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Wednesday, November 13, 2019

EUTHANASIA

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The paper that I chose to write about is Euthanasia. I did a group presentation on Euthanasia and I still did not know if I agree with it or disagree with it. In this paper I am going to give a little bit of information on euthanasia, give the pros and cons to euthanasia and try to decide whether I feel that it is right or wrong.


Euthanasia is the "act or practice of ending the life of an individual suffering from a terminal illness or an incurable condition, as by lethal injection or the suspension of extraordinary medical treatment. Even though euthanasia may bring forward the time of death, euthanasia is not the administrating of pain reliving treatment. There are two types of euthanasia; they are active and passive euthanasia. Active euthanasia is that death is the intended outcome. Passive euthanasia is when the doctor decides what is best for the patient. Active euthanasia the doctor would introduce a killing agent. For example the doctor would inject some type of killing agent into the patient or a pistol shot to the head. Passive euthanasia is when the doctor refuses to give the patient treatment for their illness. An example of this would be taking away a respirator or refusing to put a patient on a respirator. In December of 10 Dr. Jack Kevorkian came into importance when he euthanasized Janet Adkins by allowing her to inject lethal drugs into her body at any time. Dr. Kevorkian has since been the reason of more than forty deaths.


Some pros to euthanasia are


Because euthanasia does not relieve the pain and suffering of the dying patient there are other alternatives besides killing yourself to help relieve the pain. Many who are dying think that there are only two ways of dying die slowly and suffer all the pain or euthanasia. So many patients feel that they have no other option; they feel vulnerable and decide to go with euthanasia. There is another way which is to receive compassionate care. This type of care is called Palliative care which is care given to patients during the final stages of his or her life. This palliative care is meant to meet the needs of the dying patient. Palliative care is given by nurse practitioners, palliative care physicians, volunteers, chaplains, family members and many others. The goal of palliative care is to make the patient as comfortable as possible, which includes managing pain, vomiting, fatigue and much more. Another goal is to relieve the patient of any unnecessary medicine that they may be taking, and to provide support for the patient. Although some pain and suffering cannot be curable, palliative care provided alternatives to help deal with this pain and suffering.


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Tuesday, November 12, 2019

The massacre at tiananmen square

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The Massacre at Tiananmen Square


It was a bloody massacre. The Massacre of Tiananmen Square, in Beijing, China, that is. It was boycott against the government. The people wanted freedom. They wanted democracy. They wanted to know why Hu Yaobang was dismissed in January 187 (NMIS.org Chronology Page 1). They were angry that students who wanted to know why he was dismissed were arrested (Inside China Today, Part One).All these facts were reasons for the Massacre of Tiananmen Square, in which, according to Chinas Red Cross, two thousand six hundred people were killed, and 7,000 were wounded (Inside China Today, Part Five). The question is did the government have the right to use force to stop the protest? The answer is yes because the people were warned, and were trying to change something that would be very hard to change.


Tiananmen Square was a place of protest in April, May, and June of 18 (NMIS.org). Students from Beijing University, as well as many other schools, were boycotting against the government. They would protest at Tiananmen Square. Tiananmen Square is one of the largest public squares in the world, which has an area of over one hundred acres (Encyclopedia Britannica). In this large area, massive amounts of brutalities took place. Large tanks crushed eleven students, and many other students were shot and killed.


The people were warned to stay away from Tiananmen Square. Specifically, on June rd, at 1000 P.M., the loudspeakers at Tiananmen Square cautioned the students to stay at home (Inside China Today, Part Five). Also, if that didnt warn the people enough, the fact that so many people were dying should have told them that it just wasnt worth it.


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One of the main reasons for all of the protests is because of communism. The students did not want communism, but would rather have a democracy. This is not the way to fix communism. It would have been easier to gather up all of these students and take them to the leader to see if he can change his ways. When the people go on protest, they get their point across. Especially if there are that many. They dont have to take it so far that the government has to use force to stop them. Either way, they got their point across, but they would have got their point across in a non-violent way.


The government had only one choice to stop the protest at Tiananmen Square by force. They tried to negotiate, but that didnt work. They enforced martial law, but that was a joke to the people (Inside China Today, Part Three). The people were warned. They shouldnt have kept protesting. Also, they were trying to change something that would be very hard to change. For sure there were other people who favored communism who would have went on strike if it changed to a democracy, which would pretty much be impossible anyway


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Sunday, November 10, 2019

Coffe Markets- Big questions

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Coffee Markets- Big Questions


1. Coffee is produced competitively because


· It is the world's second most valuable commodity.


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· Producers are in the developing world- many producers- perfect competition.


· Lucrative market easy way of obtaining foreign currency.


. Coffee Growers can add value by


· Growing different types of Coffee, such as green coffee, Columbian and Costa Rican


· Sell their coffee as fair trade coffee, adds value because consumers see it as ethically friendly e.g. Caf Direct, Oxfam, Starbucks brewing fair trade coffee.


· Coffee farmers have little influence on the price of Coffee. They have no choice but to accept the price on offer. This will mean that their livelihoods are very dependent on the behaviour of demand and supply in worlds markets, which in turn may depend on the expectations of dealers in world commodity markets.


. The profitability of Coffee has fallen due to


· Oversupply Caused by new producers entering market.


Bumper harvests e.g. Brazil and Vietnam.


· Producers breaking ranks with others on policy e.g. Vietnam with government subsidies and World Bank support.


· Consumer move from low grade commercial Coffee- rising income


Changing tastes


· Coffee is a mature market little growth in demand, thus greater effect on price.


· Breaking of International Coffee Agreement in 18. This was a cartel that kept the


4


. Impact of falling Coffee Prices on Stakeholders


· Growers switch to more lucrative products e.g. Illegal substances (Cocaine, Marijuana.)


· Countries receive less foreign currency- needed to pay off debts and invest in infrastructure. May turn to new commodity such as Tobacco and Sugar cane.


Both points can cause the Cobweb theory- prices of these products will fall in the long term. The diagram below shows this (P.T.O)


· Holders of Coffee futures buy more because of low prices and hope for price stimulation. This is a real gamble


5. Ways of overcoming Low profitability


· Establish a cartel = all producers together in organisation e.g. the Association of Coffee Producing Countries. Try and establish a minimum price for the commodity


· Restrict supply or even destroy low quality beans e.g. Brazil throwing beans into Atlantic. These will force the price into an increase.


· Allow coffee to be sold as fair trade coffee e.g. Caf direct so that farmers get a more substantial % of price the roasted coffee is sold for.


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Thursday, November 7, 2019

Anthony Trollope

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Anthony Trollope (1815-188)


Introduction


One of the best writers of the English novel is Anthony Trollope. He was one of William Thackerays most enthusiastic admirers. Trollopes solid novels about mid-Victorian churchmen and politicians, after being almost forgotten, are once more being widley read and appreciated.


Birth and Education


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Anthony Trollope was born in Bloomsbury, London in 1815 and lived a very difficult childhood. His family faced constant financial troubles.Anthony was a very large and awkward boy who felt an unhappy outcast among the young aristocrats that he met at school, therefore he kept transferring from one school to another. Attempts at University scholarships were abortive.


Career and Marriage


In the summer of 184 Anthony became an usher in a school at Brussels, then he became a junior clerk in the General Post office, London. He had seven lonely years of dingy poverty in London, making few friends and earning a reputation for insubordination, until his transfer in 1841 to Ireland, as a deputy postal surveyor, put him financially at ease and introduced him to a larger, freer, outdoor life.His awkwardness disappeared; he took up the sport of fox-hunting and married Rose Heseltine, daughter of a bank-manager.


Trollope earned a promotion to a post in Mallow, Ireland. Travels on postal missions to western England, Belfast , Donnybrook near Dublin and to Egypt, Scotland, and the West Indies.Finally he settled at Waltham Cross as surveyor general in the Post Office.


Style


Anthony Trollope treated literature as a trade and wrote by the clock. Rising at 5 0, he would write till 11, before going to work at the post office, at the rate of 1000 words per hour. No author has been more methodical. He worked out schemes, set himself time-schedules, and rigidly adhered to them.


Works


1-In Trollopes first novel, The Macdermots of Ballycloran, he set himself to search for the sources of Irish discontent, this was followed by The Kellys and the OKellys, another political novel.


-His next work was a series of six novels set in the imaginary county of Barset, the first being The Warden, in which he describes clerical life in cathedral towns. Other Barset novels include Barchester Towers, Doctor Thorne, a novel depicting the caste system of landed property-holders, Framley Parsonage and The Small House at Allington. The Last Chronicle of Barset, is the last of the Barset novels.


-Trollope then published a second series of novels, the political novels, less witty and humorous but more difficult and complex than the Barset series.The Prime Minister (1876) and The Dukes Children (1880) depicted the inner political workings of the House of Commons, the political clubs, and the social entertainments of the great political hostesses.


4-Trollopes Autobiography is published after his death in 188 along with two novels The Landleaguers and Mr. Scarboroughs Family.


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Wednesday, November 6, 2019

"Stress research has important implications in that it can advise us on how to manage our own and other stress reaction." Discuss how research into the physiological response to stress has enabled the development of physiological approaches to reducing st

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This essay will explore the research that has been conducted into the physiological stress response. It will look in particular at psychologists such as Seyle and his extensive study into the physiological aspects of stress as well Glaser et al., who studied the link between stress and the immune system. Finally this essay will examine stress management in regards to reducing the physiological aspects of stress.


The first psychologist to examine the physiological aspects of stress was a man named Hans Seyle. Seyle is a significant figure in the history of psychology, made so by the model he produced in 156 known as the General Adaptation Syndrome. This model termed GAS focused mainly on the physiological aspects of the stress response. The model consisted of three main stages Alarm reaction, Resistance and Exhaustion. The first stage of the syndrome (Alarm Reaction) was determined as being the stage in which the body's level of arousal is heightened, the heart rate and blood pressure are increased, sugar stored by the liver is released into the blood to fuel the muscles, muscles become tense and alertness increases. This first stage of Seyle's model has lead to many people becoming more aware of when they produce the symptoms of stress. Therefore many people try to control their stress levels by trying to control their symptoms. For example if a person notices that their breathing rate has deepened or they are sweating more, they will be able to recognise they are suffering from stress and will automatically try to breathe more slowly and relax more in order to prevent further symptoms of stress. Seyle went on to say that if the stress sufferer cannot deal with the stress in a productive way, they will experience stage three; exhaustion. This can lead to psychosomatic illnesses, such as ulcers and heart attacks.


In recent years drugs have been created to help suppress the symptoms named in the General Adaptation Syndrome. Anti-anxiety drugs such as benzodiazepines, which are manufactured under the names of Librium and Valium, are designed to decrease arousal and relieve the tension in the muscles, in an attempt to lower the risk .


There have been a lot of studies into how stress is linked to the physiological aspects of a person's life. Glaser et al., 186 conducted a study of medical students (forty in total) who were about to take an exam. He found that six weeks prior to the exam, they had lower levels of stress than at the time of the exam. He also discovered that the number of T cells at exam time were lower than they had been previously. T cells are lymphocytes found in the blood that help to destroy the harmful bacteria and viruses. Glaser had therefore determined that stress had suppressed the immune system. These findings have led to the creation of a stress management method called biofeedback.


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Biofeedback is a physiological method of stress management. Biofeedback allows a person to supervise the interactions within their body and gives them a suitable degree of control over these processes/ interactions. Shapiro et al., 170 stated that biofeedback allowed participants to "make significant short-term changes in their biological processes" This could include raising their heart rate or lowering their blood pressure. Biofeedback has been used alongside relaxation techniques. From Seyle's findings and model we have been able to determine that when a body gets stressed it becomes more alert and their level of arousal increases. In an attempt to reduce the stress levels, relaxation techniques have been developed that help to slow down some of the symptoms of stress such as deep breathing and alertness. They have also helped lower a person's arousal level.


Another important development has occurred in reducing the risk of CHD. When a person becomes stressed it has been discovered that sympathetic branch of the ANS is stimulated, leading to the constriction of the blood vessels, resulting in a rise in heart rate and blood pressure. If the stress becomes prolonged, the arteries can become damaged. The narrowing of the arteries causes CHD; which is known as arteriosclerosis. An attempt has been made to educe the risk of CHD, in the form of drugs. Beta-blockers decrease the activity in the sympathetic branch of the autonomic nervous system and so slow the heart rate and attempt to reduce the constriction. Thus resulting in lowering the blood pressure.


Finally, there have been various studies into how the endocrine system is connected to a person's stress levels. It has been found that when a person experiences stress the endocrine glands secrete hormones such as adrenaline and noradrenaline. Anxiolytic drugs have been developed based on the findings related to the endocrine system. These drugs try to reduce the anxiety a person experiences due to the chemical (hormones) released in the endocrine system. An example of an anxiolytic drug is Barbiturates.


In conclusion, research into the physiological aspects of stress has proven very useful in the construction of methods to deal with stress. This research has provided the basis for further investigations into how to cope with stress and has been fairly successful in limiting or reducing the amount of stress felt by a person.


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Tuesday, November 5, 2019

Assisted Suicide

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Almost every family has had to watch the slow and agonizing death of a loved family member from cancer, neurological disease, or other chronic terminal illness. To those who have had to live through such an experience, the idea of doctor-assisted suicide appears to be, at first blush, a merciful alternative. But is it? What are the ethical questions surrounding this explosive issue? What has been the experience in countries where the procedure is permissible? And what has come from a permissive attitude on this question in the past?


Death with dignity became an end-of-life care option in 14 with the popular passage of the Oregon law. However, despite international coverage of the law itself, widespread reform in end-of-life healthcare practices and attention from public policy, medical, legal, and human rights groups across this country, misconceptions persist.


Death with dignity is not euthanasia. Euthanasia is not legal anywhere in the United States. Death with dignity expressly prohibits lethal injection and it is not an Americanized version of Dutch healthcare policy. Death with dignity is unique, to be sure, but it has become the catalyst for end-of-life care improvements its positive influence has been felt well beyond the borders of Oregon.


Throughout North America, committing suicide or attempting to commit suicide is no longer a criminal offense. However, helping another person commit suicide is a criminal act. One exception is the state of Oregon, which allows people who are terminally ill and in intractable pain to get a lethal prescription from their physician. This is called Physician Assisted Suicide or PAS.


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The American Medical Association recognizes the solemn commitment of physicians to life. An AMA policy statement on physician-assisted suicide spells this out quite clearly. It says Physician assisted suicide is fundamentally inconsistent with the physicians professional role. The policy statement goes on to explain, It is critical that the medical profession redouble its efforts to ensure that dying patients are provided optimal treatment for their pain and other discomfort. The use of more aggressive comfort care measures, including greater reliance on hospice care, can alleviate the physical and emotional suffering that dying patients experience." We can ignore such sound advice only at our peril. The risks that can arise from neglecting such principles have already been revealed to us elsewhere. Just witness the Netherlands. But even the stark, disturbing statistics that follow do not tell the full story of the moral venality that lies beneath them.


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Friday, November 1, 2019

Fate in Tess of the D'urbervilles

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The act of fate in Tess of the D'Urbervilles plays a major role in the outcomes of many relationships and lives. The first fate seen in the book is when the D'Urbeyfield's horse is killed, and Tess must work for Mrs. Durberville. The letter that Tess writes to Angel about her past doesn't reach him because of fate. Also all the D'Urbeyfield women screw up their lives because of fatalism.


The first sign of fate in the story happens to Tess. When the family horse, Prince, is killed in the collision, Tess holds herself responsible and feels guilty for the death of the horse. In order to make up for the horses death, she feels she must go to work for Mrs. Durberville. "Why, I danced and laughed only yesterday! To think that I was such a fool." (p. 4) This fate means that she ends up meeting Alec and eventually becoming pregnant from Alec. Tess accepts the fate that arises throughout the book. She doesn't try to fight it, she instead, lets it happen. This means that she could prevent things from happening if she were to not to go along with everything.


Before Tess is about to marry Angel she questions telling him everything about her past, even though her mother instructed her not to. She isn't brave enough to tell Angel, in fear of what he might think. Instead she decides to write him a letter telling him everything. She slips it underneath his door, however it goes underneath the carpet as well. Fate keeps the letter from reaching Angel and him finding out the news about Tess before they get married. This then leads to a blow up in the marriage when Tess finally tells Angel, and to their separation. "Angel, I should not have let it go on to marriage with `ee if I had not know that, after all, there was a last way out of it for you…" (p. 8) This is when Angel blows up at Tess for her past and that she hadn't told him sooner. She decides not to fight against fate and try and keep Angel; she lets whatever might happen do so.


Another example of fatalism in the story is the fate of all the D'urbeyfield women. They all have the same genetic traits about them. Tess's mother was very pretty, like Tess, however she gave it all away by marrying a poor, drunk. Tess is very beautiful, however she screws it up by getting pregnant with Alec. Fate also leads to her break up with Angel, because of her dreaded past. The D'Urbeyfield women seem to be very beautiful, but fate seems to lead them to screw up their lives.


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Fatalism has a major role in Tess of the D'Urbervilles. The D'Urbeyfield's horse is killed, which means that Tess must help and ends up meeting Alec. The letter that Tess writes never reaches Angel, and it ruins their relationship. The fate of the D'Urbeyfield women, means they all screw up their lives.


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