Thursday, January 30, 2020

Culture and Disease Essay Example for Free

Culture and Disease Essay Culture is a pattern of behavior and thinking learned, shaped and shared by Europeans and Americans. It is their growing and developing bank of knowledge, experiences, beliefs, values, attitudes, meanings, hierarchies, religion, notions of time, roles, spatial relations, concepts of the universe, material objects and possessions gained through generations of individual group work (Williams 1976). Any discomfort, dysfunction, distress, social problems, and alterations of behavior for Europeans and Americans are considered a disease. It is a change that disrupts the normal function of the body. It is initially believed to be caused by curses, evil spirits, or night vapors. However, in the mid-19th century the discoveries and findings of scientific works by Louis Pasteur and Koch concluded microorganisms or germs are the pathogens of infectious diseases which usually gain entrance into the body. These are microorganisms that are able to infect a host and produce a disease (Miller 2003). Subsequent studies and researches improved the concepts of healthcare. In the 21st century, Western Science of Medicine means accuracy. It is the name of the trend. Its subject the human body is likened to an outstandingly complex machine that can be figured out, customized, renovated, and its health defined and described in strictly clinical terms. Medical experts called Physicians can identify and eliminate disease-causing or etiologic organisms that originate outside the body, Surgeons evolved to be incomparable experts in dealing with acute trauma and distress, and epidemiologist uncovers the factors that determine the frequency, distribution, and determinants of diseases in human populations. These factors include the characteristics of the pathogen, the susceptibility of human population resulting from overcrowding, lack of immunization, nutritional status, inadequate sanitation procedures, locations or reservoirs where pathogens lie in wait, and the various means by which infectious disease is transmitted. Ironically, resurgence of infectious disease such as tuberculosis occurred brought about by the emergence of another infectious disease HIV/AIDS (Burton 2004). The existence of epidemic and communicable diseases in specific areas were found to follow geographic patterns. Diseases like Poliomyelitis caused by over population infected Brazilian children population, and it also infected older age Scandinavian and Americans; cholera, yellow fever and dengue infected Indians in India as a result of poor sanitation; Plague brought about by rodents are cases in the Western United States of America, and in China, it is carried by rodents and fleas infecting Chinese. These findings were important concepts for public awareness to guide travelers and servicemen (Duffy 1953). Body Tuberculosis is a chronic mycobacterial infection of the lower respiratory tract characterized by fever, night sweats, weight loss, productive cough, shortness of breath, chest pain, coughing up blood and hoarseness. It may infect lymph nodes causing systemic disease like kidney disease, urinary bladder disease and bone disease (Burton 2004). The dynamics of infection follows the following pattern: Sources of Infection Modes of entry Mechanism of disease Pattern of infection Portals of exit. Mycobacterium tuberculosis a slow-growing, acid-fast, Gram-variable bacillus is an aerobic bacillus species capable of reproducing within 16-20 hours. It is the etiologic agent of the disease called tuberculosis (Burton 2004). Mycobacterium tuberculosis developed resistance to treatment drugs. It is the second leading killer of adults in the world, with more than 2 million TB-related deaths each year (Burton 2004). Ironically, one of the endemic diseases in the United States of America is this bacterial disease called tuberculosis. In 2004 Centers for Disease and Controls, Atlanta, GA reported 14, 517 tuberculosis cases. The resurgence of tuberculosis in the United States of America in the 1980’s through 1990’s primarily resulted from the HIV/AIDS epidemic and the multi-drug resistant strains of M. tuberculosis (Burton 2004). Identification and recognition of the characteristics of the pathogen, the susceptibility of human population resulting from overcrowding, lack of immunization, nutritional status, inadequate sanitation procedures, locations or reservoirs, emigration and migration of men and animals, and stress makes people immunosuppressed resulting to infection, considering that pathogens may come primarily from infected humans, sometimes from primates, cattle and other infected mammals (Burton 2004) . There are various sources from which tuberculosis can be acquired and transmitted. It may be via airborne droplets produced by the infected organism during coughing, sneezing, even singing and prolonged direct contact with infected individuals ((Burton 2004). Prevention, Precautions, Sterilization, disinfection and Patient care would all involve airborne precautions (Burton 2004). In Clinical practice, disinfection and sterilization as well as laboratory procedures were employed being a necessity. Their scientific basis has been developed only during the past century. These important procedures are: Sterilization which is the destruction or complete removal by filtration of all forms of microorganisms including their spores; Disinfection is the destruction of many microorganisms but not usually bacterial spores; Antisepsis, is the destruction or inhibition of microorganisms in living tissues thereby limiting or preventing the harmful effect of infection; Static agent would inhibit the growth of bacteriostatic microorganisms; Bactericidal agent would kill the microorganisms; Sterilizers are chemicals which under controlled conditions kill spore-forming bacteria. These agents which perform the above functions were divided into physical agents and chemical agents. With these mechanisms, Epidemiologist and Social psychologist in the United States of America helped contribute to the study of health and to the interventions to improve people’s well-being and quality of life by promoting health and preventing illnesses. They identify psychological factors that might influence illness, and identify improved ways in which health care is delivered. This is also a form of proposition for the improvement of the health of the population by promoting healthy choices and preventing people from becoming ill. Psychologists are persuasive by appealing to fear for the negative health consequences, subsequently encouraging American families, peer and schooling young adolescents to change their health behaviors by redirecting their behavioral intentions. This is in line with the concept that the actions taken by people to safeguard their health are influenced by factors such as general health values, perceived susceptibility to illness, perceptions of illness severity, expectations of treatment success, self-efficacy, perceived barriers and benefits, and cues to action. Healthy habits that are currently recommended are vigorous regular exercise, quitting smoking, limiting alcohol intake, eating healthy foods, and getting enough sleep. Even so, considering the increased cultural mixing Of the United States of America, programs or lessons in scholastic trainings are incorporated as designed to increase intercultural communications as cultural patterns affect how people make sense of the many aspects of health care: the meanings that people give to health and illness, the causes of diseases, the means to prevent illnesses, appropriate cures, and the types of individuals most qualified to provide care and attempt to cure. In this context, magico-religious approach, holistic approach and biomedical approach are not set aside, but, the healthcare system of the United States of America is typically focused on the individual patient as the source of the medical problem in need of a cure. This is rather the biomedical approach adopted to address the issues of illness and wellness. It considers people health regardless of culture to be driven by biochemical forces. Wellness is achieved by understanding that the biochemical reaction is activated. Illness happens when a part of the normal human body metabolic activities is altered. Treatments are provided by Medical health practitioners like Doctors and Nurses, thus bringing back the normal course of bodily metabolic activities supportive of good health (Lustig 1996). In 1953 Dr. Louis H. Bauer of New York, USA as a secretary General of the World Medical Health Association outlined the major task to address medical care need from their time on, such as: 1) Rural community work to establish facilities and to encourage physicians participation; 2) provide medical care all depressed areas : 3) Extend public health coverage to depressed areas; 4) Evolve strategies to address care needs people with inborn disorders; 5) Provide insurance programs to people specially senior citizens and the disabled; 6) Eradicate graft and corruption in the Medical practice; 7) General public protection for regular Medical services; 8) Renew medical societies; and 9) Medical Health ethics education for the Medical Health practitioners (Perkins 1993). Conclusion With the advent of post-industrial age marked by the ubiquitous appearance and usages of television and the computer, supposedly a reliable indicator, most Americans should be healthy and wealthy. Being so, it could be enough to affect longevity positively, primarily through lifestyle choices, rather than lack of food or shelter and diseases (Lustig 1996). However, Studies revealed that even the introduction of Medicare in the United States, bringing the poor substantially at par with the rich in terms of health care and medical services did not eliminate or even markedly reduced the large differential mortality. In contrast, life expectancy in Japan is far above all the rest of the countries in the world. The life expectancy for males is 78 years while the life expectancy for females is 85 years, in spite of half the level of spending for healthcare than that of the United States of America amounting to around $2,000 per person, 7. 4 percent of GDP (Powell 1990). The technology used in the Japanese health care system is similar to that used in the United States of America, but, the flow of funds, the quantity and intensity of use is considerably different (Powell 1990). In Japan, all citizens are free to choose any physician and hospital. Physicians may be General Private Practitioner providing primary and secondary care, while Specialist works in hospitals. Hospitals may be large and public university hospitals with medical school, research facilities, and outpatient department for primary care while small time private practitioners have small facilities and less sophisticated treatments (Powell 1990). Knowing that tuberculosis is transmitted via airborne droplets produced by the infected organism during coughing, sneezing, even singing and prolonged direct contact with infected individuals, preventions and precautions are better than an ounce of medicine after infection. Reference Burton, G. and Engelkirk, P. (2004). Microbiology for Health Sciences. USA: Philadelphia, Pennsylvania. Lustig, M. and Koester, J. (1996). Intercultural Competence. 6th ed. USA: HarperCollins. Powell, M. and Anesaki, M. (1990). Health Care in Japan. New York: Routledge. Duffy, John. (1953). Epidemics in Colonial America. Perkins, James E. (1952). You and Tuberculosis.

Tuesday, January 21, 2020

Only a Girl in Boys and Girls by Alice Munro Essay -- Boys and Girls A

Only a Girl in Boys and Girls Alice Munro's short story, "Boys and Girls," explores the different roles of men and women in society through a young girl's discovery of what it means to be a girl. A close examination of the elements of a short story as they are used in "Boys and Girls" helps us to understand the meaning of the story. The story is set in the 1940s, on a fox farm outside of Jubilee, a rural area only twenty miles away from the county jail. The farm is a place that reflects the ingenuity of the narrator's father. The pens for the foxes are arranged in neat rows, inside a high guard fence like a "medieval town". The pens each contain a kennel, a wooden ramp, and dishes attached to the wire fence. The fox farm is the father's domain, a place of hard work and creativity, in which the narrator feels at home. The house itself is the mother's domain, but it is a place that the narrator shuns, as she shuns many elements of the feminine world. The contrast between the girl's concept of the farm and of the house demonstrates the conflict she experiences between her chosen position as her father's helper and her position in society as a girl. The point of view of the story is first person. The narrator is a young girl in the process of growing up, who is, at the end of the story, only eleven years old. She is a naà ¯ve narrator, being so young, and is unreliable in her view of the people around her, especially her understanding of her mother's motives. By writing the story in this way, Munro gives us a look at women's role in society through the eyes of a girl who is just finding out the effect that society's expectations have on her. The narrator is the main character of the story. As the protagonist, she is a ... ... as a girl, her role in society is different from her father's and brother's. Although limitations are placed on her, she is free to follow her own heart. This, to her, is the meaning of being "only a girl." In conclusion, the elements of this short story work together very well to demonstrate the theme of the story. The narrator's conflict between filling a masculine role and accepting a feminine one, the contrast between her mother and her father, and the setting that is divided between the mother's domain and father's domain all build the effect of the theme well. This story gives a fresh look at the question of women's role in society through the eyes of a young girl. Work Consulted: Munro, Alice. "Boys and Girls." The Norton Introduction to Literature. Eds. Carl E. Bain, Jerome Beaty and J. Paul Hunter. 6th ed. New York: Norton, 1995. 465-75.

Monday, January 13, 2020

Living in a Stop and Frisk World

Living in a Stop and Frisk World Today around 1,400 citizens in New York City will have their constitutional rights violated through an unlawful search. The legal term for the controversial search is stop and frisk. The New York Police Department continues to pressure its officers to stop and frisk citizens, and these situations are happening at an alarmingly increasing rate. For the New York Police Department, it seems to be a game of numbers as they continue to force their officers to conduct stop and frisks through quotas (Gangi).While New York City has seen a decrease in crime over Mayor Bloomberg's term, it is difficult to directly correlate the stop and frisk policy with these decreases. This unlawful practice needs to stop as it is a controversial practice that many people believe is a direct violation of the human rights inherent for citizens. Furthermore, it could turn New York City into a police state. If an officer does not fill his monthly quota of stops, summons or arres ts, he is subject to discipline (Gangi). Often, this discipline will leave a unsettling paper trail behind the officer and prevent them from being able to move up in the ranking.This commonality has been explained by many New York Police Department officers confidentially in, â€Å"The Hunted and the Hated: An Inside Look at the NYPD's Stop-and-Frisk. † Last year, nearly 686,000 people were stopped on the street; a startling increase from only 97,000 in 2002. This amounts to a 600% increase in stops in less than ten years, and searches will continue to increase as the police department tries to keep these numbers up every year (Gangi). Factually speaking, the number has increased every single year since Mayor Bloomberg took office (Long).Crime is down, but can it accurately be attributed to an increase of stop and frisks? Stop and frisk can not be directly and certainly not solely attributed to the decrease of crime. Additionally, stop and frisk is highly subject to racial pr ofiling. Both Tuttle of TheNation. com and Lieberman of New York Civil Liberties Union agree that the stop and frisk program is a waste of resources, explaining its high failure rate: â€Å"the NYPD’s stop-and-frisk program continues to have a 90 percent failure rate. It remains a tremendous waste of resources, sows mistrust between police and he communities they serve, and routinely violates fundamental rights. (Zelon)† These are key reasons why New York City is the only large metropolis using stop and frisk as their main crime deterrent. It is an aggressive practice that ruins the relationship between the community and police department (Gangi). Ruthless practices such as stop and frisk are alienating the minority communities and terrorizing the youth. Police have admitted to targeting areas where crime is highest, but the stop and frisk approach ruins any opportunity for help from the community directly.These officers are stationed in parts of New York City that the y are disconnected from outside of work. The community knows their area best, yet the officers garner little respect amongst the community. When a community member sees something, they are less likely to say anything to the abusive New York Police Department (Eterno). Furthermore, this puts the officers in much more danger and results in a much more aggressive and assertive force as a result. Not to mention, community members are more willing to follow the law if they believe the system is fair and equal.Sociologist Tom Tyler’s research on this matter has concluded that people often obey laws in which they consider fair and legitimate; these stop and frisk police encounters are seens as unfair and racial (Braid). Community policing is a key aspect to crime fighting, and both Washington and Los Angeles have made it a main focus of their crime stopping strategy. From 2002 to 2012, New York City has had a 12% decrease in murders annually, and during the same period, Washington s aw a 43% decrease and Los Angeles had a 50% decrease in murders.Both cities have taken a less aggressive approach and focused on a less aggressive community driven strategy. Unlike New York City, these cities focus on building up communities and targeting key violent factors (Gangi). Being apart of the community as a police officer lets you work with community members living within the area and target the direct source of violence and crime. Truants within the community are at the highest risk of becoming juvenile offenders. With such hatred from the ommunity, the police department does not get information or leads about these truants until they’re in police hands for committing a crime . Not to mention, these communities become so violent due to only 2 or 3% of the population (Baird). Additionally, as the officers continue to press the streets, they are unable to work with the communities and violence ensues once again. Breaking these community lines is a waste of resources and is costing taxpayers millions of dollars every year.This policy is not only harming and scaring our youth, but it’s estimated that for every 100,000 stops it costs the taxpayers of New York 10 million dollars (Howell). Last year, New York City and the New York Police Department stopped over 650,000 people and accumulated hundreds of lawsuits for its racial and aggressive tactics (Tuttle). Under the law, suspects must appear to be committing a crime or about to commit a crime. Unfortunately, Judge Shira A. Scheindlin has uncovered â€Å"overwhelming evidence that there in fact exists a centralized stop and frisk program that has led to thousands of unlawful stops. Eterno)† Thousands of stops being performed unlawfully will turn into suits against the City of New York. Taxpayers do not want to pay for a program that is constitutionally illegal, has an extremely high failure rate and publicly targets minorities. Since New York City is the largest city in the United St ates, the police department should be a role model for other cities. Instead, the New York Police Department actively practices racial profiling, working against communities rather than in conjunction with them.At first, the aggressive stop and frisk program lowered illegal guns on the street. More recently, however, Mayor Bloomberg has taken it too far by turning the program into a regulated, quota-driven exercise that has effectively used racial profiling and intimidation as a scare tactic against minorities. If New York City is to be proactive in lowering its crime rate, it ought to focus on building communities, endorsing community leaders, and no longer allowing its Police Department to engage in the controversial stop and frisk program.

Sunday, January 5, 2020

Marx And Friedrich Engels s Manifesto Of The Communist Party

In 1848 Karl Marx and his close friend and collaborator Friedrich Engels wrote The Manifesto of the Communist Party as a platform for the Communist League, a society to which they both belonged. This essay will explore the types of societies that this document describes, as well as the effects that Industrial Capitalism had on societal and individual levels. The Communist Manifesto focuses mainly on describing the society that the authors fear or that already exists, rather than the society that the authors wish to create. The majority of the document is dedicated to criticizing the state of Industrial Capitalist society and disparaging the bourgeoisie. Society in 1848, as Karl Marx and Friedrich Engels describe it, was governed solely by the economic interests of the highest, ruling class, meaning in this case the bourgeoisie. The bourgeoisie is defined by Marx and Friedrich as the class of the modern Capitalists, owners of the means of social production and employers of wage-labourers. Marx was highly critical of the bourgeoisie and, in The Communist Manifesto, they are presented as being at the heart of society s problems. The society of the period is based on a two-class system which allows the bourgeoisie to oppress the proletariat. The proletariat is defined by the authors as the class of modern wage-labourers who, having no means of production of their own, are reduced to selling their labour-power in order to live. Because the bourgeoisie controlled all of theShow MoreRelatedMarx And Engels : An Old Meeting Place Of Voltaire And Diderot856 Words   |  4 Pages1844, 26-year-old Karl Marx and 23-year-old Friedrich Engels met in Paris for an aperitif at the Cafà © de la Regence – an old meeting place of Voltaire and Diderot. 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