Mental Illness Is Nothing But Brain Illness - 1466 Words

Mental Illness is Nothing But Brain Illness Is there anything more frustrating than finding out that scientific theories that were considered great ideas back then if applied to today’s world should be tossed away? These theories are not a secret and I can go on and on; but similar to these scientific theories, there is a theory about the mental illness are brain illnesses. This is not true because a mental illness is referred to as â€Å"a wide range of mental health conditions that affects your mood, thinking and behavior† (mayo clinic). In a recent edge article, Mental Illness is Nothing but Brain Illness†, which is written by Ian Gold and Joel Gold argue that mental illness and brain illness are two different things. For example, if we have a brain illness, it is only associated with the brain. In order to treat that brain illness, we just have to fix the damage done to the brain because the cause relies in the brain. On other hand, if we have a mental illnes s, it effects the brain; but it makes â€Å"references to the world outside the brain† (Gold). In order to understand and treat a mental illness, we have to â€Å"sometimes move outside the skull† because there are several causes (Gold). I agree with the writer that so much research is done on the brain, but none of it yet can help the mental illness’s patients. So, if we stop associating mental illness as brain illness and research on the main causes, we can prevent some people from getting a mental illness at all. ThisShow MoreRelatedMental Illness Is Nothing But Brain Illness938 Words   |  4 Pagescause of mental illness is our environment. Several environmental components can increase our chances of getting a mental illness. Factors like feeling low in self esteem or anxiety, living in poverty, death or divorce in the family, social or cultural expectations can deeply affect or shape our risks of getting a mental illness. In the article â€Å"mental illn ess is nothing but brain illness†, Ian Gold mentions about this unique disease called schizophrenia. Schizophrenia is a â€Å"psychiatric brain diseaseRead MoreAttention Deficit / Hyperactivity Disorder1398 Words   |  6 Pagesoverlook some of the mental issues in our peers among us, especially in some school systems. At least 20 percent of youth ages 13 through 18 live with mental illnesses today. A mental illness can be defined as a dysfunction of the brain that causes mild to severe disturbances in thought or behavior, resulting in an inability to coupe with life’s ordinary demands and routines. Overall there are more than 200 classified forms of mental illness. There are some types of mental illness that are more commonRead MoreMental Illness781 Words   |  4 Pageshead: MENTAL ILLNESS Mental Illness Natalie Maxwell March 8, 2010 Each year, almost 44 million Americans experience a mental disorder. In fact, mental illnesses are among the most common conditions affecting health today. The good news is that most people who have mental illnesses, even serious ones, can lead productive lives with proper treatment (www.yahoo.com). Mental illnesses are some of the most misunderstand afflictions in today’s society. Too many people think of mental illnessRead MoreAnalysis Of Danny Torrance s The Night 1311 Words   |  6 PagesGrohol, Psy.D.,   head trauma at an early age can be the beginning of mental illness and can initiate psychological issues in the future. â€Å"Psychiatric issues, including hallucinations and delusions, are certainly more common after traumatic brain injury.† (Brian D. Greenwald, MD.) Some may call Danny’s odd encounters with his imaginary friend Tony and the visions he sees about the Overlook Hotel â€Å"supernatural†. However, because brain injury commonly causes hallucinations, it is clear that Danny’s encountersRead MoreThe Media s Influence On Public Perception Essay1272 Words   |  6 Pagesbeliefs stem from the media and how Hollywood portrays fictional characters with mental illnesses. At which point there seems to be a common misunders tanding towards individuals suffering from a mental illness. When it comes to people suffering with mental health, doctors, schools, and everything in between seem to have either a positive or negative outlook on the subject. The stereotypes and misinformation of mental illnesses can lead to a delay in seeking medical help. The media’s influence on publicRead MoreThe Stigma Of Mental Illness1042 Words   |  5 Pagesstigma around mental illness. This judgement we have towards people with mental illness is what keeps some of them from seeking the help they need. The stigma isn’t just from those without mental illness though. People with mental illness often have their own stigmas as well. We need to come together and show men and women with mental illness that it is nothing to be ashamed of. In fact, mental illness can be overcome and improved. One in five adults in America experienced a mental health issue inRead MoreThe Inclusion Of Education On Mental Illness1461 Words   |  6 PagesArguing For the Inclusion of Education on Mental Illness Mental illness affects millions of people around the world. What is surprising, however, is the lack of public information and education about mental illness. With the amount of undiagnosed mental illnesses and disorders as well as the number of suicide attempts that occur daily, it should become a priority for the education system to introduce public classes on mental illness for not just adults or teens but for younger children as well. EducatingRead MoreDepression: Facts vs. False1172 Words   |  5 Pagesas an illness, it affects men and women, young and old, black and white, both mentally and physically. Many believe that depression is simply a creative choice one’s mind, but mental and physical depression is a true debilitating condition. By dictionary definition, depression is a severe despondency and dejection, typically felt over a period of time and accompanied by feelings of hopelessness and inadequacy. In terms of science, depression is explained as a chemical unbalance of one’s brain. ThisRead MoreMental Illness Is A Social Problem1501 Words   |  7 PagesMental illness is a health condition that affects an individual’s moods and thinking in a way that changes how that person relates to other people in society. The functioning of the affected person is also altered and usually results in the person failing to perform some of the daily activities that the person has previously engaged in. Mental illness can be considered a combination of both social and health complications, affecting the social life of the people who fall victim in many ways (ElliottRead MoreSymptoms And Symptoms Of Bipolar Disorder1472 Words   |  6 Pagesdepressive phase. It is a brain disorder where you never know which o ne is going to show up for other people to deal with for the day, or maybe even weeks. Bipolar is a serious condition that can be harmful to the person who is dealing with the brain disorder, but as well as, for those people who are involved in the person’s life. It is very hard to diagnose someone with a bipolar, but what is a bipolar disorder? â€Å"Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes

Fetal Abnormality Case Study Essay - 852 Words

Fetal Abnormality Case Study The advancement of medical technology has made it possible to detect medical abnormalities while a child is still a fetus and can create difficult choices for parents to make if severe anomalies are discovered. There are many theories regarding the moral status of the fetus that can be applied when deciding how to proceed if these abnormalities are detected. In the fetal abnormality case study, Jessica, Marco, Maria, and Dr. Wilson each have varying opinions on what course of action to take based on these different theories of moral status. Jessica is torn between her desire to be financially independent and her belief that all life has value. Her belief is what Sebo (n.d.) describes as moral status based on†¦show more content†¦Maria is absolutely opposed to any mention of termination. She views the moral status of the fetus based on Jessicas responsibility as a mother, or the theory of moral agency based on relationships (GCU, 2015). This theor y states that a person must not interfere with another person or must respect their rights because they have a relationship with them (GCU, 2015; Jaworska Tannenbaum, 2013). For example, the relationship between a parent and their child, or in this case their fetus, provides a particularly strong case for a parent not to kill their child or abort their fetus (Jaworska Tannenbaum, 2013). Aside from the relationship of Jessica and her fetus which may prevent her from terminating, this theory is also applicable in this case to Marco and Jessica, as he is going to support any decision that she makes based on their relationship. It can also be applied to the physician-patient relationship, so Dr. Wilson must respect Jessicas and Marcos rights as parents and their choice because of their relationship. Because moral status has to do with which beings have value or rights, I tend to agree with the theory of sentience. I believe that animals do have rights, especially in terms of biomedica l ethics and research. I may, however, seem hypocritical in this belief because I am not a vegetarian. But in this case, based on this theory I would be likely to terminate the pregnancy at this early stage due to the severe disability and likelihood forShow MoreRelatedHlt 310v Week 2 Case Study on Moral Status1425 Words   |  6 PagesHLT 310V WEEK 2 CASE STUDY ON MORAL STATUS To purchase this tutorial visit here: http://wiseamerican.us/product/hlt-310v-week-2-case-study-moral-status/ contact us at: SUPPORT@WISEAMERICAN.US Max Points: 80 Details: Write a 250-500 word analysis of â€Å"Case Study: Fetal Abnormality.† Be sure to address the following questions: 1. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain. 2. How does the theory determineRead MoreCommon Prenatal Congenital Heart Disease Essay1279 Words   |  6 Pagesrarely seen in typical TOF cases . In the typical form of TOF the fetal echocardiography is often characterized by a normal four-chamber view, a subaortic Ventricular septal defect (VSD), Dilated over riding of aorta seen in a LVOT view, Pulmonary stenosis and an increased Aorta/Pulmonary artery ratio, minimal antegrade flow in the main pulmonary artery and the aortic flow originated from right and left ventricle. All pregnant women with low risk factors , suspected fetal cardiac anomalies and withRead MoreThe Disorder Of Fetal Alcohol Syndrome1018 Words   |  5 Pages Deidra Thomas Virginia College Montgomery -Nursing Program 5/20/2017 Professor Deandrala Huffman Nursing 2310 Pediatric Nursing Abstract [The purpose of this paper is to explain the the disorder Fetal Alcohol Syndrome .This paper will aim to discuss what the disorder is ,it s history how it is diagnosed and the treatment and prevention of this disorder. Taking a sip a int hip Introduction :Behold, thou shalt conceiveRead MoreClinical Trials And Observational Studies1350 Words   |  6 PagesThe efficacy of ACE-I has been widely evaluated in clinical trials and observational studies. In 1983, Captopril multicenter research group investigated the efficacy of Captopril in a 92 cohort with heart failure refractory to digitalis and diuretic therapy. In this randomized, double blind trial, 50 patients were assigned to Captopril and 42 were assigned to placebo group. Over 2-week dosage titration and 10-week evaluation period, the Captopril group revealed improvement in exercise tolerance andRead MoreFetal Alcohol Syndrome1466 Words   |  6 PagesFetal Alcohol Syndrome â€Å"If women didn’t drink anymore during pregnancy, there would never be another baby born with Fetal Alcohol Syndrome or Fetal Alcohol Effect† (McCuen 33). This is a very powerful statement. It is also a very simple cure for an alarmingly high birth defect that all women have the power to stop. â€Å"Every year more than 40,000 American children are born with defects because their mother drank alcohol while pregnant â€Å" (McCuen 34). That is 1 to 3 per 1,000 live birthsRead MoreEffects Of The On Fetal Alcohol Syndrome1206 Words   |  5 Pagesincrease in alcohol intake. During this period, fetal and infant death rates were at it highest [1]. The medical society did not believe consumption of alcohol was the cause of the high rise in birth defects at the time. With the repeal of the prohibition on alcohol in 1933, doctors believed it had beneficial effects to the point of intravenous treatments with alcohol were used to delay preterm labor. In the 1950s to 1960s, there was another rise in fetal birth defects called the â€Å"thalidomide scare†Read More Fetal Alcohol Syndrome Essay1409 Words   |  6 Pages Fetal Alcohol Syndrome Fetal Alcohol Syndrome (FAS) was found, named and treated in the late 1960’s. The term â€Å"Fetal Alcohol Syndrome† is used to describe a lifelong set of physical, mental and neurobehavioral birth defects associated with alcohol consumption during pregnancy. Most women are not aware of the many complications that can occur during pregnancy. Many pregnant women continue drinking right throughout their pregnancy, ignoring the fact that they could damage, and pose problemsRead MoreFetal Alcohol Syndrome And Its Effects1712 Words   |  7 Pages Fetal Alcohol Syndrome and its Effects On a Child’s Cognitive Development Dane D. Hrencher Kansas State University Fetal Alcohol Syndrome and its Effects On a Child’s Cognitive Development Alcohol is known as one the most dangerous teratogens. Every time a pregnant woman drinks, she allows alcohol to enter her blood stream and make its way into the placenta. Unlike the mother, the fetus is unable to break down alcohol that makes the blood alcohol level of the fetus the same orRead MoreDetection of Heart Defects with Fetal Echocardiography1515 Words   |  6 PagesFetal echocardiography is indicated in high risk pregnancies where the chances of fetus having a congenital heart disease (CHD) are likely to be high - for exapmle, in a fetus with extracardiac anomalies picked up on obstetric ultrasound, those with a history of CHD in family, maternal diabetes and maternal connective tissue disorder (Srinivasan,2000). Congenital heart defects are abnormalities in the hearts structure that are present at birth. They are the most common congenital malformationsRead MoreEssay On Biotechnology1520 Words   |  7 Pagesfor the investigation and in-depth sequencing of the human genome particularly for the study of biological markers, translational research and genotyping. Upon discovery of cell-free DNA in maternal plasma, implementation of Non-invasive Prenatal Testing, or NIFTY/NIPT, has been actively performed throughout the globe to test for fetal chromosomal abnormalities, particularly Down’s syndrome. Detection rates of fetal aneuploidies can be done in the first and/or second trimester – as early as 4 weeks

American Way Free Essays

string(83) " to another school where the latter succeeded in writing but failed in arithmetic\." The present term paper will compare the life struggles of the two totally different American historical figures – Frederick Douglass (1818 – 1895) and Benjamin Franklin (1706 – 1790). Although the were dissimilar in regard to their social backgrounds and characters, both of them praised knowledge as the most valid source of power, and were perseverant in their strivings for self-education. We will write a custom essay sample on American Way or any similar topic only for you Order Now Both successfully tried their hand in writing. The comparison of Douglass’ and Franklin’s lives will be supported by the quotes from their autobiographies. Before proceeding to the analysis part, it makes sense to overview the contributions which each of the men made to the United States history. Frederick Augustus Washington Bailey, more widely known as Frederick Douglass, was born a slave. He managed to cast off that yoke only at the age of twenty when he arranged false identification papers to take a long journey from Maryland to New York. Upon joining various abolitionist organizations in Massachusetts, Douglass had been delivering lectures on anti-slavery across the Eastern and Midwestern states as well as across the ocean from 1841 till 1846. In the late 1840s, he became active as a publisher. Acknowledging the Emancipation Proclamation (announced by President Lincoln in 1862) to be one of the most prominent documents in the American history since it declared the liberation of black slaves, the prominent abolitionist fought for granting equal rights to all American citizens regardless of sex and ethnicity. Benjamin Franklin acquired prominence as a writer, politician and scientist. Being born in a rather poor large family, he managed to make money on newspaper editing, printing, and commerce in Philadelphia. Franklin founded the first public lending library, fire department, and political discussion club in the United States. He refined the theory of electricity and invented many important utensils and instruments (i. e. the lightning rod, bifocals, the iron furnace stove, a carriage odometer, etc. ). He grew popular as a politician and civic leader after publicly speaking against the Stamp Act. During the American Revolution, Franklin, the diplomat, managed to chaffer military and financial aid from France. In his later period of life he supported the ideas of abolitionism. To return back to the comparison of Douglass’ and Franklin’s views on the importance of knowledge and education, both were never tired of improving their cognitive skills. Despite totally different social backgrounds, Douglass being a born slave, and Franklin, being the youngest son in the family of a tallow chandler of a British ancestry, were similarly deprived of the regular schooling. The wife of one of Douglass’ masters, Sophia Auld, started teaching Frederick the alphabet and elementary spelling. The woman unintentionally broke the law which forbade educating slaves. In his autobiography â€Å"Narrative of a Life,† Douglass reconstructed the speech of Sophia’s husband who raised his voice against literacy for slaves: If you give a nigger an inch, he will take an ell. A nigger should know nothing but to obey his master — to do as he is told to do. Learning would SPOIL the best nigger in the world. Now †¦ if you teach that nigger †¦ how to read, there would be no keeping him. It would forever unfit him to be a slave. He would at once become unmanageable, and of no value to his master. As to himself, it could do him no good, but a great deal of harm. It would make him discontented and unhappy. (Douglass 36) Although in a racist and humiliating form, the slave master emphasized the great role of knowledge and education for a human being. Having learnt to put letters into words, Frederick understood how right his master was concerning the importance of studies: It was a new and special revelation, explaining dark and mysterious things, with which my youthful understanding had struggled, but struggled in vain. I now understood what had been to me a most perplexing difficulty — to wit, the white man’s power to enslave the black man. It was a grand achievement, and I prized it highly. From that moment, I understood the pathway from slavery to freedom. It was just what I wanted, and I got it at a time when I the least expected it. (Douglass 36) These thoughts of the famous abolitionist prove that literacy could expand mental horizons of Afro-Americans so that they were able to trace inequity in social life of the United States in the early 19th century. There colored people were degraded to the position of hard-laboring and powerless beasts. A talented boy had to continue his studies in secrecy, opposing to his masters’ intention of â€Å"shutting [him] up in mental darkness† (Douglass 36). Being sent on errands, Frederick used every opportunity to learn letters from the white poor boys in the neighborhoods. The young slave enjoyed reading because it â€Å"gave tongue to interesting thoughts of [his] own soul, which had frequently flashed through [his] mind, and died away for want of utterance† (Douglass 42). This happened when Frederick managed to read one of Sheridan’s speeches which inspired him to think over the nature of truth and its impact on conscience. Possessing a sharp wit, Douglass learnt to write as he watched the ship carpenters marking timbers. He also copied the Italics in Webster’s Spelling Book and finally succeeded in producing the letters correctly without peeping into the copy-book. Frederick dared even to take the copy-books of his masters’ son to practice in handwriting. One would admire the strong will and courage of the young slave who progressed in learning at the risk of being severely punished. Franklin’s path of education started in a less secret way. His father hoped that his son would make a career of a clergyman and sent the boy to the grammar-school at the age of eight. Benjamin showed a quick progress in learning so that he managed to jump from the first to the third class within one year. However, the senior Franklin found the cost of studying at that educational establishment too high and placed his son to another school where the latter succeeded in writing but failed in arithmetic. You read "American Way" in category "Papers" At ten Ben was taken home to assist his father in candle business. As Franklin recollected, he used to have â€Å"a thirst for knowledge† (14) and used every opportunity to expand his father’s small library by buying new books. He mentioned Plutarch’s â€Å"Lives,† Defoe’s â€Å"Essay on Projects,† and Dr. Mather’s â€Å"Essays to do Good† as the books which influenced his mind in the earlier period. The boy continued his self-education when he was made a printer’s apprentice. He borrowed books from booksellers’ apprentices and used to read at nights so that he could return them the following morning. When a wealthy tradesman Adams by name invited Benjamin to his library, the boy showed interest in poetry and attempted to write his own ballads. In the autobiography Franklin called his earlier verses â€Å"wretched stuff† (15) and explained that he preferred to master his writing skills in prose. Benjamin wrote a few letters to his friend to share some thoughts on women’s abilities for study, and the senior Franklin happened to read those letters. He praised the son for â€Å"correct spelling and pointing† but criticized for the flaws regarding â€Å"elegance of expression, †¦ method and †¦ perspicuity† (Franklin 16). The younger Franklin decided to train himself by imitating the style of the Spectator magazine that focused on political and current events and by turning some tales into poems. Thus Benjamin made a progress in expanding his vocabulary and arranging his thoughts in the better structured phrases. Finally the future ‘Founding Father† of the United States became satisfied with the results of his efforts: By comparing my work afterwards with the original, I discovered many faults and amended them; but I sometimes had the pleasure of fancying that, in certain particulars of small import, I had been lucky enough to improve the method or the language, and this encouraged me to think I might possibly in time come to be a tolerable English writer, of which I was extremely ambitious. (Franklin 17) Around the same period Franklin studied arithmetic and navigation. By attentively reading Xenophon’s â€Å"Memorable Things of Socrates† he practiced in the Socratic method of conducting disputes and refined his grammar. Benjamin aimed at â€Å"expressing myself in terms of modest diffidence† (Franklin 18) in his writings so that the argumentation contained both pros and contras related to the main thesis. At that time the perspective political theorist and polemicist designed an original concept of a good and authentic manner of writing. In his autobiography, Franklin emphasized that knowledge brought power to an educated man. Literate people could use their aptitude in eloquence and writing to persuade people into the things that would otherwise have been neglected or labeled as wrong. Since the scholar believed that â€Å"the chief ends of conversation are to inform or to be informed, to please or to persuade†, he warned the men of letters against the whim of â€Å"express[ing] [themselves] as firmly fix’d in [their] present opinions† in â€Å"a positive and dogmatical manner† (Franklin 19). He suggested instead analyzing the issues under research in a critical and modest manner so that audiences were stimulated to think independently and freely without prejudices and cliches. It should be noticed that despite different manners of acquiring knowledge, Douglass and Franklin learnt similar lessons from their earlier exercises in reading and writing. Douglass observed that in a course of studies he started contemplating about human rights and the abnormal distribution of power between the master and the slave. On the one hand, as the author recalled, reading was a blessing because it enabled him to get the better command of the train of thoughts. On the other hand, however, it appeared to be a curse since it â€Å"had given [him] a view of [his] wretched condition, without the remedy† and â€Å"opened [his] eyes to the horrible pit, but to no ladder upon which to get out† (Douglass 42). It became evident to the boy that knowledge by itself could not ensure a person’s happiness and well-being and had to be supplied by civic acts. In his turn, Franklin arrived at the strong conviction that â€Å"truth, sincerity and integrity in dealings between man and man were of the utmost importance to the felicity of life† (58). He had the enough independent mind to understand that †¦ certain actions might not be bad because they were forbidden by [Revelation], or good because it commanded them, yet probably these actions might be forbidden because they were bad for us, or commanded because they were beneficial to us, in their own natures, all the circumstances of things considered. (ibid. ) In other words, Franklin opposed the social structure as based on traditions and rigid rules which were imposed by the elite on the rest of citizens. Later those thoughts made the author of â€Å"Autobiography† to fight against any immorality or injustice caused by rich whites to people of another skin color. Douglass and Franklin displayed similar manners of life-long self-education and educating other people, although the results of those efforts for the each were different. Douglass became enough skillful in reading to teach other slaves to read the New Testament, and he was lucky to do that at a Sabbath school on Mr. Freeman’s plantation (the man who hired Douglass from his master). Over forty slaves had been attending lessons for about half a year. Freeman did not object to Douglass’ initiative but other slave-owners hated the very idea of Afro-Americans â€Å"behaving like intellectual, moral, and accountable beings† (Douglass 82). One Sunday a gang of whites attacked the pupils of the Sabbath school during their meeting and put a violent end to the enterprise. Franklin’s attempt to found a public subscription library ended more happily. In 1731, he and his colleagues from the Junto club created the Library Company of Philadelphia to engage people into reading. They sold the so-called â€Å"shares† to shareholders to buy books so that members borrowed them to their convenience. The goal Franklin et al. pursued was very noble: These libraries have improved the general conversation of the Americans, made the common tradesmen and farmers as intelligent as most gentlemen from other countries, and perhaps have contributed in some degree to the stand so generally made throughout the colonies in defense of their privileges. (70) In a course of time, another three public libraries emerged, thus forming a strong educational network in the United States of the 18th century. The foundation of the library provided Franklin with more opportunities to immerse into â€Å"constant study, for which [he] set apart an hour or two each day, and thus repair’d in some degree the loss of the learned education† (79). As it is evident from researching Franklin’s autobiography, this prominent scholar possessed a skill of self-discipline and high self-organization. At the age of 27, this man of knowledge started learning French, Italian, and Spanish. He did it in a peculiar manner: one of Franklin’s friends often tempted him into playing chess, which game Benjamin was fond of. The scholar agreed to do it on the following condition: †¦ the victor in every game should have a right to impose a task, either in parts of the grammar to be got by heart, or in translations, etc. , which tasks the vanquish’d was to perform upon honour, before our next meeting. As we play’d pretty equally, we thus beat one another into that language. (Franklin 99) His own linguistic experience gave Franklin the right to criticize the traditional approach to teaching foreign languages specifically and education in general. I would †¦ offer it to the consideration of those who superintend the education of our youth, whether, since many of those who begin with the Latin quit the same after spending some years without having made any great proficiency, and what they have learnt becomes almost useless, so that their time has been lost, it would not have been better to have begun with the French, proceeding to the Italian, etc. ; for, tho’, after spending the same time, they should quit the study of languages and never arrive at the Latin, they would, however, have acquired another tongue or two, that, being in modern use, might be serviceable to them in common life. (Franklin 100) As the abovementioned passage demonstrates, Franklin valued systematic education for its utility in everyday life. In his perception, knowledge was not only a collection of abstract truths about world order or human morals and ethics but also a very important tool in communication and career promotion. To summarize, education and knowledge were highly appraised by both Douglass and Franklin as it was evident from their writings. It is especially interesting that the men of the so different backgrounds arrived at the same conclusions despite living in different periods of the United States history. Franklin was one of the brightest minds of the 18th century when the country liberated itself from the British rule, and the American nation proclaimed its independence. Douglass belonged to the next age when the United States society became segregated by race, sex, and the issue of origin. Franklin represented the most literate and progressively thinking members of the privileged class which exercised power over poorer classes and people of the races other than White Caucasian. Douglass was the son of the degraded and oppressed folk of Afro-Americans who were formally liberated only upon the end of the Civil War. But, however different were the experiences of these two prominent figures of the United States history, both of them praised knowledge and education as efficient means of destroying inequality, ignorance, prejudice and rigidity of thinking. Both of them emphasized that education liberated the mind and soul from primitivism and barbarism. Both used every opportunity to acquire novel information that would widen their mental horizons and inspire other people to follow the path of knowledge. Douglass â€Å"Narrative of a Life† and Franklin’s â€Å"Autobiography† provide us with vivid and interesting-to-read examples of how human beings could refine themselves and society by being perseverant and enthusiastic in learning. Works Cited Douglass, Frederick. Narrative of the Life of Frederick Douglass: An American Slave. Charlottesville, Va. : University of Virginia Library, 1996. Franklin, Benjamin. The Autobiography of Benjamin Franklin. Charlottesville, Va. : University of Virginia Library, 1995. How to cite American Way, Papers

Supply Chain And Logistics Management †Myassignmenthelp.Com

Question: Discuss About The Supply Chain And Logistics Management? Answer: Introducation DHL Express is German logistics giant and it provides international courier and parcel services (Dhl.co.in, 2017). A logistically linked system is used by DHL using two or more than transport methods with a single rate. The organisation follows mainly common handling characteristics that must be transferred between methods during movement. Transport management services are included procurement, strategic design, order management, track and trace, claims management and career management. Figure: Supply Network Identify and explain transportation choice HL Express has a special facility as they have an extensive road network across the globe and it has its own terminal. The transport of commodities needs high coordination and organisation among different modes of transport (Dekker et al., 2013). DHL mainly uses intermodal transportation. Intermodal transportation uses standardised containers in order to transport cargo on trucks, trains and ships. These containers are kept in rectangular boxes that are capable to shift in trailers. Intermodal can be described as the movement of cargo from the sources to the destination by using several transportation modes. Moreover, each of the transportation has different service providers and each has its own contract independently. Therefore, intermodal transport of supply chain has multiple carriers to be contracted in order to fulfil a single journey (Rushton, Croucher Baker, 2013). DHL intermodal tends to be rail and air segments, however, in between trucks are used frequently in order to connect them. These trucks are named as drayage' and these specialised trucks run between rail terminals and airports. These trucks are also run through inland shipping docks. First, a truck moves empty in order to load equipment and this equipment is loaded in the airport. These trucks then go to the railroad and this loaded equipment put into the trains (Christopher, 2016). The trains then go to destinations and the equipment is cleared off from the train. Then, the equipment is delivered by truck to the end customers. There are multiple parties involved in this system and each of the operation has independent contracts and each of the trucking system tries to meet customers expectations. DHL organisation organised the intermodal transport in its way with following the quantity and nature of the transported cargo. DHL mainly uses intermodal transport for finished goods and intermediate in load units. Moreover, sequencing the transportation modes is important as combination in transportation must follow the frequency of shipments. The process to increase the intermodal in its supply chains As stated by Craig, Blanco and Sheffi (2013), in the transport industry, the companies have various ways to move freight, however, ships, trucks and railroads are the backbones. DHL Express can increase the intermodality in transportation by following the first step to making rectangle containers and it makes helpful to ship items easily in trucks. DHL needs to establish goals and these should be in line with organisational objectives. DHL must research about the potential providers of transportation services and choose accordingly. In recent time, fuel cost is increasing and trucking can be used to connect line-haul' rail segments and airports of intermodal freight movement. Moreover, the trucking is facing the issues of the driver shortage and government regulations are another issue that is concerned with safety (Qu, Bekta? Bennell, 2016). In intermodal transport, the provision of service is based on one ticket (for passenger) and one bill of loading (for freight). DHL is going t o input Electronic Data Interchange that would help DHL to resolve the complex global transport process. In addition, DHL should leverage investment with technology and associated process in order to ensure a network of intermodality. DHL should contact with service providers and make clear about business requirements, scheduling, proof of delivery and en-route data. DHL can ask about the quality of transport, tight capacity and gravitate to the transport buyers. The intermodal network needs data integration from DHL and they should connect the pieces of the network in order to complete the work with consistency. Moreover, DHL makes the connection to service providers to the customers of the organisation; it is required to integrate data in both directions. The use of compartments demonstrates the complementarily between cargo transportation modes by offering a higher smoothness to developments and an institutionalisation of loads. The holder has considerably added to the selection and dispersion of multi-purpose transportation which has prompted significant transformations in the vehicle area (Woxenius, 2014). Through lessening of taking care of time, work expenses, and packing costs, compartment transportation permits impressive change in the productivity of transportation. Along these lines, the importance of holders isn't what they are - basic boxes - yet what they empower; intermodalism. Globalization couldn't have taken its present frame without containerisation. External and internal, both supply chain should be effective in order to make review lanes that DHL is going to use by trucks or rails. Shippers can determine in which direction and ways the trucks should be moving an opportunity to use intermodal cost saving. Lastly, DHL needs to develop lasting and strong relationship throughout the truck-based supply chain by using internet of things (IoT). Critically evaluate the advantages and disadvantages of the new intermodal transportation choices Advantages: Intermodal transportation can influence the global economy by taking manipulative roles in goods management. Most importantly, DHL can get benefits to review the components of contract as intermodal transport allows making multiple contracts. In each contract, it is needed to review the reliability, schedule adherence, sustainability and punctuality of contract. DHL can have standard transport product and its dimension is ISO standard that must allow all vehicles. Management of DHL needs to standardise the dispatch process with working together consistently and efficiently. DHL can have more access to transit schedule and equipment and management can take the opportunity of reverse logistics. Intermodal transportation is reliable and it provides safety advantages. Flexibility of usage is another important factor in variety of goods ranging that can be transported. Freight intermodal transport provides benefits of saving the labour that takes responsibility in saving the time as well. Labours handle the trucks and goods from sources to destinations of the goods. DHL can use different types of containers in transportation like frozen goods, liquefied gases and mini containers for smaller trucks. Most importantly, truck transportation can provide help in carrying the heavy load in intermodal transport (Choong, Cole Kutanoglu, 2012). DHL uses mainly European roads and rail freight combined transports that provide advantages in efficient combination that optimises the lead times and reduce inventory costs. DHL can benefit to control the costs in different levels and it can reduce the carbon footprint of transportation. Different modes of transportations support environmental sustainability. Disadvantages: If roads through which the trucks pass are not good, the goods can get damaged. The items and goods can get damaged while sending through trucks as containers do not provide safety benefits. Most of the containers are old and they are not maintained properly. In order to maintain the damage, the cost can be increased. Truck transportation can delay the overall intermodal supply chain as DHLs trucks use congested areas. Labours can ask for demands and logistics process can get delayed. Intermodal transport can enhance the time spent in waiting for the new carrier to arrive and trucks to be unloaded (Arnold, Peeters Thomas, 2014). Different modes of transport require different materials and contracts in intermodal transport. Some of the trucks need refrigeration, chemical and larger loads, so the cost gets higher. Using diagram to illustrate warehouse floor plans and product movement Warehouse management should be good in order to provide best services to the customers. In each of the warehouses, Amazon keeps at least 10 thousand items and these can be delivered within an hour (Amazon.com, 2017). Amazon keeps these products in shelves and these shelves are organised. Sometimes, Amazons items are randomly stocked on purpose. Figure: Floor plan layout of warehouse Describe and examine the warehouse management Amazon typically uses storage type of warehousing. There are mainly five types of storage, pallet racking, shelving, mobile shelving, multi-tier racking and mezzanine flooring (Mulcahy, 2014). Amazon uses mainly shelving types of warehousing and this type is self-explanatory. These are mainly static shelves rather than mobile pallets. Shelving gives the help in tracking the products easily and it gives the opportunity to access quickly. Anything that is heavy and that is light can be kept in different places. Amazon mainly uses two types of shelving, first one is short span shelving and another one is long span shelving. Amazon mainly uses a warehouse in the US that is more than 10,000 square feet. Typical warehouses keep the similar products together and Amazon does the same. Amazon uses the technology of Warehouse Management System (WMS) technology in managing warehouse with RFID technology (Radio Frequency Identification). WMS is a software application that is used for distribution. RFID uses to track the product tags through electromagnetic fields (Harmon, 2013). Amazon stores raw materials of products such as chemicals, food grains and minerals in the warehouse. Sometimes, Amazon also stores MRO inventory like large machines in the warehouse. Amazon mainly stores finished products and merchandises that are going to be shifted. Identify the companys strategic and operational factors Amazon provides delivery within just one hour of the orders in Prime Now services and it offers in 28 chosen cities in the US. Location of the warehouses mainly keeps near the airports and shipping dock. Physical locations of warehouses keep near the urban section and this place should have lease considerations. Amazon keeps their warehouses where labour forces are available. Cost of warehousing is high for Amazon as storage cost is incurred with this and it is related to the operations administrations (Aikens, 2015). Amazons warehouses are large and they are of 10,000 square feet. The capacity of warehouses is depended mainly set up of shelves for Amazon. All shelves are designed with 50*45*75; the theoretical capacity of warehouses would be 1000 shelves 82 cubic feet. There are more than 1000 shelves in Amazon warehouse. Service level is related to the expected probability of not hitting a stock out. Amazon daily sets the percentage to compute the safety stock (Staudt et al., 2015). Communication in a warehouse of Amazon mostly depended on mobile devices, VoIP calls help to communicate in warehouses. Communications are made to fulfil the order. Mobile device based system of MAS 90 is used in Amazon to communicate. Amazon uses WMS software based database in order to account stock movement through picking procedures and dock arrival times. Propose different order picking principles to suit the companys strategic and operational factors Amazon can use simple storage assignment strategy that is based on storage locations. Amazon can store better products in better locations and that would help in order picking system. Golden Zone concept tells that products must be kept in direct front of order picker and it is better than bend down to reach (Ivanov, Pavlov Sokolov, 2014). If one product is repeatedly needed, it is logical to keep the product near. Critically evaluate how the proposed order picking principles link Inventory types: Storage-based strategy would be helpful for Amazon warehouse as Amazon deals with finished goods. Amazon just delivers the finished goods to the customers. Golden zone concept would be applicable to Amazon as Amazon employees need to pick each item when delivery is needed (Jahre et al., 2014). Ergonomic consideration of the employees is forefront in picking the products in Amazon. Finished goods are kept in shelves of Amazon warehouse, if the goods are kept in direct front of the employees, it would be easier to the employees to access these. Utilisation space Amazon uses small containers in the warehouse that gives the opportunity to use extra space in the warehouse. The items are stored in shelves and containers are small, that give extra space to the employees to work. The employees put the products if the products are not packaged before they are stored in shelves. Golden zone strategy will maximise the warehouse space utilisation through using more labourers in the warehouse. If the products required the small place, it should not be placed in best' location just because it requires small space. Transit space can be used in terms of keeping the products for short time. Stock movement Employees of Amazon warehouse are responsible for the movement of the stock and goods. Management needs to establish operating stocks based on a rate of usage. Stock levels can be rechecked. The employees must ensure monthly stock in the warehouse. In assigning the products in each month and week, storage location must be good and easy to pick. Shelf dimension must be spacious and it would give a benefit of stock movement and it would help to keep monthly stock usage report. If the storage of the items is good then, in warehouses of Amazon, RFID technology is most used and in previous time barcode technology was used. RFID solutions help to identify the products even it is far from the warehouse and electromagnetic field helps to us in easier, faster and cost-effective manner. Amazon is one step further in picking the technology and they are using Augmented Reality Picking. Employees use glass and it gives benefit to identify the products with tags. Amazon also uses RF handheld scanners with ERP system enabled to scan the product to have most important information about products (Hbner, Holzapfel Kuhn, 2015). Location of picking Amazon uses Cube Matching technique that is helpful in storage the location. Location of picking is most important as it is related to the ergonomic consideration of the employees. Better location helps to employees in ergonomic access. The products can be stored in pick face of the employees that would give the advantage to pick the products smoothly. Reference List Arnold, P., Peeters, D., Thomas, I. (2014). Modelling a rail/road intermodal transportation system.Transportation Research Part E: Logistics and Transportation Review,40(3), 255-270. [Available at: https://www.sciencedirect.com/science/article/pii/S1366554503000723] Carlo, H. J., Vis, I. F., Roodbergen, K. J. (2014). Transport operations in container terminals: Literature overview, trends, research directions and classification scheme.European Journal of Operational Research,236(1), 1-13. [Available at: https://www.sciencedirect.com/science/article/pii/S0377221713009405] Choong, S. T., Cole, M. H., Kutanoglu, E. (2012). Empty container management for intermodal transportation networks.Transportation Research Part E: Logistics and Transportation Review,38(6), 423-438. [Available at: https://dis.unal.edu.co/~gjhernandezp/TOS/ServiceNetworkDesign/Empty_container_management_for_intermodal_transportation_network2002.pdf] Christopher, M. (2016).Logistics supply chain management. London: Pearson UK. 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(2014).The handbook of logistics and distribution management: Understanding the supply chain. London: Kogan Page Publishers. [Availabps://books.google.co.in/books?hl=enlr=id=39RZAgAAQBAJoi=fndpg=PR3dq=Rushton,+A.,+Croucher,+P.,+%26+Baker,+P.+(2014).+The+handbook+of+logistics+and+distribution+management:+Understanding+the+supply+chain.+London:+Kogan+Page+Publishers.ots=nIpMTNAYshsig=xxITIsmnHChfzWyJKbXfRyqq4Mw#v=onepageqf=false] Vuchic, V. (2017).Transportation for livable cities. Abingdon: Routledge. [Avhttps://books.google.co.in/books?hl=enlr=id=1Ks0DwAAQBAJoi=fndpg=PT13dq=Vuchic,+V.+(2017).+Transportation+for+livable+cities.+Abingdon:+Routledgeots=plNAFY-hN2sig=M6xWtn72H5BJzP2ynfMzGNIBE48#v=onepageqf=false] Woxenius, J. (2014). Development of small-scale intermodal freight transportation in a systems context.Rapport, (34), 98-123 [Available at: https://trid.trb.org/view.aspx?id=686967] Aikens, C. H. (2015). Facility location models for distribution planning.European journal of operational research,22(3), 263-279. [Available at: https://www.sciencedirect.com/science/article/pii/0377221785902462] Ansari, M., Smith, J. S. (2017). Warehouse Operations Data Structure (WODS): A data structure developed for warehouse operations modeling.Computers Industrial Engineering,112, 11-19. [Available at: https://www.sciencedirect.com/science/article/pii/S0360835217303522] Christopher, M. (2016).Logistics supply chain management. Sydney: Pearson UK.https://books.google.co.in/books?hl=enlr=id=NIfQCwAAQBAJoi=fndpg=PT7dq=Christopher,+M.+(2016).+Logistics+%26+supply+chain+management.+Sydney:+Pearson+UKots=x227HtInlAsig=5qZP7EXCH4oFzRYZ3Y-OKHuOPYU#v=onepageqf=false] Harmon, R. L. (2013).Reinventing the warehouse: world class distribution logistics. The Free Press. [Available at: https://dl.acm.org/citation.cfm?id=541806] Hbner, A., Holzapfel, A., Kuhn, H. (2015). 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Great Gatsby Ch 7 Summary Essays - The Great Gatsby,

Great Gatsby Ch 7 Summary The Great Gatsby Chapter 7 Summary Chapter 7 was another important chapter in this book, it started off with Gatsby deciding to call off his parties, which he had held primarily to lure Daisy. He has also fired his servants to prevent gossip, and replaced them with connections of Meyer Wolfsheim. On the hottest day of the summer, Nick drives to East Egg for lunch at Tom and Daisy's house. When the nurse brings in Tom and Daisy's baby girl, Gatsby is stunned. During the awkward afternoon, Gatsby and Daisy cannot hide their love for one another, and Tom finally notices their situation. After finally realizing the situation, Tom agrees with Daisy's suggestion that they should all go to New York together. Nick rides with Jordan and Tom in Gatsby's car; Gatsby and Daisy ride together in Tom's car. Stopping for gas at Wilson's garage, Nick, Tom, and Jordan learn that Wilson has discovered his wife's affair and plans to move her to the West. Nick perceives that Tom and Wilson are in the same position. Tom begins his confrontation with Gatsby by mocking his habit and the fact that he claimed he went to Oxford. Tom asks Gatsby about his intentions with Daisy, and Gatsby replies that Daisy loves him, not Tom. Tom claims that he and Daisy have a history that Gatsby could not possibly understand. He then accuses Gatsby of running a bootlegging operation. Daisy, who began the afternoon in love with Gatsby, feels herself moving closer and closer to Tom as she watches the confrontation. Tom realizes he has won, and sends Daisy back to Long Island with Gatsby to prove Gatsby's inability to hurt him. As the confrontation ends, Nick realizes that today is his thirtieth birthday. Back at Tom's house, Nick waits outside, and finds Gatsby hiding in the bushes. Gatsby says he waited to make sure Tom would not hurt Daisy. He tells Nick that Daisy was driving when the car struck Myrtle, but that he, Gatsby, will take the blame. Still worried about Daisy, Gatsby sends Nick to check on her. Nick finds Tom and Daisy eating cold fried chicken and talking. They have put aside their differences, and Nick leaves Gatsby standing alone in the moonlight. Book Reports

Biography of Maslow and Start of his Career

Biography of Maslow and Start of his Career Abraham Maslow was born in 1908, in Brooklyn, New York. His parents were Jews who had immigrated into America from Russia. They wanted their children to achieve the best in the new world hence they pushed Maslow to succeed in school. Consequently, Maslow found solace only in books after developing loneliness as he grew up.Advertising We will write a custom research paper sample on Biography of Maslow and Start of his Career specifically for you for only $16.05 $11/page Learn More He first studied law at the City College of New York (CCNY) in a bid to satisfy his parents. He moved to Cornell after the first three semesters and then returned to CCNY. He got married to his first cousin, Bertha Goodman, despite the fact that his parents had opposed his marriage to Bertha. Maslow and Bertha got two daughters and then moved to Wisconsin for Abraham to enroll at the University of Wisconsin. While there, he gained interest in psychology as his academic work started to improve suddenly . Abraham took some time to interact with Harlow, who was credited for his studies on attachment behavior and experiments with the rhesus monkeys. He continued with his education until he received a PhD in 1934. One year after he had graduated, Maslow went back to New York to work with E.L Thorndike at Columbia where his interest to research on human sexuality continued to grow. While he taught full time at Brooklyn College, his interaction with Europeans who immigrated into the US became significant. Some of the people he interacted with included Fromm, alder, Horney and other Freudian and Gestalt psychologists. Between 1951- 1969, he was the chairman of psychology department at Brandeis. While at Brandeis, Abraham met Kurt Goldstein, author of ‘The Organism,’ who had introduced the idea of self-actualization in his book. This marked the period Abraham began his advocacy for humanistic psychology, which was very important to him. In the 1940s, Maslo w came up with one of the most remarkable hierarchies in his career, that of inborn needs. He was a professor at Brooklyn College and his goal was to understand and give explanations to the things that motivated human beings. He did this by combining approaches that existed such as behaviorist, Freudian, cognitive and gestalt approaches to make one theory. He argued that the individual approaches were comprised of reasonable points only that they did not include personality in its broader view. Maslow formulated a theory that argued that the motivation behind the actions of human beings was their needs, which he represented in the form of a five-level pyramid. The most important physiological needs were at the bottom of the pyramid while advanced psychological needs appeared as the pyramid progressively went higher. Maslow invented another field of study at the height of the Second World War, which involved the study of high-achieving individuals who were emotionally healthy. He lat er referred to them as self-actualizing individuals. He started by analyzing the characteristics of his mentors and the results of his investigations excited him.Advertising Looking for research paper on biography? Let's see if we can help you! Get your first paper with 15% OFF Learn More He recorded in his diary that his thoughts on the self-actualizing man were not of ordinary men who had certain things added, but ordinary men who had lost nothing. He described average men as human beings whose powers were inhibited and dampened. Maslow conducted interviews on individuals who had achieved a lot of things and was surprised to find out that most of them had reached the peak of their lives. They had experienced instances of great fulfillment and joy. In addition, their psychological health increased their happy moments. Most of the individuals he interviewed did not share in conventional religion. The language they used to describe their happiness peaks was vi rtually mystical and was mostly associated with feelings of success and family relations. Maslow published his famous book, Motivation and Personality in 1954. It was a comprehensive synthesis of the many years he had spent advancing theories about the nature of human beings, something that had earned him international recognition. He was very optimistic about human nature and this stirred a lot of interest in the field. He used his position as the head of psychology department at Brandeis University to bring humanistic thinkers such as Victor Frankl and Suzuki to the university to give lectures. Maslow’s career continued to grow significantly in the 1960s when employers wanted to get his advice on how to motivate their workers. The approach he used on employee engagement had a significant impact on regions where new concepts were being introduced. Maslow increased the popularity of the term synergy in a bid to explain work teams where the whole was important than all its par ts. He argued that it was possible to increase the productivity and innovative capacity of employees if they were urged to fully use their strengths through challenging and exciting tasks . In 1967, Maslow suffered a serious heart attack which forced him to relocate to San Francisco Bay together with his wife Bertha because the climate was milder. Although his health continued to deteriorate, his passion for writing, teaching, consulting and interest in human potential never declined. After his death in 1970, his ideas continued to inspire many people around the world. Maslow’s Pyramid of Human Needs In his earlier studies of monkeys, Maslow had discovered that the degree of importance of human needs varied. For example, if a people were hungry and thirsty at the same time, they tried to quench their thirst first. It was possible for an individual to miss food for several days. Thirst was therefore considered more serious than hunger. Likewise, if a person was thirsty then go t choked such that he could not breathe, the need to breathe became important than the need to quench thirst .Advertising We will write a custom research paper sample on Biography of Maslow and Start of his Career specifically for you for only $16.05 $11/page Learn More Using this idea that some needs were more urgent than others, Maslow came up with the famous hierarchy of needs. Apart from the basic needs such as food, air, water and sex, Maslow expanded the category of needs and included physiological needs, esteem needs, need for love and belonging, safety and security needs and self-actualization needs. Physiological Needs These included needs for oxygen, protein, water, protein, salt, calcium and other minerals and vitamins. They also included the need to have a balanced PH and temperature. Physiological needs also comprised of the needs to rest, be active, eliminate wastes such (CO2, swear, urine) and to avoid pain. Maslow categorized such needs as i ndividual ones whose absence caused individuals to look for them. Safety and Security Needs This second level of needs came in when the physiological needs were adequately taken care of. After these needs were fulfilled, the interest of people was to look for security and protection. Physiological needs were no longer important since the focus shifted to the need for safety and security. The evident of these needs was the desire for individuals to feel safe in their neighborhoods and also have financial security in their places of work. Love and Belonging Needs After physiological and safety needs were fulfilled, the third level started to emerge. Individuals started to feel the need to have friends, children, and affectionate relationships in general. They became increasingly vulnerable to social anxieties and loneliness. The evidence of the needs for love and belonging was the desire of human beings to have families and be recognized by the community members as part of the communi ty. Esteem Needs After the first three levels were filled up, individuals began to look for self-esteem. Maslow identified a lower and a higher version of esteem needs. The lower version comprised of the needs for respect of others, status, fame, glory, attention, recognition and dignity. The higher version was characterized by self-respect needs and a feeling that they were competent, confident, free and that they had achieved. This constituted the higher version which was different from needs such as respect for other individuals. When human beings acquired self-respect, it was not easily lost. The negative side of these needs was seen through inferiority complex and sel-esteem. Maslow reckoned with the proposal made by Adler that these needs formed the basis of psychological problems. In developed countries, majority of the people did not strife to fulfill safety and physiological needs. More often, they had love and a sense of belonging. What proved difficult for them to get was some little respect.Advertising Looking for research paper on biography? Let's see if we can help you! Get your first paper with 15% OFF Learn More Maslow referred to the preceding four levels as deficit or D-needs. If individuals lacked something i.e. deficit, they felt the need. But if their needs were completely fulfilled they did not have the feelings of need. This meant that they were no longer motivated to fulfill the needs because they were already fulfilled . Maslow made reference to homeostasis in a bid to explain the four levels. Homeostasis is a principle of operation used by the furnace thermostat. It switches the heat on and off depending on whether it is cold or hot. In the same manner, Maslow explained that when the body lacked a particular substance, it developed hunger for the substance. When it got enough supply of the substance, the hunger disappeared. The homeostatic principle was extended to needs such as belonging, safety and esteem. He argued that the needs were essentially survival needs which were built in human beings genetically. Maslow argued that the development of human beings generally took place in stages which were represented by the various levels. As newborns, people focused on physiological needs. After sometime, their focus was shifted to the need to be safe and secure. Soon after, they started to look for attention and affection. Later, they began to look for self esteem. When people were exposed to stressful situations or life was difficult for them, they changed to needs that were lower in the hierarchy. When individuals lost their jobs, they usually sought little attention. When people had problems in their families and their family members left them, love became their most important need during such moments. Maslow added that the same things occurred to the society. When the society suddenly got into problems, people started to look for a strong leader to lead the society and take things to their normal course. When they did not have food, their needs were more basic because food was a basic need . Maslow pointed out that sometimes human beings were required to ex plain their life philosophies. This involved asking them what their ideal world or life would be like. If people went through serious problems during their development such as extreme insecurity, death or separation of family members and neglect, it was possible for to fixate on such needs throughout their lives. This was how Maslow understood neurosis. For instance, he pointed out that people who experienced separation of their parents wee likely to feel insecure even when they got married. They were constantly afraid of being left because they felt that they were not good enough for their partners. Maslow and the Concept of Self-actualization The level of self-actualization in the hierarchy of needs invented by Maslow was a bit different. He used different terms to make reference to this level. For example, it was referred to as growth motivation instead of deficit motivation and he also named it self actualization. The needs at this level did not require homeostasis or balance. I ndividuals continued to feel them once they were engaged and were likely to become stronger once they were fed. Individuals were characterized by a continuous urge to fulfill potentials and become all that they could become. The needs basically involved individuals becoming the best they could become hence acquiring the feeling of self-actualized individuals (Franken, 2001). For this level to be attained, Maslow argued that it was important for the lower needs to be fulfilled first. If individuals struggled for food, they had to get food first, if they felt unloved and insecure, they had to look for love and security first. He pointed out that with the difficulties that existed in the world, only a small percentage of people attained self actualization. This argument raised a pertinent question of what Maslow really meant by self-actualization. In order to answer the question, he described people he considered to have attained self- actualization through a method he referred to as b iographical analysis. Maslow started by sampling a group of historical people he knew well and people he thought fulfilled the requirements of self-actualized people. Some of the people in the group were Abraham Lincoln, William James, and Eleanor Roosevelt among others. He then carefully studied the biographies of these individuals, their acts and writings and derived qualities that seemingly defined them. These were qualities that were not possessed by the rest of the common people. The individuals were reality centered which meant that they were able to differentiate fake and dishonest things from the ones that were genuine and honest. They were problem centered to mean that they looked at difficulties and problems of life that needed solutions not as troubles that required people to give up on them. They perceived means and ends in their unique way because according to them, the saying that the end justified the means was not always applicable. According to them, the means could be ends themselves to imply that the journey was more crucial than the ends. Self-actualized individuals also related with other individuals in different ways. First, they did not like company since they were happy when they stayed alone. However, they preferred deeper personal relations with selected friends as opposed to shallow relations with a large number of people. They were independent from physical and social needs and were not vulnerable to social pressure due to their nonconformist nature. To some extent, they also had mild humor since they did not want to appear humorous or crack jokes to other people. Maslow pointed out that self-actualizers had a quality he called acceptance of self and others. They accepted people the way they were instead of trying to change them to be the way they thought they were supposed to be. They directed the same acceptance towards themselves since they did not struggle to change their negative qualities. This quality enabled them to achieve spontaneity and simplicity since they did not portray themselves as different people. They always remained themselves. Further, these self- actualized individuals were respectful and had humility towards other people. Maslow described this quality as possession of democratic values which implied that they were not against individual and ethnic varieties but instead treasured them. Again, Maslow called this human kinship which was characterized by strong ethics . Moreover, this group of people was characterized by an ability to discern wonder in ordinary things, a quality Maslow referred to as freshness of appreciation. This enabled them to be creative, original and inventive. Finally, they exhibited a higher degree of peak experiences in comparison with the average people. Peak experiences were experiences that took individuals out of themselves and made them feel very tiny. Such experiences were sought after by many people because they influenced them positively. According to Maslo w, individuals who had attained self actualization were not perfect because he identified various flaws in their characters. First, he found out that they experienced moments of guilt and were anxious at other moments although their guilt was a bit realistic. Some of them exhibited signs of absentmindedness and were extremely kind. Others were characterized by unpredictable ruthlessness moments and loss of humor. The strongest qualities Maslow discovered of the self actualized individuals were that they had natural values which flowed from their personalities effortlessly. They also rose above certain societal dynamics that were deemed undeniable by other individuals. These included differences such as the ones that existed between masculine and feminine or selfish and generous (Daniel, 2001). Discussion of Maslow’s Work The contribution made by Maslow in personality theories was very significant. In the 1960s to be particular, people had lost faith in the mechanistic message s from the physiological and behaviorist psychologists. They were in search of meaning and purpose in their lives. They possibly looked for higher and mystical levels of meaning. Maslow was among the scholars who tried tirelessly to find the relevance of psychology among human beings and expounded on personality. During the same time, another movement was in place. Some of the things that inspired this movement were the same things that had turned Maslow off. They included computers and information processing, and the rationalistic theories such as the cognitive development theory developed by Jean Piaget and Linguistics by Noam Chomsky. This took root as the cognitive movement in psychology. Criticism of Maslow’s Work Although Maslow made significant contributions in the field of psychology, his work was not without criticism. The most common criticism was in relation to the methodology he used to conduct his study. It was argued that Maslow picked a few individuals he consi dered to have attained self-actualization then read about them and came up with conclusions regarding what self-actualization was. This was not credible science to most people. However, he knew this in his study and hoped that others would take over what he had started and expand his work. People were curious that Maslow who founded American Humanism had begun his career in the field of behaviorism with a strong inclination to physiology. He was not indeed a believer in science and often biology formed the basis of his ideas. The other reason why the work of Maslow was criticized was that he complicated the concept of self-actualization so much. Self-actualization had been described by Kurt and Carl Rodgers as what every living creature did including growing and fulfilling its biological destiny. Maslow limited this definition into something that was achieved by only two percent of the living things. The argument by Rodgers that babies were an apt example of self-actualization was r efuted by Maslow by saying that children rarely attained self-actualization . Maslow argued that individuals fulfilled their lower needs before they attained self- actualization. This was questioned because there were many examples of individuals who had achieved self-actualization yet their low level needs had not been fulfilled. Many known people had experienced poverty, depression, bad upbringing and other traumatizing experiences as they grew up. It was questionable if all these individuals never portrayed some form of self actualization. References Boeree, G. (2006). Abraham Maslow: 1908-1970. Web. Carducci, B. (2009). The Psychology of Personality:Viewpoints, Research, and Applications. New York: Wiley-Blackwell. Daniel, M. (2001).Maslows Concept of Self-actualization. Web. Engler, B. (2008). Personality Theories: An Introduction. Washington: Cengage Learning. Ewen, R. (2003). An introduction to theories of personality. New Jersey: Routledge. Franken, R. (2001).Human Motivatio n. Pacific Grove, CA: Brooks/Cole. Goble, F. (2004). The Third Force: The Psychology of Abraham Maslow. New York: Maurice Bassett. Hoffman, E. (2011). The Life and Legacy of Abraham Maslow. Web. Huitt, W. (2007). Maslows hierarchy of needs. Educational Psychology Interactive. Valdosta. Web. Schultz, D., Ellen, S. (2011). A History of Modern Psychology. New York: Cengage Learning.

Plato Euthyphro, Aristotle, Hobbes, Hume, Kant Assignment

Plato Euthyphro, Aristotle, Hobbes, Hume, Kant - Assignment Example 3. Socrates explains that the reactions or effects of things are different, as an action loved is said to be loved because someone is loving it. When someone does not love the action then it is not an action loved anymore. 1. Aristotle claims that we gain virtues by adaptation, and this I believe is true. I believe that humans are not naturally good or evil, we just absorb whatever it is that we are socially exposed to. As we mature, we learn to question things so we begin to choose for ourselves which are virtuous deeds and which are not, in our own perception. 2. I agree that there is no fixity with matters concerned with conduct and what’s good for us. As we mature, we, as humans learn how to preserve ourselves by accepting and rejecting beliefs that are beneficial for us. 3. Aristotle explains that virtuous men are only the ones capable of doing virtuous acts. I believe that virtuous men are more important than performing virtuous acts since it is a given that virtuous men will do virtuous acts but those who do virtuous acts may also do non-virtuous acts. 4. I find the premise rather contradictory. Aristotle states that the mean is between extremes but he says that there are some things that are wrong in all circumstances, such as adultery or stealing. According to Aristotle himself, we only adapt to our social environment, that’s how we learn virtues. One’s wrong may be one’s right and the differences in the opinion clouds the premise that some actions is always wrong. So then, wrong actions become wrong only because the social environment rejects the behavior. 1. Hobbes claims that men can be equal when a weaker man conspires with other weaker men or use machineries or such to fight a stronger man, whether it is physical or mental strength. And I agree with this since there are instances, like in wars

Questionnaire or Interview on Effects of Substance Abuse on Prisoners Assignment

Questionnaire or Interview on Effects of Substance Abuse on Prisoners in Austin, Texas - Assignment Example In doing this, the study focuses on establishing the reasons for the prevalence of substance abuse in Austin prisons as everything has its own cause. This is what will be used to determine the negative impacts on prisoners despite the existence of rehabilitation and treatment centers to take care of drug users. The questionnaire addresses all issues related to the effects of drug abuse on prisoners in Austin. Introduction Substance or drug abuse is a pattern of harmful and injurious use of drugs for purposes of altering one’s mood. According to Chang (2010), substance abuse refers to the consumption of illicit drugs for purposes that are meant to interfere with the normal mental condition of a person. Substance abuse is prevalent among many prisons in the modern world. There has been an increase in the rates of substance abuse in Austin prisons (Texas Statistical Report, 2012). This has been due to the fact that many prisoners want to forget their situation of being locked up in an institution with no freedom of movement. They, however, do not consider the long-term effects that substance abuse imposes on their lives as they are only focused on the short-term impacts, which in this case, is the altering of the normal condition. They do not consider the health and economic challenges that they incur later as a result of substance abuse. These conditions alter their social way of lives in one way or the other. Objectives of the study Specific objective I. To establish the effects of substance abuse on prisoners in Austin, Texas Other objectives I. To determine the prevalence of drug abuse in Austin prisons II. To determine the challenges faced by relatives of drug abusers in Austin Hypothesis I. Ho: there is no relationship between a weak criminal justice system and prevalence of substance use in prisons. H1: there is a relationship between a weak criminal justice system and prevalence of substance use in prisons. II. H: drug-related offenses influence dru g abuse in Austin prisons H1: drug-related offenses do not influence drug abuse in Austin prisons III. Ho: there is no relationship between negative effects on substance abusers and challenges to relatives of substance abusers H1: there is a relationship between negative effects on substance abusers and challenges to relatives of substance abusers A Questionnaire on Effects of substance abuse on prisoners in Austin, Texas SECTION A Personal Details 1. What is your name? (Optional) 2. What is your age? A. Below 18 years B. 18-30 years C. 31-40 years D. 41-50 E. Above 50 3. What is your education level? A. Primary B. Secondary C. Tertiary D. None 4. What is your religion? 5. What was the reason for your incarceration? Explain Possible answers to this question could be drug-related offenses or other offenses that may lead to incarceration. Jennifer et al. (2012), notes that drug abuse is implicated in three kinds of offenses related to drug. That is offenses related directly to drug ab use such as theft to get money for drugs, offenses defined by drug sale or possession, and offences related to a way of life that disposes an individual (substance abuser) to engage in unlawful activities. This may take the form of associating with other lawbreakers or with illegitimate markets. Therefore, most of the responses from interviewees on this question could be that they were imprisoned because of directly drug-related directly offenses.

A critical assessment of the marketing challenges facing an Essay

A critical assessment of the marketing challenges facing an organisation of your choice and recommendations for the development of Competitive Advantage - Essay Example A close analysis of other companies that have survive during harsh market periods will help point out possible opportunities that Ryanair mas use to escape the looming threat. The research will end with workable recommendations that will provide strategies for Ryanair to survive within the market. In the 21st century business environment, companies have to stay on the alert in terms of aligning their business strategy with the ever-changing business environment. Particularly, the international airlines market has become sensitive with rapid changes in the economic structure, increase in competition and government regulation (Cento, 2009). Ryanair, one of the low-cost international airline operators in Europe, has faced a number of challenges while operating in the dynamic market. The purpose of this essay is to make an analysis of the competitive ability of the company, point out specific problems and develop strategic adaptations for the company. Marketing analysis is concerned with the ability of a company within a specific industry to position itself as a top service provider. Hubbard, Rice, & Beamish (2008, p.69) defined industry as, a group of organizations or business units producing close substitutes. â€Å"Market† is a word which use very closely to â€Å"Industry.† Perhaps the most frequent word use as a substitute to â€Å"industry.† However, â€Å"market† defined as a group of consumers with similar needs. (Hubbard, Rice, & Beamish, 2008, p. 97). Evidently, each organization has operates within a particular industry and has a specific target market. Within an industry, organizations compete as a way of appealing to their target customer to purchase their service and products. On the other hand, the customers choose organizations that best suit their needs and purchase from organizations that best satisfy their tastes and

Case Study Abdominal Aortic Aneurysm Health And Social Care Essay

Case Study Abdominal Aortic Aneurysm Health And Social Care Essay A 72 year old male patient, smoker and family history of AAA, was referred by his GP to x-ray department. With clinical indication of fall at stairs 2 weeks ago and pain in lower back and right hip, to have an x-ray of lumbar spine and pelvis. After justifying the request card and check his details, they did AP and Lateral of his lumbar an AP examination of pelvis. And they send him back to have a result by his GP after 10 days. Radiologist reported on his x-rays and sends it back to the GP. There was an evaluation of the classification in the abdomen and suspected abdominal aortic aneurysm. So GP asked him to attend the surgery to discuss the x-ray result, and request an ultrasound of abdomen to have a better result and rough indication of the internal diameter and accurate assessment .Gp asked him to wait until he received appointment letter from hospital. After 4 weeks he had his appointment. Clinical indication was classification on lumbar x-ray, query abdominal aneurysm. Before he goes to do the screening he was fast for eight hours because food and liquid in the stomach and urine in the bladder can make it difficult to a get clear picture of the aorta for the ultrasound technician. He changed into a gown. Radiologist asked him to lie on his back and then he applied small amount of cold gel in his abdomen because the air between the skin and aorta will help to reduce by using the gel, by pressing the transducer against the skin over the abdomen. Radiologist monitored blood flow through the abdominal aorta to check for an aneurysm (Myo clinical staff 2010 and NHS website 2010). After procedure he discussed the result with patient. And reported the scan to his GP. The evaluation of ultrasound scan was an abdominal aortic aneurysm which was 4.5 cm. Heart was in normal size. No evidence of any significant mediastinal mass or lymph node enlargement. Kidneys were in normal sizes. The routine measurements and protocol are: Longitudinally, will examine the aorta from diaphragm to bifurcation, and will Document the length of the aneurysm and measure the anteroposterior (AP) diameter from outer wall to outer wall, and also will examine the iliac arteries to the iliac bifurcation and measure aneurysm from outer wall to outer wall. Transversically will Document the maximum diameter of the aorta at the diaphragm, superior mesenteric artery (SMA), and distally, and Measure AP and transverse diameters from outer wall to outer wall, also will Visualize the iliac arteries and measure aneurysms (Vikram and Deborah 2004). GP reoffered him to vascular surgeon, after 3 weeks he met the surgeon, He reviewed his medical history and discussed the x-ray and ultrasound result with him And rerecommend him watchful waiting, it means that the if aneurysm was smaller than 2 inches (5 centimetres) in diameter, it is not serious enough to require surgery. In this case, his doctor will check his condition every six months using additional ultrasound exams or other imaging tests until aneurysm reaches to 5.5cm (Medline Plus 2004). He also asked him to quit smoking, because Smokers are approximately 5times as likely as non-smokers to develop AAA (Hafez 2008). Six month after In Dec 2007 he received his second appointment for scan of his abdomen. He attends his appointment with same procedure. There was a small amount of increase in his aneurysm. Therefore report was send to Gp. Evaluation was 4.7cm aortic aneurysm. In April 2008 he had another scan with aneurysm with 5.2cm aneurysm. He could not stop smoking, but his GP strongly advised him to stop smoking. In March 2009, it was 5.6cm aneurysm and if the abdominal aortic aneurysm expands by more than 0.6 to 0.8cm per year, repair is usually recommended (Robert et al 2008). http://www.e-radiography.net/radrep/Vascular/Vascular_AAA_US_55mm/Vascular_AAA_US_55_long.jpg Radiological Report : US Abdominal Aorta : The maximum A.P. internal diameter of the abdominal aorta is 5.6 cms. Mural thrombus reduces the internal diameter to 2.0cms (x-ray 2000).   Vascular surgeon discussed with patient that he need a surgery as soon as possible, also explained the existence of two possible methods of repair and to outline the major risks and benefits of each. The traditional (open) surgical approach involves direct exposure of the aneurysm followed by replacing the aneurismal part of the aorta with a synthetic graft. Endovascular aneurysm repair (EVAR) is a more modern and less invasive technique which is becoming widely used (Hafez 2008). Patient preffered to have EVAR operation, but everybody is not suitable for EVAR, because of the shape of their aneurysm. So he was asked to have a CT angiogram to check if he is suitable for EVAR, otherwise he should have open surgery (NICE 2006). Surgeon request CT angiogram for him with clinical indication of EVAR 5.6cm in ultrasound scan. The week after he had a CT angiogram aorta. The technologist asked him if he has allergy to any contrast media, then positioned him on the CT examination table, lying flat on his back. He inserted an intravenous (IV) line into a small vein in his arm. A small dose of contrast material injected through the IV to determine how long it takes to reach the area under study. Week after the surgeon received the report from Radiologist. Evaluation of CT scan was a 6.2cm infrarenal AAA with a satisfactory neck and good potential common iliac landing zones suitable for EVAR ( Bhattacharya ). He asked to attend a pre-operative assessment clinic to meet his surgeon and other members of clinical team. They took his medical history and carried out a physical examination. The surgical team carried out a number of tests to make sure that he is healthy enough to have an anaesthetic and surgery. The tests were included: Arterial Blood Gas (ABG) levels, to monitor oxygenation, ventilation, and acid base status. Complete blood count to monitor Red blood cell, White blood cell(WBC), and platelet counts altered haemoglobin levels and hematocrit reflect any blood loss and the oxygen carrying ability of the blood. An elevated WBC count reflects an inflammatory response. Serum electrolyte panel-monitors fluid ,electrolyte, and acid base status Serum creatinine and blood urea nitrogen (BUN) levels, to monitor renal function. Blood coagulation studies to monitor clotting. Urinalysis to monitor renal status including secretion and concentration Blood crossmatching necessary for blood replacement Electrocardiography (ECG) may reveal cardiac changes associated with ischemia Chest X-ray may reveal abnormalities of the chest, heart and lungs (Holloway 2004). his RWS was 4.6 M/mcL, WBC: 6 K/mm^, haemoglobin levels: 11 g/dL, Hematocrit 44%, Blood urea nitrogen 13 mg/dL, Bilirubin, direct 0.2 mg/dL, Bilirubin, total 0.2 mg, Creatinine 0.8 mg/dL,( GAIL  HOOD 2007). The surgical team gave him advice about what he can do to prepare for surgery, and they also asked him about his home circumstances so that his discharge from hospital can be planned. If he still smoker, he strongly advised to stop smoking as soon as surgery is required. Research has found that people who stop smoking for at least two months before having surgery are four times less likely to experience complications following surgery compared with those who smoke. He already stopped smoking. Surgeon discussed him what will happen before, during and after his procedure, and any pain he might have. On admission day which was the week after, he was seen by one of the junior doctors who was obtained a detailed medical history and did a full physical examination. Blood tests were repeated and any pending investigations (for example heart scan) performed. One of the more senior doctors took through the consent form which you was required to sign before they can proceed with surgery. He was fasting from midnight before the procedure. Nursing care was focused on restoring and maintaining hemodynamic stability. Administer supplemental oxygen, monitor the patients cardiovascular status, insert two large-bore I.V. devices, and fluid resuscitate with 0.9% sodium chloride or lactated Ringers solution if hes hypotensive (Raymond 2006). He was taken to the theatre complex in his bed, In the anaesthetic room. the anaesthetist gave him an epidural and involves a needle puncture into his back. He also had a tube in his bladder, so that they could monitor the function of his kidneys; a tube in his hand, so that they could monitor his blood pressure. Then he transferred to the recovery area in the theatre complex, where he was taken care of by one of the recovery nurses pending transfer to the High Dependency Unit or the Vascular Ward. All the above mentioned tubes stayed in till the next morning, when all the tubes are removed and was encouraged to start walking and moving around. They gave him aspirin and cholesterol-lowering medication. He strongly advised to stay on these for life to reduce the risk of developing heart problems or having a stroke as he grow older. During his hospital stay, he was getting a mini-injection of heparin (Fragmin). This will thin his blood and prevent him from getting clots whilst he is in hospital (Inglott 2007). So surgeon start elective surgery to repair an aorta. He made small cut in his groin and passed up a catather inside an artery in his leg until it reached the area of the aneurysm. A compressed stent graft was fed to the site of the aneurysm. The procedure was guided using intensifier x-ray machine and radiographer took images step by step. The stent graft is made of a tube supported by a metal mesh. The stent graft was placed across the aneurysm. The stent kept the aorta open and aneurysm was protected from further pressure. The stent graft is slowly released from the delivery system into the aorta. As the stent graft is released, it was expanded to its proper size so that it snugly fits into aorta both above and below the aneurysm The guide wire is then removed from the Body. The stent graft remained inside the aorta permanently. Imaging procedures was Performed to check whether the stent graft is properly placed. the cut was closed with stitches and a dressing was placed over the stitches. (Bupas Health Information Team 2010). After the procedure, his breathing tube removed and he was taken to the intensive care unit for recovery. He received fluids and nutrition through his IV. The catheter in his bladder was remained in place for several days. The hospital stay was 5 days. During this time he was encouraged to get up and out of bed. Complete recovery was 3 months. In order to detect any complication he had need to follow-up carefully, particularly in the early stages. CT angiography was performed at day 2 after placement. No evidence of endoleak was detected during arterial phase scanning or after a 2-min delay. The patient was discharged without complication.Follow-up CT angiography was performed at 1 month and five month. Then every year after that, to make sure there are not any problems. Discussion: Aorta is the main blood vessel in body. This carries blood from heart to the rest of the body. The part of the aorta in the abdomen is called the abdominal aorta. It supplies blood to the stomach, pelvis and legs. An aneurysm is a weak area in a blood vessel. If a blood vessel weakens, it starts to bloat like a balloon and becomes unusually big. If an aneurysm forms on the abdominal aorta and grows too big, the aorta might tear or rupture (Upchurch and Schaub April 1, 2006, Heather 2008). The most common of these aneurysms known as abdominal aortic aneurysms AAA, is below the origin of the arteries to the kidneys. A more anatomically correct description would be infrarenal aortic aneurysms. In men, the maximum normal aortic diameter at this level should not exceed 2.5 cm. An aorta that is 3 cm or more in diameter at this level qualifies as being aneurismal. The prevalence of AAA varies according to ethnicity, age and gender. Men are six times more likely to be affected by this condition. At the age of 65 years, 3% of men will have an AAA. The popularity then increases with age to reach nearly 8% at the age of 80. AAAs represents nearly 98% of aneurysms of the whole aorta (Hafez 2008). The rate of growth and the risk of rupture increase exponentially with the diameter of the aneurysm, with a watershed level for serious risk at about 5.5cm. Therefore until the patient is gravely ill from other causes, any aneurysm wider than 5.5 cm should be operated upon electively (Raymond 2006 and Dillon et al 2010).Abdominal aortic aneurysm is usually asymptomatic .smoking and high blood pressure, are most important risk factors (patient booklet 2009 and Hafez 2008) About 80% of patients who present with a ruptured abdominal aortic aneurysm have no previous diagnosis. When rupture occurs, mortality is very high (Scot et al 2008 and Philip et al 2009).February On physical examination, AAAs with 3 to 3.9 cm range are palpable 29% of the time, compared with those with an AAA more than 5 cm. which can be palpated 76% of the time (Gilbert et al 2008). The symptoms associated with AAAs are: blurred abdominal or back pain, abdominal pulsatile and abdominal mass may be present in obese patients, Palpation of aneurysm may be difficult Early satiety, nausea or vomiting may occur due to duodenal compression. Ruptured or leaking aneurysms may present with severe back, abdominal, or flank pain that may radiate to the groin Hypertension or tachycardia Syncope Abdominal mass on exam Signs of retroperitoneal hematoma (Scott et al 2004 and Rosalyn 2006 and Louise and Anderson 2001). Compared with open surgery, EVAR has lower operative mortality, lower morbidity, and shorter length of hospital stay and greater likelihood of discharge to home than open surgery (Schermerhorn 2009) CT is the next step to help determine which treatment should be used (endovascular or open surgery) .Serial CT scans can be used to visualise the proximal neck (the transition between the normal and aneurysmal aorta), the extension to the iliac arteries, and the patency of the visceral arteries. They can also measure the thickness of the mural thrombus. With three-dimensional imaging, helical CT and CT angiography can provide additional anatomical details, especially useful if endovascular procedure is considered.( Akalihasan et al 2011and Macari et al 2001) Informed consent for any AAA repair must include accurate information about the reason for recommending surgery (i.e. the risk of aneurysm rupture without surgery), the reason for recommending either open or endovascular surgery and about the likely outcomes. Warn about the site and size of the surgical scar, about wound infection and incisional hernia formation, about deep venous thrombosis and particularly about sexual dysfunction which, it appears, may be equally common after open and endovascular repair (Brian 2008). If the patient is hypertensive, administer beta-blockers and nitroprusside as ordered. Manage pain with morphine sulfate or hydromorphone to keep him comfortable and to combat pain-induced increases in BP, heart rate, and oxygen demand (GAIL  HOOD 2007). Gilbert R. Upchurch, Jr, MD; Christopher Longo, MD; John E. Rectenwald, MD,March 2008 Volume 63. Number 3 Geriatrics) Upchurch, Jr. G.R. (M.D.) and Schaub, T.A. (M.D.) (April 1, 2006) Abdominal Aortic Aneurysm American Family Physician online. Available from: http://www.aafp.org/afp/20060401/1198.html [Accessed 16/2/2011] Heather, B. P. ( 2008 ) Abdominal aortic aneurysms, screening and the law AvMA Medical Legal Journal,Volume 14 Number 2 online. Available from: Myo clinical staff,June 23, 2010, © 1998-2010 Abdominal ultrasound Mayo Foundation for Medical Education and Research (MFMER).online, available at: http://www.mayoclinic.com/health/abdominal-ultrasoundWhat you can expect/,MY00076/DSECTION=what-you-can-expect[accessed 23/1/2011] http://www.ruh.nhs.uk/patients/services/vascular/documents/Endovascular_Aneurysm_Repair_Patient_Information.pdf, accessed 21st DEC 2010 Ultrasound secrets,  By Vikram Dogra, Deborah J. Rubens,2004 ,Philadelphia,Pensilvania Abdominal aortic aneurysm. MedlinePlus Medical Encyclopedia. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/000162.htm. Accessed September 12, 2004 Abdominal aortic aneurysm disease: health risks,management and screening Hany Hafez Clinical Risk 2008; 14: 208-210 DOI: 10.1258/cr.2008.080076 what is ct angiography aorta of abdominal aortic aneurysm Stoeltings anesthesia and co-existing disease Robert K. Stoelting, Roberta L. Hines, Katherine E. Marschall 2008 676 pages Abdominal aortic aneurysm disease: health risks,,management and screening,Hany Hafez Clinical Risk 2008; 14: 208-210 DOI: 10.1258/cr.2008.080076 (http://www.healthcarerepublic.com/news/766641/ Abdominal aortic aneurysm is the cause of more than 6,000 deaths per year. By Mr Vish Bhattacharya) h ttp://www.radiologyinfo.org/en/info.cfm?pg=angioct (http://www.healthcarerepublic.com/news/766641/ Abdominal aortic aneurysm is the cause of more than 6,000 deaths per year. By Mr Vish Bhattacharya) Medical-surgical care planning,  By Nancy Meyer Holloway, 2004, Lippincott William Wilkins http://www.nhs.uk/Conditions/repairofabdominalaneurysm/Pages/Preparation.aspx http://www.stent-graft.com/id11.html,  Dr Ferdinand Inglott, consultant Vascular and Endovascular Surgeon at the Manchester Royal Infirmary,2007 Bupas Health Information Team, July 2010. Endovascular aneurysm repair (EVAR),online at: http://www.bupa.co.uk/healthinformation/directory/e/endovascular-repair, [accessed 16/2/2011]. (General surgical operations Page 432 Raymond Maurice Kirk 2006 723 pages Preview) Hany Hafez,2008, Abdominal aortic aneurysm disease: health risks, management and screening, Clinical Risk, Volume 14 Number 6 General surgical operations Raymond Maurice Kirk 2006 Page 432,Churchill Livingstone Elsevier Endovascular treatment for ruptured abdominal aortic aneurysm,Dillon M, Cardwell C, Blair PH, Ellis P, Kee F, Harkin DW,The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2010 Issue 12, Copyright  © 2010 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. PATIENT INFORMATION BOOKLET ,Endovascular Stent Grafts:A treatment for Abdominal Aortic Aneurysms,2009 Medtronic, Inc. All Rights Reserved. Printed in USA. UC200805202aEN 4/09  ©2009 American Medical Association. All rights reserved. (Reprinted) JAMA, November 11, 2009-Vol 302, No. 18 Abdominal aortic aneurysm disease: health risks,management and screening Hany Hafez Clinical Risk 2008; 14: 208-210 DOI: 10.1258/cr.2008.080076 Scott Davarn, MD Rob Reardon, MD Scott Joing, MD Academic Emergency MedicineVolume 14, Issue 4, Article first published online: 28 JUN 2008 http://onlinelibrary.wiley.com/doi/10.1197/j.aem.2007.01.001/pdf Philip E. Baker Kumar V. Ramnarine,2009, Development and Application of an Experimental Abdominal Aortic Aneurysm Model, Ultrasound 2009;17(1):30-34 _ British Medical Ultrasound Society 2009 University Hospitals of Leicester NHS Trust, Department of Medical Physics, Leicester Royal Infirmary, Leicester LE1 5WW, UKULTRASOUND N February 2009 N Volume 17 N Number 1 URASOUND N February 2009 N Volume 17 N Number 1 ).- Abdominal aortic aneurysm Gilbert R. Upchurch, Jr, MD; Christopher Longo, MD; John E. Rectenwald, MD, March 2008 Volume 63. Number 3 Geriatrics Screening programmes ,Abdominal Aortic Aneurysm , © NHS Abdominal Aortic Aneurysm Screening Programme 2010 Produced by COI for the NHS ,401590/C 1p December 2010, http://aaa.screening.nhs.uk/ Baker L;  Anderson E, 2010 May; Abdominal aortic aneurysm: simple screening could save lives, Primary care nurse practitioner, Generations Family Health Center, Norwich, CT, American Journal for Nurse Practitioners (AM J NURSE PRACT), 2010 May; 14(5): 29-34 (27 ref), journal article pictorial, tables/charts. In a Page Surgery  By Scott Kahan, John J. Raves,2004,Lippincott Williams Wilkins,Philadelphia Rosalyn Gendreau , 2006, Is it a kidney stone or abdominal aortic aneurysm? : 22-4 (journal article pictorial) Louise A. Anderson, MS, RN,2001, Abdominal Aortic Aneurysm,,THE JOURNAL OF CARDIOVASCULAR NURSING/,Article 1 5/21/01 11:11 PM Page 1, J Cardiovasc Nurs 2001;15(4):1-14, © 2001 Aspen Publishers, Inc Marc Schermerhorn, MD, Discussant ©2009 American Medical Association. All rights reserved. (Reprinted) JAMA, November 11, 2009-Vol 302, No. 18 online available at http://jama.ama-assn.org/content/302/18/2015.full.pdf+html, [accessed 14/2/2011]. Royal United Hospital Bath, NHS, Endovascular Aneurysm Repair Patient Information, http://www.ruh.nhs.uk/patients/services/vascular/documents/Endovascular_Aneurysm_Repair_Patient_Information.pdf, accessed 21st DEC 2010 NICE 2006 Abdominal aortic aneurysm ,N Sakalihasan, R Limet, O D Defawe,2011 at http://www.surgical-tutor.org.uk/default-home.htm?specialities/general/aaa.htm~right Michael Macari, MD, Gary M. Israel, MD,Phillip Berman, BA, Maria Lisi, BA, Anuj J. Tolia, BA, Mark Adelman, MD, Alec J. Megibow, MD, MPH, August 2001 Infrarenal Abdominal Aortic, Aneurysms at Multi-Detector, Row CT Angiography: Intravascular Enhancement without a Timing Acquisition1,520 z Radiology Macari et al, Volume 220 z Number 2 Abdominal aortic aneurysms, screening and the law ,Brian P Heather, AvMA Medical Legal Journal, 2008 Volume 14 Number 2 at http://cr.rsmjournals.com/content/vol14/issue2/ http://www.nursingcenter.com/prodev/ce_article.asp?tid=693846 (How to protect a patient with aortic aneurysm GAIL  HOOD  IRWIN RN, CEN, BSN   Nursing2007 ,February 2007   ,Volume 37  Number 2,Pages  36