Monday, September 30, 2019

Death at midnight by Donald A. Cabana Essay

Death at midnight is the story of Donald Cabana of his encounters while working in a prison called Parchman Penitentiary which was located in Mississippi. When cabana first landed in Parchman, the prison was somewhat ‘human’ what with inmates being subjected to tasks such as planting cotton, vegetables and slaughtering the pigs and cows for their own consumption. On leaving Parchman a year later, Cabana returns as a warden only to find that it had been altered what with the crops now lacking and a new gas chamber put in place. We can tell that cabana is against the death penalty judging from his adamancy to enter the chamber for years. Moreover, we note Cabana’s efforts to visit the men on death row. He observed that all these men had one thing in common; a disadvantaged background. In his escapades, he cultivates a special friendship with one inmate named Connie Ray Evans whose crime was murdering a convenience store clerk. They manage to form a strong bond and through this, he is able to see just how humane Connie is judging from how sorry he is for his crime. In one instance, Cabana says, â€Å"Executions strip away the veneer or life for both the warden and the prisoner. Connie Ray Evans and I transcended our environment, and the roles in which we had been cast. The two of us had somehow managed to become real people to each other. There were no more titles or social barriers behind which either of us could hide. † However, their union is cut short when Connie is randomly chosen for execution by the state of Mississippi in a tide of anti-crime fervor. (Cabana A. , 1998) According to Cabana, death penalty is not the solution to getting rid of the roots of crime. He proposes first â€Å"examining the causes and consequences of the protracted warfare that our system of justice fosters and then proceed thereof depending on whether we find it palatable or not, even in the face of bitter contrary experiences. † He is of the belief that â€Å"every human being has a spark somewhere hidden in him that will make it possible for redemption and rehabilitation. †(Cabana A. , 1998) Clearly, the aim of this book is to oppose the death penalty and to show just how irrelevant it is in rooting out criminal behavior. The theme of friendship and disillusionment is well portrayed here. Cabana tries to demonstrate this using his relationship with Connie who he feels did not deserve to be executed. The author’s style in this book is both narrative and analytical because as much as he narrates his encounters and experiences in prison, he is also quick to analyze and form an opinion regarding the justice system. References: Cabana A. D. , (1998) Death at Midnight: The Confession of an Executioner. City: UPNE

Sunday, September 29, 2019

Methadone Maintenance

Opiate addiction is a chronic disease that affects millions of people in the Unites States. This deadly epidemic is one that in most cases requires some form of medical treatment. There are many treatment options available to those struggling with addiction. The three most well-known options are rapid detect, jukeboxes, and methadone maintenance (Medication-Assisted Treatment for Podia Addiction Facts for Families and Friends).Though each form of treatment has its own advantages and disadvantages, they all have one common goal; drug freedom. Research has shown that those receiving treatment are nearly twice as likely to achieve their goal of drug freedom (Mayo Clinic). Opiates are highly addictive powerful drugs that are derived from the poppy plant and are generally used to relieve pain (mayo clinic). There are two types of opiates, natural and man-made. Though both are prescribed by physicians with the exception of heroin, often times when dealing with someone that has become addic ted they are obtained illegally.Because of the potential for prescribed opiates to end up being sold or traded on the streets, stricter regulations have been put in lace for physicians to prescribe them (samara). Where they were once a little quicker to write a prescription for a schedule II narcotic, they are now telling patients to â€Å"take a Ethylene or Motoring† (Levied). These regulations have become a necessity in the war against opiate addiction. Deciding to enter into treatment for opiate addiction is one that requires much thought. Generally when one decides that it is time for them to enter treatment, they have hit rock bottom (Levied).However, rock bottom is different for every person. For some, treatment may be court ordered and they are in a situation where their form of retirement is being chosen for them. For some, they are on the verge of losing everything that is important to them, or they may have already lost it. Whatever the reason may be, getting the tr eatment needed is a life changing decision. The best form of treatment varies from person to person. For some, the idea of a rapid detect would be the best. It is a quick process that only requires a short stay of usually 2-4 days in a detect facility or a hospital (mayo clinic).In most cases, the person will be given medication to assist them in dealing with the side effects of withdrawing from opiates. During a rapid detect, patients are monitored around the clock for a period of time for signs life-threatening withdrawal symptoms such as cardiac distress and seizures (ASSAM). Those that choose a rapid detect can expect to be sedated to keep them as comfortable as possible during this time period. Prior to sedation, they are generally given Maltreatment, to block the effects of opiates. Other medications may also be given during this time as withdrawal symptoms increase.In many cases medication to help control blood pressure and seizures become necessary. Jukeboxes has become popu lar because it does not require one to report to a clinic lily, but rather are given a prescription to be filled at a pharmacy. Jukeboxes comes in two forms, a tablet and a film, both are administered subliminally (jukeboxes). Though there are regulations governing the prescribing of jukeboxes, they are not nearly as strict as those in place for methadone (FDA). In order for a physician to begin prescribing jukeboxes, they are required to complete online training that is very limited (Manson).For many, that is the only training they have in addiction. Methadone is a synthetic drug that acts in a similar way to narcotics. Methadone moms in the form off tablet, powder, or liquid. The tablet and powder form are dissolved prior to administering the medication. When methadone is taken on a regular schedule, it will build up in the tissues making the effects last longer (samara). Methadone will not provide the same effects of opiates such as sedation or euphoria; it will instead block the se effects if other opiates are used (Catatonia 8). A stable dose will vary from person to person.Generally once someone achieves a stable dose of methadone it will hold them for 24-48 hours without them feeling dope sick (Levied)† Medication-assisted treatment has proven to be the most successful form of treatment for someone wishing to become drug free. However, these forms of treatment face tough criticism. It has been said that treating opiate addiction with medication is simply trading one addiction with another. However for those dealing with the daily struggle of addiction, they depend on these forms of treatment to gain control of their lives.For those people, the daily routines, the counseling, the referrals, the support of others and the consequences is what gives them hope; the pop that they will beat this disease that plagues them (in my own words). Methadone Maintenance treatment is the one form of treatment available that offers all of those things and more. When properly used, I feel that methadone maintenance treatment is the safest and most effective way to treat opiate addiction. There are many reasons that I feel methadone maintenance is the safest form of treatment available to someone battling opiate addiction.Contrary to what some may think, or some of what has been reported, these facilities can have a life changing effect on those who are committed to the program (Methadone Maintenance Treatment Facts). These programs are not only a place for someone to come in, pick up a prescription and leave. Instead these programs require patients to report daily for their medication, at least until they are able to meet all requirements for take home privileges. While there, patients interact with office staff, nursing staff, and clinical staff on a daily basis.Patients are monitored for any changes in their appearance, attitude, alertness, and overall demeanor (Levied). This helps to ensure that if someone is having an issue that staff is th ere to offer assistance right away. For many that battle addiction, Just knowing someone is there to listen and offer as much assistance as possible is enough to get them headed on the right path (In My Own Words). The guidelines set by the federal and state governments are much stricter for methadone maintenance that those set for jukeboxes (samara).For instance, in jukeboxes clients walk into a clinic to sign up and within a matter of a couple of hours they are able to walk out with at the very least medication that should last them a week. When people struggling with addiction first make the choice to enter into a retirement program, they are scared, sick, and in many cases about to lose everything important to them (In My Own Words). These patients are still using illicit drugs daily, and are at this point willing to do whatever it takes to avoid being â€Å"dope sick. Jukeboxes often ends up being sold illegally on the streets because people that have been lying, cheating, and stealing for a long period of time are now given a large amount of medication to take home with them (Levied). Methadone maintenance has a lengthy set of requirements before one is able to obtain the privilege of taking home medication (Blanchard and Crappy). One must be in treatment for 90 days, and produce at least 3 illicit free urine drug screenings before earning the privilege of one dose of medication to take home.In order for someone to have a full week worth of medication to take home with them at one time as they do in jukeboxes treatment after one day, they must be enrolled in the program for a minimum of three years and produce at least 12 illicit free urine drug screenings (SMASH). That is Just one of many requirements for one to earn the privilege of taking home their medication. They also have to participate in regular counseling sessions. The amount of time required for each session varies from patient to patient depending on the amount of time they have been enrolle d in the program as well as their use of illicit substances.Patients are required to sign releases for every physician that they see so that care can be coordinated properly. It is very important that medication that physicians prescribing other medications are aware of the patient being on methadone. By the time patients in methadone maintenance are able to start taking home doses of their medication, they have started on the right path (Levied). They are on a stable dose that effectively holds hem without the use of opiates, and they like the freedom of not having to report to the clinic to be dosed for the day.These take home bottles that are so hard to obtain, are so easy to have revoked as well. If someone produces an illicit urine drug screening, or does not get their required amount of counseling time in for the month among other things, they will have to start earning their take home privileges all over again. Those that receive take home bottles are also subjected to  "call backs (Medication-Assisted Treatment for Podia Addiction. )† This is when the client is allied and given a short notice of when they will have to report to the clinic with all of their used and unused take home bottles.At this time, the bottles are thoroughly inspected to be sure that their medication is in fact being administered the correct way (SAMARA). Because of these guidelines being as strict as they are, less methadone is sold illegally in the streets making it a safer choice. Methadone is also the safest form of treatment for pregnant women who happen to be struggling with opiate addiction (Practical Approach). In fact, it is currently the only FDA approved medication for treating opiate addiction during pregnancy Methadone Maintenance Treatment (MET): A review of Historical and Clinical Issues. When properly prescribed, methadone has proven to provide an environment that is less stressful on a developing fetus (Catatonia, 19). While a proper dose of methadone w ill help to prevent miscarriage and pre-mature labor, other forms of treatment seem to cause these issues. The use of maltreatment has been proven to cause spontaneous abortion, fetal distress, premature labor, and stillbirth Issues. ) Because methadone is a long acting medication, it is able to provide the fetus with an environment that promotes development.Though methadone during pregnancy is considered to be the safest of the options available, it comes with side effects (About Methadone). Babies born to mothers prescribed methadone are at risk for low birth weight. This is a very small risk to take when compared to risks faced with other forms of treatment such as jukeboxes or rapid detect. Some of those risks include fetal distress and miscarriage. During pregnancy, women are monitored very closely by the physician at the clinic and are also required to provide proof of prenatal care from an BOGGY (Levied).Studies have shown no long term effects on babies that are born to mothe rs prescribed methadone during their pregnancy. At birth, these babies will test positive for methadone in their systems, however are able to be weaned in a timely manner (Catatonia, 20). When compared to a rapid detoxification and jukeboxes, methadone maintenance is the safest choice. When a rapid detect lasting 2-4 days in most cases is completed, the patient is left without any aftercare other than what they obtain on their own. They are given a stack of paperwork that in most cases will contain a few referrals for mental health providers and a list of AN meetings.At this time, the patient may be wrought the worst part of the withdrawal process, but they are still unstable (ASSAM). These patients still need the support of clinical and medical personnel, but sadly many will not get that support. Those that do not will most likely find themselves in the same situation they were in previous to the rapid detect. Though patients in jukeboxes treatment have more of a clinical and medic al support than those choosing rapid detect, they still do not have the same support as those in methadone maintenance.Those Just starting out in treatment, whatever option they may choose, are at the lowest points in their lives. It is because of that I feel that they are in need of the most support that is available to them. To me, that support comes from a friendly smile when they walk into the clinic every day that reminds them that they are Just another Junkie, they are a person. They are a person that deserves to be monitored daily, given referrals for housing, food, clothing, medical care, and anything else that they could possibly need. For many addicts, the clinic is the safest place that they are in all day (In My Own Words).The goal of any form of treatment is to improve the patient's health as well as their laity of life (Marion). For many struggling with addiction, their health has come last while obtaining opiates in order to avoid feeling â€Å"dope sick† has c ome first. For many, this low point in their lives will lead them to participate in high risk behaviors. Those that find themselves addicted to opiates will often turn to theft or prostitution in order to fund their habit, while others will share needles used to administer drug such as heroin.These high risk behaviors not only put them at risk for many other infectious diseases such as Hepatitis and HIVE, but for legal troubles as well (Marion). Though the long term results of any treatment lays largely on the person in treatment, studies show methadone maintenance to be the most effective form available at this time (Medication-Assisted Treatment for Opiate Addiction). Drug freedom is a long term commitment that has to first be taken seriously by the person in treatment. If the dedication on their part is not there, the efforts of clinic staff will not be enough to help them (Pogo).Research has shown that that rapid detect treatment has a high rate of relapse (Medication- Assisted Treatment for Podia Addiction). Those that choose a rapid text as a form of treatment often have difficulty transitioning into a lifestyle of recovery. Often times, they are still living in the same places, with the same phone numbers, and associating with the same people making abstinence from opiates even harder to maintain (Mayo Clinic). For most choosing this form of treatment, it only takes one poor decision to be back in the same situation they were before.These poor decisions have devastating effects on their sobriety making this form of treatment the least effective of the three most well-known forms of medication assisted treatment. Psychosocial counseling has proven to be very beneficial to those dealing with addiction. Those enrolled in both Jukeboxes and Methadone Maintenance is required to participate in counseling. However for those that has chosen a rapid detect, this counseling is not a requirement. . Referrals are given to the patients upon discharge from the facili ty, but not everyone follows through with it .For some it is simply because they feel they do not need it, for some it is because they are unable to afford it (Mayo Clinic). Jukeboxes treatment does require some counseling though the guidelines for this is not nearly as strict as those set for ethanol maintenance. For those enrolled in a methadone maintenance treatment program, there are strict rules for clients to obtain this counseling (Pogo). Clients enrolled in a methadone maintenance program are required by state and federal regulation to have a minimum of 2. 5 hours of counseling time per month (ASSAM).Clients will usually meet with their counselors once or twice each week to discuss progress in treatment as well as the goings on in their lives. By discussing issues that the client is dealing with, the counselors are able to teach them skills that will be useful to the client as they continue on the path to drug freedom. During this counseling, clients are taught many ways to recognize triggers that were once their excuse to use illicit substances so that they are able to refrain from using (Pogo). Counselors discuss in depth the things that seem to be holding the clients back from achieving their goal of drug freedom.By doing this, they are able to form treatment plans for the client. These treatment plans list goals as well as steps needed in order to achieve the goals. If needed, clients are given referrals during this time. When referrals are given to a client, the counselor will check in with the client to see if they ere able to get the assistance they were in need of (Pogo). The fact that the counselors take the time to follow-up on things discussed during these sessions hold the client accountable for their treatment. Because they are held accountable, I feel that it helps to make methadone maintenance a more effective form of treatment.The goal of methadone maintenance treatment is to stabilize the patient. A stable dose of methadone with effect ively block the craving for one to use illicitly while avoiding withdrawal symptoms which in turn permits one to function â€Å"normally. † When taken properly, methadone will not create sedation or euphoria. It should have no adverse effects on mental capacity, motor skills, or the ability for one to maintain employment. A stable dose of methadone will hold a person for 24-48 hours which will allow them the time and energy to devote to making improvements in their lives.However, methadone maintenance treatment is a long term commitment. It can take up to a month to achieve a stable dose in order for a patient to get the most benefits out of treatment. A stable dose of methadone varies from person to person (Levied). There are many factors that will affect the dose that one would require to become stable. For many, the tolerance that they have built up over years of illicit use will require them to have a much higher dose of methadone in order to remain stable.For others, hea lth factors and other medications will affect the way their body is able to metabolize the methadone requiring them to have a higher or lower dose. Once a stable dose is achieved, one is usually able to begin the process of getting their lives back on track by dealing legal obligations, following up on medical care that has been pushed to the side, and mending broken relationships with family members (Pogo). The longer one remains committed to treatment; they will have a greater success rate for maintaining their goal of drug freedom.It is recommended that one remain in a methadone maintenance program for a minimum of one year. For many, once they achieve a stable dose and they are able to provide illicit free urine drug screenings, they feel that they will be able to effectively remain drug free on their own. In these cases, the rate of relapse is much higher than those who remain committed to the program for a year or in many cases longer (Methadone Is an Effective Treatment for H eroin Addiction). Those who remain in treatment for at least year are nearly three times as likely to remain drug free than those who are only in treatment for a short period of time.In a methadone maintenance program, the patient along with the influence of clinical and medical staff decide when they have reached a point in their treatment that they are ready to begin decreasing their dose in order to discharge from the treatment program. There is no set time frame to this process. When one decides they are ready to begin decreasing, they have generally been on a stable dose for an extended period of time and have shown that they are able to effectively manage heir new abstinent lifestyle.Patients that decrease their doses slowly have proven to have the most success in remaining drug free. The slow taper allows their bodies time to adjust to the change in medication so that they are able to refrain from having withdrawal symptoms. These withdrawal symptoms are what will push a pers on into illicit opiate use again. Once a decrease in a person's methadone dose is taken, they are encouraged to remain at that lower dose for a period of at least 2-4 weeks.During this time, the clinical and medical staff is able to monitor the patient o ensure that they are handling the decrease in medication with no adverse effects. This process for tapering will continue until the patient has reached a dose of OMG when they will be able to â€Å"walk off' from the treatment. After the patient has been able to discontinue the use of methadone, they will still receive after care. Clinical staff will make phone calls to check in on the patient and offer them resources that will assist them in remaining drug free.Methadone and Jukeboxes clinics face tough criticism from many. People living in communities where these clinics are located are often unpleased with having a clinic n their neighborhood. Many feel that it will bring drug addicts and crime into their otherwise peaceful neig hborhoods (Swisher). What they fail to realize is that these addicts are a part of their communities regardless of if they are enrolled in a treatment facility or not (In My Own Words). It is a common misconception that it is very easy to â€Å"pick out† an addict (Mayo Clinic).However, that could not be more untrue. There are people everywhere that struggle daily with addiction. Some of these are doctors, lawyers, teachers, actors and actresses, and professional sports figures to name a few (Mayo Clinic). These are people that are clean, well dressed, well groomed and well spoken. Not every addict lacks personal hygiene and an education. There are certain risk factors that may be a factor in opiate addiction. For many who suffer from addiction, the environment that they are in plays a large role in them remaining dependent on illicit substances.There are also inherited traits that will influence one's addiction. Those that have immediate family that suffers with addiction ar e at a higher risk of also having addiction issues themselves. Research has also shown that males are nearly twice as likely to have addiction problems as males (Mayo Clinic). Methadone was approved by the FDA in 1972 for the treatment of opiate addiction. Methadone is considered to be the most effective treatment available to those addicted to opiates (Methadone Maintenance Treatment (MET): A Review of Historical and Clinical Issues).It is estimated that upwards of 170,000 individuals in the United States currently are enrolled in a methadone maintenance program. It has been proven that illicit drug use has decline by over 60% for those that have been enrolled in a methadone maintenance program for a year. For those that main committed to the program for at least two years, the use of illicit opiates declines by nearly 85% (Accreditation Of Methadone Maintenance Treatment: Assuring Quality of Care. ) Furthermore, crimes committed by these individuals are also significantly reduced. After lengthy research, I am confident is saying that methadone maintenance treatment is not only the safest method of medication assisted treatment available to those battling opiate addiction, but it is also the most effective Accreditation of Methadone Maintenance Treatment: Assuring Quality of Care). The regulations overriding methadone maintenance are much stricter than those for other forms of treatment. Methadone maintenance is the only form of medication assisted treatment that is approved by the FDA for pregnant women.It also remains the form of treatment that has the most thorough requirements for admission, and for supplemental and after care. As with any form of treatment, there are pros and cons, however it has been proven that for someone struggling with this disease that the pros far outweigh the cons. This form of medication has assisted thousands of people in getting their lives back. It has made it possible for patients to function successfully in society. These pe ople will be able to maintain employment and be productive. The counseling that they receive will help them to recognize triggers and effectively avoid them. Methadone Maintenance Opiate addiction is a chronic disease that affects millions of people in the Unites States. This deadly epidemic is one that in most cases requires some form of medical treatment. There are many treatment options available to those struggling with addiction. The three most well-known options are rapid detect, jukeboxes, and methadone maintenance (Medication-Assisted Treatment for Podia Addiction Facts for Families and Friends).Though each form of treatment has its own advantages and disadvantages, they all have one common goal; drug freedom. Research has shown that those receiving treatment are nearly twice as likely to achieve their goal of drug freedom (Mayo Clinic). Opiates are highly addictive powerful drugs that are derived from the poppy plant and are generally used to relieve pain (mayo clinic). There are two types of opiates, natural and man-made. Though both are prescribed by physicians with the exception of heroin, often times when dealing with someone that has become addic ted they are obtained illegally.Because of the potential for prescribed opiates to end up being sold or traded on the streets, stricter regulations have been put in lace for physicians to prescribe them (samara). Where they were once a little quicker to write a prescription for a schedule II narcotic, they are now telling patients to â€Å"take a Ethylene or Motoring† (Levied). These regulations have become a necessity in the war against opiate addiction. Deciding to enter into treatment for opiate addiction is one that requires much thought. Generally when one decides that it is time for them to enter treatment, they have hit rock bottom (Levied).However, rock bottom is different for every person. For some, treatment may be court ordered and they are in a situation where their form of retirement is being chosen for them. For some, they are on the verge of losing everything that is important to them, or they may have already lost it. Whatever the reason may be, getting the tr eatment needed is a life changing decision. The best form of treatment varies from person to person. For some, the idea of a rapid detect would be the best. It is a quick process that only requires a short stay of usually 2-4 days in a detect facility or a hospital (mayo clinic).In most cases, the person will be given medication to assist them in dealing with the side effects of withdrawing from opiates. During a rapid detect, patients are monitored around the clock for a period of time for signs life-threatening withdrawal symptoms such as cardiac distress and seizures (ASSAM). Those that choose a rapid detect can expect to be sedated to keep them as comfortable as possible during this time period. Prior to sedation, they are generally given Maltreatment, to block the effects of opiates. Other medications may also be given during this time as withdrawal symptoms increase.In many cases medication to help control blood pressure and seizures become necessary. Jukeboxes has become popu lar because it does not require one to report to a clinic lily, but rather are given a prescription to be filled at a pharmacy. Jukeboxes comes in two forms, a tablet and a film, both are administered subliminally (jukeboxes). Though there are regulations governing the prescribing of jukeboxes, they are not nearly as strict as those in place for methadone (FDA). In order for a physician to begin prescribing jukeboxes, they are required to complete online training that is very limited (Manson).For many, that is the only training they have in addiction. Methadone is a synthetic drug that acts in a similar way to narcotics. Methadone moms in the form off tablet, powder, or liquid. The tablet and powder form are dissolved prior to administering the medication. When methadone is taken on a regular schedule, it will build up in the tissues making the effects last longer (samara). Methadone will not provide the same effects of opiates such as sedation or euphoria; it will instead block the se effects if other opiates are used (Catatonia 8). A stable dose will vary from person to person.Generally once someone achieves a stable dose of methadone it will hold them for 24-48 hours without them feeling dope sick (Levied)† Medication-assisted treatment has proven to be the most successful form of treatment for someone wishing to become drug free. However, these forms of treatment face tough criticism. It has been said that treating opiate addiction with medication is simply trading one addiction with another. However for those dealing with the daily struggle of addiction, they depend on these forms of treatment to gain control of their lives.For those people, the daily routines, the counseling, the referrals, the support of others and the consequences is what gives them hope; the pop that they will beat this disease that plagues them (in my own words). Methadone Maintenance treatment is the one form of treatment available that offers all of those things and more. When properly used, I feel that methadone maintenance treatment is the safest and most effective way to treat opiate addiction. There are many reasons that I feel methadone maintenance is the safest form of treatment available to someone battling opiate addiction.Contrary to what some may think, or some of what has been reported, these facilities can have a life changing effect on those who are committed to the program (Methadone Maintenance Treatment Facts). These programs are not only a place for someone to come in, pick up a prescription and leave. Instead these programs require patients to report daily for their medication, at least until they are able to meet all requirements for take home privileges. While there, patients interact with office staff, nursing staff, and clinical staff on a daily basis.Patients are monitored for any changes in their appearance, attitude, alertness, and overall demeanor (Levied). This helps to ensure that if someone is having an issue that staff is th ere to offer assistance right away. For many that battle addiction, Just knowing someone is there to listen and offer as much assistance as possible is enough to get them headed on the right path (In My Own Words). The guidelines set by the federal and state governments are much stricter for methadone maintenance that those set for jukeboxes (samara).For instance, in jukeboxes clients walk into a clinic to sign up and within a matter of a couple of hours they are able to walk out with at the very least medication that should last them a week. When people struggling with addiction first make the choice to enter into a retirement program, they are scared, sick, and in many cases about to lose everything important to them (In My Own Words). These patients are still using illicit drugs daily, and are at this point willing to do whatever it takes to avoid being â€Å"dope sick. Jukeboxes often ends up being sold illegally on the streets because people that have been lying, cheating, and stealing for a long period of time are now given a large amount of medication to take home with them (Levied). Methadone maintenance has a lengthy set of requirements before one is able to obtain the privilege of taking home medication (Blanchard and Crappy). One must be in treatment for 90 days, and produce at least 3 illicit free urine drug screenings before earning the privilege of one dose of medication to take home.In order for someone to have a full week worth of medication to take home with them at one time as they do in jukeboxes treatment after one day, they must be enrolled in the program for a minimum of three years and produce at least 12 illicit free urine drug screenings (SMASH). That is Just one of many requirements for one to earn the privilege of taking home their medication. They also have to participate in regular counseling sessions. The amount of time required for each session varies from patient to patient depending on the amount of time they have been enrolle d in the program as well as their use of illicit substances.Patients are required to sign releases for every physician that they see so that care can be coordinated properly. It is very important that medication that physicians prescribing other medications are aware of the patient being on methadone. By the time patients in methadone maintenance are able to start taking home doses of their medication, they have started on the right path (Levied). They are on a stable dose that effectively holds hem without the use of opiates, and they like the freedom of not having to report to the clinic to be dosed for the day.These take home bottles that are so hard to obtain, are so easy to have revoked as well. If someone produces an illicit urine drug screening, or does not get their required amount of counseling time in for the month among other things, they will have to start earning their take home privileges all over again. Those that receive take home bottles are also subjected to  "call backs (Medication-Assisted Treatment for Podia Addiction. )† This is when the client is allied and given a short notice of when they will have to report to the clinic with all of their used and unused take home bottles.At this time, the bottles are thoroughly inspected to be sure that their medication is in fact being administered the correct way (SAMARA). Because of these guidelines being as strict as they are, less methadone is sold illegally in the streets making it a safer choice. Methadone is also the safest form of treatment for pregnant women who happen to be struggling with opiate addiction (Practical Approach). In fact, it is currently the only FDA approved medication for treating opiate addiction during pregnancy Methadone Maintenance Treatment (MET): A review of Historical and Clinical Issues. When properly prescribed, methadone has proven to provide an environment that is less stressful on a developing fetus (Catatonia, 19). While a proper dose of methadone w ill help to prevent miscarriage and pre-mature labor, other forms of treatment seem to cause these issues. The use of maltreatment has been proven to cause spontaneous abortion, fetal distress, premature labor, and stillbirth Issues. ) Because methadone is a long acting medication, it is able to provide the fetus with an environment that promotes development.Though methadone during pregnancy is considered to be the safest of the options available, it comes with side effects (About Methadone). Babies born to mothers prescribed methadone are at risk for low birth weight. This is a very small risk to take when compared to risks faced with other forms of treatment such as jukeboxes or rapid detect. Some of those risks include fetal distress and miscarriage. During pregnancy, women are monitored very closely by the physician at the clinic and are also required to provide proof of prenatal care from an BOGGY (Levied).Studies have shown no long term effects on babies that are born to mothe rs prescribed methadone during their pregnancy. At birth, these babies will test positive for methadone in their systems, however are able to be weaned in a timely manner (Catatonia, 20). When compared to a rapid detoxification and jukeboxes, methadone maintenance is the safest choice. When a rapid detect lasting 2-4 days in most cases is completed, the patient is left without any aftercare other than what they obtain on their own. They are given a stack of paperwork that in most cases will contain a few referrals for mental health providers and a list of AN meetings.At this time, the patient may be wrought the worst part of the withdrawal process, but they are still unstable (ASSAM). These patients still need the support of clinical and medical personnel, but sadly many will not get that support. Those that do not will most likely find themselves in the same situation they were in previous to the rapid detect. Though patients in jukeboxes treatment have more of a clinical and medic al support than those choosing rapid detect, they still do not have the same support as those in methadone maintenance.Those Just starting out in treatment, whatever option they may choose, are at the lowest points in their lives. It is because of that I feel that they are in need of the most support that is available to them. To me, that support comes from a friendly smile when they walk into the clinic every day that reminds them that they are Just another Junkie, they are a person. They are a person that deserves to be monitored daily, given referrals for housing, food, clothing, medical care, and anything else that they could possibly need. For many addicts, the clinic is the safest place that they are in all day (In My Own Words).The goal of any form of treatment is to improve the patient's health as well as their laity of life (Marion). For many struggling with addiction, their health has come last while obtaining opiates in order to avoid feeling â€Å"dope sick† has c ome first. For many, this low point in their lives will lead them to participate in high risk behaviors. Those that find themselves addicted to opiates will often turn to theft or prostitution in order to fund their habit, while others will share needles used to administer drug such as heroin.These high risk behaviors not only put them at risk for many other infectious diseases such as Hepatitis and HIVE, but for legal troubles as well (Marion). Though the long term results of any treatment lays largely on the person in treatment, studies show methadone maintenance to be the most effective form available at this time (Medication-Assisted Treatment for Opiate Addiction). Drug freedom is a long term commitment that has to first be taken seriously by the person in treatment. If the dedication on their part is not there, the efforts of clinic staff will not be enough to help them (Pogo).Research has shown that that rapid detect treatment has a high rate of relapse (Medication- Assisted Treatment for Podia Addiction). Those that choose a rapid text as a form of treatment often have difficulty transitioning into a lifestyle of recovery. Often times, they are still living in the same places, with the same phone numbers, and associating with the same people making abstinence from opiates even harder to maintain (Mayo Clinic). For most choosing this form of treatment, it only takes one poor decision to be back in the same situation they were before.These poor decisions have devastating effects on their sobriety making this form of treatment the least effective of the three most well-known forms of medication assisted treatment. Psychosocial counseling has proven to be very beneficial to those dealing with addiction. Those enrolled in both Jukeboxes and Methadone Maintenance is required to participate in counseling. However for those that has chosen a rapid detect, this counseling is not a requirement. . Referrals are given to the patients upon discharge from the facili ty, but not everyone follows through with it .For some it is simply because they feel they do not need it, for some it is because they are unable to afford it (Mayo Clinic). Jukeboxes treatment does require some counseling though the guidelines for this is not nearly as strict as those set for ethanol maintenance. For those enrolled in a methadone maintenance treatment program, there are strict rules for clients to obtain this counseling (Pogo). Clients enrolled in a methadone maintenance program are required by state and federal regulation to have a minimum of 2. 5 hours of counseling time per month (ASSAM).Clients will usually meet with their counselors once or twice each week to discuss progress in treatment as well as the goings on in their lives. By discussing issues that the client is dealing with, the counselors are able to teach them skills that will be useful to the client as they continue on the path to drug freedom. During this counseling, clients are taught many ways to recognize triggers that were once their excuse to use illicit substances so that they are able to refrain from using (Pogo). Counselors discuss in depth the things that seem to be holding the clients back from achieving their goal of drug freedom.By doing this, they are able to form treatment plans for the client. These treatment plans list goals as well as steps needed in order to achieve the goals. If needed, clients are given referrals during this time. When referrals are given to a client, the counselor will check in with the client to see if they ere able to get the assistance they were in need of (Pogo). The fact that the counselors take the time to follow-up on things discussed during these sessions hold the client accountable for their treatment. Because they are held accountable, I feel that it helps to make methadone maintenance a more effective form of treatment.The goal of methadone maintenance treatment is to stabilize the patient. A stable dose of methadone with effect ively block the craving for one to use illicitly while avoiding withdrawal symptoms which in turn permits one to function â€Å"normally. † When taken properly, methadone will not create sedation or euphoria. It should have no adverse effects on mental capacity, motor skills, or the ability for one to maintain employment. A stable dose of methadone will hold a person for 24-48 hours which will allow them the time and energy to devote to making improvements in their lives.However, methadone maintenance treatment is a long term commitment. It can take up to a month to achieve a stable dose in order for a patient to get the most benefits out of treatment. A stable dose of methadone varies from person to person (Levied). There are many factors that will affect the dose that one would require to become stable. For many, the tolerance that they have built up over years of illicit use will require them to have a much higher dose of methadone in order to remain stable.For others, hea lth factors and other medications will affect the way their body is able to metabolize the methadone requiring them to have a higher or lower dose. Once a stable dose is achieved, one is usually able to begin the process of getting their lives back on track by dealing legal obligations, following up on medical care that has been pushed to the side, and mending broken relationships with family members (Pogo). The longer one remains committed to treatment; they will have a greater success rate for maintaining their goal of drug freedom.It is recommended that one remain in a methadone maintenance program for a minimum of one year. For many, once they achieve a stable dose and they are able to provide illicit free urine drug screenings, they feel that they will be able to effectively remain drug free on their own. In these cases, the rate of relapse is much higher than those who remain committed to the program for a year or in many cases longer (Methadone Is an Effective Treatment for H eroin Addiction). Those who remain in treatment for at least year are nearly three times as likely to remain drug free than those who are only in treatment for a short period of time.In a methadone maintenance program, the patient along with the influence of clinical and medical staff decide when they have reached a point in their treatment that they are ready to begin decreasing their dose in order to discharge from the treatment program. There is no set time frame to this process. When one decides they are ready to begin decreasing, they have generally been on a stable dose for an extended period of time and have shown that they are able to effectively manage heir new abstinent lifestyle.Patients that decrease their doses slowly have proven to have the most success in remaining drug free. The slow taper allows their bodies time to adjust to the change in medication so that they are able to refrain from having withdrawal symptoms. These withdrawal symptoms are what will push a pers on into illicit opiate use again. Once a decrease in a person's methadone dose is taken, they are encouraged to remain at that lower dose for a period of at least 2-4 weeks.During this time, the clinical and medical staff is able to monitor the patient o ensure that they are handling the decrease in medication with no adverse effects. This process for tapering will continue until the patient has reached a dose of OMG when they will be able to â€Å"walk off' from the treatment. After the patient has been able to discontinue the use of methadone, they will still receive after care. Clinical staff will make phone calls to check in on the patient and offer them resources that will assist them in remaining drug free.Methadone and Jukeboxes clinics face tough criticism from many. People living in communities where these clinics are located are often unpleased with having a clinic n their neighborhood. Many feel that it will bring drug addicts and crime into their otherwise peaceful neig hborhoods (Swisher). What they fail to realize is that these addicts are a part of their communities regardless of if they are enrolled in a treatment facility or not (In My Own Words). It is a common misconception that it is very easy to â€Å"pick out† an addict (Mayo Clinic).However, that could not be more untrue. There are people everywhere that struggle daily with addiction. Some of these are doctors, lawyers, teachers, actors and actresses, and professional sports figures to name a few (Mayo Clinic). These are people that are clean, well dressed, well groomed and well spoken. Not every addict lacks personal hygiene and an education. There are certain risk factors that may be a factor in opiate addiction. For many who suffer from addiction, the environment that they are in plays a large role in them remaining dependent on illicit substances.There are also inherited traits that will influence one's addiction. Those that have immediate family that suffers with addiction ar e at a higher risk of also having addiction issues themselves. Research has also shown that males are nearly twice as likely to have addiction problems as males (Mayo Clinic). Methadone was approved by the FDA in 1972 for the treatment of opiate addiction. Methadone is considered to be the most effective treatment available to those addicted to opiates (Methadone Maintenance Treatment (MET): A Review of Historical and Clinical Issues).It is estimated that upwards of 170,000 individuals in the United States currently are enrolled in a methadone maintenance program. It has been proven that illicit drug use has decline by over 60% for those that have been enrolled in a methadone maintenance program for a year. For those that main committed to the program for at least two years, the use of illicit opiates declines by nearly 85% (Accreditation Of Methadone Maintenance Treatment: Assuring Quality of Care. ) Furthermore, crimes committed by these individuals are also significantly reduced. After lengthy research, I am confident is saying that methadone maintenance treatment is not only the safest method of medication assisted treatment available to those battling opiate addiction, but it is also the most effective Accreditation of Methadone Maintenance Treatment: Assuring Quality of Care). The regulations overriding methadone maintenance are much stricter than those for other forms of treatment. Methadone maintenance is the only form of medication assisted treatment that is approved by the FDA for pregnant women.It also remains the form of treatment that has the most thorough requirements for admission, and for supplemental and after care. As with any form of treatment, there are pros and cons, however it has been proven that for someone struggling with this disease that the pros far outweigh the cons. This form of medication has assisted thousands of people in getting their lives back. It has made it possible for patients to function successfully in society. These pe ople will be able to maintain employment and be productive. The counseling that they receive will help them to recognize triggers and effectively avoid them.

Saturday, September 28, 2019

Sysco Case Assignment Example | Topics and Well Written Essays - 1750 words

Sysco Case - Assignment Example se of business information systems is to predict certain patterns or trends that might otherwise escape the attention of management because of the difficulty of assessing such a big amount of raw data. This is where business information systems can provide their utility. The new term to designate this specific type of computer software is business analytics that is taking the world of business by storm. This new very potent tool has been called as the science of winning (Davenport & Harris, 3). Analytics has been used for a variety of ways to enhance a distinctive capability usually overlooked before due to the sheer mass of data and the difficulty of making sense out of it without the help of sophisticated quantitative analysis. In general, analytics (the newer term) goes a step further than old business information systems (BI) by producing quality data-driven insights that can be used by astute management in producing impressive performance not otherwise attainable before. The amazing power of analytics can be leveraged in a number of ways limited only by the imagination of the owner. Among these possibilities are identifying the most profitable customer segments and how to serve them best, introduce new products, improve the service or offer a better price. SYSCO was founded in Houston, Texas back in 1969 and today is the largest US food distributor. Its main customers are institutional clients such as hotels, restaurant chains, health care-related institutions, educational facilities and lodging establishments. As a measure of its size, company has 420,000 customers, 8,000 marketing associates and some 9,000 delivery associates. Overall, SYSCO has 45,000 employees as of December 2002. In a way, SYSCO is just sort of like any distributor that needs to manage its supplier relationships in a meaningful and tight way that ensures prompt deliveries at less cost. Due to its expertise and efficiency, it can unload a billion cases of product per year without major

Friday, September 27, 2019

Executive Summary for the development of a new product Essay

Executive Summary for the development of a new product - Essay Example The NRG-H product is expected to form part of a new low-calorie diet snack food market segment and is expected to resemble the trademark of the Fitter Snacker. This new product is likely to appeal to the tastes of many people in this new segment given that it will reduce the calorie content which is seen as a positive step towards safeguarding the health concerns of the consumers. The operations related to this new product will be basically concerned about incorporating it into SAP. The advantage of this particular stance is to leverage the new product on the popularity of the SAP given that the customer and vendor relationships depend upon this. There are likely chances of success of this product if these steps are carefully implemented. 2. After factoring in all the production costs, it is anticipated that a case of 24 bars can be profitably sold at $28.80 as the wholesale price. This distribution channel is ideal in that it has many links with the vendors as well as retail outlets. This price is reasonable given that small actors in the retail sector will also be able to buy a case for resale. It is assumed that at this wholesale price, a profit margin of about $8 is likely to be realised. The retail price of a bar of this new product is pegged at $1.50. This price has been suggested after considering that this is still a new product hence it has to be priced slightly lower than similar products already existing in the market. The other justification for this price is that when penetrating a market, there is need to fairly price the product such that it can appeal to the interests of many potential customers. Some consumers can just buy it as trial but once satisfied, they are likely to refer other consumers to this particular offering. In some instances, the customers tend to discover new products in retail shops hence this is an ideal channel of distribution of this particular product. The wholesale and retail prices are justifiable given

Thursday, September 26, 2019

Comparison Between Ethnically Correct Dolls And Process of Ethnicity Essay

Comparison Between Ethnically Correct Dolls And Process of Ethnicity in England - Essay Example This essay declares that Ethnically Correct Dolls: Toying with the Race Industry is the main article in this report. In it, Elizabeth Chin examines issues of racism from a children’s perspective. The Boundaries of Race: Processes of Ethnicity in England are the comparison article in this essay. In it, Sandra Wallman explores issues of social differentiation in urban England. She tries to expound on racism and ethnicity in relation to the English culture. This paper makes a conclusion that both articles are similar in various ways. A minor similarity can be observed in the structure of the headings. Both of them are composed of a main and a minor heading, which are separated by semicolons. The main headings both radiate the main topic covered in the articles, which is racism. The rest of the headings then illustrate the concerns of the articles. The two articles also have some differences: the first concerns the methodology in which information was obtained to write essays. In Ethnically Correct Dolls: Toying with the Race Industry, the author uses interviewing as the main mode of obtaining information, whereas referencing of other material is used for the same purpose in The Boundaries of Race: Processes of Ethnicity in England. Elizabeth Chin personally visited her subjects at their home and obtained most of the information used to write the article firsthand. She interviewed the African American girls, Asia and Natalia while she co uld still observe their physical reactions and the dolls they possessed on a firsthand basis.

Wednesday, September 25, 2019

Legal Aspects of Nursing - Homework 5 Case Study

Legal Aspects of Nursing - Homework 5 - Case Study Example On trial, other nurses stated that they frequently made paper records during breaks or at end of shift, often when they could hardly remember the dosages administered to patients. In addition, nurses would electronically sign for narcotics and prepare IV drip bags in advance of when needed and discard the same when no longer required or when physicians changed orders. In addition, nurses deviated from physicians order for an IM injection by thus electing to provide medication by an IV route. In addition, the hospital lacked a clear policy on when nurses such as preceptor and mentee, both had a responsibility for patient care. The suspended nurse also admitted that she recorded the data long after administration and in some cases in the following day (Guido, 2009). Legal aspects in nursing provide the framework for establishing the acceptable care to the client and outline the responsibilities of the nurses. The law in nursing also outlines the boundaries in independent actions of nur sing and provides for the standards of nursing practice. Nursing law ensures that nurses obtain the informed consent of the patients before any treatment and provide information to the clients on any condition that requires diagnosis and also the benefits and risks of the alternative modes of treatment (Guido, 2009). In the above case, the facility has sufficient evidence to suspend the nurse from employment. The nurse is liable since she testified that she recorded their paper documents at the end of the shifts or even the following day. According to legal framework, the nurse must carry out the physician orders unless she reasonably believes that there is an error. The nurse must seek a clarification from the physician or immediate supervisor; otherwise she is liable for any harm experienced by the patient. If nurses are requested to float to another unit, the nurse must have the capacity and experience to carry out the duties since one is held liable for the same standards of car e as those other nurses working regularly in that unit. In addition, the nurse is liable for not reporting unsafe nursing practice such as theft of narcotics in the facility (Guido, 2009). Surprisingly, the facility had allowed nurses to sign for narcotics electronically and prepare IV drips in advance and discard the same IV bags when not needed by the physicians. The evidence of other nurses is critical in determining the outcome of this case since other nurses did not follow the legal procedure in medical documentation. The nurses clarified that they had deviated from physician’s order for an IM injection, thus choosing to provide medication by IV route. Finally, the organisation lacked a standard procedure and policy framework for paper records when a preceptor and a mentee were involved. The testimony other nurses would impact on the outcome of the case. For instance, the testimony proves the negligence of the hospital facility in safeguarding the safety of patients sinc e not policies that outline the working relationship of a preceptor and mentee and who should record the narcotics usage. The institutions should first preview the paper record documentation of all nurses and review the authority of each personnel in the organisation. The institution should also review the nurse-patient relationship before the court of law (Guido, 2009). If I

Tuesday, September 24, 2019

Evaluation Essay Any topic Example | Topics and Well Written Essays - 500 words

Evaluation Any topic - Essay Example My brother's fish tank has the correct mix of fish, is clean, and is a pleasure to watch. An aquarium is first and foremost a place where the fish will spend their entire life. Having the correct combination of species is critical to maintaining balance in a fish tank. Some fish will be more aggressive and attack smaller fish. In addition, the tank needs a well balanced mixture of bottom, middle, and top feeders to keep the tank clean of uneaten food. Aquarium expert Thomas Narten reminds us, "Not all species of fish mix well with others". My brother has a Beta that feeds on the top, tetras and lionfish to feed the middle, and catfish that live as bottom feeders. They are not aggressive and stay in their own territory. My brother has provided a well balanced environment for these fish to spend the rest of their lives in. The fact that the fish will spend their entire lives in this tank demands that it remain clean. My brother has chosen to utilize an undergravel filter. This arrangement draws water through the gravel at the bottom of the tank and the settling debris is used to feed the plants and bottom feeders that reside there. The test of a filtering system is water clarity and in this my brother has succeeded. The water is spotless with no floating debris.

Monday, September 23, 2019

Methods of Property Valuation Term Paper Example | Topics and Well Written Essays - 1500 words

Methods of Property Valuation - Term Paper Example The process of estimating values of properties considers numerous elements that might affect the property value. These factors form an essential part of comparable valuing. In determining proper comparable various conditions must be satisfied to ensure the comparable remains closely related to the subject property. The subject property valuation utilizes the value of comparable to determine the estimated property values. Within the property market, various elements affect the selection of a comparable for the subject property. The current market conditions might increase or decrease prices of property depending on the accounting systems employed. According to Rees and Hayward (2001) when selecting a comparable location and physical appearance of the property must display significant similarities. The locations of property might influence the value of the property if the properties under question could both be influenced by location characteristics. The conditions under which comparab les are sold could potentially affect the suitability of a property as a comparable. A property sold understate settlement, for example, might be undervalued following the conditions involved. A proper comparable should be sold under prevailing market conditions and without restrictions on either party. Numerous methods of property valuation exist within the property market. The sales comparison approach remains the most utilized valuation method involving comparables (Betts & Ely, 1998). This method involves a comparison of different units forming the characteristics of the properties under comparison. This consideration of different units creates a beginning point for establishing an estimated value for subject properties. The significant characteristics that could be considered include floor area, property condition, age, and distance from essential amenities, among other property attributes. Though these elements might be considered in the valuation of property, the method relie s heavily on the economic principles of demand and supply.  

Sunday, September 22, 2019

Midterm Exam Essay Example for Free

Midterm Exam Essay 1. Cross-sectional study involves the observation of some subset of a population of items all at the same time. Groups can be compared at different ages with respect to independent variables. This study differs from the longitudinal study because it takes place at a single point in time. In a longitudinal study, the same observations are made over different periods usually spanning several years. This type of study looks into developments and trends across generations or life spans. Cross-sectional studies can be used when a researcher has time constraints; usually this method is done in expedition trips which look at a certain group in a matter of several weeks to months. One weakness of this approach is that it does not encompass the changes over time. This becomes the strength of the longitudinal method of study. It can trace the development of a certain phenomenon or fad thru its infancy up until the time it disappears, one downside though is that it required a lot of time and effort to complete. 2. Down syndrome is caused by an abnormal cell division of the 21st chromosome. The problem occurs when there is extra genetic material from the said chromosome and is responsible for the characteristic features and developmental problems of Down syndrome. Down syndrome has several symptoms or characteristics, most common of all are: flattened facial features, protruding tongue, small head, upward slanting eyes which are unusual for the child’s ethnic group, and unusually shaped ears. Down syndrome carries with it several risks which include heart defects, leukemia, and proneness to infectious diseases, dementia, and other problems such as gastrointestinal blockage, poor vision, or hearing loss. 3. One of the most striking risks of infants with low birth rates is that they have a 25% chance of dying before reaching the age of one. These infants also have increased risk of long term disability and impaired development, usually in terms of motor and social development. Cigarette smokers and black people are the ones which are most likely to have low birth weight infants compared to other social classes. 4. One of the most important benefits of breast feeding is that it is the best source of nutrition for the first six months of life. It contains appropriate amounts of carbohydrates, protein, fat, and provides digestive enzymes, minerals, vitamins and most importantly, hormones that infants require. The milk from the mother also contains antibodies which shield the baby from infections. Breastfeeding also reduces the risk of ear infections, stomach infections, and digestive problems such as constipation, skin diseases, allergy problems, and hospitalizations during the first year of life. In addition, breastfed babies may have less risk of becoming overweight or developing high blood pressure, diabetes, iron-deficiency anemia, and tooth decay. Breastfeeding in poor countries such as those in Africa is very important because infants that are not breastfed are 5 times more likely to die from infections in the first two months of life. This is important considering that these countries do not have proper medical care for these children. 5. Piaget discusses four important factors of cognitive change, namely the sensorimotor, preoperational, concrete operational, and formal operational stages. In the sensorimotor stage, infants are born with a set of congenital reflexes that allow them to float in the heavily dense world, in addition to a drive to explore their world. In the preoperational stage, children demonstrate sparse and logically inadequate mental operations, in this stage, the child learns to use and represent objects by images and words. There are two stages, the preconceptual and the intuitive. In the preconceptual stage, the child is marked by egocentric thinking and animistic though, while in the intuitive stage, the child starts employing mental activities to solve problems and obtain goals. In the concrete operational stage, the child learns how to use his/her logic in tackling problems; however, children can only solver problems that apply to actual objects or events. Finally, in the formal operation stage, the child acquires the ability to think abstractly and draw logical and reasonable conclusions from the information available. 6. Types of children can be described using Thomas and Chess’ model of temperament. One of these types are shy children, these children are more or less inactive, suffering from less predictable manner, have low distractibility, pulls back and cries when exposed to new things and strangers, not easily adaptive, low attention span, low levels of response, unfriendly behavior, and take little notice of changes in stimulation. Fearful children exhibit most of the negative criteria in the model of temperament, most obvious of which in their approach/avoidance. Fearful children tend to pull back and cry sometimes even if the said stimuli are reintroduced (meaning it has been seen by the child before). Aggressive children on the other hand exhibit such traits as an increased devotion to an activity, and have intense reactions when offered stimuli. 7. There are four attachment classifications, secure, anxious avoidant, anxious resistant and disorganized. In secure attachment, the amount of care is both consistent and sufficient giving the child security everytime the parent is around, even in the presence of strangers because the child knows that the parent is there to protect and guide him/her. In the anxious-resistant type, care given by the parent is not consistent because the child is often wary of strangers until the parents return, it means that the parent cares for the child, but is not around all the time. In the anxious-avoidant insecure attachment, the amount of care given by the parent is both inconsistent and insufficient given that the child ignores or avoids the parent. In the disorganized attachment, the care given is either classified by the child as frightening or comes from someone who is frightened. This is caused by either a frightened caregiver, or a very aggressive caregiver. 8. Three language development theories will be compared and contrasted, Chomsky’s language acquisition device, Piaget’s cognitive constructivism, and Vygotsky’s social contructivism and language. Chomsky and Piaget sees language as something which comes with birth, Chomsky and Piaget both focused on how the child developed a language, for Chomsky, he supposes that the ability to learn language is inborn in the form of a Language Acquisition Device (LAD). He was not able to take enough account of the influences of cognition and language have on each other’s development. In Piaget’s case, he argues that cognitive development preceded language. He focused more on the child’s cognitive development and attributes it the child’s way of representing their familiar worlds. While for Vygotsky, his main concern was the relationship between the development of thought and language, his theory melded together Chomsky and Piaget’s theory and combined them to form his theory that language is first a means of social communication, then gradually promotes both language and cognition.

Saturday, September 21, 2019

Compare and Contrast Essay Essay Example for Free

Compare and Contrast Essay Essay Trayvon Martin and Jordan Davis were just two young teenage boys whose lives were taken from this world. The two cases for these two boys have some similarities between each other they were two 17 year-old African-American boys, both boys were unarmed, and the stand your ground law was used for each case. There are also some differences between the cases such as George Zimmerman was found not guilty while Michael Dunn was found guilty, Zimmerman stayed on the scene of the crime while Dunn did not do the same, and last eye witnesses were present to Dunn’s case but Zimmerman had zero eye witness. This is the twenty-first century yet we still have hate towards other races. In February 26, 2012 â€Å"Trayvon Martin a seventeen year old African American boy went to the store for some candy and a soft drink. George Zimmerman a Hispanic man was the neighborhood watch captain for the Retreat at Twin Lakes† (HLNtv.com). Now in November 23, 2012 Michael Dunn a White man â€Å"leaving a wedding reception for his son pulled into a gas station for wine and chips next to the SUV Jordan Davis† another seventeen year old African American boy â€Å"and three of his friends were in† (CNN.com). Zimmerman was monitoring the neighborhood when he calls 911 to report â€Å"a suspicious person.† He was â€Å"instructed to not get out or approach the person† who was. Martin. Zimmerman â€Å"disregarded the instructions given to him by the police and moments later shot Martin† and unarmed boy (CNN.com). If he was unarmed walking back to his house how could he have had any intention of being aggressive towards another man? In Dunn case he got into an argument with Davis and his friends about the loud music asking them to turn it down. Dunn said he â€Å"saw Davis reach down in his passenger seat to pull out a 12 or 20 gauge shotgun.† So â€Å"Dunn grabbed his gun an open fired ten bullet, three of which struck Davis.† Later when the car was searched no gun was found in the car (usatoday.com). Davis just like Martin was an unarmed boy. In the presence of both cases Zimmerman and Dunn both found there selves in a self-defense situation in other terms the â€Å"stand your ground law† (huffingtonpost.com). The Zimmerman case was considered self-defense but he would not have had to defend himself if he didn’t approach Martin. Also when Martin was unarmed what did Zimmerman need to defend himself of? Dunn on the other hand was not in a calm state of mind he was the â€Å"prosecutor portrayed him as a gunman whose â€Å"blood started to boil† because an armed teenager had disrespected him† (usatoday.com). Even though Dunn thought Davis had a gun he should not have fired off ten rounds rapidly. Dunn could not have been defending him and his wife when the teenagers were unarmed. They were no harm to Dunn and his wife. Zimmerman was the neighborhood watch men and was patrolling the street when he saw Martin. There were not one eye witnesses to seeing what happened at the scene besides Zimmerman a nd Martin who was dead. The only thing they had to go off of was the bruises forming and blood running from the back of his head, also the recording of the gun shot from the police recording of Zimmerman’s phone call. In Dunn’s case he was at a gas station with people around including the four men he was talking to about the loud â€Å"rap crap† music as he called it (CNN.com). Usually when you flee the scene of a crime it means you are guilty. After Zimmerman got out and came up too Martin and defended himself by shooting him. He stayed at the scene was it because no one was around and he already called the cops, and he knew that with his head bloody it was constituted as the â€Å"stand your ground law?† As for Dunn he fled forty miles back to his motel as soon as he shot off ten rounds. There he took â€Å" his dog for a walk, ordered pizza, and drank rum and cola† (CNN.com) Zimmerman was found not guilty after a year and six months went by. The six women jury found George Zimmerman not guilty. The jury had three choices to convict Zimmerman of â€Å"guilty of second degree murder, to find him guilty of the lesser charge manslaughter, or to find him not guilty. The jurors deliberated for more than sixteen hours total, including the thirteen on Saturday alone† (CNN.com). Now for Dunn even though he had pretty similar crimes as Zimmerman he was found guilty. Dunn received â€Å"a minimum of twenty years on one count, another twenty year count, and another minimum of twenty  year count† (usatoday). Works Cited Neale, Rick. Fla. USA TODAY. Larry Kramer, 16 Feb. 2014. Web. 9 Apr. 2014.

Friday, September 20, 2019

Handicraft business in the UK

Handicraft business in the UK INTRODUCTION The objective of this report is to study and prepare the business plan for a handicraft business in UK. This business plan deals with the feasibility analysis, idea generation, and industry analysis at both the local and global level to understand the market and business factors. The market analysis is also done, primarily through the secondary sources to capture the potential demand of handicrafts in the UK market and the trends which the customer are looking for in this industry. After analyzing the demand, the technical analysis was done for the business. For the success of any business, it is necessary that the idea or the basis of the plan should be strong. But it is also imperative that the plan should take into account a true picture of financials to have a strong foundation on which the business can be built upon. Therefore in the report, a detailed preparation of cash flow analysis, profitability analysis and the expected expenditure in the business has been taken care of. The report has taken into consideration the risk factor also which the business needs to consider before commencing on the work. Handicraft is a business which needs not only financial capital but also human capital and it is necessary that skilled labour is available in plenty. The attrition rate is low in this industry provided they are provided with adequate support and wages. In the report I have tried to touch upon that issue as well. Also the manner in which the products would be sold and promoted in the market would be taken care of. We would not be opening our own stores for now and would be selling on to other retailers. However the idea of opening the stores is not discarded as whole for now and would be seen as an option at a later stage in the life of the business. Heavy spending is planned to promote the products in the initial phase of the business and various media vehicles would be tried upon to promote the products well in the market. The business as of now focusing primarily on the UK market and later on in the later stage, the business can be expanded further. Handicraft Industry The handicraft industry is one of the most productive sectors in the economy. The reason being that this sector not only uses the raw materials but also give employment opportunities to a number of people. Thus not only financial capital and raw material is employed but also a lot of human capital is also used in this business (Garrison, 2008). According to United Nations Educational, Scientific and Cultural Organization (UNESCO) International Symposium on â€Å"Crafts and the International Market: Trade and customs codification†, Manila, Philippines, October 1997. Handicrafts can be defined as products which are produced either completely by hand or with the help of tools. Mechanical tools may be used as long as the direct manual contribution of the artisan remains the most substantial component of the finished product. Handicrafts are made from the raw materials and can be produced in unlimited numbers. Such products can be utilitarian, aesthetic, cultural, artistic and may have a social, religious and symbolic significance (Robertson, 2002). Industry Analysis UK has been a country with a rich and diverse culture. Lot of migrant population also resides in various parts of the country. It is because of this that handicraft industry has played an important role in this country. The industry provides economic advantage much because of the demand from various strata of the population (Mathias, 2001). Handicrafts have always attracted people much because of their cultural importance and it crosses barriers too. The customers in any market look for handicrafts from not only the local market but also from the other countries (Barlow, 1991). Therefore both the cultural and financial values are attached to this industry. This industry by its mass and production scale lies in the middle class as not much finance and manufacturing facilities are needed in this business. The industry is decentralized and is labour intensive. Not many players fight in this market and only small players operate in this area. The sector employs a lot of people and thus acts as a medium of employment for lot of people. The sector has seen an increase in growth much due to the fact that people have been more open to the culture of other countries and are accepting it more often. The era of globalization has helped in the revival of this industry not only in the UK market but also in other markets too (Andrews , 2009). Classification of Handicrafts Industry Handicraft products can be distinguished into the following: Metal ware Wood ware Hand printed textiles Embroidered and crocheted goods Shawls Carpets Embroidered goods Bamboo products Zari goods Earthenware and jute products Miscellaneous handicrafts SWOT Analysis of Handicraft Industry Strengths Market is diversified and has huge potential Presence of large product variety because of various cultures Low capital investment Flexibility in production of goods as per market demand Low barriers to the entry of new players Products sold are high value ones and have diversified usage Weakness Lack of coordination between government bodies and companies Inadequate information on the current market trends Lack of skilled labour Opportunities Development of domestic tourism sector which helps in boosting sales. Usage of internet and other technologies in boosting the market potential Rising demand because of people becoming more open to cultures Threats Lack of branding opportunities in this sector Threats from the developing countries like India and China in terms of resources Business Proposition We would be dealing in the limited set of handicraft industry as many products come under its purview. Our company would serve the needs of the customers in only the wooden handicrafts market. The reason for choosing this is that in UK market these products are used almost in every home. Products like decorative chairs, desks, beds, sofas which are made by hand are seen as high value products in the market as customers look for something different. Particularly for the UK customer, they need products which not only serve their functional purpose but also add something extra. It is with this that we plan to enter in this industry with this specific set of products. Wooden handicrafts refer to a wide range of wooden items carrying utilitarian and artistic value that are made by hand o with the use of simple tools. They are made by unmatched workmanship, have fine designs and have subtle elegance. The products require low capital investment to manufacture. The wooden handicraft sector provides a high ratio of value addition and has emerged as one of the major sources of foreign exchange in the country too. (Sumption, 2010) Market Analysis Majority of the current players in the market deal in almost all the product categories in the wooden handicraft industry. (Macleod, 2006) Retailing is not done by them and they deal in mostly the production part. They have retailing contracts with other partners which help them sell the products Monthly production units are majorly in the range of thousands of units for all the products combined Wooden and glass handicrafts are majorly in demand in the UK market. (John, 2006) Inventories are usually kept low as these products are sold and produced in lower units in the market. Almost all the players in the market hire the labor at a contractual basis rather than on a permanent basis. Many of the players take the route of exhibition to promote their products to the customers. (Mathias, 2001) These products are high margin products as they are mainly value based ones. Hence high margin and medium volume is generally the trend in the industry Competition The following players currently operate in the market and sell wooden handicrafts in the market. World Art and Crafts Ltd. Java Art Elements Ltd. Demand Analysis and Forecasting During our study we also analysed the demand pattern for the various products in the wooden handicraft market and it came to around 50000 units per month on approximation. There is a demand supply gap in the market as according to our supply the current players in the market are able to provide close to 30000 units only. Hence we consider a huge potential to be catch up in the market.(Boseley,2009) The market is growing closely at an annual rate of 15%. Hence it is decided that the capacity would be initially 60% for the first year and then it will grow accordingly. Marketing Channel As mentioned before, our business involves only manufacturing the products. Therefore we would use a network of retailers called partners to sell our products in the market. These would be mainly big retailers like WalMart, Tesco etc. Strategic Marketing Plan Wooden handicraft particularly the furniture part is an unbranded commodity and hence manufacturers generally do not have to spend too much on the promotional part. It is better for them to increase the margin given to the retailers so that they push the company product more in front of the customers. However in order to differentiate our offering and to capture the customer base, it is necessary to have a basic strategic marketing plan. The following would be the strategies used by us: Steady supply with timely delivery to fulfill the demand in the market thereby providing products with high quality Products would be given emphasis on the design front. Designs would be based on several themes Orders would also be taken online from the customers apart from being available in the retail The company plans to both manufactures the products locally in the UK market as well as import some of it from the Indian market. Indians play a vital role in UK both in terms of trade and demographics and thus there is a market to serve the Indian community. The other reasons to source the products from India are: The demand for Indian wooden handicrafts is evergreen. It is both difficult for the labour in UK to produce these handicrafts as the design in Indian art work is quite intricate. Hence it is decided that some portion of our products would be sourced directly from the Indian producers, mainly based in states like Rajasthan and Madhya Pradesh. Indian being a developing country, both the labour and raw materials are quite cheap as compared to other developed countries. Hence it makes sense to outsource some of the production work. Indian artisans are well known around the world. British make a major portion of the people visiting India every year and hence they come in contact with Indian art and culture too. Thus getting products from market like India helps in understanding the customer taste and keep the product portfolio up to date. Some of the Indian players which have been shortlisted and considered for sourcing of the products are as follows: Khan Arts India Madnik International Goyal India Indus Trade Handmade Crafts Antiquity Handicrafts All the products in the portfolio would be sourced from these six major exporters in India. These players have been selected after thorough search of their business and their financials. They enjoy good reputation in the Indian market and also export to other players in different countries. It is decided to have business with six players as it will help us diversify our risk and help us maintain a steady flow of products from India. These players are from different parts of the country and thus the products served by them would have different designs as India being a vast country has many sub cultures which attract many people worldwide. Technical Analysis Wood carving is a time consuming process as craftsmen take time to make every piece. The process may take a week to months depending upon the level of intricacy in the design. The process use a lot of different tools also like saw, lathes, drills, chain saws etc. Machinery Involved The following machinery would be used by the workers in the business: Chemical treatment plant Seasoning plant Surface planner Grinder Driller Gaze machine Sanding machine Structure and Civil Work Labour Requirements Handicraft is a labour intensive product and thus a lot depends on the kind of labour employed. Financial Analysis Basic Assumptions underlying the financial projections The construction period will last one year The company would work 365 days a year The expected capacity utilization will be 60% in first year, 65% in second year and the increment based on past performance. The term loan would be re-paid in 14 equal half-yearly installments. The interest rate on the outstanding term loan would be 12% The bank finance for working capital will cost interest rate 12% The depreciation rates for company law purpose would be Building 3.34% Plant and Machinery 8% Misc fixed assets 5% The suppliers for raw material would provide credit for 15 days The salvage value is assumed to be 5% of fixed assets. Sales Forecast Sales Forecast (units) Year20102011 2012 Units95001200015000 Conclusion The business plan has been prepared keeping in mind all the factors and taking financials to the best of the present picture. It is therefore expected that the actual outcome would represent the true picture of this outlined plan. Finally, my personal interest in this field will lead to establish my own business. These will result in successful and sustainable business. References Andrews, J.(2009).Handel allinglese, Playbill,. Accessed from: http://www.playbillarts.com/features/article/4236.html (Last Accessed: 5th March 2010) Barlow, I.( (1991) Metropolitan Government. Accessed from: http:// www.new.wales.co.uk (Last Accessed: 5th March 2010) Boseley, S (2009). The question: Whats behind the baby boom? The Guardian. Accessed from: http://www.guardian.co.uk/lifeandstyle/2008/jul/14/familyandrelationships.women (Last Accessed: 5th March 2010) Garrison, Webb B. (2008).Why You Say It. Accessed from: http://www.readbooksonline.net (Last Accessed: 5th March 2010) MacLeod, Donald (2006). Britain second in world research rankings. The Guardian. Accessed from: http://www.guardian.co.uk/education/2006/mar/21/highereducation.uk4 (Last Accessed: 5th March 2010) Mathias.P (2001). The First Industrial Nation: the Economic History of Britain. Accessed from: http://www.johnbirchall-economist.com (Last Accessed: 5th March 2010) Mathias.P (2001).The First Industrial Nation: the Economic History of Britain. Published by: Routledge, ed.2, pp. 56-58 Mensah. J (2006). British culture on a high rise. Robertson, Kirsty (2006), How to Knit an Academic Paper. Queens University, 30 March 2006 Sumption, M.(2010). The UKs new Europeans: Progress and challenges five years after accession. Equality and Human Rights Commission. Accessed from: http://www.equalityhumanrights.com (Last Accessed: 5th March 2010) Bibliography Bhagat, Usha, ‘Life to a dying art, The Hindu: Folio, 21 March, 1999, pp. 45-56 Rajkumar, Nonika, ‘Life to a Dying Art of Embroidery: The Chmba Rumal, House Calls, Vol 2, No. 1, March-April 2000, pp 12-21. Philippson, Peter, British Gestalt Journal, Vol.1 No.1, July 1990 Chamberlain, A. H., Opportunities and limitations of paper and cardboard in school, Manual Training Magazine, January, 04, p 34 Cremins, J. C, ‘Design in the primary grades, Year Book, Council of Supervisors of the Manual Arts, 2006, pp 74-76. Daniels, J. F., ‘Library handicraft at Greeley, Manual Training Magazine, Jan., 2001. Dodd, A. E., ‘Handwork training for the normal student, Proceedings Eastern Manual Training Association, Ed. 2, pp 93-101 Bailey, H. T., ‘Analysis of modern printing, The Printing Art, May, June, 2007, pp -84-89.

Thursday, September 19, 2019

Women and Resilience in Khaled Hosseini’s A Thousand Splendid Suns Essa

Afghan-born American novelist and physician Khaled Hosseini’s second bestselling novel, A Thousand Splendid Suns, written in 2007, is set in â€Å"war-ravaged landscape of Afghanistan†, and it focuses on the tumultuous lives and relationship of Mariam and Laila. In contrast to Hosseini’s The Kite Runner, which is a story of â€Å"father-son relationship†, this novels is regarded as â€Å"mother-daughter story† by the author himself. The novel relates the story of Mariam and Laila in four parts. The first part focuses on Mariam, while the second and fourth part on Laila, and the relationship between the two women in the third part. At the background the novel also recounts Afghanistan’s troubled history of last several decades, through the eyes of a segment of the Afghan population that probably suffered and lost the most during that period, that are its women. Through this pitiable story of two women married to a man Rasheed, who oppress the m physically as well as psychologically, the author tries to represent the situation of Afghan women, who are not only affected by the war but are also being oppressed by their domestic rulers, that are their husbands. The present paper attempts to examine the afghan women, oppressed under the rule of patriarchy, whether at the domestic level by their husbands or at social order under Taliban rule, and their resilience and tenacity to survive, which is clearly identified throughout this novel with a glimpse of hope at the end, as the rains return, the cinemas open, the children play and the orphanages are rebuilt. Khaled Hosseini brings in this novel the subject of women suppression in Afghanistan along with the various other restrictions of education and familial subjugation. He has created the man-d... ...ize that when oppression goes too far, whether through an individual or the state; once oppressed, subjugated or downtrodden can rise up against the tyranny. Hosseini, through the love and affection of Mariam and Laila for each other, portrayed â€Å"amazing resilience of human spirit where hope unfolds like a tiny, frail plant in the most unlikely places† (Null and Alfred 123). Works Cited De Beauvoir, Simone. The Second Sex. Trans. Constance Borden ad Sheila Malovany-Chevallier. Inroduction by Sheila Rowbotham. London:Vintage Books, 2011 (1st Ed. 1949) Hosseini, Khalid. A Thousand Splendid Suns. Rivekhead Books, 2007. Web. Null, Linda and Suellen Alfred. â€Å"A Thousand Splintered Hopes†.The English Journal. 97.6. National Council of Teachers of English (July, 2008), pp. 123-125. http://www.jstor.org/stable/40503428. Accessed: 24/02/2014 06:40

Wednesday, September 18, 2019

My Favourite Vacation Spot is St. Martin Essay -- Personal Narrative,

I got dazzled once again by the beauty of St. Martin. St. Martin is undoubted a special place for vacation and one of the most beautiful islands in the world. Among all the places I have visited, it is the most unique. If anybody asks me about a vacation spot, the first thing that comes up in my mind is St. Martin. This is not for it is in my country but for its explicit natural beauty, social environment and the facilities available there. Natural has its own world in St. Martin. The island is about two kilometres long and the deep blue water all around it is outstanding to watch. Rocks of different sizes and types are all around the beach, some of which are with razor sharp spikes that can cut your foot into pieces if you step on them. Moreover, different coloured sea weeds and live corals can be seen on the rocks which are submerged in the water. St. Martin is the only Island in the world with live corals. There are more than thousands of different types of coral in this island. Scientists say that this island actually grew from this coral by the metamorphosis of different c...

Tuesday, September 17, 2019

Over all Impacts of Hobby Lobby Case Essay

As the Supreme Court has ruled against the ObamaCare mandate recently, commonly referred as the The Affordable Care Act (ACA), many of the religious communities are overwhelmed about the decision and take it as a victory whereas others are outraged about this situation as women community will be greatly affected by the rulings of the court. It is a setback for the women society that in the name of religious liberty they will be deprived of their medical concerned issues. The companies that consist of religious ideology will be able to legitimize something that may harm others. Certainly these events will have constant series of effects on the society and as well as some changes may also occur in the legislation relating to ObamaCare. Obamacare covers twenty types of birth control, upon four of them; the court has objected (Tom Cohen, 2014). Hobby lobby states that it is showing efforts to provide religious freedom but majority of the public don’t agree with this statement. Instead people are outraged that it is interfering in their personal lives. It will not let them exercise there constitutional rights. Moreover they would be forced to obey or practice something that they don’t agree upon. People will not tolerate that there liberty and freedom will be in risk. Soon the similar types of entities like Hobby Lobby will be legitimizing discrimination against gays and lesbians by businesses (Salon.com, 2014). Defintly it would be unethical of doing so because what kind of an individual is having relationships is their personal right. In the name of faith and religion they will be creating barriers in there jobs and at work places. On the stance of ethical issues, the question arises about the religious liberty. Will it really make us a good Christian or minimizing our choices and freedom? It will be unacceptable by the public that the Supreme Court has legalized something that creates discrimination and deprives women from their medical rights. Indeed it is a biased decision made by the Supreme Court. In the light of the decisions made, employees of any company will be obliged to practice the religious beliefs practiced by their owners. Common people have a religious perspective that, every individual is responsible for his or her own deeds and will be answerable to God. But the decision that has been taken in this case by the court will certainly snatch the liberty from the company’s employees. Upper management will be able to force their religious beliefs and customs down the throats  of their employees. On the other hand, the decision will have negative effects on the women employees as majority of them may have a chance of suffering from medical problems for example in case of ovarian cancer, ovarian cysts, they won’t be able to get enough or no treatment because of the objection of contraceptives. Thousands of women employees of these companies would have to pay double or be out of their birth control plan (Tom Cohen, 2014). It would be unethical for the companies for interfering in their employee’s private personal medical matters. References Tom Cohen, C. (2014). Hobby Lobby ruling much more than abortion. CNN. Retrieved 4 October 2014, from http://edition.cnn.com/2014/07/02/politics/scotus-hobby-lobby-impacts/ Salon.com,. (2014). Hobby Lobbyà ¢Ã¢â€š ¬Ã¢â€ž ¢s secret agenda: How ità ¢Ã¢â€š ¬Ã¢â€ž ¢s quietly funding a vast right-wing movement. Retrieved 4 October 2014, from http://www.salon.com/2014/03/27/hobby_lobbys_secret_agenda_how_its_secretly_funding_a_vast_right_wing_movement/

Monday, September 16, 2019

How useful are the sources A to G for explaining why there was an anti-war movement in the United States during the late 1960s and early 1970s?

The movement against the Vietnam War in 1960s America was one of the largest of its kind, in both national and international comparisons; the movement was heavily linked with other reform groups which were pressurising the American government during that time period. Due to this, opposition to the war came from a diverse number of groups who each had their own reasoning for their anti-militaristic stance – ranging from veteran's opposing based upon their experience or Civil Rights demonstrators who felt they were trying to uphold the rights of the Vietnamese people, whilst not necessarily having the same themselves, domestically. What facilitated the exacerbation of the anti-war movement was the greater access to uncensored information in the extensive television coverage from Vietnam; not forgetting that the right to freedom of speech was also capitalised on by those in education who sought to bolster the importance of student activism, and their pressure group status. Others viewed the conflict as a war against Vietnamese independence, or as intervention in a foreign civil war; others opposed it because they felt it lacked direction and appeared to be potentially unsuccessful – devastation for a nation that was, and possibly still is, the largest international influence. Source A Source A, an extract from the book ‘Four hours in My Lai' by Michael Bilton (published in 1992), is a piece that mainly focuses towards the military aspect of the war and the effects of the involvement had on real life soldiers – this would be the case, given that this secondary source is based upon an influential telling of events by some individuals who were involved in the My Lai incident on 16 March, 1968. The U. S. soldiers who had been interviewed for this process – a T. V. ocumentary had been produced prior to the publication of the book, in the late 1980s – may have been asked the questions quite a few years after their involvement in the war, but this bears not much significance on what they say – the vivid memories they would hold of that event would not leave for a long time and so, by and large, would be true to an extent beyond doubt. The source itself mentions that the â€Å"increasing† number of recruits scored â€Å"so low† on intelligence rankings that they wouldn't normally have been given a place in the regular U. S. Army during a peace-time period. It then goes on to mention how the tours of duty affected each soldier, with some dying in the first month of duty as this was â€Å"highly likely†. Due to the soldier rotation and their differing lengths of duty (some of the soldiers were wounded, so would not serve the same length as those they had arrived with, for instance) the inexperienced recruits were often polarised by the conditions they faced – they were quite different to those they had probably been trained in, in the United States. The result of this continuing spiral of poor strategy and younger and younger recruits et al. meant many of the objectives which had been planned, ultimately failed in response to the effort which was being put in; low morale in existing, serving soldiers also played its part. A consequence of lack of planning and poor skill within soldiers trained, spontaneously affected those back home who saw lack of progress, especially at a time when the taxes were being increased by Johnson. With regards to the question, how useful is it for demonstrating why there was an anti-war movement – it isn't that useful, since it doesn't mention any of the direct causes itself, instead implying various reasons for one explanation (i. e. giving reasons for the lack of progress which frustrated those in America). However, it does also give an impression that with the large numbers of deaths came great anger within communities who had lost a relative, a friend or somebody else. This could be integrated into the logic behind the personal rationale that fell behind another reason why people demonstrated against the Vietnam War – they wanted to see an end to the ‘bloodshed' and ‘unnecessary killing' that engulfed the media reports throughout the U. S. Its advantages are also its downfall, ultimately – the limitations of the source are great, as it doesn't consider the financial burdening on tax payers (or any other economic aspect), the Civil Rights movements, the failure of the Great Society programme, the suffering of the Vietnamese people shown in the media, or the media influence itself. So, therefore, it is useful for explaining the problems faced by the troops on the ground in Vietnam, who will have encountered people who weren't responsible, nor mature enough, to make their own decisions and the horrific effects of the war on the Veterans – something they took back from their tour of duty, exacerbating the anti-war movement as people flocked to prevent their relatives from being seriously maimed or killed. Source B Source B, a photograph taken during a napalm attack on June 8, 1972, demonstrates the true extent to which the American bombings were taking their toll during the Vietnam War – the children running representing the apparent innocent victims that were being brutally murdered in raids that were deemed unacceptable by the majority of the American population. All of this contributed to the â€Å"Credibility Gap† which describes almost any â€Å"gap† between the reality of a situation and what politicians and government agencies make statements about. Once those who were reading the papers were shocked by the initial target of the bombing raids, anger would turn into questions as they would seek who lied about the reality, perhaps even wondering what else the administration may not be revealing the full facts about. The deeper the credibility gap, the larger the polarisation of people from the Vietnam War, who would now see it in a negative light and therefore would not be likely to support it, both financially and physically through public endorsements. As a primary source, it's hard to find fault with the photograph – it isn't likely to be redacted so it shows one side over another, and is also fairly neutral as it shows the after-effects of the American incursion, rather than something happening at that very moment. However, as the media was part of the continuing anti-war movement, this photo could in fact show only one incident that ever occurred but was highlighted for additional emphasis to their campaign – given the accounts of citizens and U. S. soldiers, however, that is unlikely to be true. As its overall purpose was intended to shock the readers in the U. S. A. , it is difficult not to find that this picture was as an asset to the movement given that it was taken by dedicated photographers, in this particular case, a Vietnamese one – Nick it – who would have wanted the war to be stopped, given it was his country that had been drawn into a long and bitter war. This isn't its only limitation however, as a photograph it only captures one event at one time, so by default it can't take into consideration other reasons for the anti-war movement. Saying that, it has a specific purpose to underline that the government was lying about certain aspects of the war that it wanted to keep hidden – this was released to make citizens aware of this fact. It is therefore useful for giving us some idea why there was a contra-militaristic viewpoint in the U. S. and why people were prepared to act upon that. Source C Source C, an extract from the publication of personal memoirs in 1982, gives us a personal perspective to an individual soldier's experience in the Vietnam War and McCarthy also reflects upon the intimacies of his encounter with the Vietcong. Whilst describing one event that occurred early on in his tenure as a rifleman, we see that – as with many other U. S. oldiers – he wanted to kill the Vietcong upon hearing and seeing the effects of their guerrilla warfare tactics which meant that damages could be incurred by the Americans but often, there could be no retaliation given that the enemy couldn't be seen. McCarthy makes note of this saying that even in daylight it was hard to distinguish between those who were part of the North's continuing campaign for the liberation of the South and those who were just normal peasants – this resulted in more deaths than had been initially projected. Due to the fact that often the enemy was not visible until it was too late, or in en masse confrontations, it was difficult to foresee a war that could be won by the Americans – too many losses were sustained, whilst relatively modest amounts of VC combatants were being killed in fighting locations. Not only that, the VC also had foreign backing with the aid of China and the USSR helping with the funding and the strategic logistical movements of weapons. McCarthy mentions that â€Å"[†¦ we knew guys' wives, mothers, fathers and kids† – suggesting that the impact of the deaths reached beyond the remit of the immediate family and affected other people, the soldiers' themselves even – who's stories of the deaths would return to their communities when they returned from their tour of duty – all of which would be passed on to the public who's view of the war would possibly change from supporting to opposing based on what they hear, and see on the te levision and in the newspapers. However, there are other omissions from the source; there is no particular relation to the failure of the Great Society programme or the struggle for Black Rights, for example. Nevertheless, that would hardly be needed in the personal memoirs of a soldier who has possibly died – commenting on the situation as he felt it would not need to include any information which was not relevant to the experiences he had had. Due to there being no information to suggest other reasons for the anti-war movement, it could be considered not as useful for the purpose of investigating why but it does give us a personal reflection and wouldn't be biased for the simple fact that nothing was to gained for the author by writing this piece. Source D Source D, an extract from a newspaper piece by American journalist Richard Hamer in 1970, is a primary source revealing an extent to which the conflict was affecting those who were militarily involved – the fact that often the Vietcong were ‘invisible' or ‘out of range' meant that often the troops became frustrated in their objectives and all too regularly lost sight of a war that could have been won if the South Vietnamese government convinced the peasants of the benefits of capitalism. Due to the complications with invisible attackers meant more and more lives were being lost and no retaliation could be given – this sentiment is also present in Source C. This source runs along a central theme, however, and is clearly against the war and the actions of some renegade soldiers who felt it necessary to commit atrocities like those at My Lai. At the time, this would have been a damaging piece of writing for its noticeable anti-American stance – despite the writer being an American citizen. This in itself shows the deep degree of pacifism within the United States at the time, but this could, nevertheless, be part of a wider-ranging media campaign to prevent any further actions in the war due to other factors, perhaps the increase of taxes – this would indicate that it is possible that Hamer wasn't anti-war based on the prospect, rather the inconvenience it caused him. The fact that this was released during the period of war means it is also linked to the credibility gap; its exposure of American counter-tactics would almost certainly ensure the exacerbation of the anti-war sentiment and give another reason for people already desperate for relatives to return, to not believe what their government was saying. What we need to know however, is whether the information presented in this source is what Hamer actually saw with his own eyes, or whether it was a brief summarisation of stories he had collected from soldiers; if the latter, its provenance could be affected, as soldiers influenced the reporter's personal views. This source was also published one year after the My Lai incident has irreversibly affected most people's views of the Vietnam War – thinking what damage could be done to the reputation of the U. S. A, a country that had protected democracy only 20 years earlier in the Second World War – this could then, be a piece catered towards their views, however, that is unlikely given the deep sense of conviction within the content of the source and the way in which he has written the piece. This sense of betrayal by American soldiers extended to within the hearts of the communities across the U. S. who saw individuals committing acts which could not be seen as ‘her oic' in any respect. However, it is important to remember that most of the Vietcong were invisible to an extent – they did use purposeful tactics that did have an effect; most of the time soldiers did not who they were engaging with within the dense forests and this did have devastating effects on those on the ground. Those injured in the attacks would return back to the U. S. sharing their stories and further affecting people's views on the war that wouldn't finish for (officially) 5 years after Source D was published. The use of the word ‘one' (in this context it is in reference to the collective American force) seems almost like a paradox – the righteousness of that word compared with the conditions that were faced on the ground in Vietnam. As it focuses towards these aspects more than the other possible reasons for the anti-war movement, it may be seen as not that useful; however, I would strongly discourage any sort of thinking along that line. It ascribes the particular tensions between the two rivalries on the ground as VC entered into guerrilla combat with the Americans, who hadn't been trained to a great level in that respect, and with the luck of hindsight suggests to us why there was an anti-war movement within the country – it's clear that the media used an en masse approach to their reporting of the Vietnam War, ensuring that the readers of their reports were to be influenced by their ideology on the subject; whether it was because the papers' were more left-leaning or were simply against the war because of the financial cost, for example, is of not much significance. Its main limitations are the fact that it doesn't mention some features of the war that turned people against it, such as the government's preference of that over the Great Society programme (being at a bad time, given that Black Rights had already suffered setbacks with the Martin Luther King assassination a few years earlier) and the drafting of poorer people from disadvantaged backgrounds, regardless of race. Source E Source E, a cartoon published by the satirical magazine ‘Punch' in 1967, demonstrates the international view of the American involvement in Vietnam. Although it uses the failure of the key Great Society programme of the Johnson administration in its depiction of â€Å"the costs of the Vietnam War†, it does not discuss the effects of that failure or suggest any possible reasons for that (increased spending elsewhere, aside from the military, for instance). Another point is the fact that as Punch is a British magazine, it would be assumed that they would favour the side that had helped them defeat the Nazi threat in the 1940s, but no, it could be interpreted that they instead believe that money is needlessly being wasted on something that they themselves weren't involved in – perhaps because of the recovery that was still ongoing in the UK. In the cartoon, we can see President Johnson dismantling the US economy ‘train' (perhaps with connotations as a gravy train – the sentiment prior to the war that was against the Communist threat, whereas now it wasn't) in favour or the war in Vietnam he had initiated with the conspiracy regarding the Gulf of Tonkin incident. The smoke billowing from the train's engine funnel reads ‘Vietnam', backing up the British thought that money was needlessly being wasted in a dirty war. The source itself was published in 1967, not that long into the actual fighting phase of the war, but still after key events practically highlighted the fact that the programme Johnson had promised during his presidential re-election campaign of 1964 was failing. The effects of the unsuccessful plan meant that many of the potential conscriptees were turned against the prospect of being involved in the war; their family would have already been affected by the change (as often those drafted were from impoverished backgrounds) but the deprivation would not only have an effect on them, it would also radically change those opinions held by the rest of their family. It would yet another reason to oppose the war, especially considering taxes had already risen enough to concern the financial well-being of most families. The limitations of the source are clear; it, as many others, doesn't consider many of the aspects that made up the significant anti-war movement in the early 1970s – the Civil Rights demonstrations (which is surprising given that those most affected by the collapse of the programme were mainly of an African-American ethnicity) or the media campaigns et al. Punch, as a satire magazine may not be the most reliable or sourcing though – as a magazine dedicated to cynicism and making mockeries of political blunders, means with that purpose and the fact that evidently Punch were against the war, means the provenance of the source could be affected. On the other hand, it could be useful for explaining the views held by those who weren't personally involved in the tragedies of death or affected by the charges made by the American government. Source F Source F, a partial transcript from a seminar conducted by Robin Day in 1970, although addressing a British conference reflects upon the explanation for the sizeable increase in the anti-war attitude that had overran the initial support in the late 1960s. Day, a highly revered individual within the British media at that time, would have been eagerly listened to in the RUSI (a government think-tank studying naval and military science) seminar that took place during the latter stages of the Vietnam War; Day gives what he thinks was the overwhelming reason that formed the basis for all the opposition against the war – the repeated and consistent images of Vietnamese (and American) brutality on the television. He believed that the repeated visualisation of what was really happening (given that during previous wars, colour television in real-time was not a reality) made images resonate within the minds of the communities across America, who, on top of various misgivings they already had for the war would now act upon that; it brought a sense of to reality â€Å"a situation 10,000 miles away from home†. Whilst saying that, he doesn't explicitly refer to this being the single factor – in fact, it was the media campaign in its most general form – it was the more â€Å"uninhibited [coverage]† as opposed to specific things that may have been seen. These images, as with the other sources that represent other media items released during the war, widened the credibility gap between the political establishment and those who it governed. Day had been reporting the Vietnam War since it had begun only a few years prior to this seminar and was knowledgeable on the topic of why and when the war really developed in the full-scale conflict it did. This in turn means that the provenance is supported because we can rely upon this fact as meaning he would understand the complex motivations for particular events. This could, however, be his downfall – as in that time he could have developed anti-war views based on what he had seen and been reporting, that is unlikely though, given the general neutral tone of the source. The limitations to the source are obvious as some other causes for opposition included the returning wounded (and the much publicised deaths of) soldiers amongst others. Source G Source G, a 1989 film adaptation from an autobiography of Ron Kovic, which contained extensive notes on his experiences in the Vietnam War – a war which left Kovic paralysed for the majority of his body. In the film, the key points are: * It is apparent that some of the authorities wanted to hide the veteran soldiers, due to the fact that they were a key component of the anti-war movement. * There were protests against the 1972 Miami Republican Convention, at which Nixon received his party's presidential nomination. * Some Republicans defended the war to an extent. * Often violent scenes when pro and anti war movements met. Some even mentioned that anti-war supporters were â€Å"communists†, because of their support for pacifism and, although largely incorrect, left -wing socialism. Although Kovic was the inspiration for the story, Oliver Stone, the producer of the movie adaptation, was also someone known for his vehement opposition to the conflict in Vietnam. Through this film, Stone almost tries to change people's perceptions of the war; the dramatic re-enactments of events that happened and the exact quotes used in history re-quoted giving it a sense of reality. Kovic mentioned all the reasons why he was anti-war in the film extract, with the delegates in the background all shouting â€Å"four more years† as Nixon promised to withdraw the soldiers. Although produced some years after the end of the war, Stone still lacks the critical evaluation of both sides of the story, instead tending to focus on the anti-war movement almost completely – but then, he would, he was an activist himself, trying to stop the deaths and serious maiming of further service personnel. The purpose of this film was to give the impression that the Americans were wrong to go to Vietnam in the first place (as Kovic's character clearly says in â€Å"the poor Vietnamese seeking freedom for hundreds of years†) and that despite the intermittence between the end of the war and the time of the production, Stone's views had not changed on the subject. In that context, and the fact that the film is much more dramatic than necessarily need be, it is easy to assume that this is a piece of biased film-making – despite that, it is useful for one thing; informing us of the thoughts of people who had experienced the full horrors of the conflict and the effect it had on them. It is also historically accurate as all the dates, places and people are all correct – only the story itself is elaborated – therefore it is reliable in some form. Referring back to the original question, â€Å"How useful are the sources A to G for explaining why there was an anti-war movement in the United States during the late 1960s and early 1970s? † – I would respond by saying that some are more accurate than others in terms of their respective historical context, their individual purposes (some are cartoons, some are memoirs), and the reality that some are more reliable than others as they represent individual events on film or simply people's thoughts on the war. In terms of usefulness, they have a collective worth as when combined they allow a fuller picture of the war to be completed – as opposed to thoughts garnered from one source. In some sources, the usefulness could be undermined by the purpose or the provenance of each source – authors all have different views on what they write, but this can also be played to our advantage as even this in itself can represent the effect the conflict had on individual writers. Primary sources are not necessarily more beneficial as those that are produced as secondary sources, as often even in these cases, bias is still present – often we forget that in secondary sources, the author has had the chance to evaluate many of the explanations for something of a long period of time before publishing their thoughts – this can give us a better view of what really happened.