Journalism and the law

Table of Contents Sources of information Challenges First amendments Hate speech/advocacy Public forums Symbolic speech Conclusion Journalism is the art of collecting information from different sources, which may involve happening events or events that have actually happened. It involves analyzing the information, editing and proofreading the information for publication. Acquiring information can be very tricky as well as tiresome and in most cases as a journalist, you might get the wrong information or rather unreliable sources and thus the need for analysis.Advertising We will write a custom research paper sample on Journalism and the law specifically for you for only $16.05 $11/page Learn More Sources of information There are many sources of information for journalists, some of these sources being anonymous in which case the identity of the person providing information to the journalist is unknown. In such cases, it is up to the journalist to inve stigate further into the claims from the source if the information has facts. However, this is not always case, and thus it becomes a challenge to the journalist who has no idea if the information given regarding some event or issue is true or false. Such information is helpful to a journalist if there is some supporting evidence either from the source or from investigation and research by the journalist. Having something to write is not always enough, but having the right information, that is not containing incorrect information. Having anonymous sources to some people means that, the reporters are lazy and probably do not want really to find out the correctness of the information from the sources. According to research done on the use of anonymous sources, it shows that most journalists use anonymous sources due to competition and having a story to these journalists is having what any other journalist has. The only way of achieving this is by using anonymous sources; however, thi s kind of trust is not always reliable as it can lead to loss of credibility of the writer or the publication. This results to numerous cases of incorrect information published, which is from unknown sources. The Simpson’s case of murder trial is a good example of a controversial report given which was basing the verdict on unnamed sources. Reporter Tracie Savage represented the case to the viewers as having DNA match of blood samples found on a sock in Simpson’s bedroom with the blood of his former wife. The source of information was an unnamed source and days later, the reporter admitted that the information was not correct. However much an anonymous source can be, a source of information we need might not be accurate or correct. Sometime a journalist may encounter very uncooperative sources of information because, data gathering is a tedious task; for example, on an interview some people do not agree to on tape recordings. This is due to mistrust, or not wanting t o embarrass himself or herself. In such cases, the reporters have to report and this often appears in broadcasts. Therefore, the journalist has to report something on a given story even if not from direct quotation of the person.Advertising Looking for research paper on communications media? Let's see if we can help you! Get your first paper with 15% OFF Learn More Another source of information for the journalists is off-record material that may include privacy of information. Even though this is supposed to be private information about a given fact, having an off –record material sometimes uncovers hidden material. Bringing such information to light some people will come up and give the complete information about a certain event. Off-record sources are sometimes not a sure way of getting information and sometimes those concerned in the office refuse to take in any kind of information given from these sources. While the above hindrances faces journalists in inf ormation acquisition, one of the major blows is the law pertaining to it and the policies and rules put into place regarding the media and publication give limits. Even though the law gives the right to information, it also clearly limits the amount of information given. As stipulated in law, the government may at times limit the amount of information given to the public if it relates to matters of national security, public health or personal freedoms. This rule limits information flow to the public, since journalists end up withholding information from the public. According to Jordan times, power for the officials to prevent transfer of information is greater than the law and as per the study that was carried out by the Arab Archives indicated that many governments deprive citizens the right to basic information and this is by creating barriers on the information flow. Officials limiting the time that the information is required put barriers, sometimes this means the public might get outdated information that might be irrelevant. However, the same information could have been quite useful if given to the public at the right time. The information about the death of an ITN journalist Terry Lloyd is an example, the military is holding information concerning his death, this leads to ambiguities in the information path making it hard to know the causes of death. In this case the journalists only have a one sided report, which is the death of the journalist but the cause of death remains withheld information. Challenges Research done on journalists revealed that 58.8% of pressure comes from withholding information. While getting information may be a task to a journalist, withholding of the acquired information may be demeaning to a journalist. Sometime journalists having a story, reveal their sources of information to the government, which may be against the agreement with the source of information. In such cases, the source of information given to the authorities gets them arrested by police or demoted from positions previously held. Michael Andrew, a veteran commander with a police department in Baltimore, had issued a memorandum expressing his concerns on handling of an event that had resulted to dashing of an aged man if it was of consideration. However, after receiving no response from the police department, he decided to go to the Baltimore sun and provided the same memorandum to a reporter. After the publishing of the article regarding the shooting, his seniors removed him from his command and gave him a job of low responsibility.Advertising We will write a custom research paper sample on Journalism and the law specifically for you for only $16.05 $11/page Learn More Journalism has a long history and dates form the old days. Many Media changes have occurred in the 20th century and most of the laws were getting tough thus limiting journalism; it is also the time when different forms of technologies were b een developed to dispatch knowledge. Even though limitations to information are sometime essential, the right of citizens to know everything that is happening is also vital. Some laws have limited the public from even the most vital and basic information denying them of their rights. This is clear indication that this too much information is not necessary. Therefore, it is important for the media to avoid information that might cause fear or a threat to public. A consensus between the lawmakers and the media should be able to revise some of the specifications that are in place. The government officials should loosen up on their rules; however, journalists must also uphold a high level of professionalism in their work. This will ensure that correct and constructive information dispatch to the members of the public with accuracy, thus, the information will be reliable. While it is important for the officials to have someone responsible for events that have happened, having the media disclose their sources is not just, unless it is a matter of national security. More so, regulations are important as information is also necessary for growth and democracy and this is only possible if the journalist has a voice and can give information freely. First amendments In regarding the transfer of basic information therefore, the United States of America constitution has the amendments regarding the basic rights, which include freedom of speech, freedom of the press, freedom of assembly, freedom of religion and freedom of expression. Hate speech/advocacy While speech is a right, there is a law that does not allow for hatred in speech. Hate speech may involve any act or gesture or conduct in writing or in display, which may prompt biasness or violent action against a person or a group of people. It may also involve any kind of intimidation towards a person or a group. Advocacy on the other hand refers to the support of a certain idea or policy and mostly with a hidden motive , which could be disastrous to the rest of the people. Under the defamation clause, it is illegal for anyone to give a statement publicly which is false and that harms the reputation of another person. These expressions can be either written or spoken. The judiciary system recognizes this as the words expressed to a person that could hurt them thus making them unable to earn a living. Defamation fact is usually hard to express as it involves an allegation of a fact, which is actually false, however expression of an opinion is not defamation.Advertising Looking for research paper on communications media? Let's see if we can help you! Get your first paper with 15% OFF Learn More The challenge in a defamation case is always to differentiate between how the one represents himself/ herself, or the depth of the hatred in the speech. There is need to work out a better definition of a hate speech. This will help solve many cases of Hate speech that will otherwise be hard to determine. Public forums While the law restricts on what is to be termed as a public place, there is freedom of expressing viewpoints in public places and the base of such a grant depends on the content of the speech. Public forums are restricted to taking place in some places like public schools and military bases. In the first amendment, the law is unclear on the specifications on the rules governing a public forum. While a majority may use a public forum to represent a point of view, it is important for the law to stipulate the circumstances under which this is possible. Clear guidelines on public forums should through further amendments form an important component. The public forum law in volves restrictions relating to the way of conduct in a public place. For example, in Columbia, a court struck a law that was prohibiting the display of any sign within a radius of 500 feet distance to a foreign embassy. This rule came into account due to the public wanting to bring the foreign government into a â€Å"public pulpit†. The law also conditioned that, it was unlawful for three or more people to congregate within the 500 feet distance. This rule was a limitation to the right to speech and expression; however, it was an exception as observing the right would disturb the peace and security of the embassy. This is an example of an exception from the right to a public forum. Symbolic speech This is a term, which describes actions that covey a certain message, or statement to those observing. Under the first amendment, deems symbolic speech as a form of speech and thus it needs protection.Since most forms of protest and expression were verbal or written, it was not in cluded in the bill of rights. Another form off symbolic representation is by wearing some type of colors that are symbolic of specific identities. A good example is wearing of an armband that has a symbol that is prohibited in the past by law. Some symbols and art that are included in this category will include drawings, painting, motion pictures, dramatic works, radio music, poetry and television entertainment, and engravings. The above forms of speech lack clear-cut definitions from the first amendments; however, they are important elements of speech and expressions. Whilst spoken and written means of communication are the most used, it is important to recognize these forms of communication. When a view is not appealing to a given public, a protest serves as a way to express disappointment in the issue and this is because in protest, the method mostly used is visual. As recognition of these forms of communication, it becomes crucial for the public to have a defined law governing the way other forms of expression are used. There are many exceptions to the first amendment, which the courts recognize. The justification of these exceptions is an act that may cause harm to the public or if it is to protect cultures or tradition; his is because the significance of freedom of speech at times conflicts with very significant parts of our culture. The non-recognition of the non-verbal or spoken ways of expression in the bill of rights limits the way expressing views as well as opinions. Conclusion In every form of government, the rules are always to protect the government as an entity. The rights to speech and information are important to every citizen. Through these rights the citizen are able to give their views on different issues affecting them. The media a source of knowledge, and aims at giving out information to the citizens and through an efficient flow of information, views raised by the public are addressed using different manners of expressions. The off icials take up the issues and act up them. On the other hand, Journalists follow up on citizens’ activities as well as the governments and serves as a mediator between the two entities. Information by a journalist flows from different sources and through media protection; the law protects all sources of the information. It is a point of note that publishing of incorrect or inaccurate information by journalists should leads to loss of credibility of the source and the media house, that investigated, and well-founded information dispatched is healthy to the public. While competition is a major factor to consider, having the correct details about a given story is more important in the field of journalism and that having wrong information may do more bad than good. Information is supposed to enlighten and give us the direction that we are following and because of this, the rights to express views and information sourced out consequently becomes of importance. This research paper on Journalism and the law was written and submitted by user Kamren N. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

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Website review - Essay Example Design of the website plays integral role in making it a success/ user friendly. Hence, if the design is simple to use, easy to engage in and effective to learn from then the website will be popular among the users. Thus, the design of Shmoop is explicitly clear and given in F-pattern. According to a recent survey, viewers mostly view websites in an F-pattern style, giving their whole attention towards top and left sides of the screen and ignoring anything on the right side. Thus, Shmoop’s main bar is on the top-middle section of the webpage and grid based layouts in the left corner. Every option on the main page is prominently visible; one does not have to search for desired section to research from, but can easily see it on the main-page. The main page is also not cluttered with pictures and designs. There are images like a backdrop on it, but they do not divert the attention from the content or purpose of the webpage. The main font style throughout the website is â€Å"Ariel† however, size is differed. In headings 18 size is used and for topic description 10.5 is used. Color behind the content is white, which is good because it makes it easier to read and at extreme right and left corner are some advertisements and informative clickable images on the website. Navigation is simple and does use a hierarchal pattern of browsing so one can also view from where he started his browsing from. Once, one chooses and clicks from the subjects on the main page, the second page shows all the sub-topics of it, from there one can chose desired subject matter, which shows all the information in a grid format. The language used to describe any matter under study is simple, engaging, and often humorous but efficient. Shmoop does not take any time to load and even the images on the web load in less than a minute. The best part is the web entails everything from teenagers’ study options to career advice and test

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Cooper Green Hospital Care Plan

Cooper Green Hospital Care Plan The case, Cooper Green Hospital and its Community Care Plan is a very interesting case, which tries to outline the problems that plagued the hospitals growth and the attempts made by the top management of the hospital to enhance its reach to maximum number of poor and undeserved citizens who were in dire need of medical treatment. This mission of CGH made it stand in front of constant scrutiny from country commission. Media and the community challenges about the quality of care provided by CGH limited its ability to attract patients with private insurance. For the first 2 decades the hospital face increasing budget pressures, cost overruns were a common phenomenon. The hospital was understaffed, under stocked and overflow with patients. Some of the major problems faced by the hospital were balancing cost with maximum access to care, managing employee within budget, performance and demand and simplifying procedures and aligning them with policies. The two plans are named as Health first, a traditional fee for service plan and the community care plan , a prepaid membership plan based on family size and income, which would give opportunity to the people to receive quality medical care for at affordable price and with less waiting time. In a scenario where there are constant changes in the US health care system, where managed care was altering how providers interacted with patients funding for care was restricted and many health care systems were using non-physician providers to cut cost, CGH had an opportunity and challenge to attract uninsured patients and outperform its competitors. In the light of all these issues, the question that posed in front of the top management was, is to move ahead with the expansion plans or hold and improve operational efficiency or give up altogether. Key Issues The hospital was understaffed, under stocked and was overflowing with patients. The major problems that plagued the companys growth were as providing affordable good quality medical services to the indigent population of deficient country, streamlining procedures with polices, managing employees and gauging their performances, declining revenue, decreasing enrollments and under utilization, no upgrading enhancement of technologies, indifferent behavior of some employees towards the patients, inability of the infrastructure to cater to the increasing demands of the out patients section, resulting in long waiting hours and frustrated patients. Situation analysis The top management needs to make some critical calls on some top level strategic issues. If these problems are not taken care of then the following could be the repercussion: Negative revenue Dissatisfied patients Thrown away by competition Loss of goodwill and mistrust among people Inability to achieve the mission providing good quality service at affordable price and enhancing access to care. Complete shutdown of the hospital Directional strategies The directional strategies are undertaken by the hospital to improve its position and enhance its reach and ability to serve maximum number of patients starts with the defining of its mission statement vision and goals. Mission statement CGH is committed to serve the residents of Jefferson country with high quality health care regardless of ability to pay (Copper green mercy,). The hospital strike to attract and maintain a dedicated and compassionated staff of professionals who believe in serving the society and seek to continuously improve the services and adapt to need the changing health needs of the communities. (Cooper green mercy,). Vision Statements CGH is the leader to an evitable and just health care system through excellence, quality, compaction and trust. (Copper green mercy,). Value Statements Some of the key value statements for the company are commitment to health and well being of those being served expectation, to achieve the highest level of excellence, understanding the vital importance of advocacy for those being served, imbibing creativity and innovation, recognizing the importance of working with the patients and the community and dedication towards providing high level education to health professionals. Legislative-Political Changes The Medicare program was established in 1965 to insure medical coverage for the aged and disabled. It then expanded to in compass other people entitle to social security or rail road retirement benefits and also people with end stage renal disease. Another provision allowed non covered aged individuals to also benefit from the plan. There are 2 separate programs for Medicare i.e. Part-A :- Hospital insurance (free of charge) Part-B :- supplemental medical insurance (against monthly fee) In 1997 Medicare as a whole covered 38 millions people utilization of Part-A and B was 87% of enrollees. (DeButts, 2010). Title XIX of the social security act of 1965 gave rise to Medicaid as part of the federal state welfare structure to aid Americas poor population. It allowed federal funding for state run programs. In order to provide basic health service including hospitals in patients and out patients service laboratory and X-ray services and physician services. In 1998 Alabama Medicaid program provided benefits to variety of population but the majority were for indigent women and children and elderly persons in nursing home. In 1998 15.3% of Alabamas population was eligible for Medicaid program. The balance budget act of 1997 brought a significant change for the Alabama hospital in the light of ALLKIDS programs. Economic changes Health care cost rose at twice the inflation rate from the mid 1980s to mid 1990s creating a 1 trillion dollars industry that accounted for 14% of the US GDP. By the end of century the health care industry had grown to more than 1.5 trillion dollar or 18% of GDP. In 1995 nearly 3 quarters of American workers were insured by HMO, PPO and POS plans up from only 27% in 1987. (The Economy in,). Social-Demographic changes By the 1990s Jefferson Country has become a diversified economy with industries spanning across various industries like Biotechnology, healthcare, engineering and financial sector. As of 1998, the Birmingham metropolitan statistical areas population was approximately 875,000.Jefferson Country population was approximately 652,000. According to a 1993 survey it was found out that 1/3rd of Jefferson country resident were uninsured. 12 acute care hospitals were located in Birmingham. In 1998 8 out of 12 hospitals reported experienced decline in admission, in patient capacity in the area exceeded demand in order to reposition themselves. (Johnson, 2006). To respond to this and other changes in health care environment many hospitals went in for strategic alliance like the Brook wood Medical Centre, Medical centre East and Lloyd Noland Hospital. The other hospitals spread across the diverse geography of Jefferson are as follows: Princeton Baptist Medical centre. Montclair Baptist Centre Brook wood Medical Centre Cooper Green Hospital Health South Medical Centre Saint Vincents Hospital etc. Technological changes In the 1990s there was an increasing emphasis on outpatient care driven by the need to reduce cost and improve technology that would enable more types of care to be delivered on the outpatient basis. The lack of capital resources with CGH to invest in technology enhancement, new medical renovation led to longer waiting time, patient frustration and declining enrollments. The shortage of examination rooms, clerks, nurses, waiting room space further worsened the patients experience. Sometimes the reason for this frustrated experience was the discourteous and uncompassionate behavior of some of the staffs with the patients. There were some staffs that were very dedicated and loyal and compassionate but some were not interested in their jobs and used to perform below the expected levels and show negative attitude to the patients. The administration made several attempts to improve the employee morale but it was of little use as there remained a core of negative people who demoralized other staff members and angered patients. Competitive Changes In order to provide good quality health care at affordable and fair prices to the poor and needy patients, the hospitals both Non Profit making and profit making should go in for a strong alliance and should complement each others competitive strengths and ensure to pass on the benefits of reduced cost, higher advanced technological developments, better quality health care to the indigent population. (DeButts, 2010) Internal Environment SWOT Strengths: Pool of talented and compassionate staff members who choose to work at Jefferson health systems and believed in its mission and enjoyed serving those in need. Turnover of the staff was pretty low High overall patients satisfaction which averaged about 90%. Patients recorded the most satisfaction with issues related to the health care providers. Many patients expressed their gratitude for the care they received. They often remarked as saying they would have no way of obtaining health care without JHS and God bless CHS. CGS was considered one of the safety net providers across the US because of its mission to provide medical care to the poor. Weakness: Declining revenue of the Hospital Majority of capital was funded and only 6% was operating revenue. With this low operating revenue, operations may become unsustainable in future Hospital was not able to attract patients who are not insured Resources are not adequately utilized Inadequate infrastructure to take care of the growing demand in out patients section. Opportunities: Managed care was dominated form of insurance in US and enrollment was expected to increase Change in the US health care system. Managed care was altering how health care providers interacted with patients, funding for care was being restricted and many health care system were using non physician providers to cut cost. This threw plethora of opportunities in front of CGS. Threats: Vandalism and violence Stiff competition in the health care segment Technological advancements along with insufficient capital Inability to cope up with competition in the light of technological advancements which made diagnosis of multiple problems possible and insufficient capital. Comparative strategies According to a 1993 survey conducted by CGH centre for community care more than 1/3rd of the resident of Jefferson country was uninsured. Many poor people were delayed getting necessary medical care because they had no health insurance. Some 48 thousand residents have been denied care because they lacked health insurances. On average health care was listed as the 6th most important issue. This unexploited segment of uninsured population gave an opportunity to CGH to cater to the demands of segment that top management was able to identify this niche market. In order to serve this niche market CGH and Jefferson country development of health (JCDH) established a working alliance in order to improve continuity of care for the indigent population. JCDH physician staff privileges at CGH. They also explored the idea of more comprehensive alliance but no plans could materialize before 1999. JCDH operated an extensive health care network to service approx 80 thousand people every year. Health care services were available to people at the cost of service based on their ability to pay. Seminars were also sponsored by the health centres on disease eradication and health promotion topics. Recommendations The following actions could be taken in order to resolve the problem faced by the hospital: Developing the infrastructure facility so as to meet the growing demands of the out patients segment, as the hospital was designed to take care of the in patient. Establishing strategic alliances with some of the top profit making hospital. Giving better training and education to the staff so that they can be adequately utilized Offer better discounted bundle price/package to the patients so as to attract the insured patients as well. This will help increase the number of enrollments and increase the patient base. Increasing operational efficiency and reducing waiting time in the clinic. Reducing the dependency on funding and establish more ways to generate operational revenue Investing in technological advancements and providing high quality modern medical facilities to the patients Implementation strategies In order to implement the recommendation the following strategies should be adopted Establish more number of CCP clinics which would take care of in patients demand and reduce the waiting time CGH can go in for a comprehensive alliance with top performing hospitals just like Brook wood Medical Centre, Medical Centre East and Lloyd Noland Hospital formed an alliance in 1995. Aligning with the apex health care institutes to provide high quality training to the staff Involving more non physician providers like registered nurse and practicing physician under the supervision of medical experts. Motivating the staff to work efficiently by addressing their monetary as well as personal requirements Increasing the synchronization among the various departments so as to reduce the waiting time. Giving better offers for both Health First and Community Care Plan to the existing uninsured patients as well as the new insured patients. This will enhance the revenue base and decrease the dependency on funding Attracting investors by means of more aggressive marketing initiatives in order to enhance the popularity of the CCP concept. Marketing Strategies In order to make the CCP success some marketing initiatives were undertaken which did not turn out to be successful A health fare was scheduled at the site of the first CCP clinic before its establishment but because of construction delay the clinic couldnt be operational several months after the fare thereby nullifying the impact of the promotional efforts. The primary approaches to marketing during the first two years were appearances by the top management and staff members at community organization, church groups, schools along with promotional materials placed within the hospital. The intention of all these marketing activities was to educate staff neighboring communities, social services, uninsured people, small businesses and other hospitals in the area regarding CCP and how to access the service. Word of mouth had proven to be the promising and reliable avenue of retaining patients. Due to limited administrated staff no one person was responsible for coordinating the marketing efforts. Before the commencement of the first clinic focus group were used to assess the membership plan but there were no service to assess the patient awareness attitude or understanding about CGH or CCP. Benchmarks for Success In order to ensure the success of the CGH in achieving its goal of providing quality treatment at affordable fees and increase access to care, following strategies/ actions should be adopted / executed: Increasing the revenue base by attracting more patients both insured and uninsured Taking advantage of the niche market of uninsured population Offering better compensation services so that the patients feel that they are getting more for less Educate staff members and train them properly so that the patients waiting time is reduced and patient experience enhanced Go in for strategic alliances with good profit making hospitals to get access to capital and make necessary investments in technology.

The Life and Writings of Edgar Allan Poe Essay -- Authors

Edgar Allan Poe is a famous poet from the 1800. He was born in Boston, Massachusetts on January 19, 1809. His parents were David and Elizabeth Poe. David was born in Baltimore on July 18, 1784. Elizabeth Arnold came to the U.S. from England in 1796 and married David Poe after her first husband died in 1805. They had three children, Henry, Edgar, and Rosalie. Elizabeth Poe died in 1811, when Edgar was two years old. Giordeno also mentioned, â€Å"She had separated from her husband and had taken her three kids with her. Henry went to live with his grandparents while Edgar was adopted by Mr. and Mrs. John Allan and Rosalie was taken in by another family. John Allan was a successful merchant, so Edgar grew up in good surroundings and went to good schools† (Giordeno). Before Poe became a writer he was enrolled in the army at eight teen years old, but he did not stay long her was soon dismissed. Poe was very poor while he was living and did not become famous until after his death in 1849. He is most famous for writing border line horror stories and poems. Some of his most famous poems are The Tell-Tale Heart, The Raven, The Fall of the House of Usher, and The Pit and the Pendulum. In The Raven Poe discusses many different literary terms. The three that stand out the most is symbolism, tragedy, and beauty. In The Raven Poe uses symbolism. One way he demonstrates symbolism is the bust of Pallas. Poe explains about the bust of Pallas when he says, â€Å"Perched upon a bust of Pallas just above my chamber door -Perched, and sat, and nothing more† (Poe l41-l42). Courson thinks that the bust of Pallas symbolizes intellect, â€Å"Then Remorse enters, and fixes itself firmly on his mind, ‘the bust of Pallas,’ the emblem of intellect.† (Courson) However, Za... ...emy of American Poets, 2012. Web. 12 Jan 2012. Smith, Dave. "Edgar Allan Poe and the Nightmare Ode." Southern Humanities Review 29.1 (Winter 1995): 4-10. Rpt. in Nineteenth-Century Literature Criticism. Ed. Lynn M. Zott. Vol. 117. Detroit: Gale, 2003. Literature Resources from Gale. Web. 12 Jan. 2012. Wardrop, Daneen. "Quoting the Signifier 'Nevermore': Fort! Da!, Pallas, and Desire in Language." ESQ: A Journal of the American Renaissance 44.4 (1998): 274-299. Rpt. in Poetry Criticism. Ed. Timothy J. Sisler. Vol. 54. Detroit: Gale, 2004. Literature Resources from Gale. Web. 12 Jan. 2012. Zayed, Georges. "The Symbolism of the Poems." The Genius of Edgar Allan Poe. Cambridge, Mass.: Schenkman Publishing, 1985. 127-136. Rpt. in Nineteenth-Century Literature Criticism. Ed. Lynn M. Zott. Vol. 117. Detroit: Gale, 2003. Literature Resources from Gale. Web. 12 Jan. 2012.

Concepts of epidemiology (HIV) Essay

Communicable diseases are global health issues nowadays as the world become globalized by increasing international travel and business. Among many of communicable diseases, Human Immunodeficiency Virus (HIV) infection is considered to be one of the most severe communicable diseases worldwide. It has spread rapidly throughout the whole world from the continent of Africa since it was first reported in 1981(Maurer & Smith, 2009). By 1987, it had spread to 100 countries, by 2001, HIV became the leading infectious cause of death in the world. Scientists believe a similar virus to HIV first found in animals such as chimps and monkeys in Africa, where Africans are hunted for food. While they contact with an infected animal’s blood during butchering or cooking, the virus might cross into humans and become HIV (Mayo Clinic, n.d.). HIV causes acquired immune deficiency syndrome(AIDS). Having HIV does not always mean having AIDS. To develop AIDS, it take many years for people with HIV. The epidemic of HIV/AIDS in Africa is devastating because it disrupts family life, leaving many children without parents’ support. Reduced workforces in African society impact socioeconomic issues as well. These days, HIV/AIDS are not only problems in the African continent, but they are now also seen in every continent in the entire world. As of 2008, United Nations (UN) general assembly special session on HIV/AIDS estimated that there were roughly 33-4 million people living with HIV, 2.7 million new infections of HIV, and 2 million deaths from AIDS. According to the Center of Disease Control(CDC), about 1.1 million people in the U.S. had been diagnosed with AIDS since the disease diagnosed in 1981(Maurer & Smith, 2009). A person gets HIV when an infected person’s body fluids such as  blood, semen, fluids from vagina or breast milk get into his or her bloodstream. This virus can enter the bloodstream through linings in the mouth, anus, or sex organs through broken skin. HIV attacks and destroys CD4 cells which is same as T-cells in white blood cells (Moss, 2013). When a person has lower number of CD4 cells in the blood than normal, he or she is susceptible to illnesses because the person lost ability to fight infection. Unsafe sexual activity, transfusion of HIV infected blood, sharing needles and syringes with people with HIV, HIV infected mothers’ pregnancy, delivery, and breast-feeding are all risk factors for HIV infection. World Health Organization(WHO) found that 80% of cases of HIV/AIDS infections happened by unsafe sexual contact with an HIV-infected person. Stigma, discrimination, misconception, local social and cultural taboos also contribute to increasing number of HIV infections in developing countries where people do not talk about them or people are not educated about them. Early symptoms of HIV infection are fever, fatigue, swollen lymph nodes, diarrhea, weight loss, cough, headache, blurred and distorted vision, skin rashes or bumps, and shortness of breath(Moss, 2013). People infected with HIV progress to AIDS when their CD4 cell count falls down below 200 or when they develop complications such astuberculosis, salmonellosis, cytomegalovirus, candidiasis, cryptococcal meningitis, toxoplasmosis, cryptosiporidiosis, and cancers including Kaposi’s sarcoma and lymphomas. Other complications can include wasting syndrome, neurological complications, and kidney disease(Moss, 2013).AIDS is the last stage of HIV infection and life threatening. If a person with HIV does not receive treatment, the disease progresses to AIDS in about 10 years (Mayo Clinic, n.d.). Good news is that there is a treatment with antiviral medication for HIV infection even though there is no complete cure for HIV/AIDS. As soon as a person is diagnosed as HIV-positive, a variety of drugs can be used in combination to control this virus. The Department of Health and Human Services recommend that everyone with HIV infection must be offered antiviral medications regardless of T-cells count in order to restrict replication and duplication of the virus. HIV medications are more widely available than ever. They expand the lifespan of people with HIV. Not only drug regimen, but healthy life style such as eating healthy foods including fish oil and whey protein, avoiding certain foods including unpasteurized  dairy products, raw eggs, and raw seafood, getting vaccine, obtaining coping skills contribute to reducing further complication of HIV/AIDS (Mayo Clinic, n.d.). Prevention is the most important through education on safe sexual activity, safe care of blood transfusion, protective care of pregnancy, delivery, and breast-feeding among mothers with HIV/AIDS, etc. The epidemiologic triangle is composed of agent, host, and environment. These three are interrelated to spread the communicable diseases such as HIV/AIDS. For example, the agent factor is the presence or absence of human immunodeficiency virus that is transmitted directly through infected blood transfusion, sharing infected needles and syringes, and breast feeding from infected mother or indirectly through broken skin by unsafe and unprotected sexual contact. The host factors are people. They can be either HIV-positive or HIV-negative. People who are diagnosed as HIV-negative are susceptible hosts who can be infected by people who are diagnosed HIV-positive if they have unsafe sexual activity or receive unsafe health care. The environmental factors can be social and economic conditions such as poverty, crowding, and frequent mobility of people that carry agents easily to other environments. If the environment is less habitable, the host susceptibility is reduced, and the agent source is also reduced or eliminated as well. All three factors may be altered to improve community resistance to HIV infection (Maurer & Smith, 2009) Host AgentEnvironment Figure 1 HIV Epidemiologic Triangle The community and public health nurses play an important role through their tasks such as case finding, reporting, data collection and analysis, and follow-up. 1. Responsibility of primary prevention; Community and public health nurses are in the front line to assess a person, family, and communities for epidemiologic agents, susceptible hosts, and favorable environments. Nurses are responsible for educating people in the community about the causes and spread of the virus. Since 80% of HIV infection occurs by sexual contact with an HIV infected person, abstinence or advocacy of the use of condoms and other protective measures during sexual activity must be taught to people of all ages at risk, young or old, male or female. Safe  administration of blood, safe use of needles and syringes, safe breast-feeding, and protective health care of mothers with HIV during pregnancy or delivery must also be taught and performed as well for primary prevention. 2. Responsibility of secondary prev ention: Despite education and prevention efforts, reducing HIV infection is challenging. In 2009, CDC reported, youth, ages 13-29, accounted for 39% of all new HIV infections in the U.S.(Albright & Gavigan, 2014). Nurses are responsible for secondary prevention through effective intervention. There is no cure for HIV/AIDS , yet medication regimen help improve life expectancy by preventing HIV-related complications. Combination of medications at least three of antiretroviral can be used to control the virus(Moss, 2013). Nurses should encourage people who receive antiretroviral therapy of 3 to5 combination pills to be compliant with prescribed medications as scheduled. However, combination of antiretroviral cost a lot and are not available in poor countries. WHO support these countries that drug companies provide medications at low cost. Community health care providers suggest voluntary counseling and testing for HIV treatment programs as good strategies. By the help of trained counselors, patients in the community can learn their HIV status and register for treatment as needed. In South Carolina, since the number of young adults with new HIV infection is increased, a new intervention program is designed for young adults that is called HIV/AIDS information vaccine, using graphic novels(Albright & Gavigan, 2014). 3. Responsibility of tertiary prevention; Since HIV/AIDS is incurable and at risk in progression gradually, community and public health nurses can focus on enhancing or optimizing their quality of life. HIV is not only a physiological stressor, but also a significant psychological stressor. Many of HIV positive patient suffer with depression and suicidal ideation. According to the study, these psychological symptoms among HIV-positive people are associated with a decline in CD4 cell count (Dalmida, 2006). By evidence of research, depressive mood affects neuropeptide receptor on lymphocytes and lead to decreased CD4 cell count(Dalmida, 2006). Spiritual practice and mental care for HIV-positive people are beneficial to relax sympathetic nervous system and enhance immune function (Rabin 1999). According to the holistic view of human being, an awareness of one’s spiritual self is very important to extend life span with optimal wellness  increasing greater satisfaction with life. (Rabin, 1999). Community and public health nurses have a role in such responsibilities in order to make a person, family and community different and healthier by providing coping skills with spiritual activities for people who are infected by HIV and who are suffering with AIDS. AIDS United is an organization that carries its mission in the U.S. to end the epidemic of AIDS since 1987. This organization has funded to local communities for syringe access, access to care, capacity building, HIV prevention and advocacy. AIDS United supports community-driven to HIV epidemic around the nation that reach populations with HIV/AIDS including gay and bisexual men and women, adolescents in school. References Albright, K.S., Gavigan, K. (2014) Information Vaccine: using Graphic Novels as an HIV/AIDS prevention resource for young adults. Journal of Education for Library & Information Science; Spring 2014, Vol.55 Issue 2, p178-185. Retrieved from GCU library. Coleman, C.L., Holzemer, W.L. (1999). Spirituality, psychological well-being and the quality of life. In L.A. peplau & D.Perlman (Eds), Loneliness: A sourcebook of current theory, research, and therapy (pp.224-237). New York: Wiley-Inter-science. Retrieved from Grand Canyon University(GCU) Library. Dalmida, S.G. (2006). Spirituality, Mental Health, Physical Health, and Health-related quality of life among women with HIV/AIDS: Integrating spirituality into mental health care. Issues in Mental health nursing. Vol. 27. Retrieved from GCU library. Maurer, F.A., Smith, C.M. (2009) Community/Public Health Nursing Practice: Health for families and populations (4th ed.)[Saunders Version] Retrieved on June 5, 2014 from http://evolve.elsevier.co m Moss, J.A. (2013) HIV/AIDS Review. Journal of Radiologic Technology, 2013 Jan 1; 84(3) pp. 247-270. Retrieved on June 5, 2014 from GCU library. MayoClinic (n.d.). Retrieved on June 5, 2014 from http://www.mayoclinic.org/disease-conditions/hiv-aids/basics/causes/con-20013732 U.S. Centers for Disease Control and Prevention(CDC) http://www.cdc.org/cough/index.htm World Health Organization(WHO) http://www.who.int

Goiter essays

Goiter essays A goiter is often referred to as an enlargement of the thyroid gland which is not caused by inflammation or cancer. Goiter, when at a simple level, occurs when the thyroid gland can not produce enough of the thyroid hormone to meet the bodys daily requirements. As a counteraction, the thyroid gland enlarges, which usually overcomes small thyroid hormone deficiencies. A simple case like this is called either an endemic goiter or a sporadic goiter. Endemic goiters often occur within groups of people living in areas with soil with low iodine, usually regions away from the sea coast. Most people in these communities might not get enough iodine in their diet which is important for the production of the thyroid hormone. Use of iodized table salt in the U.S. prevents this; however it is still common in central Asia and central Africa. Another cause for goiter is use of the medications lithium and aminoglutethimide, used to treat some kinds of tumors that affect the adrenal cortex. Some cases of goiter are caused by hereditary factors, Most of the causes for goiter, however, are unknown to us at this time. Risk factors for the development of a goiter include female sex, age over 40 years, inadequate dietary intake of iodine, residence in an endemic area, and a family history of goiter. Goiter may be prevented by avoiding use of the medications shown above, and the use of iodized table salt, as indicated above. A few of the symptoms of goiter include any sort of thyroid enlargement, breathing difficulties due to compression of the trachea, swallowing difficulties due to the compression of the esophagus, and dizziness when arms are raised above the level of the head. There are many tests that may determine if you have goiter or not. Some of these including measurements of thyroid stimulating hormone and thyroxine in the bloodstream, a thyroid scan, and finally an ultrasound on the thyroid. ...

Response Example

Response Example Response – Book Report/Review Example Response to Confessions Confessions were meant for those who admittedly did something wrong, and if there was no wrong done then saying something about it, even a confession done under pressure does not count as a confession, says Kim, a woman wrongly-accused of murder told an interview (This American Life). This was true in the cases that were discussed in the radio show about the nature of confessions, in which an officer that finds out he was guilty of contributing for Kim to make false confessions about a crime that she was innocent of, and that a man chooses to be silent about his innocence despite being accused and suspected of a murder. In the officer’s case, after forcing out a false confession from Kim and realizing that he contributed information that she used to create stories to jive with their investigations, he came to admit that what he and his colleagues did was wrong. To atone for this, this same officer did as much as he can to prevent Kim from getting senten ced, and after 20 years apologized to her for his mistakes (This American Life). His confession came about because he found fault with his actions after reviewing the interrogation tapes and saw evidences of the woman’s innocence.Confessing to faults come to those who realize that they did something wrong, and the innocents profess themselves to prevent them false accusations. But this was not the case for Jeffrey Womack, a man falsely-accused of murder, because instead of telling the public that he was innocent he only kept quiet about it, making him even more suspicious of hiding something. However, he reasoned out that because he did not do anything wrong, he does not have any reason to say anything, thus he simply kept quiet about himself (This American Life). Even long after the issue has died down, when the murder charges against him was dropped, and when the actually murderer was charged, Womack remained solid about his beliefs about what happened to him: that he has n othing to confess because he did nothing wrong; and by remaining silent he felt he was doing the right thing. He also did not blame the murder case in his life struggles and has come to accept that he must move on whatever happened in the past (This American Life). As such, the two cases support Kim’s stand on confessions: that confessions only count as confessions if something wrong was done and the doer admits to the wrong-doing freely, otherwise it is not at all counted as one. Work CitedThis American Life."Confessions." n.d.This American Life Web site.Web. 20 March 2014. .

Tata Motors Assignment Example | Topics and Well Written Essays - 1000 words

Tata Motors - Assignment Example To respond to the market needs, automotive manufacturers have expanded their range of products through extensive research and development (Ireland, Hokisson & Hitt, 2011). According to the law of demand, when all factors are held constant a good that is highly priced will attract less demand. As such, sales are fewer when the products are highly priced. The automotive market has exploited this law of demand to its advantage (Harrison, 1993). The industry has in the recent past increased capacity to develop and produce affordable cars. Brands such as Tata Motors have invested in research and development to identify ways of cutting costs. Reduction in costs leads to the production of affordable cars and as such creating demand. A, B and C denote points on the demand curve. The points reflect the correlation between the quantities (Q) required and the particular price (P) associated with the  demand. From this it clear that highly priced automotive products have over the years experienced lesser demand. The law of supply demonstrates what quantities of automotive items are to be sold at individual prices. According to this law, a higher price leads to higher supply of automotive products. Tata Motors, like other players in the auto industry, responded to this law by producing more units when the prices are higher so as to increase revenues. Unlike to demand relationship, relationship of supply has a component of time. As such, many players of the automotive have reviewed how their ordering processes are done. Many industry players are allowing for invoicing twice a month as compared to initial practices of invoicing once a month. The follow graph is an illustration of this law: In the automotive industry, equilibrium of demand and supply has been in existence in the recent years. Growth of industry is attributable to the fact that the provision of the automotive matches with the

Value-added Model (VAM) of Teaching Evaluations and Its Implications Research Paper

Value-added Model (VAM) of Teaching Evaluations and Its Implications - Research Paper Example In not more than a decade, there has been a heated debate about the best value-added model of teaching. However, as much as this debate is vital in the effort to offer quality education, less people have an idea of what it entails. The key players in this discussion are people working in the education sector and who in one way or another tend to benefit or lose from value-added teacher evaluation (Early, Imig & Michelli, 2010). With these deliberations, it would be necessary first to understand what value-added model of teaching evaluations entails. The context of value- added model in teaching evaluations The most and obvious meaning of value-added model of teaching is a method of teacher evaluation that gives an account of teacher’s contribution in terms of evaluating current school year test performances of students to performances of the same students in the previous year (Raudenbush, 2004). This also includes comparison of performances of other students in the same level. Value added model also tends to evaluate each teacher’s performance in comparison with performances of other teachers. Nevertheless, this model has not come without criticism. Opponents of this model argue that the use of tests to measure teachers contribution is not scientific and has not been proved by and scientific study (Raudenbush, 2004). Additionally, they argue that some students results and performances are beyond teacher’s reach since some of the factors that determine students performance include behaviors of the students, and, which they claim most of these behaviors are acquired outside tutoring (Cater, 2004). However, it is paramount to focus on issues other than generalizing notions. For example, it is of considerable importance to articulate on possible likelihood of using VAM. Studies have indicated that use of this model will create accountability to teachers and administrators (Schwab, 1991). They tend to shape their behaviors, and work hard to prod ucing top scores in their subjects. The overall intention of this model is to encourage teachers work extra harder by incorporating different teaching strategies to improve achievement of both the students and the school (Nolan & Hoover, 2010). Value added results may also be helpful to teachers in terms of self improvement and setting target (Lissitz, 2005). It has also been argued that results obtained from value- added can be used at school level to improve on different subjects and group of students depending on the level of weakness or strength (Ballou, Sanders & Wright, 2004). With results of value- added from different schools, an evaluation can be done to come up with the best teaching strategy to be adopted in order to streamline all schools performance. It has also been argued that value-added results can help create projections of the level of school performance, which can be used to determine required resources, decision making and planning (Xiaoxia, Darling-Hammond, Hae rtel, & Ewart, 2010). In the context of accountability, value-added model is argued to act as an awakening call for schools in order for them to improve on weak areas to avoid sanctions (Lissitz, 2005). The model also ensures that schools that perform well are rewarded in order to keep the fire burning. The tax money paid to run the school is required to be utilized accordingly. Therefore, schools that incorporate value-added