Thursday, October 31, 2019

Public sphere in Australia today Essay Example | Topics and Well Written Essays - 2750 words

Public sphere in Australia today - Essay Example Lower secondary starts at the 7th or 8th year and continue throughout the 10th year of education. The 7th during 9th years of education are known as "preparatory years." Towards the end of the 9th year, students may choose to abandon school or to continue to the 10th year. During the 10th year of education, students may abandon school with a School Leaving Certificate (SLC), in many situations provided by the individual school. Upper secondary consists of the 11th and 12th years of education. Instead of leaving school upon conclusion of the 10th grade, students may carry on for two extra years of education, upon conclusion of which students also get a SLC, provided by the school or by an external examining authority. Once attended almost exclusively by students going to university study, an increasing number of Australian students, irrespective of their plans for advanced study, are attaining the whole 12-year term. While some time ago, professional and scholastic secondary schools were mostly distinct institutes, the majority public secondary schools in Australia at present are "comprehensive high schools" Such schools offer programs both for university-bound students and for students who intend to do different jobs after leaving school or who will take up postsecondary technical or professional education. A number of public schools, on the other hand, maintain to offer only educational, college-introductory programs for students who are registered to the optional programs. Some advanced secondary schools offer agricultural or other education. Nearly all the students in Australia accomplish the 10th year of schooling and get a SLC. The number of students who carry on to the 12th year of education is about 71 % of all students all over the country in 1991. The majority of young students in Australia are registered in some kind of kindergarten program, although attendance is not obligatory. Nearly all states offer a "pre-Year 1" program, and both the government and private agencies offer other pre-school activities for the two years before the commencement of Year 1. School Governance & Finance In each Australian state, the education system is extremely centralized. The Education Ministry and a Director-General of Education administer the educational system. Of late, nevertheless, there has been a growing tendency to decentralize several organizational functions from the state level towards the local level. Governance The ministry of education exercises extensive power over schools all over the state. The states develop policies in the fields of schooling and teacher enrollment, teacher service, student registration, program content, course authorization and student appraisal. The education ministry hires and employs the teachers in government schools, construct buildings, equipment and materials, and grant subsidy for utilization by schools. Hence almost all

Tuesday, October 29, 2019

Prevention of Crime and Disorder Assignment Example | Topics and Well Written Essays - 3500 words

Prevention of Crime and Disorder - Assignment Example There is adequate external lighting to deter crime. There are employees who check on incoming customers and customers inside. These staff can be easily identified through their uniform and name tags. The Casino is always searched inside and outside before, during, and after opening hours for suspect packages. There are also guidelines on crime, violence, and aggression in and around the casino. When there are events that attract larger than usual crowds, the Casino liaises with the police. It also ensures that there is proper management of the door such that there are a high number of door supervisors when there is an event. There are admissions for only people above 18years and screening of people. If persons fail to meet the admission standards or become violent, they are denied entry or ejected. People known to be violent are banned from the casino. All incidences of crime or violence are recorded in the incidence book. During events, there is the use of plastic drinking vessels instead of glass drinking vessels to prevent the assault. Staff are trained in conflict management to help them deal with difficult situations, reduce violence, and disorders. Drugs and weapons entering the premises. There is a zero tolerance for the use and carrying weapons in the business. Everyone is searched at the door before entering. There are policies displayed in the casino to emphasis customers of a zero tolerance to drugs. When customers are suspected of use or possession of drugs, police are notified. Staffs are trained on drug awareness. The general safety of staff and customers. There is risk management done on the casino to identify potential hazards to staff and customers and to determine a solution to manage them. Staffs are made aware of the risks and precautionary measures to take. There are also first aid boxes in the casino, and they are properly maintained. Employees are trained on the use of the first aid equipment. Accumulation and disposal of glasses.  Ã‚  

Sunday, October 27, 2019

The Last Leaf O.Henry

The Last Leaf O.Henry â€Å"The Last Leaf† The Hope That Heals. The Last Leaf by O. Henry is an interesting short story about a sick girl named Johnsy, who is deeply affected by a bare vine tree. Johnsy has decided she will not get well and has reconciled herself with the fact that she is going to die when the last leaf falls off the ivy bush outside her bedroom window. Johnsys hopelessness and willingness to accept the worst without a fight is a major statement about the emotional state of the character. In his wonderful short-story â€Å"the last leaf†, using sacrificial themes, fear of pneumonia and a twist on the fatalistic tone, O.Henry depicted a really meaningful goal: Life must have hope. In brief, I love this story very much. Its plot and its characters are simply, but it is a very touching story that makes I recognize many things in life. Life is meaningful only for people who have hope and love. The hope helps us live better and heals our body and spirit. Hope is the foundation of our personal futures; each of us would probably suicide without hope. It is the virtue that helps us overcome obstacles. Without hope, we seem to give up easily like Johnsy in the story. Without hope, there is nothing. Another important thing in life is love. O. Henry, through the story, advices us should love ourselves and other people. The love between three persons, Johnsy, Sue and old Behrman makes a moving story. Johnsy had sometimes forgotten loving herself and cause the worry for Sue, but the biggest love is the love of the old Behrman for Johnsy. He was self sacrifice to save the life of Johnsy. Despite being a old man, he didnt hesitate to go out in a cold weather, climb up the ladder and paint the last leaf, because he know that it is the leaf of hope, a hope for a life that is giving up . In addition, I never see that life and death seem to be close like that. The fate is â€Å"decided† just through the last faint ivy leaf, it was such an â€Å"idiotic imaginings† (Henry 49). Life and death link together by the revivification of Johnsy and the death of the old Behrman. It is a familiar method in O. Henrys stories: everything has its own worth. The meaning of masterpiece in this story makes me change my mind. Before that, I think a masterpiece should be a large, a big, and an imposing picture. In the story, the last leaf picture of Behrman is very simple, but it is really a masterpiece by the meaning. He spent all the night under the terrible weather to draw it, and pay his life for it. Eventually, all of the leaves fall from the vine, save the one last leaf. All readers easily understand that how much effort, how much love contained in that leaf picture. More than that, the most important thing, â€Å"the last leaf† saved a life of a poor mind girl, who gave up life too easily. The end being the surprise ending that make the story feel sad.. The reader then finds out that O. Henry wrote a character that is obviously so void of passion about anything that at the first illness she gets, plans to die. Behrman, the man who will become her savior, seems to have the same lack of interest with his art. He is described as â€Å"a failure in art† (Henry 46). .†He had been always about to paint a masterpiece, but had never yet begun it† (Henry 48). If he was motivated or inspired to be an artist, he would have found something to paint in all of his years instead of waiting for the one inspiration that would create his masterpiece. Although he died, he did become what he had always claimed to be, an artist â€Å"had been waiting there for twenty-five years to receive the first line of the masterpiece† (Henry 49), his final masterpiece, which saved Johnsys uninspired life, was nothing more than a simple leaf painted upon a drab brick wall. All the things that our doctors tell us to do and undergo may not be easy, but they are meant to make us well. All the things that our love ones do to us, for us, they do for one reason: To keep us alive! We may not be living a very easy life, but all these tribulations, if surpassed, will make us stronger. They make life more meaningful and significant. â€Å"It is a sin to want to die† (Henry 51). Most of the times we are trying to be Johnsy just fearing about the last leaf, we often forget to love the life God has given us. Being Bermans is quite not possible for everyone, but at least we can live our life not just waiting for that â€Å"last leaf†. Let us, at all cost, dare to dream, dare to live, †¦ Live the life that God want us to live, no matter how short it be. Works Cited O.Henry. â€Å"The last leaf† The best story of O.Henry. New York, Modern Library.

Friday, October 25, 2019

Evaluating the Effectiveness of Gun Buyback Programs Essay -- Gun Contr

Gun buyback programs have become a commonplace law enforcement practice since their creation in the 1970s. These buyback programs are a method of proactive policing against gun crime and are used as a means by law enforcement in an effort to curb gun violence. Generally, police offer incentives to community members in exchange for firearms. These incentives are most commonly money or gift certificates, but may also be merchandise. The programs rose to popularity in the 1990s due to widespread public support. However, as far as weapons policies go, gun buyback programs have been criticized as an ineffective means of curbing or preventing firearm violence. Thus, one must ask does the purchase of firearms from private citizens by law enforcement impact the rate of gun crime, or would other means be more effective in combating this type of crime? According to the Journal of Economics there are more firearms in the United States than people. Furthermore, the majority of homicides are committed with a firearm (Levitt, 2004). This may indicate that the availability of firearms contributes to gun violence. Individuals acquire guns in a variety of ways, from inheritance, purchasing, or theft. Regardless of the means of attainment, the possession of firearms is widespread in the United States. Those who possess guns do so for many reasons such as for sport, protection, or illegal activities (Bilchik, 1999). Gun buyback programs receive weapons from all types of individuals, regardless of how they originally acquired their firearms or why. The first gun buyback program was employed in Baltimore in 1977 to curb violence perpetrated by the use of firearms (Carter, 2002). Over the course of three-months, over 13,000 firearms we... ...Retrieved from Senate website: Cook, P. J., & Ludwig, J. (2000). Gun violence: the real costs. New York, NY: Oxford University Press. Levitt, S. D. (2004). Understanding why crime fell in the 1990s: Four factors that explain the decline and six that do not. The Journal of Economic Perspectives, 18(1), 163-190. Retrieved from http://www.jstor.org/pss/3216880 Orlean, S. (2012). Saturday night. New York, NY: Simon & Schuster. Walker, S. (2008). Sense and nonsense about crime, drugs, and communities. Belmont, CA: Wadsworth Cengage Learning. Wellford, C. F., Pepper, J. V., & Petrie, C. V. (2005). Firearms and violence. Washington, D.C.: The National Academies Press.

Thursday, October 24, 2019

Education Sector Essay

The typical Indian classroom was once characterized by students sitting through hour-long teacher monologues. Now, technology is making life easier for both students and educators. Schools are increasingly adopting digital teaching solutions to engage with a generation of pupils well-versed with the likes of PlayStations and iPads, and trying to make the classroom environment more inclusive and participatory. Take Smartclass from Educomp Solutions, one of the first Indian companies in this space. Smartclass is essentially a digital content library of curriculum-mapped, multimedia-rich, 3D content. It also enables teachers to quickly assess how much of a particular lesson students have been able to assimilate during the class. Once a topic is covered, the teacher gives the class a set of questions on a large screen. Each student then answers via a personal answering device or the smart assessment system. The teacher gets the scores right away and based on that, she repeats parts of the lesson that the students don’t appear to have grasped. â€Å"Technology makes the teaching-learning process very easy and interesting,† says Harish Arora, a chemistry teacher at the Bal Bharti Public School in New Delhi who has been using Smartclass since 2004. â€Å"For instance, [earlier] it would easily take me one full lecture to just draw an electromagnetic cell on the blackboard. Though I could explain the cell structure, there was no way I could have managed to show them how it really functions. This is where technology comes to our aid — now I can show the students a 3D model of the cell and how it functions. Instead of wasting precious time drawing the diagram on the blackboard, I can invest it in building the conceptual clarity of my students. † According to Abhinav Dhar, director for K-12 at Educomp Solutions, more than 12,000 schools across 560 districts in India have adopted Smartclass. More importantly, the number is growing at almost 20 schools a day. On average, in each of these schools eight classrooms are using Smartclass. â€Å"When we launched Smartclass in 2004 as the first-ever digital classroom program, it was an uphill task convincing schools to adopt it,† Dhar notes. â€Å"These schools had not witnessed any change in a century†¦. It is a completely different scenario now. Private schools across India today see [technology] as an imperative. A digital classroom is set to become the bare-minimum teaching accessory in schools, just like a blackboard is today. † Dhar recalls that one major roadblock for Educomp’s proposition in the early days was on the price front. At US$4,000 (at the exchange rate of Rs. 50 to a U. S. dollar) per classroom, schools found the product very expensive. To get over this hurdle, Educomp quickly decided to make the initial investment and gave the schools an option to pay over a period of three to five years. The strategy worked. Enthused by the market response, in January Educomp launched an upgraded version — the Smartclass Class Transformation System — with more features, including simulations, mind maps, worksheets, web links, a diagram maker, graphic organizers and assessment tools. Huge Potential According to the â€Å"Indian Education Sector Outlook — Insights on Schooling Segment,† a report released by New Delhi–based research and consultancy firm Technopak Advisors in May, the total number of schools in India stands at 1. 3 million. Of these, private schools account for 20%. Educomp’s Dhar points out that only around 10% of the private schools have tapped the potential of multimedia classroom teaching whereas in government schools, it has barely made any inroads. â€Å"The current market size for digitized school products in private schools is around US$500 million,† says Enayet Kabir, associate director for education at Technopak. â€Å"This is expected to grow at a CAGR [compound annual growth rate] of 20% to reach the over US$2 billion mark by 2020. However, the market potential then might get as big as US$4 billion [i. e.if the total population of private schools that could adopt multimedia actually adopt it. ] Apart from this, the current market size for ICT [information and communications technology] in government schools is US$750 million. We expect this to grow five times by 2020 due to the current low level of penetration in government schools. † Kabir lists Educomp Solutions, Everonn Education, NIIT, Core Education & Technologies, IL&FS and Compucom as dominant players in this sector. New entrants include HCL Infosystems, Learn Next, Tata Interactive Systems, Mexus Education, S.Chand Harcourt (India) and iDiscoveri Education. Except for S. Chand Harcourt, which is a joint venture between S. Chand and US-based Houghton Mifflin Harcourt, all the others are Indian firms. A recent trend is that schools in tier two and tier three cities are increasingly adopting the latest technology. Rajesh Shethia, head of sales and marketing at Tata Interactive Systems, which launched Tata ClassEdge in early 2011 and has partnered up with more than 900 schools, says that â€Å"more than half of the demand for digital classrooms is from tier two and tier three cities. † According to Shethia, schools in these smaller cities realize that it is difficult for their students to get as much exposure as students from tier one cities. â€Å"[So] they proactively subscribe to solutions such as ours, which richly benefit both teachers and students by simplifying the syllabus†¦. Even parents want the best for their wards and are not averse to paying a little extra. They see value in these initiatives by schools to modernize the way teaching is imparted today. † Making some back-of-the-envelope calculations Shethia adds: â€Å"If we consider the top 100,000 private schools in India as the captive market, the potential is approximately two million classrooms of which currently just about 80,000 have been digitized. † Srikanth B. Iyer, COO of Pearson Education Services, also sees tremendous potential in the smaller cities. Pearson provides end-to-end education solutions in the K-12 segment. Its multimedia tool, DigitALly, has been adopted in more than 3,000 private schools across India since 2004. â€Å"DigitALly installations have been growing at three times the market for the past two years,† Iyer says. â€Å"Currently, more than 60% of our customers are from tier two and tier three towns, such as Barpeta (in the state of Assam), Sohagpur (in Madhya Pradesh) and Balia (in Uttar Pradesh). † In order to make its offering attractive to the schools, Pearson has devised a monthly payment model under which a school pays around US$2 per student per month. â€Å"As the price point is affordable, schools across all locations and fee structures find it viable to opt for our solution,† Iyer notes. â€Å"We focus on tier two and tier three towns and cities where penetration is relatively low and desire for adoption of technology is high. † HCL’s Digischool program, which launched about 18 months ago, has also made a strong beginning, with a client base of more than 2,500 schools. Partnering with State Governments Meanwhile, state governments are also giving a boost to the adoption of technology in schools. Edureach, a divison of Educomp, has partnered with 16 state governments and more than 30 education departments and boards in the country, covering over 36,000 government schools and reaching out to more than 10. 60 million students. â€Å"Edureach leads the market with 27% of the total schools where ICT projects have been implemented,† says Soumya Kanti, president of Edureach. â€Å"We are looking [to add] 3,000 more schools this fiscal year and 20,000 to 25,000 additional schools in the next five years. † As of now, Edureach has created digital learning content in more than 14 regional languages for these projects. In the northern state of Haryana, CORE Education and Technologies is implementing a US$59 million ICT project that aims to benefit 5 million students across 2,622 schools. Five of these schools will be developed as â€Å"Smart† schools. CORE is also implementing ICT projects in the states of Gujarat, Meghalaya, Punjab, Maharashtra and Nagaland. The scope of work in these projects ranges from implementation of computer-aided learning in schools, installing bio-metric devices to monitor attendance of teachers, and setting up computer hardware, software and other allied accessories and equipments. â€Å"The task has not been an easy one,† admits Anshul Sonak, president of CORE. â€Å"There are several logistical issues. Delivery of equipment to rural areas is a big challenge in itself†¦. There is lack of basic infrastructure — either there are no classrooms or there are ones with no windows†¦. Some schools don’t even have toilets. Moreover, the power availability in these areas is often poor and we have had to deploy generator sets in many schools. † But despite the challenges, educationists are optimistic. Rahul De, professor of quantitative methods and information systems area at the Indian Institute of Management in Bangalore (IIM-B) believes that â€Å"ICT can have a huge impact on our education system. † He points out that ICT can result in increasing the reach [of education] and in keeping the costs low. â€Å"With increasing penetration of mobile phones and Internet kiosks, the potential is indeed immense,† he adds. A study conducted by De in 2009 on the economic impact of free and open source software (FOSS) in India found that it resulted in significant cost savings. â€Å"FOSS can play a huge role in education,† De notes. â€Å"In the state of Kerala, it has already had a huge impact in both saving costs and providing state-of-the-art access computing to students in government schools. FOSS has a huge number of packages for school students, many of which can be ported to local languages and used in schools. It is also helping disabled students in a big way, by enabling them to access digital resources using audio-visual aids. † Edureach’s Kanti adds that a study by the Centre for Multi-Disciplinary Development Research in Dharwad in Karnataka in 2006 revealed significant improvement in student enrolment and attendance, as well as a reduction of student dropouts due to ICT interventions. â€Å"Yet another study conducted by the Xavier Institute of Management in Bhubaneswar in 2007 revealed that computer-aided education has improved the performance of children in subjects such as English, mathematics and science, which are taught through computers using multimedia-based educational content. † All in a Tab In line with this increasing interest in technology for school education, there has been a rush of education-focused tablet computers in the market. The most high-profile of these has been Aakash, which was launched by Kapil Sibal, union minister for human resource development, in October 2011. The Aakash project is part of the ministry’s National Mission on Education through Information & Communication Technology (NME-ICT). It aims to eliminate digital illiteracy by distributing the Aakash tablets to students across India at subsidized rates. While the project itself has become mired in delays and controversy, it has generated a lot of awareness and interest among students around the educational tablet. Meanwhile, DataWind, the Canada-based firm that partnered with the union government for the Aakash project, has also launched UbiSlate7, the commercial version of Aakash. â€Å"The opportunity for low-cost tablets in India is huge. In the next two years, it will exceed the size of the computer market in India i. e. 10 million units per year,† says Suneet Singh Tuli, president and CEO of DataWind. In April, technology firm HCL Infosystems launched the MyEdu Tab, which is priced at around US$230 for the K-12 version. The device comes preloaded with educational applications and also books from the National Council of Educational Research and Training, a government organization. Anand Ekambaram, senior vice-president and head of learning at HCL Infosystems, is in the process of partnering with more than 30 educational institutes across India for MyEdu Tab. â€Å"MyEdu Tab has content offline and can be accessed over the cloud. It allows students to learn at their own pace,† Ekambaram notes. â€Å"With a topic revision application and a self-assessment engine, students can evaluate their skills and knowledge on their own. Teachers can upload content, which can be accessed by students and parents for tasks such as homework and progress reports on their respective devices. The parent can monitor the progress of his or her child through the cloud-based ecosystem. † Earlier this year, Micromax, a leading Indian handset manufacturer, also launched an edutainment device called Funbook. Micromax has also partnered with Pearson and Everonn to make available relevant content for students. Susha John, director and CEO at Everonn, was upbeat at the launch. â€Å"Digital learning facilitated through tablets will revolutionize the educational space,† John said. â€Å"Everonn has invested in developing content and services targeted toward tablet audiences. To start with, we will offer our school curriculum-learning modules †¦ and at home live tuition products on the Funbook. Students can now have access to good teachers, educational content and a great learning experience anytime, anywhere. † At Pearson, Max Gabriel, senior vice-president and chief technology officer, is â€Å"focusing on K-12 content in English to begin with. We are sitting on a huge repository of existing content. Adding the right level of interactivity and richer experience will be our priority. † Meanwhile, Educomp is gearing up to launch content that is device agnostic and can be run on any tablet. But even as schools in India are going through this transformation powered by technology, one key question is how big a role technology will play in the education sector. In an earlier interview with India Knowledge@Wharton, S. Sadagopan, founder-director at the International Institute of Information Technology in Bangalore, pointed out that there are four parts to learning — lectures, library, laboratory and life — noting that, â€Å"Technology plays a critical role in all these. † Kabir of Technopak adds another perspective. â€Å"Despite numerous studies on the impact of ICT in education, the outcomes remain difficult to measure and open to much debate. It needs to be understood that technology is only an enabler and a force multiplier and cannot be treated as a panacea. We believe that impressive gains in teaching-learning outcomes are possible only through an integrated approach rather than a piecemeal intervention. † Don Huesman, managing director of Wharton’s innovation group, recommends caution in considering potential investments in educational technologies. â€Å"These are very exciting times for online and distance education technologies, but there are risks facing parents, educators and policy makers in evaluating the opportunities these new technologies, and their proponents, represent. † Huesman points to the recent growth in high-quality, free, online educational courseware offered on websites like the Khan Academy and the Math Forum, as well as the work of the Open Learning Initiative in developing intelligent cognitive tutors and learning analytics. â€Å"But such technologies, available from a global network of resources, only provide value when understood, chosen and integrated into a local educational community,† he says. As an illustration, Huesman offers the example of cyber kiosks, provided in recent years by foundations at no cost to rural communities in India, exacerbating the â€Å"gender divide† in many traditional communities in which young women congregating at public cyber cafes, also frequented by young men, would be considered taboo. â€Å"Interventions by governments and NGOs must be inclusive of local community concerns and aware of local political complications,† Huesman notes. Globalization: Impact on Education by Satish Tandon, September 2005 The principal objective of education has been the development of the whole individual. The minimum level of education that was necessary to achieve this goal in the agrarian society was basic or primary and in the industrial age, secondary. In the present borderless information society, education needs to be able to respond to additional demands of a rapidly globalizing world by raising awareness of environment, peace, cultural and social diversity, increased competitiveness, and the concept of a global village. Such education is to a knowledge or information society what secondary education was to an industrial economy. Education prepares the individual to connect – and live in harmony – with the environment around him. Globalization has changed the size, nature and quality of that environment. The challenge for higher education, therefore, is to reform, create and develop systems that prepare the individual to work in a borderless economy and live in a global society. In other words, our educational institutions need to produce global citizens. The collapse of the Soviet Union in 1991 allowed liberal democracies to claim victory for the capitalist system and contributed to increasing the pace of globalization that was already under way. As globalization gained momentum, market substituted political ideology as the dominant force guiding national and global policies. What followed next, therefore, does not seem so illogical. National governments everywhere – partly in deference to the ascendancy of the market and partly in response to pressure from the private sector to expand their sphere of activities – began to relinquish control over the delivery of social goods. Everything began to be viewed as a commodity that could be produced and delivered by the private sector in line with market forces and according to the principles of supply and demand. One by one – water, electricity, postal services, health, and now education, have been turned into a commodity. The withdrawal of state from higher education has also been helped by economists, who have had an overly simple way of assessing the return on investments in higher education. The basic problem is that they have measured the return on education exclusively through wage differentials. With reference to someone who has no education, someone who has been to primary school, someone who has completed secondary school, and someone with a university degree, one can ask how much more each earns than the previous. These differences are then compared to the incremental amounts invested in their education to find the return. The results generally suggest that higher education yields a lower return than primary or secondary education – and they have been used to justify the skewing of government budgets and development funds away from higher education institutions. The rate of return calculations are flawed because they do not take account of the full range of benefits to those who receive higher education. For example, higher education can enhance health, openness, peace, and social development, and at the same time reduce disease, bigotry and blind nationalism – so the private benefits to the individual and to society are not just the direct labour productivity benefits, as the rate of return analysis suggests. Higher education confers benefits above and beyond enhancing the incomes of those who receive it. And many of these benefits take the form of public goods, such as the contribution of higher education to enterprise, leadership, governance, culture, and participatory democracy, and its potential for lifting the disadvantaged out of poverty. These are all vital building blocks for stronger economies and societies and all routes by which the benefit of investment in higher education multiplies throughout society. Liberal democracies have traditionally operated on the principle of separation of activities in the social sphere just as they have on the principle of separation of powers in the political sphere. The private sector had been given a relatively free hand in the production and delivery of economic goods while the state concentrated on the provision of healthcare, education and other infrastructure goods, also known as public goods. Globalization has changed all that. The rapid expansion of the influence of the private sector at the global level necessitated a corresponding expansion in their sphere of activities by diversifying into the production and delivery of public goods that had always been within the purview of the state. The takeover was swift and remarkable in the sense that the effort did not meet much resistance. One of the major consequences of the globalization of education has been commodification and the corporatization of institutions of higher learning. It is said that the for-profit education market in the United States is worth more than $500 billion in revenue for the involved corporates. More than one thousand state schools have been handed over to corporations to be run as businesses. But there is a fundamental problem with the way business models have been applied to the delivery of education and other public goods. Unthinking adoption of the private sector model prevents the development of a meaningful approach to management in the public services in general or to the social services in particular based on their distinctive purposes, conditions and objectives. There is another, more serious, problem with corporatization of education. Corporations operate on the principles of cost reduction and profit maximization. These require introducing standardization and the packaging of product in compact, measurable, byte-like, configuration. Applied to education, these approaches would possibly negate its basic fabric and purpose. Education has always encouraged and represents openness, inquiry, diversity, research and limitless learning. Corporatization of education would make it elitist – the one provided by corporations for the masses and the poor who cannot afford going to the traditional institutions of learning, and the other for the rich and the affluent. The delivery of public goods and services is and should remain the primary responsibility of the state. Representative government may not be the ideal or perfect arrangement for governance but it represents the best that is available, and certainly more desirable than the private sector management of public services such as education. If the state relinquishes its control over education and education policy, we run the risk of diminishing it to the status of a packaged for-profit product which it is not. Openness, diversity, scholarship, research and disinterested learning will be its biggest victims.

Wednesday, October 23, 2019

Hosptial Acquired Infection

Propose how would you minimise the occurrence of hospital acquired infection and monitor degree of success of these measures. INTRODUCTION The occurrence and undesirable complications from hospital acquired infections (HAIs) have been well recognized for the last several decades. The occurrence of HAIs continues to escalate at an alarming rate. HAIs originally referred to those infections associated with admission in an acute-care hospital (formerly called a nosocomial infection).These unanticipated infections develop during the course of health care treatment and result in significant patient illnesses and deaths (morbidity and mortality); prolong the duration of hospital stays; and necessitate additional diagnostic and therapeutic interventions, which generate added costs to those already incurred by the patient’s underlying disease (Bauman, 2011). HAIs are considered an undesirable outcome, and as some are preventable, they are considered an indicator of the quality of pati ent care, an adverse event, and a patient safety issue.Patient safety studies published in 1991 reveal the most frequent types of adverse events affecting hospitalized patients are adverse drug events, nosocomial infections, and surgical complications (Aboelela, 2006). Over years there is an alarming increase in HAI, which is influenced by factors such as increasing inpatient acuity of illness, inadequate nurse-patient staffing ratios, unavailability of system resources, and other demands that have challenged health care providers to consistently apply evidence-based recommendations to maximize prevention efforts. Read Chapter 8 Microbial GeneticsDespite these demands on health care workers and resources, reducing preventable HAIs remains an imperative mission and is a continuous opportunity to improve and maximize patient safety. Another factor emerging to motivate health care facilities to maximize HAI prevention efforts is the growing public pressure on State legislators to enact laws requiring hospitals to disclose hospital-specific morbidity and mortality rates.Institute of Medicine report identified HAIs as a patient safety concern and recommends immediate and strong mandatory reporting of other adverse health events, suggesting that public monitoring may hold health care facilities more accountable to improve the quality of medical care and to reduce the incidence of infections. Monitoring both process and outcome measures and assessing their correlation is a model approach to establish that good processes lead to good health care outcomes.Process measures should reflect common practice s, apply to a variety of health care settings, and have appropriate inclusion and exclusion criteria. Examples include insertion practices for central intravenous catheters, appropriate timing of antibiotic prophylaxis in surgical patients, and rates of influenza vaccination for health care workers and patients. Outcome measures should be chosen based on the frequency, severity, and preventability of the outcome events. Examples include intravascular catheter-related blood stream infection rates and surgical-site infections in selected operations.Although these occur at relatively low frequency, the severity is high—these infections are associated with substantial morbidity, mortality, and excess health care costs—and there are evidence-based prevention strategies available (Filetoth, 2003). PATIENTS RISK FACTORS FOR HEALTH CARE-ASSOCIATED INFECTIONS Transmission of infection within a hospittal requires three elements: a source of infecting microorganisms, a susceptibl e host, and a means of transmission for the microorganism to the host.During the delivery of health care, patients can be exposed to a variety of exogenous microorganisms (bacteria, viruses, fungi, and protozoa) from other patients, health care personnel, or visitors. Other reservoirs include the patient’s endogenous flora (e. g. , residual bacteria residing on the patient’s skin, mucous membranes, gastrointestinal tract, or respiratory tract) which may be difficult to suppress and inanimate environmental surfaces or objects that have become contaminated (e. g. , patient room touch surfaces, equipment, medications).The most common sources of infectious agents causing HAI, described are the individual patient, medical equipment or devices, the hospital environment, the health care personnel, contaminated drugs, contaminated food, and contaminated patient care equipment. Patients have varying susceptibility to develop an infection after exposure to a pathogenic organism. Some people have innate protective mechanisms and will never develop symptomatic disease and others exposed to the same microorganism may establish a commensal relationship and retain the organisms as an asymptomatic carrier (colonization) or develop an active isease process. Intrinsic risk factors predispose patients to HAIs. The higher likelihood of infection is reflected in vulnerable patients who are immunocompromised, underlying diseases, severity of illness, immunosuppressive medications, or medical/surgical treatments (Bauman, 2011). Extrinsic risk factors include surgical or other invasive procedures, diagnostic or therapeutic interventions (e. g. , invasive devices, implanted foreign bodies, organ transplantations, immunosuppressive medications), and personnel exposures.In addition to providing a portal of entry for microbial colonization or infection, they also facilitate transfer of pathogens from one part of the patient’s body to another, from health care worker to patient, or from patient to health care worker to patient. Infection risk associated with these extrinsic factors can be decreased with the knowledge and application of evidence-based infection control practices. Among patients and health care personnel, microorganisms are spread to others through four common routes of transmission: contact (direct and indirect), respiratory droplets, airborne spread, and common vehicle.Contact transmission is the most important and frequent mode of transmission in the health care setting. Organisms are transferred through direct contact between an infected or colonized patient and a susceptible health care worker or another person. Microorganisms that can be spread by contact include those associated with impetigo, abscess, diarrheal diseases, scabies, and antibiotic-resistant organisms (e. g. , methicillin-resistantStaphylococcus aureus [MRSA] and vancomycin-resistant enterococci [VRE]).Droplet-size body fluids containing microorganisms can be generated during coughing, sneezing, talking, suctioning, and bronchoscopy. They are propelled a short distance before settling quickly onto a surface. They can cause infection by being deposited directly onto a susceptible person’s mucosal surface (e. g. , conjunctivae, mouth, or nose) or onto nearby environmental surfaces, which can then be touched by a susceptible person who autoinoculates their own mucosal surface.Examples of diseases where microorganisms can be spread by droplet transmission are pharyngitis, meningitis, and pneumonia. When small-particle-size microorganisms (e. g. , tubercle bacilli, varicella, and rubeola virus) remain suspended in the air for long periods of time, they can spread to other people. The CDC has described an approach to reduce transmission of microorganisms through airborne spread in its Guideline for Isolation Precautions in Hospitals. Proper use of personal protective equipment (e. g. gloves, masks, and gowns), aseptic technique, hand hy giene, and environmental infection control measures are primary methods to protect the patient from transmission of microorganisms from another patient and from the health care worker (Filetoth, 2003). Personal protective equipment also protects the health care worker from exposure to microorganisms in the health care setting. Common vehicle (common source) transmission applies when multiple people are exposed to and become ill from a common inanimate vehicle of contaminated food, water, medications, solutions, devices, or equipment.Bacteria can multiply in a common vehicle but viral replication cannot occur. Examples include improperly processed food items that become contaminated with bacteria, waterborne shigellosis, bacteremia resulting from use of intravenous fluids contaminated with a gram-negative organism, contaminated multi-dose medication vials, or contaminated bronchoscopes. Common vehicle transmission is likely associated with a unique outbreak setting and will not be di scussed further in this document. STEPS TO MINIMISE THE RISKEssential components of effective infection control programs included conducting organized surveillance and control activities, a trained infection control physician, an infection control nurse for every 250 beds, and a process for feedback of infection rates to clinical care staff. These programmatic components have remained consistent over time and are adopted in the infection control standards of the Joint Commission. The evolving responsibility for operating and maintaining a facility-wide effective infection control program lies within many domains.Both hospital administrators and health care workers are tasked to demonstrate effectiveness of infection control programs, assure adequate staff training in infection control, assure that surveillance results are linked to performance measurement improvements, evaluate changing priorities based on ongoing risk assessments, ensure adequate numbers of competent infection cont rol practitioners, and perform program evaluations using quality improvement tools as indicated. a)Infection Control PersonnelIt has been demonstrated that infection control personnel play an important role in preventing patient and health care worker infections and preventing medical errors. An infection control practitioner (ICP) is typically assigned to perform ongoing surveillance of infections for specific wards, calculate infection rates and report these data to essential personnel, perform staff education and training, respond to and implement outbreak control measures, and consult on employee health issues.This specialty practitioner gains expertise through education involving infection surveillance, infection control, and epidemiology from current scientific publications and basic training courses offered by professional organizations or health care institutions. The Certification Board of Infection Control offers certification that an ICP has the standard core set of knowl edge in infection control. Expert review panel recommends 1 full-time ICP for every 100 occupied beds (Filetoth, 2003).To maximize successful strategies for the prevention of infection and other adverse events associated with the delivery of health care in the entire spectrum of health care settings, infection control personnel and departments must be expanded. b)Nursing Responsibilities Clinical care staff and other health care workers are the frontline defense for applying daily infection control practices to prevent infections and transmission of organisms to other patients.Although training in preventing bloodborne pathogen exposures is required annually by the Occupational Safety and Health Administration, clinical nurses (registered nurses, licensed practical nurses, and certified nursing assistants) and other health care staff should receive additional infection control training and periodic evaluations of aseptic care as a planned patient safety activity. Nurses have the uni que opportunity to directly reduce health care–associated infections through recognizing and applying evidence-based procedures to prevent HAIs among patients and protecting the health of the staff.Clinical care nurses directly prevent infections by performing, monitoring, and assuring compliance with aseptic work practices; providing knowledgeable collaborative oversight on environmental decontamination to prevent transmission of microorganisms from patient to patient; and serve as the primary resource to identify and refer ill visitors or staff. PREVENTION STRATERGIES Multiple factors influence the development of HAIs, including patient variables (e. g. , acuity of illness and overall health status), patient care variables (e. g. antibiotic use, invasive medical device use), administrative variables (e. g. , ratio of nurses to patients, level of nurse education, permanent or temporary/float nurse), and variable use of aseptic techniques by health care staff. Although HAIs a re commonly attributed to patient variables and provider care, researchers have also demonstrated that other institutional influences may contribute to adverse outcomes. To encompass overall prevention efforts, a list of strategies are reviewed that apply to the clinical practice of an individual health care worker as well as institutional supportive measures.Adherence to these principles will demonstrate that you H. E. L. P. C. A. R. E. This acronym is used to introduce the following key concepts to reduce the incidence of health care–associated infections. It emphasizes the compassion and dedication of nurses where their efforts contribute to reduce morbidity and mortality from health care–associated infections. Hand Hygiene For the last 160 years, we have had the scientific knowledge of how to reduce hand contamination and thereby decrease patient infection.Epidemiologic studies continue to demonstrate the favorable cost-benefit ratio and positive effects of simple hand washing for preventing transmission of pathogens in health care facilities. The use of antiseptic hand soaps (i. e. , ones containing chlorhexidine) and alcohol-based hand rubs also effectively reduce bacterial counts on hands when used properly. Although standards for hand hygiene practices have been published with an evidence-based guideline and professional collaborations have produced the How-to-Guide: Improving Hand Hygiene, there is no standardized method or tool for measuring adherence to institutional policy.Key points †¢The practice of appropriate hand hygiene and glove usage is a major contributor to patient safety and reduction in HAIs. It is more cost effective than the treatment costs involved in a health care–associated infection. †¢Joint Commission infection control standards include hand washing and HAI sentinel event review, which are applicable to ambulatory care, behavioral health care, home care, hospitals, laboratories, and long-term care o rganizations accredited by the Joint Commission. Hand hygiene is the responsibility of the individual practitioner and the institution. Developing a patient safety culture backed by administrative support to provide resources and incentives for hand washing is crucial to a successful outcome. †¢Hand hygiene promotion should be an institutional priority. †¢Select methods to promote and monitor improved hand hygiene. Monitor outcomes of adherence to hand hygiene in association with reduced incidence of HAI. †¢Establish an evaluation model to recognize missed opportunities for appropriate hand hygiene.Environmental cleanliness The health care environment surrounding a patient contains a diverse population of pathogenic microorganisms that arise from a patient’s normal, intact skin or from infected wounds. Approximately 106 flat, keratinized, dead squamous epithelium cells containing microorganisms are shed daily from normal skin, and patient gowns, bed linens, and bedside furniture can easily become contaminated with patient flora. Surfaces in the patient care setting can also be contaminated with pathogenic organisms (e. g. from a patient colonized or infected with MRSA, VRE, or Clostridium difficile) and can harbor viable organisms for several days. Contaminated surfaces, such as blood pressure cuffs, nursing uniforms, faucets, and computer keyboards, can serve as reservoirs of health care pathogens and vectors for cross-contamination to patients. It is necessary to consistently perform hand hygiene after routine patient care or contact with environmental surfaces in the immediate vicinity of the patient. Infection control procedures are recommended to reduce cross-contamination under the following situations. . Use EPA-registered chemical germicides for standard cleaning and disinfection of medical equipment that comes into contact with more than one patient. 2. If Clostridium difficile infection has been documented, use hypochlorite-base d products for surface disinfection as no EPA-registered products are specific for inactivating the spore form of the organism. 3. Ensure compliance by housekeeping staff with cleaning and disinfection procedures, particularly high-touch surfaces in patient care areas (e. . , bed rails, carts, charts, bedside commodes, doorknobs, or faucet handles). 4. When contact precautions are indicated for patient care (e. g. , MRSA, VRE, C. difficile, abscess, diarrheal disease), use disposable patient care items (e. g. , blood pressure cuffs) wherever possible to minimize cross-contamination with multiple drug-resistant microorganisms. 5. Advise families, visitors, and patients regarding the importance of hand hygiene to minimize the spread of body substance contamination (e. g. respiratory secretions or fecal matter) to surfaces. A patient safety goal could be to adopt a personal or an institutional pledge, similar to the following: I (or name of health care facility) am committed to ensurin g that proper infection control and environmental disinfection procedures are performed to reduce cross-contamination and transmission so that a person admitted or visiting to this facility shall not become newly colonized or infected with a bacterium derived from another patient or health care worker’s microbial flora.Leadership Health care workers dedicate enormous effort to providing care for complex medical needs of patients, to heal, to continuously follow science to improve the quality of care—all the while consciously performing to the best of their ability to Primum non nocere (First, do no harm). Though medical errors and adverse events do occur, many can be attributed to system problems that have impacted processes used by the health care worker, leading to an undesired outcome.Responsibility for risk reduction involves the institution administrators, directors, and individual practitioners. It is clear that leaders drive values, values drive behaviors, and b ehaviors drive performance of an organization. The collective behaviors of an organization define its culture. The engagement of nursing leaders to collaborate with coworkers and hospital administrators in safety, teamwork, and communication strategies are critical requirements to improve safe and reliable care.Each institution must communicate the evidence-based practices to health care staff, have access to expertise about infection control practices, employ the necessary resources and incentives to implement change, and receive real-time feedback of national and comparative hospital-specific data. Health care institutions simply must expect more reliable performance of essential infection-control practices, such as hand hygiene and proper use of gloves. It is no longer acceptable for hospitals with substandard adherence to these basic interventions to excuse their performance as being no worse than the dismal results in published reports.Institution improvements should focus on p rocess improvements that sustain best practices, using multifactorial approaches, and a commitment from the top administration through all levels of staff and employees to implement best practices. Use of personal protective equipment Infection control practices to reduce HAI include the use of protective barriers (e. g. , gloves, gowns, face mask, protective eyewear, face shield) to reduce occupational transmission of organisms from the patient to the health care worker and from the health care worker to the patient.Personal protective equipment (PPE) is used by health care workers to protect their skin and mucous membranes of the eyes, nose, and mouth from exposure to blood or other potentially infectious body fluids or materials and to avoid parenteral contact. The Occupational Safety and Health Administration’s Bloodborne Pathogens Standard states that health care workers should receive education on the use of protective barriers to prevent occupational exposures, be able to identify work-related infection risks, and have access to PPE and vaccinations.Proper usage, wear, and removal of PPE are important to provide maximum protection to the health care worker. Various types of masks, goggles, and face shields are worn alone or in combination to provide barrier protection. A surgical mask protects a patient against microorganisms from the wearer and protects the health care worker from large-particle droplet spatter that may be created from a splash-generating procedure. When a mask becomes wet from exhaled moist air, the resistance to airflow through the mask increases.This causes more airflow to pass around edges of the mask. The mask should be changed between patients, and if at anytime the mask becomes wet, it should be changed as soon as possible. Gowns are worn to prevent contamination of clothing and to protect the skin of health care personnel from blood and body fluid exposures. Gowns specially treated to make them impermeable to liquids, le g coverings, boots, or shoe covers provide greater protection to the skin when splashes or large quantities of potentially infective material are present or anticipated.Gowns are also worn during the care of patients infected with epidemiologically important microorganisms to reduce the opportunity for transmission of pathogens from patients or items in their environment to other patients or environments. When gowns are worn, they must be removed before leaving the patient care area and hand hygiene must be performed. Wise use of antimicrobials Over the last several decades, a shift in the etiology of more easily treated pathogens has increased toward more antimicrobial-resistant pathogens with fewer options for therapy.Infections from antimicrobial-resistant bacteria increase the cost of health care, cause higher morbidity and mortality, and lengthen hospital stays compared to infections from organisms susceptible to common, inexpensive antimicrobials (Aboelela, 2006). Antimicrobia l resistance has continued to emerge as a significant hospital problem affecting patient outcomes by enhancing microbial virulence, causing a delay in the administration of effective antibiotic therapy, and limiting options for available therapeutic agents.Authors of evidence-based guidelines on the increasing occurrence of multidrug-resistant organisms propose these interventions: stewardship of antimicrobial use, an active system of surveillance for patients with antimicrobial-resistant organisms, and an efficient infection control program to minimize secondary spread of resistance. Antimicrobial stewardship includes not only limiting the use of inappropriate agents, but also selecting the appropriate antibiotic, dosage, and duration of therapy to achieve optimal efficacy in managing infections (Aboelela, 2006).Hospital campaigns to prevent antimicrobial resistance include steps to (1) employ programs to prevent infections, (2) use strategies to diagnose and treat infections effec tively, (3) operate and evaluate antimicrobial use guidelines (stop orders, restrictions, and criteria-based clinical practice guidelines), and (4) ensure infection control practices to reduce the likelihood of transmission. Nurse practitioners have a role as part of the health care team diagnosing and treating infections appropriately and should be familiar with strategies to improve antimicrobial use.All health care workers play a critical role in reducing the risk of transmission. Respiratory hygiene Respiratory viruses are easily disseminated in a closed setting such as a health care facility and can cause outbreaks that contribute to the morbidity of patients and health care staff. Personnel and patients with a respiratory illness commonly transmit viruses through droplet spread. Droplets are spread into the air during sneezing, talking, and coughing and can settle on surfaces.Transmission occurs by direct contact with mucous membranes or by touching a contaminated surface and self-inoculating mucous membranes. Respiratory viruses can sometimes have aerosol dissemination. Precautions to prevent the transmission of all respiratory illnesses, including influenza, have been developed. The following infection control measures should be implemented at the first point of contact with a symptomatic or potentially infected person. Occupational health policies should be in place to guide management of symptomatic health care workers. 1.Post visual alerts (in appropriate languages) at the entrance to outpatient facilities instructing patients and escorts (e. g. , family, friends) to notify health care personnel of symptoms of a respiratory infection when they first register for care. 2. Patients and health care staff should consistently practice the following: a. Cover the nose/mouth when coughing or sneezing. b. Use tissues to contain respiratory secretions and dispose of them in the nearest waste receptacle after use. c. Perform hand hygiene after having contact with respiratory secretions and contaminated objects or materials. . During periods of increased respiratory infection activity in the community or year-round, offer masks to persons who are coughing. Either procedure masks (i. e. , with ear loops) or surgical masks (i. e. , with ties) may be used to contain respiratory secretions. Encourage coughing persons to sit at least 3 feet away from others in common waiting areas. 4. Health care personnel should wear a surgical or procedure mask for close contact (and gloves as needed) when examining a patient with symptoms of a respiratory infection.Maintain precautions unless it is determined that the cause of symptoms is not an infectious agent (e. g. , allergies). CONCLUSION It is the responsibility of all health care providers to enact principles of care to prevent hospital acquired infections, though not all infections can be prevented. Certain patient risk factors such as advanced age, underlying disease and severity of illness, and s ometimes the immune status are not modifiable and directly contribute to a patient’s risk of infection.Depending on the patient’s susceptibility, a patient can develop an infection due to the emergence of their own endogenous organisms or by cross-contamination in the health care setting. Nurses can reduce the risk for infection and colonization using evidence-based aseptic work practices that diminish the entry of endogenous or exogenous organisms via invasive medical devices. Proper use of personal protective barriers and proper hand hygiene is paramount to reducing the risk of exogenous transmission to a susceptible patient.Health care workers should be aware that they can pick up environmental contamination of microorganisms on hands or gloves, even without performing direct patient care. Proper use and removal of PPE followed by hand hygiene will reduce the transient microbial load that can be transmitted to self or to others. ? REFERENCE †¢Aboelela S W, Saim an L, Stone P, et al. (2006) Effectiveness of barrier precautions and surveillance cultures to control transmission of multidrug-resistant organisms: a systematic review of the literature. J Infect Control, vol: 34(8):484–94. Bauman W R (2011), Microbiology with disease taxonomy, Pearson International Edition, 4th Edition, Pg no: 430 – 434. †¢Carlos F (2007), Antimicrobial resistance in Bacteria, Horizon Bioscience Publications, Pg no: 7 – 14. †¢Filetoth Z (2003), Hospital Acquired Infection, Whurr publishers, Pg no: 97 – 102, 180 – 196, 220 – 232. †¢I W Fong, Drlica K(2008), Antimicrobial resistance and implication for the 21st century, Springer publications, Pg no: 231- 235. †¢Madigan M, Martinko J, Stahl D (2009), Brock Biology of Microorganisms, Pearsons Publications, 13th Edition, Pg no: 954- 957. Muto C A, Jernigan J A, Ostrowsky BE, et al. (2003) SHEA guideline for preventing nosocomial transmission of multidrug-re sistant strains of Staphylococcus aureus and Enterococcus. Infect Cont Hosp Epidem, Vol: 24(5):362–86. †¢Ryan J, Ray C G et al. (2010), Sherris Medical Microbiology, International Edition, 5th Edition, Pg no: 89 – 98. †¢Wyllie D, Connor L, Walker S, Davies J et al (2013), Annual Report of Chief Medical Officier, Chapter 4: Health care associated infections, Pg no: 63-72. Centers for Disease Control and Prevention. Respiratory hygiene/cough etiquette in healthcare settings. 2010. [Accessed march 2013]. Available at: http://www. cdc. gov/flu/professionals/infectioncontrol/resphygiene. htm. †¢Institute for Healthcare Improvement. How-to guide: improving hand hygiene. a guide for improving practices among health care workers. [Accessed March 2013]. Author. Available at: http://www. ihi. org/IHI/Topics/CriticalCare/IntensiveCare/Tools/HowtoGuideImprovingHandHygiene. htm.

Tuesday, October 22, 2019

A Definition and Overview of Systemic Racism

A Definition and Overview of Systemic Racism Systemic racism is both a theoretical concept and a reality. As a theory, it is premised on the research-supported claim that the United States was founded as a racist society, that racism is thus embedded in all social institutions, structures, and social relations within our society.  Rooted in a racist foundation, systemic racism today is composed of intersecting, overlapping, and codependent racist institutions, policies, practices, ideas, and behaviors that give an unjust amount of resources, rights, and power to white people while denying them to people of color. Definition of  Systemic Racism Developed by sociologist Joe Feagin, systemic racism is a popular way of explaining, within the social sciences and humanities, the significance of race and racism  both historically and in todays world.  Feagin describes the concept and the realities attached to it in his well-researched and readable book,  Racist America: Roots, Current Realities, Future Reparations. In it, Feagin uses historical evidence and demographic statistics to create a theory that asserts that the United States was founded in racism since  the Constitution classified black people as the property of whites. Feagin illustrates that the legal recognition of racialized slavery is a cornerstone of a racist social system in which resources and rights were and are unjustly given to white people and unjustly denied to people of color. The theory of systemic racism accounts for individual, institutional, and structural forms of racism. The development of this theory was influenced by other scholars of race, including Frederick Douglass, W.E.B. Du Bois, Oliver Cox, Anna Julia Cooper, Kwame Ture, Frantz Fanon, and Patricia Hill Collins, among others. Feagin defines systemic racism in the introduction to the book: Systemic racism includes the complex array of antiblack practices, the unjustly gained political-economic power of whites, the continuing economic and other resource inequalities along racial lines, and the white racist ideologies and attitudes created to maintain and rationalize white privilege and power. Systemic here means that the core racist realities are manifested in each of society’s major parts [...] each major part of U.S. societythe economy, politics, education, religion, the familyreflects the fundamental reality of systemic racism. While Feagin developed the theory based on the history and reality of anti-black racism in the U.S., it is usefully applied to understanding how racism functions generally, both within the U.S. and around the world. Elaborating on the definition quoted above, Feagin uses historical data in his book to illustrate that systemic racism is primarily composed of seven major elements, which we will review here. The Impoverishment of People of Color and Enrichment of White People Feagin explains that the undeserved impoverishment of people of color (POC), which is the basis of the undeserved enrichment of white people, is one of the core aspects of systemic racism. In the U.S. this includes the role that Black slavery played in creating an unjust wealth for white people, their businesses, and their families. It also includes the way white people exploited labor throughout the European colonies prior to the founding of the United States. These historical practices created a social system that had racist economic inequality built into its foundation and was followed through the years in numerous ways, like the practice of redlining that prevented POC from buying homes that would allow their family wealth to grow while protecting and stewarding the family wealth of white people. Undeserved impoverishment also results from POC being forced into  unfavorable mortgage rates,  being channeled by unequal opportunities for education into low-wage jobs, and being p aid less than white people for doing the same jobs. There is no more telling proof of the undeserved impoverishment of POC and the undeserved enrichment of white people than the massive difference in average wealth of white versus Black and Latino families. Vested Group Interests Among White People Within a racist society, white people enjoy many privileges denied to POC. Among these is the way that vested group interests among powerful whites and â€Å"ordinary whites† allow white people to benefit from a white racial identity  without even identifying it as such. This manifests in support among white people for political candidates who are white, and for laws and political and economic policies that work to reproduce a social system that is racist and has racist outcomes. For example, white people as a majority have historically opposed or eliminated diversity-increasing  programs within education and jobs, and ethnic studies courses that better represent the racial history and reality of the U.S. In cases like these, white people in power and ordinary white people have suggested that programs like these are hostile or examples of reverse racism. In fact, the way white people wield political power in the protection of their interests and at the expense of others, w ithout ever claiming to do so, maintains and reproduces a racist society. Alienating Racist Relations Between White People and POC In the U.S., white people hold most positions of power. A look at the membership of Congress, the leadership of colleges and universities, and the top management of corporations makes this clear. In this context, in which white people hold political, economic, cultural, and social power, the racist views and assumptions that course through U.S. society shape the way those in power interact with POC. This leads to a serious and wells include discrimination against POC and preferential treatment of white students among university professors, more frequent and severe punishment of Black students in K-12 schools, and  racist police practices, among many others. Ultimately,  alienating racist relations make it difficult for people of different races to recognize their commonalities, and to achieve solidarity in fighting broader patterns of inequality that affect the vast majority of people in society, regardless of their race. The Costs and Burdens of Racism are Borne by POC In his book, Feagin points out with historical documentation that the costs and burdens of racism are disproportionately borne by people of color and by black people especially. Having to bear these unjust costs and burdens is a core aspect of systemic racism. These include shorter life spans, limited income and wealth potential, impacted family structure as a result of mass incarceration of Blacks and Latinos, limited access to educational resources and political participation, state-sanctioned killing by police, and the psychological, emotional, and community tolls of living with less, and being seen as â€Å"less than.  POC are also expected by white people to bear the burden of explaining, proving, and fixing racism, though it is, in fact, white people who are primarily responsible for perpetrating and perpetuating it. The Racial Power of White Elites While all white people and even many POC play a part in perpetuating systemic racism, it is important to recognize the powerful role played by white elites in maintaining this system. White elites, often unconsciously, work to perpetuate systemic racism via politics, law, educational institutions, the economy, and via racist representations and underrepresentation of people of color in mass media. This is also known as white supremacy. For this reason, it is important that the public hold white elites accountable for combatting racism and fostering equality. It is equally important that those who hold positions of power within society reflect the racial diversity of the U.S. The Power of Racist Ideas, Assumptions, and World Views Racist ideology- the collection of ideas, assumptions, and worldviews- is a key component of systemic racism and plays a key role in its reproduction. Racist ideology often asserts that whites are superior to people of color for biological or cultural reasons, and manifests in stereotypes, prejudices, and popular myths and beliefs. These typically include positive images of whiteness in contrast to negative images associated with people of color, such as civility versus brutishness, chaste and pure versus hyper-sexualized, and intelligent and driven versus stupid and lazy. Sociologists recognize that ideology informs our actions and interactions with others, so it follows that racist ideology fosters racism throughout all aspects of society. This happens regardless of whether the person acting in racist ways is aware of doing so. Resistance to Racism Finally, Feagin recognizes that resistance to racism is an important feature of systemic racism. Racism has never been passively accepted by those who suffer it, and so systemic racism is always accompanied by acts of resistance that might manifest as protest, political campaigns, legal battles, resisting white authority figures, and speaking back against racist stereotypes, beliefs, and language. The white backlash that typically follows resistance, like countering Black Lives Matter with all lives matter or blue lives matter, does the work of limiting the effects of resistance and maintaining a racist system. Systemic Racism Is All Around Us and Within Us Feagins theory and all of the research he and many other social scientists have conducted over 100 years illustrates that racism is in fact built into the foundation of U.S. society and that it has over time come to infuse all aspects of it. It is present in our laws, our politics, our economy; in our social institutions; and in how we think and act, whether consciously or subconsciously. Its all around us and inside of us, and for this reason, resistance to racism must also be everywhere if we are to combat it.

Monday, October 21, 2019

French Revolution and Nepoleon essays

French Revolution and Nepoleon essays Europe has been the focal point in history for hundreds of years. It has been the stating and ending place of many empires. Europe in the Nineteenth Century was a very critical point in history. Wars were being fought, boundaries of countries changed, countries were becoming unified, revolutions destroyed countries, but the most critical happening that did more to shape Europes character and structure in the Nineteenth Century, than any other event was the era of the French Revolution and Napoleon. The era of the French Revolution and Napoleon took place between the years of 1789 and 1850 and has impacted Europe the most in the Nineteenth Century. The French Revolution and Napoleon have had the most influence on Europe in the Nineteenth Century. The starting of this era was the French Revolution. The French Revolution was a social revolution caused by the growing middle class. The Revolution caused a change of power in the government. The power went from the kings and nobles to the people of the country. During the revolution the Declaration of the Rights of Man was created. This declaration stated: All men are created equal, natural rights of liberty, security, property, and resistance to oppression were given to all citizens, the government existed to protect these rights, the due process of law was created, also the idea of innocent until proven guilty. These laws in the Declaration of the Rights of Man and other ideas soon spread across Europe. The French Revolution proved that the people have the ability to overthrow the government. This scared many countries in Europe, because other monarchies did not want to lose their power. The French Revolution showed that other countries could have a social revolution as well. The idea of the nation-state also emerged from the French Revolution. The nation-states general concept is that the power of the nation resides with the people of the nation. All these idea...

Sunday, October 20, 2019

Barriers Faced by Human Service Workers Essay Example for Free

Barriers Faced by Human Service Workers Essay â€Å"Only a life lived for others is a life worthwhile. † – Albert Einstein Human service workers act as a liaison between clients in need and the agencies clients seek to obtain help from, and while human service workers strive to provide services in an adequate and timely manner this is not always possible. Human service workers are human therefore there can be a large margin of error. All human service agencies are subject to barriers that prevent perfect service from being rendered. While certain barriers do exist in the human service field improvements can be made that can lead to greater service. In today’s society technology is dominating the workforce causing former work methods to become obsolete. While technology is constantly changing the changes made are often for the better, allowing companies to thrive and overcome existing barriers once faced. Technology not only benefits â€Å"business† companies, but also greatly improves the barriers faced by human service workers. One potential barrier that human service agencies can face is falsification on company records. Falsification of records can prove fatal, especially in Child or Elder Protection cases. While falsification of records may not be the human service workers intention it can indeed be committed when time restraints prevent case workers from visiting their clients in a given time frame. In August 2006 lack of time and falsification of records proved fatal for 14 year old Danieal Kelley of Philadelphia, Pa. Danieal Kelley a then 14 year old cerebral palsy victim died from neglect at the hands of her own mother. The nightmare of forced starvation and infection that killed Danieal while under the protection of the city’s human service agency is documented in a 258 page grand jury report that charges nine people, her parents, four social workers, and three family friends- in her ghastly death† (CBS3,2008). In the case of Danieal Kelley â€Å"the department of Human Services received at least five reports of Danieal being mistreated between 2003 and 2005†(CBS3, 2008), and while social workers were assigned to Daniela’s case, none appeared to follow through. According to CBS3 news it’s suspected that after Danieal’s death Mickal Kamuvaka the company director of the agency in charge of Daniela’s case held a â€Å"forgery fest† in her office where she had employees â€Å"concoct almost a year’s worth of false progress reports†(CBS3, 2008). The fact that no one took time to protect Danieal sheds light on the terrible fact that â€Å"some† social workers falsify documents to protect themselves. In order to prevent future case like Danieal’s its imperative that a system be in place to prevent social workers from simply doctoring records when it’s convenient for them. A method that could be used to track the whereabouts of said social workers could be a G. P. S. Agencies could provide social workers who are required to make home visits with cell phones implanted with G. P. S. systems. The tracking system could be used while the social workers are on the clock to ensure that home visits are indeed being made within the required time frame. This tracking system could prevent workers from falsifying documentation because their whereabouts would be known ahead of time. An online G. P. S. racking system called World Tracker Web GPS (webgpstrack), which allows devices to be tracked through internet access. According to Mobile GPs online, â€Å"Web GPS Track is a self contained hardware and software package that allows a user to track his assets from anywhere through an internet connected PC† (Mobile GPs, 2008). The Web GPS Tracker works by using the world tracker and a SIM card from a local GSM wireless network carrier. Once the SIM card is inserted into a cell phone, GPS tracking can begin. One’s location can then be accessed by using platforms such as Google maps. This small device can be a very helpful tool in the human service field when it’s necessary to obtain truthful information about a workers true whereabouts. Web GPS Track can become expensive depending on the number of units needed for a given agency. The cost includes a onetime purchase fee of the World Tracker unit which is $350 each. An additional on time subscription fee of 99. 89 per unit is needed to activate the account. Additional fees include a monthly service fee of 19. 98 per unit, a onetime SIM card fee ranging between $25 and $ 50, and any SMS service fee charged by a local service provider. While the cost of GPS tracking can be expensive, it can prove beneficial when proper records are needed, and it may save an agency from facing a large lawsuit because of false documentation, it could also prevent another case of Danieal Kelley. Another potential barrier faced by human service agencies is Intellectual Property Theft. â€Å"Intellectual property is anything from names, images, symbols, and designs used in commerce, intellectual property is considered a valuable asset and most organizations have protected their intellectual property from infringement by others† (Hefter,1995). Intellectual property theft becomes possible when secure information is left unattended and within reach of possible culprits. Some ways that intellectual property may get out is through emails sent to incorrect recipients, when confidential information is left in common areas, or left laying on printers or scanners. Information can also be lost when employees speak on their cell phones in public areas. Intellectual property theft in the human service field can wreak havoc on clients. Personal information can fall into the wrong hands whether it in a domestic violence shelter or and employment shelter. While intellectual property theft is very serious solutions exist that can help combat Intellectual Property Theft. Aside from agencies limiting access to non business related websites to help prevent being hacked, a program called Symantec Data Loss Prevention which is used by leading technological companies can also be used as a safety measure. â€Å"Symantec Data Loss Prevention protects companies from malicious employee behavior, pirating, or accidental leaks that expose confidential information† (Symantec Security, 2008). Symantec Data Loss Prevention works by â€Å"1. Discovery; the software finds confidential data where ever it’s stored, creates an inventory of sensitive, and automatically manages data clean up. 2. Monitor; SDLP helps a company understand how confidential information is being used whether the user is on or off the cooperate network, and gain enterprise visibility. 3. Protect; SDLP helps companies gain visibility into policy violations to proactively secure data and preventing confidential data from leaving an organization.   4.  Manage; SDLP helps companies define universal policies across an enterprise, remediate and report incidents, and detect content accurately within one unified platform† (Symantec Security, 2008). A program offered by Symantec is Norton Internet Security which performs the necessary features above. The cost of the Norton software is fairly inexpensive costing 69. 99. This cost allows a computer to be fully protected for a year before needing to renew the software subscription. Norton is inexpensive software which will help rotect company files and serves as a valuable investment, whether in a corperate office or a human service agency. Another potential barrier faced by human service agencies is the loss of data. As technology becomes more prevalent in the workforce more records are being transferred from paper to computers. As with any form of technology the possibility of records being lost is very real if computers crash or other technological difficulties arise. The best way to protect data is to always backup files. A number of technological software exist that can do this. For agencies using windows, â€Å"The windows server backup software can be used to automatically and continuously backup a number of devices like NAS,CD/DVD, hard drive and tapes† (Computer Customizing, 2008). One form of windows backup software is Acronis True Image which creates a replica of the disk image of the windows server. According to Computer Customizing this backup software helps aid in server disaster recovery by creating backups on a number of media, SAN volumes, and NAS. This software also restores huge databases and all the individual files with instant bare metal restore (Computer Customizing, 2008). This software will help protect all important files preventing valuable files from being lost. Human service workers and human service agencies are bound to face barriers on any given day and while this is an unavoidable truth there are solutions that can allow for a faster paced, safer, and more ethical workplace. While the vast majority of services rendered by human service agencies are completed by hard working human beings, technology is paving the road for a more effective work environment as long as agencies properly utilize the technological tools that are becoming available at a lightning fast rate. Technology is the way of the future and needs to be embraced in order to keep up with the times and not get lost in an overflow of paperwork which distracts from the true purpose of a human service worker which is to be an advocate for those in need. Barriers Faced by Human Service Workers. (2017, Feb 23). We have essays on the following topics that may be of interest to you

Friday, October 18, 2019

Management decisions and ethics Essay Example | Topics and Well Written Essays - 1500 words

Management decisions and ethics - Essay Example The company’s responsibility to the environment also has stayed undeterred over the years. Being a steward of our natural resources, the company has been and will continue being committed to environmental sustainability to ensure that our home is protected and taken care of (Korhonen 25-39). It has always been our commitment to leave a positive impact on the environment our mining operations takes place. This environment includes the people or the community with which we interact. The people around us have for a long time been employed in the company and their families and the community enjoying the company’s contribution in healthcare and education. By striving to do what is right always, Massey Energy has always been venturing into deals that bring aboard personnel and equipment that are supportive in attaining the vision of protecting the workers and the environment. These activities among others are based on the long-held principle by the company of maintaining focus on the fundamentals of the mining activities while still making sure that these activities are within the sound ethical and legal business practices. Our safety strategy popularly known as â€Å"S-1† (safety first) instills in the company a culture of safety. This strategy has brought into play a well-developed process that involves training, mentoring and monitoring risk reduction and innovation. Through a regular and comprehensive assessment of the safety situation, the company has been in a position to ensure a stable and safe workforce. Currently, the corporate culture of the company is based on the priorities of safety, ethics and excellence, having treasured the people for the last fifty years. First, the company has always sought to be the employer of choice in the region. By considering the workers as an integral part of the company, we choose to refer to them as â€Å"members." We also ensure that we

Econ Questions Essay Example | Topics and Well Written Essays - 2500 words

Econ Questions - Essay Example Pugelovia will export rice and import cloth. 9.b. An increase in endowment of capital would result in a production-possibility curve that is biased toward machinery or production of large volume of machinery. The large volume of machinery produced is due to the effect of more clothing being given up in order to produce machineries. 9.e. US national well being may decline as a result of the increase in endowment of capital. As the capital/labour ratio in the international sector declines, the wages in the US would decrease causing a declining income for workers. 3. A tariff would increase the production output domestically. When a country imposes tariff, the domestic price of the product would increase in order to include the tariff. Local producers who do not pay the import tariff would have an incentive to increase their output in order to exploit the higher domestic price. The tariff would give domestic producers extra surplus on all the goods they would have produced even without the tariff plus smaller net gains on additional sales. Graphically, the domestic supply would increase from point J to point C, when tariff is imposed. The production effect is the area ABCJ. The production effect is computed by { = [q1*t] + [(q2 – q1)*t/2]] 4. A tariff would decrease the consumption domestically. When a country imposes tariff, the domestic price would increase such that consumer demand will decline due to higher price. The tariff costs consumers both the full tariff on every goods they continue to buy and the net enjoyment on goods they would have bought at the lower tariff-free price but do not buy at the higher price that includes the tariff. Graphically, the domestic demand would decrease along the demand curve from point H to point F, when tariff is imposed. The consumption effect is the area ABFH. The consumption effect is computed by { = [q3*t] + (q4 – q3)*t/2] 5. Imposing a tariff high

See details for specifications Essay Example | Topics and Well Written Essays - 1750 words

See details for specifications - Essay Example On the same note of laws, ethical issues, and nursing practice and decision making, this essay aims at comparing three articles within which these issues are addressed especially how legal and ethical factors usually affect clinical nursing practices and the consideration that nurses must consider in making decision within their practice. Article 1: Confidentiality, Secrecy, and Privacy in Ethics Consultation Gerald Neitzke (2007) conducted a research on Confidentiality, secrecy, and privacy in ethics consultation. According to Neitzke, confidentiality is likely to pose problems especially to counselors and he noted that these challenges are can be in two different ways including the uncertainty on the actual extent of the optimum practice and the problem in implementing the ethical practice within a nursing practice. Nonetheless, Neitzke noted in his article that the British association for the counseling had once published some codes of ethics to help counselors to resolve the dile mma. Additionally, Neitzke acknowledged that these counselors are sometimes challenged with the law as they undertake their duties (Neitzke, 2007). It should be noted that law and ethical values can only be breached in this situation if the client or patient feels that their confidentially have been interfered with without their consent. Therefore, Neitzke noted that if such dilemmas have to be minimized or eradicated, it is then vital for the medical practitioners in this case the counselors to seek permission to breach the confidentiality of their patients. Neitzke discussed three ways through which breaking of confidentiality is permissible and they include the counselor seeking the consent of the patient or client to break their confidentiality. Additionally, the counselor can break the confidentiality of the patient if such information regarded confidential are already in the public domain. Finally, a nurse which in this case if a counselor, may be at liberty to break person co nfidentiality if the public interest in the protection of such information outweighs personal interest in the disclosure or use of such information. It should be noted that if counselors are obliged legally to break personal confidentiality, they will be protected the law for such break (Neitzke, 2007). In the cotemporary world, keeping confidential information about client is usually vital for counselor especially for maintaining perfect relationship with clients and or maintaining their practice. Therefore, these professionals must only breach the confidentiality law in situations demanded by law; otherwise, they will lose trust from their clients; thus, interfering with their business and practice. In some cases, they may be taken to court to answer to their unethical and unprofessional behaviors. Hence, despite the fact that the law may give the nurse or the counselor in Neitzke’s case the right or protection to provide some private information about their clients, they m ust only do so without exterior motives or in a manner to harm their clients (Neitzke, 2007). Regardless, of the window that confidentiality in nursing and counseling practice can be breached

Thursday, October 17, 2019

Museum Visit Assignment Example | Topics and Well Written Essays - 500 words

Museum Visit - Assignment Example The Egyptian history was written by priest Manetho, in the 1st Century. He classified the Pharaohs into 30 Dynasties. The Pharaonic Period is divided into five periods, which include Early, Middle, New, Late kingdom, the three intermediate Periods and the Persian Period (Rosicrucian Egyptian Museum & Planetarium 1). These periods are significant in the Egyptian history because they represent a break in the Pharaonic History via the decay or invasion of intermediate periods (the central power). The mentioning of Dynasties gives readers a bigger picture of the events that occurred, during specific periods, in the Pharaonic History, which is believed to be more than 3000 years old (Rosicrucian Egyptian Museum & Planetarium 1). One of the most common features of the Egyptian religious belief is the idea of life after death. They believed that their dead bodies had to be preserved, in the tombs, to provide a place for their spirits to reside in after life. Preservation of bodies is known as mummification. According to the Ancient Egyptians, cremating bodies was a sign of destroying an individual’s soul. They believed that souls had to interact with bodies, even after death. Preservation of bodies was enhanced by the Egypt’s geographical location and climate (Rosicrucian Egyptian Museum & Planetarium 1). Dry air and sand preserved bodies that were laid in shallow pits. In the Pharonic History, over 70 million mummies have been prepared in the past 3000 years (Rosicrucian Egyptian Museum & Planetarium 1). Pharaohs, who were both political leaders and gods, were buried in large pyramids, in the Old Kingdom. The Ancient Egyptians used the Rosetta stone to enhance the development of modern understanding of hieroglyphic writing (Rosicrucian Egyptian Museum & Planetarium 1). This stone is believed to have been created during the Ptolemaic era stele, in the 196BC. Its surface is covered with in scribbled texts, which is

Caliban in Aim Cesaire's A Tempest Essay Example | Topics and Well Written Essays - 1000 words - 1

Caliban in Aim Cesaire's A Tempest - Essay Example He describes how Prospero, the Duke of Milan, uses  magic  to  grasp  absolute  power  over Caliban and Ariel. Aime depicts Prospero’s as a driven and powerful  master  as well as colonizer who  power  over the island  territory  by superior  force  and  authority. On the hand, he portrays Caliban as a colonized  master  who ignores Prospero and disobeys his  command  on  many  occasions throughout the play (Harrison 25). Caliban’s response and authority to control Prospero’s and powerful commands  depict  him as authoritative. For example, Prospero refers to Caliban as an ugly ape (Cesaire 17). Caliban  quickly  reiterates:  You  think I’m ugly†¦well I do not think you are so handsome yourself. With that large hooked nose,  you  look just like  same  old vulture, an old vulture with a scrawny neck! (Cesaire 17). We  learn  that Caliban is  brave  and courageous. He expresses his feelings towards Prospero and takes control over him. Cesaire depicts Caliban as ‘the king of the Island’ (Cesaire 17). Caliban views Prospero as  narrow-minded  and intolerant when he refers to his mother Sycorax is a witch and a  ghost’ (Cesaire 18). He views Prospero as  narrow-minded  and  intolerant: ‘Anyhow  you  only  think  she is  dead  because you think the world itself is  dead†¦It’s so much easier that way!’ (Cesaire 18). After Caliban reminded by Prospero that Sycorax is  dead, he starts to gain more confidence and  power  to control Prospero’s ruthless  command.  When Prospero accuses Caliban of rape; ‘Good God, you tried to rape my daughter’, Caliban reiterates forcefully: Rape!  Rape! Listen  you  old goat, you are the one who put those  dirty  thoughts in my†¦I could not care less for your daughter, or about your cave, for that matter (Cesaire 19). Caliban derives his  magic  from Sycorax to  shape  and make Prospero  powerless  of

Wednesday, October 16, 2019

Safety community care plan Essay Example | Topics and Well Written Essays - 750 words

Safety community care plan - Essay Example They should be allowed to excel and strive to achieve their goals. Be able to reside and work in their chosen location and field as long as they are qualified for the job (Pamela J. Salsberry, 2003. Page Number: 39). They are usually part of a family belonging to a cultural group, living within a community or region of their choice. The environment can be open or closed. It can contribute to the building or endangering of the persons self esteem. One might adapt to the environment depending on one's personal preference. A person might be seen in the eyes of others as the product of their environment that might be interpreted as a negative or a positive statement. Depending on one's interpretation of the statement. Some environments have sub-cultures within the environment. Each group has different beliefs, such as religion, diet, attire, and dialects. The environment sometimes contributes to some medical problems, for example respiratory problems. Nurses unfamiliar with the laws and customs of the environment might need to familiarize themselves with cultural practices. What is appropriate and inappropriate for that culture for example male nurses not allowed to give care to female patients in that environment and vice versa. Nurses might need to observe the environment for safety precautions and life threatening situations. Which will contribute or cause an illness, or preventing recovery. The environment is considered home and that is were the person resides. It is a familiar surrounding for the individual. Health can be defined as freedom from either a mental or physical condition, which impedes one from performing activities of daily living or preventing the person from functioning at their optimum level, for that individual. The person is considered mentally or physically stable or unstable depending on the diagnosis he/she is assigned. Health is when a person is in a state of well-being. The individual has been free of pain and disease. The patient is always the focus; therefore it is called "patient focused care". Health is considered the quality of life, when an individual is independent and able to function without any obstacles of impedement (Jowett, S., 2004, 579-587). 3. Plan In nursing the nurse should be able to critical think, be caring, competent, compassionate and have a conscience according to Roach. Nursing would include, doing a nursing assessment, nursing diagnosis, nursing care plan, and a nursing interventions. Starting with short-term goals, and upon achieving short-term goals for the patient, then proceed to long-term goals. Goals should be realistic. Then evaluate and reassess if the needs arises. Problem solving and treating the patients as human, the same way you would like to be treated. 4. Evaluation The safety of a neighborhood is an important indicator of its overall economic and social health. Neighborhood crime prevention efforts are essential. Safe neighborhoods are necessary to foster common values and community quality of life. Neighborhood crime, on the other hand, creates fear and distrust among