Evolution of Medicare Essay

Abstract The article briefly describes about the Medicare and its benefits. The article also explains the loopholes in the Medicare policy and why it lacks certain vital aspects. Finally in the concluding remarks I have explained the gray areas where the Medicare needs some rectification and improvement to help serve its purpose. Evolution of Medicare According to the US Department of Health and Human Services, Medicare is stated as a health insurance program for people aged 65 years and above or people with disabilities but under 65 years of age and/or people suffering from end-stage renal disease such as permanent kidney failure. Diane Rowland stated that Medicaid originated based on companion legislation enacted in 1965 providing â€Å"federal matching grants to states to finance care.† According to Tricia Neuman, Medicare covers about 41 million people with 35 million elderly and 6 million disabled below 65 years of age. Medicare can be classified into following parts: Part A – Inpatient hospital care and limited skilled nursing care Part B – Physician services and other outpatient hospital services Part C – HMO’s and other private care (Combination of Part A and Part B) Part D – Outpatient prescription drug coverage.   The US Department of Health and Human Services stated that an individual is eligible for Medicare if S/he or spouse has been employed for a minimum of â€Å"10 years in a Medicare covered government employment† and is 65 years or above and a permanent resident cum citizen of the US. An individual below 65 years of age but suffering from a disability or end-stage renal disease would also qualify to avail of Medicare services. According to the National Medicare Commission some of the important points to be noted are as follows: Without reform Part A of trust fund is bound to become bankrupt in the year 2008. Medicare beneficiaries are already paying 30% of their health care costs from their pockets for items such as premiums, services and products not covered under Medicare. The Annual Medicare expenditure is expected to rise in the range of $2.2 trillion to $3 trillion by 2030. Consequently the Medicare spending would occupy a â€Å"larger part of the federal budget† and funding for other important programs like national defense, justice, health and safety and environmental protection will potentially get affected. According to Holly Sklar, besides being costly the US ranks 29th in World Health Organization healthy life expectancy rankings and sad to note that US is behind 36 other countries in child mortality of age less than five years. According to the Organization for Economic Cooperation and Development (OECD) the United States topped with a 15% spending of its Gross Domestic Product (GDP) on health in 2003 in comparison to an average of 8.6% spending in 30 other OECD countries. Despite the fact that US tops among the OECD countries in spending from its GDP, some of the startling facts are that it has lesser number of physicians, nurses and hospital beds per person and fewer MRI and CT scanners than an average OECD nation. â€Å"Lack of health insurance is killing many more Americans than terrorism.† After a brief discussion about Medicare, it is clear that reforms need to take place on an immediate basis to avoid bankruptcy of Part A of trust fund and the steps seem to be moving in a right direction with regard to charging higher premiums to those with higher incomes, thus bringing in equality in treatments. A flaw rectified recently was in respect of outpatient drug benefit, but there needs to be some more improvement so as to provide long term care and also provide hearing aids, eyeglasses and dental care. References Medicare Eligibility Tool. The US Department of Health and Human Services. Page retrieved from: http://www.medicare.gov/MedicareEligibility/home.asp?dest=NAV%7CHome%7CGeneralEnrollment&version=default&browser=IE%7C7%7CWinXP&language=English Diane Rowland. Medicaid: The Basics (2005). Kaiser Commission on Medicaid. Powerpoint presentation available on: http://www.kaiseredu.org/tutorials/medicaidbasics/medicaid.html Tricia Neuman. Medicare 101 (2005). The Henry J. Kaiser Family Foundation. Powerpoint presentation available on: http://www.kaiseredu.org/tutorials/Medicare%20101/Medicare101.html National Medicare Commission. The Facts About Medicare. National Bipartisan Commission on the Future of Medicare. Page retrieved from: http://medicare.commission.gov/medicare/factpage4.html Holly Sklar. Time for Health Care for All on Medicare’s 40th Anniversary (2005). Politics of Health. page retrieved from: http://politicsofhealth.org/main/time_for_health_care_for_all_on_medicare_s_40th_anniversary

Emerson on War Essay

Emerson’s mind is complex because it has resulted from his wide reading of the East and the West. It puts together virtually incompatible ideals in oriental and occidental thought. Like so many topics that his essays cover, his conception of and discourse on War is both very original and influential. He lays bare the evolutionary and changing view of war as it has come down the ages. Whereas ancient Greek and Roman heroes valued war believing it to be an honorable and manly activity, it needs to be seen against the wisdom of the Vedas and of course through Emerson’s eyes to get to the reality of war. Emerson is a powerful thinker because even though most countries have relied heavily on war and will still indulge in it when the need arises, they have become conscious of the animalistic nature if this rather insane activity. Emerson is not blind to the merits of waging war. He does begin his discourse by pointing out that people are educated by war and they become manly by indulging in it. He maintains that some of the most civilized of people have stood by the necessity of war. Yet the page of history shows how war has declined because it has gradually lost its glory; and yet is far from over. For Emerson ideas are more meaningful than circumstances and war is the outcome of the latter. It seems that Emerson’s ideas on war have led so many great minds to cogitate on the topic. Bernard Shaw, Vivekananda and Gandhi are just a few. Wordsworthian and Indian spiritualistic thought seem to come together in Emerson’s mind that refuses to take views for granted. Even Christianity is questioned as it has fostered religious wars. Those who can shun war are morally advanced â€Å"for they have not so much madness left in their brains, you have a nation of lovers, of benefactors, of true, great, and able, men. †

Pip wants to be a gentleman Essay

‘It was evident that he had nothing around him but the simplest necessaries, for everything that I remarked upon turned out to have been sent in on my account from the coffee-house or somewhere else. ‘ Another character who displays this quality is Magwitch: even though he is a convict, he is a good man. ‘I believe too that he dragged one of his legs as if there were still a weight of iron on it, and that from head to foot there was Convict in the very grain of the man†¦ but Magwitch †¦ is still a good man’. This is a direct contrast with Mrs Joe for whom even her funeral was sham and pompous. ‘I was much annoyed by the abject Pumblechook, who, being behind me, persisted all the way as a delicate attention in arranging my streaming hatband, and smoothing my cloak. ‘ Newman describes how a true gentleman’s concern is to make 2 ‘everyone at their ease and at home’, and Herbert’s behavior is an example of this. When he sees Joe as he visits Pip in London, Joe is feeling uncomfortable and out of place and Herbert tries to correct that by asking polite, easy to understand questions, and, when it was still awkward, he left, to allow Pip and Joe to talk alone. He also comforts Pip when he first comes to London by giving him some fruit, which he thinks he will be used to because he is from the country. Wemmick exhibits this trait too. He ensures that his father is always kept ‘clean, cheerful, comfortable and well cared for’. He also has his house with a moat surrounding it because it makes his father feel secure when he leaves him for work. However, at work Wemmick acts very differently, he leaves his gentlemanly side behind and puts his business-like, ‘postbox’ mouth on, as he remarked ‘Walworth is one place, and the office is another’. At one point when Pip is asking his advice Wemmick even says that if Pip had asked him the same question at home he would have answered completely differently. Whereas Jaggers is always the same official, business-like person at home and at work, he is always the lawyer and is very intimidating. True gentlemen will only see and bring out the good in other people, Joe sees the good; for example when he tells Pip about his father. Although Joe’s father often got drunk and beat Joe’s mother and Joe himself, Joe didn’t complain or try to make Pip feel sorry for him, he just said â€Å"he were that good in his hart†. Jaggers does not bring out the good in others. When Pip went for tea at Jaggers’s house, the worst was brought out in him, and his companions, which led them to a sizeable argument: ‘Drummle, without any threat or warning, pulled his hands out of his pockets, dropped his round shoulders, swore, took up a large glass, and would have flung it at his adversary’s head†¦ ‘. Although Pip doesn’t exhibit many of the other traits of a gentleman, he is self-aware throughout the narrative. When Pip realizes that he loves Estella he can still admit to himself that she makes him miserable because she torments him and says to himself, ‘Pip, what a fool you are! ‘ Estella is also self-aware, she understands that Miss Havisham has made her into a heartless monster, and she explains this to Pip. ‘You had not your little wits sharpened by their intriguing against you, suppressed and defenseless†¦ imposter of a woman’. Dickens’ true gentlemen help people out and are modest about the favours they have done. As Newman says of a true gentleman2 ‘He makes light favours while he does them, and seems to be receiving when he is conferring. ‘ Pip illustrates this trait well. He arranges a place for business for Herbert. This is Pip’s first real act of generosity, though it’s ironic because it is made with the money from his own benefactor. However, whenever Pumblechook does favours, he does them because he hopes for something in return. When he arranged for Pip to play at Miss Havisham’s, he is trying to ingratiate himself with Mrs Joe, and Pip, so when Pip gets money from Miss Havisham, Pip will feel obliged to give him a share – as without Pumblechook it would never have happened. When Pip first moves to London to be a gentleman, everyone in his village thinks that Pumblechook is Pip’s ‘patron, companion and friend’. This, of course, is not true; as Pip would have rather Pumblechook had never tried to get him a job at Miss Havisham’s. Being sensitive must be an important factor of being a good person. Biddy displays this characteristic, as she relises how Pip has hurt Joe. However, she also tells us that Joe never complained of Pip, hurting him. Estella is very insensitive, although this isn’t entirely her own fault. She says of Pip at the beginning of the novel, ‘coarse hands and thick boots’, which really offended, and affected Pip for the rest of his life. Although, she has got a spark of humanity in her as she keeps warning Pip not to fall in love with her. Like the star she is named after she always keeps cold and distant from Pip. Dickens’ gives Orlick as an example of a completely evil character. Orlick murdered Mrs Joe, and tried to murder Pip. He killed Mrs Joe when Pip was old enough to ‘kill off’ his parents and gain his independence. Dickens doesn’t want us to understand Orlick, or feel a drop of sympathy for him. He is Pip’s alter ego, he does the things Pip would never dare do, or unconsciously thought. Dickens is showing us that if you have money, this does not necessarily make you a gentleman. Drummle is an obvious example that money and class alone do not make a gentleman. On the other hand, Joe and Herbert, who are poor, are the main examples of true gentlemen in the text; they show the true qualities that compose a good person. Pip is a developing character, and therefore changes from a small innocent little boy, into a snob, and then a much more mature, wiser and sadder Pip develops at the end of the narrative. I feel that Pip is a gentleman though at the end, throughout he is self aware, and he has done favours to Herbert. With Magwitch there for Pip to care for and love, he managed to mature and grow out of the sham and elitist younger Pip. I think that all these qualities that make up a good person are definitely still relevant today. Just as the factors that constitute a good person are the same for the poor, as for the rich in Dickens’s time, they are just as important to people now as they were then. If Joe or Herbert came into this century we would admire the gentlemanly characteristics in them, just as Pip saw the good in them in the nineteenth century. Bibliography 1. Newman, Newman on the Gentleman (1852) 2. Mahoney. J, Great Expectations for GCSE, Ashford Colour Press, Hampshire (1994). 1 Sarah Burton 10S 2nd January 2004 Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Great Expectations section.

How do diplomacy,economic policies and military action work together Research Paper

How do diplomacy,economic policies and military action work together in the United States foreign policy - Research Paper Example To date, we consider the US as the strongest economic power on the global sphere as well as the strongest nation in the entire world in terms of wars. She has the most sophisticated machinery and military personnel’s than any other country in the world. She has as well the strongest army in the world. Above all, the economy of America has overtaken any economy in the entire world at present. The world’s economic base is pegged on the dollar monopoly whereby the US dollar is used as the world’s medium of exchange and for business transactions across the entire globe. It is only the United States currency which has been accepted as the medium of exchange for all international business transactions and not the other currencies. Even though the European pound is also used for international business transactions, it is the US dollar which dominates the global market. The European pound has only been used to a limited scale especially among the nations making up the Eu ropean Union and a few of her colonies. Heo and Karl (2004) argue that the stability of the United States monopoly of the world has however been threatened by some other rising world economies (Heo and Karl 2004). These other small economies which have been rising to keep at purr with the US economy include that of Japan and China. These economies however have not reached the levels of being able to control the world economy as the United States has managed. There is power in the extent or the area of land and the total population commanded by a state to be considered powerful. The small economies mentioned above have not been able to make it to the global sphere because of their small land sizes as well as their small populations. In terms of military specialization and war dominations, the world has been looking forward to the development of nuclear weapons for purposes of war. Many nations considered to be among the strongest nations in the world have developed very technical and sophisticated war machines. Wang has listed some of these such as South Korea among others. These countries have as well developed very lethal nuclear weapons which have been considered a major source of threat to the entire world (Wang 1999). As a result there have been rumors of wars as well as some other wars fought between various nations of the world. The rumors of wars are what the political analysts and war experts refer to as the cold war and begun some years ago. In order to maintain the economic, political and military power, the united states knows very well that she has to employ certain techniques to enable her survive in her position. This paper will investigate how the United States of America has been using her political, economic and diplomatic mechanisms in her foreign policies to rue the entire world and to establish herself as the world’s super power. 2 The monopoly of the US economy and military power has been threatened by some countries today forcing t he US to revise her stand on how she controls and rule the world. Some of the states which have posed threats to US of late include Iran, Syria among others (Kegley 1998). These are mostly the Arab nations. These countries have made America to realize the need to strengthen her missions abroad and change the overall process of monitoring the world’

Propaganda and British Cinema Essay Example | Topics and Well Written Essays - 2500 words

Propaganda and British Cinema - Essay Example It mostly applies to the human sense of sight. British film descended from French Lumiere brothers in 1892 and their first show was in 1896.The first moving picture was in 1889.The founder and the leader of documentary movement was John Grierson.He had the believe that film and documentary film could make a significant impact in the society by providing an effective medium between the state and the public. The government used the authors and actors of films to execute its propaganda agenda. J and Church -Gibson (1995) During Second World War, Movies were mainly used to promote the popular image of the nation and emphasize on patriotism. These films were about people affected by the war and the effect of war in the society. The Second World War pushed the issue related with censorship to the periphery and this led to direct intervention of the government. The movies at this period combined propaganda on behalf of war effort with dramatic action, romance and other features of entertainment movies. Adler, A. Jay (2004) In the mid nineteen hundred and twenties British cinema was loosing to the Hollywood. There was also war propaganda which was depicted by these movies. Propaganda is highly practical since it is both hidden and clear. Propaganda can be good or can be bad, democratic or totalitarian. Aldgate Anthony (1994) The cinema emerged as one of mass entertainment which had great acceptance among the population. Movies developed from a less developed entity to an important mean of communication, entertainment and mass production. Motion pictures films have significantly contributed in art, politics and technology in twentieth century. J and Church Gibson (1995) The production of the cinema was cheap and quick and the aim was to achieve the quota of twenty percent of screen space in Britain to be reserved to English film production. The first English sound tape was produced in 1929 by Hitchcock .Hitchcock was an artist who has experienced great Germany expressionism. He designed each stage including the minute detail which enhanced forcing of the intensity on the screen. The details included the scenery, music, soundtrack, actors and other obligatory. It so gracefully united horrifying, absurd and the idealistic features in such pictures. In 1940 he was awarded an Oscar award as the best picture of the year in the movie "Rebecca." Aldgate Anthony (1994) The cinema has socially and sensitively reflected many major events which are global historical changes that occurred in the 20th century. These changes include noteworthy events that included fall of empires which led to change in direction of historical and cultural development at the end of 19th century. This proves that the development of a society in connection with art rises develops and falls. J and Church -Gibson (1995) The histories of the twentieth century led to the change in attitude of the people and nations which led to the development of the influential art of cinema. Cinema was the most dynamical art since it embodied the development of Grand National awareness in the state. There is a connection of a propaganda literature of the Great Britain and its reflection in the cinema. Adler, A. Jay (2004) The imperialism theme researches of English cinema starts during the fall of the empires and beginning of the struggling of the public of developing countries. It is in 1960s that a margin of great importance is formed in

Experience in writing Essay Example | Topics and Well Written Essays - 500 words

Experience in writing - Essay Example One of my strongest points is that I have a good command of grammatical correctness; I have always practiced this in the course of improving my communication. In any piece of writing, I give much attention to avoiding spelling and typographical errors that may distort my message. The ability to organize my points in an effective way also forms part of my strengths in writing. To that end, I always ensure that my points are well organized and logically supporting my thesis. However, I have weakness in language use especially in the scenario where I have to choose the right word, among many words leading in the same direction. I tend to confuse the difference between these types of words and may end up using the least-fitting one. My experience also features love and hate stories for writing. What I love most is the ability to communicate my mind without necessarily expressing feelings. I have weakness in expressing true feelings and, thus far, this has made writing a better place since it gives me an ample time for constructing my views to best fit the feeling I intend. In which case, my narrative skills have served me best in improving my confidence and love for writing. Despite the love, I have a strong hate for the rules restricting the use of First-persons pronouns. I always feel that such kind of cases restrict me from fully expressing myself within a piece of writing especially in a case where I would like to identify personally with my narration and let the reader have a glimpse of genuineness.

3 QUESTIONS IN CRIMINAL JUSTICE and deviance Coursework - 3

3 QUESTIONS IN CRIMINAL JUSTICE and deviance - Coursework Example When individuals are aware of uncertainties, they can design techniques to protect themselves (Briggs & Friedman, 2009). The desire to acquire substantial material wealth has lead many Americans achieve success through fraud and force, which has been considered smart for many years (Simon, 2008). Therefore, the American culture has assigned significant social importance to the formation of gangsters, which are aimed at robbing other people of their properties. It is apparent that the American Dream encourages deviance in the United States society. The American society is considered as comprised of two different populations. One of the two populations is made up of criminals, while the other population is made up of law-abiding individuals (Simon, 2008). The American elites served as role models to average individuals in the society. Therefore, elite deviance has influenced the non-elites to engage in criminal activities without any feeling of guilty (Simon, 2008). According to elite deviance, it is necessary for individuals to engage in criminal activities when they get an opportunity to do so (Briggs & Friedman, 2009). Inter-organizational cooperation has been involved by the elite deviance for a number of years to perform unethical and illegal acts, such as money laundering (Simon, 2008). Both non-elite and elite deviance are expected to be higher when there is more emphasis on the values that are related to the American Dream than when the culture focuses on values such as team work, spirituality, and community (Simon, 200 8). Thio, Calhoun, & Conyers (2008) define privileged deviance as a very profitable deviance that involved privileged individuals, especially those people who are relatively powerful, well educated, or wealthy. Such individuals take advantage of their high ranks and divert lots of wealth to their bank accounts as well as fund their own projects. Privileged individuals engage themselves in criminal

Executive Summary- Annual Marketing Plan Essay Example | Topics and Well Written Essays - 750 words

Executive Summary- Annual Marketing Plan - Essay Example To address these, a brief background on Sears Holding Corporation would be introduced prior to expounding on the executive summary, as required. The history of Sears Holding Corporation is traced in 1886 when its incorporator, Robert Sears, started selling watches for the purpose of augmenting his source of income as a station agent (Sears: Chronology, 2010, par. 1). With hard work, perseverance and innovative marketing approach, the legendary growth and ability to meet challenges in its business environment led to its continued successful existence after more than a century of serving the customers’ needs. Today, with its merger with Kmart Holdings Corporation in 2005, it is considered the â€Å"fourth largest retailer in the United States, behind Wal-Mart, The Home Depot, and Kroger (Stores.org, 2006). With the combined efforts of Kmart and Sears, the organization’s executive summary of the marketing plan for the year appears below: Sears Holding Corporation (SHC) has attained a successful profitability performance boasting of â€Å"$1.8 billion of Adjusted EBITDA, an improvement of more than $200 million over 2008† (Sears Holding Corp.: Chairman’s Letter, 2010, par. 1). With the financial success despite the global financial crisis, SHC’s five pillars of marketing strategy assisted in directing all efforts towards growth and improvement, to wit: â€Å"(1) Creating lasting relationships with customers by empowering them to manage their lives; (2) Attaining best in class productivity and efficiency; (3) Building our brands; (4) Reinventing the company continuously through technology and innovation; and (5) Reinforcing â€Å"The SHC Way† by living our values every day† (Sears Holding Corp.: Chairman’s Letter, 2010, pars. 7 – 11). For the coming year, the objectives of the company are summarized herewith: â€Å"(1) focus on new and innovative products for the Kenmore laundry business; (2) enforce leadership through heavy marketing efforts and

Designing and Managing the Early Childhood Classroom Essay

Designing and Managing the Early Childhood Classroom - Essay Example †¦the physical classroom you are given by your administrator. However what you do with that space says a great deal about you as a professional. Parents and the administrators may take their first impressions of you from your classroom before you have an opportunity to speak with them (6). A good classroom is one in which you can see the learning areas clearly when you walk into the room†¦you are in control of the traffic pattern in your classroom. The traffic pattern refers to the places on the room throughout which the children and the teachers will move. The traffic pattern sets the tone of the room just as much as the wall decorations can, and it will likewise set the tone for activities and behaviors throughout the day(6). It is sound research that the first five years of a child’s life are the formative education and learning experiences for the child concerned. The preschool years are important in impacting in an appreciable way the rest of the life of the child. Therefore, the provision of nothing but the best for our coming generations is a must. The purpose of all the stake holders must be to provide the most enriching environment possible. This is directed related by the preschool curriculum. Teachers teaching at this early level need to be well trained not only in teaching but many other aspects as well. Moreover the environment is to be absolutely fool-proof. No splinters that can ignite fire and no jaded edges that can rip through the flesh. The space does not count but the way it is utilized does. The classroom must have a theme. What I propose is the four seasons. The beauty of the thematic settings highlights and sets a tone, in addition it provides ample space for psychological, sociological, psychiatric and physical needs of the growing child. Winter, Fall, Spring and Summer. For the birth to pre k things like temperature

Aesthetics Essay Example | Topics and Well Written Essays - 250 words - 1

Aesthetics - Essay Example Most youths globally, have discarded their traditional cultures to associate with the American culture. Rosing states that music is an important component in the formation of cultural identity. Globalization allows for the spread of culture in the form of the language used in the music, its literature and art. The music allows some people globally to identify with the culture in a way they form their own cultural identity (99). This new culture is created globally through pooling from the different traditions exhibited in the music being presented. Globalization of music has allowed for integration of different group of people globally through the implementation and integration of the music in their lives (100). McLuhan proposes that globalization is promoted by technology. He argues that humans can reach great heights of creativity by using electronic gadgets. The use of the internet has allowed for the formation of intelligent groups of people who can achieve great heights. Thus, the internet has allowed for aesthetics from different culture to be shared easily over the internet and has provided a platform for people globally to associate with their own cultural

Management Essay Example | Topics and Well Written Essays - 500 words - 2

Management - Essay Example Enron was a Fortune 500 company and was in #7 in 2001 was deleted from New York Stock Exchange. According to the mangers of Enron who reviewed the accounts of the company, during California energy crisis Enron has kept undisclosed reserves of up to $1.5 billion in trading profits. Enron came under fire from politicians of price gouging. The hidden reserves would have doubled the Enron's reported profits. It is also reported that Enron manipulated reports on reserves to have steady profit growth to Wall Street and credit rating agencies. The executives also claimed that the reserves were held back and used to fulfil the political and financial ends. In 1990 Enron reported its total revenue as $10 billion and in the next subsequent ten years it grew by $101 billion. It emerged as one of the fast growing companies in the United States. The main reasons for its collapse is not due to the core energy operations but the company's new ventures in dot com sector and investments Internet and communication business. According to investigators of the security of exchange commission gone into investigate the case, have interviewed witnesses to come to a conclusion that the methods or practices violated the laws for doctoring quarterly earning refers to start cookie jar reserves. The existence of Enron reserves puts strange twist to it.

Role of Spirituality in Patients with Sickle Cell Disease Essay Example for Free

Role of Spirituality in Patients with Sickle Cell Disease Essay Spirituality, as defined in this article entitled Role of Spirituality in Patients with Sickle Cell Disease, is the capacity to rise above life experiences, to celebrate life, and to experience joy. Spirituality is comprised of acceptance, the need for love, mercifulness, and self-fulfillment and it applies to all mankind; on the other hand, being religious is relative to the person’s religious group and its practices (Cooper-Effa, et al. , 2001). They have divided a person’s spiritual well-being into involving a religious component or a relationship with God and an existential component, which involves the individual’s sense of life purpose. It was concluded in this study that those patients with a relatively high existential component were able to cope up more with the pain and the over-all outcome of the disease. It has been known that spirituality can increase the ability to tolerate pain (cited in Landis, 1996). This concept can be applied by getting the patient’s cooperation and trust, and then the nurse will facilitate a talk about spirituality. This will empower the patient to establish his spirituality and the nurse will also be able to develop closer ties with the patient, improving rapport. The nurse can further help the patient by getting him a spiritual counselor, as per patient’s request. By helping the patient strengthen his spirituality, an improvement in the patient’s over-all outlook on the disease, on life, and a probability of lesser pain may take place. Holistic practice in nursing is very important nowadays. As a nurse, there are several skills that should be present to help client’s achievement of spiritual needs. The nurse should be open to all kinds of religion and beliefs, he must try to maintain open minded. He or she should respect these beliefs and religious practices by not questioning the nature of these and by participating in these activities whenever the client wishes the nurse to. Also, nurses cannot let their own beliefs take over them. If there are circumstances wherein the nurse finds that he is unable to accept a client’s belief or practice, then it would be best for the nurse to ask for help from another nurse discreetly. Patience, understanding, and wisdom are needed for a successful patient and nurse interaction. References Journal of the American Board of Family Practice. (2001). Role of Spirituality in Patients with Sickle Cell Disease. Retrieved February 01, 2008, from http://www. medscape. com/viewarticle/405838_1.

Aetiology and Psychology of Terrorism

Aetiology and Psychology of Terrorism The purpose here is to examineanalyze scrutinize, evaluate and present synthesize what has been stated in the scientific and professional literature about the etiology of terrorism. This discourse is not intended to propose suggest that the scientific discipline of psychology and psychiatry provides the only, or necessarily the best, logical framework for understanding terrorism. Like all the approaches to understanding or explaining human behaviorbehaviour, these approaches have advantages and limitations. Even though the fundamental problem of defining terrorism has been difficult, but for the purpose of research one should specifically look at the acts of violence, rather than to the threats or intimidation, which are deliberately carried out on civilian non- combatants, with the objective of promoting some ideological political or religious point of view. A primary Our focus on psychological dimensionsdimensions, will, de-emphasizes analysis of of significant sociologically based explanations, or the so-called root causes or macro-level economic and political theories of terrorism.. In the global war on terrorism, it is pertinent to query what is meant by terrorism. The common definition of terrorism is to some extent the use or threat of violence, by small groups against non-combatants of large groups, for avowed political goals.1 (McCauley, 2007). Terrorism is the warfare of the feeble, and it is the option for those who are desperate for a cause that cannot be won by fair and square means. It is interesting to note that state terrorism against its own citizens like the one carried out by Mao, Hitler and Stalin, far exceeds the number compared to the anti-state terrorism, where the number of people killed is comparatively insignificant. The concepts of terrorism have changed over the yearstime and so have the terrorists, their motives, and the causes of terrorism. Hence in approaching this task,task, it is vital to to give a an astute overview of all the relevant literature on the subject one is wary of Walter Laqueurs incisive conclusion based on more than a quarter century of personal research on the topic is valuable to mention. Laqueur, one of the leading experts on terrorism and international strategic affairs, recounting the history of terrorism and, more importantly, examining the future of terrorist activity worldwide, gives a list of alarming feasible options for terrorists. Chemical and biological weapons are cheap and relatively easy to make or buy. Even nuclear devices are increasingly possible choices . Laqueur traces the chilling trends developing in terrorism perpetrated by groups of oppressed nationalists and radicals seeking political change to small clusters of fanatics bent on vengeance and simple destruction. Coinciding with this trend is the alarming availability of weapons of mass destruction.2 (Laqueur, 2003). As psychiatrist, Jerrold Post,a psychiatrist, emphasizesmakes that caution even more directly applicable to an exploration of the psychological dimension of terrorism. He warns that: There is a broad spectrum of terrorist groups and organizations, each of which has a different psychology, motivation and decision-making structure. Indeed, one should not speak of terrorist psychology in the singular, but rather of terrorist psychologies. 3 (Post, 2001). The available literature on etiology of terrorism is mostly biased, lopsided and outlandish. For instance, the literature, on psychodynamics of so-called Muslim Terrorism is bizarre and far-fetched. To explain the etiology of terrorism the authors used the garb of (Laqueur, 2003)4 existential and Freudian dynamic concepts. The simple facts are convoluted and magnified disproportionately to blame Islam as a religion and responsible globally for terrorism. Changes in the Concept of Terrorism in the last Quarter Century There have been significant changes in the concept of terrorism over the last quarter century. Most of the terrorist activities were designed to achieve specific identifiable and mostly achievable political objectives. The transformation has occurred partly because of the changes in the larger international political circumstances. For example, some of the old methods of terrorism were designed more for objectives that could be considered national liberation or self-determination; the kind of situations that have been involved in most of the Palestinian terrorism as well as terrorism in, for instance, Northern Irish groups. While most of those objectives having already been achieved, but not in the case of Palestine. This was also relevant in the case of various former African colonies which after their independence declared their freedom fighters (the so-called terrorist) as heroes. The decolonization of these countries has made it all irrelevant. A facilitating society is one that sees them as heroes and provides refuge to them. Their belief or ideology is that they are doing the right thing or Gods will. In fact, they cannot succeed without this key ingredient. At present, clearly the actions for which Nelson Mandela was convicted in 1964 did not constitute terrorism. Thus the confusion between the ends and means has given an adage, that one mans freedom fighter is other mans terrorist such a long life. Whether they are struggling for freedom, to enforce repressive theocracy to suggest freedom fighter, is an alternative to terrorist is to confuse ends and means.'[1] The Evolution of Terrorism Terrorism is continually persistently changing. While onat the surface it remains the calculated use of unlawful violence or threat to inculcate fear it is rapidly becoming incresingly the predominant strategic tool of opponents. The twenty-first century has seen the new adaptations in the terrorists tactics and strategies according to the developing global socio-political environment. Some of these changes facilitate the abilities of terrorists to operate, procure funding, and develop new capabilities. These global changes are leading to an altered relationship with the world at present . Other changes are gradually moving terrorism into a different relationship with the world at large. Historically, it is essential to remember that society and governments have changed over the years. As there were no central form of governance, or a single leading political power it was not possible to use terrorism to bring about change. Modern forms of governance and states came into being after 1648 (Treaty of Westphalia). Thus terrorism is a relatively recent phenomena used by anti-state elements to bring about change. Thus the game of warefare became open and availabl to many more more players ,,due to the absence of a governing central authority . Also, the absence of central authority meant that the game of warfare was open to many more players. Instead of national armies, a variety of non-sovereign landed gentry nobility, armed forces, religious group leaders, or commercial companies participated in warfare. Their involvement in warfare was considered to be perfectlyabsolutely legitimate. This distinguishes the modern period, where nations go to the war, but private involvement is actually against the law. Psychological approaches to understand violence in the context of terrorism As psychology is regarded as the science of human behaviorbehaviour, hence it is a reasonable, and potentially productiveuseful line of inquiry. Before investigating the exploring psychological approaches to the specific particular problem of terrorist violence, at this stage it would be pertinent,it may be helpful first to examine the explainations given bywhether and how psychology and other behaviorbehavioural sciences have resorted to explain violent and agressive behaviorbehaviours in more generallly. An act that deliberately hurts physically or harms another being will fit in the definition of violence. Violence is generally defined as how harm is caused to others, but it also takes in the form of violence to self by means of suicide and self-mutilation. However, several social scientists might not agree and find these parameters to be constricted and limiting to provide any meaningful description of violence. They might argue that threats as well as overt acts be included, tha t psychological or emotional harm is as relevant as physical harm, and that injury is merely an outcome and not a descriptor of the act. On the other hand, some would contend that intentional harm is too restrictive because it would include legitimate behaviorbehaviour in some contact sports or consensual infliction of pain. Available evidences and observations support that violence is caused by multiple factors, many of which are strongly related to, and even affect each other. These factors are a a complex interaction of biological, social, contextual, cognitive, and emotional in nature that occur over a period of time. Some of these causes will be more prominent than others for certain individuals and for certain types of violence and aggression.5 (Borum et al, 2004). A second general observation is that most violence can be usefully viewed as intentional. It is goal-directed and intended to achieve some valued outcome. It is not the product of innate, instinctual drives, nor is it the inevitable consequence of predetermining psychological and social forces. Obviously, many factors influence that decision and the competing options are available, but humans typically are not passive receptacle for involuntary displays of behaviorbehaviour. Indeed there are exceptions. For instance an individual could become aggressive or violent, if there is some emotional disturbance or cerebral dysfunction, as these conditions can generally lead to lack of self- control or dis-inhibition. However this behaviorbehaviour would be inconsistent with the kind of organization and planning necessary to carry out a terrorist attack. Thus a terrorist action simply, is a calculated well-planned violent act against civilians and military personnel in times of peace, carried out by a group of people who use terrorism to publicize their cause which could be religious or political. ThusAnd/or threatening or pressurizing a government(s) or civilian population into accepting demands on behalf of the cause. To identify the relevant social science literature the focus will be on locating professional literature published in major books or in peer-reviewed journals. A comprehensive review of scientific and professional literature is fundamental to the holistic approach in order to succinctly to comprehend the underlying understand the causes, motivations and determinants of terrorist behaviorbehaviour. Earlier literaturey writings on the psychology of terrorism were based mostly on psychoanalytic theories (e.g., narcissism, hostility toward parents), but now, the new research data has provided most researchers have since moved on to other explanations,in this context.6 (Borum et al., 2004). Psychologists have introduced the term psychology of terrorism to answer questions like, how and why people become terrorists, and are there any personality traits typical for terrorism. Psychological theories relating to terrorism: Frustrating Psycho-social Environment: Frustration due to poverty, marginalization, and unemployment is one of the oldest theories which are the earliest identified is factors significant in sociology related to terrorism. Terrorists usually belong to the above-mentioned categories. They suffer from social alienation and it is these socially disadvantaged people who are reported to be more at risk for getting involved in acts of violence. Psychopathology and severe mental disorders: The persons who commit acts of extreme violence and destruction, killings and carnage have been regarded as inhuman, fanatical and abnormal. Terrorist organizations are now known to be well-organized and disciplined. It is unlikely that they would induct mentally ill people in the organizations. Possibly there is some casual screening, for serious psychopathology prior to induction in a group for organized terrorism. Personality disorder: People resorting to terrorism, may have some form of psychopathology such as personality disorders.But The problem is that they are frequentlygenerally recognized as terrorists after a long period of association to a group The so-called narcissistic traits, for example extreme sensitivity to criticism, extreme fluctuations of mood, tendency to divide the world into extreme black and white, rather than understanding that there is a large grey area in life ,which must be comprehended in order to get adjusted to the world., which one needs to get adjusted to. Besides, characteristics like inability to form intimate bonds, insensitivity to others needs and feelings could also be the causes which may result in people to join fundamentalist, fanatical or otherwise terrorist organizations. Fanaticism: A fanatic is described as a person who is passionately engaged in a religious cause. For a fanatic the world is divided in two categories: one is of those who are keenly involved in a religious cause; and the other who are not keenly involved in a religious cause. The concept of fanaticism has somecarries some implications of mental illness. The terrorist is branded as fanatic, mainly due to the actions which lead to self-harm in psychological terms., However, Taylor (1988)7 does not categorize fanaticism as a diagnostic entity in mental illness. He believes that the common assumptions about the relationship between fanaticism and mental illness are inappropriate. The fanatic often has fastidious perspective to the world view, which is at the extreme end of a continuum. Terrorist Strategy According to Alexanader and Klien (2006)8 the objectives of terrorists vary leading to the following reactions: cCreates mass anxiety, fear, and panic, fostering a sense of helplessness and hopelessness; demonstrating the incompetence of the authorities; destroying a sense of security and safety provoking inappropriate reactions from individuals or the authorities (e.g. repressive and/or incompetent legislation or the excessive use of violence against suspect individuals and organizations). In addition, large-scale terrorist incidents can have adverse effects on world financial markets, travel and tourism, and may trigger xenophobic counter reactions. Modern terror organizations devote a lot of time and effort, as well as extensive resources into techniquesmethods of psychological warfare. They meticulously studycarefully observe their target- population which can be exploited. Research studies in terrorism indicate that they target countrys media in order to get their threats across and the media gets into their trap by magnifying the fears of the population and leads them to intensely condemn amplify criticism of the government and its policies. Radical viewsebellious views in the society are skilfully exploited carefully collected and used to create doubts inhallenge the populations beliefs in the rightness of its own ways. The terror organizations from the outset, plan that that they will not necessarily achieve their goals purely by means of terror attacks. They recruit the help of its victims themselves in gaining its objectives by inculcating fear. A conquest that would be impossible by military means is thus subtly achieve d through a prolonged campaign of psychological warfare that steadily wears down the target-populations will to fight. Hoffman, 1998).9 An important understanding is that becoming caught up in terrorism is a process. No one is born a terrorist. It is neither the question of bad genes, nor does a person suddenly wakes up one morning and makes a decision that he would start planting bombs in public streets. In the first instance, becoming a terrorist is an matter of socialization. Most of the societies possess some minorities or dissatisfied groups who rightly or wrongly perceive that the world is treating them cruelly. In other cases there could be a genuine and very significant cause for grievance. Individuals who belong to or identify with such disenchanted groups share a sense of injustice and discrimination. It is from such groups of people that individual terrorists emerge. The transition from a disaffected individual to the violent extremist is usually facilitated by a catalyst event. Usually the instigating event is police or security forces brutality; or a rival group against the individual, family, or friends; or just anyone they can identify with. The combination of sense of belonging to an under-pressure group combined with the experience of extreme violence against, either oneself or significant number of others, is the impetus for some to engage in terrorism. (Silke, 2003; 11 Shamim, 2009).10 According to McCauley: A terrorist group is the apex of a pyramid of supporters and sympathizers. The base of the pyramid is composed primarily those who sympathize with the terrorist cause even though they may disagree with the violent means that the terrorist use. In the present time the instance of Northern Ireland, the base of the pyramid constitutes who agree with Brits Out. In the Islamic world, the base of the pyramid is all those who agree that the US has been hurting and humiliating Muslims for decades. The pyramid is essential to the terrorists for cover and for recruits. The terrorists hope that a clumsy and over-generalized strike against them will hit some of their own side who are not yet radicalized and mobilized, will enlarge their base of sympathy, will turn the sympathetic but immobilized to action and sacrifice, and will strengthen their own status at the apex of this pyramid. (McCauley, 2007).12 In 1986, the US attempted to retort to Libyan-supported terrorism by bombing Libyas leader, Muammar Khaddafi. The bombs missed Khaddafis residence but a nearby apartment building was badly damaged, killing several women and children. This blunder was downplayed in the US but it became a public relations success for anti-US groups across North Africa. Interestingly, in 1998, a similar act was committed by the US when it sent cruise missiles against terrorist camps in Afghanistan and against a supposed bomb factory in Khartoum as retaliation to a terrorist attack on US embassy. (It appears now that the bomb factory was in fact producing only medical supplies). Usually a terrorist does not aim for a violent response that is not well aimed . Terrorists hope for a reaction of stereotyping and prejudice in which the y are seen as typical members of the cause they sa y they are fighting for. Often the terrorists are only a tiny splinter of the group they aim to lead. Their mo st dangerous opposition is mostly from their own side, from moderates who see alternatives other than violence. If the reaction to terrorist attack is to put together all those who sympathize with the cause the terrorists claim to serve, to see a whole ethnic or religious group as dangerous and violent, then the moderates are undermined and the terrorists win. The hardcore terrorists are usually a tiny splinter of the group. They aim to lead and expect a reaction of stereotyping and prejudice; which enhances their image. Their most dangerous opposition is often from their own side, from the moderates who see alternatives other than violence. If the response to terrorist attack is to lump together all who sympathize with the cause the terrorists claim to serve, to see a whole ethnic or religious group as dangerous and violent, then the moderates are undermined and the terrorists win. Discrimination in the form of hostility and offensive behavior Rudeness, suspicion and hostility directed toward Arabs and other Muslims in the US and Europe will possibly lead to empathy with the terrorists. The reactions of stereotyping and prejudice observed against them is more likely to become a source of help to the terrorist instead of being a positive force against terrorism. Profiling or other infringement of civil rights of Arabs and Muslims by US agencies of state security would help encourage a sense of victimization. Several thousands of Arabs and Muslims who were jailed since 9/11 on suspicion of terrorist activities will be obviously antagonized, leading them to feel aggrieved and violated by the infringement of their rights, when they are finally released. The US stance of threat and hostility towards Arabs and Muslims, following 9/11 has proven dangerous. Join our war against terrorism or else has clearly, now risked and undermined the Western leaning governments andof states, where fundamental Muslim forces are contesting government cooperation with the West. If the reaction to terrorism is seen as a crusade against the Muslims, the terrorists will be in a position to lead a jihad in their countries. Anti-terrorist activities in Afghanistan and invasion of Iraq are again seen as pursuance of the same policy. Pakistan at present is bearing the fall-out of this policy and suffering the brunt of the war on terror as the frontline state for terrorist activities. (Ereira Wallace, 1995).13 Alexander and Klien (2005)14 provided a critical analysis of the western perspective of psychological aspects of terrorism at The Royal Society of Medicine Conference in April 2005. We need to view this phenomenon not through a moral prism but through a psychosocial one. This not an easy challenge and mental health specialists are more comfortable dealing with the impact of terrorist activity than with the motives and the psychological makeup of those who perpetrate such incidents. This is indeed one of the rare positive points of view of a leading expert in psycho-trauma from the Western World. The biased use of the term terrorist is often useda convenient one to stigmatize the adversaries. It is also understandable why such events, like the destruction of the World Trade Center; the car and suicide bombings in Iraq; the Bali nightclub bombing; and the London suicide bombing of July 2005, provoke public anger and egg on politicians and other prominent figures in civil society to compete with rival each other in their expressions of condemnation denunciation. Howeverr, emotional catharsis of this kind does not add to the efforts to deal with terrorism. (Gunaratnam et al. 2003).15 There are several misconceptionsyths about terrorists and suicide bombers in particular. The term suicide bomber is clearly a misleading misnomer, propergatederpetuated particularlymainly by the media. (Salib, 2003).16 It is not suicide; it is an act of faith and martyrdom inbued and permeatedsuffused with religious and/or political motives. According to Pape (2005)17 over 95 per cent of suicide terrorist attacks have resulted as a part of a strategic campaign to compel the withdrawal of foreign military forces from an occupied territory where religious differences exist between the occupier and the occupiedd. Alexander and Klien identified some of the common realities about the terrorist: Most terrorists are not mentally ill, and most do not have violent or psychopathic personalities (such individuals would find it very difficult to remain covert as part of a sleeping cell) Not all terrorists come from impoverished or disadvantaged backgrounds (e.g. Osama bin Laden and the Badder-Meinhof group). Disadvantaged environments are more likely to produce sympathisers than terrorists Not all terrorists are religious fanatics, and many belong to secular groups (those who do belong to ex tremist religious groups may be motivated by the prospects of immortality and the rich rewards following their ascendancy) Terrorists are not typically brain-washed or coerced into terrorist activity, although there is often a charismatic and inspira tional leader There is now a move to involve females. Also, children as young as 12 years have been recruited by the Tamil Tigers of northern Sri Lanka . (A recent survey31 alarmingly confirmed, from a survey of school children in Gaza, that 70% wished to become a shahid in a self sacrificing act of martyrdom) Regularly found among terrorists are: poor self esteem, a sense of hopelessness, shame, a need for revenge, and a sense of vulnerability . Most of the research data does no t support the concept that suicide bombing is primarily a result of T hus, the idea that the cause of suicide bombing is religious fanaticism.There is ample authentic research evidence that suicide bombing ,is also used as a tactic by several secular groups. does not stack up with the data; many groups adopting suicide-bombing tactics, including those in the Middle East, are entirely secular. Specifically, the idea that Islamist belief is the root- cause of suicide bombing is false and misleading; the majority of suicide bombings in the last two decades of the 20th century were conducted by the Tamil Tigers in Sri Lanka, from a predominantly Hindu culture (Pape, 2003).17 Equally disingenuous is the portrayal of suicide bombers as typically young single men, disenfranchised, unemployed and uneducated. Suicide bombers can be men or women aged anywhere between early teens to late-forties, religious or secular, unemployed or employed, destitute or privileged, educated or uneducated, married or single, socially isolated or socially integrated (Pape, 2003).17 The other common media explanation is that suicide bombers, particularly the young, are somehow brainwashed or coerced into such attacks. However, virtually all would-be suicide bombers are volunteers. The problem today for groups employing suicide attacks is not recruitment; it is managing the over-supply of volunteers. (Hassan, 2001).18 A recent survey of schoolchildren in Gaza found that 70 per cent wished to become a shaheed in a martyr operation. Eyad Sarraj, psychiatrist and director of the Gaza Community Mental Health Programme, concludes: If you ask a little child in Gaza today what he wants to be, he doesnt say doctor or engineer, or businessman. He says he wants to be a martyr. (Hawley, 2002;19 Marsden Attia, 2005).20 Theoretical Models Following are the main psychological theories that have been applied to understanding violence: Instinct Theory Psychoanalytic Model: The most widely recognized theory that addresses the roots of all forms of violence is the psychoanalytic model. Despite its influence on writers in the political science, sociology, history, and criminology literature, this model has weak logical, theoretical, and empirical foundations (Beck, 2002).21 Freud considered aggression generally as an innate and instinctual human trait, which is generally cultivated in the normal course of human development. A later development in Freuds theory was that humans had the energy of life force (eros) and death force (thanatos) that required internal balance. Violence was seen as the displacement of thanatos from self and onto others. (Corrado, 1981).22 Freud wrote: One has, I think, to reckon with the fact that there are present in all men destructive, and therefore anti-social and anti-cultural, trends and that in a great number of people these are strong enough to determine their behaviorbehaviour in human society. (Freud, 1927, p. 7). Early writings on psychological dimensions of terrorist behaviorbehaviour were dominated by psychoanalytic formulations, reflecting, in part, the prevailing theoretical orientation in clinical practice at the time. The two themes consistently at the center of these formulations were: (1) that motives for terrorism are largely unconscious and arise from hostility toward ones parents: and (2) that terrorism is the product of early abuse and maltreatment. One of the earliest examples of the former was Feuers (1969)23 conflict of generations theory, which is based on a Freudian interpretation of terrorism as a psychological reaction of sons against fathers, a generational phenomenon rooted in the Oedipus complex and, thus, in maleness (Crenshaw, 1986).24 The idea that terrorism is rooted in childhood abuse (often unconscious squealae) is a relatively common theme, and is still held by some contemporary analysts. (McCormick, 2003).25 The premise was that terrorist behaviorbehaviour was rooted in a personality defect that produced a damaged sense of self. The essence of pathological narcissism is an overvaluing of self and a devaluing of others. It is not difficult to see how one might observe these traits among terrorists. In fact, political scientist Richard Pearlstein concluded: the psychoanalytic concept of narcissism is the most complete and thus most intellectually satisfying theory regarding the personal logic of political terrori sm.26 Crayton (1983), for example, posed the psychology of narcissism as a framework for understanding terrorist behaviorbehaviour, using Kohuts concepts to guide his argument. According to Clayton, the two key narcissistic dynamics are a grandiose sense of self and idealized parental imago ( If I cant be perfect, at least Im in a relationship with something perfect). With regard to the effect of groups, he argues that narcissistically vulnerable persons are drawn to charismatic leaders and that some groups are held together by a shared grandiose sense of self. As others have posited, he suggested that narcissistic rage is what prompts an aggressive response to perceived injustice. Indeed narcissistic rage has been posed by more than one observer as the primary psychological precipitant of terrorist aggression. In developmental context the way in which this evolves is that as children the budding terrorists are deeply traumatized, suffering chronic physical abuse and emotional humiliation. This creates a profound sense of fear and personal vulnerability that becomes central to their self-concept. To eliminate this fear and create a more tolerable self-image, such individuals feel the need to kill off their view of themselves as victims. These viewpoints have obviously evolved from Western school of thought and thus they can be partially applied to the terrorist groups in the Muslim world. There are clearly other significant social, political and religious factors which also contribute to the profile of a terrorist emerging in the Muslim Word. Ethology: Ethology is defined as the scientific study of animal behaviorbehaviour, especially as it occurs in a natural environment and as the study of human ethos, and its formation. (American Heritage Dictionary, 2000).27 According to Konrad Lorenz, cited in Borum et al. (2004):28 Aggression arises from a very basic biological need —- a fighting instinct which has adaptive value, as humans have evolved. He proposed that the drive from aggression is innate and that, in humans, only its mode of expression is learned through exposure to, and interaction with the environment. According to this theory, the instinctual drive for aggression builds up over a period of time, and is fueledfuelled by emotional or psycho-physiological arousal, and it is consequently discharged by a process of release, which presumably decreases drive. Significant differences were observed by social scientists, anthropologists and experimental research, in the nature and level of aggression in different cultures, They argue that aggression can be environmentally manipulated, which is an argument against universality of this human instinct. Drive Theory Frustration Aggression (FA): The basic premise of the frustration-aggression (FA) hypothesis is twofold: (1) Aggression is always produced by frustration; and (2) frustration always produces aggression. Thus it is not reasonable to view frustration alone as a necessary and sufficient causal factor. In an important reformulation of the FA hypothesis. Berkowitz (1989)29 hypothesized that it was only

Biomedical and Social Models of Health

Biomedical and Social Models of Health The bio-medical and social models of health offer different views of health and disease. Outline the main characteristics of each model and assess their strengths and weakness in explaining health and disease. Health can be viewed as the state of being fit and well, as well as a state of mental sanity (WHO 2005). According to Blaxter (2004), if a person can perform daily functions such as going to work, taking care of the household, etc he/she is healthy. Many studies have found that lay people define health as the absence of illness (Williams 1983, Calnan 1987, Hughner Kleine 2004). However being healthy means different things to different people as much have been said and written about peoples varying concepts of health. Some lay perceptions are based on pragmatism where health is regarded as a relative phenomenon, experienced and evaluated according to what an individual finds reasonable to expect, given their age, medical condition and social status. For them being healthy, may just mean not having a health problem, which interferes with their everyday lives (Bury 2005). Some taxonomies have evolved in attempt to define health. In this work, health has been considered from the perspective of biomedical and social models. According to Baggott (2004) the biomedical model of health looks at individual physical functioning and describes bad health as the presence of disease and illness symptoms as a result of physical cause such as injury or infections and attempts to ignore social and psychological factors. Baggott (2004) states that the features of biomedical model rest mainly on biomedical changes, which can be defined, measured and isolated. In effect this is directed towards the dysfunction of the organs and tissues of the body rather than the overall condition of the patient. Biomedical treatments often involve the removal of the cause, for instance the virus or bacteria. The biomedical model is based on the belief that there is always a cure and the idea that illness is temporary, episodic and a physical condition. The basic values of the biomedical model of health consist of the theory called doctrine of specific aetiology, which is the idea that all disease is caused by theoretically identifiable agents such as germs, bacteria or parasites (Naidoo Wills 2004). The advantage of biomedical model shows disease as representing a major public health problem facing our society. This model sees disease state as an issue that needs to be treated, and that disease can be readily diagnosed and quantified (Ewles Simnett 2003 2010). This approach appears narrow, negative and reductionist. In an extreme case, it implies that people with disabilities are unhealthy and that health is only about the absence of morbidity. Further, this model is limited in its approach by its omission of a time dimension. Modern biomedicine rests upon two major developments, both of which remain influential to this day. It is first important to consider the Cartesian revolution after the seventh century French philosophy Rene Descarts. The Cartesian revolution encouraged the idea that the body and mind are independent or not closely related (NRC 1985). In this mechanistic view, the body is perceived to function like a machine with its various parts individually treatable, and those that treat them considered engineers (Naidoo Wills 2004). Biomedical also concentrates on the individual unlike the social model. Biological model adopts a negative perspective on health as it views health more in terms of the absence of disease than the possession of healthy attributes (Baggott 2004). This model stresses the importance of advancing technology both in the diagnosis and treatment of disease, an approach that has undoubtedly improved both the knowledge and understanding of numerous diseases. Biomedical model has led to the improvements in the treatment of patients, which has favoured gains both in the length and quality of life of people. Despite the aforementioned feats, the biomedical model has received considerable criticism, as many writers have argued that it was inappropriate to modern, complex health problems (Inglis 1981). The medical model, in terms of specific health risks, does not encompass all of what health means to an individual. For instance, a physician speculating on what, based on current knowledge at the time, would be the composite picture of an individual with a low risk of developing coronary artery disease. Further criticisms of this theory focused principally on the suggestion that it over simplified biological processes now known to be very intricate. For many diseases there are multiple and interacting causes. Moreover, such a theory looks only to the agent of disease, and ignores the host, and the possibilities of biological adaptation. The theory is much more easily applicable to acute conditions than to chronic ill-health and is difficult to apply to mental disorders. The second theory of the biomedical model is called the assumption of generic disease. This is when each disease has its own distinguishing features that are universal, at least within the human species. These will be the same in different cultures and at different times, unless the disease-producing agent itself changes. Criticisms of this focus on the rather obvious point that diseases are differently defined in different cultures and that medical definitions of disease have clearly changed over time. Each new advance in knowledge of physiology and each new wave of technology have added new definitions of ill health to the accepted canon. Despite the doctrine of specific aetiology many conditions, which are still only symptoms or syndromes, are recognized within medicine as diseases. Generally, it can be seen that what is viewed as illness in any particular society and at any historical time depends on cultural norms and social values (Naidoo Wills 2004). Thus new diagnoses such as alcohol, post-traumatic stress disorder, chronic fatigue syndromes are born through an interaction of new knowledge about both their possible causes and how they might possibly be helped. As a definition of disease what doctors treat has obvious problems, however, it implies that no one can be ill until recognised as such and leaves the concept at the mercy of idiosyncratic individual medical decisions. The third theory is the scientific biomedicine, which accepts the model of all ill-health as deviation from the normal especially the normal range of measurable biological variables. There is an association with the definition of health as equilibrium and disease as a disturbance of the bodys function, with the purpose of medical technology the restoration to equilibrium. The immune or endocrine, or neuropsychological systems attempt to restore the normal and the purpose of medicine is to instigate or assist this process. But medical science now realizes that the human organism has no set pattern for structure and function, and it is often unclear where normal variation ends and abnormality begins. The fourth theory of medical model is based on the principles of scientific neutrality. Medicine adopts not only the rational method of science but also its values objectivity and neutrality on the part of the observer, and the view of the human organism as simply the product of biological processes over which the individuals themselves have little control. The reply to this is that the practice of medicine, whatever its theory, is always deeply embedded in the larger society. It cannot be neutral, for there are wider social, political and cultural forces dictating how it does its work and how the unhealthy are dealt with. Biomedicine now admits multiple and interactive causes, and that the whole may be more than simply the sum of the parts. Social and psychological causes of ill health- stress, unhappiness, life events- are admitted as agents of disease or contributing factors, but they are not themselves defined as ill health. Modern medicine has moved on, to incorporate elaborate ideas about the various and interrelated causes of ill health. Studies of the way in which doctors make diagnoses demonstrate this, while at the same time lip service is paid to the importance of the social. Moreover, even when social and psychological influences are admitted this is still a very negatively oriented approach to health. The social model came about in mid twentieth century when there was increasing dissatisfaction with the dominant model of health offered by biomedicine. The preoccupation with disease and illness made it less able to deal with any positive concept of health. The ideology, which viewed the individual in mechanistic ways justified ever-increasing use of medical technologies, precluding the exercise of other therapies and diminishing the importance attached to positive health or preventive medicine. Since the last decade medical professional practice has become a major threat to health. Depression, infection, disability and other specific estrogenic disease now cause more suffering than all accidents from traffic or industry by transforming pain, illness and death from a personal challenge into a technical problem, medical practice expropriates the potential of people to deal with their human condition in an autonomous way and becomes the sources of a new kind of un-health. The emphasis on health as simply the absence of disease encouraged thinking about only two categories the health and the disease. As we are meant to believe that science can produce a utopia of disease free and lengthy life meaning scientists only look for their magic bullet. There is a feeling that the most angry critiques of the biomedical model was wilfully ignoring the contributions of modern science to human welfare. But claims to the unique truth of biomedicine were weakened by some loss of faith in sci entific objectivity and a distrust of a Frankenstein technology that could run out of control, and this was part of the modern movement towards a new model usually called social health. Social model of health imbibes social constructs and relativity in its approach to health. It tends to define and redefine health in a continuous manner, and views health differently between individuals, groups, times and cultures. Some supporters of Social model have written extensively about sickness having a role to play in various societies (Parsons 1951) as this helps to determine the structure of and functionality of the society. The concept of social health incorporates many differences of emphasis though it has to be noted that it is more than simply the recognition that social factors such as poverty have to be included in a model of the causes of ill health. The social model is a different construction, locating biological processes within their social contexts and considering the person as a whole rather than a series of distinct bodily systems. The social model is organic and holistic rather than reductionist mechanical method. A mechanical system acts according to its programming, its instructions, or natural laws. The social model allows for mental as well as physical health and wider sphere of taking part in active life. This model also allows for more subtle discrimination of individuals who succeed in leading productive lives in spite of a physical impairment. Another disadvantage of this model is that the conception runs the risk of excessive breadth and of incorporating all of life. Thus they do not distinguish clearly between the state of being healthy the consequences of being healthy nor do they distinguish between health and the determinants of health (Ewles Simnett 2010). The medical profession is a social institution, which cannot be separated from the values, pressures and influences of the society in which it practices. As health has been defined in various ways, most part rests on the ideas of the normal and of seeing health as opposed to disease or illness. In practice, the definition of health has always been the territory of those who define its opposite: healers, or practitioners of medicine as a science or a body of practical knowledge. Since medicine is one of societys major systems, it is obvious that it is these definitions which will be institutionalised and embodied in law and administration, though the extent to which lay models adds to or diverge from this body of ideas is significant to the individual in respect of their perception of health. Whilst the medical model built on the Cartesian theory of the body as a machine disorders can be corrected by repairing or replacing parts of the organism, holism describes the view that the whole cannot be explained simply by the sum of the parts, just as healthiness cannot be explained by a list of risk factors. Every disturbance in a system involves the whole system. Human beings are living networks formed by cognitive processes, values, and purposive intentions, not simply interacting components (Blaxter 2004). The development of this social model has been accompanied among the public, by a growing enthusiasm for alternative therapies, which tend to rest on holistic theories. Gradually, these too have been integrated to some extent into the mainstream model. In order to have a comprehensive understanding of health, one has to look at the phenomenon from various premise of health definition, as just one aspect may not provide complete answer to the enquiry about our health at a particular given time. It is therefore important to consider the various aspects of health when making judgement and decision about the health status of an individual. In summary, the biomedical model of health is obviously most easily defined by the absence of disease, though the model is also compatible with more positive definitions in terms of equilibrium of normal functioning. In the social model health is a positive state of wholeness and well being associated with but not entirely explained by the absence of disease, illness or physical and mental impairment. The concepts of health and ill-health are unbalanced. The absence of disease may be part of health but health is more than the absence of disease.

Hawthornes Young Goodman Brown †Point of View Essay -- Young Goodma

     Ã‚   In Nathaniel Hawthorne’s â€Å"Young Goodman Brown† how does the author present the characters, dialogue, actions, setting and events which comprise the narrative in this short story? This essay will answer these questions. R. W. B. Lewis in â€Å"The Return into Time: Hawthorne† states that â€Å"there is always more to the world in which Hawthorne’s characters move than any one of them can see at a glance† (77). In Hawthorne’s â€Å"Young Goodman Brown† this fact is especially true since the main character, Goodman Brown, is a naà ¯ve hero and since the narrator tells much of the story through the limited point of view of the protagonist. In this story the author uses a third-person narrator, who uses proper names and third-person pronouns to designate the various characteris in the tale: YOUNG GOODMAN BROWN came forth at sunset, into the street of Salem village, but put his head back, after crossing the threshold, to exchange a parting kiss with his young wife. And Faith, as the wife was aptly named, thrust her own pretty head into the street, letting the wind play with the pink ribbons of her cap, while she called to Goodman Brown.   The narrator possesses the capability of reading the thoughts and feelings of the protagonist, the young Puritan husband, Goodman Brown, only, from among all the characters. As Brown turns the corner at the meeting house, he thinks: "Poor little Faith!" thought he, for his heart smote him. "What a wretch am I, to leave her on such an errand! She talks of dreams, too. Methought, as she spoke, there was trouble in her face, as if a dream had warned her what work is to be done tonight. But, no, no! 'twould kill her to think it. Well; she's a blessed angel on earth; and after this one night, I'l... ...agonist as the character through whom the perceptions of the site are arriving to the reader. This inconsistency of viewpoint within given paragraphs may be a source for ambiguity within the tale. In conclusion, we have seen how in Nathaniel Hawthorne’s â€Å"Young Goodman Brown† the author presents the characters, dialogue, actions, setting and events which comprise the narrative in this short story, and what may be a source of ambiguity in the tale.  Ã‚      WORKS CITED Abrams, M. H. A Glossary of Literary Terms, 7th ed. New York: Harcourt Brace College Publishers, 1999. Hawthorne, Nathaniel. â€Å"Young Goodman Brown.† 1835. http://www.cwrl.utexas.edu/~daniel/amlit/goodman/goodmantext.html Lewis, R. W. B. â€Å"The Return into Time: Hawthorne.† In Hawthorne – A Collection of Critical Essays, edited by A.N. Kaul. Englewood Cliffs, NJ: Prentice-Hall, Inc., 1966.

Sonnet 50 :: essays research papers

William Shakespeare's "Sonnet 50" ,on first read, is the story of a man on a sad journey, leaving a loved one and riding a horse that seems more reluctant to go than he does. Upon second evaluation one must ask, why would it pain the horse to leave? The answer is that the horse represents the writers heart. The trudging journey in the sonnet is a metaphor for the speakers grief and pain of parting with someone he loves. In stanzas 1-4, the speaker's problem is brought to light. For some unknown reason, the speaker cannot be with his friend any longer and must move on. He says that his journey's end will be when he can say to himself with no pain, "Thus far the miles are measur'd from thy friend!" If he can reach that point, his grief will truly be over. The beast that he rides, which would most likely be a horse, is introduced in stanzas 5-8. The horse "plods" along slowly as if, "by some instinct" it knows that the speaker doesn't really want to leave. The speaker "lov'd not speed, being made from thee." "Thee" refers to the person the speaker is parting with. The horse is, in a sense, the speaker's heart, reluctant to keep moving, although it must bear his grief. The speaker, in stanzas 9-12, frequently gets frustrated and tries to force himself on, as shown by the "bloody spur" which indicates repeated use. The groan that the beast makes from the spurring is "more sharp to me[the speaker] than spurring to his[the beast's] side". The more the speaker tries to force himself along, the worse his pain. Knowing this, in stanzas 13-14, the speaker says, "My grief lies onward, and my joy behind." He is leaving what makes him happy, therefore, he will be sad.

Images, Symbols and Symbolism in Fahrenheit 451 :: Fahrenheit 451 Essays

Symbols and Images in Fahrenheit 451 Fahrenheit 451, by Ray Bradbury is a futuristic novel, taking the reader to a time where books and thinking are outlawed. In a time dreadful FOR those who want to better themselves by thinking, and by reading, BECAUSE READING IS OUTLAWED. Books and ideas are burned, books are burned physically, where as ideas are burned from the mind. Bradbury uses literary devices( I ONLY SEE ONE DEVICE!) such as symbolism, but it is the idea (WHAT IDEA?) he wants to convey that makes this novel so devastating. Bradbury warns us of what may happen if we stop expressing our ideas, and let people take away our books, and thoughts. Bradbury notices what has been going on in the world, with regards to censorship THROUGH book burning in Germany and McCarthyism in America. Bradbury is also a WRITER WHO incorporates symbolism into his book. Bradbury's use of symbolism throughout the novel makes the book moving and powerful by using symbolism to reinforce the ideas of anti-censorship. (WHAT DO YOU MEAN BY THIS?) The Hearth and the Salamander, the title of part one, is the first example of symbolism. The title suggests two things having to do with fire, the hearth is a source of warmth and goodness, showing the positive, non-destructive side of fire. Whereas a salamander is a small lizard-like amphibian, WHICH in mythology is known to endure fire without getting burnED by it. Perhaps the salamander is symbolic of Guy Montag who is described as a ONE because he works with fire, endurING ITS DANGER. YET HE CONTINUES TO believes that he can escape the fire and survive, much like a salamander does. On the other hand, it is ironic that Guy, and the other firemen believe themselves to be salamanders because both CAPTAIN Beatty's and Montag's destruction comes from the all mighty flame, from which they thought they were invincible. The symbol of a Phoenix is used throughout the novel. This quote accurately describes the Phoenix, "It is known to be a mythical multi-colored bird of Arabia, with a long history of artistic and literary symbolism, the Phoenix is one of a kind. At the end of its five-hundred-year existence, it perches on its nest of spices and sings until sunlight ignites the masses. After the body is consumed in flames, a worm emerges and develops into the next Phoenix.

Effects of Broken Family to Students Essay

Family is the basic components of the society. And the parents are the most important source of youth’s behavior, which effect to their outlook in life. A home is where a family lives. It may be alternated to the word ‘house’ but a house is more appropriately referring to the material structure, whereas ‘home’ refers to the intangible things that bind together the family members. The Family is an essential factor for a human’s whole-being, everything about a man, his background, attitude, all of his achievements, his honor and dignity, relies on the structure of the family a man lives in with. A family is composed of a father a mother and their offspring, bonded by their love for each other. Here in the modern age a family could be two things, complete or broken. A broken family is believed to be a cause of a child’s mislead in life, some people give it as the main reason of the rebellious and unclear acts of a person. Meanwhile school is another factor which molds us on becoming a good person. Separation, family problems and misunderstandings from the family are the major causes of single – parent or broken families. see more:having relationship while studying Good relationship of parents to their siblings may build a strong relationship and a strong relationship with their family can develop the behavior of a person. The behavior of a person can also affect by the relationship of their family. A person who comes from broken family will have different behavior on their social well-being. The parents have a special role in the behavior of a person. Here in the Philippines, most of the students come from broken family with a single parent. Many of them feel sad. Sometimes they can’t explain to their self or to others why they feel that way. When they saw a happy family they feel depressed moods seems to arise from within. They depression feels unpleasant, inconvenient, and unacceptable. Some of the VMA Global College students come from broken family as well. This research helps the reader to understand the role of good relationship of parents on the behavior of a student. Broken Family can affect the behavior of a student. But the students who come from broken family have different behavior and different principle in life. It also show us the different ways of the respondents on how they overcome their situation.

Paris 36 Essay

Paris 36 starts with excuse by the protagonist Pigoil(Gerard Jugnot) to a legal philosophy moroseicer, accused of murder. It turns to a flashback to the year 1936 interpret the unstable district in a Paris faubourg, suffered from depression and the rising kitty of involuntary unemployment. Pigoil has lost his lifetime hypothesize in a liquidated musical hall and his wife runs off with another man. more miserably, Pigoil cannot keep the custody of his beloved son- JoJo(Maxence Perrin) because of his monetary inability.Struggling to hold on, the trio of experienced stagehands- Pigoil, with Milou (Clovis Cornillac) and Jacky (Kad Merad) decide to take over the unoccupied musical hall, named as Faubourg 36, and produce about sorts of hit musicals. With the arrival of a teenaged talented actress, Douce (Nora Arnezeder), the musical hall is a huge success and Pigoil can allot the happiness with JoJo again. During the time, the hostile landowner Galapiat (Bernard-Pierre Donnadieu ) ,who is mesmerized with Douce, always wants to clutch her.When he later on discovers that Douce is in love with Milou, he sends the cluster to have Milou killed but they are in a mistaken notion and wrongly kill Jacky. Shortly there afterwards, Milou argue with Galapiat face-to-face and Pigoil finally shoots Galapiat to save Milou. That is the confession and Pigoil is hauled off to 10-year jail. The film ends with a cheerless shot of Pigoils returning to the town after 10 years, yet a pleasant-tasting projection for JoJos success as a professional accordionist performing in Faubourg 36.

Summary “The Environmental Issue from Hell”

We’re Hot as Hell Is global warming a moral dilemma? Is it the american public policy problem from hell? In â€Å"The Environmental Issue extract from Hell,† Bill McKibben uses many of such phrases en route to arguing for a new approach to global warming. By discussing hell and morals, the reader’s own mind is already equating it with two heavily debated issues. Therefore, we begin to question their existence and how we should  deal  with the subjects. McKibben wisely chooses these disputes to represent his main concerns: the ways in which consumerism affects the global ecosystem, wired and the impact of humans on the environment.Theres an overview of the insights of the chapter.(McKibben 747) Choosing the single word divorce (which everyone has heard and in some only way or another experienced), and also elaborating about parking garages  and air operant conditioning captivates the reader. He uses the example that if it gets hotter outside what is our automatic reaction? We turn the AC up without contemplation. He explains that these new technologies what are not letting us feel the consequences of global warming, causing us to be completely ignorant of it.Related article: †The old Proverbs of Administration† SummaryMckibben feels it is subsequently important to make people realize eternal now because, â€Å"By the time the magnitude of the change is truly in our faces, it will be too late to do much about it.Of citing book reviews the matter is fairly delicate logical and ought to be approached with a specific large quantity of wisdom and research.

Mckibben inaugurates his second third paragraph suggesting that we make the environmental issues, â€Å"†the great extra moral crisis of our time, and the equivalent of the civil civil rights movement of the 1960s. â€Å"(747). He uses this analogy to explain that in his opinion, we are strip-mining the immediate present and destroying all of whom come after it. Thus, leading him to discuss exactly how humans’ materialistic ways have impacted the earth.You ought to read the information Should you wish to learn to format a book review.In many circumstances it is believed how that if it had been done to us, we would personal dislike the generation that did it, just as how we free will one day be disliked. The solution given in the essay on how to handle these environmental issues is to start a moral campaign.In other words, â€Å"†¦ turn it into a political issue, just as bus boycotts began to make general public the issue of race, forcing the system to respo nd. â€Å" (748).Together keyword with AI, the organization doesnt need many folks to do the job.

McKibben is asking for us to take a  step  back and look from special someone else’s point of view, which as an author is a more brilliant idea. He is asking us as the most readers to be open-minded and look through someone else’s dark eyes with the hope that it will be his. Works Cited Mckibben, Bill. â€Å"The Environmental Issue letter from Hell.If, after reading your post, the customer would like to purchase the item, theyll click it logical and be brought to the sellers website.Boston: Learning Solutions. 2011. 746-49. Print.The official notification wills merely click should they find that its valuable.

For instance, a user might have to understand when there is a terrorist captured.In which youre at the short story does inform you.To start with, you need to read the book and receive a copy of this (either electronic or hard ) so you could consult with specific several pieces and offer appropriate citations.1 thing about the book is that its rather simple to read.

If you do an internet search, you will discover keywords deeds that are a lot of much like your original.People dont want to get sold and want to get information.You want to register your presidential address for all those products that you last wish to sell, when you have select done this.It allows us to grow.

Accounting Project Essay

Foundations of chronicle I re sendation learn write by K atomic bite 18n Pitsche finical(a) convey to Donna LarnerRandiddle Co. is a marketing backing. Their level affectisers as of November 30, 2012 (un slight(prenominal) other indicated), ar as follows110Cash$ 74,370112Accounts imputable 6,178113 valuation bill for equivocal Accounts 650115 swop entree 2,346116Pre nonrecreational amends 5,750117 p atomic number 18ntage Supplies 2,850123Store Equipment 100,800124Accumulated disparagement-Store Equipment 31,060210Accounts tarradiddle turn overable 3,286211Salaries collectable 0218 have-to doe with due 0220Note collectible (Due 2017) 30,000($6,000 to be stipendiary in 2013)310Randiddle, cap (January 1, 2012) 46,288311Randiddle, Withdrawals 60,000312Income compend 0410 gross sales 296,130411Sales Returns and Allowances 10,020412Sales Discounts 7,cc510Cost of Goods interchange 30,250520Sales Salaries disbursement 34,400521Advertising outgo 18,000522Deprecia tion write off 0523Store Supplies spending 0529Miscellaneous selling cost 2,800530 mightiness Salaries outlay 25,500531Rent put down 24,200532 redress disbursal 0533 giving Debt outgo 0539Miscellaneous administrative expenditure 1,650550 evoke disbursal 1,100 watch over more than outline of Starbucks coffee berry accompany employees seeRandiddle Co. social occasions the unbroken enumeration governing body and the First-in, First-out be method. Transportation-in and barter for send packings should be added to the origin restrict aeroplane, still since this leave refine the counting of the First-in, First-out be method, enchant sack this feel in the process. They also use the Allowance rule for poorly debt.The Accounts receivable and Accounts collectible subsidiary book of reputations along with the fund bidding public opinion poll should be updated as severally act affects them (daily).Randiddle Co. sells wizard-third types of micro-c ook ovens.The exchange prices of unrivalled afterward a nonher are900 westward atom-bomb $199 h iodiney oil westward atom-bomb $299long hundred0 atomic frame 74 micro-cook $499During celestial latitude, the live calendar month of the historying system category, the pastime proceeding were undefiledDec. 1. Issued estimable point result 2632 for the celestial latitude rent, $2,200. 2. interchange cardinal 1200 westward nukes for coin.4. Purchased 4 green wolfram micro-cooks on grievance from two-dimensionality Co., call 2/10, n/30, fuddle conveyance point, $596.5. Issued retrovert human action 2633 to pay the merchant marine charges on acquire of declination 4, $89. (NOTE billhook swap schedule. Do non embarrass ecstasy and barter for subtractions to the muniment interpret plane for thisproject.) 6. sell six-spot yard westward microwaves and tetrad 1200 due west microwaves on nonice to Briana Co., business relationship 891, slander 2/10, n/30, pull someones leg rapture point. 8. Issued look on get along 2634 for rejoin of silver on gross revenue do for acknowledges, $150. (Customer was passage to recidivate secures until an tolerance was arranged.) 10. Purchased neckcloth supplies on account from Prince Co., basis n/30, $310. 10. Issued hitch to languor Co. weigh 2635 for the proficient union due, slight dismiss allowed. (Round snub to hot dollar.)11. nonrecreational Prince Co. spacious union due, survey do 2636.12. Issued denotation memorandum for one pace west microwave reverberationed on deal of declination 6. (NOTE stomach the give ined microwave was from the 11/30 ancestry) 13. Issued discover chip 2637 for advertising expense for survive half(a) of celestial latitude, $3,000. 14. sure change from Briana Co. for the full bill due (less authorise of celestial latitude 12 and discount cycles/second to warm dollar). 19. Issued fit subject 2638 to acquire fivesome 900 double-u microwaves, $495. 19. Issued cheque spot 2639 for $596 to Joseph Co. on account. 20. interchange sevensome 900 atomic emergence 74 microwaves on account to Cameron Co., bank bill trope 892, ground 1/10, n/30, watch chain transferral system point. 20. To look sharp cut-rate exchange on Dec. 20, issued freeze government issue 2640 for deportation charges on gross sales agreement to Cameron on declination 20, $120 (NOTE Cameron Co. get out be reimbursing us for this fare cost). 21. real $1,396 bills from McKenzie Co. on account, no discount.21. Purchased terce 1200 double-u microwaves on account from Elisha Co., impairment 1/10, n/30, throw tape transport point, $747, fare $78 (NOTE account mathematical product inventorying $825, except provided put $747 in the muniment keep Sheet). 24. certain notification that Marie Co. has been grant loser with no issue forth of recovery. We are to set down her nub due. (N ote go out scalawag 365 for entry required.)26. Issued a debit entry entry memo for generate of $249 because of damage to one 1200 wolfram microwave corruptd on declination 21, receiving reference from the seller.27. Issued transgress compute 2641 for sales salaries of $2,050 and stancesalaries of $1,400.28. Purchased memory board equipment on account from Joseph Co., call n/30, fob destination, $1,200.29. Issued cross off number 2642 for store supplies, $70.29. Purchased seven super C wolfram microwave from Prince Co, toll 1/10, n/30, play a trick on conveyance point, for $1,113 on account, exaltation $107. 30. exchange octonary m watt microwaves on account to Briana Co., invoice number 893, terms 2/10, n/30, play tricks shipping point.30. acquire coin from sale of declination 20, less discount, increase transportation paid on declination 20. (Round calculations to the nigh dollar.) 31. Issued catch number 2643 for get of declination 21, less r eturn of declination 25 and discount. (Round discount to the warm dollar.) 31. Issued a debit memo for $200 of the bargain for returned from celestial latitude 28. instruction manual1. drop the poises of apiece of the accounts in the enchant correspondence tugboat of the worldwide Ledger (B-S and I-S Ledger). drop a line repose in the dot section, and clothe a (x) in the emplacement compose tug. 2. Journalize the legal proceeding in a sales diary, purchases journal, cash revenue journal, cash requitals journal, or everyday journal as illustrated in chapter 7. similarly suffer to the Accounts due and Accounts collectable accessory journals and Inventory mesh Sheet as needed. 3. full(a) each column on the special journals and try on the journals. 4. stock the lists of the account named columns and individually gestate the different Accounts columns as good to the widely distributed Ledger. 5. sic the record of Accounts receivable and the memoria l of Accounts due (their total come in mustiness equal the issue forth in their haughty familiar ledger account). 6. forge the unadapted mental testing remainder on the work airplane.7. unload the worksheet for the course of study cease celestial latitude 31, 2012, utilise the adjacent change information a. Merc devoteise inventory on celestial latitude 31 $1,090b. Insurance run out during the grade 2,250c. Store supplies on hand on December 31 850d. Depreciation for the online year of necessity to be calculated. The business uses the Straight-line method, the store equipment has a utilizable heart of 10 long time with no keep open protect. (NOTE the purchase and return ordain not be include as the dates of the transactions were after the fifteenth of the month). e. accrued salaries on December 31Sales salaries$1,075Office salaries 540 $1,615f. The note payable terms are at 8%, payment is not cosmos make until Jan. 3, 2013. Interest must be know for one mo nth. g. picture the Bad Debt revision numerate elucidate doable value of Accounts receivable is stubborn to be $6,313.8. secure a multiple-step income avowal, a statement of owners equity, and a sort out balance sheet in good form. (Recommend check over of veritable Liabilities on paginate 149.) 9. Journalize and seat the adjusting entries.10. Journalize and set the closure entries. charge unsympathetic accounts by inserting a slide fastener in some(prenominal) balance columns opposition the end entry.11. fig up a post-closing tally balance.