Joan Baez :: essays research papers

Joan Baez was born on Staten Island in 1941. Her mother’s name was Joan also, and her father’s name was Vincent. She spent a part of her childhood in Iraq because her father had a job there. While she was fourteen, her family moved back to the U.S. and lived in California.   Ã‚  Ã‚  Ã‚  Ã‚  While Joan was sixteen, she performed her first act of civil disobedience by refusing to leave her high school during an aid-raid drill. Joan gained strong feelings on nonviolence and civil rights during this time.   Ã‚  Ã‚  Ã‚  Ã‚  After high school, Joan attends Boston University. However, she attended classes inconsistently and soon dropped out to have more time for her now-blossoming singing career. She began singing regularly at clubs and bars. Vanguard Recording noticed her while she was singing at Club 47. She went on to produce her first hit album: â€Å"Joan Boaz†.   Ã‚  Ã‚  Ã‚  Ã‚  She released many more albums after this, including â€Å"Joan Baez in Concert†, â€Å"Folksingers Round Harvard Square†, and â€Å"Joan Baez in San Francisco†. She also went on many national tours, most of them lasting for months at a time.   Ã‚  Ã‚  Ã‚  Ã‚  Joan was more than just a singer though. She was a very strong anti-war activist. She demonstrated her contempt for Vietnam by withholding her income taxes. This got her into some trouble with the law. She was made to pay the taxes and spent 90 days in jail.   Ã‚  Ã‚  Ã‚  Ã‚  Joan’s most famous song was â€Å"Blowing in the Wind.† It’s about the Vietnam War and how oblivious many people are to the terrible things caused by it. How many roads must a man walk down Before you call him a man? Yes, 'n' how many seas must a white dove sail Before she sleeps in the sand? Yes, 'n' how many times must the cannon balls fly Before they're forever banned? The answer, my friend, is blowin' in the wind, The answer is blowin' in the wind. How many times must a man look up Before he can see the sky? Yes, 'n' how many ears must one man have Before he can hear people cry? Yes, 'n' how many deaths will it take till he knows That too many people have died? The answer, my friend, is blowin' in the wind,

Callicles’ Ultimate Goal: The Fulfillment of All Human Desires Essay

Each and every person has his own idea of what â€Å"the good life† is. For some, it is simply having enough of the basic necessities of life such as food and clothing to sustain themselves for everyday life. For others, it can be the acquirement of more riches and wealth. Others see the good life as living as wise, good, or virtuous men. In spite having these different ideas of what the good life is, it remains true for all people that in order to live this, they must be able to fulfill all their needs and desires. In other words, they need to find contentment. A person can say he lives the good life when he has everything he wants—not just in a material sense, but also in the mental, emotional and spiritual senses. When all these are satisfied, the ultimate goal of happiness (which is basically the good life itself) is reached. In Plato’s Gorgias, the good life and the concepts of desire and happiness are discussed by the characters of Socrates and Callicles. As Callicles discusses in the following passage, he reveals his idea about how the full expression of desires is the ultimate goal of the good life: Human happiness is incompatible with enslavement to anyone. What nature approves and sanctions, on the other hand—I’m going to speak bluntly to you now-is this: the only authentic way of life is to do nothing to hinder or restrain the expansion of ones desires, until they can grow no larger, at which point one should be capable of putting courage and cleverness at their service and satisfying every passing whim. Now, I don’t think most people can do this, and that’s why they condemn those who can; they’re ashamed, and they try to disguise their failings by claiming that self indulgence is contemptible, which, as I explained earlier, is an attempt to enslave those who are better than them. And why do they praise self discipline and justice? Because their own timidity makes them incapable of winning satisfaction for their pleasures The first part of his statement discusses how man’s goal must always be his happiness. His desires can never be suppressed, that his focus must always be on his main goal, which is to achieve everything he has set his heart upon having. When the time comes that he reaches this point—the â€Å"maximum† level—those that he desires after (though not necessarily all) will be easier to acquire. The phrase â€Å"passing whims† are like short-term goals. When one has achieved the ultimate or long-term goal, it seems that the short-term ones become much easier to achieve. However, Callicles believes that not all people are capable of achieving their ultimate goals. The force themselves to make to with their short-term ones, but fulfilling these never seem to be enough, which is why â€Å"they condemn those who can†. People who fail to reach their goals say that putting forward one’s own pleasures and gratifications is contemptible. They pretend that they do not need to fulfill their own desires because it is rather unacceptable behavior. It is selfish and unpleasant to place oneself as the first priority. But deep down, there is resentment about his failures. He puts on a show that he is virtuous and unselfish—another way, in truth, of gratifying oneself. This becomes a way of attempting â€Å"to enslave those who are better than them†. Because they make it seem like they are the virtuous ones, they make the successful men look like the self-seeking ones. They condemn the achievers to reputations of being self-indulgent and unworthy of respect or power because they chose to put themselves first, above all else. Secretly wishing to in the achievers’ position, the failed men try to redeem themselves and their prides by making themselves appear virtuous. They make it seem that they did not reach their mains goals not because of deficiencies or weaknesses, but rather because they have self-discipline and believe in equality amongst all men that no one should rise above the others, that they remained equal and that they wanted to be fair to all. They force to turn their weaknesses and shortcomings into acts of nobility. If they cannot achieve their main goals, they prefer to find satisfaction elsewhere, even if their means are not of the right way. This way of thinking becomes the explanation for why self-discipline becomes the goal of those who can’t have what they really desire. Self-discipline, firstly, as mentioned earlier, is a means of redeeming oneself. This is the failures’ way of getting satisfaction. Even though it is not as pleasurable a feeling as achieving one’s ultimate goal, they compensate for it by getting to experience parts of it. Secondly, self-discipline is a means of controlling oneself to not desire any other things, or at least things that are difficult to attain. Their continuous disappointments spur them to set realistic goals for themselves—goals that match their capabilities. They make do with what they have as not to fail as much anymore. This is not to say that they find a different ultimate goal. They still seek to attain the good life and happiness, but they set their criteria for it in lower standards that they can reach. They seek new desires to fulfill, as these are the things which lead to the good life. Man has always been a desiring creature, always on the lookout for a better state in life. There are few who can say truthfully that they have achieved the highest end. This is because most men fail to complete all their desires. The full expression of man’s desires is the ultimate goal of the good life. A person who believes himself to be living the good life does not need or want anything else to make it even better. In other words, he is at his â€Å"peak†, at the maximum level of happiness and pleasure. Every single thing that man desires is for his own good. He does not desire anything that will cause him harm or discomfort. Man desires for one reason and one reason alone: to be happy. When he is truly happy, there is no more need for desiring anything. Even the simplest desire of wanting to be happy (in a general sense) is enough to show that there is something missing. Contentment does not go hand-in-hand with desire. A contented man feels that he is complete and every aspect of his life has fallen properly into place. Every person has in himself a list of goals that he aims to achieve. As he grows older, these goals are slowly achieved, but then, more and more desires are also added to the list. Because of this, more often than not, man fails to live his ideal â€Å"good life†. Men, however, who set limits for their desires and know which ones they can achieve, try their best to achieve this, and when they do, they become contented. In a different perspective in Gorgias, the character of Socrates refutes Callicles’ statement of what the ultimate goal of man is. According to Socrates, and Plato himself, as well, the ultimate human goal is represented by virtue (defined as â€Å"the highest good†¦and†¦ the abstract sum total of all more specific instances of good†), and â€Å"is attained through a proper combination of fitness, temperance, justice, and the other arts† (Gorgias: Important Terms). Socrates sees pure goodness as the ultimate goal. Callicles, on the other hand, sees the fulfillment of all desires as the ultimate goal, because the desire of wanting to be good and wanting to be virtuous is present. This â€Å"want† is something that is aimed to be achieved, and if this want to be good and virtuous is not achieved, there will be no contentment—therefore, the ultimate goal cannot be reached. To be living the good life, for Callicles, is to be happy. To be happy is to be able to fulfill all that one desires. When needs and wants are fulfilled, man becomes content. Those who cannot attain all their needs and wants succumb to self-discipline wherein they redeem themselves through achieving less ambitious but more realistic goals, and they control their goals to match their capabilities. Everything man desires, he desires for his own good. It has always been man’s nature to choose what is beneficial to him, and will always be that way. These desires are all aimed towards one goal: the good life. When man has reached the point wherein he desires no more, he has reached his ultimate goal. Work Cited â€Å"Gorgias: Important Terms. † 2009. SparkNotes. 27 April 2009.

Neonatal Medicine: CPAP and Ventilation in Neonatal Respiratory Distress

You are reviewing Nathan, a 12 hour old neonate with respiratory distress. He is 37 weeks gestation and was born by caesarean section following failure to progress. The oxygen saturation is 94% in 50% FiO2, the respiratory rate is 80. There is moderate intercostal recession and an occasional grunt. Your hospital participated in the â€Å"bubbles for babies† trial and you have just started to use CPAP in your unit now the trial is finished. Your registrar suggests using CPAP on this neonate, but the nursing staff have called you to arrange transfer. Questions: Would you use CPAP or ventilate and transfer this neonate? Please give reasons for your choice with reference to the current literature. In your answer you should also consider the following main points: †¢ the benefits of CPAP over ventilation, particularly with reference to your current practice environment †¢ the potential complications of CPAP †¢ reasons why ventilation may be required even though CPAP is in situ. The baby Nathan is suffering from Neonatal respiratory distress syndrome, which is a condition most often seen in newborn babies and is characterized by a difficulty in breathing.   The condition more frequently develops in prematurely born babies as their lungs are not fully developed.   The lubricant that lines the inner membranes of the lungs (known as ‘surfactant’) is deficient, thus causing difficulty in inflating the lungs and resulting in the air sacs collapsing. Surfactant helps to lower the surface tension of water that is present on the alveoli, thus helping to prevent the lung sacs from collapsing.   Usually, the condition develops in infants born before the 38 week.   The baby is cyanosed and has difficulty in breathing.   The accessory muscles of respiration are active and a frequent grunting sound is heard.   The other symptoms that may be observed include nasal flaring, shallow breathing, swollen legs, unusual movement of the chest wall, etc. The infant may be hypoxic and the CO2 levels in the blood rise.   The symptoms usually develop at birth, or a little while after birth.   The symptoms tend to worsen and may progress to respiratory failure and death.   As the prematurity increases, so does the chance of developing this condition.   This is because surfactant is produced only during the later stages of gestation in the infant.   The diagnosis of RDS in babies is made based on the history, presence of certain risk factors, Chest X-ray, Blood tests, CSF studies, lung tests, blood gas analysis, etc (Greene, 2007 & Merck, 2005). When a neonatal is born, certain signs are observed which include:- a heart rate between 110 to 150 beats per minute a respiratory rate between 40 to 70 breathes per minute absence of cyanosis, nasal flaring, grunting sounds, forceful use of accessory muscles during respiration, etc Oxygen saturation which is about 95 % the P ao2 is higher than 50 % the FiO2 is about 40 to 50 % (CCM, 2007, NGC, 2008, & Millar et al, 2004) Previously, for the treatment of RDS, ventilatory support was utilized.   This may be utilized if the blood carbon dioxide levels are high, the blood oxygen levels are low, and if acidosis sets in.   To some extent ventilation helps to reduce the infant mortality rate arising from RDS, but the morbidity to develop Bronchopulmonary dysplasia (a condition characterized by oedema of the air sacs and of the connective tissues due to persistent inflammation) is high as the young neonatal lungs are damaged from ventilation. One of the treatments that have been developed in order to overcome the limitations of ventilation is Continuous Positive Airway Pressure (CPAP).   This is an advanced form of therapy in which the upper and the lower airways receive a continuous distending pressure through the infant’s pharynx and/or nose throughout the respiratory cycle.   An endotracheal tube can also be utilized.   The device is connected to a gas source that provides humidified warm air continuously (NGC, 2008, Millar et al, 2004, Tidy, 2007). CPAP has several benefits including:- helps to maintain a normal breathing pattern helps to arrive at normal functional residual capacity helps to lower any airway resistance in the upper respiratory tract helps to prevent development of apnea prevents the airways and the air sacs from collapsing helps stimulate release of surfactant helps to increase the lung volume and lung function After expiration, CPAP helps to keep the air sacs open The chances of developing lung trauma such as barotrauma and atelectotrauma are lesser (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). CPAP is required in several situations that arise from RDS including:- When it is difficult to maintain the Pa02 above 50 %. When the respiratory rate is above 70 breathes per minute Excessive use of the accessory muscles of respiration The oxygen saturation falls to between 90 to 95 % The presence of apnea It can be utilized along with administration of surfactant that develops out of the   Ã‚  need to treat RDS (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). As the patient is not suffering from a severe form of RDS and the oxygen saturation levels have not dropped to a serious extent, ventilatory support is not required, and the patient can be treated with CPAP.   Besides, the findings do not suggest that the patient is suffering from a cardiovascular complication, an upper respiratory tract abnormality or intractable apneic episodes.   Along with CPAP, several other measures are required such as using larger nasal prongs, ensuring that the baby is in a prone position and keeping a towel below the neck.   This helps to ensure that the certain areas are aerated better (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). CPAP has several complications including:- mucous from the upper respiratory tract may block the nasopharyngeal tube that delivers CPAP Sometimes blockages may result in the pressure rising to higher levels in the tube If the peak pressure is very high, then gastric complications can develop The nasopharyngeal tube has to be placed in exact position.   Any deviation from the position can result in fluctuation of the air pressure The nasal devices may be swallowed or aspirated resulting in severe complications Sometimes harnesses may be utilized to place the head and the neck in position.   This may cause serious dermatological and musculoskeletal complications in the infant Air leakage problems in the lungs Abdominal distention Decrease in the cardiac output Higher working of breathing pneumothoraces and air embolism can also develop Cardiac monitoring needs to be performed more closely in the case of CPAP compared to ventilation often air leaks from the nose and the mouth it may be very difficult to control the air press ure in the lower airways If CPAP is applied to an infant with normal lungs, several problems can develop Several respiratory complications such as pneumothorax, pneumomediastinum, and pneumopericardium can develop (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004, Halamek et al, 2006) References: California College of Midwives (20080, Guidelines for Assessing the Neonate, [Online], Available: http://www.collegeofmidwives.org/Standards_2004/Standards_MBC_SB1950/Assess_HealthyNeonate_Oct2004_OOO.htm [Retrieved on: 2008, April 2]. Greene, A. (2007), Neonatal respiratory distress syndrome, [Online], Available: http://www.nlm.nih.gov/medlineplus/ency/article/001563.htm [Retrieved on: 2008, April 2]. Halamek, L. P. Et al (2006), Continuous Positive Airway Pressure During Neonatal Resuscitation, Clin Perinatol, 33, pp. 83-98. http://www.mdconsult.com/das/article/body/91421747-3/jorg=journal&source=MI&sp=16080552&sid=690389052/N/525142/s0095510805001235.pdf?issn=0095-5108 Millar, D., & Kirpalani, H. (2004), Benefits of Non Invasive Ventilation, Indian Pediatrics, 41, pp. 1008-1017. http://www.indianpediatrics.net/oct2004/oct-1008-1017.htm NGC (2008), Complete Summary, [Online], Available: http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=6516&nbr=4085, [Retrieved on: 2008, April 2]. Sehgal A. Et al (2003), Improving Oxygenation in Preterm Neonates with Respiratory Distress, [Online], Available: http://www.indianpediatrics.net/dec2003/1210.pdf, [Retrieved on: 2008, April 2]. The Merck Manual (2005). Respiratory Distress Syndrome, [Online], Available: http://www.merck.com/mmpe/sec19/ch277/ch277h.html, [Retrieved on: 2008, April 2]. Tidy, C. (2006), Infant Respiratory Distress Syndrome (RDS), [Online], Available: http://www.patient.co.uk/showdoc/40000462/, [Retrieved on: 2008, April 2].

Ill effects of smoking in INDIA

â€Å"Smoking is Injurious to health† A true, accepted but an UN-acquired fact by the majority of genes of the world. People are careless for their health, family, environment and moreover for their motherland. People who smoke not only put these people in danger but themselves too as it seem for them that they don't value their life and put it into danger. India is a country where Cigarettes needs to be termed â€Å"Illegal†, as majority of smoking, smoker and it apparatus (tobacco, nicotine, etc. ), are dwelled here.India, the youngest country with high population and major of thou being â€Å"Youth†, is inhered to bad habits (alcohols, rugs) at a great pace. One of which is â€Å"Smoking†. Both the adults as well as youth are badly addicted to it. â€Å"Excess of anything leads to Disaster!!! † This quote correctly describes the current status of our land, India. As major of the population smokes, which lead to hundreds of deaths between the age of twenty to sixty-five. If one who smokes measures out the amount of â€Å"Tar† present out In his lungs it'd be about a liter, which Is sufficient to make him Ill, very Ill.Tar Is a poisonous toxin, which when gets accumulated In excess In our lung causes choking ND ultimately leads to â€Å"Death, Death, and Death!!! â€Å". In a country like India, there are severe problems which dwell Including the severe most â€Å"Corruption† ,add on another, â€Å"Smoking†, which adds on to the cause of destruction for our country. It has not only one but many adverse effects: 1 . Causes air, water and land pollution; 2. Danger to life; 3. Financial crises In a family; 4. Epidemic disorders like, â€Å"Cancer†; Thus, concluding my point that, â€Å"Cigarettes should be Illegal In India†, as It Is the mall cause of smoking and â€Å"Smoking Kills!!! â€Å"

Prescription drug costs in primary and secondary care Essay

Prescription drug costs in primary and secondary care - Essay Example For a long time, disease management programs have been developed by physicians. However, their involvement focuses naturally on the health care aspects. Reduction of the costs of care is often a beneficial by-product of such disease management programs. Reduction of cost in most cases is a secondary goal and, importantly, not always achieved. Since economic forces continue to be important drivers of health care policies and managed care programs, it is important for the physician to understand some aspects of medical economics - that there are certain vulnerable groups in the society who cannot afford the ever rising costs of prescription drugs. The concept of disease management is relevant to care needed by a population with a given disease, instead of focusing on individually taken decisions during multiple physician-patient interactions. Disease management principles have always been considered as health care principles; they were indeed adopted from the business world. However, health differs from money. One cannot trade health across time or between individuals, and it is not stable, but affected by illness severity. Moreover, many health outcomes are irreversible. Other aspects of a market-based approach do not fit well with health care, because most health risks are unique as noted by Dewar (2009). Individual values placed on those risks differ widely among individuals. Therefore, health can be converted to monetary terms only with difficulty (Netten and Curtis, 2002). Health care industry is so complex that economic evaluations are not easy even when estimated for a population. Cost identification or minimization analysis simply estimates the costs to produce an intervention. For disease management, this analysis is used to identify interventions where cutting costs would seem to have little impact on outcome, such as provision of drugs at lower costs. However, as simple as this seems, estimating costs of health care services can be very difficult, and

Whistle-blowing Research Paper Example | Topics and Well Written Essays - 250 words

Whistle-blowing - Research Paper Example As high officials in the organization, they became privy to information that they thought would be damaging to the company. The Government Accountability Project (GAP) defined a whistle blower as: An employee who discloses information that s/he reasonably believes is evidence of illegality, gross waste or fraud, mismanagement, abuse of power, general wrongdoing, or a substantial and specific danger to public health and safety. Typically, whistleblowers speak out to parties that can influence and rectify the situation. These parties include the media, organizational managers, hotlines, or Congressional members/staff, to name a few. These 3 women could not be properly called whistle blowers under the rules cited in Chap 4 of Whistle blowing,:â€Å"employees who follows established procedures is not a whistleblower† As in definition above, whistle blowing should take into account to whom the information is given in order to achieve the desired change. Merely passing information to higher authorities in the organization is not whistle blowing and is only part of their duties. Their testimony in Congress could not be called whistle blowing as they were legally required to do so, and were not done voluntarily. Their memos only formed part of exhibits for testimony. Rowley could not be a whistle blower because her position requires utmost confidentiality, so she could not divulge to outer sources. Watkin’s advise. When Sherron Watkins wrote a lengthy memo to her boss, Ken Lay, she knew of the ticking time bomb that would explode into a scandal. She uncovered fraud that involved many persons in the organization. When she advised Ken Lay to develop a â€Å"clean up Plan†, she probably meant to have an organizational clean up that would correct the system, and purge erring employees. In an ethical perspective, she was

Impact of Unemployment on USA Economy Essay Example | Topics and Well Written Essays - 1000 words

Impact of Unemployment on USA Economy - Essay Example Unemployment is root to cause the birth of other economical flaws. In this recession period, emerging and emerged countries plague with contemporary political, Economical, social and security concerned issues. A high potential unemployment rate affects symptoms of development of economy. Summary of Researched Articles According to an article in the economist (2012), USA hardly confronts unemployment challenges. The American President Barack Obama works day and night on generating jobs for jobless people of America. To some extent President of USA has succeeded in providing jobs to jobless in several sectors such as private organization, Public Sector, and local Government, and other manufacturing and services sectors. On the other side, Public Sector, and Local Government cut thousands of people of jobs. This cutting of Job impacts on budget of America, and ends up rising unnecessary load in expenditure of budget. The policy makers stride gradually to overcome this recession problem. America seems confident about recovering economical recession and move ahead with steady pace. Associated Press, The Wall Street Journal, (2012) states that in USA, the problems are not evicted, however, it is growing indeed. The unemployment applications are filling large population and hiring is too slow. This is putting load on unemployment benefit for jobless people. Unfortunately, large numbers of people are laid off from different areas of USA (New York, Washington, Texas, New Jersy, California and Pennsylvania) from several sectors like construction, manufacturing, Entertainment, Transport, Agriculture, Ware house and food service Industry. The dilemma is that for the large number of people laid off instantly, it is hard to provide all facilities from unemployment benefit. As a matter of fact that unemployment is reducing consumer demand, desire and needs. The fact to remember is that slowly and gradually, jobless people leave to demand of daily consumption goods because it has not enough money to pay these commodities. When such situation is occurred sales shows decline and production and manufacturing service industries may be unable to generate profit, enough to run the firm. So they put pressure on employees to increase efficiency and cut costs. If employees could not generate profit, they are laid off without any reason. If same situation is constant, the industries will not be able to sell and survive in a economically disabled state. People cannot invest and individual savings ratio declines. In short, whatever they save is being utilized in daily basic commodities. In the end diseconomy situation begins. Ben Casselman and Josh Mitchill (2012) state that the Sharp decline of unemployment rate of USA direct towards a positive flow in economic trends. But in adverse, Europe countries insulated USA economy, so they may create obstacles in growth of USA. At the end of 2011, USA generated 120000 jobs for people of USA, which indicates decline of unem ployment of 0.4 per cent from 9.0 percent. These jobs generation reduced load of unemployed benefit. When this news spread, market spontaneously surged up and sales of Automobiles increased. The economy of USA is slowly improving but the Europe’s diseconomy impacts to other countries too. USA economy relies on other Countries like India, Japan, Europe and China. When any countries’ investment decreases, USA economy declines due to swap factor. The Europe