Wednesday, January 29, 2020

Context of Indigenous health Essay Example for Free

Context of Indigenous health Essay Historical context and social determinants of Indigenous health There is a clear relationship between the social disadvantages experienced by Indigenous people and their current health status [1]. These social disadvantages, directly related to dispossession and characterised by poverty and powerlessness, are reflected in measures of education, employment, and income. Before presenting the key indicators of Indigenous health status, it is important, therefore, to provide a brief summary of the context within which these indicators should be considered. The historical context of Indigenous health Indigenous peoples generally enjoyed better health in 1788 than most people living in Europe [2][3][4][5][6]. They did not suffer from smallpox, measles, influenza, tuberculosis, scarlet fever, venereal syphilis and gonorrhoea, diseases that were common in 18th century Europe. Indigenous people probably suffered from hepatitis B, some bacterial infections (including a non-venereal form of syphilis and yaws) and some intestinal parasites. Trauma is likely to have been a major cause of death, and anaemia, arthritis, periodontal disease, and tooth attrition are known to have occurred. The impact of these diseases at a population level was relatively small compared with the effects of the diseases that affected 18th century Europe. All of this changed after 1788 with the arrival of introduced illness, initially smallpox and sexually transmissible infections (gonorrhoea and venereal syphilis), and later tuberculosis, influenza, measles, scarlet fever, and whooping cough [3][4][7][8]. These diseases, particularly smallpox, caused considerable loss of life among Indigenous populations, but the impacts were not restricted to the immediate victims. The epidemic also affected the fabric of Indigenous societies through depopulation and social disruption. The impact of introduced diseases was almost certainly the major cause of death for Indigenous people, but direct conflict and occupation of Indigenous homelands also contributed substantially to Indigenous mortality [7][9][10]. The initial responses of Indigenous people to the arrival of the First Fleet were apparently quite peaceful. It didnt take long, however, before conflict started to occur initially over access to fish stocks and then over access to other resources as non-Indigenous people started to plant crops and introduce livestock. This pattern of conflict was almost certainly widespread as non-Indigenous people spread across the country. Conflict escalated in many places, in some instances resulting in overt massacres of Indigenous people. The 1838 massacre at Myall Creek (near Inverell, NSW) is the most infamous [11], but less well-known massacres occurred across Australia [10]. As Bruce Elder notes, as painful and shameful as they are, the massacres should be as much a part of Australian history as the First Fleet, the explorers, the gold rushes and the bushrangers ([10], p. vi). Prior to 1788, Indigenous people were able to define their own sense of being through control over all aspects of their lives, including ceremonies, spiritual practices, medicine, social relationships, management of land, law, and economic activities [12][13][14]. In addition to the impacts of introduced diseases and conflict, the spread of non-Indigenous peoples undermined the ability of Indigenous people to lead healthy lives by devaluing their culture, destroying their traditional food base, separating families, and dispossessing whole communities [3][4][7]. This loss of autonomy undermined social vitality, which, in turn, affected the capacity to meet challenges, including health challenges; a cycle of dispossession, demoralisation, and poor health was established. These impacts on Indigenous populations eventually forced colonial authorities to try to protect remaining Indigenous peoples. This pressure led to the establishment of Aboriginal protection boards, the first established in Vic by the Aboriginal Protection Act of 1869 [15]. A similar Act established the NSW Aborigines Protection Board in 1883, with the other colonies also enacting legislation to protect Indigenous populations within their boundaries. The protection provided under the provisions of the various Acts imposed enormous restrictions on the lives of many Indigenous people. These restrictions meant that, as late as 1961, in eastern Australia nearly one-third of all Australians recorded as being of Aboriginal descent lived in settlements ([16], p. 4). The provisions of the Acts were also used to justify the forced separation of Indigenous children from their families by compulsion, duress or undue influence ([15], p. 2). The National Inquiry into the separation of the children concluded that between one-in-three and one-in-ten Indigenous children were forcibly removed from their families and communities in the period from approximately 1910 until 1970 ([15], p. 31). It was the 1960s, at the earliest, when the various protection Acts were either repealed or became inoperative. The importance of contemporary social determinants and cultural concepts of Indigenous health The health disadvantages experienced by Indigenous people can be considered historical in origin [14], but perpetuation of the disadvantages owes much to contemporary structural and social factors, embodied in what have been termed the social determinants of health [1][17][18]. In broad terms, economic opportunity, physical infrastructure, and social conditions influence the health of individuals, communities, and societies as a whole. These factors are specifically manifest in measures such as education, employment, income, housing, access to services, social networks, connection with land, racism, and incarceration. On all these measures, Indigenous people suffer substantial disadvantage. For many Indigenous people, the ongoing effects of protection and the forced separation of children from their families compound other social disadvantages. It is also important in considering Indigenous health to understand how Indigenous people themselves conceptualise health. There was no separate term in Indigenous languages for health as it is understood in western society [19]. The traditional Indigenous perspective of health is holistic. It encompasses everything important in a persons life, including land, environment, physical body, community, relationships, and law. Health is the social, emotional, and cultural wellbeing of the whole community and the concept is therefore linked to the sense of being Indigenous. This conceptualisation of health has much in common with the social determinants model and has crucial implications for the simple application of biomedically-derived concepts as a means of improving Indigenous health. The reductionist, biomedical approach is undoubtedly useful in identifying and reducing disease in individuals, but its limitations in addressing population-wide health disadvantages, such as those experienced by Indigenous people, must be recognised. Indicators of Indigenous social disadvantage. The key measures in these areas for Indigenous people nationally include: Education According to 2011 Australian Census [20]: 92% of 5 year-old Indigenous children were attending an educational institution 1. 6% of the Indigenous population had not attended school compared with 0. 9% of the non-Indigenous population 29% of Indigenous people reported year 10 as their highest year of school completion; 25% had completed year 12, compared with 52% of non-Indigenous people 26% of Indigenous people reported having a post-school qualification, compared with 49% of non-Indigenous people 4. 6% of Indigenous people had attained a bachelor degree or higher, compared with 20% of non-Indigenous people. An ABS school report [21] revealed, in 2011: the apparent retention rate for Indigenous students from year 7/8 to year 10 was 99%, from year 7/8 to year 12 it was 49% for non-Indigenous students, the apparent retention rate from year 7/8 to year 10 was 101%; and from year 7/8 to year 12 it was 81%. The 2011 national report on schooling in Australia [22] showed: 76% of Indigenous students in year 3 and 66% in year 5 were at or above the national minimum standard for reading, compared with 95% and 93% respectively of all Australian students 80% of year 3 Indigenous students and 69% of year 5 Indigenous students were at or above the national minimum standard for persuasive writing, compared with 96% of all year 3 students and 94% of all year 5 students 72% of year 3 Indigenous students and 69% of year 5. Indigenous students were at or above the national minimum standard for spelling, compared with 94% of all year 3 students and 93% of all year 5 students 71% of year 3 Indigenous students and 65% of year 5 Indigenous students were at or above the national minimum standard for grammar and punctuation, compared with 94% of all year 3 students and 94% of all year 5 students 84% of Indigenous students in year 3 and 75% in year 5 were at or above the national minimum standard for numeracy, compared with 96% and 96% respectively of all Australian students. Employment According to the 2011 Australian Census [20]: 42% of Indigenous people aged 15 years or older were employed and 17% were unemployed. In comparison, 61% of non-Indigenous people aged 15 years or older were employed and 5% were unemployed the most common occupation classification of employed Indigenous people was labourer (18%) followed by community and personal service workers (17%). The most common occupation classification of employed non-Indigenous people was professional (22%). Income According to the 2011 Australian Census [20]: the mean equivalised gross household income for Indigenous persons was around $475 per week approximately 59% of that for non-Indigenous persons (around $800). Indigenous population Based on information collected as a part of the 2011 Census of Population and Housing, the ABS has estimated the Aboriginal and Torres Strait Islander population at 669,736 people at 30 June 2011 [23]. The estimated population for NSW was the highest (208,364 Indigenous people), followed by Qld (188,892), WA (88,277), and the NT (68,901) (Table 1). The NT has the highest proportion of Indigenous people among its population (29. 8%) and Vic the lowest (0. 9%). Table 1: Estimated Indigenous population, by jurisdiction, Australia, 30 June 2011 JurisdictionIndigenous population (number)Proportion of Australian Indigenous population (%)Proportion of jurisdiction population (%) Source: ABS, 2012 [23] Notes: Preliminary estimates are subject to revision; population projections are expected to be finalised by 2014 Australian population includes Jervis Bay Territory, the Cocos (Keeling). Islands, and Christmas Island Proportions of jurisdiction population have used total population figures estimated from demographic information for June 2011 NSW208,36431. 12. 9 Vic47,3277. 10. 9 Qld188,89228. 24. 2 WA88,27713. 23. 8 SA37,3925. 62. 3 Tas24,1553. 64. 7 ACT6,1670. 91. 7 NT68,90110. 329. 8. Australia669,736100. 03. 0 There was a 21% increase in the number of Indigenous people counted in the 2011 Census compared with the 2006 Census2 [24]. The largest increases were in the ACT (34%), Vic (26%), NSW (25%) and Qld (22%). For all jurisdictions, the 55 years and over age-group showed the largest relative increase. There are two structural reasons contributing to the growth of the Indigenous population: the slightly higher fertility rates of Indigenous women compared with the rates of other Australian women (see Births and pregnancy outcome); and the significant numbers of Indigenous babies born to Indigenous fathers and non-Indigenous mothers. Two other factors are considered likely to have contributed to the increase in people identifying as Indigenous: changes in enumeration processes (i. e. more Indigenous people are being captured during the census process); and changes in identification (i. e. people who did not previously identify as Indigenous in the census have changed their response). Based on the 2011 Census, around 33% of Indigenous people lived in a capital city [25]. Detailed information about the geographic distribution of the Indigenous population for 2011 is not yet available, but figures from the 2006 Census indicated that the majority of Indigenous people lived in cities and towns [26]. Slightly more than one-half of the Indigenous population lived in areas classified as major cities or inner regional areas, compared with almost nine-tenths of the non-Indigenous population. (As well as these two classifications of remoteness in terms of access to goods and services and opportunities for social interaction, the Australian Standard Geographical Classification (ASGC) has four other categories: outer regional, remote, very remote, and migratory [27]. ) Almost one-quarter of Indigenous people lived in areas classified as remote or very remote in relation to having very little access to goods, services and opportunities for social interaction ([28], p. 3). Less than 2% of non-Indigenous people lived in remote or very remote areas [26]. In terms of specific geographical areas, more than one-half (53%) of all Indigenous people counted in the 2011 Census lived in nine of the 57 Indigenous regions (based largely on the former Aboriginal and Torres Strait Islander Commission (ATSIC) regions) [25]. The three largest regions were in eastern Australia (Brisbane, NSW Central and the North Coast, and Sydney-Wollongong), which accounted for 29% of the total Indigenous population. According to the 2011 Census, around 90% of Indigenous people are Aboriginal, 6% are Torres Strait Islanders, and 4% people identified as being of both Aboriginal and Torres Strait Islander descent [25]. Around 63% of Torres Strait Islander people3 lived in Qld; NSW was the only other state with a large number of Torres Strait Islander people. The Indigenous population is much younger overall than the non-Indigenous population (Figure 1) [23]. According to estimates from the 2011 Census, at June 2011 about 36% Indigenous people were aged less than 15 years, compared with 18% of non-Indigenous people. About 3. 4% of Indigenous people were aged 65 years or over, compared with 14% of non-Indigenous people. Figure 1. Population pyramid of Indigenous and non-Indigenous populations, 30 June 2011 Population pyramid of indigenous and non-indigenous populations, 2011 Source: ABS, 2012 [23] References Carson B, Dunbar T, Chenhall RD, Bailie R, eds. (2007) Social determinants of Indigenous health. Crows Nest, NSW: Allen and Unwin Jackson LR, Ward JE (1999) Aboriginal health: why is reconciliation necessary?. Medical Journal of Australia; 170(9): 437-440 Butlin NG (1993) Economics and the dreamtime : a hypothetical history. Melbourne: Cambridge University Press Campbell J (2002) Invisible invaders: smallpox and other diseases in Aboriginal Australia 1780-1880. Melbourne: Melbourne University Press Webb S (2009) Palaeopathology of Aboriginal Australians: health and disease across a hunter-gatherer continent. Cambridge: Cambridge University Press Anderson W (2007). The colonial medicine of settler states: comparing histories of Indigenous health. Health and History; 9(2): 144-154 Butlin NG (1983) Our original aggression : Aboriginal populations of southeastern Australia, 1788-1850. Sydney: Allen Unwin Thomson N (1991) Tuberculosis among Aborigines. In: Proust AJ, ed. History of tuberculosis in Australia, New Zealand and Papua New Guinea. Canberra, ACT: Brolga Press: 61-67 Reynolds H (1982) The other side of the frontier: Aboriginal resistance to the European invasion of Australia. Ringwood, Victoria: Penguin Books Elder B (2003) Blood on the wattle: massacres and maltreatment of Aboriginal Australians since 1788. 3rd ed. Frenchs Forest, N. S. W: New Holland Harrison B (1978) The Myall Creek massacre. In: McBryde I, ed. Records of times past : ethnohistorical essays on the culture and ecology of the New England tribes. Canberra: Australian Institute of Aboriginal Studies: 17-51 Howitt R (2001) Rethinking resource management : justice, sustainability and Indigenous peoples. London: Routledge Hunter E (1993) Aboriginal health and history: power and prejudice in remote Australia. Cambridge: Cambridge University Press Saggers S, Gray D (1991) Aboriginal health and society: the traditional and contemporary Aboriginal struggle for better health. North Sydney: Allen and Unwin National Inquiry into the Separation of Aboriginal and Torres Strait Islander Children from their Families (1997) Bringing them home: report of the National Inquiry into the Separation of Aboriginal and Torres Strait Islander Children from their Families. Retrieved 17 November 2011 from http://www. humanrights. gov. au/pdf/social_justice/bringing_them_home_report. pdf Long JPM (1970) Aboriginal settlements: a survey of institutional communities in eastern Australia. Canberra: Australian National University Press Marmot M (2004) The status syndrome: how social standing affects our health and longevity. New York: Holt Paperbacks Wilkinson R, Marmot M (2003) Social determinants of health: the solid facts. Denmark: World Health Organization National Aboriginal Health Strategy Working Party (1989) A national Aboriginal health strategy. Canberra: Department of Aboriginal Affairs Australian Bureau of Statistics (2012) Census of population and housing: characteristics of Aboriginal and Torres Strait Islander Australians, 2011. Canberra: Australian Bureau of Statistics Australian Bureau of Statistics (2011) Schools, Australia, 2010. Canberra: Australian Bureau of Statistics Australian Curriculum Assessment and Reporting Authority (2011) National Assessment Program Literacy and Numeracy: achievement in reading, persuasive writing, language conventions and numeracy: national report for 2011. Sydney: Australian Curriculum Assessment and Reporting Authority Australian Bureau of Statistics (2012) Australian demographic statistics, March quarter 2012. Canberra: Australian Bureau of Statistics Yap M, Biddle N (2012) Indigenous fertility and family formation: CAEPR Indigenous population project: 2011 census papers. Canberra: Centre for Aboriginal Economic Policy Research Australian Bureau of Statistics (2012) Census of population and housing counts of Aboriginal and Torres Strait Islander Australians, 2011. Canberra: Australian Bureau of Statistics Australian Bureau of Statistics (2010) Population characteristics.

Tuesday, January 21, 2020

The Poetry of A. E. Housman Essay -- essays research papers

The Poetry of A. E. Housman Housman was born in Burton-On-Trent, England, in 1865, just as the US Civil War was ending. As a young child, he was disturbed by the news of slaughter from the former British colonies, and was affected deeply. This turned him into a brooding, introverted teenager and a misanthropic, pessimistic adult. This outlook on life shows clearly in his poetry. Housman believed that people were generally evil, and that life conspired against mankind. This is evident not only in his poetry, but also in his short stories. For example, his story, "The Child of Lancashire," published in 1893 in The London Gazette, is about an child who travels to London, where his parents die, and he becomes a street urchin. There are veiled implications that the child is a homosexual (as was Housman, most probably), and he becomes mixed up with a gang of similar youths, attacking affluent pedestrians and stealing their watches and gold coins. Eventually he leaves the gang and becomes wealthy, but is attacked by t he same gang (who don't recognize him) and is thrown off London Bridge into the Thames, which is unfortunately frozen over, and is killed on the hard ice below. Housman's poetry is similarly pessimistic. In fully half the poems the speaker is dead. In others, he is about to die or wants to die, or his girlfriend is dead. Death is a really important stage of life to Housman; without death, Housman would probably not have been able to be a poet. (Housman, himself, died ...

Monday, January 13, 2020

European History Essay

During the time period of the late sixteenth century to the late eighteenth century the concept of what nobility is and what it was conceived to be varied greatly as more modern thoughts developed and desperation of monarchs grew to meet such demand. The arguments related to nobility differed greatly, but these were the most crucial; the difference between the sword and the robe and the right to even hold such a position at all. The nobles from military decent (the sword) have an extensive lineage that allows them to perform certain tasks as described by Jean de La Taille in the poem â€Å"The Retired Courtier,† the words speak of the need to be a noble, to be a pure noble, to hold the position of a courtier [Doc 1]. King Louis XIII has proclaimed in the Declaration of Duels and Affairs of Honor that nobles bought into the nobility are wasting time fighting with the nobles of military decent should rather have spent that energy defending the country that gives them such authority in the first place [Doc 6]. King Louis XIII only wants the political emancipation from such a minor distraction as this controversy caused such a up roar of the masses. Gilles Andre de La Roque said, â€Å"You can’t just earn the title of nobility because you lack the family necessary for it† [Doc 9]. On that note, note everyone had the exact same idea as to what makes a noble, a noble. Marc-Antoine Millotet supported the rights of being a robe nobleman being that it was acquired by law, so as to make it just [Doc 7]. This belief was most likely due to the fact that he was a Judge thus, influencing the idea of law. Moliere created the scene in â€Å"Dom Juan† that nobility is not earned through birth, but by the actions of ced person [Doc 8]. He could have possibly thought that this because of his non-nobility status and his role thespianism, meaning only nobles would watch plays anyways. King Louis XVI changed the way the monarchy viewed the rights to nobility by stating you don’t have to fight in war to gain noble recognition any nobility involvement will do [Doc 10]. Although, people feuded about which noble was the right noble some didn’t even believe it should exist. Pierre de La Primaudaye thought nobility needed self-worth before such nobility were to even be inherited; he said you need to contribute to the family name [Doc 2]. Villagers of Mondeville in a testimony to the Parlement that nobility isn’t a perfect breed they shouldn’t hold such prestige over other people, saying that Pierre Morin believed his noble status gives him the right to mistreat anyone who is not royal or noble [Doc 3]. Henry, Prince of Conde spoke about the current nobility buying their way into offices, saying that there is no reward for virtue or tradition of family since all power now belongs to favors, alliances, kinship, and money [Doc 4]. Henry perhaps felt a need to say what was on his mind as he saw the immediate nobility change in the court around him causing much stress and indifference. Over the period of the late sixteenth century to the late eighteenth century nobility changed its influences on the public and the royal court this led to arguments such as the difference of the sword and robe nobles to the idea of not having nobles at all. This controversy will continue as the struggle for power continues in the higher classes in European governments or when the idea of monarchy ends entirely.

Saturday, January 4, 2020

The Interpretation Of The South On Alternate Voices, And...

Franklin opened the interpretation of the South to alternate voices, and gave a firm framework on establishing the different perspectives relevant for Woodward’s experiential â€Å"not one South† thesis. The points of contention between their interpretations are telling about Southern histories, and their reputations evidenced the lingering effects of institutionalized racism, as Woodward often gets credit for opening Southern history to African American narratives. However, it was Franklin that did it first and allowed for agency, while Woodward’s narratives most featured black victimization/victimhood. Despite some differences in interpretation, Franklin and Woodward would become two of the most influential historians of the twentieth century. Only recently does it seems more women, more minorities, more identities are writing southern history from their unique viewpoints and interpretations. All of them aided by the path laid by Franklin. His influence is clea r in the works of Tera Hunter, Mary Hoffschwelle, Karen Cox, Pippa Holloway, and all of the most recent histories of the South.Franklin’s essays mirrored role of African American in Southern historiography. Starting out, African Americans were given little or no attention at all, then came outright racist histories, then blacks as subjects of white actions/ideologies, and finally, blacks as full historical actors, controlling their own lives, demonstrating their own agency, controlling their own narratives. C. VannShow MoreRelatedStrategy Safari by Mintzberg71628 Words   |  287 PagesGentlemen, You Have Yet to Meet the Whole Beast References 375 Index 397 349 EMBARKATION T his trip began with a paper by Henry called Strategy Formation: Schools of Thought, published by Jim Fredrickson in a collection entitled Perspectives on Strategic Management (HarperCollins, 1990). Bruce used the paper in a course at Trent University and found that it worked well. Why don t you do a book on it? he suggested. Why don t we do it together? Henry replied. They both thoughtRead MoreCase Study148348 Words   |  594 PagesiPad: Innovation and Entrepreneurship at Apple Grupo Ferrovial and the Acquisition of Amey plc Who Runs Education Now? Mergers and De-mergers in the Public Sector Severstal Queensland Rail: QR Ltd (QR) The Changan-Ford Joint Venture: Same Bed but Different Dreams? TNK-BP: from Russia Without Love – a Joint Venture That Almost Fell Apart International HIV / AIDS Alliance Doman Synthetic Fibres plc (B) Sony Corporation: Restructuring Continues, Problems Remain LEAX: Managing Through a Crisis Design andRead MoreOne Significant Change That Has Occurre d in the World Between 1900 and 2005. 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Friday, December 27, 2019

The Does The Ivf Treatment Will Be Successful - 1288 Words

With the statistic of AIDS medicine being presently more reliable than infertility treatment (Rapp, 2006), it is clear that fertility doctors are under huge amounts of pressure. Thus, though patients are the main group of people that one considers when thinking about the emotional effects ART, it is important to note there are doctors who also use religious ideas to cope with the uncertainty of ART. †¨Many fertility doctors in India display religious iconography around their clinics, and often name their clinics after the names of goddesses of fertility. Similarly to Kahn’s ethnography, the Hindu doctors and patients both understand that although they must exert their maximum effort in order for the procedure (IVF in this case) to succeed, it is essentially down to a ‘higher court of appeal’ (Bharadwaj, 2006, page 456) to decide whether the IVF treatment will be successful. †¨Bharadwaj uses the example of Dr. Sachin, who, whilst being a highly accredite d clinician, attributes all his success to cosmic forces. Though he recognises that ART is highly scientific, he also believes that there is a strong religious force which affects the outcome of his patient’s treatment. Dr. Sachin tells an anecdote of a woman he treated which he believed strongly contradicted Western science. Western medicine declares that if a woman’s endometrium is less than eight millimetres, birth is impossible. Yet, Dr. Sachin witnessed a woman give birth when her endometrium was just six millimetres.Show MoreRelatedTesting For Multiple Incidents Of Ivf Failure And Rsa825 Words   |  4 Pages IVIG for Multiple Incidents of IVF Failure and RSA Leslie A. Howard Maryville University Author Note Leslie A. Howard, St. Louis, Missouri. Correspondence concerning this review should be addressed to Leslie A. Howard, 1029 Jackson Street, St. Charles, MO 63301. Email: lhoward3@live.maryville.edu IVIG for Multiple Incidents of IVF Failure and RSA Unexplained infertility and recurrent spontaneous abortion (RSA) are current problems in healthcare. Infertility, which is the inability to produceRead MoreHomework Assignment : Vitro Fertilization ( Ivf )1178 Words   |  5 PagesVitro Fertilization (IVF) – is a procedure in which a woman s egg is artificially fertilized by a man s seed outside of a body. Infertility is common – nearly 10 % of couples face that problem. If a couple is trying to have a baby for a year and doesn t have any results it means that it is the time to visit a doctor and discuss different treatment methods including IVF. For more than 35 year IVF helps a lot of people all over the world to have a baby. From the first successful case of a â€Å"test tubeRead MoreVitro Fertilization ( Ivf )1519 Words   |  7 PagesIn vitro fertilization In Vitro Fertilization (IVF) – is a procedure in which a woman s egg is artificially fertilized by a man s seed outside of a body. Infertility is common – nearly 10 % of couples face that problem. If a couple is trying to have a baby for a year and doesn t have any results, it means that it is the time to visit a doctor and discuss different treatment methods including IVF. Reasons for infertility are not always clear: sometimes it depends on the age of a couple, theirRead MoreDrinking Embryos1118 Words   |  5 Pagesand was undergoing fertility treatment. So Huang decided to have her embryo frozen. During those years, she experienced two failed frozen embryo transfers both times and had also failed one fresh embryo transfer. Huang took a break from the IVF treatment to focus on her work. In 2014, one of Huangs friends who was treated at the same hospital, got pregnant with a set of twins through IVF. This encouraged Huang to try for a baby again. She re-started her IVF treatment at the beginning of 2015, theRead MoreVitro Fertilization And The Future Essay1213 Words   |  5 Pagespeople use to discuss alternative ways to have a child. This is called Assisted Reproduction Technology (ART), one popular form of ART is In Vitro Fertilization (IVF). Many couples and even single people of today’s world use this great technology to have a child. The beginning of IVF The first successful human child born, conceived through IVF technology, is named Louise Brown. She was born on July 25, 1978 in Oldham General Hospital in Oldham, Greater Manchester, England. Her parents are Lesley andRead MoreRisks Involved With Vitro Fertilisation Essay1190 Words   |  5 Pagesthere is always the risk of infection and/or haemorrhage. Another risk associated with IVF is OHHS or Ovarian hyper stimulation syndrome: This is when the ovaries are stimulated through the use of medications to make multiple eggs in which your ovaries can become swollen and painful. The use of frozen embryos during IVF, however, may slightly increase the risk of miscarriage. About 2 to 5 percent of women who use IVF may experience an ectopic pregnancy; This is when the fertilised egg implants outsideRead MoreThe Development Of Vitro Fertilization1266 Words   |  6 PagesMullins Cause and effect paper Prof. Mullen Comp2 September 23, 2015 The development of in vitro fertilization (IVF) has increased the number of genetic children for people with fertility problems, increased risky and beneficial multiple births, and created a controversial surplus of embryos. â€Å"In 1978, Louise Joy Brown, the world’s first baby to be conceived via in vitro fertilization (IVF) is born at Oldham and District General Hospital in Manchester, England, to parents Lesley and Peter Brown. TheRead MoreThe Supreme Gift Of Marriage1535 Words   |  7 Pagespossible it does not necessarily mean we should use them or that they are ethically right. This is one of the predicaments our society faces today with the bioethical issue of IVF. Its a contemporary bioethical issue as it concerns questions about the value of human life and use of life technology. IVF stands for in vitro fertilisation, ‘in vitro’ is latin for ‘in glass’. IVF is a treatment used by people with infertility or genetic complications who wish to have a child or children. IVF involvesRead MoreThe Ethical Issues Of Procreation Essay1389 Words   |  6 Pagesfirst technology is intra-uterine insemination (IUI). Intra-uterine insemination is a treatment that is used to increase the chance of fertilization. Such treatments can include the placement of sperm within a female’s uterus. This sperm can come from the husband or from a donor. Treatments can also include ovulation drugs that help the female release multiple eggs. Sperm and egg donation are other avenues of treatment within intra-uterine insemination. Sperm donation is more popular than egg donationRead MoreFSH Case Study852 Words   |  4 Pagesinitiation of FSH treatment (Durocher et al 2006). This paper recommended that ET practitioners must distinguish between these types o f donors and those characterized as low responders (donor with large number of follicles but that does not respond to superovulation protocols) as modifications to the stimulation protocol for the low responders is unlikely to result in a higher number of transferable embryos. Using ultrasound technology, it is possible to follow follicle growth during FSH treatment such that

Thursday, December 19, 2019

A Process of Decision Making by Caregivers of Family...

Article review Sanford, J., Townsend-Rocchicciolli, J., Horigan, A., Hall, P. (2011). A process of decision making by caregivers of family members with heart failure. Research Theory for Nursing Practice, 25(1), 55-70. Q1. What is the purpose of this research? The purpose of this research is to better understand how caregivers of patients with heart failure make decisions about patient care. Q2. What is the research question (or questions)? This may be implicit or explicit. Can a generalized, stage-based approach to decision-making for caregivers of patients with heart failure be constructed (similar to that of the stages of grief rubric)? Q3. What theories, frameworks, models or concepts may have influenced the researchers choice of a research design? If this is not stated specifically, list any that are implied. The explicitly stated theoretical approach was one of grounded theory, or the discovery of a theory pertaining to specific circumstances based upon the analysis of data. This is rooted in an idea that nursing research should be grounded in practice. Theory should be governed by facts, not vice versa. Q4. How do the authors describe the design of this study? Because caregivers must often assume control over the care of a patient with heart failure, the design of the study was to examine the decision-making processes caregivers of patients with heart failure go through by talking to a representative sampling of the population. The stagesShow MoreRelatedA Process of Decision Making by Caregivers of Family Members with Heart Failure3389 Words   |  14 PagesAn Analysis of Standford et al.’s Study 1|P a ge An Analysis of Sanford, Townsend-Rocchicciolli, Horigan, Hall’s Study A Process of Decision Making by Caregivers of Family Members With Heart Failure A research critique submitted by Thelma Augustin, Melody Alexander, Ashley Breaux, Nissa Fisher, Kamaria Harris, Thao Huynh, Jeris Jensen, Leslie King, and Susan Livengood, Master of Science in Nursing Research College of Nursing 2012 An Analysis of Standford et al.’s Study 2|P a ge Read MoreChronic Diseases Are The Leading Cause Of Death And Disability1586 Words   |  7 Pagespersonal and social factors. Uncertainty can increase stress, anxiety and loss of control. 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Wednesday, December 11, 2019

Organizational Theory Design And Change Essay Sample free essay sample

Introduction: PHILLIPS NV. 1891-1990s The company was established in Eindhoven in 1891 by the Dutch Phillips NV. It operated in several states worldwide and it had a strong 300. 000 work force. The organisational construction was divided into four major divisions: lighting. consumer electronics. professional merchandises and constituents. Its major rivals are Matsushita. Sony. General Electric. and Siemens. The company went into several acclivitous and declivitous minutes due to several grounds such as its failure in turn toing organisational jobs. its failure to accommodate to environmental alterations. and its failure to follow strategic programs for globalisation. This paper will reply four inquiries environing the issues of Phillips NV and how these issues could hold been addressed and resolved. Environmental Issues and Deductions: 1960-1970 How did the environment that Philips faced alteration during the sixtiess and 1970s? In 1960. barriers to universe trade were allow down. The GATT opened the markets to the whole universe by take downing duties and limitations. This was the 2nd stage of the General Agreement on Tariffs and Trade which was foremost signed in 1947. [ 1 ] Competition became stiff and costs of goods plummeted down every bit good. The cost of production had to be contained in order for a company to last the universe market. [ 2 ] Home-grown industries were at an advantage. [ 3 ] Companies in Japan which produced their goods right at their doorsills had a bigger border to vie with those whose merchandises were produced and manufactured in different parts of the universe. Partnerships and coactions came to the bow. Those equipped with research and engineering partnered with those who can bring forth the merchandises at lower costs. â€Å"Philips played a critical function in supplying the proficient capablenesss that Matsushita and Sony used to commercialize their new merchandises. Then it was driven out of concern by these same two Nipponese houses and Sharp. † [ Chandler. 2003 ] . Labor productiveness had to increase and prolong its uninterrupted rise. Otherwise. the competition which is merely behind would easy catch up and eat up the whole market. The devouring public had a batch of picks and their standards dwelt on at least these three factors: quality. cultural myths that trade names writer. and firms’ attempts to turn to societal jobs. [ 4 ] These alterations gave chance to the extremely competitory companies like Sony. Matsushita. Sanyo. and others to project their die into the pool of universe market. Phillips NV was non ready for the competition. While it already had an advantage because of its presence in assorted states where it had national organisations. it failed to see the impact of a free universe market. It failed to expect competition. In 1960 duty for manufactured goods was every bit high as 14 % and it kept traveling down through the 70’s and 80’s while export volume kept traveling up from 18 % to 68 % . [ 5 ] Phillips could hold prepared by implementing strategic programs to admonish itself from the GATT impact. [ 6 ] But Phillips NV was already everyplace. It was even in front of all the others as it already established national organisations in several states even before the GATT of 1960. [ 7 ] The job of Phillips NV. so. could non be attributed to the liberalisation of universe markets. It was more on failure of its organisation. While it had strong national organisations. there was a apparently weak caput organisation when Phillips NV failed to set up a functional type of leading at its caput office. [ 8 ] â€Å"Organization theory is a modern theory of the house which states that the ends and activities of a house are the consequences of its organisational construction. † [ 9 ] Phillips NV’s Low Profits in 1970s and why it persisted in the 80’s The low net incomes experienced by Phillips NV in the 70’s and 80’s were anticipated consequences which Phillips NV should hold addressed in the 60’s. There was already a job in its organisational construction and yet it failed to turn to the job and proactively set strategic programs for execution in all its national organisations. The bicker for power at the top was the chief issue why it failed. [ 10 ] Phillips NV leaders failed to listen and measure what the other members of Senior Management had to state in the predicament of their losing concern. Even the unasked advice of analysts was non heeded. [ 11 ] In the article of Emmons Gary of Harvard Business School. â€Å"—the suppression. particularly during be aftering and decision-making. of positions that might be perceived as combative or riotous to an organization’s foundational beliefs. † [ 12 ] could be that light which would convey the organisation to a different degree. â€Å"In the corporate universe. Detroit’s V-8 auto civilization was long unable to entertain the impression that a big section of consumers might prefer cars that were safe and fuel-efficient. Coca-Cola ignored grounds that â€Å"New Coke† would taper off and establish it anyhow. Companies in the mechanical-watch and analog-photography industries refused to mind the couriers and the message that version and alteration were necessary if they were to go on to be. † [ 13 ] Furthermore. Phillips NV diversified its concern so much before it even strengthened its nucleus. It wasted excessively much of its â€Å"people resources† and think-tank. which is the R A ; D. before it explored new dimensions. new merchandises on its nucleus concern. Thus. Matsushita and Sony easy grabbed the chance because they had been concentrating on Phillips’ nucleus. [ 14 ] Phillips NV: To Survive To last is a milder term. to revive itself which is the more appropriate word. Phillips NV has to clearly specify its nucleus concern and pass on this to all its national organisations. Second. it should measure its organisational construction which clearly is non making any good for their concern. Third. Phillips NV should refocus its resources. Their R A ; D is the most formidable unit of their organisation. They should take the lead one time more. It is to return power to the scientists by reorganising R A ; D into little. extremely focussed groups headed by people who are leaders in their scientific Fieldss and can steer and animate their squads to accomplish illustriousness. It is to seek the best scientific discipline wherever it resides. inside or outside a company. It is to repair broken procedures and advance a strong civilization of invention marked by a passion for excellence and consciousness that consequences affair. The basic doctrine for modern R A ; D should be to morph large into little in acknowledgment of the fact that critical mass in cardinal research is the size of one human encephalon. [ 15 ] Phillips NV: Beginnings of inactiveness and how to get the better of Human resources restraints. inconsistent regulative reading. ill-defined ordinances. deficiency of transparence and bureaucratism are picked as the top five concern challenges in China. harmonizing to the white paper. [ 16 ] Pulling something from remainder is a hard thing to make as one would necessitate all the energy to put it into gesture. It would necessitate a force greater than the force that is puting the thing at remainder in order to travel it. In the instance of Phillips NV. the factors of inactiveness that are giving the company a disadvantage in this age of globalisation are leading at the top and basic organisational construction. Phillips NV needs greater control of all its national organisations. The success of every organisation hinges on its ability to tackle cognition therefore giving it a competitory advantage in the planetary landscape. [ 17 ] Decision-making procedures are driven by information and one needs the ability to position and collaborate at all degrees of the organisation: top-floor-to-shop-floor coaction. [ 18 ] The progresss in engineering have made this an easier demand of any organisation. â€Å"Smaller launch Windowss. increased works capacity. material cost control. and all in a clime of corporate right-sizing. [ 19 ] † will be the key to Phillips NV’s repossessing its lead in the industry. Mentions Agence France-Presse. †Costs Driving U. S. Manufacturing Firms Out of China† Competitive labour market coercing low border makers to look elsewhere. 2008. Alvarez. Rosio. Examining engineering. construction. and individuality during an Enterprise System execution. Information Systems Journal. Apr2008. Vol. 18 Issue 2 Chemical bond. Eric. Riezman. Raymond and Syropoulos Constantinos. A Strategic and Welfare Theoretic Analysis of Free Trade Areas. Journal of International Economics ; 2004 Vol. 64. Chandler. Alfred Jr. Gaps in the Historical Record: Development of the Electronicss Industry. October 20. 2003 ) Emmons. Garry. Encouraging Dissent in Decision-Making. Research and Ideas. HBS Working Knowledge. Oct 1. 2007. Garnier. Jean-Pierre. Rebuilding the R A ; D ENGINE in Big Pharma. Harvard Business Review. May2008. Vol. 86 Issue 5. p68-76. Hills. Charles. Case 13: Phillips NV. Holt. Douglas B. and Quelch. John A. â€Å"How Global Brands Compete† Harvard Business Review. Boston. Sept 2004. Vol 82 Issue 9. Isabelle Grunberg. â€Å"Double Hazard: Globalization. Liberalization and the Fiscal Squeeze. †World Development26. no. 4 ( 1998 ) : 591-605. Oladi. Reza. and Beladi. Hamid. AddedIs Regionalism Viable? A Case for Global Free Trade. Review of International Economics. May2008. Vol. 16 Issue 2. hypertext transfer protocol: //www. plm. mechanization. mhos. com hypertext transfer protocol: //www. economyprofessor. com/economictheories/organization-theory. php [ 1 ] A Strategic and Welfare Theoretic Analysis of Free Trade Areas ; Bond Eric W. ; Riezman Raymond G. ; Syropoulos Constantinos Journal of International Economics ; 2004 Vol. 64. [ 2 ] AddedIs Regionalism Viable? A Case for Global Free Trade. By: Oladi. Reza ; Beladi. Hamid. Review of International Economics. May2008. Vol. 16 Issue 2. [ 3 ] ibid [ 4 ]Holt. Douglas B. and Quelch. John A. â€Å"How Global Brands Compete† Harvard Business Review. Boston. Sept 2004. Vol 82 Issue 9. [ 5 ] Chandler. Alfred Jr. Gaps in the Historical Record: Development of the Electronicss Industry. October 20. 2003 [ 6 ] Isabelle Grunberg. â€Å"Double Hazard: Globalization. Liberalization and the Fiscal Squeeze. †World Development26. no. 4 ( 1998 ) : 591-605. [ 7 ] Hills. Charles. Case 13: Phillips NV. [ 8 ] Alvarez. Rosio. Examining engineering. construction and individuality during an Enterprise System execution. Information Systems Journal. Apr2008. Vol. 18 Issue 2 [ 9 ] hypertext transfer protocol: //www. economyprofessor. com/economictheories/organization-theory. php [ 10 ] Hills. Charles. Case 13: Phillips NV. [ 11 ] Ibid. [ 12 ] Emmons. Garry. Encouraging Dissent in Decision-Making. Research and Ideas. HBS Working Knowledge. Oct 1. 2007. [ 13 ] Ibid [ 14 ] Hills. Charles. Case 13: Phillips NV. [ 15 ] Garnier. Jean-Pierre. Rebuilding the R A ; D ENGINE in Big Pharma. Harvard Business Review. May2008. Vol. 86 Issue 5. p68-76. [ 16 ] Agence France-Presse. †Costs Driving U. S. Manufacturing Firms Out of China† Competitive labour market coercing low border makers to look elsewhere. 2008. [ 17 ]hypertext transfer protocol: //www. plm. mechanization. mhos. com [ 18 ] Emmons. Garry. Encouraging Dissent in Decision-Making. Research and Ideas. HBS Working Knowledge. Oct 1. 2007. [ 19 ] Garnier. Jean-Pierre. Rebuilding the R A ; D ENGINE in Big Pharma. Harvard Business Review. May2008. Vol. 86 Issue 5. p68-76.