions invented by political elites in order to legitimise their power in a century of revolution and democratisationâ⬠. Later in the same book Benedict Anderson (1994, p. 89) characterises modern nation as ââ¬Å"an imagined political communityâ⬠. A fundamental constituent of a nation and a common element that functions as a unifying factor is its shared traditions. There seem to be two categories of tradition; the first includes pure ones, those that their roots lie in the past and have been preserved in time, interwoven with the nations habits, norms, values and practices and that are an integral part of peoples national identity. The second category refers to the traditions which are invented. These are artificial outwardly imposed to the nation and might serve political or other purposes, functioning as a unifying factor or a factor enhancing faithfulness to the nation. Eric Hobsbaum distinguishes between three types of tradition. The first includes traditions that reflect the social cohesion of a nation, the second includes traditions that operate for the interest of the ruling classes and the third the medium for implanting or enforcing ideals, values or rituals. The two latter types are examples of invented traditions. The negative element of invented traditions is that when called for the manipulation of the masses can function as a covert way of fanatising people, cultivating racism and prejudice and intolerance for every out-group. Similar feelings of national pride or faithfulness to the national group were exploited by the Second-World-War Nazi authorities in order to bring about the Jewish holocaust as part of an ultimate mission. The symbols of the Nazi invented traditions were their anthem, the swastika, the formal military salute and many other which helped the representatives of the Arean Nation to establish the sense of uniqueness and superiority and to strengthen the sense of unity and solidarity. POINT: Religious faith is in important constituent of national identity. The intensity of identification with a religion is iften positively correlated with the strength of ones national identity. However, it seems religion itself is something obscure and indefinite, not to mention every individuals perception of his religion and his interpretation of what religious faithfulness means. Baumsteer Meanings of Life 187-189 approaches the issue critically noting that in many instances in the past religion has cheated its pure character by serving political interests. He adds that religion often becomes rigid (one example being Catholicism), thus not satisfying peoples emotional needs as they evolve along with social changes in time (Religions are rigid becase they cannot follow sociocultural changes in time, thus they cannot satisfy peoples evolving emotional needs. By comparing national identity with the religious, as Baumeister analyses it, one could detect the function and usefulness of the former for the individual (pp. 190-196). Apart from constituting a source of life meaning, the construction of national identity provides a link with the past a kind of collective memory of the common national origin one wants to consider him/herself a member of. Additionally, it provides an orientation for the future; it inspires a sense of aspiration, or an ideal. One function of this orientation for the future might be the rationalisation of labour and production as a bestowal to the nation and, accordingly, the production of children as a way of contributing to its preservation and expansion. Eriksons psychosocial theory stressed the importance of identity in the individuals developmental course of life. He consedered identity to be the persons way of defining him/herself and, as such, to crucial for his / her mental and cognitive development as well as a way of interacting with the surrounding world. Adolescence is a significant period because it signifies, among other things, the transition to the adulthood. During adolescence one is confronted with roles, relationships, values, some of which s/he adopts and othhers s/he questions in order to circumscribe his / her identity. This is why the identity is individualised and difficult to define. It might encompass the persons way of experiencing his / her gender, socioeconomic status, ideology, nationality, religion as well as the (significant) others reflections on the above factors. Two institutions that play a significant role in the construction of a persons national identity are the family that undertakes the primary role in the persons socialisation and the school, which is the secondary socialisation institution. They both provide sources of historical information, national ideals, attitudes, values, emotions, that are transmitted to the individual and contribute to the formation of his / her national identity. For instance, the Greek educational system often adopts an egocentric approach in the teaching of history, placing emphasisi on historical moments when Geece exhibited courage and succeeded, or stressing glorious moments of ancient Greek history, like the Golden Era of Pericles, makin shorter reference to the contemporary slavery. This approach could contribute greatly to the students feelings of national pride and to the identification of the students with their ancestors in terms of national origin. What the claim of the scholars might imply is that the content of the national identity is so wide, complex and fluctuating, that it cannot justify some peoples strength of beliefs and rigidity od attitudes as it happens in cases of negative nationalism (as opposed to liberal nationalism), racism, national stereotyping or chauvinism. Conclusion Whether national identity is a fictive characteristic or not, should be judged from the consequences on personality and communication. That is, however subjective, obscure and elusive national identity itself may be, it is more important to determine the ways in which it influences or even determines thought, emotion and behaviour. Especially when feelings of national pride and patriotism are manipulated by political and military authorities for the sake of imperialistic or other unethical purposes, it is crucial to examine it further. The fact that the content of national identity is something conventional, has been clearly illustrated by many scholars. All its constituents, traditions, borders, customs, cultural elements and so forth are agreed and established through repetition or preservation in time. What is more, national identity is, as mentioned above, completely subjective and idividualised; it cannot be circumscribed precisely. Two people may not share common history, land religion, race, customs, values or they may share some or all of the above in different degrees and combinations. Nevertheless, they serve a very important purpose, fundamental for the peoples emotional well-being: the sense of belonging, security, satisfaction of social needs (solidarity, production, undertaking of responsibility). Thus, we come to the conclusion that national identity is a powerful symolic link that connects people in place and time, and at the same time a dangerous seed that can be cultivated to cause dissention, disruption of the social order and alienation. Salkind, N. (1985). Theories of Human Development. John Wiley and Sons Inc. POY National identity, according to Parekh (People, Nation and State 1999, p.66) encompasses three components: a) a common constitution of a political community, including agreed rules, laws and norms, b) images of the nation, shared between members of a national community and c) a sense of personal commitment to the community. All the above are characterised by a degree of subjectivity and dynamism. That is, none of them can be precisely circumscribed or unanimously defined, nor can they remain static in place and time. With respect to the importance of the national identity in a personââ¬â¢s self-identification, it seems that the second and third element play a significant role and are related to fundamental psychological processes. To be more specific, as Parekh (1999, p. 67) observes, national identity is a form of ââ¬Å"self-understanding. [â⬠¦] It reflects qualities [the British] like about themselves and wish to preserve. Since they define themselves in terms of these qual ities , they seek to live up to them and feel or can be made to feel embarrassed and guilty when they do not [â⬠¦]. Images are not only self-projections, but also tools of self-creationâ⬠. A relevant example that might illustrate Parekhââ¬â¢s point is the Greek term ââ¬Ëââ¬â¢ This noun signifies a personality trait, a way of behaving, as well as a traditional Greek value. Greeks are proud because they consider this to be a ââ¬Å"unique Greek characteristicâ⬠and they often substantiate this claim by the argument that there is no direct equivalent for the word in other languages. This compound word literally means ââ¬Å"to loveâ⬠(-) ââ¬Å"prideâ⬠or ââ¬Å"honourâ⬠(-). That is, to have a vivid sense of dignity and pride. Greeks often attach to the term meanings such as: ââ¬Å"a kind of charismaâ⬠, ââ¬Å"kindnessâ⬠, ââ¬Å"ethicsâ⬠, ââ¬Å"good willâ⬠, ââ¬Å"consciousnessâ⬠, ââ¬Å"virtueâ⬠, ââ¬Å"generosityâ⬠and ââ¬Å"the idea of coming up to oneââ¬â¢s responsibilities and fulfilling oneââ¬â¢s dutiesâ⬠(Vassiliou V. Vassiliou G. 1966, cited 1995, p. 115). ââ¬Å"Filotimoâ⬠() is one of the ideals that traditional nuclear Greek families aim to implant to the generations that follow. It is also frequently invoked when asking someone to come to his / her senses or to retract an undesirable attitude. Hence, in this example behaviours and interpersonal relationships may be influenced by a value system that is identified with national orientation. Similarly the ââ¬â conscious or not ââ¬â urge to prove worthy of the nationally praised characterization ââ¬Å"philotimosâ⬠might function as a self-fulfilling prophecy. More specifically, the person might deal with particular situations in ways that confirm the familyââ¬â¢s, friendsââ¬â¢ or nationââ¬â¢s expectations from him /her. As far as commitment to the community ââ¬â the third factor according to Parekh ââ¬â is concerned, it is also subjective and difficult to determine. It involves a collective sense of belonging, shared emotions and symbols of the community like ceremonies, the f lag, the national anthem and so on (Parekh 1999, p. 69). Loyalty to the nation, patriotism and a common sense of solidarity are some of the characteristic ways in which a member of the nation experiences his bond with it. A positive form of experiencing identification with the nation is the case of peopleââ¬â¢s reaction during the Olympic Games. When athletes win medals they are overwhelmed with national pride, among other emotions, and so are their fellow-countrymen. Greeks again could be a characteristic example, because they strongly view the Olympic ideal as a part of their national identity ââ¬â a kind of a collective heritage. Especially at the award ceremony where the national anthem is being performed the athletes often burst into tears and kiss the flag as an expression of loyalty to the nation. What is more, leaving for a moment the commercialization of the Olympic Games aside, the Greek origin of the Olympic ideal seems to be a strong motive for many Greek athletes , government members and even simple citizens to avoid getting involved in any form of corruption. More specifically, any entanglement in events of doping or other kinds of unethical competition would be considered very shameful and humiliating, particularly because of a shared sense of responsibility towards the heavy national heritage. This worry is probably so intense not so much because of the political or financial interests involved, but more because of a concern to preserve the national ââ¬Ëgood reputationââ¬â¢. My interpretation of this attitude is that it represents a shared way of experiencing national identity. The function of this identity could be that it constitutes a unifying factor for the nation and that it could inspire collectivity, ethos and a sense of duty, that may be more influential than any external or imposed force (like laws, government guidelines and regulations introduced by international institutions). A negative form of identification and bonding with the nation could be the case where national pride takes the form of commonly shared and publicly expressed prejudice for the national out-group. A representative example comes again from the Greek context, where a couple of years ago Odise Cenaj, an Albanian high-school student participated in the student parade as a flag-bearer. The parade took place as part of the annual ceremony for the celebration of a national anniversary, the 28th of October. A characteristic example of the relation between religion and national identity is the Greeksââ¬â¢ notion of their nationality. The majority ââ¬â especially the older generations ââ¬â tends to interweave the national element with the religious one, identifying ââ¬ËGreekââ¬â¢ with ââ¬ËChristianââ¬â¢ and in particular ââ¬Ëorthodoxââ¬â¢. Personal experience from the Greek sociocultural context has shown that the stronger the national identity is, the stronger is the identification with the orthodox faith. Especially in the case of this dogma, the etymology of the word reveals the deterministic view of its followers. The Greek compound word ââ¬ËOrthodoxââ¬â¢ means ââ¬Ërightââ¬â¢ (ââ¬Ëorthoââ¬â¢) ââ¬â as opposed to ââ¬Ëwrongââ¬â¢ ââ¬â ââ¬Ëbeliefââ¬â¢ (ââ¬Ëdox-aââ¬â¢, noun deriving from the verb ââ¬Ëââ¬â¢ which means to claim, to believe). It becomes obvious that, as far as religion is concerned, the doctrineâ⠬â¢s name reflects the disputes or clashes between Christians ââ¬â and often between Christians and other followers of other religions ââ¬â and the urge to prove that one dogma is more ââ¬Ëcorrectââ¬â¢ than the other. There are cases where dimensions of the national identity of the person are so dominant in the personââ¬â¢s image that they determine his / her interaction with the world. For instance, an Afghani woman, who wears the burgha in a context outside her country, is as if she ââ¬Ëintroducesââ¬â¢ herself through her dress code, revealing her national origin before giving any other personal information, not even her external appearance. It becomes obvious that in such extreme cases a personââ¬â¢s national identity might play a catalytic role as far as social relations are concerned, as it denotes that a person is part of a particular social, political or religious system. This marker can often be very restricting not only regarding the personââ¬â¢s self ââ¬â image, but also the way the (significant) others view the person and the extent to which the person can get involved in social relationships. As Roy (1999 p. 64) observes, there are often cases where the person who be ars indicators of his / her national origin does not do so as a result of his / her free choice, but rather to show compliance with a ââ¬Ëmoral obligationââ¬â¢ (as in the case of Muslim women who wear a scarf an as well as outside the borders of their country) or an imposed law (as in Afghanistan). In such cases, the expression of national identity through linguistic, dress, dietary or other cultural codes reflects the identityââ¬â¢s rigid or static character and it might contribute to the personââ¬â¢s social alienation (Roy, 1999 pp. 58-59). Prejudice and discrimination based on critiria od national origin might be an extreme case of what developmental psychology terms as ââ¬Ëkin selectionââ¬â¢ and ââ¬Ëreciprocal altrouismââ¬â¢ (Goodhart 2004, p. , Ozkirimli 2000, p. 71). To be more specific, with respect to the incident with the Albanian student, the Greeksââ¬â¢ aggressivenes was inspired by the fact that their national identity was challenged and their sense of unity and homogeneity was at stake by the ââ¬Ëintrusionââ¬â¢ of a foreigner, that provoked their national pride. It becomes obvious that the invocation of national identity was the unifying factor for the Greeks who opposed to the foreign studentââ¬â¢s participation in the parade as a flag-bearer (something considered by many citizens to be a Greek ââ¬Ëprivilegeââ¬â¢). Even though there was no obvious breaking of the law, there was a significant number of people who shared the same impressions and reacted in similar ways, providing no logical arguments. The politiciansââ¬â¢ involvement and their attempts to calm down the annoyed citizens confirm the fact that they legitimised national prejudice in order to appear appealing to the public. Finally, the student, after the unfavourable reaction of the public, declared that he did not feel Greek any more and he did not want to share the Greek identity. This confirms the subjectivity and flux of national identity. It also proves that this identity may be determined on the basis of what other perceive of the individual. Hence, its formation is the result of reciprocal determination. As Goodhart (2004, p.) observes, people with the same nationality may have a variety of other differences (religion, class, area of inhabitance), a fact that justifies national identityââ¬â¢s fictitious character. Nevertheless, the example above confirms that members of a national minority may become ââ¬Ësecond-class citizensââ¬â¢ because they do not share the same historic past. The extent to which national identity is dominant in a personââ¬â¢s self-description may depend on whether it is being challenged or not. Depending on the circumstance a person finds him/herself in and the need to protect ot stand up for his/her identity, s/he will do so be it gener, religious, national or other identity. Therefore, its importance may vary according to the social context (Searle 2001, p. 3). The manipulation of national identity for political or military purposes wsa evident in World War II. German Nazis and Italian fascism are such examples. In both cases a ââ¬Ëcharismaticââ¬â¢ leader misled the military forces and the public opinion by cultivating and racist feelings. All thei arguments were groundless, superficial and completely lacked rational base. Both leaders aimed at unifying the nation and winning its by stressing its superiority over other nations. The appeal of this false ideology might be partly explained by social identity theory, which explains that peopleââ¬â¢s self-esteem is raised by the idea that they belong to a (social, racial, national or other) group that is ââ¬Ësuperiorââ¬â¢ than others. Thus the leaders manipulated this emotional vulnerability (New Zealandâ⬠¦Ã¢â¬ ¦.). Gellner (Nationalism 55) attempts to define nationalism based on poltical criteria. He places emphasis on education as an important factor in the formation of national identity. He observes that ââ¬Å"men do not in general become nationalists from sentiment or sentimentality, atavistic or not, well-based or myth-founded: they becomenationalists through genuine, objective, practical necessity, however obscurely recognisedâ⬠(Gellner 1994, p. 56). Hence, it seems that regardless of whether the roots of a personââ¬â¢s nationalism are emotional or rational, it is still difficult to specify the exact content of the idea of the nation. Moreover, the ââ¬Ëfictiveââ¬â¢ nature of national identiy can be deduced by the process of elimination: people may share the same national identity, without speaking the same language (as in the case of second, or third generation immigrants, who feel they belong to the nation of their ancestors, even though they might hardly speak their langu age). The same stands for people who live in the same country, work, vote, join the army but have different religious beliefs and customs. In terms of racial characteristics the given fact of ââ¬Ëmixed marriagesââ¬â¢ has eliminated any possibility of a pure, homogenous nation, proving Hitlerââ¬â¢s aspirations to be not only extreme, but also utopian (Crouch 1999, p. 283; Ozkirimli 2000, p. 76). Finally, with respect to shared land and common borders, they seem to be the most fluctuating and less important factors in the subjective perception of national identity. In the case of Greece, Thessaloniki, the second largest city, was under the Turksââ¬â¢ domination until 1912 and it was not taken by the Bulgarian army, thanks to a successful Greek military and political operation of the last moment. Similarly, the islands of the South-East Aegean Sea were finally acknowledged as Greek territory after the end of World War II. During the above period and even from the ancient ti mes, there no question regarding the inhabitantsââ¬â¢ Greek identity, either in their consciousness or in the consciousness of the people who lived in the mainland; there was a reciprocally agreed national determination which greatly enhanced shared feelings of solidarity and patriotism. An alternative way of approaching the relativity of national identity would be by viewing the emerging of European Union, which may contribute to the formation of another, wider notion of nationality. It seems that the new form of national identity has expanded to encompass all residents of the European union. This is evident in the way civil rights (i.e. work permissions) are shared throughout European countries, creating a sense of commonness and solidarity and a new kind of cultural community. An example of how a new form of border may be invented and all the implications: no need for a passport to travel within the European Union, bank account). This gives the impression of a shared trust, appreciation and privileges. To conclude, Parekhââ¬â¢s definition of national identity captures accurately its inconsistency: ââ¬Å"national identity, then, is a matter of moral and emotional identification with a particular community based on a shared loyalty to its constitutive principles and participation in its collective self-understandingâ⬠(Parekh 1000, p. 69). References Anderson, B. (1994). ââ¬ËImagined Communitiesââ¬â¢. In J. Hutchinson D. Smith (eds), Nationalism, Oxford: Oxford University Press, pp. 89-96. Baumeister, R.F. (1991). Meanings of Life. New York: Guilford Press. Campbell, P.T. (1995) sto keimeno: cited Georgas. Crouch, C. (1999). Social Change in Western Europe. Oxford: Blackwell. Goodhart, D. (2004). ââ¬ËToo Diverse?ââ¬â¢ Prospect, 95, Hobsbaum, E. Ranger, T. (1983). The Invention of Tradition. Cambridge: Cambridge University Press. Hutchinson, J. Smith, A.D. (1994). ââ¬ËNationalismââ¬â¢. Oxford: Oxford University Press. Kedourie, E. (1994). ââ¬ËNationalism and Self-determinationââ¬â¢. In J. Hutchinson D. Smith (eds), Nationalism, Oxford: Oxford University Press, pp. 49-55. Ozkirimli, U. (2000). Theories of Nationalism. New York: ST. MARTINââ¬â¢S PRESS, INC. Parekh, B. (1999). ââ¬ËDefining National Identity in a Multicultural Societyââ¬â¢. In E. Mortimer R. Fine (eds), People, Nation and State, London: IB Tauris Publishers, pp 66-74. Roy, O. (1999). ââ¬ËThe Elusive Cultural Communityââ¬â¢. In E. Mortimer R. Fine (eds), People, Nation and State, London: IB Tauris Publishers, pp 56-65. Salkind, N. ( oxi to New Zealand!!!!!!!!! Vassiliou, V. Vassiliou, G. (1966). ââ¬ËThe Implicative Meaning of the Greek Concept of Philotimoââ¬â¢. Journal of Cross-cultural Psychology, 4, 326-341. In ?. Research Papers on The Importance of National Identity in Social Relations - Humanities EssayAssess the importance of Nationalism 1815-1850 EuropeQuebec and CanadaAnalysis Of A Cosmetics AdvertisementBook Review on The Autobiography of Malcolm XPETSTEL analysis of IndiaCanaanite Influence on the Early Israelite ReligionRelationship between Media Coverage and Social andInfluences of Socio-Economic Status of Married Males19 Century Society: A Deeply Divided EraThe Relationship Between Delinquency and Drug Use
Thursday, November 21, 2019
Stressors and Anxiety in the Patients Undergoing Coronary Artery Research Paper
Stressors and Anxiety in the Patients Undergoing Coronary Artery Bypass Surgery - Research Paper Example The anxiety associated with the surgery exists in the post period of the surgery as well. Although many patients projected low level of anxiety and stress before surgery many have experienced borderline or clinically significant levels of anxiety before surgery. It is noticed that people has more stress and anxiety before surgery have poor outcomes than people having lower level of stress and anxiety. The patients undergoing heart surgeries are exposed to high risk and this could be the reason for the anxiety and stress in them. Normally anxiety increase in patient before cardiac surgery but return to normal level after six month of the surgery. Patients with high anxiety and stress before the surgery is exposed to mortality risk during surgery. It is seen that anxiety level is acute in patients about to undergo cardiac surgery and people with extreme stress are advised to give clinical support .The anxiety is normally high in patient who has death in their family due to heart failur e. Stress may occur because of increased stress and anxiety related to the forthcoming surgery. Anxiety and stress usually increase with the admission in hospital and impending surgery. The stress and anxiety before surgery People are stressed and anxious before surgery thinking about the complication during the surgery and recovery failure. According to (Scott,2009)ââ¬Å"Having surgery can bring a lot of stress. ... People are advised breath taking exercises to relax the body and this can reduce the bodyââ¬â¢s response to stress. Breath taking exercise can stop the physiological response of the body due to stress and reverse the procedure. The stressful experience occurs in the mind and what we think stressful can trigger anxiety and stress in people on thinking about it. Studies have shown that people who are stressed in everyday life are more prone to stress before surgery. The pain during surgery and post surgery can lead to major stress among patients. Patients and their family are usually given educational support and assistance before the surgical event. Stress of the patients can be reduced if they are given complete information about the surgery in simple words.Moslty, the surgeons and nurses does not get adequate time to spend with the patients in order to pacify or console them before surgery. In real, surgeons should listen to the queries of the patients and guide them in proper ma nner to reduce their stress and anxiety. It is found that women are more stressed than men before cardiac surgery. As per (Desborough,2000,pg.109-117) ââ¬Å"The stress response to surgery is characterized by increased secretion of pituitary hormones and activation of the sympathetic nervous systemâ⬠Mostly people who have stress before surgery also might be facing problems in their daily life too. Having a health problem itself is a stressful issue and on above that open heart surgery can increase the risk factor. Patients are stressful before the CABG procedure as they are uncertain about the outcome of the heart surgery. Pain is the main cause of stres in patient and this can be overcome by the appliance of appropriate pain management program. Patients are
Wednesday, November 20, 2019
Research, Theory and Practice Cycle Assignment Example | Topics and Well Written Essays - 250 words
Research, Theory and Practice Cycle - Assignment Example The relationship between research theory, and practice should be well understood because research without theory gives discreet information or data with no value to the discipline. The relationships are direct and positive which enables the experts to put the facts together providing tangible information. The transformation of nursing practice is possible by the incorporation of theory into the practice showing the evident excellent nursing care that the researcher should provide the patients (Tailor & Ranpenning, 2011). Since all the elements of nursing theory and practice are related. It is justified that entry can be done at any point because one element leads to the other and the cycle rotates. Nursing can be perceived both as a discipline and as a profession. Understandably, both the two entities are inherent since they can be applied correspondingly. It is noteworthy that nursing discipline requires a qualified and well-trained expertise to carry out because all the practical elements of research, theory, and practice are applicable to the daily health
Monday, November 18, 2019
A critical analysis of the application of the doctrine of Essay
A critical analysis of the application of the doctrine of self-determination in the context of South Sudan with reference to the Naivasha agreement of 2005 - Essay Example Moreover, this issue is central to the efficacy of international law as a regulatory mechanism particularly in human rights issues as a gap between theory and practice clearly undermines the objectives of both customary international legal principles and UN Charter provisions.2 Directly correlated to this is the concept of ââ¬Å"stateâ⬠and ââ¬Å"inter-state relationsâ⬠, which in terms of individual human rights protections at international level has become a central issue particularly in context of rapid globalisation3. Furthermore, the complex notion of state and the role of ethnic groups within states have challenged colonial geographic boundaries of the state4. In turn, the changing nature of the global order in the post Cold War environment has created novel conflict scenarios and significantly reshaped the dynamics of conventional warfare5. This has challenged pre-existing international legal principles, which is highlighted by the problematic doctrine of self determination and its boundaries in international law6. The doctrine of self determination has remained contentious in international law as whilst the objective of the doctrine as expressed in the UN Charter 19457 was arguably triggered by the increasing desire for decolonisation; the practical consequences has often seen the doctrine of self determination being utilised to perpetuate conflict8. contextual reference to Southern Sudan and the 2005 Naivasha Agreement, which enables the Southern part of Sudan to vote on its legal status in a referendum in January 2011. It is submitted at the outset that the 2005 Naivasha agreement highlights the conflict between the subjective interpretation of the doctrine of self determination and legality under established international legal principles. Therefore, in evaluating the doctrine, Section 2 will consider the models of self determination and the legal basis for self determination. Section 3 will
Friday, November 15, 2019
Business Negotiation: An International Perspective
Business Negotiation: An International Perspective Introduction International Business Negotiation is a process through which parties shift their initial contradictory positions to a point where agreement reaches. International Business Negotiation is fully a part of the managerial process and helps the business to implement their strategies and plans. International business negotiation involves all international business transaction and it also helps in developing agreements between two or more parties or groups in order to provide direction and set of laws for their future behaviour. Negotiation also helps in finding the solution for common problems. In negotiation, parties can quit the process at anytime and in negotiation both the parties modify their views and thoughts in order to come close to each other. Negotiation is also know integrative bargaining which is win-win negotiation where parties comes out with good outcomes and attracts more investors to invest and negotiation have different culture backgrounds because of many countries. The process of negotiation is always influenced by contextual factors and when negotiation is discussed, it is presented as culture issue. Pervez N. Ghauri and Jean Claude Usinier,1999 International Business Negotiation 2nd Edition, Elsevier Ltd Critical Evaluation: (ref: Russell . B . Sunshine (1990). Negotiation for International Development. Martines Nijhoff Publishers) à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à CULTURE VALUES Basic Beliefsà à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à Normsà à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à Customs Impact of culture on Negotiation CULTURE VALUES Basic Beliefsà à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à Normsà à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à Customs à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à CLUTUREAL PERSPECTIVE Habitsà à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à Assumptionà à à à à à à à à à à à à à à à à à à à à à à à à à à à à à Selective Perception à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à NEGOTIATING STYLE Decision-makingà à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à Communicating Culture has the negative impact on the negotiation from both the sides i.e. sender of the negotiation message and receiver of the negotiation message. In business negotiation many people are from different cultural backgrounds, so sometimes they do not share their views, which affect the negotiation. So during the negotiation process there are many cultural misunderstandings, different results and also the lack of trust between the parties. Culture affects the negotiation because of the distance between the partners and also the difference in the economical and educational system. Culture helps in shaping the basic beliefs, norms and customs give rise to many economic and political barriers in the negotiation process. Negotiation is the outcome of many actions and these actions are affected by the culture because it creates problems in decision-making, in setting goals, and implementing of strategies at the time of negotiation producer. E.g. America and Japan contributes about 40% of Development Assistance Countries. But negotiation between America and Japan is not effective because of many cultural differences. Culture of America and Japan are totally different in principles, norms and negotiating behavior. So there culture has a deep collision on the negotiation process. CONCLUSION Negotiation takes place between two countries or two different cultures. So effective negotiation can be carried out by following ways. Should be responsive to own culture before making surveillance of cross-culture. Study and gather the information about the negotiating technique and cultural surroundings of the opposite partys. At the time of negotiation, both the parties should decide the subject and after deciding the subject parties should put their own cultures into practice and should wait for each others response. Both the parties should identify those responses which are similar in order to avoid conflicts. Should present the negotiation process in such a way which engages the cultural preferences of both the parties. Both the parties should check their cultural assumptions and should pay attention to each others objectives carefully. Parties should modify their negotiating behavior in order to avoid communication conflicts. Both the parties should show respect and courtesy for their own culture, so that the interaction will be carried out successfully. Parties should be more flexible in order to make their attitude respectful.
Wednesday, November 13, 2019
Free Huckleberry Finn Essay - The Adventures of Huck :: Adventures Huckleberry Huck Finn Essays
Adventures Of Huckleberry Finn à à à à à à à à à à à à à à à à à à à à à When children are born into the world they are completely free and uncontaminated from outside influences and ideas but as life continues they grow and are affected by society, their environment, and personal aspirations. All of these reasons cause people and society to react in certain ways when confronted with particular situations and people. Often the reactions to these confrontations are based mainly on morality, yet no always as proven in The Adventures of Huckleberry Finn, by the fictional writer, Mark Twain. Huckleberry Finn, a young man who has experienced and survived great obstacles in his young years, shaped his beliefs and morals but was capable of undergoing a considerable change in both mind and heart with the help of his run away slave, Jim. Jim and Huck had a relationship, which was transformed through time and trust, but always had the reminder that one was white and the oth er was black. This was a major influence on Huck's behavior towards Jim but through the progression of the book Huck's attitude and respect towards Jim increases considerably after Huck self-evaluates himself and society and begins to focus on what is truly important but not always right. Huck is a strong-willed, free-spirited youth who attempts to portray himself as a bad boy but often finds himself doing just the opposite; however, several times he causes negative situations which affects himself and people around him. When Jim and Huck find each other after escaping their homes, they continue their journey down the river together. One night Jim and Huck separate on the river because of the fog but Huck finds Jim asleep after a few hours of searching for each other. When Jim wakes Huck attempts to tell him that it was all a dream because they had never been separated and there was never any fog. After lying so sufficiently for all his life, Huck never considering how his lies affected a person and especially a friendship until Jim told him.: When I got all wore out wid work, en wid de callin' for you, en went to sleep, my heart wuz mos' broke bekase you wuz los', en I didn't k'yer no' mo' what become er me en de raf'.
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