Friday, January 31, 2020

Medical Ethics Essay Example for Free

Medical Ethics Essay Medical interventions always possess two possible outcomes in every situation or case. The principle of double effect is the actual ethics that governs the conditions of alternatives. The main concept that it utilizes is the thought that persons are faced with decision that cannot be avoided and, in the circumstances, the decision will cause both desirable and undesirable effects. Considering the value ethics involved in every intervention implemented, the risk factors should always be considered. Essentially speaking, the principle of double effect involves the critical assessment of the situation considering the fact that the choices being made greatly impact a life of an individual. In an ethical controversy of maternal-fetal conditions wherein the mother is suffering from a case of complications that lead to the severe necessity of evacuating the conception product. The case possesses no other alternatives, and has greatly compromised both life conditions of the mother and the fetus. Moreover, if medical intervention is not implemented as soon as possible both lives shall be endangered severely. In some part of logical implication, some might categorize such action as direct attempt of killing; essentially since, either of the mother’s life or the fetal life needs to be sacrificed in order to save one. In such case of saving life through resuscitation, if the significant relatives or others imposed the negation of such life saving treatment for the patient provided with the considerations of higher good than evil, it is not considered anymore as actions of euthanasia nor direct killing. The medical provider is not anymore liable if incase the patient suffered from any untoward conditions that requires resuscitation, however in the end resulted to death, as it is already a directed will of the patient and the support groups. The principle of total effect protects no singular parts or single levels of life. In fact, it does even consider the whole or total person as a whole. The whole or total person is what is sacred and has rights. To promote parts or lower levels independently of the person’s totality would violate just the quality of life considerations. The medical provider should consider the treatment interventions not only for the benefit of a single part, but rather every aspect of the whole body, such as the effect of the therapy or medical intervention on other parts of the body. Psychotherapy involves the utmost obligation to facilitate the psychological health and well-being of the society. As far as medico-ethics is concerned, psychiatrists possess such responsibility of conjuring psychological health to the people. Such principle involves the concept of the divine as well as the societal requirement of psychological health linked together with the guidelines of psychotherapeutical interventions. Such principle considers man as a psychic unit and total aspect of a person as a whole. Considering the fact that man functions as a whole, psychiatric therapy should revolve in every aspect of a person not only on particularities of disease, disorder, or signs and symptoms but rather as a whole unified being. However, still in response to this perspective, the concept of the individual should still deal in the specifics and objective details of an individual. The guide protocols of this principle are the fact that man is a unified unit of the community that requires social interactions, and morality considerations over the psychological interventions. Rights to Health Care The general principle of health care greatly considers that every individual possesses the right to have unconditional, indiscriminate, and with no considerations on an individual’s society. The rights of health care, by law, divine protocols and natural necessities, should be ethically available for every individual. As for the ever conjuring issues in terms of impairment of the delivery of health care, it is both the responsibility of the patient and the health care provider to facilitate maximum health care potential. The health seeking behavior is expected for the patients requiring health care needs as their responsibility, while health care information dissemination, motivation and encouragement are the ethical duties of the health care providers. With the advent of managerial, profit-oriented and progressive modernization, the principle of the health care basic right is arguably being violated in some sense. As the fact states, at least 35 million Americans cannot afford proper health care delivery system for them due to either expensive medical insurance requirements or poverty. As for the both interacting requirement, most of the public, especially those living in or below poverty line, undeniably obtains their medical care from governmental provisions, which are not always sufficient to consider every individual’s health care needs. In fact, Medicaid insurance, which is a public insurance firm that caters mostly for the financially incapacitated individuals, is extensively and progressively increasing. However, the worst case of such Medicaid provision is that sickness status possesses a marginal requirement to consider a person a candidate for health care treatment. In such case, the health care status of these individuals worsens before they can even attain their due medical interventions. Another controversy is the rising patients of Medicare insurance, which is a public governmental firm that caters to elderly health care welfare. Due to the increasing number of those that cannot afford geriatric care necessities, the last option for these elders is to obtain the care that the government hospitals provide. However, there are cases wherein these elderly incapacitated individuals are being eagerly discharged by the hospital. Adding on to the situation is the increasing profit-oriented hospital firms, which perceives delivery of care as business-money-earning sources. Such condition is beginning to coincide and dominate the health care market, which if not regulated, may even caused further decline of health care obtainment by the public due to financial incongruencies. Considering that the incidence of poverty in the public is increasing, incapabilities of health care insurance to support the appropriate and adequate requirements of their beneficiaries, and the increasing incidence of profit oriented hospitals, greatly contributes to the health care scarcity and health care status of the society. Essentially speaking, such condition possesses the possibility of aggravating the morbidity and mortality ratings in the society. Such case is considered indeed as violations of the ethical principle of right of health care. On the contrary, such protocols are necessary in order to keep the hospital and medical insurance organizations surviving. Although, the evident consequence of such scenario is the increasing individuals suffering from health care impairments. As far as the ethical principle, rights of health care, is concerned, such occurring scenario violates the fundamental ethics of health care. Suffering Even with subjective evidences or manifestations, the concept of suffering seems central for the most fundamental concerns of bioethics. Suffering is in part constituted by the experience of a profound evil, as the Old Testament denotes, or threat to our sense of self and identity that we are unable to control. IT is the experience of the inexplicably arbitrary and typically destructive. Suffering is not of course an end of religious experience but a problem demanding interpretation. Religions traditions have historically tried to give meaning to suffering by placing the experience in a context of broader questions about ultimate purpose in life, and even human destiny beyond life. Suffering is knowledge of evil but is not evil in itself. Frequently its existence serves as a helpful spiritual or physical warning that something is amiss. Physical pain is often first sign of a serious illness; it informs us that something has gone wrong and that we need medical assistance. Of course, sometimes we become aware of evil but are unable to do anything about the situation. The evil is not in our knowledge of a certain state of affairs but in the state of affairs themselves. While we experience our knowledge of these evils as suffering, the knowledge itself remains a basic good. As salvation denotes liberation from evil, Christ liberates man from sin by means of His cross, that is, by means of suffering. The work of salvation is a labor of suffering. Every person is called to participate personally in that suffering through which our redemption has been accomplished and through which all suffering was redeemed. Suffering, symbolizes by the Cross, is the one universal door through which all must pass to enter the kingdom of God. While on the human level suffering is an â€Å"emptying,† on the divine level it is a glorifying or a â€Å"filling up† and an invitation to manifest the moral greatness of man. The glory of suffering cannot be seen in the martyrs, but also in those who, while not believing in Christ, suffer and give their lives for the truth. As for a Christian perspective, suffering is an opportunity for everyone to experience the power of God and share in the work of redemption. In the midst of each individual’s suffering, Christ is present to share that person’s suffering-just as He invites each of us to share His sufferings. This inter-participation of suffering unites our sufferings and Christ’s sufferings, as well as uniting us with Christ personally. In terms of the medical ethics application, suffering is for both patient and the health care provider to share; however, one must not join each one and extend the same negative feelings but rather, facilitate as the motivator and alleviator of sufferings. The greatest part of relieving the patient from the occurring suffering is on the part of the health care provider, as they are the ones who are responsible for the alleviation of such condition. The suffering of undergoing the case of alleviation and the suffering of alleviating the patient itself are the two considered faces of suffering, which has to be considered in every ethical case action. In is indeed necessary to think that the difficulties imposed by the situation is carried by both interacting parties and not one alone.

Wednesday, January 22, 2020

Physics of Rowing :: physics row boating

Missing Figures "Marathon runners talk about hitting 'the wall' at the twenty-third mile of the race. What rowers confront isn't a wall; it's a hole - an abyss of pain, which opens up in the second minute of the race. Large needles are being driven into your thigh muscles, while your forearms seem to be splitting. Then the pain becomes confused and disorganized, not like the windedness of the runner or the leg burn of the biker but an all-over, savage unpleasantness. As you pass the five-hundred-meter mark, with three-quarters of the race still to row, you realize with dread that you are not going to make it to the finish, but at the same time the idea of letting your teammates down by not rowing your hardest is unthinkable...Therefore, you are going to die. Welcome to this life." -- Ashleigh Teitel The Basics The sport of rowing involves numerous combinations and classes of athletes. Boats can be rowed with or without coxswains (the non-rowing captain) and by 1, 2, 4, or 8 rowers. Each rower can handle one oar (sweeping) or two oars (sculling). Racing shells are currently being made with Carbon or Carbon/Kevlar combinations. The act of rowing involves the transfer of momentum by the rowers and their oars to the water. The momentum is transferred to the water by pulling on the oar and pushing with the legs (the feet are attached to the boat by restraints). This causes the seat to slide backwards and the oars to pivot on the riggers. Each stroke is made up of four basic parts: catch (blade vertical in the water, knees bent, arms forward), drive (legs straight, arms pulling toward the body), finish (oar out of water, blade vertical), recovery (body moves forward, blade turns from vertical to the horizontal). For some of the basic forces acting on a 4+ (coxed four) see Figure 1. Figure 1: mx is the mass for each rower x (1-4) and coxswain (c), M is the mass of the boat, and Fx (x=1- 4) is the force exerted by the stroke and Fdrag is the resistive force of the water. Drag Drag is the transfer of momentum from our moving object to a fluid. A crew moves through both water (in contact with the shell) and air (in contact with a small part of the shell and the rowers). Effect on Crew To minimize air resistance rowers wear skimpy unis and force their coxswains to lay in the very short and narrow stern of the boat.

Tuesday, January 14, 2020

Arnold’s Touchstone Method Essay

Arnold’s touchstone method is a comparative method of criticism. According to this method, in order to judge a poet’s work properly, a critic should compare it to passages taken from works of great masters of poetry, and that these passages should be applied as touchstones to other poetry. Even a single line or selected quotation will serve the purpose. If the other work moves us in the same way as these lines and expressions do, then it is really a great work, otherwise not. This method was recommended by Arnold to overcome the shortcomings of the personal and historical estimates of a poem. Both historical and personal estimate goes in vain. In personal estimate, we cannot wholly leave out the personal and subjective factors. In historical estimate, historical importance often makes us rate a work as higher than it really deserves. In order to form a real estimate, one should have the ability to distinguish a real classic. At this point, Arnold offers his theory of Touchstone Method. A real classic, says Arnold, is a work, which belongs to the class of the very best. It can be recognized by placing it beside the known classics of the world. Those known classics can serve as the touchstone by which the merit of contemporary poetic work can be tested. This is the central idea of Arnold’s Touchstone Method. Matthew Arnold’s Touchstone Method of Criticism was really a comparative system of criticism. Arnold was basically a classicist. He admired the ancient Greek, Roman and French authors as the models to be followed by the modern English authors. The old English like Shakespeare, Spenser or Milton were also to be taken as models. Arnold took selected passages from the modern authors and compared them with selected passages from the ancient authors and thus decided their merits. This method was called Arnold’s Touchstone Method. However, this system of judgement has its own limitations. The method of comparing passage with a passage is not a sufficient test for determining the value of a work as a whole. Arnold himself insisted that we must judge a poem by the ‘total impression’ and not by its fragments. But we can further extend this method of comparison from passages to the poems as whole units. The comparative method is an invaluable aid to appreciation of any kind of art. It is helpful not merely thus to compare the masterpiece and the lesser work, but the good with the not so good, the sincere with the not quite sincere, and so on. Those who do not agree with this theory of comparative criticism say that Arnold is too austere, too exacting in comparing a simple modern poet with the ancient master poet. It is not fair to expect that all hills may be Alps. The mass of current literature is much better disregarded. By this method we can set apart the alive, the vital, the sincere from the shoddy, the showy and the insincere.

Monday, January 6, 2020

Definition and Examples of Colons

The colon ( : )  is a mark of punctuation  used after a statement (such as an independent clause) or that introduces a quotation, an explanation, an example, or a series. In addition, the colon usually appears after the salutation of a business letter (Dear Professor Legree:), between the chapter and verse numbers in a biblical citation (Genesis 1:1), between the title and subtitle of a book or article (Comma Sense: A FUNdamental Guide to Punctuation), and between numbers or groups of numbers in expressions of time (3:00 a.m.) and ratios (1:5). History The word  colon  comes from the  Greek term  kÃ… lon,  meaning a part of a verse or clause, or more literally, part of a limb, particularly a leg. Keith Houston, who has authored several books on punctuation, explained the origin of the colon in his article The Mysterious Origins of Punctuation published on Sept. 2, 2015, on the  BBC  website. Houston said the punctuation mark originated, ultimately, during the third century B.C., in the Hellenic Egyptian city of Alexandria. A  librarian there named Aristophanes developed a series of three dots to break up the unbroken stream of text that had been the norm in writing at the time. The dots, aligned with the middle, bottom, or top of each line, represented what today would be a colon, comma, and period, respectively. Though the Romans disregarded the punctuation marks after conquering the Greeks, the dots eventually were given new life in the seventh century by Isidore of Seville. Ashley Timms in her Dec. 28, 2016, article, A History of Punctuation in English, published on the website of  Unravel Magazine, a linguistics journal, detailed the timeline: In his work The Etymologies (or  Etymologiae  in Latin), Isidore  of Seville explained that the highest dot marked the end of a sentence, the lowest dot functioned much like a comma does today, and the middle dot represented a pause somewhere in between the two: The work of Isidore of Seville was widely respected and he was even cited by Dante Alighieri and quoted by Geoffrey Chaucer.  Etymologiae  was treated as a textbook through the Middle Ages and no doubt had a profound effect on how writers used grammar and punctuation. Eventually, the middle dot evolved into two dots  possibly through Gregorian chants, which included  punctus  elevatas  (raised dots) that looked like the modern-day colon, says Timms. Purpose The Associated Press Stylebook, 2018 provides possibly the best explanation (among the various style guides) of the purpose and use of the colon. The AP says the punctuation mark should be used for: Emphasis:  The AP gives this example:  He had only one hobby: eating.Lists:  The colon usually comes at the end of a sentence or phrase to introduce lists, tabulations, and texts.Listings: Use the colon in such listings as time elapsed (1:31:07.2), time of day (8:31 p.m.), as well as biblical and legal citations (2 Kings 2:14; Missouri Code 3:245–260).Dialogue: An example would be:  Bailey: What were you doing the night of the 19th? Mason: I refuse to answer that.Question-and-answer interviews: The AP gives this example:  Q: Did you strike him?  A: Indeed I did. The AP says you can use a colon to introduce a direct quotation of one sentence that remains within a paragraph. You would also use a colon to introduce long—or block—quotations. When doing so, enter a hard return on the keyboard after the introductory text to bring the quoted material to the next space down, as shown in the history section above. Use and Misuse Use the colon at the  end of a sentence,  after initials  and  abbreviations, after other punctuation marks, in  computing and math, and in Bible verses, among other instances. At the end of a sentence: Use the colon instead of a period when the two clauses have a connection such that a period would be too hard of a break. Capitalize the first word after a colon only if the colon is followed by a proper noun or an independent clause. These examples are adapted from the Associated Press and June Casagrandes book, The Best Punctuation Book, Period: A Comprehensive Guide for Every Writer, Editor, Student, and Businessperson: Right: He promised this: The company will make good all the losses.Wrong:  Refrigerator temperature is critical: if its not cold enough, food will spoil. Right:  Refrigerator temperature is critical: If its not cold enough, food will spoil. Before a list:  Capitalize the first letter of the first word after the colon only if it is a proper noun. Right:  Joe invited several friends to the party: Samantha, David, and Frank.Right:  The pizza came with three toppings: pepperoni, onion, and mushrooms.Wrong:  The pizza came with three toppings: Pepperoni, onion, and mushrooms. After quotation marks and other punctuation:  Use a colon  after  other punctuation marks but never before: The truth was simple (almost too simple): Dan was guilty.The truth, she said, was simple: Dan was guilty. Bible verses:  Cite  listing the number of chapter and verse(s) in this form: Matthew 3:16Luke 21:1–131 Peter 2:1 Math and computing:  Some styles—though not the AP—use colons to separate parts of a  ratio, as in: 2:5, which means a 2-to-5 ratio, two out of five, or 2/53:4, which means  a 3-to-4 ratio, three out of four, or 3/4 Additionally, you can also use a colon to separate a book title and subhead, such as for Casagrandes book listed previously in this section. Use a colon in a citation to separate the chapter and page number, as in: Journal of English Language Learning 15:220–229 Also, never combine a dash and a colon. Linking Equal Ideas Generally, use colons to show that two sentences, or a sentence and a clause, are  parallel  or relate to the same idea or subject, says David Crystal, author of Making a Point: The Persnickety Story of English Punctuation. Examples would be: A  liberal arts education  creates citizens:  people who can think broadly and critically about themselves and the world.—William Deresiewicz, Faulty Towers,  The Nation, May 23, 2011I was going to buy a copy of The Power of Positive Thinking, and then I thought:  What the hell good would that do?—Ronnie Shakes, standup comedian In the first quote, which joins a sentence followed by a nonsentence clause, Deresiewic uses the colon to show that citizens who receive a liberal arts education are the same group as people who can think broadly and critically. The second, by the late Shakes, who was a frequent guest on late-night television shows, uses  the colon (and irony) to show two sides of himself: the optimist who was going to buy a book about positive thinking and the pessimist who talked himself out of it.