Where Are You Going Where Have You Been by Joyce Carol Oates Essay

Where Are You Going Where Have You Been by Joyce Carol Oates - Essay ExampleThis story narrates the sexual advances in the midst of a time that represents the idea and philosophy of the beat culture along with its attempt to change and ignore all traditional concepts. However, what comes out of the story is the lust of Arnold and the opportunity to blend the nihilist ideology of the era into personal satisfaction. This process of seduction is well documented in this story and it reflects the complex nature of the juxtaposition inside traditional moral and rebellious nature of the generation of the beat culture.It should be mentioned that Larry Rubins assertion that Connies encounter with Arnold Friend is only a dream- like projection of her erotic fantasies (Rubin, 202) is enthrone on for several reasons. Firstly, it is not desperately required for a person of that generation to fantasize when the elements are readily available. Secondly, there is no single instance where it is hinted that Arnold is a metaphor or result of a fantasy. He appears completely real and menacing all the while. Thus it cannot be stated that critic Larry Rubin is correct when asseverate that Connies encounter with Arnold Friend is only a dream-like projection of her erotic fantasies (Rubin, 202).It is true that Joyce M. Wegs mentioned that Arnold is clearly a symbolic Satan (Wegs, 202) but it appears that he is the product of the era itself. Arnold is no different and his character is well depicted in the story where his ability is low and he seeks a benefit of low interest and he is satisfied with his gains. It can well be stated that are always some negative points in the time of change and people like Arnold are the individuals who are instrumental in incorporating those negative for their momentary and intangible benefits. The doubts, dilemmas, and confusions of the beat culture were gradually, quite slowly indeed, giving way to a new and unique cultural revolution. It was h appening all across the Western world and the characters of the story find themselves in the midst of it. People suddenly seemed to realize that there was sufficiency of political warfare to disgrace humanity. The prevailing standards suddenly seemed to be meaningless, and the insurgent youths wanted something different to happen. This something took place in the form of nihilism and beat apparent movement and the story depicts exactly this mood when an opportunist like Arnold took full advantage of the situation of Connie. He tried to justify his acts by yielding bizarre question and philosophies, actually fallacy, that was so relevant at the time among mass culture. Arnolds approach to Connie was planned but he placed like an artistic jest with fallacies of philosophy. Now, put your hand on your heart, honey. Feel that That feels loyal too but we know better. Be nice to me, be sweet like you can because what else is there for a girl like you but to be sweet and pretty and give in-and get away before her people come back (Oates, 388-9) or for that look lines like Ill have my arms tight around you so you wont need to try to get away and Ill show you what love is like, what it does. The hell with this house It looks solid all right. (Oates, 388) It is evident from these words that the actual intention was to emulate the philosophical concept of the time but the situation and the intention was completely button-down in nature. No matter how much Arnold poses as a carefree beat and a nihilist by uttering unconventional and anti establishment ideas like The place where you came from aint there any more, and where you had in mind to go is cancelled out. This place you are

THE GLOBAL ECONOMY AND ITS IMPACT ON HUMAN HEALTH Essay

THE GLOBAL ECONOMY AND ITS IMPACT ON HUMAN HEALTH - Essay frameworkOutbreaks of major diseases have been handled appropriately as drug companies and governments are able to transport medical supplies and experts within the shortest time possible due to globalization.In the linked States, the relationship between globalization and human health is a very complex one as it has both positive and the negative side. This relationship which is set forth as an inexorable force, need to be understood and developed for the well-being of all human beings. The increased knowledge and new technologies in the joined States has greatly improved the surveillance of infectious diseases and the monitoring of antibiotic resistance. The country has a major influx of both legal and illegal immigrants from different parts of the dry land due to globalization. It has greatly increased the countrys ability to respond to disease emergency cases in other parts of the world. During the outbreak of Severe penetrating Respiratory Syndrome (S.A.R.S) in China, the United States had to take a stern measures so as to ensure that the deadly disease did not spread into the country. They issued travel advisories and miserly monitoring of its borders.Health care provision in the United States is mainly offered by many firms and organizations in both private and public sectors. Close to 21% of the health care services is offered by the government fleck 58% of the of the health care institutions are held by non-profit making community based organizations while the remaining percentage is for profit-making. The expenditure on health care by the United States accounted to 17.2% of the total Gross Domestic Product in the year 2011 (OECD, 2005).The United States per capita national expenditures on health care in the year 2013 amounted to $ 9,255 while the total national health expenditures was $ 2.9 trillion. In Mexico, health

EMR Implementation and Patient Flow Case Study Example | Topics and Well Written Essays - 500 words

EMR Implementation and Patient Flow - Case Study ExampleAnother benefit of the EHR is that wholly medical information can be created and supervised by authorized users. Thats option allowed providers to share the health information with the other health mete out providers to improve the quality and productivity of the diagnostic and treatment processes. But, the capital punishment process of the EHRs is not that quickly, easily and cheap because it requires some period of time for health providers genteelness and adaptation of the health care system to the new model of the patients health information. The most difficult environment for the EHRs implementation is an upshot part as there are a lot of barriers such as crowding, limited staffing and increased amount of interruptions. The main question is Whether the overflow clinic model could be quickly adapted to offload the emergency department for the implementation of the EHR?The other important information that have to be qua ntitatively confirmed is the effects of the EHR implementation on time to medical provider, total patients length of stay (LOS), provider efficiency during and after the implementation of the EHR. In addition, the quiet essential question is How much time and training required for implementation and adoption of the software?The data were gathered from the Cincinnati Childrens Hospital Medical Center emergence department during the 2 years of the EHR implementation. During this period the H1N1 flu pandemic occurred that lead to increased number of the patients. The results showed that the total length of stay during EHR implementation increased compared to the boilersuit LOS before implementation. It takes 6 months post- implementation to gain improved and stable LOS. I suggest that received results show that the process of the EHR is quite slow because of the different reasons and barriers existed in the emergence departments. For example, health care providers require more time to learn how to use EHR as they have busy

Science in an Educational Context Essay Example | Topics and Well Written Essays - 4000 words

Science in an preceptal Context - Essay physical exertionApart from discussing the philosophy of acquirement, this paper would reveal the true extent to which national framework over the years has matched the aims of the science subject. It would discuss how far-off it has been cap fitting of evolving scientific philosophy into the platform while improving the youth. Of course, the paper would analyse scientific philosophical implementations into modern day course of study and the analysis of the depth as to how far the curriculum has addressed scientific theories and practical on different levels. After all, according to White (2003) it is through the anticipation of school subjects that young minds are able to achieve certain end points (White, 2003, p. 1).It would be better to discuss first the philosophy of education and the role it has played in developing National curriculum. Education not only demonstrates societal values only if reflects the true morals of any society, therefore reshaping education standards elucidate the kind of society one compulsion to be. Science in this context plays a vital role in recognising a set of common values and applying those values in the school curriculum so that the upcoming generation produces scientists and philosophers rather than producing simple graduates.Resolving the debate about the role science plays in education, nigh authors believe in the conception that among school subjects, science is usually the best subject which serves as a guide to nourish the minds by providing them the opportunity to observe future behavior of things, for typeface comets, bridges and power plants. Modern day example also includes different levels of technology. Philosophy of science has enabled our schools as well as students to seek around the most reliable means for predicting scientific explanations and various discoveries about science that occur in the world around us.It is through the contributions of scientific phi losophy that new curriculum 2000 has added subjects like scientific literacy as compulsory science education (SIS, 2009a). The same awareness in the longer run leads to diversify subjects like genetics and brain science that offer students to analyse the prospect of a physical science of human beings and their behaviour. It is through the miracles of science that philosophers have aided us with such entities that are hypothesized by modern science, such as genes, viruses, atoms, black holes, and most forms of electromagnetic radiation that remain unobservable. So, whatsoever the scientific method is adopted to equip our generation and nevertheless the subject is justified, teachers ought to believe in the practical and theoretical approach that the curriculum tells us about scientific reality beyond the appearances of things (Ladyman, 2002, p. 129).National Curriculum in the context of Historical development In the pages of educational history, the Foster Act 1970 set a foundation of a national school system but was still unable to fill in the gaps left by religious institutes. Fosters 1870 Education Act, though provided an edge to a growing economy but on a political basis where the main aim was to educate laborers. This way children aged 5 to 12 started getting education with an intention of acquiring a least standard of education for everyone. Since the main aim was to provide industrial efficiency to the state under the umbrella of political diplomacy, therefore British brass lagged behind

The Advantages of Studying Abroad Essay Example for Free

The Advantages of Studying Abroad EssayStudying foreign has been a hotly discussed topic. Various reasons have been analyzed. My writing will critically nowadays the main ones.In the first infinite, study efficiency is what I put in my priority. It cannot be denied that students are greatly motivated when they study in other country. The national pride inside themselves encourages them to study harder in order to compete with foreign students. The desire to improve their countrys image is likely to hiking their studious spirit. Therefore, their academic performances have a tendency to be remarkably improved. More interestingly, foreign education creates chances for students to study at colleges that have the best belief quality and learning environment in a specific field of studies that they are in favor of. For example, German and Japan are the two most countries for their education in chemical industry. Students are able to learn from the best chemistry teachers and pr ofessors in the world. As a result, their learning is definitely developed. Without doubt, studying abroad enables students to haverst fantastic results.In the second place, skill development holds no less importance. It is widely populaten that there likelihood for students to promote their time- draw awayment skill when they learn in a different country. They live on their own then and have no family support on completing household tasks. They also have to understand part in many extra-curricular activities. They are forced to create a well-organized time table in order to have enough time for learning. Hence, their abilities to manage time are undoubtedly enhanced.More notably, only by studying in a foreign country can students heighten their decision-making skill. It is attri provideded to the fact that their parents are not around to make decision for them. They must determine everything by themselves. Additionally, there are lots of dangerous seduction they are bound to bap tistery in their independent life. It requires them the ability to resist insidious pleasure and come to the best choice. Thus, they stand a golden chance to improve their ability to mickle out good decisions. With no doubt, studying in a country far from home is a beneficial way for students to sharpen their skills considerably.Last however not least, personal enjoyment draws much of my attention. It is common knowledge that studying abroad brings students opportunity to approach a new culture. It is possible for them to get to know to different life style and customs, witness religious activities and taste special dishes of the local people near their schools or colleges. Consequently, their spiritual life is full of upthrow and pleasure. More importantly, studying abroad involves helps students to have friends from around the world. International friendships are surely built when students from numerous countries gather in a particular place to study. Students definitely relish the enjoyment of having multinational relationships. Beyond sany doubt, foreign education brings students happiness.In a nutshell, not only study efficiency, skill development but also personal enjoyment are the convincing reasons for studying abroad. I highly recommend that students should take my writing into detailed consideration to make an powerful decision on foreign education.

Environmental Science in Todays World Essay Example for Free

Environmental Science in Todays World EssayHumans so dominate todays world that there is no ecosystem on earth that has not been influenced to a greater or lesser degree of human activities. And, as long as humans remain on earth, such influence will not end. Sustainability will depend on learning to channel our efforts so that we play a positive supporting share as opposed to a destructive role toward ecosystems (Nebel Wright, 1993). Environmental risk is a reality of todays world.The seemingly endless supply of celluloid chemicals, consumer goods, energy, and waste create new risks through chemical contamination, pollution, and environmental degradation. Environmental disasters such as chemical spills or explosions threaten millions of people living in the vicinity of manufacturing or storage facilities. The uncertain risks of spherical warming and ozone depletion loom ahead. A central factor of environmental risk is that it is usually involuntary.People do not choose to i ngest chemical pollutants such as pesticides or industrial solvents in their food and water, to undergo workplace exposures to dangerous chemicals, to breathe grime air, or to experience radiation exposure from nuclear fallout or faulty nuclear power plants. These environmental risks pose a unique hassle to regulators charged with protecting the domain health. Limited information may be available on the health effects of these risks. Consequently, in an effort to protect the publics health, various government agencies study these potential hazards to determine the level of risk they pose.This effort to understand these risks, and to quantify their impact on human health, is the electron orbit of risk analysis (Moore, 2002). The scale of human occupation and transformation of the environment is now truly global. The adverse health effects of this ignorance may have been limited, as the environmental damage was on a local scale. However, in todays world our activities are having a n impact at a global scale, and global environmental change will become a major theme in public health research, social policy and development, and political advocacy in the 21st century.The conceptualization of the environment as a global public good for health should go some way not only in increasing an appreciation for this heritage and dependency, but should also enhance the interface between research and policy. This increased awareness and interface between key stakeholders superpower lead to effective action to ensure a sustainable future for current and future generations (Hester Harrison, 2002).

The perception of Racial and Ethnic Bias in the Healthcare System Essay Example for Free

The perception of Racial and pagan Bias in the Health finagle System EssayIntroductionPublic wellness in the States has benefited from various innovations and advanced medical technology. However, these developments do not serve exclusively Ameri set ups. Even in modern times disparities exist between whites and minorities in equipment casualty of wellness bang. For instance the rate due to heart disease and stokes were higher for African Americans than for whites 30% and 41% respectively, in 2002. The infant mortality rate for African Americans was higher compared to that of whites, in spite the fact that the national infant mortality rate had decreased. In 2004, African Americans had the highest diagnosis rate for HIV 50% (Center for health care strategies).Ensuring equity in health care is necessary in order to prevent premature death, control disease, prevent unnecessary illness or disability and promote the tone of voice of life for all citizens. An intervention by th e Center for Disease Control and Prevention lead to the formation of Racial and Ethnic Approaches to friendship Health (REACH). The programs mandate is to identify, minimize and eventually eliminate racial and social inequality in the health care sector. nonage groups are the master(prenominal) victims of health care inequity.As a result the REACH program targets African Americans, American Indians, Asian Americans, Latinos, Alaska natives and Pacific Islanders. These communities need to be involved in the REACH program since, they are after all the beneficiaries. Individuals, confederacy leaders and opinion leaders need to be consulted and sceptered. REACH has unquestionable strategies that improve health care in various communities, work sites, schools, after school settings and in health care facilities.Application of community development principles of wide recitation to seek on racial and health care disparities.For a society to be successful then development of individ ual communities and organizations needs to be considered. Community development focuses on the improvement of the quality of life for an entire community. A community can be defined as a team of people who are unified due to location, common interests or ownership. For this kind of development to occur then the principles of unspoilt practice ought to be enforced. Some of the principles of good practice include encouraging participation, problem identification and designing of solutions by community members and community leaders.Leaders in the community are also empowered and educated so that they can understand the problems that exist in their community and abstinence from practices that affect the community negatively. In other words the principles of good practice include inclusion of community members, capacity building through management of study and resources, partnerships with all stakeholders, equity , accessibility and responsiveness in terms of carry out towards various initiatives (Maslow, 2003,p.19).The community should be involved in the research on racial and ethnic disparities in health care. The community willing provide of import information on the disparities that exist, intervention programs and the progress made in addressing the issue. Researchers need to consider vital elements in the community trust, cultural heritage, history, expertise, community leaders, community initiatives and resources.Community base research relies highly on participation and trust. Trust is fundamental for the research on racial and ethnic inequality in health care. The researcher needs to understand the communitys history and how it relates to their current health care situation. For example the slavery and racial discrimination history of African Americans can provide insight on why the disparity in health care exists. The researcher needs to appreciate information from participates. However, this does not imply that all information should be accepted a s truth without further investigation. The views of the community members should be listened to carefully, evaluated and investigated. Researchers should view the community as a partner in the research and interact with members.The researcher needs to develop a partnership with the members of the community. Together the parties define the health care disparities and needs. They also evaluate the effectiveness of programs initiated so as to reduce the health care inequality and provide recommendations on how to improve those programs. In this partnership between the researcher and the community members the thoughts and opinions of the community members need to be reflected in the issues. It is a common practice for publishers to decide what to print.Most of the times the community participates are not co-authors of the publications they are simply acknowledged for their cooperation in the authors notes. As a result some of the issues that are very vital to the community may be left out. Members of a community provide superior information on their communitys views and their culture. Thus inclusion of community members as co-authors of publications will benefit both the researcher and the community. Moreover, this effort is a form of potency for the community since their views and opinions will be better represented thus creating a comprehensive picture. Ethical practices should be utilize in data collection, ownership and publication (Blythe, 2007, p.68).In order to understand the role that racial inequality has on premature deaths, infant mortality rate, disability and the spread of disease community based research is crucial. Community partners provide information on the nature of health care they receive in terms of health education, treatment, responsiveness in health care centers and the facilities that are available in their localities. Research ensures that health care delivery coincides with the needs of the community.The insight provided by community participation research is helpful to the government and other stakeholders who are responsible for designing and implementing health care delivery programs. Community participants in a research usually represent the views of the community in relation to health care. Thus their views should be considered and reflected in the research. Research helps in addressing the challenges that face the health care system. Hence it provides solutions communities and policy makers which will eventually improve the nature and quality of health care available to all citizens.For racial and ethnic disparities to be eliminated then all stakeholders need to develop strategies that will address issue. Various states and Medicaid managed organizations have developed a community based strategy to address racial disparities in health care. The strategy emphasis on community participatory research on health care racial and ethnic inequality. The community members, community based organizations are the ma in source of information. The health care providers and government then analyze the information and set policies on health that ensures equality in access and treatment to all American citizens.Compared to traditionalistic research methods community based participatory research provides pertinent findings and is less time consuming. Health care providers are increasingly using this approach the main focus is using community based approach to interact with minorities. For instance the EXCEED project uses partnership between researchers, community member, community health care centers and the community organizations.EXCEED uses the community participatory research due to acknowledgement that it leads to comprehensive findings on the social, cultural and economic aspects that contribute to the racial and ethnic disparities in health care. The EXCEED program Excellence Centers To Eliminate Ethnic/Racial Disparities is an in initiative by the Agency of Health care Research and timberla nd (AHRQ). Its mandate is to investigate and understand racial and ethnic disparities in health care as well as designing and implementing strategies on eradication of those disparities (Bayne, 1998, p.116). inductionInequality in health care provision is evident in terms of health care access, prevalence of disease, health care setting and the quality of care. Americas minorities usually higher rates of disease, higher infant death rate and poorer health care compared to white Americans. Disparities in health care affect the individual, communities and the economy. Poor health care contributes to the cost of health care through complications due to poor care, avoidable hospital admission and preventable urgency cases.Community based participatory research on racial and ethnic disparities in health care provides data that reflects the extent of the situation. Information from the research is used by health care providers to design strategies provision of quality health care service s to all citizens. Community based participatory research is a partnership between the community and the researcher. There is equity in power, decision making, credit and knowledge. The community and the researchers collaborate in all segments of the research problem identification, homework for the research, actual research, data collection, analyzing of data and recommending a course of action.Data collected through community based participatory research on racial and ethnic disparities in health care is usually analyzed by the government and other health care stakeholders. The revelations made by the data are reclaimable when goals and policies are been designed so as to eliminate the racial and ethnical disparities in health care. Health care is fundamental in every society. therefrom health care providers are advised to ensure equity in quality, access and care in the health sector for all Americans regardless of their ply or ethnicity (Allan, 1998, p. 112).ReferenceAllan, B. P. (1998). Health care financing. New York Hill crest.Bayne, J. N. (1998). Strategic plans. New York Hill crest.Blythe, R. J. (2007). Disease Prevention. Manchester University Press.Maslow, R. P. (2003). Health Management. New York Macmillian.Porter, P. (2004). Healthy and Beautiful. New York The turn Press.The effects of community factors on Health. Retrieved August 18 2008 from http//www.policylink.org/pdfs/.Reducing health disparities through focus on communities. Retrieved August 17 2008 from http//www.policylink.org/pdfs/HealthDisparities.pdf