Friday, August 7, 2020
Recent Questions COLUMBIA UNIVERSITY - SIPA Admissions Blog
Recent Questions COLUMBIA UNIVERSITY - SIPA Admissions Blog A few applicants have submitted inquiries regarding the application review process. Here are answers to some of the questions that have come in recently. ______________________ Does the completion date of my file impact the admission decision? . . . or stated another way perhaps . . . Why is my application not complete yet? The answer to the first question is No. The date a file is completed has no impact on the decision process. The process of completing files in the office is time consuming and we appreciate your patience as we work quickly to make sure everything has been received so that we may forward the file to the Committee for review. If we are missing any required documents we will let you know. So in response to the second part of that question, we are working as quickly as we can but still have several hundred applications that are waiting in printed batches to be reviewed. When/how will I find out about my decision? Our goal is to make decisions available in early March. We do not send out all decisions at once. As much as we would like to send all decisions at once, some files take a bit longer to review than others and we do not wait until a decision has been made on every file before starting to send decisions. When your decision is ready to view you will receive an email from our office letting you know. The email will instruct you to visit the application site to view your decision letter. I will post updates on the process on this blog so please make sure to subscribe to the blog by entering your email into the Feedburner box in the right hand menu or add this blog to your RSS reader. I will elaborate more on the topic of informing applicants of decisions as we draw closer to releasing decisions. Are interviews a part of the admission process? With thousands of applicants applying from all over the globe, it is not possible for the Admissions Committee to conduct interviews with applicants. In rare cases I may be asked to follow up with an applicant regarding a detail in their application. This contact would come in the form of email. Thus, after you receive an email from us noting that your file is complete, you likely will not receive another email from us regarding your file until a decision has been posted. When the decision is posted you will receive an email indicating such. Will there be an opportunity for admitted applicants to visit SIPA? SIPA will host an Admitted Student Day on Tuesday, April 12th. It will be a full day event open to all applicants admitted to SIPA for the fall 2011 semester. We also have information sessions each Monday at 6:00 PM and Friday at Noon, with exceptions for holidays. If you wish to register for an information session, you may send an email to sipa_admission@columbia.edu. Registration for the Admitted Student Day on April 12th will take place after admission decisions have been made. Registration for Admitted Student Day takes place on a secure Web page and admitted applicants will be given access to this page (information will be in the admission letter). I received an email noting my file was forwarded to the Admissions Committee, but I have more information that I would like to include in my file, can I send it to you? The application review process at SIPA is paper based. All of the required documents are placed in a file and that file then is sent to Committee members for review. Although we know what individuals are reviewing particular files, it is not possible for us to quickly track down files once they are batched and sent out for review. As you might imagine, it would not be possible for members of our staff to try to track down a file to add additional documents as this would be incredibly time consuming. If you submitted all of the required documents and your file is complete, the Committee will have the information it needs to make a final decision. If we feel we need more information or need to clarify information submitted we will contact you. What size of class does SIPA plan to enroll? The typical incoming class size for the MIA, MPA, and MPA-DP programs is around 475 students (all three programs combined). Final enrollment goals may adjust slightly as time progresses, but at this point this is a good estimate of the number of students we will enroll for fall 2011: MIA: 260 students MPA: 180 students MPA-DP: 35 students Again, these numbers are estimates only and may change based upon a variety of factors the Admissions Committee takes into consideration. How does being an international student affect my consideration for SIPA fellowships? First let me say that fellowships at SIPA are mainly reserved for second year students. Unfortunately we are only able to offer roughly 10-15% of first year students fellowship funding. Approximately 70% of second year students that qualify to apply (by obtaining at 3.4 GPA at SIPA) receive a second year award and the average award is roughly $20,000. Second, SIPA fellowships are not based on citizenship. We have one fellowship budget and it is used to award funding to qualified applicants, no matter the country or origin or citizenship. Therefore, citizenship has no impact on the fellowship process at SIPA. How dry are your hands? Okay, no one actually asked that question, but with the amount of paper I have been handling I almost feel like I have chalk sticks for fingers my skin is so dry.
Saturday, May 23, 2020
Oedipus The King By Sophocles - 950 Words
The people throughout Oedipusââ¬â¢ life trues very hard to allow him to escape his fate of killing his father and then marrying his mother. In the epic poem Oedipus the King, Sophocles tells the story of the tragic downfall of Oedipus. Although many people see the role of free will that brought upon Oedipusââ¬â¢ doom, no matter what choices were made throughout his life, his ultimate fate would always return. The choices made at the beginning of Oedipusââ¬â¢ life set him up to fulfill his prophecy. His parents learned of his destiny from the oracle and ââ¬Å"pinned his ankle joints together, then had him left, by someone elseââ¬â¢s handsâ⬠(Sophocles 685). Instead of killing the child themselves, they left him to the responsibility a herdsman. This choice to give the child to another person at the beginning of his life allows the gods to remain deciding Oedipusââ¬â¢ fate. Allowing him to live ultimately permits him to return back to his home city to fulfill his fate. The herdsman in turn had pity on Oedipus and decided to give him to the King and Queen or Corinth. This choice made by the herdsman again allowed Oedipus to continue in life to allow his destiny to live on. Oedipus ââ¬Ëdeterminism to get away from fulfilling his destiny causes him to run right into it. The ââ¬Å"ignorance of his own actionsâ⬠led him to advance into what the oracle predicted (Fosso). After he was told of his prophecy, Oedipus decided to escape his adoptive parents without asking for answers. Instead of ââ¬Å"delaying and possiblyShow MoreRelatedOedipus The King By Sophocles848 Words à |à 4 PagesOedipus the King, written by Sophocles, follows the tragic story of a king named Oedipus who goes from an all-powerful ruler to a hopeless blind peasant. Oedipus the King was written as a play and performed in front of an audience. Sophocles shows in Oedipus the King that one cannot escape the fate of the gods. Throughout the play Oedipus struggles to find a solution and change all the troubles in his life. The play observes the story of Oedipus who defies the gods and through the journey experiencesRead MoreSophocles Oedipus The King884 Words à |à 4 PagesKing of Thebes, owner of a family tree that identically resembles Medusa on a bad hair day, and the inspiration for a psychologically-riveting complex, Oedipus, tragic hero of Sophoclesââ¬â¢ Oedipus the King, exposes troubling truths about the human condition and, acting as an exemplary precaution for the entirety of humanity, demonstrates how a self-destructive struggle between love, anger, and fate, conveyed through an unorthodox love affair between mother and son (Who gets custody in a divorce?),Read MoreSophocles Oedipus The King1714 Words à |à 7 Pagesââ¬Å"ideal tragedyâ⬠is the play ââ¬Å"Oedipus the Kingâ⬠written by Sophocles. In this play, Sophocles utilizes the concept of tragedy as well the theory of the importance of scenes of recognition and rev ersal to create a setting, tone, and mood throughout the play. Oedipus, the mythical king of Thebes, goes through a horrendous tragedy which includes moments of recognition and reversal. These moments are key to the fame and appreciation for the play, ââ¬Å"Oedipus the Kingâ⬠. Sophoclesââ¬â¢ use of Aristotleââ¬â¢s conceptsRead MoreSophocles Oedipus The King992 Words à |à 4 PagesThroughout tragedies in Greek literature, the hero always has one tragic flaw. In Sophoclesââ¬â¢ Oedipus the King, Oedipusââ¬â¢ main flaw is his overactive hubris, which in turn clouds his overall judgment. This is evident in the Chorusââ¬â¢ first ode to the city of Thebes as they try to ask the Gods for the banishment of the plague. Their answer does not come from a deity, but from Oedipus himself as he enters the palace and says, ââ¬Å"You have prayed; and you prayers shall be answered with help and release ifRead MoreOedipus the King by Sophocles1393 Words à |à 6 Pages Sophoclesââ¬â¢ play, Oedipus the King, has risen many questions concerning the main character and whether or not he acts on free will or if his future is predestined by the gods. I am going to test the theory that although Oedipus believes he is acting on his own free will, he is in fact a victim of the gods. I will analyze several different sources that discuss fate and human agency in Oedipus the King and then proceed to build my original argument on the archaic debate. There has been a great dealRead MoreOedipus The King By Sophocles904 Words à |à 4 Pages In Sophocles play ââ¬Å"Oedipus the Kingâ⬠a deadly plague has descended upon the kingdom of Thebes, and because of this plague a dark and iniquitous secret begins to unravel itself only to reveal a web of events connecting Oedipus and others as the culprits behind all the havoc ensued. No one is the sole source responsible for the unfortunate events that befall Thebes, as well as the royal family; In fact, those who unknowingly paved the path of destruction were themselves trying to prevent it fromRead MoreSophocles Oedipus The King Essay1960 Words à |à 8 Pages This would have been excellent advice for the main character in Sophocles drama, Oedipus the King. However, the drama was written as a result of Sophocles life and the influence of the humanistic culture in which he lived. Throughout Sophocles life, he gained military knowledge as the son of a wealthy armor manufacturer and received an excellent Greek education with emphasis on Homeric poetry (textbook). Furthe rmore, Sophocles was very involved in politics and served as a treasurer, a generalRead MoreSophocles Oedipus The King871 Words à |à 4 PagesThe plays written by Sophocles, ââ¬Å"Oedipus the King ââ¬Å"and ââ¬Å"Antigoneâ⬠are bodies of work displayed the meaning of what Aristotle defined as a tragedy. ââ¬Å"Oedipus the Kingâ⬠is a story of a king trying to avoid the fate of his life that has been prophesized before his birth. In ââ¬Å"Antigoneâ⬠is story of a girl who devoted to her family, and regardless of the orders made the king Creon. In these stories the archetypes and hamartia of Antigone and Oedipus play a major role in the story. In ââ¬Å"Antigoneâ⬠the characterRead MoreOedipus The King, By Sophocles1407 Words à |à 6 PagesWhen we think about a tragic play or protagonist, most people would think Shakespeare for his common theme of his plays to end with a tragedy. In Oedipus the King, written by Sophocles, tells the tale of the protagonist Oedipus. Throughout the play, Oedipus searched for his past to discover the reason why his kingdom is plagued with wilting crops and illnesses. In the end, he becomes a tragic protagonist after discovering his past was related to the previous kingââ¬â¢s death. While the search progressedRead MoreSophocles Oedipus The King2037 Words à |à 9 PagesSophoclesââ¬â¢s Oedipus the King features a chorus that sings several odes over the course of the play. In Sophoclesââ¬â¢s play, the chorus is composed of old Theban men and represents the population of Thebes as a whole. The chorus recites a parodos, four stasima, and a brief exodus. Through the choral odes, So phocles reflects on the events and motifs of the play, including piety and faith in the Gods, the inevitability and the uncertainty of fate, and the dichotomy of right and wrong. After Sophocles establishes
Tuesday, May 12, 2020
Small Talk by by James Hunter Essay - 1078 Words
In this paper I am going to analyze and comment an article written by James Hunter. My starting point will be a summary about the text in which I have been working. Next I will contextualize the topic which is ââ¬Å"Small Talkâ⬠. Then, I will analyze different problematic issues raised in the text in which I propose proposals for solving the problems posed. Finally, I will reflect about the strengths and weaknesses of some points about this article changing some aspects of the authors proposal. ïÆ'Ë SUMMARY The author of this article stakes out a clear and insightful position on this educational issue and follows the specific instructions by presenting reasons to support that position. The article cogently argues that a corrective feedback canâ⬠¦show more contentâ⬠¦How did this come about? It was initially studied in 1923 by Bronislaw Lalinowski, however it began as an experiment in learner-centred over 20 years ago which pretended developing the oral communication. Nowadays this methodology has been introduced into the classroom so, in a ââ¬Å"Small Talkâ⬠class, pupils improve their speaking skill in a conversation without intervention by the teacher, and then receive feedback. Small talk can be divided into 6 steps: 1. The day before, the leader (who is responsible for choosing the topic, providing questions, vocabulary, grouping the class, etc.) announces the topic to their mates. 2. At the beginning, the leader writes on the board the questions and vocabulary and grouping the class. 3. Groups begin to discuss the theme. 4. Groups share what they are speaking about with the rest of the class. 5. The leader invite groups to tell them what are the most important points of their conversation. 6. The leader thanks and concludes the class and announces the date and leader of the following small talk Along the same line of small talk, throughout the didactics course we have learned four types of activities about oral skills as, for example, controlled practice, guided practice, free activities, and dialogues and role-play work. To put this in the same perspective, the types of activities that are more related to small talk are guided practice (This is a kind of meaningful drillShow MoreRelatedDescriptive Essay - Original Writing930 Words à |à 4 Pagesher!â⬠my mother cried. James and I yelled ââ¬Å"Lost what?â⬠ââ¬Å"Your sister!â⬠Mom cried ââ¬Å"What?â⬠Asked James and I. ââ¬Å"Your sister!â⬠Mom bawled. ââ¬Å"How?â⬠Asked James and I. ââ¬Å"I donââ¬â¢t know, but let s look for her. Okay?â⬠Dad and mom announced. ââ¬Å"Okay.â⬠James and I alerted It just felt like a blur for a few days. We have looked for her for days we even didnââ¬â¢t even go to school but no sign of Harper. I think my mother knew that she had died but mother didnââ¬â¢t want to amite it. James didnââ¬â¢t talk to me for about a monthRead MoreHow Does Holden Caulfield See Himself as The Catcher in the Rye?1051 Words à |à 5 Pageswas like, and how my parents were occupied and all before they had meâ⬠¦Ã¢â¬â¢ what Holden does not realize is that his parents are occupied even now, after they had him, this shows that he isnââ¬â¢t close to his parents. He doesnââ¬â¢t really care. When Caulfield talks about his brother D.B.ââ¬â¢s short story, ââ¬ËThe Secret Goldfishââ¬â¢, he says that it was about a little child that would not let anyone look at his goldfish because he had bought it with his own money. This is such a childish trait and innocent thing to doRead MoreChristianity And World Changing By James Davison Hunter1743 Words à |à 7 PagesThe World, James Davison Hunter explains how this common believe is a misconception. Rather, he shows readers that, from a sociological perspective, while Christians thrive in many areas of life by reaching others individually, they fundamentally components of creating cultural change. Hunterââ¬â¢s first essay, titled ââ¬Å"Christianity And World-Changingâ⬠attempts to refute the common assumption that cultures can be changed ââ¬Å"one heart at a timeâ⬠or, in other words, from the bottom up. Hunter argues theRead MoreWhy Is College So Important?1312 Words à |à 6 Pagesthe twenty-first century key to success. Jobs are now being given to those who are more educated and college provides this extra education. It is not the same as high school. High school education consists of a more general knowledge, which is a small amount of information about all the topics, but college is focused on the major. College graduates have more comprehension in their area than those with a high school diploma. As President Theodore Roosevelt once said, ââ¬Å"A man who has never gone toRead MoreEdward Teach aka Blackbeard the Pirate1354 Words à |à 6 Pagesdidnââ¬â¢t fear him, and therefore they obeyed him). Blackbeard began his pirating career sometime after 1713, as an ordinary crewmember aboard a Jamaican sloop commanded by the pirate Benjamin Hornigold. In 1716, Hornigold supplied Teach with a small crew, and a small captured vessel to command. By 1717 Hornigold and Teach were sailing in alliance, and together were feared throughout the seas. In November 1717, Hornigold and Teach were able to capture a 26 gun French vessel called the Concorde (recent researchRead MoreEssay about The Color of Water7106 Words à |à 29 Pagesthe sonââ¬â¢s perspective, James. 2. What is the ethnic background of the author? * The ethnic background of the author is Caucasian and African-American. Chapter 1: Dead 1. Why is this chapter written in italics? * This chapter was written in Italics because it was written from a different point of view which was Ruthââ¬â¢s perspective who talks about her past as a child. 2. Why is the mother reluctant to talk about her family? * Ruth is reluctant to talk about her family becauseRead MoreSuperstition On The Face Of Logic By Dr. Mortimer1272 Words à |à 6 Pagesinvestigation. This intersection of rational thought and irrational belief is first presented by Dr. Mortimer at the beginning of the novel. Dr. Mortimerââ¬â¢ introduction as a ââ¬Å"man of scienceâ⬠sets a tone of intellectuality; Holmes and Mortimer make small talk of his medical practice, Holmesââ¬â¢ deductions, and the intricacies of Holmesââ¬â¢ skull structure. This is immediately skewed by the telling of the legend of the hound. The reading of this unworldly myth promptly makes the atmosphere eerie and mysticalRead MoreThe Emerging Use of Mattresses in History: Cultural Differences in Sleeping Patterns979 Words à |à 4 Pagesin history: Cultural differences in sleeping patterns The way that we sleep feels so natural, it may come as a surprise that sleeping in separate beds on an elevated mattress is quite particular to specific cultures and regions. The first hunter-gatherers obviously did not have stationary places to rest upon and even the concept of an individual bedroom is fairly recent in the West. However, given the ubiquity of Western culture, many non-Western customs regarding sleeping habits have changedRead MoreThe Sherlock Holmes By Dr. James Watson1665 Words à |à 7 Pages One of the things that make the Sherlock Holmes books distinctive is their point of view. The books are written as an account Sherlock Holmesââ¬â¢ case, written by Dr. James Watson, chronicling the achievements of the detective. This book, in particular, is unique in its point of view. The first few chapters are told in past tense, as Watson recalls the events; the next few chapters are present tense, in the form of extracts from Watsonââ¬â¢s diary or letters sent to H olmes from the hall; the last few chaptersRead MoreAnalysis Of The Book The Things That Make The Sherlock Holmes 1366 Words à |à 6 PagesÃ¢â¬Æ' Point of View One of the things that make the Sherlock Holmes books distinctive is their point of view. The books are written as memoirs of Dr. James Watson, chronicling the achievements of Sherlock Holmes. This book, in particular, is unique in its point of view. The first few chapters are told in past tense, as Watson recalls the events; the next few chapters are present tense, in the form of extracts from Watsonââ¬â¢s diary or letters sent to Holmes from the hall; the last few chapters shift back
Wednesday, May 6, 2020
Neonatal Medicine CPAP and Ventilation in Neonatal Respiratory Distress Free Essays
You are reviewing Nathan, a 12 hour old neonate with respiratory distress. He is 37 weeks gestation and was born by caesarean section following failure to progress. The oxygen saturation is 94% in 50% FiO2, the respiratory rate is 80. We will write a custom essay sample on Neonatal Medicine: CPAP and Ventilation in Neonatal Respiratory Distress or any similar topic only for you Order Now There is moderate intercostal recession and an occasional grunt. Your hospital participated in the ââ¬Å"bubbles for babiesâ⬠trial and you have just started to use CPAP in your unit now the trial is finished. Your registrar suggests using CPAP on this neonate, but the nursing staff have called you to arrange transfer. Questions: Would you use CPAP or ventilate and transfer this neonate? Please give reasons for your choice with reference to the current literature. In your answer you should also consider the following main points: â⬠¢ the benefits of CPAP over ventilation, particularly with reference to your current practice environment â⬠¢ the potential complications of CPAP â⬠¢ reasons why ventilation may be required even though CPAP is in situ. The baby Nathan is suffering from Neonatal respiratory distress syndrome, which is a condition most often seen in newborn babies and is characterized by a difficulty in breathing.à The condition more frequently develops in prematurely born babies as their lungs are not fully developed.à The lubricant that lines the inner membranes of the lungs (known as ââ¬Ësurfactantââ¬â¢) is deficient, thus causing difficulty in inflating the lungs and resulting in the air sacs collapsing. Surfactant helps to lower the surface tension of water that is present on the alveoli, thus helping to prevent the lung sacs from collapsing.à Usually, the condition develops in infants born before the 38 week.à The baby is cyanosed and has difficulty in breathing.à The accessory muscles of respiration are active and a frequent grunting sound is heard.à The other symptoms that may be observed include nasal flaring, shallow breathing, swollen legs, unusual movement of the chest wall, etc. The infant may be hypoxic and the CO2 levels in the blood rise.à The symptoms usually develop at birth, or a little while after birth.à The symptoms tend to worsen and may progress to respiratory failure and death.à As the prematurity increases, so does the chance of developing this condition.à This is because surfactant is produced only during the later stages of gestation in the infant.à The diagnosis of RDS in babies is made based on the history, presence of certain risk factors, Chest X-ray, Blood tests, CSF studies, lung tests, blood gas analysis, etc (Greene, 2007 Merck, 2005). When a neonatal is born, certain signs are observed which include:- a heart rate between 110 to 150 beats per minute a respiratory rate between 40 to 70 breathes per minute absence of cyanosis, nasal flaring, grunting sounds, forceful use of accessory muscles during respiration, etc Oxygen saturation which is about 95 % the P ao2 is higher than 50 % the FiO2 is about 40 to 50 % (CCM, 2007, NGC, 2008, Millar et al, 2004) Previously, for the treatment of RDS, ventilatory support was utilized.à This may be utilized if the blood carbon dioxide levels are high, the blood oxygen levels are low, and if acidosis sets in.à To some extent ventilation helps to reduce the infant mortality rate arising from RDS, but the morbidity to develop Bronchopulmonary dysplasia (a condition characterized by oedema of the air sacs and of the connective tissues due to persistent inflammation) is high as the young neonatal lungs are damaged from ventilation. One of the treatments that have been developed in order to overcome the limitations of ventilation is Continuous Positive Airway Pressure (CPAP).à This is an advanced form of therapy in which the upper and the lower airways receive a continuous distending pressure through the infantââ¬â¢s pharynx and/or nose throughout the respiratory cycle.à An endotracheal tube can also be utilized.à The device is connected to a gas source that provides humidified warm air continuously (NGC, 2008, Millar et al, 2004, Tidy, 2007). CPAP has several benefits including:- helps to maintain a normal breathing pattern helps to arrive at normal functional residual capacity helps to lower any airway resistance in the upper respiratory tract helps to prevent development of apnea prevents the airways and the air sacs from collapsing helps stimulate release of surfactant helps to increase the lung volume and lung function After expiration, CPAP helps to keep the air sacs open The chances of developing lung trauma such as barotrauma and atelectotrauma are lesser (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). CPAP is required in several situations that arise from RDS including:- When it is difficult to maintain the Pa02 above 50 %. When the respiratory rate is above 70 breathes per minute Excessive use of the accessory muscles of respiration The oxygen saturation falls to between 90 to 95 % The presence of apnea It can be utilized along with administration of surfactant that develops out of the à à need to treat RDS (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). As the patient is not suffering from a severe form of RDS and the oxygen saturation levels have not dropped to a serious extent, ventilatory support is not required, and the patient can be treated with CPAP. à Besides, the findings do not suggest that the patient is suffering from a cardiovascular complication, an upper respiratory tract abnormality or intractable apneic episodes.à Along with CPAP, several other measures are required such as using larger nasal prongs, ensuring that the baby is in a prone position and keeping a towel below the neck.à This helps to ensure that the certain areas are aerated better (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). CPAP has several complications including:- mucous from the upper respiratory tract may block the nasopharyngeal tube that delivers CPAP Sometimes blockages may result in the pressure rising to higher levels in the tube If the peak pressure is very high, then gastric complications can develop The nasopharyngeal tube has to be placed in exact position.à Any deviation from the position can result in fluctuation of the air pressure The nasal devices may be swallowed or aspirated resulting in severe complications Sometimes harnesses may be utilized to place the head and the neck in position.à This may cause serious dermatological and musculoskeletal complications in the infant Air leakage problems in the lungs Abdominal distention Decrease in the cardiac output Higher working of breathing pneumothoraces and air embolism can also develop Cardiac monitoring needs to be performed more closely in the case of CPAP compared to ventilation often air leaks from the nose and the mouth it may be very difficult to control the air pressure in the lower airways If CPAP is applied to an infant with normal lungs, several problems can develop Several respiratory complications such as pneumothorax, pneumomediastinum, and pneumopericardium can develop (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004, Halamek et al, 2006) References: California College of Midwives (20080, Guidelines for Assessing the Neonate, [Online], Available: http://www.collegeofmidwives.org/Standards_2004/Standards_MBC_SB1950/Assess_HealthyNeonate_Oct2004_OOO.htm [Retrieved on: 2008, April 2]. Greene, A. (2007), Neonatal respiratory distress syndrome, [Online], Available: http://www.nlm.nih.gov/medlineplus/ency/article/001563.htm [Retrieved on: 2008, April 2]. Halamek, L. P. Et al (2006), Continuous Positive Airway Pressure During Neonatal Resuscitation, Clin Perinatol, 33, pp. 83-98. http://www.mdconsult.com/das/article/body/91421747-3/jorg=journalsource=MIsp=16080552sid=690389052/N/525142/s0095510805001235.pdf?issn=0095-5108 Millar, D., Kirpalani, H. (2004), Benefits of Non Invasive Ventilation, Indian Pediatrics, 41, pp. 1008-1017. http://www.indianpediatrics.net/oct2004/oct-1008-1017.htm NGC (2008), Complete Summary, [Online], Available: http://www.guideline.gov/summary/summary.aspx?ss=15doc_id=6516nbr=4085, [Retrieved on: 2008, April 2]. Sehgal A. Et al (2003), Improving Oxygenation in Preterm Neonates with Respiratory Distress, [Online], Available: http://www.indianpediatrics.net/dec2003/1210.pdf, [Retrieved on: 2008, April 2]. The Merck Manual (2005). Respiratory Distress Syndrome, [Online], Available: http://www.merck.com/mmpe/sec19/ch277/ch277h.html, [Retrieved on: 2008, April 2]. Tidy, C. (2006), Infant Respiratory Distress Syndrome (RDS), [Online], Available: http://www.patient.co.uk/showdoc/40000462/, [Retrieved on: 2008, April 2]. How to cite Neonatal Medicine: CPAP and Ventilation in Neonatal Respiratory Distress, Essay examples
Friday, May 1, 2020
Hippocratic Bargain and Health Information Technology
Question: Discuss about the Hippocratic Bargain and Health Information Technology. Answer: Introduction Department Of Health (2003) describes patient confidentiality as the duty of confidence a healthcare provider bears to the information provided by a patient. The authors further mention that the information provided is should only be used to support the patients healthcare. In describing this further, Rothstein (2010) introduces the Oath of Hippocrates which allowed clinicians to provide patient information openly especially in presence of men who were empowered to make decisions for the other members of the community. However, times have changed. The Data Protection Act 1998 provides a legal framework for confidentiality of information. The principles that stand out include: Fair and lawful processing of information. Protection of personal data from theft, damage or loss. That personal data should only be processed for the lawful required purposes. Issues arising in accurate confidentiality of patient records Even with the legal guidelines provided, there are some aspects to confidentiality that need be further addressed. These include: Consent from the patient. Department of Health (2003) highlights that patients are required to provide necessary information that will enable healthcare providers offer them quality care. Clinicians should provide guidelines as to what information required and for what purpose. This way, in case a patient declines to give required information, they will bear no liability. Hassol et al. (2004), they notes that accurate records amount to better medical attention. They however observe that these records are mostly between 65% - 75% accurate which may be attributed to the fact that at times patients provide incorrect information or assume its relevancy. This emphasizes the important of the practitioner performing an orientation. Department Of Health (2003) stresses that it is important to seek consent before using records provided and also respect choices patients make with regards to providing information. That aside since most practitioners share patient records, when seeing a different person, patients should still be asked whether they would like that information to be used. (Rothstein, 2010). Communication by both parties Hassol et al (2004, pg. 505) highlights that good communication between healthcare providers and patients is necessary. Rothstein (2010, pg. 8) further states that in the times of Hippocrates communication mostly occurred in person which was limiting. However, technology has made things swift. It allows patients to schedule appointments, renew prescriptions, share information and clarify where there is doubt via modern forms of communication. (ibid). This also benefits the practitioners as they are allowed to send information beforehand to ensure patients understand procedures and guidelines. Use of personal data by clinicians Department Of Health (2003) introduces the Caldicott Principles which require practitioners to justify why they are sharing patients personal data and also act within the guidelines of the Data Protection Act 2008. Further to that, this information should only be accessed when necessary and there should be minimal identification of the patient to avoid issues such as gossiping. Conclusion To sum it up, confidentiality is the responsibility of healthcare providers. Patient record should be handled in a way that uphold their basic human rights. In handling theses records, practitioners should ask themselves whether their actions are in the patients best interests. List of References Department of Health. (November 2003). Confidentiality: NHS Code of Practice. Retrieved January 20, 2017 from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/200146/Confidentiality_-_NHS_Code_of_Practice.pdf. Gateway Ref: 1656. Hassol, A., Walker, M, J., Kidder, D., Rokita, K., et al. (Nov / Dec 2004). Patient Experiences and Attitudes about Access to a Patient Electronic Health Care Record and Linked Web Messaging. Journal of the American Medical Informatics Association; Volume 11, Number 6. Information Commissioners Office. 8 Data Protection Principles. Retrieved January 20, 2017 from https://ico.oorg.uk/media/1042048/8-data-protection-priciples-postcard.pdf Rothstein, A, M. (2010). The Hippocratic Bargain and Health Information Technology. The Effects of Health Information Technology on the Physician-Patient Relationship. Spring The Data Protection Act 1998. Retrieved January 20, 2017 from www. legislation.gov.uk.
Sunday, March 22, 2020
Behavioral Science Essay Example
Behavioral Science Essay Example Behavioral Science Essay Behavioral Science Essay 595,000 people, most likely men, women, handicapped, aged, kick, prisoners of war, forced laborers, camp inmates, critics, homosexuals, Jews, Slavs, Seers, Germans, Czech, Italians, Poles, French, Ukrainians, and many others. (1992) Or. Josef Mangle, nicknamed The Angel of Death, and other Nazi doctors had a chance to study science without the hindering voices of humanitarianism. The death camps tortured men, women, and children with medical experiments previously designated for only animals. Victims were exposed to experimental surgeries, injected with lethal germs, and made to endure sex change operations. Often times, victims limbs and organs were removed to study their reactions. Mangle injected chemicals into the eyes of children in an attempt to change their eye color. He carried out twin-to-twin transfusions, stitched twins together, and castrated or sterilized them. Eugenics had come to fruition and science, the new religion, had reared its ugly head for all to see. By the end of WI, the stench of death grew thicker with the discovery Of Germanys racial hygiene. The sheer magnitude of bodies was enough to send any eugenicist backbreaking. As quickly as it had exploded, the flames of eugenics were extinguished. The public, in view of this social anathema, felt utterly disturbed and disgusted. Support for eugenics programs fell to a silence in the Western World; a price that would force many scientists to resent their burden of Hitler. The Slim peppery Slope It is said, you can kill a man, but you cannot destroy what he stands for. In much the same way, the ideology of eugenics has survived the holocaust. For years, it has lurked in the periphery of science and news media; but, as the resonating effects of WI have begun to wear off, technology has restored faith in science. Once again, American culture finds itself particularly susceptible to the dangerous ideology of behavioral genetics. The haunting words Of Gallon still echo a clear progression of academia, practical policy, and then national consciousness as a new religion (Caving-Coffee, 2000). Already, America is taking steps toward the catastrophe of history repeating itself. At the heart of American consciousness is a belief that hard work and perseverance can overcome any disadvantage of wealth or class. The history of the U. S. Is filled with entrepreneur tales of the American dream. In fact, many individuals have risen from poverty to gain prosperity, wealth, and political power. Those who prosper, by either personal achievement or airtight, have difficulty accepting the problems that social order may provide for those in deficiency. Consequently, many of these conservatives believe that social stratification is a natural result of variation in talent and character (Miller, 1996). In view of Americas Social policies, conservatives can become resentful and even racist. Conservatives within the academic world have nurtured eugenics back from the ashes. With the help of an ancient foundation, The Pioneer Fund, the new movement has been able to break ground in modern research. In 1 937, Harry Guilin and eugenic colleagues formed the foundation as a tool to promote horses of black inferiority (Miller, 1983). Under the guise of behavioral science, millions of dollars have been donated to help the eugenic cause Once again reach fruition. Thomas Boucher, a leading psychologist at the University of Minnesota, has received large sums of money from the Pioneer Fund to research the traits of twins separated at birth and reared apart. According to Buckboards results, intelligence turned out to be 70 percent genetic. Previous research in twin studies had included unethical experimentation (Josef Mangle) and even deception (Sir Cyril Burt). Crucial experimentation such as this is often prone o fraudulent claims. Strangely enough, Boucher did not release the methodology of his findings; so, no other scientists could examine how he found these high results. By doing this, Boucher has guaranteed that no one can disprove him. Authors Richard Hermiston and Charles Murray made a similar claim in their pioneer funded book, The Bell Curve. The book claims that inherited intelligence is the main determiner of a persons potential. Hermiston and Murray take the complex idea of intelligence and presume to measure it objectively through written tests. They conclude from their finding hat whites are genetically more intelligent than blacks are; this idea parallels that of the Pioneer Fund. Accordingly, there is no amount of social progress that can change the genetic inferiority of certain races. Through a book of statistics and scientific jargon, the have-knots are once again told that their lives are futile. The book conveniently explains much of the economic inequality in American society, while simultaneously guaranteeing that only intelligent types can understand it. For those that can understand it, the message is clear: reduce the number of children born to low IQ mothers. The kook does well to euthanize low-end society and it provides a suggestion for an easy cleanup. According to Hermiston and Murray, low IQ accounts for poverty, class status and criminal activity. By eliminating welfare and tightening immigration (sound familiar), you eliminate the members at the bottom of society and the poverty and delinquency along with them. In eugenic fashion, The Bell Curve captivated the nation and gained exposure on major media outlets such as Nightline, New York Times, and Rolling Stone magazine. Another major publication, Crime and Human Nature, by Hermiston and Wilson looked into criminal behavior. Hermiston and Willows research characterized a criminal stereotype. In a whopping generalization, they were able to define typical age, sex, intelligence, personality, and even body structure of a criminal. This data predicted what a defective criminal looks like. The movie Minority Report expands upon this very design, judging and convicting people before they commit a crime. How ever unlikely it is for science fiction to become a reality, it is hard not to acknowledge American cultures fascination with genetic criminal behavior. This fascination has resulted in a recent government program called the Violence Initiative. It has dumped millions of dollars into research focused on the biological roots of violence. Dry. Frederick Goodwin, now head of the National Institute of Mental Health (NIMH), Was once the head Of the Violence Initiative; however, he stepped down after a stint of racial statements. While explaining the program, he declared that the Violence Initiative was designed to try to find out who might be more likely to go on to becoming labeled eventually as delinquent or criminal (Bringing, 1993). The demographic here is unfortunately children. Today, parents throughout America are told that the problems their children eve adjusting at home and school are biologically based. Already millions of children are behaviorally controlled by means of psychotropic drugs such as Rattail, Dexedrine, and Derail. With society focus on drugs and the huge resulting drug industry, it is no surprise that dangerous research with children has been approved. In 1998, researchers in New York selected 100 African American and Latino boys to test their violent behavior. The boys were chosen because their older brothers had been through the criminal justice system. The recently recalled drug fingernail was given to the children in he hopes that the drug which triggers the brain to release serotonin, could lessen aggression (Learn, 1998). The study exploited the children with their use of stereotypes and generalizations, but this was not the first time male aggression had been studied. On Seep. 7, 1968, an English medical journal Lancet held an article on the 47-SEXY eukaryote. This genetic condition bestowed upon its owner an extra Y-chromosome (instead of the common 46-XX). Since the Y chromosome was known to be responsible for the development of male physical traits, it was thought that the extra Y might account for extra maleness. To many scientists, this meant more aggressive, irresponsible, and criminal behavior that is specific to men. The author, Nielsen, claimed that the prevalence Of SEXY within the prison system is 25-60 times higher than general population levels. The study, based upon conjecture and small sample size, was found to be completely erroneous; but nonetheless, the findings excited the science world and mesmerisms the public. Quite suddenly and absolutely, anyone with SEXY was characterized as a criminal. The media only reinforced this sentiment by featuring serious criminals presumed to have the genetic defect. Despite falsifying evidence against the SEXY criminality, American cultures interest and belief in the issue has not been destroyed. The American media often report researchers findings long after they have been disproved. Since so much of the modern world relies on science and technology, many people have been bred into a type of blind faith in its decisions. The SEXY situation is a good example of science leading society astray. The erroneous findings of few lead to the characterization and maltreatment of many. American culture stands at a pivotal point within contemporary law and public policy as the behavioral emetics movement threatens to invade. In recent news, eugenics has been seen. A program in Southern California was formed to help stop defectives from propagating. The program offered drug addicted women with a history of bearing children $200 for voluntary sterilization or long-term birth control. The program, called CRACK (Children Requiring a Caring Community), advertised their proposal by sending out fliers with the message, Dont let pregnancy ruin your drug habit (Riposte and Watt, 1998). This program was designed specifically to keep the drug addicts down, while ensuring they do to reproduce. Another contemporary issue has been the resurfacing of euthanasia. Dry. Jack Savoring used the dubious justification of terminally ill people to reject life-prolonging treatment in his assisted suicides. Through much of the controversy surrounding his case, euthanasia was able to once again gain support and become a common banrod. The recent case of Terrier Achieve has illustrated the persistence of the conservative front. Caviars court ordered death was a result of a modern utilitarian ethic that challenges public policy and criminal law in a progressively eugenic outlook. Already Americas closest allies, Great Britain, have begun to tackle the issue of genetic informations influence on criminal law. The Minefield Council on Bioethics in London reported that the use of genetic information be considered when sentencing convicted offenders. They state that: [T]he criminal justice system should be open to new insights from disciplines that it has not necessarily considered in the past. The regular exchange of ideas in this area between researchers in behavioral genetics, criminologists and lawyers could be an effective means of ensuring that legal concepts of accessibility are assessed against current evidence from the behavioral and medical sciences. (Minefield, 2002) This effectively treats criminals different depending on which genes they have, a trait that is out of their control. Despite the uncertain nature of the evidence, genetic use is snowballing toward public law and policy. The field of genetics has given society other law concerns as well. Ideas such as embryo and stem cell research, assisted reproduction, cloning, and DNA prevarication are all new ethical issues that culture will be forced to deal with. Currently, well-informed scientists build their influence for these arguments hill the common nonprofessional becomes another unwitting pawn. The slim peppery slope to full-scale eugenics and possible Nazism comes ever closer. Western culture may be capable of accepting another national consciousness. Many people envision a eugenic future for society that should have happened long ago. They claim that the early eugenic movement was merely a mishap, a product of ignorance and prejudice. A series of resentful statements by noteworthy scientists have tried to debunk the stigma associated with eugenics so that it might again thrive. Scientist Marion Van Court claimed, the Nazis pseudoscience perversion of the eugenics concept had the greatest influence on public opinion, promulgating the notion of eugenics as the ideology of racism and genocide (Van Court, 1982). Van Court fails to see that eugenics is associated with these ignorant notions because the science itself is inherently discriminatory. Others publicly advocate a new eugenics consciousness. Raymond B. Chattel, a renowned psychologist, claimed in an interview that at present, we have unemployment On rather a large scale in most industrialized countries Which can be eliminated only by elimination of emetic lag on the culture (The Eugenics Bulletin, 1984). Chattel, well known for his book Beyond, described the need for a new evolution in religion that would allow eugenic morals and values. Chattel represents classic Coalition eugenics that require a restructuring of civic laws to increase the distance between people of dissimilar race (Miller, 1997). Another significant racist view comes from Dry. William Pierce. Besides founding his own organization for the propagation of the white Anglo race, Pierce has written fictional accounts of what the future holds under a racist eugenic movement. He contends that a systematic extermination of inferior individuals is necessary for the evolution of humankind. It is impossible to deny the proliferation of racist ideology within the scientific community. They seek to carry society into the third and last stage of Gallons model of eugenic success. Conclusion Behavioral geneticists have become the astrologers of the modern era. They have defined behaviors inconsistently, yielded unreliable and non- reproducible results, and used fraudulent methodology that questions their integrity. The field succeeds only in individual cases that typically apply to society through generalization, prejudice, and bigotry. As is usually the case, the heart of the problem has to do with how society uses the results (Learn, 1998); however, behavioral geneticists should be held accountable. The fields reductionism approach limits its thinking to only the tiniest parts, so that they often fail to see the importance of viewing things as a whole. Nevertheless, there should be a realization that scientists have a duty to exercise self-restraint in pressing further those scientific activities that may result in dangers for the whole of humankind (Stone, 1973). As the history in his paper has clarified, the behavioral genetic field is filled with errors, bad intentions, and explosive atrocities. Gallons eugenic ideology gave white Anglo-Saxons a sense of purity and superiority that fueled the flames of Hitters genocide. The total number of sterilizations and deaths the field is responsible for is in the millions. Its blackened history should be enough to stifle its progress, but the field continues to thrust forward. In recent times, Buckboards twin studies, Hermistons academic backing, and the Violence Initiatives governmental support have allowed genetic studies on children ND a continued focus on behavioral genetics.
Thursday, March 5, 2020
Free Essays on Colorado Votes On Renewable Energy
Colorado is the first state to vote on renewable energy ever during the 2004 election. Surprisingly 52 percent of voters had backed the proposal while 48 percent opposed it. By 2025 Colorado hopes to push renewable energy up to 10 percent rather than the current 2 percent. Sixteen other states have similar regulations but those were passed through legislation. Amendment 37 this proposal, plans to affect 7 different utility companyââ¬â¢s in the state. Most of the conservation will be made with the source of wind. Who is going to pay for this? Will the upfront cost effect those who are already suffering from expensive utility bills. Amendment 37 has many benefits to include the following. Customers could save $236 million on electricity and natural gas bills, create 2,000 jobs, $70 million in additional income and $50 million in gross state product, $15 million in gross land leasing for those living in rural areas because of wind towers, and $107 million in new property tax revenues for local communities. Other important benefits are environmental. Coal burning facilities would reduce pollution in the atmosphere creating obviously a healthier environment to live in. The battle for the approval of Amendment 37 was one by 5-4 ration. Those who were in the loserââ¬â¢s bracket were looking on this end of the spectrum. These votersââ¬â¢s were probably looking at the cost of this proposal. Even though the cost of such Amendment was repeatedly asked for, they have yet to come up with the grand total. The use of solar energy has some critics worried because solar paneling is very expensive. Xcel which is the largest company that falls under the proposal announced that it plans to increase natural gas prices by 26%. Another company Tri-State G&T announced a 14% increase in its wholesale electricity rates. These increases have many skeptical on whether Amendment 37 will actually save money or will the prices continue to rise eve... Free Essays on Colorado Votes On Renewable Energy Free Essays on Colorado Votes On Renewable Energy Colorado is the first state to vote on renewable energy ever during the 2004 election. Surprisingly 52 percent of voters had backed the proposal while 48 percent opposed it. By 2025 Colorado hopes to push renewable energy up to 10 percent rather than the current 2 percent. Sixteen other states have similar regulations but those were passed through legislation. Amendment 37 this proposal, plans to affect 7 different utility companyââ¬â¢s in the state. Most of the conservation will be made with the source of wind. Who is going to pay for this? Will the upfront cost effect those who are already suffering from expensive utility bills. Amendment 37 has many benefits to include the following. Customers could save $236 million on electricity and natural gas bills, create 2,000 jobs, $70 million in additional income and $50 million in gross state product, $15 million in gross land leasing for those living in rural areas because of wind towers, and $107 million in new property tax revenues for local communities. Other important benefits are environmental. Coal burning facilities would reduce pollution in the atmosphere creating obviously a healthier environment to live in. The battle for the approval of Amendment 37 was one by 5-4 ration. Those who were in the loserââ¬â¢s bracket were looking on this end of the spectrum. These votersââ¬â¢s were probably looking at the cost of this proposal. Even though the cost of such Amendment was repeatedly asked for, they have yet to come up with the grand total. The use of solar energy has some critics worried because solar paneling is very expensive. Xcel which is the largest company that falls under the proposal announced that it plans to increase natural gas prices by 26%. Another company Tri-State G&T announced a 14% increase in its wholesale electricity rates. These increases have many skeptical on whether Amendment 37 will actually save money or will the prices continue to rise eve...
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