Genie Human and Normal Life Essay Example

Genie: Human and Normal Life Paper The intent of this essay is to analize the case of Genie, how she became retarded,whether her mental illness was caused by nature or nurture. Also, if Genies rehabilitation could be possible if the case was discovered today and how hopeful we would be that the child could lead a normal life in the long term. The sad story of Genie has touched all of us. Is the nature (genes and heredity ) or the nurture(how she was raised,what Genie was raised around and her experiences or rather environment) that led her to this state? I will be discussing if its nature or nurture hat suits to explain more her situation and if Genie could lead a normal life if looked after and treated like other normal children. There are four areas of development: physical,intellectual,emotional and social. These are build up during the human development which differentiates depending on the age. The fastest period of development is at the early childhood stage where a child can absorb and memorize information took from the surrounding world very easily. Nativists assume that the characteristics of the human species as a whole are a product of evolution and that ndividual differences are due to each persons unique genetic code. Characteristics and differences that are not observable at birth, but which emerge later in life, are regarded as the product of maturation. The classic example of the way this affects our physical development are the bodily changes that occur in early adolescence at puberty. However nativists also argue that maturation governs the emergence of attachment in infancy, language acquisition and even cognitive development as a whole. We will write a custom essay sample on Genie: Human and Normal Life specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Genie: Human and Normal Life specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Genie: Human and Normal Life specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The environmentalists basic assumption is that at birth the human mind is a abula rasa (a blank slate). This theory states that people learn and acquire ideas from external forces, or the environment. Humans are born with an empty mind, having no knowledge whatsoever. People acquire ideas from the surrounding world, turning simple ideas into complex ones. This blank slate of mind starts off devoid of any knowledge, but then it is written on as a person lives and experiences. Therefore, a person has no identity until after birth. From this point of view psychological characteristics and behavioral differences that emerge through infancy nd childhood are the result of learning. It is how you are brought up (nurture) that governs the psychologically significant aspects of child development and the concept of maturation applies only to the biological. For example, when an infant forms an attachment it is responding to the love and attention it has received, language comes from imitating the speech of others and cognitive development depends on the degree of stimulation in the environment and, more broadly, on the civilization within which the child is reared. Chomsky(1965) suggested that language is an innate aculty . That is to say that we are born with a set of rules about language in our heads which he refers to as the Universal Grammar. The universal grammar is the basis upon which all human languages build. In the case of Genie,the girl has been kept locked in a room tied to a chair and treated like an animal from the parents. She lacked emotional and social development,both very important to a child at the stages of development during the range of birth to puberty. Maslow talks about how important these things are for a human being but Genie was only given food to live. ally poor. Bowlbys (1969) theory of attachment, which views the bond between mother and child as being an innate process that ensures survival. It suggests that children come into the world biologically pre-programmed to form attachments with others, because this will help them to survive. Genie was subject to a maternal care deprivation and the abuse she was subject to was completely inacceptable. If Genies case was discovered at the age of 13 today and I was a nurse,psychiatrist a social worker I would be very unsure that Genie could lead a normal life,become completely ormal as other children. There is a critical time period in the humans life that is the only time one can absorb and develop language and communication skills, which could also explain why Genie never developed these critical tools. ln order to learn and interact with others people need socialization. The possibilities that Genie could lead a normal life in a long term are few however, believe she would definitely be in a much better situation if treated proppelry and she would not have entered in a state of remission. Her rehabilitation and development could be surely possible if ollowed by a physiotherapist or speech therapist. Banduras (1977) social learning theory is a perspective that states that people learn within a social context. It is facilitated through concepts such as modeling and observational learning. people, especially children, learn from the environment and seek acceptance from society by learning through influential models. Banduras bobo doll experiment (Bandura, 1961) demonstrates that if children were witnesses to an aggressive display by an adult they would imitate this aggressive behaviour when given the opportunity. Genie ouldnt be retarded if not left locked in a room for many years which means that she wasnt retarded at birth . The environment where Genie was kept didnt permit her to civilize, walk or talk. She suffered from an environment where she was not nurtured positively. Skinner (1957) believed that language is learnt from other people via behavior shaping techniques. However Genie was isolated in a room where she had nobody to teach her language and she wasnt taught how to bahave. The lack of socialization and neglect are caused by her father and the way he treated her. If enie was retarded at birth,her upbringing still should have been much different. Watson considered that the child was born as a tabula rasa, a blank slate which experience would write on to produce a person. He argues that if we were given a dozen healthy infants and my own specified world to bring them up in, and Ill guarantee to take any one at random and train him to become any type of specialist I might select doctor,lawyer.. and yes,even beggarman and thief , regardless of his talents, perchants, tendencies, abilities, and race of his ancestors ( Watson 1924). The thought the environment was really the only thing that was important in an individuals development. This shows that the environment where she was kept led Genie at this stage. In conclusion, the environment has an important influence and impact on a human beings physical,social and emotional development. In order to develop,particularly in areas of congnition a human needs to be exposed to new things. Especially children are affected by their external world. The contast between Environmentalists and nativists make us reflect on how important both genetics and environment are for human development. With regards to all the theories and argument, I am convinced that Genie can be rehabilitated to lead a normal life with a speech therapist Genie will surely develop. His case is like an adult how has migrated to a different area or country, with time him or her get to learn the language. Physical characteristic can be greatly influenced by the environment. Bandura (1977) the social factors are more importance in the formation of personality than biological. This means that the environment we found ourselves can use preferable tools such as practise nutrition ECT. Cited in Hayes (2003). There is some ethod of development that needs to be practice daily, walking is a major factor; for a child to be able to walk he needs a support. This means with the help of physiotherapist Genie would be able to walk perfectly practice makes man perfect. References list Nicky Hayes,Sue orrell Psychology: an introduction; Nature and nurture,Behaviourism: Watson ,2. Bandura, A. Ross, D. , Ross,S. A (1961). Transmission of aggression through the imitation of aggressive models. Journal of Abnormal and Social Psychology, 63, 575-582 Bandura, A. (1977). Social Learning Theory. Englewood Cliffs, NJ: Prentice Hall. Bowlby, J. (1969). Attachment. Attachment and Loss: Vol. 1 . Loss. New York: Basic Books. Chomsky, N. (1965). Aspects of the Theory of Syntax. MIT Press. Galton, F. (1883). Inquiries into Human Faculty and Its Development. London: J. M. Dent Co. Skinner, B. F. (1957). Verbal Behavior. Acton, MA: Copley Publishing Group. Other resources: http://www2. vobs. at/ludescher/Ludescher/LAcquisition/Nativist/nativist %20theory. htm Nativist theory,Chomsky and language learning. http:// scienceisc00125. blogspot. co. uk/2009/10/tabula-rasa-blank-slate. html Nature vs nurture,tabula rasa theory.

How Honey Bees Survive the Winter Cold

How Honey Bees Survive the Winter Cold Most bees and wasps hibernate during the colder months. In many species, only the queen survives the winter, emerging in spring to reestablish a colony. But honey bees remain active all winter long, despite the freezing temperatures and lack of flowers on which to forage. Winter is when they reap the benefits of their hard work, by living off the honey theyve made and stored. Winter Is Why Bees Make Honey The honey bee colonys ability to survive the winter depends on their food stores. Keeping warm takes energy in the form of honey. If the colony runs short of honey, it will freeze to death before spring. The worker bees force the now useless drone bees from the hive, letting them starve. Its a harsh sentence, but one thats necessary for the colonys survival. Drones would eat too much of the precious honey, and put the hive in peril. Once sources of forage disappear, the honey bees settle in for the winter. As temperatures fall below 57 ° F, the workers hunker down near their cache of honey. The queen stops laying eggs in late fall and early winter, since food stores are limited and the workers must focus on insulating the colony. The Honey Bee Huddle The honey bee workers form a cluster around the queen and brood to keep  them warm. They keep their heads pointed inward. Bees on the inside of the cluster can feed on the stored honey. The outer layer of workers insulates their sisters inside the sphere of honey bees. As ambient temperatures rise, the bees on the outside of the group separate a bit, to allow more air flow. As temperatures fall, the cluster tightens, and the outer workers pull together. As the ambient temperature drops, the worker bees actively generate heat within the hive. First, they feed on honey for energy. Then, the honey bees shiver. They vibrate their flight muscles but keep their wings still, raising their body temperatures. With thousands of bees shivering constantly, the temperature at the center of the cluster will warm up considerably, to about 93 ° F! When the workers on the outer edge of the cluster get cold, they push to the center of the group, and other bees take a turn shielding the group from the winter weather. During warmer spells, the entire sphere of bees will move within the hive, positioning themselves around fresh honey stores. During long spells of extreme cold, the bees may be unable to move within the hive. If they run out of honey within the cluster, the bees can starve to death just inches from additional honey reserves. What Happens to the Bees When We Take Their Honey? An average colony of honey bees can produce 25 lbs. of honey during the foraging season. Thats 2-3 times more honey than they typically need to survive the winter. During a good foraging season, a healthy colony of honey bees can produce as much as 60 lbs. of honey. So the industrious worker bees make much more honey than the colony requires to survive the winter. Beekeepers harvest the surplus honey, but always make sure they leave a sufficient supply for the bees to sustain themselves through the winter months.

Bonds and Trustees Essay Example | Topics and Well Written Essays - 1000 words

Bonds and Trustees - Essay Example This paper illustrates that the legal structure of a trust agreement to provide that the rights of the bondholders are vested in the trustee through the trust agreement which confers upon the trustee rights to â€Å"represent the holder in dealing with the issuer and to enforce action on their collective behalf†. By virtue of the trust agreement, subject to the provisions of the deed, the trustee shall represent the bondholder and the bondholder shall not be allowed to represent him/herself unless there is a breach of the agreement, which will render it unenforceable. Thus, the provision in the conditions of trust, which states, â€Å"no bondholder may take enforcement action against the issuer following a default unless the trustee, having become obliged to act thereon, has failed to do so† is valid. As held in case of Highberry Ltd v Colt Telecom Group Plc (No.2) a no-action clause is valid. Under Chapter 29 Part 1 of the Trustee Act 2000, the trustee has the duty to â€Å"exercise such care and skill as is reasonable in the circumstances, having regard in particular- (a) to any special knowledge or experience that he has or holds himself out as having, and (b) if he acts as trustee in the course of a business or profession, to any special knowledge or experience that it is reasonable to expect of a person acting in the course of that kind of business or profession.† The degree of care in transacting business for and on behalf of the bondholders binds the trustee to deliver what is in the best interest of the bondholder. The same rules apply as in the case of negligence. Therefore, where the trustee is faced with a situation where it becomes obliged to act, the failure thereof to act accordingly would constitute a statutory breach as well as of the agreement.

Week 6 discussion and participation Essay Example | Topics and Well Written Essays - 1000 words

Week 6 discussion and participation - Essay Example The auditor must accurately access whether the inventory counting process the company is using is adequate. The most important and valuable account in the balance sheets of companies is the cash account. A company can have millions of dollars in assets, but if the firm runs out of cash they run a high risk of going out of business. An important aspect of the cash in the bank and transaction cycles is to have clear separation of duties. Tests of controls and substantive tests of transactions are required to have an effective audit of the cash balance of a company. Cash is an account that is included in several cycles with the exception of inventory and warehousing. Cash is also one of the last cycles audited because the evidence accumulated of cash balances is dependent on the other cycles. Some of the cycles that are correlated to the activities of the cash cycle are: I agree with you that the most important phase for designing tests of inventory balances is the actual observation of the inventory count. A lot of theft and fraud often occurs in this cycle because companies have inventory balances worth millions of dollars. A simple way in which a company can cheat an audit is by including in its inventory goods that have become obsolete. This often occurs in technological industries such as the computer industry. As you mentioned in your response it is important for auditors to pay close attention to the internal controls that were established by the management of the company. If a company has weak internal controls the auditors have to pay closer attention to the inventory cycle to rule out the potential of fraudulent activity. In my response to this question I also argued that designing tests of inventory balance was the most crucial phase of the audit inventory cycle. I did not know about the existence of SAS 1. It makes a lot of sense to me that auditors should be present during the physical inventory

Marketing Strategy Final Case Study P&G Term Paper

Marketing Strategy Final Case Study P&G - Term Paper Example The most important concern is the deliberation about utilizing the new opportunity of an emerging market for pre-brushing rinse, which other Scope’s rivals are touting to their customers (P & G 258). Other basic problems include but are not restricted to what appropriate marketing strategy to adopt—should Scope be positioned as a â€Å"better tasting pre-brushing dental rinse† against its previous recognitions as a â€Å"better tasting and breath freshener† (P& G 259); manufacturing issue concerning how to produce product that will match the standardizations required by 2 Canadian Health Protection Branch, The Canadian Dental Association and Saccharin/Cyclamate Sweeteners requirements (P& G 257-258); finding alternatives to funding the marketing of Scope since the product has so far received its highest finances in years, and that funding another line of product might be helpful to reduce cost competitively (P& G 260); recognizing the significance of spend ing more on advertising another line of product to shore up customers’ interest in Scope (P & G 260); and discovering the best approach as far as Procter and Gamble’s operations and purchasing are concerned ( & G 260). Step 2: Justification for Problem Definition & Analyzing the Case Data: The cause of this important analysis of Procter and Gamble’s operations in Canada is based on the fact that other rivals in the same niche of health care product like Plax, Colgate, Listerine, Listermint and Cepacol which brandish their comparative quality of pre-brushing rinse has captured the market from Scope. This is because these other products offer consumers the opportunity to fight their plaque—â€Å"which is the soft, sticky film that coats teeth hours after brushing them† (P& G 253; P& G 262). The Canadian Mouthwash Market Shares below justifies the fact that Plax has made significant gain against Scope, having started with a mere 1% of the market share in 1988 to commanding an appreciable 10% of the same market in 1990; while Scope’s grasp of the market slipped considerably from 33% to 32.3% within the same periods. 3 Figure 1: The Canadian Mouthwash Market Shares 1988 (Units) 1989 (Units) 1990 (Units) Scope 33.0% 33.0% 32.3% Listerine 15.2 16.1 16.6 Listermint 15.2 9.8 10.6 Cepacol 13.6 10.6 10.3 Colgate Oral Rinse 1.4 1.2 0.5 Plax 1.0 10.0 10.0 Store Brands 16.0 15.4 16.0 Miscellaneous Others 4.6 15.4 16.0 Total 100.0% 100.0% 100.0% The data demonstrates that other mouthwash products like Plax, Listerine and Store Brands make significant improvements against Scope, which sales began to dwindle towards its sales peak in 1990 (P & G 250). It is believable that strategic marketing may have helped other brands to outperform Scope in the amount of market size they command; their marketing proposition has largely 4 concentrated on the abilities of their brands to help users fight their plaque, a slogan that Procter and Gamble has not adopted because of its current product which lacks the plaque-fighting ingredients (P & G 253). What Procter and Gamble thinks appropriate is to re-position Scope in a way that it would keep the product’s loyal consumers and cut back the lead Plax is currently enjoying in the market (P & G 260). This plan is achievable within the three-year period the company hopes to revamp its operational activities. Comparing the expenditures

The Biopsychosocial Model Health And Social Care Essay

The Biopsychosocial Model Health And Social Care Essay In the preceding paragraphs many theoretical models were put forward, but it is now desirable to introduce a holistic model of causation, one that is more naturalistic than the simple linear reductionist models (Borrell-Carrià ³ et al., 2004). A comprehensive literature search showed that the most common and widely accepted holistic framework for treatment and rehabilitation is the biopsychosocial model. The popularity of this model can be seen by the frequency of its occurrence in online sources. A preliminary assessment of the biopsychosocial model was conducted using the Medline database, using the term biopsychosocial in the topics field. It is well recognised that use of the term biopsychosocial does not necessarily indicate an adoption of the biopsychosocial model, but at a minimum, it does reflect a recognition of the perspective (Suls Rothman, 2004). Figure 1.5: Frequency of citation of the term biopsychosocial using the Medline database. 4.1 The Biopsychosocial Model One of the famous landmarks articles, published almost thirty years ago by Engle (1977), questioned the biomedical interventions used in both psychiatry and medicine, and warned of a crisis in the biomedical paradigm (Alonso, 2004). Engle (1977) argued that a true medical approach should consider: (1) the patient; (2) the healthcare system; (3) the social context of the patients life; and (4) the psychological context (Mrdjenovich et al., 2004; Pereira Smith, 2005). The main proposition of the biopsychosocial model is that treatment interventions should be an interlinked system covering multiple dimensions (i.e. diagnostic and causative variables), taking into account biological, social, psychological and macro (e.g. socioeconomic status, cultural, ethnic) issues (Figure 1.6) (Burton et al., 2008). Any defect in one part of the system will affect another part of the system (Keefe et al., 2002). For instance, deterioration of a patient condition (biological effect) can negatively aff ect patients` emotional states increasing stress and anxiety level (psychological effect) affecting his/ her ability to work or perform his/her daily routine activities (social effect), which will then, subsequently, increase pain and/or disability levels (Keefe et al., 2002). Figure 1.6: A pictorial illustration of the biopsychosocial model. Adapted from Finlay (2009). The biopsychosocial model accentuate the importance of interacting and understanding the patient as a unique individual taking onto consideration their belief system in a moderate way that neither concentrate on the biomedical aspects or psychosocial aspects but rather illustrate their relationship together (Jones et al., 2002). In comparison between the biopsychosocial model and the earlier discussed models, it can be seen that the biopsychosocial model posits a much complex, multidimensional and broader approach of clinical care (Hadjistavropoulos Craig, 2004). Engles new paradigm has often been seen as a radical departure for medicine (Salmon Hall, 2003, p.1972). However, Lambert et al. (1997) stated that although the biopsychosocial model is a new approach, it is still conservative. This assessment was based on several perspectives proposed by the model. First, by underlying the need for good clinical decisions to respond to the eccentricities of each individual patient, it re-affirms the patients role, self identity and professional independence (Armstrong, 2002; Salmon Hall, 2003). Secondly, the model extends the responsibility of medical care to go beyond biological complications and encompass non-medical treatments as well (Baer, 1989). Physicians are required to connect with their patients in a relationship that involves not only the patients complaints and symptoms, but also their personalities and psychosocial lives (Salmon Hall, 2003). Conversely, patients are expected to be prepared to respond to the physicians and bring about the required changes in their lives to prevent and/or manage their illness (Salmon Hall, 2003). However, one of the issues that has been discussed in the literature is whether the concepts of the doctor-patient relationship and patient-centredness can affect and threaten the doctors authority. However, if the requirements for patient-centredness and a doctor-patient relationship are applied in a moderate and professional way, they do not threaten either the doctors authority or their responsibility, especially since physicians maintain their authority by virtue of their specialist knowledge and their responsibility for an accurate diagnosis and appropriate treatment (Salmon Hall, 2003). Taking on the considerations mentioned in this section lead to a perceived need for a study to determine the current methods followed in managing lower limb injuries (either in elective or emergency cases) and whether the biopsychosocial model is a better approach of treatment. 4.1.1 To what extent have the medical establishment and different research fields adopted the biopsychosocial model? The biopsychosocial model has been widely adopted and promoted in different domains, including medical schools, major medical organisations, social work departments, public health, counselling, and some fields of psychology (Kaplan Coogan, 2005). For example, the WHOs International Classification of Functioning, Disability and Health (ICF), which is a global framework of disability and rehabilitation, is based on the biopsychosocial model (WHO, 2001). Dowrick et al. (1996) conducted a study to explore whether the biopsychosocial model is based on rhetoric or reality. A semi-structured postal questionnaire was sent to 494 principal general practitioners. The questionnaire sought the practitioners views about what they believed to be relevant and appropriate to a practitioners skills and knowledge in general medical practice, and investigated whether these views are consistent with the biopsychosocial model. Only 41% (207) of the sample responded to the questionnaire, which is considered to be a low response rate (Church et al., 2001). The results showed that general practitioners embrace the view that physicians should incorporate a biopsychological model, rather than a biopsychosocial model, in their general medical practice. However, the results cannot be generalised because the study was conducted exclusively on members of a specific organisation. Therefore, the results can only be only applied to the specific population describ ed in the study. Similarly, Alonso (2004) also investigated the extent to which the biopsychosocial concept has been adopted by medical researchers. Using the Medline database, Alonso examined published articles in the period 1978-1982 (period a) and the period 1996-2000 (period b). Period a was selected because it covers the first five years since Engels conceptualised his new model, and the second period (period b) was determined by the date of Alonsos study (covering the five years before the study). The findings of the previous study showed that the conceptualisation of health in medical research, as characterised in articles written within the past two decades, has not changed. In other words, physicians are still reluctant to incorporate the biopsychosocial model, and often focus solely on traditional methods of treatment. Other studies (Dowrick et al., 1996; Cohen et al., 2000; Alonso, 2004; Kaplan Coogan, 2005) also concur with the findings of Alonsos original study, and conclude that the bi opsychosocial model has not been fully integrated into actual medical practice. Conversely, in an evaluation of published articles between the years 1977-1987 and 1988-1998, Hwu et al. (2001) found a considerable spread of medical research articles that did include social and psychological aspects in their definitions of health and medical care. In addition, a literature search also shows that several behavioural, medical and psychological phenomena have adopted the biopsychosocial concept (Kaplan Coogan, 2005), in areas such as schizophrenia (Kotsiubinskii, 2002; Schwartz, 2000), chronic fatigue (Johnson, 1998), antisocial behaviour (Dodge Petit, 2003), gastrointestinal illness (Drossman,1998), spinal cord injury (Mathew et al., 2001), and pain management (Truchon, 2001; Covic et al., 2003). Clearly, there are conflicting findings in the existing literature regarding the extent to which the biopsychosocial model has been integrated into the medical domain, indicating a need for future research. 4.1.2 Application of the biopsychosocial model in rehabilitation Several authors have argued that there is a considerable gap between the introduction of a new or revised model and the application of the proposed model in clinical practice (Linton, 1998; Muncey, 2000; Jones et al., 2002). The challenging factors surrounding changes in clinical practice have been reviewed by Muncey (2000), two of which are associated with physicians decision-making skills and knowledge. In addition, physicians reluctance, in some cases, to integrate new models into their clinical practice should also be taken into consideration (Silagy, 1998; Jones et al., 2002). Furthermore, because the current medical literature is often introduced at a basic scientific level, it is complicated for non-researchers to understand and transfer new models and theories to clinical settings (Jones et al., 2002). Jones et al. (2002) stated that in order to achieve successful application of a new pattern of behaviour and practice thinking, two elements are required. These are reflective, critical clinical reasoning (i.e. the decision-making process), and a suitable organization of knowledge in which the new model can be implemented. The significance of the biopsychosocial model is based on its capability to show the multitude of interactions between its elements (Jones et al., 2002). in addition, every individual element can then be further explored. However, this means that physicians need to further develop their clinical practice skills in terms of patient assessment and management, either physically or in terms of other factors that contribute to their patient`s illness (Jones et al., 2002). One of the elements that should be considered in the application of the biopsychosocial model is diagnostic reasoning, which mainly depends on the application of the scientific paradigm (or the empirico-analytical model) for decision-making and validation. This form of reasoning attempts to identify and test hypotheses relating to the nature of psychological and physical impairments and their functional disabilities (Jones et al., 2002). Narrative reasoning is another form of reasoning which is used to understand the patients own experience with their pain and illness (Mattingly, 1994; Jones et al., 2002). However, although this sounds like a simple method, in fact it is far more challenging than simply listening to patients own stories (Jones et al., 2002). Finally, it is essential to highlight the fact that the biopsychosocial approach is not only concerned with curing pathological defects, but also with helping people to regain their normal life activities (Burton et al., 2008). In addition, it is acknowledged that there may be a certain amount of reluctance regarding the adoption of the biopsychosocial model because of the hurdles in the way of its clinical application (Burton et al., 2008). Changing the way in which injuries are managed in clinical settings will require further investigation, since little attention has been paid towards identifying the current methods that are used to manage lower limb injuries (either in emergency or elective settings) and whether the biopsychosocial model is a better approach in managing such injuries. From the findings and the studies presented in this literature review, it can be concluded and hypothesised that enough clinical evidence exists to show that the biopsychosocial model is a better approach to managing lower limb injuries. On the other hand, the literature does not answer the basic question to whether the surgery is elective or emergency make a difference to the patient experience after injury, which necessitate the need for further investigate. 5.0 Conclusion Little attention has been given to the patients experience after lower limb surgery for example, comparing and contrasting the experiences of patients who have had elective or emergency surgeries, exploring physical, social and psychological aspects, and looking at whether methods of treatment and follow-ups are applied differently between elective and emergency surgeries. In addition, although various studies had focused on how the physical, social and psychological factors interlink together, no previous study has investigated the outcome of the application of the biopsychosocial model in managing patients after lower limb surgery as a result of injury, compared to those who were treated using other treatment approaches. Therefore, to address these issues, this study aims to explore and report the patients experience of clinical care of lower limb injury after surgery, comparing and contrasting the experiences of patients who have had elective or emergency surgeries, and investigating whether the biopsychosocial model is a better treatment approach for the management of lower limb injuries than other approaches. Thus, the current study is based on the following research questions: 6.0 Research question Primary research question: What are the differences between patients experiences and clinical approaches after elective lower limb surgery as a result of injury, compared with patients experiences after emergency lower limb surgery as a result of injury? Secondary research question: If a difference exists among patients experiences and clinical approaches between elective and emergency lower limb surgeries as a result of injury, how does this difference related to the current care pathway including the biopsychosocial model? 6.1 Aims and objectives The aim of this study is to develop a better understanding of patients experiences after a lower limb injury that is severe enough to necessitate surgery, and to compare medical services (after lower limb surgery) provided in emergency settings vs. elective settings. In addition, the study aims to investigate the efficiency of current methods of treatment and compare them with treatment methods derived from a biopsychosocial approach. Understanding the experience of lower limb injury from the patients perspective is essential for providing guidelines for appropriate and efficient medical services, and in the prevention of future complications for the patient. In addition, such an understanding will form a reference for future research studies. The objectives of this study are to explore and report: The difference in patients experiences of medical services for lower limb surgery provided in emergency settings and elective settings. Whether the current biomedical approach to managing lower limb injuries is efficient enough from the patients perspective. The importance of psychosocial factors for a patient with lower limb injury. The importance of implementing treatment methods derived from a biopsychosocial model approach. 6.2 Statement of null hypotheses The research is based on three null hypotheses: The primary null hypothesis states that there will be no difference in patients experiences in emergency and elective surgery settings for patients with lower limb injuries. The secondary null hypothesis states that there will be no difference between elective and emergency lower limb surgeries as a result of injury, and hence it does not relate to the current care pathway including the biopsychosocial model.

Macbeth :: essays research papers

One thing leads to another. This is a statement most people are familiar with, especially if they read William Shakespeare’s Macbeth. It tells what happens to the tragic protagonist, Macbeth. At the start of the play, Macbeth is a highly praised and loyal nobleman admired by all until he becomes a victim of the witches. Their promises evoke his unrestrained ambition. From then on, Macbeth’s actions snowball out of his control and under the witches’ power. His unholy deeds trouble his sleep, and the innocent victims return to haunt him. Evil spirits take over his every move and thought. The luring prophecies, sleepless nights, hallucinations, and deceptive apparitions are all products of sorcery used to cloud Macbeth’s moral judgment and lead him to further degradation.   Ã‚  Ã‚  Ã‚  Ã‚  By pricking Macbeth’s desire for power and prestige with promising prophecies and giving him confidence with the apparitions, the witches lure him to commit evil deeds and to continue doing so endlessly. Their tempting prophecies bait Macbeth into their deceitful plot. Banquo, a fellow nobleman, warns him about the prophecies, “But ‘tis strange: and oftentimes, to win us to our harm, the instruments of darkness tell us truths, win us with honest trifles, to betray’s in deepest consequence'; (I, 3, 122-127). Banquo is a smart man, and it is unfortunate that Macbeth ignores his advice. To be sure that Macbeth self-destructs by his own sinful behavior, the sorceresses create prophetic images that ensure him security. Not knowing they are all part of the deception, Macbeth easily succumbs to their plan. He aimlessly kills, believing nothing can harm him, but he is dead wrong. The witches true intention is best revealed in Hecate’s orders, “And that distilled by magic sleights shall raise such artificial sprites as by the strength of their illusion shall draw him on to his confusion'; (III, 5, 26-29). Macbeth’s biggest misfortune is encountering the witches, and an even bigger mistake is to revisit them. The cunning scheme of the wicked women successfully leads Macbeth to evil and confuses him enough for him to lose command of his actions.   Ã‚  Ã‚  Ã‚  Ã‚  Even away from the witches, Macbeth still cannot escape their evil influence. By using hallucination, haunting spirits, and ghostly images, they over-power his ability to make right judgments. Macbeth’s hallucinating experience begins when he sees a dagger leading him to kill King Duncan. Macbeth’s reaction to the sight was, “Art thou not, fatal vision, sensible to feeling as to sight, or art thou but a dagger of the mind, a fatal creation, proceeding from the heat-oppressed brain?

Positive Psychological Effects on Exercise

â€Å"Positive Psychological Effects of Exercise† Kelsey Leavitt Thomas G. Plante, C. C. (2006, April 10). Psychological Benefits of Exercise Paired with Virtual Reality. Retrieved from http://web. ebscohost. com. ezproxy. tntech. edu/ehost/detail? vid=5&sid=2e69bd11-298b-4674-98ca8d42db4513b4%40sessionmgr110&hid=126&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=pdh&AN=2006-04110-006 Introduction Numerous studies showed that a daily routine of exercise made people live longer lives, had healthier bodies, and were in a more positive psychological state than the people who did not perform exercise as part of their lifestyle.Majority of my family members were overweight and I witnessed many psychological effects that took a toll on their bodies and interfered with their work routine and also their social life. On the other hand, when I reached a certain age in my life, I knew that I did not want to have the health problems some of my family members did and decided to make exercise part o f my daily routine to decrease the negative psychological effects that it could have had on myself.Many people used the excuse; I do not have time for exercise or I didn’t have any money for a gym membership. To me, this was just an excuse because anyone can take thirty minutes a day and go for a walk through the park or jog through the neighborhood, which cost no money at all. â€Å"Research demonstrated that individuals who exercised with others, that involved virtual reality stimulation, or getting feedback aimed at improved self efficiency and enjoyment, greater increase in stress reduction, mood, and well-being, and reduced anxiety and depression† (Plante 1).In the database I researched, a sample of 112 psychology students participated in a study designed to measure momentary mood states which included, energy, calmness, tension, and tiredness. The participants in the exercise experienced the lowest level of tiredness. Overall, â€Å"this study suggested that the combination of virtual reality and exercise improved some of the positive psychological effects of exercise compared with virtual reality or exercise alone† (Plante 1). Purpose The purpose of this article was to investigate the role of virtual reality on the psychological benefits of exercise.The article showed forty-seven male and sixty-five female psychology students who participated in a study and were asked to complete the AD-ACL questionnaire which measured state energy, calmness, tiredness, and tension. â€Å"It was predicted that when virtual reality was paired with exercise, it would positively influence the mood benefits of exercise† (Plante 1). Participants were then randomly assigned to one of three conditions: a twenty minute brisk outdoor walk, combined virtual reality with walking on a treadmill, and virtual reality without exercise condition. Among all participants, there were no significant effects on energy, calmness, or tiredness. However, there were significant effects for tension† (Plante 1). The results of this study were determined by running a series of sample t-tests, which concluded a p-value that clarified whether the test had a significant effect or a non-significant effect. I learned from my adaptive class, that having a p-value less than 0. 5 is significant and anything above that is non-significant, which is how I determined the results from reading the chart of scores from this study. The results suggested support from the hypotheses as virtual reality did boost positive mood benefits when paired with exercise† (Plante 1). As mentioned earlier, the exercise environment contributed to psychological benefits of exercise by affecting well-being, confidence, enjoyment, mood, and self-efficiency. Problem A quote that I like to live by stated, â€Å"One can talk the talk, but can one walk the walk†? I believe that this had a lot to do with the problems with exercise. Despite all the physical and psychol ogical benefits associated with exercise, exercise involved a risk of serious injury.Exercise related injuries consisted of pulled muscles, sprains, strains, fractures, and dislocations. Individuals that were out of shape, failed to wear correct shoes, or improper use of the exercise equipment were more likely to be injured during exercise. Another problem with exercise was obsession. Believe it or not, one can exercise too much, which caused more harm than good mentally. Excessively exercising can cause one’s body to burn out, which had an increased risk of injury.If an individual became obsessive about their appearance, it would lead them to poor self-esteem and developed into a bad attitude about the psychological purpose of exercise. Solution There were many ways for individuals of all ages and sizes to improve and help cope with the psychological problems of exercise. Wearing proper protective equipment, proper clothing and shoes, and even having a gym owner show you the proper way to use their exercise equipment are all ways that helped reduce the risk of injury involved with exercise today.Also, creation of a comfortable, proper daily exercise routine reduced the risk of an individual becoming burnt out or becoming obsessive with exercise. Lastly, another solution to the psychological effects of exercise is the production of endorphins. Endorphins are produced from exercise and have relieved pain, stress, and enhanced the immune system. Based off the research, the environment that an individual chose to exercise in helped with the psychological benefits of exercise as well.The results from this article demonstrated that indoor  exercises  were more relaxing. An indoor environment proved to be more calming because it was an enclosed and secure area, and there were minimal distractions. Furthermore, â€Å"our findings suggest that an individual's decision to workout indoors or outdoors could be influenced by whether he or she is attempted to r elax or energize† (Plante 1). For example, one chose to run outside in the morning to increase energy levels or one chose to run indoors in the evening to wind down and decrease tension before bed.

What I Learned From My Own Advice When My Kids Went Off To College

What I Learned From My Own Advice When My Kids Went Off To College SAT / ACT Prep Online Guides and Tips I’m a dad. I give advice. It’s what I do. You can’t fight nature. When it’s time to go, you go. When it’s time to advice, you advice. So, it’s natural, really the divine order of things, that when my kids went off to college, I gave them advice. I was just doing my job. I told them just two things. 1. Don’t sweat the major. Yes, if you want to build bridges, it’s best that you major in Structural Engineering. For all of us. Most of the time, it’s just not that critical. Jobs change. Workplace needs evolve. New jobs are created. According to the Bureau of Labor Statistics, most people go through 7 major career changes. Not different jobs - different careers. A teacher becomes an insurance salesman. A VP of marketing transitions to a non profit controller. Whitman was right. We contain multitudes. Study this: something you love. Learn about something that interests you. If you don’t know what you love, study until you do. Then, explore some more. Unless you’re a Kardashian, you don’t pick a spouse based on net worth. You don’t pick a major based on ROI. It’s short sighted. Does a major inspire you? Are you curious? Do you want to learn? If the answer is yes, that’s a good start. Graduating from college is not the end of education. You’re just getting warmed up. 2. Go out for the school play. Do something that makes you uncomfortable. Act. Sing. Debate. Play Rugby. Comfort is the enemy. Just do something new. Learn the fundamentals. Struggle. Adjust. Practice your craft. Help others. Repeat. It’s what you will do for the rest of your life. Start now. I can’t say this enough. Put yourself out there. Surprisingly, my kids took my advice. Who knew they were listening? My daughter is a dance and english major. She taps. She writes comedy. She is a Funk Dj for the college radio station. Tap shows are not selling out stadiums. They don’t sell out the Moose Lodge. There was only one Nora Ephron. Tina Fey is a limited job market. So is Mindy Kaling. I'm guessingthe Funk DJ job market is limited. I don’t care. You go girl. Play that funky music white girl. Play that music funky music right. Play that music till you die. My son wants to open a restaurant. He’s a Marketing major. He cooks. Most restaurants fail in the first year. You go boy. Cook that funky food right. Do what you love till you die. After I dumped the last Ikea instructions, after both kids were gone, it hit me. I wasn’t listening to my own advice. I wasn’t living you go dad. I wasn’t playing that funky music. The record player wasn’t even plugged in. It was buried in the garage, next to the guitar. I wasn’t growing. If anything, I was shrinking. Do something to pay the bills. Get by. I was a routine. It was time to learn from my kids. It was time to listen to my own advice. I was asked to be in my daughter’s ballet recital. â€Å"Dad, can you be Dr. Coppelia. It will be so much fun.† â€Å"What’s Coppelia? I’m in.† I did say no to the tights and the tutu. Step 1 on the road of putting myself out there. I became a high school basketball referee. Then volleyball. Football. Lacrosse. Except for the tights and tutu, I kept saying yes. Grow. Stretch. Be uncomfortable. This is the thing. Our kids grow up. Going off to college is an adventure. It’s time for them to put themselves out there. Try something new. Get uncomfortable. Stretch. Grow. As parents of these students, it’s our time too. We just need a reminder. It’s time to put ourselves out there. Try something new. Do something that makes you uncomfortable. Grow. Stretch. You go dad. You go mom. Play that funky music. Play it loud. After all, we’re just getting warmed up.

Freedom Caucus Definition and Membership

Freedom Caucus Definition and Membership The Freedom Caucus is a voting bloc of about  three dozen Republican members of the House of Representatives who are among the most ideologically conservative in Congress. Many of the Freedom Caucus members are veterans of the  Tea Party  movement that took root following the bank bailouts of the Great Recession and the election of Barack Obama as president in 2008. The chairman of the Freedom Caucus is U.S. Rep. Mark Meadows of North Carolina. The Freedom Caucus was formed in January 2015 by nine members whose mission is to â€Å"advance an agenda of limited, constitutional government in Congress.† It has also argued for a more decentralized power structure in the House, one that allows rank-and-file members a greater voice in deliberations. The mission of the Freedom Caucus reads: â€Å"The House Freedom Caucus gives a voice to countless Americans who feel that Washington does not represent them. We support open, accountable and limited government, the Constitution and the rule of law, and policies that promote the liberty, safety and prosperity of all Americans.† The coalition has been described as a splinter group of the Republican Study Committee, the conservative group that serves as a watchdog on the partys leadership in Congress. Founding Members of the Freedom Caucus The nine founding members of the Freedom Caucus are: Rep. Justin Amash of MichiganRep. Ron DeSantis of FloridaRep. John Fleming of LouisianaRep. Scott Garrett of New Jersey  Rep. Jim Jordan of OhioRep. Raà ºl Labrador of IdahoRep. Mark Meadows of North CarolinaRep. Mick Mulvaney of South Carolina  Rep. Matt Salmon of Arizona   Jordan was elected the first chairman of the Freedom Caucus.   Members of the Freedom Caucus The Freedom Caucus does not publicize a membership list. But the following House members have also been identified in various news reports as being members of or affiliated with the Freedom Caucus. Rep. Brian Babin of TexasRep. Andy Biggs of AlabamaRep. Rod Blum of IowaRep. David Brat of VirginiaRep. Jim Bridenstine of OklahomaRep. Mo Brooks of AlabamaRep. Ken Buck of ColoradoRep. Warren Davidson of OhioRep.  Scott DesJarlais of TennesseeRep. Jeff Duncan of South CarolinaRep. Trent Franks of ArizonaRep. Paul Gosar of AlabamRep.  Morgan Griffith of VirginiaRep.  Andy Harris of MarylandRep.  Jody Hice of GeorgiaRep. Darrell Issa of CaliforniaRep. Barry Loudermilk of Georgia  Rep. Alex Mooney of West VirginiaRep. Gary Palmer of AlabamaRep.  Steve Pearce of New MexicoRep.  Scott Perry of PennsylvaniaRep. Ted Poe of TexasRep. Bill Posey of FloridaRep. David Schweikert of AlabamaRep. Mark Sanford of South CarolinaRep. Joe Barton of TexasRep. Randy Weber of TexasRep. Ted Yoho of Florida Why the Small Freedom Caucus Is a Big Deal The Freedom Caucus represents but a small fraction of the 435-member House. But as a voting bloc, they hold sway over the House Republican Conference, which seeks support from at least 80 percent of its members for any move to be considered binding.   â€Å"Choosing their fights carefully, the Freedom Caucus has certainly made an impact since its formation,† wrote the Pew Research Center’s Drew DeSilver. DeSilver explained in 2015: â€Å"How does such a small group get to have such a big say? Simple arithmetic: Currently, Republicans have 247 seats in the House to 188 for the Democrats, which would seem to be a comfortable majority. But if the 36 (or more) Freedom Caucus members vote as a bloc against the GOP leadership’s wishes, their effective strength falls to 211 or fewer- that is, less than the majority needed to elect a new speaker, pass bills and conduct most other business.† While the makeup of the House has changed since then, the strategy remains the same: to maintain a solid caucus of ultraconservative members who can block action on legislation they oppose even if their own party, the Republicans, control the House. Role in John Boehner Resignation The Freedom Caucus rose to prominence during the battle over Ohio Republican John Boehner’s future as speaker of the House in 2015. The caucus was pushing Boehner to defund Planned Parenthood even if it meant forcing a government shutdown. Boehner, tired of the infighting, announced he would abandon the post and quit Congress altogether. One member of the Freedom Caucus even suggested to Roll Call that a motion to vacate the chair would pass if all of the Democrats were to vote in favor of ousting Boehner. â€Å"If the Democrats were to file a motion to vacate the chair and were to vote for that motion unanimously, there probably are 218 votes for it to succeed,† the unnamed member said. Many in the Freedom Caucus later supported Paul Ryan’s bid for speaker. Ryan was to become one of the youngest speakers of the House in modern history. Controversy A handful of Freedom Caucus members defected because they were unhappy with the group’s tactics, including its willingness to side with Democrats on votes that would undermine mainstream or moderate Republicans, including the effort to oust Boehner through a Vacate the Chair motion. U.S. Rep. Reid Ribble of Wisconsin quit after the leadership coup. â€Å"I was a member of the Freedom Caucus in the very beginning because we were focused on making process reforms to get every Member’s voice heard and advance conservative policy,† Ribble said in a written statement provided to CQ Roll Call. â€Å"When the Speaker resigned and they pivoted to focusing on the leadership race, I withdrew.† U.S. Rep. Tom McClintock of California quit the Freedom Caucus nine months after it formed because, he wrote, of its â€Å"willingness- indeed, an eagerness- to strip the House Republican majority of its ability to set the House agenda by combining with House Democrats on procedural motions.† â€Å"As a result, it has thwarted vital conservative policy objectives and unwittingly become Nancy Pelosi’s tactical ally,† he wrote, adding that the Freedom Caucus’ â€Å"many missteps have made it counterproductive to its stated goals.†

Edgar Allen Poe and Sigmund Freud (The Uncanny) Essay

Edgar Allen Poe and Sigmund Freud (The Uncanny) - Essay Example It will pay attention to the influences of the Romantic Movement in literature as well as the bearing of popular psychological theories such as The Uncanny presented subsequently by Sigmund Freud. The short story Eleonora is lyrical testament to the power of romantic love. A story without any plot whatsoever, its aesthetics lies in the portrayal of depths of passion and the glory of love. It is as much a eulogy to love as it is an excuse for breaking off past promises. Yet, there is no contradiction here, as the promises made to the protagonist’s previous lover have eroded in relevance in the narrator’s ‘second epoch of life’ as he calls it. German physician Friedrich Anton Mesmer’s (1734-1815) scientific method of delving into the human psyche is of help in analyzing the story, for it provides a medium with access to the subject’s inner world and secrets that lay beyond human existence. i This then novel scientific approach â€Å"became the cutting-edge development in scientific research to approach the mysteries of the spiritual world and the dark side of the human mind. The Romantic poet, therefore, employed the motif of the double as the chance to investigate the passions and illnesses of the human mind and to examine the presence of a supernatural world.† ii The storyline in Eleonora is quite simple. The unnamed narrator (probably Poe himself) recollects two distinct periods or chapters in his life. The first one ends with the premature death of his beloved cousin Eleonora. The second one ends with his marriage to Ermengarde, his heartthrob of late. During the first phase, the narrator recollects all the wonderful moments he spent with his cousin Eleonara, whom he was about to marry if not for her terminally declining health. This morbid stipulation of time only heightens their love for each other. Instead of dousing interest in the relationship, it serves as a catalyst in consolidating the lovers’ bon d. At one such heightened moment of heart-felt love, the narrator promises to Eleonora that even after her death he would remain loyal to her. By remaining loyal to the memory of their love, he believes, he will retain his beloved’s spiritual grace from the heavens, where she would watch over him for the rest of his life, till he joins her eventually one day. Thus ends the first phase of his life, with the promise to and death of Eleonora. In the second phase of the narrator’s life, having been discouraged by the emptiness of life without Eleonora, the narrator decides to seek a livelier atmosphere by participating in worldly affairs. Idealistic and endearing an idea this was, it would be severely tested and defeated in the face of the charms of Ermengarde. The author’s endeavor is to reconcile these apparently contradictory actions on part of the narrator. Poe is able to achieve this goal by stylized application of the best features of Romantic Movement in lite rature, which was in vogue in the early decades of the 19th century. Although Poe preceded Freud, there is evidence of some of the latter’s theories in Poe’s works, including Eleonora. One of the theories articulated by Sigmund Freud is that of Cognitive Dissonance. We can witness this at play as the narrator justifies his abandonment of the promises made to the deceased Eleonora in the face of th

Human Relations And Health Information Management Research Paper

Human Relations And Health Information Management - Research Paper Example Various studies have indicated that these tests are effective in making career-related decisions and are also accurate in providing correct results (Borgen & Betz, 2008; Capraro & Capraro, 2002; Garis & Niles, 1990). These tests have been taken for the purpose of this research paper and the findings are used to identify personality type and suitable career path in prospective employers. Personality Inventory The findings of SIGI3 inventory and its corroboration with MBTI test helped in understanding that my personality type is ESTJ which is an abbreviation of extroverted, sensing, thinking and judging (â€Å"Jung Test Results†, n.d). According to the output of the test, individuals with this personality type have administrative skills and they remain in touch with the external environment. Furthermore, they are very responsible and are named as the pillar of strength by the test. Findings of the SIGI3 test indicated that my personal values are the contribution to the society, high income, leadership, prestige, leisure, independence, and variety. All these values score above average in the field of health information management (SIGI3, 2013). ... findings related to personal interests, skills, and values with MBTI’s results indicated that my personality type is of figure that would assume responsibilities and is able to work in a team-based work environment effectively. In addition to that, I have strong analytical skills that are essential for health information management. My preferred job-related tasks would be the collection of information and deduce necessary trends out of it along with planning concerning numerical data. When examined with the help of SIGI3 preferred employment in the light of the test’s results and my current majors, it was found that my preferred career path would be in the health information administration.