Wednesday, October 16, 2019

Can Terrorism be defeated by Military Means Only Essay

Can Terrorism be defeated by Military Means Only - Essay Example Can Terrorism be defeated by Military Means Only? A few examples of better ideas are the promises of peaceful change, social reforms and economic equity. Terrorism is a form of â€Å"asymmetrical warfare† in military parlance. This terminology defines it as a type of warfare in which one of the combatants (the weaker) chooses when and where to engage and fight the other side (the stronger enemy). The term asymmetry derives from the unequal status in terms of strength of the combatants in which a lightly-equipped force attacks the much-stronger enemy by using unorthodox means of hitting its enemy through weak points. By necessity, terrorists use ideas to gain access into people's minds and hearts to win them over to their cause. Terrorism is the dominant form of conflict in most of today’s hot spots. Anti-terrorism experts are agreed on its layman’s definition which is an act or a series of acts designed to sow terror or extreme fear. Police investigative techniques and military solutions are good only for the sh ort term but not really effective for the long haul. Discussion The aim of terrorists is intimidate and threaten people so they will act in a certain manner that is favourable or desired by the terrorists. This is but a simple form of coercion backed by threats of violence. Just as the saying that history is written by victors of a war, terrorism can be viewed from different perspectives, depending on who is using terror to achieve its aims. Individuals, groups and even governments use terror to help them achieve their objectives. Terrorism does not make any distinctions on the persons using terror but focuses on the means of terror. It means marginal groups can be labelled as terrorists as well as existing governments which employ the same techniques and methods. Agents who killed British soldiers in Palestine before Israel was given its independence were terrorists by the above definition and so were the Spanish secret agents under a previous administration during 1982 to 1986. Th e Guardia Civil (Spanish police) had formed their own terrorist units called as the Grupo Antiterrorista de Liberacion or GAL (www.onwar.com, n.d., p. 1) to counter threats posed by the growing ETA movement (Euskadi Ta Askatasuna) of the Basque region which initially had targeted members of the police and military. As can be gleaned from this initial discussion, terrorism can be viewed from different perspectives and as such could also be justified depending on who is using terrorism as a tool. In other words, terrorism is not a sole domain of disaffected individuals and marginal groups but also of duly-elected governments which find it convenient to use terrorism as state policy. Most terrorists today belong to organisations which are basically stateless. This state of being stateless is one other characteristic of asymmetrical warfare and is what makes the terror groups quite difficult to hunt down and defeat. Their structure is not hierarchical but rather more of a network which has redundant functions performed by several terror cells. In aftermath of Osama bin Laden’s reported death, many ordinary people expected terrorism threats to vanish away but anti-terrorism experts believe otherwise because the motivation is still there within the organisation of al-Qaida. The goals and the willingness to use terror have not changed a bit and many affiliated terror cells can still strike any time (Clarke, 2011, p. 1). In the thinking of most military

Tuesday, October 15, 2019

Position Essay Example | Topics and Well Written Essays - 1000 words

Position - Essay Example Irrespective of the arguments that have been brought, it can be substantively argued that technology has enhanced the quality of life by making life easier and facilitating people in engaging with their daily activities efficiently and effectively. Technology and lifestyle are two inseparable aspects. People keep on changing their lifestyles based on the technologies that are being developed. Technologies have brought forth heightened levels of convenience and accessibility across all the dealings that people have on their daily basis (Cooper 1). On a normal day, a person wakes up to interact with technologies right from their bed, kitchen, road, to the workplace. A bundle of technology such as a smartphone has become a major accompaniment wherever and whenever; As a result of internet connectivity, an individual is able to access any information from any place. This has created a lifestyle where people are able to operate even from their homes. The implications are that people tend to become more independent and personal contacts become minimal. Though the lifestyle has constantly changed, the level of productivity has exponentially improved as a result of the convenience and ease of operationalization created by the use of t echnologies (Yu 217). The influence of technology is mainly for the general well-being of people. Many problems that confront people have found solutions in modern technologies. Technological products such as computers have ensured that life becomes easy, better, and quick. Communication from wherever part of the world has been transformed. In addition, transportation has been made easy and fast. A global view reveals that almost every facet of the human life has been influenced by technology mainly positively. As a result of these technologies, people’s social lives have been transformed significantly. On the positive note, it is possible to interlink

Monday, October 14, 2019

Race and Ethnicity Essay Example for Free

Race and Ethnicity Essay This course focuses on the issues, challenges, and opportunities presented by U. S. population diversity. Workplace issues related to employee diversity in terms of gender, race or ethnicity, socioeconomic class, and cultural background are emphasized. Policies Faculty and students will be held responsible for understanding and adhering to all policies contained within the following two documents: †¢ University policies: You must be logged into the student website to view this document. †¢ Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Harvey, C. P. , Allard, M. J. (2009). Understanding and managing diversity (4th ed. ). Upper Saddle River, NJ: Pearson. Schaefer, R. T. (2011). Racial and ethnic groups (12th ed. ). Upper Saddle River, NJ: Pearson. All electronic materials are available on the student website. |Week One: Workplace Diversity | | |Details |Due |Points | |Objectives |Recognize the dimensions of diversity. |6/10/13 | | | |Differentiate the concept of inclusion from the concept of diversity. | | | | |Describe diversity and inclusion in the workplace. | | | |Reading |Read Ch. 1 of Racial and Ethnic Groups. | | | |Reading |Read Ch. 17 of Racial and Ethnic Groups. | | | |Reading |Read Introduction to Section I and Section I of Understanding and Managing Diversity. | | | |Participation |Participate in class discussion. |6/10/13 |2 | |Discussion Questions |Respond to weekly discussion questions. |6/10/13 |2 | |Learning Team |Create the Learning Team Charter. | | | |Instructions | | | | |Learning Team Charter | | | | |Learning Team |Review the Week One objectives and discuss insights and questions you may have. | | | |Instructions | | | | |Weekly Team Review | | | | |Individual |Apply critical-thinking skills to answer the following questions based on this week’s |6/10/13 |5 | |Thinking About Diversity|readings. The response to each question must contain 150 to 300 words. | | | |and Inclusion | | | | | |What are the dimensions of cultural diversity? Identify and briefly explain the dimensions by | | | | |referencing both textbooks. | | | | |With what ethnic, cultural, or other groups do you identify? Describe what members of your | | | | |social circle have in common. | | | | |What is the difference between diversity and inclusion? | | | | |What is the importance of workplace diversity training? | | | | |What is your experience with workplace culture? Could there be, or could there have been, more| | | | |inclusion? | | | | | | | | | |Format your paper consistent with APA guidelines. | | | |Week Two: Prejudice, Stereotypes, Discrimination, and Privilege | | |Details |Due |Points | |Objectives | |6/17/13 | | | |Explain how the concept of culture is used to construct group identity. | | | | |Analyze the social concept of race. | | | | |Describe how behavioral and thinking patterns apply to diversity issues. | | | |Reading |Read Ch. 2 of Racial and Ethnic Groups. | | | |Reading |Read Ch. 3 of Racial and Ethnic Groups. | | | |Reading |Read Ch. 5 of Racial and Ethnic Groups. | | | |Reading |Read Introduction to Section II in Section II of Understanding and Managing Diversity. | | | |Reading |Read Are African Americans Still Experiencing Racism? | | | | |in Section II of Understanding and Managing Diversity. | | | |Reading |Read Inventing Hispanics in Section II of Understanding and Managing Diversity. | | | |Reading |Read To Be Asian in America in Section II of Understanding and Managing Diversity. | | | |Reading |Review Ch. 6 of Racial and Ethnic Groups. | | | |Reading |Review Ch. 7 of Racial and Ethnic Groups. | | | |Reading |Review Ch. 8 of Racial and Ethnic Groups. | | | |Reading |Review Ch. 9 of Racial and Ethnic Groups. | | | |Reading |Review Ch. 10 of Racial and Ethnic Groups. | | | |Reading |Review Ch. 11 of Racial and Ethnic Groups. | | | |Reading |Review Ch. 12 of Racial and Ethnic Groups. | | | |Reading |Review Ch. 13 of Racial and Ethnic Groups. | | | |Reading |Review Ch. 14 of Racial and Ethnic Groups. | | | |Reading |Read this week’s Electronic Reserve Readings. | | | |Participation |Participate in class discussion. |6/17/13 |2 | |Discussion Questions |Respond to weekly discussion questions. |6/17/13 |2 | |Learning Team |Submit the Learning Team Charter. | | | |Instructions | | | | |Learning Team Charter | | | | |Learning Team |Review the Week Two objectives and discuss insights and questions you may have. | | | |Instructions | | | | |Weekly Team Review | | | | |Learning Team |Begin working on the Equal Rights Proposition Outline assignment due in Week Three. | | | |Instructions | | | | |Equal Rights Proposition| | | | |Outline | | | | |Individual Multicultural|Resources: Culturegrams database and Racial and Ethnic Groups |6/17/13 |15.

Sunday, October 13, 2019

‘Medicalization’ in Current Health Policy

‘Medicalization’ in Current Health Policy Changing Public Health Priorities From Medicalization to Improving Built Communities Laura Schultz, Brett Weed, Ashini Fernando, Carolyn Moore,  Andrea Andersen, David Garcia Medicalization has greatly increased the emphasis on the delivery of clinical services to individuals, often at the expense of population-based solutions. We examine this phenomenon and offer an alternative that promotes public health by improving social, environmental, and physical determinants of health[HS1]. ‘Medicalization’ in Current Health Policy ‘Medicalization’ is the tendency for the practice of medicine to view a greater proportion of human behavior through a clinical lens (Zola, 1986). Among the examples of medicalization is the direct-to-consumer solicitation of prescription drugs for an arguably ever-increasing repertoire of conditions and afflictions (Frosch, Krueger, Hornik, Cronbolm, Barg, 2007) and increasing access to medical care as is evident through the initiatives implemented by the ACA[HS2]. Ever increasing amounts of money are being invested in treatment of chronic diseases, while a comparatively much smaller proportion is invested in preventing the same conditions (HHS, 2003). The United States spends more than 17% of their GDP on healthcare[HS3]. This per capita health expenditure is more than twice the average of countries of the Organization of Economic Cooperation and Development (Balding, 2014[HS4]), yet these numbers have translated not into better health but instead, a worsening trend in chronic diseases. US citizens also have significantly lower life expectancy in comparison (Woolf Aron, 2013). Despite these considerable investments in health care delivery, the costs associated with treating the manifestations of poor health continue to rise unabated. Over the last five years in North Carolina alone, approximately USD 80 million of the federal budget for public health was appropriated for primary care for the underserved populations (Trust for America’s Health, 2014[HS5]). Public Health Spending In contrast, public health only receives approximately 3% of the government budget and is underfunded (Balding, 2014). Nationally, 95% of health spending is for the apportionment of clinical services, while only 5% is invested in population-based solutions (Lantz, Licthenstein, Pollack, 2007). In North Carolina this division is even more extreme, with less than 1% of health spending dedicated to public health operations (Table 1[HS6]). Table 1. North Carolina Public Health Appropriations as a Percentage of Public Health Care Spending (Trust for America’s Health, 2014; Chantrill, n.d.) It is worth[CDL7] noting that the leading cause of mortality in the US, cardiovascular disease, accounts for annual healthcare costs that exceed USD $312.6 billion (HHS n.d.), yet when diagnosed early, disease progression can be addressed with non-pharmacological interventions[HS8]. In North Carolina, a mere 0.81% (~ USD 15 million, 2013) of the federal budget for public health was appropriated for prevention measures of all chronic diseases (Trust for America’s Health, 2014). These funding trends appear to support medicalization of health instead of prevention through public health efforts. Rather than continue to invest in a stopgap strategy of mitigating the impact of illness, we propose to instead invest in the prevention of illness[HS9]. Addressing Social Determinants Population health investments within corporate environments have shown considerable financial success and value beyond return on investment (ROI). One corporate wellness program saw a ROI of close to 300%; another company saved an estimated $224 per employee in 2003 dollars from promoting health rather than treating a lack of it (HHS, 2003[HS10]). Applying this same per capita savings rate to North Carolina, shifting funding to prevention and health promotion could yield savings of $2.2 billion annually[3], more than offsetting the annual increases in health services expenditures. Value beyond ROI includes physical and mental health, quality of life, perceived health status and functional capacity. Workplace well-being also promotes other intangibles such as increased social cohesion (Pronk, 2014). There is an established correlation between positive social relationships and health. As Robert Putnam wrote in 2000 in Bowling Alone, â€Å"social capital† conveys the essential health promoting value of communities[HS11]. It is defined as â€Å"the social networks and interactions that inspire trust and reciprocity among citizens† (as cited in Leyden, 2003). Social isolation, independent of other lifestyle factors, is linked to premature death and decreased resistance to disease (Cohen, 2001). Beyond individual health, social capital is associated with political engagement, volunteerism, decreased crime rates and economic development (Leyden, 2003). Research has shown that when we design our communities to encourage social engagement there is a positive effect on the psychological and physical health of the residents (Leyden, 2003[HS12]). Since the advent of the automobile, the design of our communities has included limited transportation choices. Most individuals choose to travel by car because urban design has made most options for pedestrians unsafe (Vandergrift, 2004). The US, compared to other high income European countries with better health measures, have at least 25% more automobiles per 1000 people (Woolf Aron, 2013). European Countries also have policies which limit sprawl and prioritize â€Å"urban centralization†. Though difficult to quantify, these environmental factors are likely to contribute to the health disparities and disadvantages in the US (Woolf Aron, 2013). Political and social conditions and constructs, racism for example, also results in poor urban design that compound health disparities including limited access to businesses and markets, exposure to environmental toxins, and lack of opportunities for social participation. Specifically, infrastructure investment decisions, such as libraries, parks, public safety and maintenance are likely to be allocated to geographic areas populated by citizens with greater socioeconomic status and political power, which further marginalize disadvantaged socioeconomic groups (Schulz Northridge, 2004). Alternatively, mixed use, pedestrian friendly communities are based on thoughtful design and include intact town centers, multiple income residences and well linked streets that are designed for people, not automobiles (Walkable Communities, n.d.). Prioritized determinants of health, which we expect to improve because of innovative planning include increased social engagement, improved economic status and increased physical activity (Walkable Communities, n.d.). As of 2012, approximately 50% of the US adult population has been shown to suffer from chronic diseases. However, adequate physical activity has been scientifically proven to prevent or improve these chronic disease conditions[HS13]. Yet, according to a 2011 statistic from the CDC, 76% of adults did not meet the recommendation for muscle-strengthening physical activity which is a known risk for heart disease (CDC, 2014). There are states where the built environment is viewed as worthy of significant investment to improve population health. Specifically, in Massachusetts there are two examples of lower than average socioeconomic status communities where health impact assessments indicate that built environmental improvements would improve social factors and likely decrease expenses in medical intervention. In Somerville, there is a community driven planned change to a bisecting interstate. This plan, made with consideration for social health determinants of the residents includes multi use bike and walking paths with increased access to all areas of the community[HS14]. Community-wide access will provide opportunities for social interaction, physical activity and increased choices for employment (MassDOT, 2013). A community with similar demographics, Fall River, has proposed common trails for recreation and pedestrian and bicycle travel that connect residents to businesses. This is predicted to improv e every health determinant the HIA evaluated (MAPC, 2013). Based on a review of state sponsored health impact assessments in other communities, there is a significant relationship between communities with walkable pathways and health (Rails to Trails Conservancy, 2013). We propose that thoughtful environmental structure enhancements such as multi-use walking and biking paths will connect neighborhoods and businesses. In turn, we believe these changes will positively affect social cohesion, economic viability and physical activity, which are all key determinants of health that can improve with innovative public policy implementation[HS15]. Conclusion and Recommendations Evidence from state sponsored health impact assessments in other communities, indicates that there is a positive correlation between communities with walkable pathways and health (Rails to Trails Conservancy, 2013). Environmental structure enhancements such as multi-use walking and biking paths that connect neighborhoods and businesses could positively influence population health in North Carolina. We believe these changes will positively affect social cohesion, economic viability and physical activity, which are all key determinants of health that can improve with innovative public policy implementation. In North Carolina there are 31 completed Rails to Trails programs (NC Rails-Trails, 2014). This national program improves the built environment by converting former railroad routes to pedestrian and bike friendly paths. However, only 2 of the 31 completed trails are located in counties with the poorest health scores (RWJF 2014; NC Rails to Trails, 2014). Eastern North Carolina, where 9 out of 10 of the most poorly rated counties for health outcomes are located, also have the fewest trail initiatives (NC Rails-Trails, 2014). This skewed distribution of environmental improvements further demonstrates the way in which populations within poor socioeconomic communities are financially neglected, and thus likely to continue to suffer from worse health outcomes. Using Massachusetts as an example, the state’s Department of Health and Human Services has initiated a program to identify communities with the lowest socioeconomic status and assist them to â€Å"build policies, systems and environments that promote wellness and healthy living† (MassDOT, 2013). In partnership with state and county planning officials, public health leaders, and state demographers, our plan is to target lower socioeconomic communities, initially focusing on a county with the poorest health indicators, to plan and build multi-use trails. We request priority funding allocated through the US Department of Transportation via the Moving Ahead for Progress in the 21st Century ACT (MAP-21), as well as private foundation grants that prioritize state population health improvements like the Annie E. Casey and Doris Duke foundations. Our plan for advocacy is to engage community members in the trail project as stakeholders. Specifically we will encourage our members to influence policy decisions through community informational meetings, including letter writing assistance intended to exert pressure on local politicians. We intend to host community or health center â€Å"coffees† with opportunities to meet county commissioners and planners. Media coverage in the lo cal newspaper is another part of our advocacy plan. Specifically, we will engage local media in an effort to â€Å"frame† the problem of poor environmental design and how it impacts health by profiling one citizen with health risks and limited transportation options who lives on a pedestrian unsafe street, visually depicting the social isolation inherent in this environment though a photo layout[HS16]. By engaging our most vulnerable North Carolina citizens to take part in improving their quality of life and ultimately their health and longevity, we will have the best chance at community environmental improvement as a long term effort. The time is now to refocus our priorities on health investment through prevention and promotion of public health efforts rather than treatment of diseases. References Blanding, M. (2012). Public Health and the U.S. Economy. Retrieved from http://www.hsph.harvard.edu/news/magazine/public-health-economy-election/. Chantrill, C. (n.d.). North Carolina Government Spending Chart. Retrieved from http://www.usgovernmentspending.com/spending_chart_2003_2019NCb_16s1li111mcn_13l14t Centers for Disease Control and Prevention (2014, October). Chronic Disease Prevention and Health Promotion. Retrieved from http://www.cdc.gov/chronicdisease/overview/index.htm. Cohen, S (2001). Social relationships and health: Berkman syme (1979). Advances in mind-body medicine. 17(1):5-7. Frosch, D. L., Krueger, P. M., Hornik, R. C., Cronbolm, P. F., Barg, F. K. (2007). Creating Demand for Prescription Drugs: A Content Analysis of Television Direct-to-Consumer Advertising. Annals of Family Medicine, 5(1), 6-13. Lantz, P. M., Licthenstein R. L., Pollack, H. A. (2007). Health policy approaches to population health: The Limits of medicalization. Health Affairs, 26(5), 1253-1257. Leyden, K. (2003). Social Capital and the Built Environment: The Importance of Walkable Neighborhoods. American Journal of Public Health, 93(9), 1546-1551. Massachusetts Department of Transportation. (2013). Health Impact Assessment of the Massachusetts Department of Transportation (MassDOT) McGrath Grounding Study. 2013. Retrieved from http://www.massdot.state.ma.us/groundingmcgrath/HealthImpactAssessment.aspx. Metropolitan Area Planning Council (MAPC) (2013). Health Impact Assessment: Quequechan River Rail Trail Phase 2. Retrieved from http://www.mapc.org/quequechan-river-rail-trail-hia. NC Rails-Trails (2014, September). Resources. Retrieved from http://www.ncrailtrails.org/web/resources. Pronk, N. P. (2014). Placing Workplace Wellness in Proper Context: Value Beyond Money. Preventing Chronic Disease 11, 1-4. http://dx.doi.org/10.5888/pcd11.140128 Putnam, R. (2000). Bowling Alone: The collapse and revival of American community. New York: Simon Schuster. Rails to Trails Conservancy. Health and Wellness Benefits. (n.d.). Retrieved from http://www.railstotrails.org/ourWork/trailBasics/benefits.html. Robert Wood Johnson Foundation (2014). County Health Rankings and Roadmaps, Building a Culture of Health County by County; 2014 Rankings; North Carolina. Retrieved from http://www.countyhealthrankings.org/sites/default/files/state/downloads/CHR2014_NC_v2.pdf Schulz, A., Northridge, M. E. (2004). Social determinants of health: Implications for Environmental Health Promotion. Health Education and Behavior, 31(4), 455-471. Trust for Americas Health (2014). Key Health Data about North Carolina. Retrieved from http://healthyamericans.org/states/?stateid=NC#section=3,year=2009,code=undefined US Census Bureau (2014, July 8). NC quick facts. Retrieved from http://quickfacts.census.gov/qfd/states/37000.html US Department of Health and Human Services (HHS) (2003, September). Prevention makes common â€Å"cents†. Retrieved from http://aspe.hhs.gov/health/prevention/. US Department of Health and Human Services (HHS) (n.d.). About Heart Disease Stroke. Retrieved from http://millionhearts.hhs.gov/abouthds/cost-consequences.html#cost. Vandergrift, D., Yoked, T. V. (2004). Obesity rates, income, and suburban sprawl: an analysis of US states. Health Place, 10, 221-229. Walkable Communities, Inc. (n.d.).Walkable Communities FAQ. Retrieved from http://walkable.org/faqs.html. Woolf, S. H., Aron, L. Y. (Eds.). (2013). U.S. Health in International Perspective: Shorter Lives, Poorer Health. Washington DC: National Academies Press. Zola, I. K. (1986). Medicine as an institution of social control. In P. Conrad R. Kern (Eds.), The sociology of health and illness. New York: St. Martins Press. [1] Rounded to nearest million [2] Rounded to nearest ten million; represents NC state and locality public health care spending [3] Based on 2013 NC Population Estimate of 9,848,060 (US Census Bureau 2014). [HS1]Nice introduction to your paper [HS2]Good examples [HS3]Is this from your Balding reference? This statement needs to be referenced. [HS4]This is listed as Blanding on your reference list. [HS5]Very nice section, your reader will have a good understanding of medicalization after reading this section [HS6]Great reference and statistics that support your premise [CDL7]Do not use this construct in this class, â€Å"it is†, â€Å"there are†, etc. [HS8]Such as implementing lifestyle changes with diet exercise. [HS9]Very good! [HS10]Impressive! [HS11]Very interesting, I will be reading this. [HS12]Great examples and points being made, excellent references. [HS13]You need a reference here [HS14]This entire section isn’t referenced. Unless this information is considered to be â€Å"common knowledge† e.g. it came from your own brain or was information you were aware of prior to writing this paper, it needs to have a citation. Please review when to cite from UNC library http://www2.lib.unc.edu/instruct/citations/index.html?section=why_we_cite [HS15]Great ideas [HS16]Great ideas and plan of action

Saturday, October 12, 2019

An Account of the Nicaraguan Revolution :: Free Essays Online

An Account of the Nicaraguan Revolution 1. Augusto Cesar Guerra's dark eyes suddenly lose the cordial and pragmatic aspect they had sustained during the initial minutes of our conversation. His gaze then slowly shifts from my own eyes to the ceiling and, not being fixed on a specific point, it begins to drift, seemingly toward a region by far removed from the present place and time. 2. â€Å"So you want to know about the Revolution,† he utters as if from a distance, his appearance acquiring a thoughtful expression that unveils a man who, asked to recall unsettling events, is forced to evoke the pain caused by wounds healed long before. 3. Guerra then becomes silent, apparently overwhelmed by his memories, and I fix my stare upon him: I notice a bronzed complexion despite the recent Washington, D.C winter, which he's endured in its entirety; a thick body defied by a slim face, motionless beneath dark, black hair, cut somewhat short yet curling amply on the top of his head; a dense beard stemming from the sideburns that leaves uncovered only the top of his cheeks, which are made to protrude somewhat by the bones beneath the fairly darkened skin. As I stare at the man in front of me, I can't help but think of the mix of the races that, Centuries before, created the essence of our Continent: a blend between the European Southerners, already permanently touched by the Mediterranean sun, and a Civilization of candid primitives who welcomed their guests without knowing their own benevolence would cause the downfall of their gods and their ways. I then look around me, notice the frames hanging on the wall of El Tamarindo, an Adams Morgan Salvadorean restaurant, and, like Guerra, am taken elsewhere: I see immense Churches, modeled after those in Spain and towering from the center of a village â€Å"plaza† frequented by the short descendants of the great tribes; a fisherman in a canoe built out of rotting wood whose smile reveals a wise and ageless simplicity; the ancient designs carefully worked upon the fine cloth of a hammock; the rich fruits that are unique to our soil; the Caribbean's crystalline blue and emerald serenity; all visions that rekindle the element of a previous life that I suspect most of us who have migrated from the South are at some point forced to relinquish. An Account of the Nicaraguan Revolution :: Free Essays Online An Account of the Nicaraguan Revolution 1. Augusto Cesar Guerra's dark eyes suddenly lose the cordial and pragmatic aspect they had sustained during the initial minutes of our conversation. His gaze then slowly shifts from my own eyes to the ceiling and, not being fixed on a specific point, it begins to drift, seemingly toward a region by far removed from the present place and time. 2. â€Å"So you want to know about the Revolution,† he utters as if from a distance, his appearance acquiring a thoughtful expression that unveils a man who, asked to recall unsettling events, is forced to evoke the pain caused by wounds healed long before. 3. Guerra then becomes silent, apparently overwhelmed by his memories, and I fix my stare upon him: I notice a bronzed complexion despite the recent Washington, D.C winter, which he's endured in its entirety; a thick body defied by a slim face, motionless beneath dark, black hair, cut somewhat short yet curling amply on the top of his head; a dense beard stemming from the sideburns that leaves uncovered only the top of his cheeks, which are made to protrude somewhat by the bones beneath the fairly darkened skin. As I stare at the man in front of me, I can't help but think of the mix of the races that, Centuries before, created the essence of our Continent: a blend between the European Southerners, already permanently touched by the Mediterranean sun, and a Civilization of candid primitives who welcomed their guests without knowing their own benevolence would cause the downfall of their gods and their ways. I then look around me, notice the frames hanging on the wall of El Tamarindo, an Adams Morgan Salvadorean restaurant, and, like Guerra, am taken elsewhere: I see immense Churches, modeled after those in Spain and towering from the center of a village â€Å"plaza† frequented by the short descendants of the great tribes; a fisherman in a canoe built out of rotting wood whose smile reveals a wise and ageless simplicity; the ancient designs carefully worked upon the fine cloth of a hammock; the rich fruits that are unique to our soil; the Caribbean's crystalline blue and emerald serenity; all visions that rekindle the element of a previous life that I suspect most of us who have migrated from the South are at some point forced to relinquish.

Friday, October 11, 2019

Political Islam and the West Essay

The author, John Esposito, tries to define what political Islam is and its connection and presence in Southeast Asian countries and, most especially, in the Western part of the world. â€Å"Political Islam, or more commonly Islamic fundamentalism, remains a major presence in governments and oppositional politics from North Africa to Southeast Asia. † Esposito made some strong points regarding Islam, political Islam, and the West. While it is true that most of the Muslims have become more keen and observant with regard to the practice of their faith, many of them are adapting to the continuing development of the world. These people have come to realize that they do not have to limit themselves to the rules of their religion, and that there are numerous opportunities out there if they allowed themselves to take part in it. They have to realize that the world is completely different from what they knew from the past, and that they can practice their religion and still experience what the world has to offer at the same time. Esposito states that Islamic belief has reemerged as an alternative to the perceived failure of secular ideologies like capitalism, nationalism, and socialism. However, Islam reemerged because they chose to do so. They realized that it was time to change what others thought of them and that they should not be submitting themselves to the judgment of other cultures and religious groups. It has been too long that they isolated themselves to a certain part of the world where they did not allow the Western culture to become a part of their own. Although they are still adamant to adapt this culture, or any other culture for that matter, they are willing to explore the world and its recent progress. They are more willing to expand their horizons at this time compared to the past. â€Å"Early underestimation of religion as a source of identity, as well as a political force has led to its overestimation today. † Religion might have been underestimated in the past but it surely is not overestimated today. In contrast, the world learned how to acknowledge the presence of religious groups and the contributions they make to the world and the society. They are not being overestimated because if they were, everyone should have chosen and participated within their own group and practice its customs and beliefs. There would be no one person who do does not belong to a particular religion. The author also states that secular Westerners tag the Muslims who speak of Islam as a comprehensive way of life, as people who are retrogressive and resistant to change. Not all Westerners think this way. Some believe in respecting the sacredness of the Muslim religion and that Muslims are not resistant to change. They are, however, more committed to their religion than other groups. They do not see their religion as something that they have to do once a week or once a year. They see it as a part of their everyday lives. It matters to them that they belong to a group and that support is always available to them. The article also indicates that â€Å"many believe that Islamists were not representative and would be rejected in popular elections. † This is only true because many people assume negative things about the Muslim people. They generalize the things they see on the media to all Muslims, which makes it hard for them to give the Muslims a chance to prove them otherwise. It is very important to state that not all Muslims are the same as portrayed in the media. Political Islam and the West may have numerous different perspectives. However, they have one goal common to both sides, which is to provide a better way of life for their people. The Muslims are only beginning to adapt to the changes around them and have more

Thursday, October 10, 2019

How an Individual’s Health Affects the Entire Family’s Function?

How an individual's health affects the entire family's function and how does the family's ability to function affects each individual member's health? Using Family System theory, this paper investigates the mutual impacts that the family and the individual have on each other, and the importance of family nursing for providing clinical support to both the family and individual within the context of crisis. Examples would be provided to illustrate just how impacts are felt and how these are mediated through family functioning. The thesis in this paper is that family functioning has an important impact on the health of individual members, as the individual depends on the family for support and protection from the larger social unit, the society; on the other hand, individual health can put enormous strain on the functioning of the family, primarily through relationships. Family Functioning on Individual Member's Health In order to appreciate the impact that family functioning has on the health of its individual members, one must recognize the family as not only a collection of individuals whose physical proximity exposes its members to infections and environmental contaminants, but an economic unit that provides material and emotional support to its members within the larger social context (Ross, Mirowsky, ; Goldsteen, 1990). While health and sickness takes place within the family, two of the important questions asked are the ways in which family functioning has an impact on generating and on altering the health of its individual members. An understanding of the functioning of the family involves looking at the causal chains, the conditional effects and structural amplifications. While the impacts of the family on the individual could vary in correlation, there are conditions within the family that increase, decrease, or even reverse, the correlation. It is therefore the combination of causal chains and conditional effects that combine to erode certain barriers that help reduce the impact of the society on individual wellbeing (Ross et al., 1990, p. 1061). Individual physical and emotional wellbeing are therefore impacted by the structural aspects of the family, which include marriage, parenthood, wife's employment and the family's social and economic status (Ross et al., 1990, p. 1061). Family functioning is said to have an impact on individual health and this is seen in the family performing a protective barrier in mental health diseases and being shown as having an important role in â€Å"pathogenesis, treatment, and recovery† of the individuals, particularly with patients with mood, anxiety, substance abuse disorders and attention deficit and hyperactivity disorder (Garcia-Huidobro, Puschel ; Soto, 2012, p. e198). In the case where the individual family members suffers from biomedical illness such as diabetes, hypertension, asthma, obesity, chronic obstructive pulmonary disease, the family is seen as more involved in the outcome of the disease for the ill family member. However, research has shown that family functioning style has an effect on the health of family members, and that poor family functioning has a cumulative effect and contributes to poor health on the part of family members (Garcia-Huidobro et al., 2012, p. e198). Where there are relational problems in families, individual family members were found to be more likely to experience psychiatric and behavioural conditions. Where the family is under stress, individual family members are likely to experience conditions related to the hypothalamic-pituitary-adrenal axis (Garcia-Huidobro et al., 2012, p. e202). In their study, these authors defined family functioning as covering â€Å"family agreement, cohesion, family support, problem-solving strategies, commitment, internal resources, and strengths† (Garcia-Huidobro et al., 2012, p. e202). It was when there was breakdown in at least some of these areas that health of individual family members were shown to be affected. This, family functioning was seen to be responsible or causative of certain individual health conditions. In the case of vision loss, the family is seen as playing a very important role in helping the individual to adjust to this loss. The reason for this is that family members are generally the ones that live with the individual family member that is afflicted, know the nature and history of his or her condition, have observed how the family member copes and has coped with the low vision and related life stressors, accompany the afflicted family member to appointments and examinations, and serve as communicators with health professionals (Bambara, Wadley, Owsley, Marin, Porter ; Dreer, 2009, p. 138). The degree to which the family is functioning well, to that degree will the family help the family member to cope with his or her situation. The amount of support that the family provides to this family member with this chronic condition depends on the severity of the vision loss, the impact of that loss on the individual's daily living and ability to be independent, the number and nature of comorbid conditions that the individual has, living arrangements, financial resources and the individual's access to services and resources, all play a part in reveling how the family impacts the individual's health. The degree to which the family is able to support the individual family member during this difficult period is the degree to which the individual family member is able to cope with his or her loss of vision (Bambara et al., 2009. P. 139). Smith, Greenberg and Mallick Seltzer (2007) also shows how family functioning could have an impact on chronic diseases in individual members. According these researchers, siblings are affected to the degree that they have a relationship with the sibling that is chronically ill, and with the amount of help that they contribute to help in caring for the sibling. Therefore, if family functioning is such that the siblings have strong relationships, this is likely to help the sibling with the chronic condition has better health outcomes (Smith et al., 2007). In their research, Rosland, Heisler, and Piette (2012) pointed out that according to previous studies â€Å"family autonomy, support, overprotectiveness, and good communication (were) . . . influential to patient illness management† (p. 221). As family members came together to emphasis self-reliance and personal achievement, as they cooperated and became more cohesive as a unit, and as they provided greater attention to the family member that was chronically ill, the chronically ill patient showed much better improvement (Rosland et al., 2012, p. 228). It was also noted that positive marital and family function predicted better control of the chronic illness and better outcome and survival for the chronically ill patient (Rosland et al., 2012, p.,. 228). Individual Health on Family Functioning When a family member is ill, this has the impact of disrupting the family functioning, as family members are often required to make adjustments to their daily lives. This is particularly the case when a family member develops a chronic disease, for not only must family members make changes to the family's routine, but in many instances roles, responsibilities and boundaries change (Lawrence, 2012). Individual chronic illness also affects the family in terms of the self-image and self-esteem of family members, but chronic illness could also affect the emotional lives of family members by triggering â€Å"anxiety, depression, resentments, feelings of helplessness, as well as ill-ness related factors such as illness-related factors such as permanent changes in physical appearance and bodily functioning† (Lawrence, 2012, p. 21). When a family member is ill, there are spillover effects on the family as family members experience emotional, non-health, and somatic effects (Wittenberg, Saada, ; Prosser, 2013). While emotional effects were thought of as psychological spillover, the non-health effects come about as family members have to re-arrange their daily activities and facilitation of caregiving, with parents experiencing the greatest spillover effects when children are ill, while children had the fewest spillover effects when parents were ill (Wittenberg et al., 2013). Some of the effects of an individual's illness on the family were seen in family members experiencing caregiver burden and increased mortality; however, in some instances the impact of the individual's illness had positive effects in those caring for the ill individual, including sense of altruism and purpose (Wittenberg et al., 2013). These researchers noted in their research that it was not only the caregivers within the family that were affected by the individual's illness, as other family members. For example, children who were not involved in the caregiving of their ill parents were shown to be affected. However, the interdependence between the ill individual and other members of the family influenced the manner in which the family was affected. The spillover effects of the ill individual on to the family varied. Spouses showed a wide range of effects across domains, because of the interdependence, but also because of responsibility shifting and having to cope with the direct effects of the illness (Wittenberg et al., 2013, p. 8). Not only are spouses often the primary provider for the ill individual, but they often feel enormous stress in coping and may feel trapped in trying to recognize the dependence and autonomy of the patient, while still trying to cope with their own needs (Lawrence, 2012, p. 21). Spouses may also experience feelings of powerlessness in not being able to help with their spouses' pain, and the pressure of being strong when in effect they are feeling emotionally drained (Lawrence, 2012, p. 21). Parents of ill children showed the lest spillover effects, possibly because they knew generally about the condition of their children, and their expectation of the outcome helped to improve spillover effects (Wittenberg et al., 2013, p. 8). When a child has a chronic illness, this has an impact on the family as a whole, but also on the relationships within the family (Alderfer, Riese, Gold, Cutuli, Holmbeck et al., 2008, p. 1046). At the same time, it must be recognized that the functioning of the family has an impact on the child's health, for with conflict within the family, the outcome of treatment such as bringing down the HbA1c level for an adolescent with Type 1 diabetes could be negatively impacted (Alderfer et al., 2008, p. 1046). Assessment and reduction in family conflict may be important in such an intervention to control the adolescent's HbA1c level (Alderfer et al., 2008, p. 1046). Parents of children with chronic illnesses also experience negative impact on their relationship, as one parent may need to spend more time with the ill child and so less time with the spouse. Some of the effects of this on family function, according to Lawrence (2012) include â€Å"communication problems, higher divorce rates, increased relationship conflict, increased role strain, and decreased relationship satisfaction† (p. 21). In short, quality of life of family members is also affected when a family member has a chronic disease for while there may be physical effects and psychological distress, there could also be social problems (Golics, Khurshid, Basra, Salek, ; Finlay, 2013, p. 787). In the case of parents of children with chronic illnesses, where the chronic condition is in dermatological diseases, parents may experience worry, frustration and stress, whereas in the case of chronic conditions involving physical and mental disabilities, parents may experience social problems. But there could be serious emotional impacts on family members, for as pointed out, research has shown that â€Å"family members of patients can be more emotionally affected by illness than patients themselves† (Golics et al., 2013, p. 787). In fact, in their study these researchers showed that family members demonstrated that the impact included not only worry, frustration and anger, but also of guilt (Golics et al., 2013, p. 790). Negative impacts of individual chronic health on family functioning include change in daily activities, deterioration in family relationships, loss of sleep and negative impact on health, lack of support from friends and family support,, increased involvement in providing care, disruption in studies, negative financial impact, decreased social life, and inability to make firm plans (Golics et al., 2009, 790 – 794). However, these researchers pointed out that in their study, they had one positive effect of the individual's chronic health on the family, and that led to â€Å"the family improving as a result of the patient's illness., with members of the family pulling together to support each other† (Golics et al., 2009, p. 794). In the case of adult children and their elderly parents, acknowledgement that their parent's life span was shorter also led to fewer spillover effects (Wittenberg et al., 2013). Results of this study revealed that the illness of a family member had vast effects on the family, affecting the overall functioning of the family, and having physical and emotional and spillover effects on family members (Wittenberg et al., 2013). In chronic conditions, it is likely that emphasis on quality of care for elderly patients could be a means of providing positive impacts on family functioning. End of life care usually involves an understanding between elderly parents and their children. In a study involving elderly parents and their adult children, a common understanding was that trust in treating physician, avoidance of unwanted life support, effective communication nd continuity of care and life completion were facts that both groups found important (Heyland, Dodek, Rocker, Groll, Gafni et al., 2006, p. 1, 6).Other family members are affected in different ways by the chronic health condition of an individual family members. As noted, family functioning is affected, as family members have to go through stages to adjust to the chronic illness of their individual family member. Some of the adjustments that have to be made in the case of family members of the individual family member with low vision are â€Å"shock-denial, mourning-withdrawal, succumbing-depression. Reassessment-reaffirmation, coping-mobilization, and self-acceptance-self-esteem† (Bambara et al., 2009, p. 138). Basically, what is involved here is that the family goes through a period of adjustment, starting off with possibly shock and denial, and moving through various phases to the point where they have to accept that conditions have changed and that they have to make changes to their lives. In this case of low vision, changes could involve helping the family member purchase equipment that is not covered by insurance, helping in dealing with loss of wages, and covering economic deals (Bambara, 2009, p. 138).Implications for Nursing These findings reveal that clinical nursing also has an important role in providing psychosocial support for patients and families. Recognizing the impact of chronic disease on the family member and family, nursing therapy could be important in providing the emotional support needed for family members and for better functioning of the family as a whole. A study into the impact of Huntington's disease on families and spouses reveal the need for effective family therapy around easing marital conflict as well as parents' fears and anxieties over transmission of disease to children (Smolina, 2007, p. 14). Children's perception of the disease is also influenced by the behaviour of parents and so â€Å"family dynamics, taboos, expectations, loaded issues and the general attitude toward the disease† are all factors that require therapy (Smolina, 2007, p. 10). Clinical nursing therapy can ensure that perceptions related to end of life are shared by elderly patients and their adult children in end of life care discussions, as seen as important in earlier study (Heyland et al., 2006). Conclusion Chronic disease of a family member can have physical, social, and emotional impact on the other family members, and to have mostly negative effects on family functioning, as conflict, breakdown in relationships, stress and its related effects, depression, anxiety, guilt, and more could result. Although there have been some positive effects observed, namely, altruism and purpose, these are often dwarfed in terms of the negative effects. However, in turn, individuals with chronic conditions are influenced by their family functions, with poor functioning resulting in deterioration of their health or leading to the onset of some of these conditions. Using the dynamics of family theory, clinical nursing therapy could provide much needed support.