Critiquing a mixed-method study Essay Example | Topics and Well Written Essays - 1000 words

Critiquing a mixed-method study - Essay Example Because it allocates money for expensive operations on the elderly. Such a statement indeed rises up a lot of comments and touches a lot of conflicting attitudes. For one thing it can easily slip into the political arena. The point is that the statement draws upon an important issue the United States is presently facing, the expense of health care. It makes this point as it draws up another important issue, that of the sanctity of life and one's ultimate responsibility in medical care which is to respect that sanctity. Getting back to the theme, apparently the concern which the article lies upon is one shared among several countries in the western world. A recent World Health Publication revealed that in some countries the health system would not think twice about transplanting a kidney to an elderly person. There was a recent program on the radio in which the South African health care system specifically denied such transplants to older age groups. The point is that there are pre-un derstandings behind the Goodridge et al article and they definitely lie upon or assume a western system of values. Is this okay? What does this mean? For one thing this means that there is no 'disembodied intellect' as Horsburgh points out. There is no neutrality here that could take in the position of countries outside the Western realm, such as South Africa. But this view doesn't say the study is wrong on in fault. It simply means, as Flemmings points out, one’s knowledge does come from our social interaction and experiences, and, from then stance of this article, these happen to occur in the Western world. The dominant theme in the United States part of this western World happens to be sensitive questions dealing with health care. Hence the main research question would immediately become suspect, as it would recall the political sphere where such confusing issues as 'death panels' were raised. But it is not the United States. The article is based on Canadian experiences. B ut still, there is a hidden assumption in the article. The assumption is that quality of care can be measureable as significant when one is dying in an intensive care unit and when one is dying of an obstructive pulmonary disease (COPD). The assumption appears that life can be extended in the case of COPD. Life should, of course, when possible, be extended. It is an assumption that is usually accepted. It is important that this assumption, and if it lies also in the authors, be reflexibly revealed. What would the hypothesis of this article be? Would it be that 'the care needs of people with COPD who die in the ICU' are different from the care needs of people receiving end of life (EOL) care who die in 'critical care settings' without COPD? One cannot be sure. This is a mixed methods study, combining both qualitative and quantitative data. The authors seek to measure the quality of EOL care in the ICU, but have many challenges. One challenge is that the 'ICU patients experience alter ed cognition and are unable to participate directly in quality of care assessments'. 2. The literature review is concerned with describing the difficult state of the patients. It speaks of how depression, anxiety and other illness contributed to the comorbidity state of the patients, explaining the complexity of the care provided. The background reviews literature dealing with the many issues concerning EOL critical

Effects of legalizing illegal immigrants in california Essay

Effects of legalizing illegal immigrants in california - Essay Example Illegal immigration is a big headache for America in general and California in particular. Being a secular democracy, America has opened their doors widely for most of the people from different parts of the country. Moreover, America is facing big manpower shortages in many fields which forced them to welcome more and more skilled professional from other countries like India, China, Pakistan etc. But most of the immigrants who immigrate to America through legal channels will try to bring their relatives and friends also to America through legal and illegal channels in order to exploit the possibilities in America which created severe social, demographic and legal problems in America. California is one of the worst affected states in America as far as illegal immigration is concerned. This paper briefly analyses effects of legalizing illegal immigrants in California California is very close to Mexico which helped the Mexican immigrants to cross the border more easily than any others. â€Å"It is estimated that there are currently about 12 million illegal immigrants in the United States. In California alone it is estimated to be 3 million illegal immigrants† (Illegal Immigration in California) The effects of illegal immigration is perceived differently by different people. Some people argue that illegal immigration is a blessing whereas some others are of the opinion that it is a curse to American people. Proponents of illegal immigration argue that California is one of the cheapest labour markets in America because of the excess illegal immigrants there. Most of the illegal immigrants, in order to survive in California will accept even cheaper work offers which normally the locals may not be ready to do. Thus the business people have the luxury of cheap labours which increases their profits. The cheap labour helps business people to reduce the price of their products in order to compete more effectively in the domestic and international

Political Issues Relating to Immigration Essay Example for Free

Political Issues Relating to Immigration Essay Reaction to the immigration problem in the United States is as diverse as the people living in the country. There are common public and political opinions on immigration; there is also factual information, which alters positions. The media plays a major role in how people react to the issue of immigration in the United States of America. There is a lot of news lately with a focus on immigration and undocumented persons in the United States. Illegal immigration has been present in the United States for a long time. The first law that the United States had against persons entering the United States was against convicts or prostitutes to enter the country. From 1892 to 1954 Ellis Island admitted over 12 million legal immigrants. Now the United States has quotas on how many can migrate to the country. Illegal immigration became more of a problem being looked at in the twentieth century. Then End Illegal Immigration group states, â€Å"Today, over one million immigrants enter our country per year, while illegal alien population rows by about five hounded thousand per year† (End Illegal Immigration, April, 2011). In May of 2011, the latest version of the DREAM Act was introduced. The DREAM Act was first introduced in March 2009. This act stands for the Development, Relief, and Education for Alien Minors Acts. The Dream act would enact two major changes in current law. The first would permit some immigrant students who grew up in the United States to apply for temporary legal status and eventually obtain permanent legal status and become eligible for U.S. citizenship if they go to college or serve in the U.S. military. The second would eliminate a federal provision that penalizes states that provide in-state tuition without regard to immigration status (National Immigration Law Center, 2011). Immigration has been a constant problem politically for elected officials. There cannot  be mass deportations; we cannot control every inch of the United States borders. Presidents and Congress try their hardest to develop new ideas or to improve old ideas on how to get the border control situation unde r what it should be, under control. One article from US News states, â€Å"Why, then, have we had so many Latin Immigrants, many of the illegal? Because of the apparatus of state has proved weaker that market focus: The old INS (now the CIS) and the understaffed Border Patrol have been among our least competent federal bureaucracies. And because the family unification provisions of the 1965 act allowed legal immigrants to bring in not just young children but also other relatives (â€Å"chain migration†), and because the Fourteenth Amendment makes anyone born in the United States a citizen.† (Barone, 2007). Problems such as these could be avoided in the future. Due to this opinion, I am forced into seeing that America is forcing this problem of undocumented immigrants on itself. Many of the articles found are biased on this view. The subject is sensitive for those that are illegal immigrants as well as American persons. Most articles are biased and the majority is on the American side. An example, one article read called Adverse Impacts of Massive and Illegal immigration on the United States, Blondell states, â₠¬Å"Data has long been collected about the cost to American taxpayers from illegal immigration and the presence of low skilled immigrants (2008)† Statements like this are clearly on the side of the American people. For the most part, the author uses objective means to portray the undocumented immigrants. This article’s biasness does affect the view on how many see the undocumented immigrants. Due to the articles, some look at the immigrants as criminals, sometimes murderers, or as if they are lower than life and not worth our time. It is not fair to judge or be judged for the exact same thing the colonists came to America from England and what this country was founded. There are numerous issues revolving around undocumented immigrants being in the United States. One of the biggest concerns surrounds the fact that of the economic cost. Taxpayers see the cost as unnecessary and unjust and unfair. The many illegal immigrants put a major dent in taxpayer’s accounts when it comes to healthcare and education. The taxpayers put out approximately $15-$20 billion dollars per year to provide for illegal immigrants to have a better life in the United States. Many will argue that having the illegal immigrants pick our fruits,  vegetables and work on the farms are keeping the cost of produce down due to the fact that wages paid are much lower than minimum wage. Blondell states â€Å"For every dollar spent, just 18 cents go to the farmer and one-third of the cost, or 6 cents, goes to the migrant laborer. Even if costs for farm workers increased 40 percent, the total increase in cost per household would be about $8 a year. A $1.80 head of lettuce would increase in price by at most, 10 cents. (2008). Another issue that is felt to stem from immigrants is crime. In reality they are breaking the law by crossing the border without the official papers. There are many other laws they are breaking if one sits back and thinks about it. They are evading taxes, working without permits, and faking identities. By this, using fraudulent identification cards, social security cards or driver’s licenses. There are also environmental issues surrounding this issue. These issues include poverty and language barriers. With the language barriers, it makes it very difficult to educate these people on the way of American people. As a manager, I would want my employees to be comfortable with everything around them. I would ask them if they were comfortable and what could be done to help the situation. I feel it is important for the staff to feel safe and comfortable in the environment that they come to everyday to make a living for themselves. I would also maker sure that no hurtful statements were said and not allow stereotyping. I would want my employees to get to know each other and be open with each other. I would encourage them to respect each other and the differences we all bring to the table. As much as we do not like it, illegal immigration is here and there does not seem to be to much being done to stop it. As a country, we should be open to change, but at some point we have to close the gaits and take care of what we already have here. References Barone, M. (2007). U.S. News World Report. Retrieved from http://www.usnews.com/usnews/opinion/articles/070527/4barone.htm Blondell, J. (2008). Adverse impacts on massive and illegal immigration in the United States. The Journal of Social, Political, and Economic Studies, 33(3), 328-350. Retrieved from http://search.proquest.com/docview/216799786?accountid=458 End Illegal Immigration. (April, 2011). History of Illegal Immigration in U.S. Retrieved from http://www.endillegalimmigration.com/history_of_Illegal_Immigration_in_US/ National Immigration Law Center. (2011, May). Dream Act: Summary. Retrieved from http://nilc.org/dreamsummary.html

The Warning of Fahrenheit 451 :: Fahrenheit 451 Essays

The Warning of Fahrenheit 451 Ray Bradbury's Fahrenheit 451 is a novel about a materialistic society that has forgotten social interaction with each other. This materialistic society is where Bradbury believed society today is headed<THE TENSES HERE ARE A LITTLE CONFUSING.>. The materialistic society in Fahrenheit 451 created through Bradbury's cynic views of society<THIS IS A FRAGMENT SENTANCE.> His views of society are over-exaggerated in contrast with today's events, especially in the areas of censorship and media mediocrity. The purpose of media is quite SIMPLY, "a warning signal--information--that alerts the citizens that something is wrong which needs attention and resolution. An aware and informed populace could then influence its leaders to act upon that information in an effort to solve that problem" (Jensen, Project Censored). But Media has often been criticized for promoting a mass mediocrity, because it only tells the public what it wants to hear. The idea of Media promoting mass mediocrity is a reoccurring image in Fahrenheit 451. Such is not the case in today's society. One of the most successful freedom fighting campaign has been the Tibetan Freedom Concert, a rock concert where artists and citizens converge, sharing their views for Tibetan freedom from Chinese oppression. Over the three years of its existence, the concert has generated so much publicity that it has forced President Bill Clinton to step in and try to hasten the negotiation between the Chinese government and the Dal ai Lama. In a Sonicnet Music News article, the Dalai Lama said, "'Through this live show, many, many Chinese will have gained a better awareness of President Clinton's feelings about Tibet, and also President Jiang's feelings, and I think that can be enormously helpful in the long run.'" (Media Inclusion 1) The Dalai Lama expresses the importance of publicity that has first been generated by the Tibetan Freedom Concert. Not only did it create awareness for the Chinese as the Dalai Lama suggested; it also created awareness around the world, especially in North America. Ask any North American teenager,"What they feel towards the idea of Tibetan oppression from the Chinese?", just ask him "Where Tibet is?" three years ago and he would probably look confused and answer by asking "Would you like fries with that?".<THIS MADE VERY LITTLE SENSE.> Ask that same teenager now, and he would likely give an educated response. The Tibetan Freedom Concert is just an example of how powerful modern media is if it can be used properly.

Ethos, Logos and Pathos in Julius Caesar

Ethos, logos and pathos are three persuasion tools used by Shakespeare in Mark Antony’s funeral oration over Caesar’s body. Ethos is appeal based on the character of the speaker, Logos is appeal based on logic or reason and Pathos is appeal based on emotion. Antony uses these elements to turn the Roman crowd against the conspirators with a highly convincing speech. These three persuasion tools and structure and diction are the key elements of the effectiveness of Mark Antony’s famous speech.The most convincing use of ethos in Antony’s speech is in the first line of the speech; â€Å"Friends, Romans, countrymen, lend me your ears! † This shows that Mark Antony is trying to get in to the Roman crowd’s hearts with his status as a trustworthy man. He uses rhetorical irony throughout the speech constantly questioning the ethos of Brutus. Brutus uses ethos heavily in his speech, he was considered very honourable a by the Romans, and basically anyth ing that came out of his mouth had to be correct.Mark Antony targets the questionable character of Brutus several times saying: â€Å"And Brutus is an honourable man. † Antony then sums his speech up by using â€Å"I speak not to disprove what Brutus spoke. † This line once again outlines the irony used by Antony and this is where the trustworthy character of Mark Antony persuades the crowd to turn on the crowd, without Antony actually saying that what the conspirators did was the wrong thing. Logos can be facts that are used to persuade someone.Mark Antony uses a lot of facts throughout the course of his speech. One of the key facts in his initial speech is; â€Å"When that the poor have cried, Caesar hath wept. † To use this is very logical by Mark Antony since most of the people that he is trying to persuade aren’t the richest bunch of folk in Rome. So when he uses ‘poor’ as the type of people that Caesar cried for, the crowd thinks that i t is wrong to brutally murder someone who cared so much for them that†¦

Understanding The Concepts Of Development - 1786 Words

Introduction Understanding the concepts of development allows clinicians to relate to children and adolescents on individual developmental levels. Dental visits can have a negative impact on most youths in society that can stem into adulthood. Dental clinicians must focus on providing young patients with a positive experience in the presence of a dental clinic. This report will discuss the communication skills involved to carry out a positive first visit and successful treatment appointments on a young child. Strategies will be utilized and discussed to establish trust and rapport and behaviour modification amongst adolescents. Management of a young patient aged five Children have several development factors such as physical, social, intellect and personality. Clinicians must consider these factors when interacting with children as children are not of age to consent to dental treatment. Understanding development is valuable in management strategies suitable for the individual and informing parent of procedures as well as the child. Strategies aim to alleviate fear and anxiety to create a sense of comfort. Trust is gained through forming a professional relationship between clinician and child so the experience to the dentist is perceived as enjoyable and exciting. Certain steps are appropriate for an initial visit. In general, the pace of a first appointment is much slower. The emphasis is on educating the child, promoting comfort, and allowing the visit to be exciting andShow MoreRelatedUnderstanding The Concept Of Global Health Development2195 Words   |  9 PagesIn order to understand the concept of global health development, there are many c oncepts to start with, such as different kinds of illness, diseases challenges our health care system today, some groups of people still struggle for their treatment. Global health is a global context with the goal of improves health care, reduce the inequality to the access to health care. As mentioned, health consisted by different kinds of concept. Two major category of health problem are physical health and mentalRead MoreIdentifying the Components of Cognitivist Theories Used in, Kermit and the Keyboard.1488 Words   |  6 Pagesand psychologist to understand the concepts of knowing, thinking and formulating feedback. In reviewing the sample texture, Kermit and the Keyboard, has allowed for philosophers and psychologist to review the interactional theories of learning process. Within this paper, will identify, compare and contrast the views of congnitivist theories, Cognitive Information Processing (CIP), Piagets Theory and Perspective of Interactional Theories of Cognitive De velopment as it relates to the sample text.Read MoreCounselling Theories Essay1212 Words   |  5 Pagesï » ¿Counselling Theories Assessment 1 1. 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The Beatles By Steve Turner - 1194 Words

Fifty years after the release of their first single, the Beatles continue to make an stroke. The proof of that impact can be found in incidental harmonious artists as well as the number of set still written about the tie. Films inhaled by and supported on the Beatles are still being made. Artists continue to be measured by the band s succession and ordinary television explain like American Idol still pay tribute to the Fab Four. In 2013, the Beatles influence can be felt in every aspect of pop educate and evince no signs of slowing down. The Beatles control has been well handwriting in ledger. The amount of treatise that have been scriptory concerning the band and their rondo alone guide their impact. The Beatles Anthology, declare in 2000 to go with a box set of DVDs, was a definitive biography and included photos from the band s personal archives. It also confined interviews from the 1990s with Paul McCartney, George Harrison, and Ringo Starr. A Hard Day s Write, published in 2005 and literal by Steve Turner, included stories behind every Beatles song. Published in February 2013 to solemnize the fifty year anniversary of the release of their first canzonet, Please Please Me, The Beatles: It Was 50 Years Ago Today celebrated the bond s unending legacy. Sgt. Pepper was our grandest attempt, Starr said, glance back, in the band s 2000 memoir, The Beatles Anthology. The top thing approximately the band was that whoever had the best idea – it didn t moment who –Show MoreRelatedThe Critically Acclaimed Muscle Shoals Documentary and Music Lovers990 Words   |  4 Pageswas the very town where, at Rick Hall’s FAME Studios and the rival Muscle Shoals Sound Studio, Aretha Franklin found her groove, Paul Simon developed â€Å"Kodachrome† and Wilson Pickett cranked up â€Å"Mustang Sally.† In the documentary, Mick Jagger, Steve Winwood, Percy Sledge and Etta James, among others, recount tales of cutting some of their iconic hits in the Muscle Shoals area. Keith Richards stated his opinion about Muscle Shoals simply: â€Å"It’s rock ‘n roll heaven.† (SUBHEAD) Experience theRead MoreThe Independent Record Labels of the 1950’s and 1960’s4437 Words   |  18 Pagesbut they later moved it to an old movie theatre, which they converted to a control room, studio space, and small record store. A young pianist, Booker T. Jones, lived nearby and began frequenting the studio. He hooked up with other local musicians Steve Cropper, Duck Dunn, and Al Jackson. Together, this group became known as Booker T. and the M.G.’s, and they made up the backbone of the new Stax sound (HMP Ch. III). Stax had developed a distinctive soulful sound and Booker T. and the M.G.’sRead More65 Successful Harvard Business School Application Essays 2nd Edition 147256 Words   |  190 Pagesto the modern period. Known among students as philosophical boot camp, this application..only program required a thousand pages of reading each week. Despite the volume, certain stories refused to be skimmed, and Thucvdides history was a page..turner. Filled with complexity, it continually forced me to reevaluate my own predictions about how the Athe.. nians would react to the looming conflict with Sparta. The dog.. eared, scribbled..on pages of my paperback remind me of how the enjoyment of wrestlingRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 Pagesovernight†) in Turkey. In some areas of the world, like the large cities of Latin America, more than half of the residents lived in squatter settlements. John Turner led a new movement among planners in the 1960s and 1970s arguing that this self-built, â€Å"informal† housing offered the only feasible solution to the newcomers’ need for shelter. Turner distinguished between â€Å"slums of despair,† the usual view of the squatter slums, and â€Å"slums of hope,† the designation he gave to this housing that new immigrants