Edward II of England

Piers Soapstone is a major character of the play, â€Å"Edward II†. He is a minion of Prince Edward. He was banished by King Edward l, as his presence was proving dangerous for Prince Edward. Soon after the dead of king Edward l, he receives a letter from king Edward II asking him to come back to England. â€Å"My father is deceased, come Soapstone, And share the kingdom with thy dearest line of the play) The letter shows that the king has a great love for Soapstone since he asks him to come to â€Å"share the kingdom† with him. Soapstone is very happy at the conclusion of his banishment.He is excited to meet his friend overcoming all the physical hurdles. â€Å"Ah! Words that make me surfeit with delight! What greater bliss can hap to Soapstone Than live and be the favorite of a king! Sweet prince. I come; these, these thy amorous lines Might have enforced me to have swum from France. † (act 1 scene 1, lines 3-7) This soliloquy of Soapstone shows us how keen he is, to meet his friend. The dramatist reveals the relationship between king Edward II and Soapstone. It is believed that there was a homosexual relationship between soapstone and king Edward.So thou wouldst smile, and take me in thin arms. † The emotional letter of king Edward the II evokes strong emotions In the heart of Soapstone. He thinks that his love for the king Is as strong as Oleander's love for Hero. He becomes so impatient to meet the king, that he could even risk his life, if he didn't have any ship to ferry him immediately. He wants to come to England to be with his love, and not because of the city â€Å"Not that I love the city, or the men, But that it harbors him that I hold so dear- The king† He declares that he would love king Edward II even If the whole world hated him.Soapstone promises to bow only before the king, and not before the lordly peers. â€Å"My knee shall bow to none but to the king† This shows that the king holds a very special a s well as important position in the life of soapstone. He knows all the tastes and preferences of the king. He has a desire to give utmost pleasure to the king In all possible ways. All his plans show that he will provide sensual pleasure to the king In different ways. He Informs that he will get In entertain the king by â€Å"music and poetry'. He arranged for † Sweet speeches,COMEDIES, AND PLEASING SHOWS† to delight king Edward II. Some of his actors of â€Å"Italian masques† would be dressed â€Å"like sylvan nymphs† Andromeda of the actors playing the roles of â€Å"Satyrs† who would graze on the lawns with â€Å"goat feet†. All this shows the deep affections of Soapstone for king Edward II. The tastes of the king are fully reflected in the plans that Soapstone makes to delight and please him. Soapstone doesn't care about what the world says and thinks about his relationship with king Edward. He wants to return from his exile as soon as p ossible and spend laity time with his love.Despite the fact that he is hated and threatened by all the nobles, he continues his relationship with king Edward II. Soapstone belongs to a minority class. He has a homosexual relationship with king Edward II which was not accepted during that time. People having a man to man relationship were looked down upon by the society. This was the reason why king Edward had exiled Soapstone from England. Even after the return of soapstone, he was constantly threatened by the nobles and lords. He was always rejected by the society, so his life as centered around the person who loved him, that is king Edward II.Soapstone could even risk his life to be with him. Gavotte's harshness and rude behavior is seen in the conversation with the three poor men in the beginning. The prospect of being the most favored person of the king has turned his head. He has decided not to talk to the â€Å"multitude† of common persons and not to bow before the peer s. â€Å"Farewell base stooping to the lordly peers! My knee shall bow to none but to the king. ,† He decides to act as a high profile man, and ill-treats three ordinary people who want is help.Dismiss them, one of them, who is a soldier, curses him for treating him slightingly. He thinks that the common people are like â€Å"dying sparks† in the cold ashes. What he wants to say is that, the persons without entities are of no account to him, since their poverty will be of no avail. He would rather pay attention to the wind that touches his lips and flies away than to the person of insignificance. â€Å"As for the multitude , that are but sparks, Ranked up in embers of their poverty I'll fawn first on the wind That glance at my lips, and fleets away. †This shows the arrogant side of Soapstone. Soapstone is also betrayed as an evil genius. He does not want to mix with the common people as they are poor. This clearly shows his evil desires and the reason for being with king Edward II. He knows how to make use of other people which we see in his (aside) â€Å"I'll flatter these and make them live in hope†. Soapstone wants to take advantage of his authority and his mind starts manipulating strategies to have the king in his clutches so that he can do as he wishes. â€Å"musicians, that with touching of a string May draw the pliant king which way I please†Soapstone is cynically planning to trap the young monarch's mind . When he is the fore-front suggests his cunningness and his pretence of a true friend is seen when . soapstone is extremely selfish. He exploits the knowledge of the kings knowledge. He widens the rift between the king and the queen. Soapstone has influenced the king to such an extent that the king would provide him with all the luxuries and comforts, while ignoring his kingly duties. Piers has cultivated to perfection the art of flattery and he uses it at every step while dealing with his sole patron-the king.

Are Television, Movies, and Music Responsible for Teen Violence?

Are Television, Movies, and Music responsible for teen violence? Most people would like to know why violence among teens is rising. Most people blame parents for the way the child acts. Others blame the kids they’re around. In my opinion, I don’t think neither parents nor peers are to blame. The media is responsible for teen violence in our society. The media teaches teens that violence is acceptable. Children will try to imitate the things they see on television.For example in Toronto, a six year old boy wearing a Ninja Turtle costume stabbed his friend in the arm for not giving back a toy he had borrowed. When the child is young and watches shows that have violence in it like SpongeBob Square pants children will want more violence when they grow older. The more they grow the more violence they want. This makes them less sensitive to violence. Only 16% of shows actually show the long-term effects of violence. The other way media portrays violence is by music.Rappers li ke Eminem have violent lyrics. One example is when Eminem wanted to kill his wife and ask his daughter to help throw her mom in the bottom of the ocean because he made a bed at the bottom of the ocean. When reporters ask him why he has such violent lyrics he blames his alter ego Slim for everything that happens, with his family, and work, that is bad. â€Å"I do promote violence and I don't care. †-Eminem. Artists don’t get in trouble for the negative message they send to teens. Rap music puts teens at risk to get arrested 2. times more. 66% of 13- to 17-year-olds believe violence in music is partly responsible for violent crimes. Music has a big impact on a teenagers life it helps up when were down and to make us happy. The last way media portrays violence is in Video games. More than 70 percent of American teenage boys have played the violent and adult-rated Grand Theft Auto video games. This will make them more aggressive. This can cause teens to fight with their pe ers by using what they see in the game to attack their peers. 8 percent of games show aggression that went unpunished. Video games are a form of entertainment among youth. 70 percent of children from ages 2 to 18 have access to video games at home. Teens that aren’t exposed to violence in media will be less likely to have violent behaviors. If parents don’t allow their child to watch too much T. V and play less video games than they will be less likely to have violent behaviors. People say it’s not the media’s fault if that is true than whose fault is it?Most teens grow up with T. V. Violence on T. V starts off young and they grow up with it and the more they grow the more violence they want. Violence in the media has negative effects on children. For example it increases aggressiveness and anti-social behavior. It also increases their fear of becoming victims because they see what happens and they are scared if it will happen to them. In summation media is a major component in the upbringing of a child whether good or bad, the key to stopping it is to not purchase it.

If a firm wants to maximize profits , it must give careful attention Essay

If a firm wants to maximize profits , it must give careful attention to its pricing decisions .under what conditions does this statement have relevance what a - Essay Example Profit is the difference between the total revenue and total costs of a business enterprise. Profits are considered to arise either as rewards for risk taking or due to the imperfections in the economy or as reward for innovations, according to economic theories (Dean 1977, pp. 5 – 9). Rewards for risk taking: Entrepreneurs are essentially people with the ability to take risks. The risk involved is, to be prepared to accept as their share of the (monetary) value of the enterprise activities, after all costs have been provided for. What is left may be losses or minimal profits or more than reasonable profits. It is this risk that entitles the entrepreneur to keep for himself whatever is left at the end of the day. This is his profit. A good example of the reward for risk taking is photocopying business. When the plain paper photocopying technique was invented, it was a risky business to invest in, as the future would be that of ‘computerized paperless offices’. Rank Xerox Corporation, on the other hand, was willing to accept the risk and acquired the technology and patent rights. The stupendous success of this decision and the great revenues that it brought to Rank Xerox, are legendary (www.xerox.com). Imperfections in economy: According to this view, profits arise due to ‘†¦the imperfections in the adjustment of economy to change’ (Dean 1977, p.8). Imperfection refers to the competitive situation. There is a time lag between the occurrence of a change and the return of the market to near-perfect competitive position or equilibrium, and it is during this time of absorbing the change that profits accrue. An example of this type of opportunity is the occasional shortage in supply of food grains due to bad weather or crop failure and the time lag before a government takes corrective actions for increasing supplies through imports etc. Reward for innovation: In this third view on how profits arise, it is postulated that profits are what the

The Difference in the Use of Language between the Young and the Old Research Proposal

The Difference in the Use of Language between the Young and the Old Generation - Research Proposal Example It is evident that the old generation tends to differ with the young generation in their use of language when they speak. This topic is necessary in the study of language as it illustrates how the language barrier tends to affect communication between the young generation and the old generation (Cissna & Keating, 2007). The purpose of the study This study will focus on the difference in the use of language between the young and the old generation. The difference in language use between the young generation and the old generation arises from factors such as; difference in perspectives between the two generations. The other factor is the difference in the topics that are normally discussed by people belonging to the two generations, and stereotypes also contribute to this difference in language use between the young and the old generation. It is evident that the taboos that people of the old generation were exposed to influence their use of language; they are normally formal in their u se of language (Fletcher, 2007). Stereotypes also influence the difference in the use of language between the young generation and the old generation in that; the perceptions of people belonging to the young generation towards people belonging to the old generation results to a difference in the use of language between the two generations. ... These expectations, therefore, influence the difference language between the two generations (Gibb, 2008). The other factor that results to a variance in the use of language amid the young generation and the old generation is the generational perspective. In this instance, it is evident that people who lived during World War 2 and the Great depression, tend to be formal in their use of language, this is because of the belief instilled in them that the use of language contributes to respect. However, there is a generation referred to as the Baby Boomers who tend to exhibit a communication style that tends to be more personal. The other generation is generation X that exhibits little formality in their use of language. Therefore, it is true to state that the generational perspective also influences the difference in language use between the two generations (Hayes, 2003). The change in technology, which led to, the introduction of computers, phones and social media have also led to a di fference in language use between the young and the old generation. The change in technology has normally led to a generational communication style, which has also affected the language of persons belonging to the young generation. Technology has contributed to the use of slang by people of the young generation, resulting to variation in the language used by people of the old generation that tends to be restrained and formal (Day, 2007). However, the difference in the use of language between the old and the young generation has also been accompanied by some advantages. It is believed that the difference in the use of language tends to bridge the gap between the two generations. It is evident that for there to be a difference between these two generations, it is essential that a

UN Resolution on Israel (assigned Country is Nigeria) 1.15 single Essay

UN Resolution on Israel (assigned Country is Nigeria) 1.15 single spacings - Essay Example ons Human Rights Council of 24 January 2008 and of the United Nations  Office for the Coordination of Humanitarian Affairs of 25 May 2010, as well as the statements conveyed by the United Nations Special Rapporteurs present in the Gaza Strip, Fully alarmed that the continuation of the present crisis in the relations between the State of Israel and the Palestinian authorities in the Gaza Strip may undermine the peace process and lead to significant challenges to the regional stability, 1. Calls upon the two Parties concerned to exert all efforts necessary to resolve their differences and to make full use of the instruments of pacific settlement of disputes provided for in Chapter VI of the Charter of the United Nations. Such a settlement shall be conducted under the procedural rules the two Parties find the most beneficial to their common interests, and shall be supervised by the special Commission of the Security Council of the United Nations; 2. Condemns the unjustifiable acts of violence committed by the armed forces of the State of Israel and the paramilitary formations of the Palestinian authorities in the Gaza Strip against the civilians residing both in Israel and Palestine and calls for the objective arraignment of all the persons involved in them; (a) Avoid interfering with independent attempts of international non-governmental organizations to provide humanitarian assistance to the civilian population of the Gaza Strip, invite the States concerned to provide security assistance to the participants in such efforts; 4. Recalls an obligation on both Parties to respect the previous Resolutions of the Security Council with regard to maintenance of the peace and stability in the Middle East and appeals to all Parties concerned to exercise the maximum restraint when faced with mutual disagreements; 5. Welcomes the efforts of the Government of the United Kingdom of Great Britain and Northern Ireland to enable the relaxation of the blockade of the Gaza

See attachment Essay Example | Topics and Well Written Essays - 1000 words - 1

See attachment - Essay Example H. L. , Goodall , S., Schiefelbein, J. 2010) . The article essentially seeks to establish a paradigm of behavior that can be attributed to the culturally homogeneous workers and then their response to the heterogeneous work place environment. While global communication processes in business environments have both a typology of characterization and cultural pluralism as pre-determinants, there is also a system of category constructs in an otherwise complex and dynamic situation mediated communication environments. Despite a lack of research in to information dissemination process and language as heuristics directly related to global business communication environments there is still a greater effort by serious researches to establish parameters of reference for meaningful category construct in dynamic culturally plural communication contexts. The article has invariably touched on how the workplace context determines almost virtual communication scenarios theoretical dimension apart the authors have delineated a host of cultural constructs including language and information as pre-determinants of an otherwise non cohesive and heterogeneous work environments. Despite this authors have persisted in constructing a more cohesive alternative approach to understanding work place dynamics in professional business communication processes. Their culture perspective is directly related to inter cultural communication as a dynamic relationship between and among fellow workers. The contextual influence and rational behavioral heuristics have not been ruled out by the authors either. In fact their argumentative posture on â€Å"culture-in-context† is supported by a number of other influential writers as a paradigm of professional communication in the work place context, though many such writers do not necessarily subscribe to t he idea of endogenous cultural influences riding roughshod over facilitative

Operating Systems Term Paper Example | Topics and Well Written Essays - 750 words

Operating Systems - Term Paper Example Other operating systems emerged in 1956 such as the one developed by General Motors wing of research, referred to as GMNAA I/O. In the mainframe era, operating systems such as SCOPE were in the market as early as 1960s, as developed by Control Data Corporation. Other developments later experienced for the computer at that age include PLATO, EXEC, MCP, GECOS, Multics and TOPs among others. Later, advancements in hardware capabilities introduced higher definition operating systems (Bacon, 1989). UNIX was designed and developed in from 1970 by Ken Thomson and Dennis Ritchie and in five years’ time, it was already in the market. A wide range of versions was designed for different computer types such as IBM PC making it a successful ground-breaking innovation for the OS market (White, 2005). The other remarkable contribution in the evolution of the OS appeared in the computer world in the 1980’s, with the Disc Operating System (DOS) making a lion’s share of the credit. Microsoft (MS) was the company of choice for the development of this innovation, having a better competitive edge when compared with rivals such as Digital Research.MS DOS and PC DOS versions of the Operating System emerged in the 1980’s, and in a span of a decade, some of the most celebrated evolution products such as 1.0, 1.1, 1.25, 2.0, 2.01, 2.1, 2.11, 2.25, 3.0, 3.1, 3.2, 3.3, 4.0, 4.01, 5.0 entered into the market. Microsoft was at the same time designing an OS while DOS revolution was still in continuity. The introduction of Windows began in 1985 but reliance on DOS made it an incomplete version until much later in the 1990’s. Linux was developed in 1991 by a Finnish student making foundational reliance on UNIX, making one of the most successful OS that is sometimes referred to as a UNIX clone. The incorporation of the Linux ideas into the GNU project in 1992 gave it the impetus it needed to be

Midterm Essay Example | Topics and Well Written Essays - 750 words

Midterm - Essay Example It also presents that people tend to believe in things that they do not really understand. In the movie, Chance seems to give out gardening metaphors relating to economic situation and forecasts. Gardening and television is the only world that Chance knows and so he makes remarks referring to the garden but what he means is really about the garden not economics but the people interpreted it in a different way finding him queer. The movie presents American politics as devious and devoid of credibility to lead the country. This clearly shows how Ashby believes that American politics and the government, at that, is not real but something that is created by the rich and famous people manipulating and dominating our society. 2. In William Golding’s novel "The Lord of the Flies", is the Problem of Evil due primarily to a flaw in human nature or to cultural forces that have shaped the boys’ attitudes and behavior? Support your opinion with specific details from the book. Golding presents evil as an intrinsic nature of human beings that even innocent boys living in an uninhibited island are stained by it. Cruelty is shown as an indication of this evil and this is presented in the scene wherein the boys started hunting pigs. The desire of man for power is overpowering that it even the children, seen in the event of Jack’s jealousy with Ralph’s leadership. Golding also presents evil as something alive in each human being seeking to come out and be recognized and utilized. This can be seen in the urge that the children in the story feel to inflict pain. This can be particularly seen during the time that Roger threw rocks at the kids reasoning out that he is not really aiming at them. This can also be seen when the biguns were bullying the lilluns, kicking their sandcastle. And after the pain comes the rush of joy. Like at the time when they were hunting and killing the pig, the choirboys were overjoyed that they even had a ritual dance.

What are the major points of difference in Realist International Essay

What are the major points of difference in Realist International Relations Theory - Essay Example The developments of this period acted as wake-up calls because nations started getting interested in owning resources, creating political boundaries, and ruling the world (Viotti, & Kauppi, 2012). Since then, war has been a part of life for some countries because of lack of peace with neighboring states, for example, Iran and Iraq. Other countries such as the European Union and America found peace by forming international organizations such as United Nations, which formulates the rules that govern the interaction between countries. Scholars have formulated theories to help states to determine how they should interact with others. The main theories of international relations include realism and idealism. The theory of realism has been embraced and criticized at the same time because of the contradictions in its tenets; this makes it useful to analyze the hypothesis and determine the differences in its arguments. Origin of Realism Theory The theory of realism bases its arguments on eco nomic principles, and it argues that states aim at maximizing their utility relative to others. The utility of states increases when they own more resources and power contrary to their counterparts (Rengger, 200). This means that the techniques used to acquire power and resources are not questionable, even if they are against humanity and ethics. The founders of this theory include Nicholas Spykman, Carr, and Hans Morgenthau, all who are from the European Union. Watz and Alexander Hamilton of the United States later contributed to theory. The artistic works of Thucydides and Sun Tzu that existed before the foundations of the theory were used as the basis for the formulation of its principles (Donneley, 2000). Assumptions of the Theory The hypothesis assumes that the government is the highest level of power in a country, and that the leaders of the state make rational decisions. According to Machiavelli, rational decisions are those that increase wealth and power. Therefore, national leaders do not take courses that degrade the power and resources of the state because this would be irrational. This means that the theory disregards international organizations such as the United Nations and International Monetary Fund, which may dictate the actions of the government. The independence of the actions of states means that countries interact in an anarchical system; this is where each government aims at gaining comparative advantage in the acquisition of certain resources and powers (Resende, 2007). Tenets of the Realism Theory of International Relations The principles of the theory were developed by Morgenthau after the Second World War when international relations became a popular subject. However, the ideologies that were applicable during the war included those of Carr and Machiavelli. The first principle of the theory of realism argues that states are governed by the rule of law, and that it is the regulations that manage international relationships (Mary, Rosec rance, & Steiner, 2010). This means that states that do not have laws may not find peace with others, and even those that have inefficient regulations may also fail to find peaceful international neighbors. This then depicts that countries must concentrate on the formulation of logical and efficient laws, in order for them to prosper in the international economy (Machiavelli, & Marriott, 2010). This is because a country analyzes the laws of another state when determining whether to engage in foreign relations

Tom Clancy Essay Example | Topics and Well Written Essays - 2500 words

Tom Clancy - Essay Example Tom Clancy is something else again. The flap jacket of Tom Clancy's first successful book, The Hunt for Red October, contains this anecdote: "He has had a private chat with President Reagan, and lunched with the White House staff. His maiden novel was a top seller at the Pentagon. Yet the author is neither a former intelligence nor a naval officer. Rather, Tom Clancy is an insurance broker from a small town in Maryland whose only previously published writing was a letter to the editor and a three-page article about the MX missile. He always wanted to write a suspense novel, and a newspaper article about a mutiny on a Soviet frigate gave him the initial idea for Red October. He did extensive research about Soviet-American naval strategies and submarine technology. Then in the time he could spare from his insurance business, Clancy sat down at his typewriter and wrote. The rest is history." This insurance man with very little writing experience invented the "techno-thriller" genre, a hybrid of military, spy, political and suspense thrillers which became part of popular American culture 20 years later (Greenberg, M., 1992). Clancy's suspense thrillers are political intrigues mixed with rich details of modern military technology, which are focused on the Cold War and take a grim view of the former Soviet Union. This struck a responsive chord among political conservatives. These novels are also distinguished by the intricacies of their plots, attention to detail, and technical accuracy in military and intelligence topics (Wikipedia). An amazing achievement for one who never had any training in intelligence or military affairs, which gives his popularity a dimension bigger than that of all the best-selling authors combined who are known to have some previous expertise in the fields they are writing on. As a result of the immense popularity of Clancy's books, he became the only author in history whose works have been "branded,' a new publishing phenomenon in which other authors publish books using his name to ensure brisk sales. These publishing ventures are called "Apostrophe Books" as in "Tom Clancy's Op-Center with Steve Pieczenik." (Britannica.com) Tom Clancy's initial attempt at novel writing, The Hunt for Red October, was modeled after authors he admired most. These include the British masters of suspense and spy thrillers - Frederick Forsyth, John le Carre, Alistair MacLean and Len Deighton. Martin Greenberg, who collaborated with Clancy on his Mirror Image series, recalls that Clancy worked on the novel from November 11, 1982 to February 23, 1983, or within a space of only three months. The novel concerns a prolonged sea chase involving high-tech submarines so he referred it to the Naval Press Institute, hoping to obtain the stamp of authenticity that he doubted from the start. As Clancy feared at the time, his knowledge of submarine technology and weaponry was found wanting in places by the Naval Press Institute. Thus, the manuscript was returned to him three weeks later, full of suggested rewrites. Clancy dutifully did the rewrites, learning from that experience as he did so. In November 1983, sometime after Clancy brought back the revised manuscript to the Naval Press Institute, the institute was impressed enough to make an offer to publish it on a $3,000 deal with the first-time author. The institute had never published a book before and it was a measly contract by industry standard, but Clancy

Sinners in the Hands of an Angry God Essay Example for Free

Sinners in the Hands of an Angry God Essay Whether or not there is a doomed afterlife in which is called â€Å"hell†, everybody has their own perception of what their â€Å"hell† would be like. Rather your view of hell is eternal detonation or a place consisting of deathly flames and Satan’s head down in a bucket of ice, most people do not wish to be summoned into the depths of hell. However; Jonathon Edward’s sermon, â€Å"Sinners in the Hands of an Angry God,† portrays briefly the vivid imagery of how hell was represented during the Second Great Awakening. In addition, Edwards aim was to teach his listeners about the horror of hell. Thus, Edwards’s dramatic interpretation of hell frightened the people who followed by God’s word and urges those who don’t to call upon Christ to receive forgiveness. Jonathon Edward’s briefly described hell in his sermon. His justification regarding hell was a â€Å"lake of burning brimstone,† (Edwards 98). Edward’s Sinners in the Hands of an Angry God, emphasized the belief that hell is real and he did not tolerate the voices of opposing opinions, urging that they had a â€Å"black cloud of God’s wrath now hanging directly over your heads†¦Ã¢â‚¬  (Edwards 98). Edwards anticipated that the imagery and the message contained in his sermon would instill the reality of being doomed into hell if they did not take the step into following Christ. Therefore, the preaching’s made by Edwards were not sympathetic toward the nonbelievers, and infused the believers with terror of being summoned to hell. There is nothing that keeps wicked men at any one moment out of Hell, but the mere pleasure of God (Edward 100). Edward’s words represented God’s power in being able to cast wicked people in hell at any moment. The people sitting in the pews of the Church were most likely coped with fear as a result of Edward’s harsh speech. He further warns the people of the only thing keeping them from hell is the thin air which God creates as a barrier. According to Edward’s, God would have no pity for those people casted into hell since he provided humans with a chance to resolve their sins. Since the sermon of Edwards was conducted during the Second Great Awakening when people were regaining their religion, people would most likely be on edge from the words of Jonathon Edwards. In summation, the brief representation of hell from Edwards commended God’s lack of sympathy for those people who did not abide by God’s words and instilled fear in the hearts of people who attended Church. Accordingly, Edwards’s remarkable explanation of hell frightened the people who pursued in God’s word and recommend those who didn’t to follow Christ in order to receive forgiveness. Edwards, in addition assisted in teaching his community the horrors and lifelong detonation of hell. Therefore, in Jonathon Edward’s sermon, â€Å"Sinners in the Hands of an Angry God,† his brief but vivid descriptions of how hell was characterized gave the era of the Second Great Awakening great fear if they did not chose to obey by Christ. He wanted to preach to the people about the lasting effects not obeying by God had. Thus, Jonathon Edwards approached the people of his teachings with fear of hell and the representation he had of hell.

Antibody Screening, Identification and Cross Match

Antibody Screening, Identification and Cross Match Antibody Screening, Identification and Cross Match: Case studies from Bristol Memorial Hospital Simon Avery and Malcolm Grey, School of Cellular and Molecular Medicine, University of Bristol, BS8 ITH Summary Antibody screening, identification, and cross matching comprises an essential element of pre-transfusion testing procedure that is of paramount importance in blood bank establishments. Clinically significant antibodies can cause haemolytic transfusion reactions. Antibody screening is crucial for patients who require blood transfusions to detect the presence of any unexpected antibodies and ensure selection of the most compatible unit. We report on five patient case studies regarding the use of antibody screening and identification to select the most appropriate red cell units available. At this time, limited blood units were available. An analysis is provided with key emphasis on the importance of antibody cross matching and compatibility testing. Keywords: Antibody Screening, Clinically Significant, Compatibility testing, ABO, RhD Red Blood Cells (RBCs) carry a varying number of blood group antigens on their cell surface (Dean, 2005). To date, there are over 600 identified antigens within 30 distinguished blood group systems (Dean, 2005). To ensure the provision of safe blood for transfusion, antibody screening and identification is routinely performed in blood bank establishments in accordance with pre-transfusion testing procedures (Makroo et al., 2014). This is primarily achieved through the microcolumn gel technique, which has become the most prevalent technique used in blood bank laboratories worldwide (Hwang Shin et al., 2009). The aim is to detect unexpected antibodies and quantify their specificity to provide blood that lacks the corresponding antigen, forming an element of fundamental importance in clinical transfusion (Makroo et al., 2014). Alloimmunisation commonly occurs following blood transfusions and is defined as the immune response to antigens that are recognised as foreign (Yazdanbakhsh, 2012). The most important RBC alloantibodies in transfusion practice include the Rh (D, C, E, c, and e) and Kell antigens, in addition to the Duffy, Kidd, and MNS blood group antigens (Makroo et al., 2014; Dean, 2005). Antibodies that are considered clinically significant can cause haemolytic transfusion reactions, following the accelerated destruction and shortened survival of transfused RBCs (Garratty, 2012). Furthermore, clinically significant antibodies are associated with haemolytic disease of the fetus and newborn (Daniels et al., 2002). Therefore, it is critical to recognise and consider clinically significant antibodies present in a patient in order to select the most appropriate unit for transfusion (Makarovska-Bojadzieva, 2009). As a result, the blood service aims to provide a regular supply of all blood groups and blo od types. In this study, we present a case by case report of antibody screening, identification and cross matching for five patients, in addition to the management and use of blood units from a limited supply, highlighting the importance of clinically significant antibodies and their detection in transfusion medicine. Materials and Methods Patients The patients included in this study comprise five individuals with varying medical and transfusion history. The details of each patient are outlined in table 1. IAT Gel Antibody Screening DiaMed IAT gel cards were used to detect antibodies and performed on all five patients. Each well was labelled with the patient identification number (1-5) with 2 wells used for each patient. 50ÃŽÂ ¼l of 0.8% screening Cell Stab reagents and 25ÃŽÂ ¼l of patients plasma were added to the DiaMed IAT gel cards. Two controls, positive and negative, were prepared using 50ÃŽÂ ¼l of 0.8% O R1r in Cell Stab, with 25ÃŽÂ ¼l of AB serum added to the negative control and 25ÃŽÂ ¼l of weak anti-D added to the positive control. Cards were incubated at 37 °C for 15 minutes and spun in the DiaMed ID-Centrifuge 12 S II for 10 minutes at 1030 rpm. Cards were analysed for agglutination and results were scored accordingly from 0 to 5, where a negative score of 0 indicates no agglutination and a positive score of 5 indicates agglutination. Antibody Identification Antibody identification was performed on patients 2, 3, and 4 with a positive antibody screen, using enzyme and IAT panels. A 1% red cell suspension was prepared from 10ÃŽÂ ¼l packed red cells and 1mL DiaMed diluent. 50ÃŽÂ ¼l was added to each well followed by 25ÃŽÂ ¼l of patients plasma. Two controls were prepared. An IAT control was prepared from 50ÃŽÂ ¼l of R1r control cells and 25ÃŽÂ ¼l of weak anti-D. An enzyme testing control was prepared using R1R1 control cells and 25ÃŽÂ ¼l of anti-K. Cards were incubated at 37 °C for 15 minutes and spun in the DiaMed ID-Centrifuge 12 S II for 10 minutes at 1030 rpm. Cards were analysed using a light box and scored accordingly. Compatibility testing DiaMed IAT gel cards were used to perform compatibility tests for each patient against donor units. Each well was labelled accordingly with patient number and donor unit. 50ÃŽÂ ¼l of 1% donor unit cells in Cell Stab reagents and 25ÃŽÂ ¼l of patients plasma were added to the corresponding wells. Two controls, positive and negative, were prepared using 50ÃŽÂ ¼l of 1% O R1r in Cell Stab, with 25ÃŽÂ ¼l of AB serum added to the negative control and 25ÃŽÂ ¼l of weak anti-D added to the positive control. Cards were incubated at 37 °C for 15 minutes and spun in the DiaMed ID-Centrifuge 12 S II for 10 minutes at 1030 rpm. Cards were analysed and scored for agglutination, 0-5. Results Patient Gender Age Transfusion History Additional Medical Details 1 Female, 70 years old No history of blood transfusions Scheduled for repair of fractured hip joint following a fall 2 Female, 34 years old Undergone several surgeries to treat disease. Received blood during last surgery 5 years ago. Crohns disease Undergoing evaluation for unexplained anaemia 3 Male, 58 years old Received 4 units of RBCs during surgery 8 years ago. History of cardiovascular disease Undergone heart bypass surgery 4 Male, 14 years old Receives frequent blood transfusions for the management of his condition. Last transfusion dated 6 months ago. Sickle cell anaemia History of anti-K 5 Female, 19 years old No history of blood transfusions Involved in a road traffic accident Table 1 The medical history of each patient, including transfusion history. Patient ABO/RhD Type Screening Cell 1 Screening Cell 2 Interpretation 1 A+ * 0 0 No antibody detected 2 A+ 0 5 Antibody detected 3 B+ 3 0 Antibody detected 4 O+ 0 4 Antibody detected 5 O 0 0 No antibody detected Table 2 The ABO and RHD typing of each patient and results obtained from the antibody screening panel. Interpretation of results is also provided.* A mix field reaction was detected for patient 1 in the ABO/RHD screening.   Patient Antibody Present Probable Genotype Further Patient Information 1 Dce/dce R1r (31%) May require more units of red cells in the future but not today 2 Anti-c, Anti-E DCe/Dce R1R1 (18%) Requires 2 units today 3 Anti-Fya, Anti-K Dce/dce R0r ( Requires 2 units of red cells as soon as possible 4 Anti-K Dce/dce R1r (31%) Requires 3 units of red cells 5 Dce/dce rr (14%) No longer needs any blood Table 3 Results of the antibody identification screening panel and transfusion requirements for each patient. Patient Unit ABO/RhD Antigens 1 G M A / RhD Positive D+C+E-c+e+ A / RhD Negative D-C-E-c+e+ K Fya, S, M Negative Fya, JKa Negative 2 S F A / RhD Positive D+C+E-c-e+ O / RhD Positive D+C+E-c-e+ K, Fya, S, M Negative K, Fya, S, M, HbS Negative 3 Q R B / RhD Positive D+C-E-c+e+ B / RhD Negative D-C+E-c+e+ K, Fya, S, M, HbS Negative K, Fya, S, s, M Negative 4 J K I O / RhD Positive D+C+E+c+e+ O / RhD Positive D+C+E-c+e+ O / RhD Positive D+C-E-c+e+ K, Fya, S Negative K, Jka, S, M Negative K, Fyb, S, Lea Negative 5 T O / Rhd Negative D-C-E-c+e+ Fya, HbS Negative Table 4 Compatibility testing of each patient against selected donor units. Discussion Our first case study is a 70-year-old female who has been admitted for an operation to repair a fracture to her left hip joint, following a fall. The patient has no history of previous blood transfusions and appears in good health. Her son reports that she has been healthy throughout her life and only admitted to hospital for child birth. Pre-transfusion testing procedures were carried out to order blood for her upcoming surgery. The results for this patients ABO and RhD typing revealed a mixed field reaction for anti-D. Extended Rh typing also revealed a mixed field reaction for anti-c. Antibody identification was performed to determine if this patient has any clinically significant antibodies, in which none were detected. It is therefore possible that this patients ABO type may be A3, a subgroup of the A blood type. Weak subgroups of A3 are known to cause mixed field reactions (Dean, 2005), therefore we have requested this patients serum to be typed against A1, A2 and A3 cells. However, extensive ABO and RH typing is required to precisely determine this patients blood phenotype. This patient requires red cell units in the future for a planned operation. The units that have been designated for this patient include unit G and unit B, which are both A RhD positive red cell units. However, a full assessment of this patients blood type must be analysed before the administration of these components. Patient 2 forms our second case study, a 34-year-old female who suffers from Crohns disease. This patient has been admitted regarding unexplained anaemia. Patient 2 has previously undergone several surgeries to manage her condition. Her last surgery was 7 years ago, in which she received a blood transfusion. This patient has a haemoglobin level of 7.9 g/dL and 2 units of RBCs have been ordered for transfusion today. The antibody identification revealed clinically significant antibodies, including anti-c and anti-E. Most Rh blood group antibodies are warm reacting IgG antibodies that cause haemolytic and delayed transfusion reactions and haemolytic disease of the fetus and newborn; therefore, they are considered clinically significant. Anti-C and anti-E are most commonly found together in patients, as most patients who have developed anti-E often go on to develop anti-c. The c antigen is highly immunogenic in comparison to the E antigen. As a result, anti-c may cause severe haemolytic disease of the fetus and newborn in this patient, whereas anti-e may cause a mild reaction. However, as the patients RhD type is positive, it is unlikely that she will require anti-D prophylaxis. This patient requires two RBCs units today. The units that have been designated for this patient include unit S and unit F. Unit S is A RhD positive and unit F is O RhD positive, in which both units are negative for anti-c and anti-E. Our third patient is a 58-year-old male who has been admitted into hospital after complaining of chest pains and shortness of breath. This patient has a history of cardiovascular disease and underwent heart bypass surgery 8 years ago, in which he received 4 RBC transfusions. Upon arrival, a diagnosis of heart failure was determined and need for immediate surgery. Antibody testing for this patient revealed the patient is both positive for anti-Fya and anti-K. Furthermore, the probable genotype of this patient suggests African descent, therefore the patient will also receive anti-c and anti-e positive red cells. This patient requires two units of blood as soon as possible, in which unit Q and unit R have been allocated. The fourth patient in our case report is a 14-year-old male that suffers from sickle cell anaemia and has a history of anti-K. This patient receives frequent blood transfusions for the management of his condition, with his last transfusion dated 6 months prior to admission. The patient was brought in by his family regarding fatigue and shortness of breath. The patient has been kept in hospital for observation pending suspicion of sickle cell crisis. Three RBC units have been allocated for this patient including units J, K, and I. Each unit is O RhD positive and negative for anti-K.      Ã‚   Finally, the fifth patient featured in this report is a 19-year-old female that was involved in a road traffic accident. This patient has no history of previous blood transfusions and has never been admitted to hospital prior to this occasion, with her parents citing excellent health. The patient was admitted with trauma to the head, in which a single blood unit was allocated unit T. However, the patient no longer requires the unit at this time. The unit will be kept for the patient whilst she remains in hospital following any complications. Unit T was selected for this patient and is O RhD negative. This patient does not have any clinically significant antibodies. Throughout the treatment and assessment of these 5 patients, only 12 of blood were available. A total of 10 units were used to treat all 5 patients. Severe weather across the United Kingdom has impacted the distribution of blood from the NHS Blood and Transplant manufacturing sites located in Bristol, London, and Manchester. Access by road, rail, and air have all been affected by severe storms and rendered transport at a halt. The nearest blood bank could not be accessed and therefore a limited number of RBC units were available. References Daniels, G., Poole, J., de Silva, M., et al. (2002) The clinical significance of blood group antibodies. Transfusion Medicine. 12(5), 287 295. Available from: http://onlinelibrary.wiley.com/doi/10.1046/j.1365-3148.2002.00399.x/abstract [Accessed 21/03/17] Dean, L. (2005) Blood Groups and Red Cell Antigens. National Centre for Biotechnology Information. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2264/ Garratty, G. (2012) What is a clinically significant antibody? ISBT Science Series, 7(1), 54 57. Available from: http://onlinelibrary.wiley.com/wol1/doi/10.1111/j.1751-2824.2012.01594.x/full [Accessed 22/03/17] Hwang-Shin, J., Young Lee, J., Hyen Kim, J., et al. (2009) Screening and Identification of Unexpected Red Cell Antibodies by Simultaneous LISS/Coombs and NaCI/Enzyme Gel Methods. J Korean Med Sci. 24(4), 632 635. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2719182/ [Accessed 21/03/17] Makarovska-Bojadzieva T, Blagoevska M, Kolevski P, Kostovska S. (2009) Optimal blood grouping and antibody screening for safe transfusion. Prilozi, 30(1), 119-128. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19736535 [Accessed 22/03/17] Makroo, RN., Bhatia, A., Hegde, V., et al. (2014) Antibody screening and identification in the general patient population at a tertiary care hospital in New Delhi, India. Indian J Med Res. 140(3), 401-405. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4248387/ [Accessed 21/03/17] Yazdanbakhsh, K., Ware R., Pirenne, F. (2012) Red blood cell alloimmunisation in sickle cell disease: pathophysiology, risk factors and transfusion management. Blood. 120(3), 528 537. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3401213/ [Accessed 22/03/17]

Does Africa Need Foreign Aid for Poverty Alleviation?

Does Africa Need Foreign Aid for Poverty Alleviation? By Carolyne Simiyu Foreign aid, is the transfer and loaning of funds, international goods or services from one country to another. It is often transferred from one developed economy to another developing country.[1] The main aims of aid, particularly in poor nations, are to alleviate poverty, give support to the needy such as internally displaced persons and refugees, reconstruct infrastructure, and revamp economy. However, the efficacy of aids for poverty alleviation in Africa has lost its objective. Since the 1950s, the idea that huge sums of donations can remedy poverty has dominated economic development discourses. More than half of the sub-Saharan Africa are poorer now than in the 1960s.[2] I do not deny the fact that many factors have contributed to poverty in Sub-Saharan Africa which include natural disasters such as famine, draught, and wars. But what about the huge overflow of foreign aid they have been channeling to this developing countries? What did they use it for? According to statistics, while progress has been made in other developing regions of the world, especially East Asia in the last six decades, the percentage of those living in extreme poverty increased in sub-Saharan Africa.[3] Such statistics can be both appalling and at the same time overwhelming. There are several reasons to why foreign aid is ineffective for poverty alleviation in Africa. The first reason is that poverty in African countries is not a vicious circle waiting to be broken by foreign assistance. Instead, poverty is created by economic institutions that systematically block the incentives and opportunities of poor people to make their lives better by themselves and their country.ÂÂ   Let us for instance the system of apartheid in South Africa which Nelson Mandela campaigned against. In this situation, apartheid was a set of economic institutions which was intended to work against the black South Africans. It contained rules that governed and dictated to people what they should do and what they should not do, including the incentives and opportunities they are entitled to.[4] In 1913, the South African government declared that 93 per cent of South Africa was for the white economy, while 7 per cent was for blacks (who constituted about 70 per cent of the popul ation). Blacks had to have a pass a national passport to travel to the cities for job opportunities in the white-controlled mines and industries. They could not own property, nor start a business there. Such economic institutions, which we call extractive sapped the God-given potentials and opportunities of the vast population of black South Africans and largely kept them in poverty. While the country was rich during this period, the wealth was in few hands and the majority were poor. As such, foreign aid would not remove such institutional violence that deprived the majority access to the national resources. It should be noted that people in poor countries have the same ambitions as those in rich countries. Just like those from developed nations, people from poor nations also need freedom of accessibility to economic resources, to have the same opportunities and chances to good health care, clean portable water in their homes and quality education for their children. The reason to why the poor remain poorer is because their basic ability including their talents have been denied the opportunity to grow by their various institutions in those countries. In Sub-Sahara African states, it is important to note that once you are wealthy, you are privileged because you are entitled to power while the poor on the other hand, are less privileged and at the mercy of those in power. By way of conclusion, the evidence from above examples and analysis have shown that poor people are trapped within extractive economic institutions and until these institutions undergo a radical reform, foreign aid and any development it seeks to achieve will only be a mirage, not only in Sub-Sahara Africa, but across all developing countries of the world. 1. Shah, Anup. Foreign Aid for Development Assistance. Global Issues: Sunday, September 28, 2014, http://www.globalissues.org/article/35/foreign-aid-development-assistance [2].ÂÂ   Daron Acemoglu and James A. Robinson. Why foreign aid fails and how to really help Africa. The Spectator. January 27, 2014. Accessed February 04, 2017. http://www.spectator.co.uk/2014/01/why-aid-fails/. [3]. Fosu, Augustin Kwasi. 2015. Growth, Inequality and Poverty In Sub-Saharan Africa: Recent Progress In A Global Context. Oxford Development Studies 43, (1) (Jan 02): 44-59, https://www.lib.uwo.ca/cgibin/ezpauthn.cgi?url=http://search.proquest.com/docview/1680154815?accountid=15115 (accessed February 4, 2017). [4]. Ronci, Donatella. 1973. Apartheid In South Africa: Exploitation and Superprofits. La Critica Sociologica 25, (0): 117-128, https://www.lib.uwo.ca/cgi-bin/ezpauthn.cgi?url=http://search.proquest.com/docview/60911505?accountid=15115 (accessed February 4, 2017). Acromegaly Case Study: Healthcare Needs Acromegaly Case Study: Healthcare Needs Changing Care needs through the life stages You are required to write an assignment based on a person who is in the late stages of adulthood. The person can be a family member, friend or client. The assignment requires you to write about in general the physical, intellectual, emotional and social development in later adulthood first and then compare it to the actual individual’s current well being and lifestyle using the PIES tool. You must explore your own personal prejudices, fears and anxieties about working with people in your care. What has influenced it? What has changed it? Included in the assignment should be any variations whether positive or negative that are affecting the individual as well as recommendations on how you can positively and confidently respond to the needs of the person during this stage of life. Specific conditions: You must seek permission from the adult before writing essay. You must change the identity of the person as well as respecting confidentiality of the person. The essay must cover the following headings P.I.E.S of development during late adulthood(10 Marks) P.I.E.S of development of individual as well as your own personal prejudices, fears and anxieties.(5 Marks) Variations/factors affecting individual at this stage of life(5 Marks) Recommendations to respond confidently to the needs of the person(10 Marks) Introduction For my assignment I have chosen a family member in the late stages of adulthood with a condition called acromegaly. For this assignment I will use the internet, books and information directly from my family member and her immediate family in order to complete this assignment. All names will be changed in order to protect the person’s privacy and confidentiality. Permission has been sought from my family member to do this assignment on her condition and her stage of development. Main Body Clients Name – Lucy Age – 67 Condition – Acromegaly ‘Acromegaly is a hormonal disorder that develops when your pituitary gland produces too much growth hormone’ (Mayoclinic.org, 2015) P.I.E.S of development during late adulthood Physical needs – During late adulthood our physical appearance is diminishing slowly this is due to cellular senescence (cells in our bodies start to decline) (Mark Stibich, 2015). Wrinkles start to appear as skin is losing elasticity. Our bones start to lose calcium and can become brittle (osteoporosis) and harder to heal. Certain illnesses are more likely to appear as one ages such as arthritis, heart disease, diabetes and respiratory problems. A good diet and regular exercise and most importantly a positive attitude in late adulthood can help greatly in prolonging these physical changes. However, even with a good lifestyle and a positive attitude, unforeseen circumstances may happen which triggers further degradation of a person’s health at this stage of development. Retirement and all it has to bring is in full swing. (Maslow, Hierarchy of Needs) According to Erik Erikson from the age of 65 we start to feel that our lives have become less productive. This indeed can be very true if we do n ot have a good retirement plan. With the more and more emphasis that is been put into place for retirement plans and groups that are been set up for the retired person this is helping greatly with these issues. Intellectual needs – As we age our cognitive ability declines. In late adulthood this can become apparent as our intellectual abilities start to decrease, some difficulties with memory and information processing (Paget). This is why it is crucial that adults in this stage keep their brain stimulated and active with certain activities. Even by keeping up reading newspapers, crosswords, bingo, and quiz’s.(Activity Theory) A lot of retirement groups that are being set up and there are courses that adults in this stage of development can do which will keep their minds busy and their brain stimulated which can have a domino effect on their mental health. Unfortunately illnesses may occur that have a negative effect to our cognitive ability such as dementia (Alzheimer’s, Lewy body, front temporal and vascular), Stroke or acquired brain injuries. Emotional needs – Erik Erikson stages of development describes late adulthood stage 65 + as a stage of Ego Integrity vs Despair. He believed that at this stage we look back on our lives so far and if we do not feel we accomplished everything we needed to at this stage of development we can develop a sense of despair which in turn will lead to feelings of depression. With this in mind this can be a very emotional time for some. At this stage of life it is imperative that we have family and friends that we can talk to and share our fears and feelings with. At this stage of development a person that has a life threatening illness may go through several emotions which is described by Elizabeth Kubler-Ross in her grief cycle. (Changingminds.org,2015) Social needs – At this stage of development it is crucial to have interaction with family and friends. As without these interactions a person in late adulthood can feel very isolated. A lot of people before this stage of development, are used to a busy social life, whether it is working or raising their families (Jung’s Theory on Ageing). It is very important that they are invited to family gatherings, social events and are visited regularly. This will help greatly with their physical, intellectual, and emotional needs which can have positive effects on the person’s health if they are kept socially active. It is also important that a person is encouraged to get involved with the various retirement clubs that are set up in their area.(Active retirement Ireland). P.I.E.S of development of individual as well as your own personal prejudices, fears and anxieties Physical needs – As Lucy is 67 and is in the late stages of adulthood her physical appearance is starting to diminish. Along with these changes unfortunately Lucy has to contend with other physical changes due to her condition acromegaly. A once average size woman Lucy has significantly shown signs of change physically. Her feet have gone from a size 6 to a size 9 shoe, her hands have grown bigger in size also and her weight has risen. She has had to deal with retirement and her condition all at once. A mother of 4 whom held down a full time job as a care assistant in a local nursing home in her area and kept her housework to perfection as she says her self she is a cleaning addict. At the age of 64 she discovered she had the condition acromegaly and in the last 3 years she has undergone surgery and radiotherapy to try and reduce the benign tumour on her pituitary gland. Unfortunately this was unsuccessful and Lucy has now to inject herself daily with Somavert 10mg, a medication to reduce the secreti ons of growth hormone by the pituitary gland. Lucy lives with her daughter, her daughter’s husband and their 2 children. I feel this is helping greatly with her physical needs as she still helps out with housework when she is well and she brings her grandchildren for walks to the park and playground. Intellectual needs Intellectually Lucy keeps her mind active by reading novels, and attending bingo when she is well enough. As part of her condition acromegaly she is part of a team in Beaumont Hospital whom are researching this condition that is affecting 400 people in Ireland. I feel this is helping her greatly intellectually as she is learning more and more about the condition and it is keeping her mind and brain active while doing so. Emotional needs Lucy’s emotions at this stage of her development and with the condition acromegaly can be all over the place. But with her family network around her and her close friends that she can talk to about her fears and anxieties this is a great help to her emotionally. I feel from talking to Lucy that she is very well informed by the research team at Beaumont and this is helping her greatly in dealing with her condition. From talking to her about her life so far I have gathered that she feels she has accomplished everything she needed to so far for this stage of development and I feel she can develop through this stage with a virtue of wisdom (Erik Erikson) Social needs – At this stage of development Lucy’s social needs are still of high importance. She still attends bingo with a close friend, family gatherings and family outings. Sometimes she feels that people she hasn’t seen in a while think she has put on weight by over eating but in fact it is because of her condition. She is a very outgoing person so this doesn’t bother her much as she just explains to them her condition. During her outings to Beaumont for research days she has got close to other people whom are at the same stage of development as her and also going through the same condition. My own personal fears, prejudices and anxieties at this stage of development Upon starting my work experience in a nursing home I had a fear that people in the late stage of adulthood development that were in a nursing home were left sitting in an arm chair all day with no interaction from other residents or staff. I realised the first day that this was not the case and that my nursing home had a activities coordinator that did SONAS activities with all residents. As part of the new HIQA standards person centred care approach this was a crucial part of standard working procedure. Variations/factors affecting individual at this stage of life At this stage of development Lucy is quite lucky as her daughter and son in law and grandchildren live with her and her sons live within a mile radius of her house. I feel this is a positive factor at this stage of life and with her condition as she has the comfort of a close knit family always there to help her at this stage and she has the added bonus of helping them too. With her condition acromegaly and the stage of development she is at I would worry that her medication daily (somavert) and indeed the condition itself would have adverse effects on her health (cardiomyopathy, diabetes mellitus and osteoarthritis) during this stage of her life. Lucy has informed me that the team at Beaumont are keeping a very close eye on her through many different tests including liver tests, blood tests and scans in order to keep a close eye on any adverse reactions to her medication and condition. Recommendations to respond confidently to the needs of the person In order for me as a HCA to respond confidently to Lucy’s needs I would need to have the correct information about her condition in order to help talk her through her treatments as I feel it is imperative to be able to confidently answer any questions she may have. I can research local support groups for Acromegaly sufferers and encourage her to join them and bring her family to help them further understand what changes are going on in her body. Using my interpersonal skills I can be a good listener and shoulder to cry on when she is feeling depressed and can take her on shopping trips to specialised shops that cater for women of larger stature. Lucy loves to write letters to family in Galway and England but finds it difficult, when her hands are paining her, therefore I can write dictations from her to keep her hobby. Even though she is not at risk of dementia from her illness, I feel it would be good to help her feel a sense of integrity about her life if we make a life book with her as she can visually see all that she has accomplished. (Erik Eriksson) Conclusion Upon researching for this assignment I have learned that the late stages of adulthood development can be an emotional rollercoaster for any individual. It is my duty going forward as a HCA to be able to understand the basic needs of a person going through this stage. In doing so I need to put myself in their shoes in my thinking and how I would like to be treated at this stage of development. References Anon, (2015). [online] Available at: http://google.ie/webhp?sourceid=chrome-instantion=1espv=2ie=UTF-8 [Accessed 3 Apr. 2015]. Anon, (2015). [Blog] Available at: http://nandahealth.blogspot.ie/2013/09/theories-of-aging-process-biology.html [Accessed 3 Apr. 2015]. Changingminds.org, (2015). The Kubler-Ross Grief Cycle. [online] Available at: http://changingminds.org/disciplines/change_management/kubler_ross/kubler_ross.htm [Accessed 3 Apr. 2015]. Cliffsnotes.com, (2015). Theories of Aging. [online] Available at: http://www.cliffsnotes.com/sciences/psychology/development-psychology/psychosocial-development-age-65/theories-of-aging [Accessed 3 Apr. 2015]. Headstrongbrain.com, (2015). What is Cognitive Decline?. [online] Available at: http://www.headstrongbrain.com/FAQ/~Q3-48/What_is_Cognitive_Decline [Accessed 3 Apr. 2015]. Independent.ie, (2011). Pituitary gland: The tiny gland that can cause very big problems Independent.ie. [online] Available at: http://www.independent.ie/lifestyle/health/pituitary-gland-the-tiny-gland-that-can-cause-very-big-problems-26776040.html [Accessed 3 Apr. 2015]. Mark Stibich, P. (2015). Senescence, Healthy Aging and Longevity. [online] About.com Health. Available at: http://longevity.about.com/od/whyweage/a/senescence.htm [Accessed 3 Apr. 2015]. Mayoclinic.org, (2015). Acromegaly Complications Mayo Clinic. [online] Available at: http://www.mayoclinic.org/diseases-conditions/acromegaly/basics/complications/con-20019216 [Accessed 3 Apr. 2015]. Mayoclinic.org, (2015). Acromegaly Definition Diseases and Conditions Mayo Clinic. [online] Available at: http://www.mayoclinic.org/diseases-conditions/acromegaly/basics/definition/con-20019216 [Accessed 30 Mar. 2015]. McLeod, S. (2007). Maslows Hierarchy of Needs. [online] Simply Psychology. Available at: http://www.simplypsychology.org/maslow.html [Accessed 30 Mar. 2015]. McLeod, S. (2015). Erik Erikson | Psychosocial Stages | Simply Psychology. [online] Simplypsychology.org. Available at: http://www.simplypsychology.org/Erik-Erikson.html [Accessed 30 Mar. 2015]. Medicines.ie, (2015). Somavert 10mg, 15mg and 20mg Powder and Solvent for Solution for Injection Summary of Product Characteristics (SPC). [online] Available at: http://www.medicines.ie/medicine/9530/SPC/Somavert+10mg,+15mg+and+20mg+Powder+and+Solvent+for+Solution+for+Injection/ [Accessed 30 Mar. 2015]. Rightdiagnosis.com, (2015). Aging Theories RightDiagnosis.com. [online] Available at: http://www.rightdiagnosis.com/genetics/aging.htm [Accessed 3 Apr. 2015]. OTHER USEFUL INFORMATION Healthcare Support1Edel Brew

Sun Also Rises and Decline and Fall :: Free Essay Writer

Sun Also Rises and Decline and Fall Poverty is an issue which society faces each day. It is a constant struggle that cannot be ignored. Defeating poverty would take great efforts and contributions from all. Canada and the third world are examples of countries which are experiencing poverty, yet each differ in different ways. Once seeing the multitudes of condominiums, expensive restaurants, and streets jammed with cars, one would never see Canada as a place suffering from hunger, lack of food or clothing. Yet poverty exists. Poverty in Canada cannot be compared to that of a 3rd world country, since many of the poor have access to transportation and television. What people lack is ability to see the inadequate nutrition overcrowded housing and chronic unemployment. â€Å"A visitor to Canada from Africa or Asia, if told if told that there is a widespread poverty in this country, might find the statement hard to credit.†(Schlesinger 89) In most places, the poor are thought to be isolated, away from shopping zones a s well as residential areas. They are seen as a crowded cluster, living in shantytowns drinking a bottle of whisky, uselessly lying there in search for a job, or some method of employment. This is just one of the stereotypes given to the poor person, we must first define poverty. Individuals and families whose financial resources and/or other resources (including educational and occupational skills, the condition of the environment at home and at work, and material possessions) fall seriously below those commanded by the average person or family in society, are in poverty. (Schlesinger 105) The â€Å"poverty line†, is a method used by the government to determine the number of poor people living in a certain area. It is based on an individual’s income. Anyone below the annual level of income is classified as being poor. Who Are Our Poor? The Special Senate Committee on Poverty, using a poverty line, calculated that â€Å"approximately five million Canadians live in poverty† (NCW 10) Studies show various groups in society tend to be poorer in comparison to others. Over 1 million Canadians who work are poor. The working poor are usually employed in service sales, farming, fishing and clerical jobs characterized by low pay, limited opportunities for advancement, and instability. It is said â€Å"1 person in every eight who lives alone is member of the working poor.† (NCW 6) The second highest group is individuals that live in poverty are the elderly.

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Of the many dynasties that make up China’s history, one of the most notable is the Han Dynasty, which lasted from 206 BCE to 220 CE, under the rule of numerous emperors. It made many contributions to China’s history and made lasting changes, some of which remained for millennia following the dynasty’s collapse. They made changes to China’s economy, technology, social order, religion, philosophy, and education that revolutionized the way China operated. Also, as the Han Dynasty expanded greatly during its rule, many of the territory that the dynasty conquered became part of what would later be modern day China. These changes helped to shape the country that China became. One of the major lasting effects was the Han Dynasty’s changes to the economy. The Han Dynasty expanded their influence throughout the land and made improvements in many products made in China, including silk, iron, and textiles, as well as inventing paper. As stated in the article, â€Å"Great Journeys of China†¦ The Silk Road†, â€Å"at the order of Emperor Wudi, courtier General Zhang Qian travelled to the â€Å"regions western ...

Ireland :: essays research papers

Ireland   Ã‚  Ã‚  Ã‚  Ã‚  Ireland is a country in Europe with a coast on the Atlantic Ocean. It is called the Emerald Isle because of its green color. Its people derived mainly from Great Britain. Most of the population is Roman Catholic. The Climate is much like ours.   Ã‚  Ã‚  Ã‚  Ã‚  The republic of Ireland covers 83% of its stand with the other 17% containing the country of Northern Ireland. There are twenty-six counties in the Republic with the over-all capitol of Dublin. The six northeastern counties form the county of Northern Ireland which is actually connected to the republic. Northern Ireland is part of the United Kingdom, where as the republic is not. The whole Island was under British rule before 1922. The island containing the Republic of Ireland and Northern Ireland, is separated by the original ruling country of Great Britain by way of the Irish Sea.   Ã‚  Ã‚  Ã‚  Ã‚  Ireland is actually a detached fragment from the European Mainland. Most of the country is 500 ft. above sea level. The surface of the country is covered by glacial drift from the Pleistocene ice age. This period left eskers, or long gavel ridges, and drumlins or small hills that were left behind by the glaciers. You can find the start of this belt in the west of the country by Clew Bay. It continues across the country.   Ã‚  Ã‚  Ã‚  Ã‚  In the south of Ireland, there is a series of parallel ridges of Devonian sandstone. The ridges rise in elevation westward and lead up to Carrantuohill, the largest mountain in the country. The famous lakes of Killarney are located at that point. The lakes are famous for their scenic beauty.   Ã‚  Ã‚  Ã‚  Ã‚  In the southeast of Ireland, granites from the Devonian age makeup the uplands which travel 80 mi. in a northeasterly direction towards the counties of Wexford and Wicklow, reaching the south shore of Dublin Bay. These uplands are glacier modified valleys.   Ã‚  Ã‚  Ã‚  Ã‚  Most of the soil in Ireland have been formed of Glacial Drift. Limestone, as around here, is the most common bedrock in Ireland, Making it even more like our area. Gleyed soils are commonly found where there is poor drainage, such as in the north-central lowland. Because of past wetness and acidity, peat has accumulated to form bogs that now cover thousands of acres in the midlands. These bogs are useless for agricultural purposes, but very useful in the source of peat fuel. Peat covers much of the higher hills and supports much vegetation making it actually an indirect importance to agriculture. It also makes good grazing for sheep.   Ã‚  Ã‚  Ã‚  Ã‚  The climate of all of Ireland stays mainly as a cool maritime climate. July has average temperatures ranging from 61 degrees in the south, to 57

Voter Apathy American Govermnet

Amer. Gov. Voter Apathy 1. What are some possible causes of voter apathy? Voter apathy is a growing problem in the United States. It’s when people who are eligible to vote choose not to. There are many causes of voter apathy and I believe not all of the reasons are done intentionally by people. One reason is, not knowing enough about the candidates running for office. When you don’t know anything about who is actually running how are you expected to make an educated and sincere vote? I think the mind set of people is if they don’t know enough information then they are better off just not getting involved.Politics can become boring and mundane therefore citizens chose not to pay attention to what’s id going on in the campaigning process. All too often we hear the same old things out of these politicians so shutting them out and choosing not to learn more about that is an easy escape. Negative campaigning and advertisements are another cause of voter apathy. When all we see on TV are negative ads about each candidate or each party then our attitudes towards either side change. Nobody wants to be involved in something that has a negative effect or outcome.I think that the negative advertisement is the main problem. It’s the fastest way to communicate to a lot of people but unfortunately people don’t want to hear complaining, whining, put downs and derogatory comments. Warne 2 2. How might voters shed apathy and regain interest in elections and the electoral process? Shedding apathy can be achieved by better educating the youth on the impact of voting. I think if teens today actually understood the process of voting many would take action and participate. Its looked upon in California and also other places in the United states as â€Å"oh my vote doesn’t count. If we were taught about how important voting actually was and how every vote does count then more citizens would register. Another way to regain interest in the elections is instilling strong citizenship values in young voters. If you have good values as a citizen and respect the country you live in, you will know that it’s your duty to elect the people who actually run your country. Everyone should be taught if you don’t vote you don’t have the right to complain about who wins. Lastly, making registration and voting more convenient would help improve the numbers of citizens registering and voting.So many of us have busy lives with a lot going on and forget to take the time to pay attention and vote. If voting was made simpler and more convenient then many more would do it. I think mostly people who use the excuse that they couldn’t find the times to vote are just being lazy. If families, schools, and community leaders work together to help society and young Americans, then the United States of America will have more citizens involved in the political aspects of their communities. 3. How would you go about ex plaining the importance of voting and encouraging citizens to participate in the most democratic of all processes?The only way to explain that Voting is extremely important is by saying that without voting we wouldn’t get anywhere in the world. All decisions would be on a dictator basis. In American we have the greatest right that most countries do not possess. That is the right to vote. It’s a way of exercising your right as an adult human being in a free country to express your opinion on issues. Every vote counts. You have to understand that it is how we hire the people who run the country. It helps you decide your own future by electing a person who might reflect your own views so you can live happily and comfortably.

Safety of stored information and easier retrieval Essay

Task 1: strengthen the information systems to enhance effective communication within the business and in all departments. Benefits of effective technological systems (Sanders & Bok 2013). This facilitates effective communication with the departments in the business. The daily operations of the business need effective communication. Senior departmental managers need to communicate with supervisors and other subordinates. Communication channels such telephones and computer links facilitates transmission of information from one area to another. This saves time as managers and supervisors don’t take time moving from one section to the other. Safety of stored information and easier retrieval (Target, Grimshow & Powel 2009). They facilitate better storage of information within the organization. It reduces paper work and bunch of files stored in the offices. Computers stores information which can be retrieved easily through use of logs and personal codes, when they are keyed information is displayed easily. Task 2: improve the existing markets and expand through opening new branches throughout the world. Benefits of proper marketing strategies (Kerin, Hartley & Rudelius 2009). Marketing is a very essential aspect in every business. Strategies such as integrate online and offline advertising, message adaptation and contests and discounts. Proper marketing facilitates better customer relations and increase in sales. This being the key goal of any business organization, it facilitates growth and development. Meeting customer needs (Bettencourt 2010). Organizations are required to meet the needs of the customers for competitive advantages. Customers’ satisfaction helps the business to maintain customers both in the long-run and short-run. Distribution of the products within the required time in the markets and proper pricing enhances customers’ maintenance are reaching the potential customers. Task 3: use of online marketing and product promotion                There are many ways of reaching out customers and promoting products in the market. Use of website links and online transactions enables an organization to reach more customers all over the world. Forms of product promotions such as advertising through electronic commutations such as radios and TV, use of billboards and personal selling also helps in reaching out customers. This is very beneficial to an organization as it gets enjoys economies of scale through increased production and sales. Value added by the role of my CPO.                My role adds a significant role in my CPO. For clear understanding of this role is added and what it is about, the learner have to be well informed on matters concerning proper marketing strategies, how to apply them and the benefits associated with such strategies. This comprises of the ways that a business put into consideration with an aim of reaching more customers and increasing the sales. Proper marketing strategies are very beneficial to the business both for proper control of internal and external environments (Fisher 2008). Some of the benefits involved include; market expansion both local and international, competitive advantages as the business is able to acquire large market share and meet the needs of the customers. My role in regard to adding value to my CPO is based on my knowledge concerning the marketing mix and segmentation. This is an area that is must have full knowledge concerning how a market is well segmented, the tools of marketing mix such as products, price, promotion and distribution. This knowledge will help me in preparing a good report to be presented to the marketing manager for better installation and implementation of the required strategies. The strategies should be based on the individuals and target groups in relation to their needs, knowledge and cultural activities (Augustine 2009). For my CPO to have a value addition, I must have full knowledge concerning the strategies used by other industries/competitors, the marketing trends and the needs of the customer. This will facilitate and enhance a better delivery of findings and recommendations to the clients and have qualities and important information that helps the marketing teams. My role is to ensure there is a proper interrelationship between the three departments that is IT, transport and marketing. They help the organization to pursue their interests effectively. Resolving allowed these departments adds value to my CPO as it enables me to come u p with better and effective strategies that are beneficial to an organization. LG3 Nature of relationships incorporated in my CPO during the completion of my task. Effective completion of tasks requires proper involvement of all the employees and the management. Employees are provided with the necessary skills across all the tasks carried out in the business. This enables an employee to perform any task across all departments. I always interacts with the marketing department when having a discussion with them on how to improve their operation or resolving an issue. I have acquired more knowledge through my team leader as I have always accompanied him when carrying out daily operations. This has enabled me to establish a strong marketing team and enhance good relationships. Proper communication that is done horizontally from the team leader to supervisors and the people on the ground. Receiving information concerning the progress of the market and the issues affecting them is another task I do carry in the organization. Organizational chart Ideas on how my CPO may effectively manage the organizational internal relationships. The marketing department has a well established IT and transport systems. This becomes an advantage as communication is well facilitated and goods are transported to the respective markets. Internal environment gaps; questions that will help me in developing an understanding of the internal environment. Are all the departments well resourced with the required facilitates? For effective implementation and carrying out of the activities, the overall departments have to be equipped well. Are all departmental managers well skilled with the required knowledge? This will help me in determining if there is need to have training of all the departmental attendants. What are the strategies used by the competitor? Are the strategies used in the organization more effective compared to those of the competitors? Key facts concerning my industry sector                Strategic market planning is a marketing body that is focused on the content of strategy and formulation process at the unit level of a business (Kumar 2010). It also compares the role of marketing in the organizational activity’s sphere. This marketing body helps me in analyzing key facts concerning key facts of my organization. Skills of employees                Employees are the key players in the organizational marketing. They need to be well skilled as they are the ones who interact with customers on their daily basis. Product packaging and branding                Product appearance is very vital to the eyes of the customer. The organization facilitates better packaging by using amounts affordable by the customers of all aspects. Issues faced by the business world                Political instability; Most of the countries in the world are faced with political instability. Such events are associated with chaos hence creating unfavorable marketing conditions. Market diversification: many businesses are located in different parts of the world. To have effective cooperation and proper management, the business world is facing problems of meeting the customer demands. My CPO provides strategies of ensuring that the organization has well manageable markets. External stakeholders and their significance in the relationship.                Governmental agencies of NZ, Agencies such as the tax authority and the licensing board influences the marketing operations of the business. Tax levies and restrictions imposed by the licensing board affects the rate at which the organization opens up new markets. LG 3.3 topic: entrepreneurship and communication Product promotion:                It is an area that has contributed a lot towards reaching out customers in different corners of the world. It is an area that requires a lot of skills and confidentiality as it can either assist the business in reaching more customers or can lead to loss of confidence towards the business. It has been an area of my interest, as it is closely associated with my CPO’s discipline in its industry sector. Online transaction                Carrying out online transactions assists the business to have safer operations. In AUT business school, I acquired knowledge and skills necessary for carrying out online transactions. It facilitates the growth of the business and should be adopted by the organization. I finds it easy to operate as it has closer connection with my CPO and its industry. Learning goal 4: ethical and social responsibility facing society and business                Ethical means to do with what is wrong and right, based on morality (Cafoliete 2010). Social responsibility is refers to an ethical theory that an individual or organization has an obligation to act for societal benefits (Amaeshi 2013). An ethical decision facilitates better services and creates a good image of an organization. My CPO and industry may consider offering training on how to ethical business characteristics and ensures customer needs are fully met (Bates 2013). Lack of enough skills may lead to a challenge in my CPO on making business decision that is ethical. LG 5: work collaboratively Developing business communication skills                Communication is a key factor in every business organization. Communication enhances better relationships with others in the industry thus facilitating work collaborations. My strength in this aspect is that my CPO consists of the largest communication department which links with other external organizations. The major weakness is on the poor communication skills currently displayed by many of the departmental attendants. My goal is to ensure that communication has been enhanced and effective channels installed. The strategies to be put in place include; in-service training and workshops should be held regularly, installation of communication devices in all departments and skilled managers employed. In order to assess whether the goals have been achieved, it should be measured in terms of profit margin and the number of customers. Aspect 2: working effectively in teams                Team work is a key tool in enhancing effective operations and increased productivity. It brings unity thus enhancing collaboration with others. The strengths in this aspect are that majority of the group members are of the same age thus works well as a group. The weakness is on the team leadership as my CPO industry has a few experienced managers. My goal is to develop the strongest working team in the industry. The strategies set include ensuring that more skilled managers are employed, workshops held to regular basis to train members on how to have strong working teams. Though it is hard to assess the strength of a team, my industry will check on the interrelationship between the internal and external environments to assess whether the goal has been met. References Amaeshi, K., & Nnodim, P. (2013). Corporate Social Responsibility, Entrepreneurship, and Innovation. Hoboken: Taylor and Francis. Bettencourt, L. (2010). Service innovation how to go from customer needs to breakthrough services. New York: McGraw-Hill. Bok, D. C. (2013). Universities in the marketplace: the commercialization of higher education (45 ed.). Princeton, N.J.: Princeton University Press. Kerin, R. A., Hartley, S. W., & Rudelius, W. (2009). Marketing (9/e [9th ed.). Boston: McGraw-Hill/Irwin. Kumar, D. (2010). Enterprise Growth Strategy Vision, Planning and Execution.. Farnham: Ashgate Pub.. Oliver, S. (2010). Public relations strategy (3rd ed.). London: Kogan Page/CIPR. Targett, D., Grimshaw, D. J., & Powell, P. (2009). IT in business a manager’s casebook. Oxford: Butterworth-Heinemann Amaeshi, K., & Nnodim, P. (2013). Corporate Social Responsibility, Entrepreneurship, and Innovation. Hoboken: Taylor and Francis. Augustine, C. H. (2009). Improving school leadership the promise of cohesive leadership systems. Santa Monica, CA: RAND. Bates, C. G. (2013). Global social issues an encyclopedia. Armonk, NY: M.E. Sharpe. Bender, T. (2012). Discussion-based online teaching to enhance student learning: theory, practice, and assessment (2nd ed.). Sterling, Va.: Stylys. Source document

Lyle Alzado View of Steroid Use

Also I was undersized compared to the other players. After graduation no colleges gave me scholarships for playing football. Being undersized and playing averagely I wasn't the best athlete. I tried out for the Kilgore Junior College's football team in nineteen sixty four, but they told me that I wasn't good enough to play for them. I was finally accepted to Yankton College in South Dakota; I started taking steroids to play football better after being accepted, in order to play better and to insure my place on their football team.In nineteen seventy one I was the Denver Broncos fourth draft pick. I was a defensive lineman the same as in high school. I became a formidable player by the end of my rookie year. I outran, outwit, authenticated everybody. All along I was taking steroids and I saw that they made me play better and better. In nineteen seventy seven, I was named the Oaf's defensive player of the year and the defensive lineman of the year. I went from being and average player in high school, to being a feared professional football player in Just a few years.I was so wild about winning, it's all I cared about, I never talked about anything else, and steroids helped me keep on winning. In nineteen eighty four, I retired from football due to an injury to my Achilles tendon, which I believe was cause by my steroid use. I tried to make a comeback in nineteen ninety with the Raiders but I immediately had a knee injury that prevented me from playing. By the end of my football career I was name all-pro twice and had a total of ninety seven sacks In one hundred ninety six games. I had done well for someone who had no hope In high school of playing professional oddball.All during my college and professional football career I was taking steroids. I spent around thirty thousand dollars a year on steroids. All the time on the field I was fierce, mean, and determined to win, but off the field I had a hard time turning these emotions off. One of my teammates described me as have a split personality, â€Å"on the field he projected a tough image,† He said. But off the field I was like a gentle giant. When the game was over, I would be plagued with mood swings from the steroids; I could keep a good relationship with people.I was married four times over the course of my football career. Once a man sideswiped my car in Denver and I followed him home and beat him up In his front yard. I couldn't control my anger. I abused my second wife so much that she called the police five times on me during the course of our marriage. In March of nineteen ninety one, during my wedding to my fourth wife Kathy, I had a hard time keeping my balance while walking. A month later I was diagnosed with a chemotherapy treatment, in an attempt to cure the brain tumor.I died over a year after being diagnosed in my home in Portland, Oregon. I told Sports Illustrated before my death that I had started taking steroids in nineteen sixty nine and never stooped. I wanted to tell others to stop taking steroids. It wasn't worth it to me, steroids caused me to become detached from my friends and family, I couldn't keep a good relationship due to the mood swings caused by my steroid use. Ultimately my death was caused by steroids, they had made my appear strong on the outside while they wrecked my mind and body.

Arguments Against The Flu Vaccine

Every fall season we hear the question; did you get your flu shot yet? It is supposed to protect you from that nasty flu virus that circulates our communities during the fall and winter months. But, did you know that in 2011 the Centers for Disease Control (CDC) Adverse Event Reporting Systems Website (AERS) reported 51 deaths caused by the flu vaccine in the United States (U. S. ) (CDC,2012).According to National Vaccine Information Center (NVIC), as of July 2012 there have been more than 84,000 reports of adverse reactions, 1000 vaccine related deaths and over 1600 cases of Guillain- Barre syndrome, a acute form of paralysis, triggered by the vaccine (NVIC. ORG). A problem exists in the fact that according to the ( NVIC) fewer than 1% of all adverse vaccine reactions are ever reported, this fact is substantiated by the problem of â€Å"underreporting† vaccine injuries according to the joint operated site by the CDC and Food and Drug Administration ( FDA) (VAERS, 2011).Resear ch claims that receiving the flu vaccine exposes people to a number of dangerous chemicals that have been known to cause multiple side effects, disease conditions, and deaths. The U. S. Government’s public health agency, the CDC, pledges â€Å"to base all public health decisions on the highest quality scientific data openly and objectively derived† (Doshi, 2013, Marketing vaccines, Para 1). Peter Doshi, a postdoctoral fellow at Johns Hopkins University School of medicine, argues that in the case of influenza vaccines and their marketing this is not the case.He believes that the vaccine might be less beneficial and less safe than has been claimed and the threat of influenza appears overstated. Doshi goes on to further question the CDC’s recommendation that the influenza vaccine can only do good, pointing to serious reactions to influenza vaccines in Australia, Finland and Sweden. (British Medical Journal, 2013) Every year scientists travel to Asia and have to gue ss which specific viruses are active and circulating that season and have to chose 3 strains of flu out of the 300+ known documented strains of influenza (flu) viruses.These 3 viruses are then attenuated or weakened and added to the mix of a number of other ingredients, which we will review, to make a flu vaccine. The ingredients listed in influenza vaccines are available in the inserts provided by the vaccine manufacturers and also posted on the CDC’s vaccine Pinkbook website. A few of the ingredients include Thimerosol, 2 Phenoxyethanol, Aluminum, Beta Propiolactone, Ammonium Sulfate, Formaldehyde, Monosodium Glutamate (MSG), Gentamycin Sulfate, Polymixin B and more. The ingredient Thimerosol is used as a preservative in the vaccine.It is 49. 6% mercury by weight and is a powerful neurotoxin. It has been implicated in many heath conditions such as cardiovascular collapse, autism, seizures, mental retardation, hyperactivity, dyslexia and many other central nervous system (CN S) disorders. ( CDC, Pinkbook). The American Academy of Pediatrics (AAP) says it best: â€Å"Mercury in all of its forms is toxic to the fetus and children and efforts should be made to reduce exposure to the extent possible to pregnant women and children as well as the general population† (AAP.Pediatrics- para 8, 2001). 2 Phenoxyethanol is an anti bacterial agent being used as a replacement for the preservative Thimerosal. This industrial ingredient is used in perfumes, insect repellents, antiseptics, germicides and dyes. According to the Material safety data sheet( MSDS) 2 Phenoxyethanol is harmful if swallowed, inhaled or absorbed thru the skin. It may cause reproductive defects. EPA data sheets show chromosomal changes and genetic mutation effects in testing (Dunkin, 2008). Aluminum is added to vaccines in many forms.It works as an adjuvant to stimulate your immune system’s response to the virus in the vaccine. Aluminum has been found to be a dangerous neurotoxin t hat has the ability to slip past the blood brain barrier (BBB) causing brain damage, Alzheimer’s disease, dementia, Parkinson’s disease, Lou Gehrig’s Disease (ALS), convulsions and coma. Human and animal studies have shown that Aluminum can cause nerve death (Mercola, 2011) Beta Propiolactone is an ingredient to assist with sterilizing the vaccine. It ranks high as a hazardous chemical on at least 5 federal regulatory lists.It has caused lymphomas and hepatomas after being injected into lab mice but its true effects on humans is not known. Due to animal study results the international Agency for Research on Cancer (IARC) has classified beta-Propiolactone as a possible carcinogen. MSDS sheet states toxic to liver and kidneys (Spectrum Laboratory Products). Ammonium Sulfate is a substance added to pesticides. It is unknown at this time as a carcinogen but it’s been suspected in gastrointestinal, liver, central nervous system (CNS) and respiratory system tox icity.On its MSDS sheet all hazards identification on carcinogen, mutatagenic (cellular mutations), teratogenic (fetal development) and developmental toxicity are listed as â€Å"not available†. (ScienceLab, MSDS) Formaldehyde is used as a preservative to stabilize the vaccine. It is used as a chemical to embalm dead bodies and preserve laboratory specimens. It has been classified as a known human carcinogen (cancer causing substance) and has been ranked as one of the most hazardous compounds on at least 8 federal regulatory lists.Formaldehyde is suspected of weakening the immune system and causing neurological system damage, genetic damage, metabolic acidosis, circulatory shock, respiratory failure, and acute renal failure (ARF) (Kendon, MSDS. 2004). Monosodium Glutamate (MSG) is used in vaccines as a stabilizer to prevent the vaccine from breaking down. MSG is also found in processed foods. MSG has been linked to mental retardation, autistic disorders, learning disorders, b ehavioral disorders, reproductive disorders, retinal damage and lesions on the brains of lab animals (Hoernlein,2012).Gentamycin Sulfate is an antibiotic added to protect the vaccine from bacteria during storage. Gentamycin sulfate has been linked to deafness, nervous system disorders, and kidney damage (Sciencelab. MSDS). Polymixin B, an antibiotic that is added to protect the vaccine from gram negative bacteria during storage, has side effects that include: targeting the central nervous system (neurotoxic) and causing kidney failure from acute tubular necrosis (Luther,2013).Any one of the above ingredients can have negative effects on the human body especially the very young , very old, pregnant, and the immunocompromised population. But the effects of all of these ingredients in one vaccine, that’s certainly toxic and at times can be lethal. A normal response to an influenza vaccine is localized redness, soreness, fatigue, mild fever, malaise for 1-3 days following a flu s hot. Consider these adverse reactions listed by MClawers, a vaccine injury law firm.Death Encephalopathy Brachial Neuritis Acute Disseminated Encephalomyelitis Thromboctyopenic Purpura Multiple Sclerosis Transverse Myelitis Reflective Sympathetic Disorder Autoimmune Hepatitis Trigeminal Neuralgia Connective Tissue Disorders Polyarteritis Nodosa (PAN) Anaphylaxis Encephalitis Seizures Arthritis Intussusception Guillain-Barre syndrome Complex Regional Pain syndrome Tourettes syndrome Lupus Wegener’s Granulomatosis Kawasaki Disease (Mctlawyers, vaccine injury)The numbers of injuries resulting from the these vaccines were so undeniable that in October, 1988 Congress created the National Childhood Vaccine Injury Act, creating the National Vaccine Compensation Program(VICP). The VICP is a no fault alternative to the traditional tort system for resolving vaccine injury claims and provides compensation to people found to be injured by certain vaccines (all Influenza vaccines are cove red). Every vaccine is taxed and the monies go into a compensation fund that is managed by US Court of Federal Claim, complete with vaccine courts, vaccine judges and attorneys who specialize in vaccine cases only. Monies are awarded to patients/families who have suffered from vaccine related injuries or deaths.In 2011, 200 million dollars were paid out in compensation for vaccine injuries. In 2012, there was 300 billion dollars available in the vaccine injury compensation trust fund. Overwhelming evidence of the numbers of people hurt by the toxic ingredients in the influenza vaccines and the incidence of adverse reactions, permanent injuries and deaths due to the toxic ingredients in the influenza vaccines continue to climb. Research has well documented these injuries and exposed the cause and effect of hazardous chemicals on our human population. A little knowledge can be frightening, meanwhile a lack of knowledge can be lethal. Be informed.